Biomedical subjects
Publications and source records attributed to J P Van Geertruyden.
Many techniques have been described for earlobe reconstruction, but a stable and satisfactory shape has not always been obtained, mainly because of secondary retraction. A method of creating an earlobe using a reverse-flow postauricular chondrocutaneous flap combined with a cutaneous flap is presented. No skin graft is needed. The result was stable at 2 years follow-up.
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Abdominoplasty procedures are often unsatisfactory in correcting body deformities remaining after massive weight loss. Lateral flanks, hip rolls and buttock ptosis need also to be addressed surgically. To achieve a more noticeable improvement in body contour, a circumferential torsoplasty procedure was performed in 30 patients during the years 1993-1997. Twenty of them had had a gastroplasty procedure before with a mean weight loss of 49.5 kg. Mean operative time was 210 min (range 150-420 min). The total resection weight ranged from 2 to 8.96 kg (mean 4.3 kg). Mean operative blood loss was 635 ml (range 300-1900 min). The mean hospital stay was 12 days. Minor complications occurred in four patients and major complications in one. Both patients and surgeons considered the outcome very satisfactory.
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Verrucous carcinoma is a rare, highly keratinizing variant of squamous cell carcinoma of the skin or mucosae characterized by a local aggressiveness but a low potential for metastasis. The plantar form is also known as epithelioma cuniculatum. Fingers and toes are rarely affected, and tumors of the nail bed are exceptional. Clinically, the lesion presents like a wart and is then often misdiagnosed. Treatment of choice is wide surgical excision. A case of verrucous carcinoma of the nail apparatus is presented, and diagnosis is discussed.
Posterior interosseous nerve palsy following elbow surgery is not uncommon. Nevertheless, precise etiology of the palsy is rarely described in the literature. In this paper the possible causes of the posterior interosseous nerve palsy are reviewed and an uncommon iatrogenic lesion after surgical treatment of an elbow fracture is reported.
A posterior midline cutaneous lesion in the scalp of a 15-month-old child was excised. Clinical examination, extensive investigations and finally surgery revealed no intracranial connection. Histologically, the lesion was composed of well differentiated meningeal, glial and cerebral tissues, establishing it to be heterotopic brain tissue. Even when all preoperative procedures exclude the diagnosis of cephaloceles, surgeons should keep in mind the possibility of an intracranial connection of any midline scalp lesion in a child and the subsequent risk of meningitis.
Barraquer-Simons lipodystrophy is a rare disorder of unknown origin characterized by a progressive atrophy of the subcutaneous fat of the upper part of the body. Renal disease with abnormalities of complement factors is the most frequent accompanying feature. A case is presented in which bilateral facial contour has been restored simultaneously with two deepithelialized TRAM flaps.
The usefulness of TRAM flaps is well-established. Their use in soft-tissue reconstruction of the lower limbs is illustrated. The flaps allow coverage of soft-tissue defects with good quality skin, and add bulk to enhance leg contour. Three cases are presented, and the advantages of this flap are discussed.
The rectus abdominis is one of the free flaps available to reconstruct soft tissue defects of the lower limb. After a short description of anatomy and surgical technique we report 7 recent cases showing the versatility and reliability of this flap. It may be used to cover large soft tissue defects without functional or esthetic sequelae at the donor site.
50 consecutive patients with injuries due to skiing on an artificial ski slope were seen in our emergency department over a 16-month period; 76% of these involved the hand or wrist. 52.5% of hand lesions were fractures and only one-third of the first ray injuries were sprains of the ulnar aspect of the MP joint. These data significantly differ from those known for skiing on snow.