Designing and dressing of skin grafts by means of patterns on sponges of polyurethane.
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Biomedical subjects
Publications and source records attributed to I J Peled.
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Phenol chemical peeling is a well known ancillary procedure for facial rejuvenation. It may be used as an adjuvant to rhytidoplasty or may be an alternative in selected patients or in patients who refuse to undergo both procedures and prefer a single stage and scarless procedure. The results are very gratifying and long lasting.
A simplified and knifeless technique for otoplasty is presented. Correction of the prominent ear is easily achieved by subcutaneous and transcartilaginous nonabsorbable permanent sutures after cartilage resilience is weakened by needle scoring. This technique was very successful in 11 consecutive cases with up to 30 months of followup.
The widespread use of antibacterial agents for prophylaxis has altered surgical practice markedly in the past 20 years and now represents one of the most frequent uses of antibiotics in hospitals, accounting for as many as half of all antibiotics prescribed. The present study was undertaken to determine the patterns of and reasons for antibacterial agent usage by today's practicing plastic surgeons in Israel. A survey of 78 Israeli plastic surgeons certified by the Israeli Association of Plastic Surgery was conducted. Questionnaires were mailed to all the certified plastic surgeons; 66 (84.6%) were completed and returned. The results indicate that prophylactic antibiotics are administered in a high percentage of aesthetic and reconstructive surgeries except for those in eyelids and nose. Most of the surgeons prefer to prescribe cephalosporins as their antibiotics of choice and the timing of administration is before or at the beginning of surgery. Placement of drains did not change the decision to use prophylaxis. Diabetes mellitus, steroid treatment, and chronic lung disease have a direct influence on the decision to use antibiotics; however, conditions such as ischemic heart disease, hypertension, and cigarette smoking do not influence their use. Personal experience was the main reason for prescribing antimicrobial agents. We conclude that although the infection rate in aesthetic and reconstructive operations is extremely low, most Israeli plastic surgeons still prefer to administer prophylactic antibiotics though no scientific hard data is available.
Reconstruction of the lip following excision of malignant tumors is a frequent task of the plastic surgeon. Adequate oncological treatment must be followed by a satisfactory aesthetic and functional result. A simple and successful technique of lip reconstruction is revisited. It consists in using the remaining lip, which is released by way of a horizontal mucomyocutaneous flap(s) and stretched to fill the gap. Twenty-six consecutive cases of T2-T3 squamous cell carcinoma of the lip were treated using this technique, with excellent aesthetic and functional results.