Reduction mammoplasty: general approach and basic considerations.
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Biomedical subjects
Publications and source records attributed to J P Jouglard.
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This report attempts to clearly define the polymorphic nature of sequelae from burns of the lips by introducing a simple classification based on the direct or indirect, and minor, moderate, or major nature of the affection. Understanding of the processes involved in scar formation is essential for developing a rational plan for surgical repair. However, the ideal situation would be to prevent scar formation by fixation-compression, the use of an orifice shaper, or by excision-grafting of facial burns associated with these procedures.
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The authors review 101 small and medium early excisions with immediate grafting. They study several parameters concerning the severity of the burn, the time and the duration of the surgical procedure, the blood losses, the effect on the protidemia during the shock period, the duration of the hospital care, the septicemic risk, the mortality, and the functional and cosmetic results. They come to the conclusion that, under 15% of the body surface area, early excision can be done at one single operation with hardly any risk, and that it is better to perform it as soon as possible (before 12 hours if possible). With a good splinting and a daily rehabilitation, the cosmetic and functional results are very satisfactory.
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