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Biomedical subjects

J B Tebbetts

Publications and source records attributed to J B Tebbetts.

24 records · Page 2Linked to original sources

Transaxillary subpectoral augmentation mammaplasty: a 9-year experience.

The TASP approach to mammary augmentation offers distinct, clinically confirmed advantages of locating the scar off the breast, minimizing loss of nipple sensation, and reducing risks of hematoma and infection. The technique is limited as an approach for secondary surgery of the breast and contraindicated in the ptotic breast. Facility, consistency, and reliability with the technique depend on thorough understanding of the anatomy, patience while learning the technique, and vigilant attention to detail.

Breast↗

Transaxillary subpectoral augmentation mammaplasty: long-term follow-up and refinements.

Transaxillary subpectoral augmentation locates the scar in a less visible position in multiple body positions than approaches that locate scars on the aesthetic unit of the breast. In 90 patients, 63 with 2 to 5 years of follow-up, using the surgical technique described, the Baker III/IV capsular contracture rate was 5.6 percent. There was no occurrence of hematoma, periprosthetic space infection, permanent loss of nipple sensation, or significant axillary wound morbidity. Scar results suggest that the axilla is an anatomically favorable location for both high-quality final appearance and minimal visibility. The transaxillary subpectoral approach is an excellent alternative to inframammary and periareolar approaches in all types of breasts requiring augmentation except the ptotic breast or breasts requiring extremely large prostheses.

Axilla↗

Some observations relative to the levator veli palatini muscles in the cleft palate.

Three observations relative to the levator veli palatini muscles in the cleft palate patient are emphasized. They are: 1) the fascia of the levator muscle is readily identifiable and should be preserved intact during the dissection and retrodisplacement of the muscles during palatoplasty; 2) the levators are attached to the palatine bone via a tendon-like condenstation of muscle fibers; and 3) adequate release of the band-like attachment of soft tissue to the anteriolateral aspect of the levator is essential for optimal retrodisplacement of the muscle unit.

Cleft Palate↗

The management of open tibial fractures with associated soft-tissue loss: external pin fixation with early flap coverage.

Meaningful data on the management of open tibial fractures cannot be obtained unless one categorizes the injury according to fracture type, degree of soft-tissue loss, and the velocity of the injury. Treatment by converting the type III injury to a type II injury with well-vascularized soft tissue is presented. Eighteen patients with 20 type III and type IIIa wounds were treated in a prospective fashion employing a combined orthopedic and plastic surgical scheme based on the tenets of early radical debridement, a "second look" operation, muscle or muscle-skin flap cover within 5 days of injury, external pin fixation, and ambulation within the first 3 weeks of injury. All fractures united in a mean time of 4.0 months. The mean hospitalization was 4.2 weeks. There have been no chronic infection, osteomyelitis, nonunion, shortening, or tissue breakdown.

Adult↗