Search PubMedSearch

Biomedical subjects

L M Field

Publications and source records attributed to L M Field.

At least 19 recordsLinked to original sources

Sequential infravermilion and supravermilion lip reconstruction. A new concept.

The majority of lip repairs may be better facilitated by initially repairing the infravermilion cutaneous defect and then separately considering repair of the mucosal and, when present, submucosal defect. These sequential considerations allow a variety of reconstructive approaches to be applied to the different types of tissue lost above and below the vermilion border. Many of the sequelae of standard wedge excisions and their resultant repairs may be avoided by utilizing sequential infravermilion and supravermilion lip reconstruction.

Humans

Restoration of curved earlobe configuration with scar tissue advancement flap combined with second-intention wound healing.

Reconstruction of earlobe curvature in a scar-deformed and displaced earlobe was accomplished by a combination of 1) hypertrophic scar debulking, 2) partial defect closure by scar tissue flap advancement to re-establish the cephalic extent of the neck at the infralobular crease, and 3) second-intention healing of the noncovered lower earlobe, preserving its surgically re-established curved configuration. Although this article specifically addresses scarring deformities of the earlobe, the same principles could be applied to congenital, noncicatricial tenting deformities.

Cicatrix

Macrocheiloplasty. Principles and techniques.

Enlarged configurations of one or both lips from hereditary and racial differences are common phenomena. Congenital anamolies and acquired malformations are more unusual. The author reviews the principles of lip size reduction, and demonstrates photographically the serial steps necessary to accomplish that goal on the lower lip.

Adolescent

Scalp flaps.

The particular anatomy of the scalp largely dictates utilization of its parts and adjacent attached integument for reconstructive purposes. Unusually large movements of scalp skin are generally required with a variety of basic techniques and ancillary procedures. Rotation flaps are considered the prime "work-horses" for scalp flap reconstructions. Anatomic factors will be interspersed with clinical applications, and a series of photographs and commentary will highlight these considerations.

Humans

An improved design for vermilionectomy with a mucous-membrane advancement flap.

The author describes a modified mucous-membrane advancement flap for the repair of defects following the removal of premalignant actinic cheilitis or squamous cell carcinoma. The advantages of this modification over other techniques include a more broadly resurfaced lip bilaterally, and prevention of punctate scarring at the lateral oral commissures by use of a continuous mucous membrane in and around the commissures themselves.

Carcinoma, Squamous Cell

The nasolabial flap--a defensive reappraisal.

The nasolabial flap has been a mainstay in reconstructing nasal defects. Errors in design and construction of this flap have caused many to condemn it and move away from its use. This article reaffirms its extensive applicability and seeks to forestall unaesthetic reconstructions by consideration of preventive steps.

Humans