Biomedical subjects
Publications and source records attributed to J Juri.
We present two new flaps, a pedicled one and a free one, for the treatment of baldness. The aim of these procedures is to have the hair lying forward at the frontal region, thus providing a more natural appearance and concealing the anterior pilous implant line.
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We present a monopedicled diagonal frontoparietooccipital flap to reconstruct the pilous implant hemiline of the scalp. We use this design to obtain the greatest possible length, closing the donor site with an advancement flap.
We present some variations of the monopedicled flap with temporal pedicle, used for treatment of traumatic scalp alopecias of different origin. Emphasis is on the frontal region--the most important area aesthetically.
We present our experience in the treatment of secondary nasal deformities caused by excessive resection of the nasal dorsum. We have used ear cartilage autografts, with good results and (on the whole) little or no resorption (some have been followed for 10 years). We consider it essential to correctly shape the transplant and to hold it firmly in the proper position for a period of not less than one week.
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We present a technique for the correction of obesity and/or ptosis of the arms. It consists of raising a lower quadrangular advancement flap, sliding the upper wound margin downward, cutting the excess off the quadrangular flap, and a T-shaped closure. A compressive elastic bandage is worn continuously for 3 months to help keep the closure scar flat and prevent its hypertrophy.
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We have used 25 rotation scalp flaps to treat occipital baldness associated with fronto-parietal baldness (the third flap), and 35 such flaps for the correction of isolated occipital baldness. We have not had any flap necrosis, and our patients have been well satisfied with the results of this surgery.
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I present a surgical procedure for the treatment of baldness, using parieto-occipital and occipito-parietal flaps. I believe these flaps are somewhat different from those advocated earlier by others, 1,3-5. We have treated about 400 cases (Tables I, II), and the overall results have been excellent with this method. The only complications have been dehiscences of the donor wound when the wound was under tension (15) and necrosis of the distal two cm of the flap (10).
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