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Biomedical subjects

M B Habal

Publications and source records attributed to M B Habal.

At least 37 records · Page 2Linked to original sources

Analysis of workforce, distribution of care, and practice preference in pediatric plastic surgery.

To determine the future needs in manpower for pediatric care as it relates to pediatric specialists, a study was conducted by the American Academy of Pediatrics to see the needs of manpower that will provide access of pediatric care to all. A pediatric plastic surgery survey was set in the form of a list of questions that was mailed to the respective societies with pediatric plastic surgeons as members. The survey was reviewed, and the results were studied. The outcome is presented in the form of findings related to the overall practice of plastic surgery. Based on the percentage of pediatric care that is provided, there were two types of pediatric plastic surgeons. Those with the high percentage of pediatric care tend to stay near health science centers; however, both groups tend to spend time (each to a different extent) tending to other plastic surgery problems. Today we have adequate access to care in the health system for pediatric plastic surgery problems despite the shift in the health care environment. Managed care continues to use the pediatrician as a "gatekeeper" in determining the overall access for patients with problems related to pediatric plastic surgery.

Canada↗

Facial rehabilitation by the application of osseointegrated craniofacial implants.

A new approach to the facial rehabilitation of patients with congenital and acquired deformities is introduced in this short note. This method involves having a bone implant that allows the anaplastologist to fabricate a custom prosthesis for use in patients with disfigurement. The design of the implantation site is done before the surgical procedure. The titanium oxide fixtures and abutments are submerged and extrude through the skin by a small window. The attachment for the replacement part is achieved by using a metallic bar or magnets. A small space is left at the interface for ventilation of the skin and to avoid any maceration that will compromise the integrity and long-term accepted outcome. This new method is not a replacement of the traditional techniques but an augmentation for the accepted methods in facial rehabilitation.

Ear, External↗

Absorbable, invisible, and flexible plating system for the craniofacial skeleton.

This report demonstrates further experience in the use of the absorbable plating system since our preliminary report in 1996. We found more indications for the application of the absorbable plating system in the craniofacial skeleton in children and in covering cranial bone graft donor sites. The system is unique, the applications are widespread over the horizon, and the only limitations are those of the operating surgeon. The advantage is that in 1 year the system absorbs completely by hydrolysis, giving minimal inflammatory reaction at the site.

Absorbable Implants↗

Malignant epithelioid schwannoma of the mandible and the skull base.

A rare case of malignant schwannoma is described. The patient's main presentation was that of pain. The patient had no other symptom, particularly that related to the space-occupying lesion in the skull base that also was filling the pterygoid space. A 5-year cure was achieved by combined therapy of radiation and radical surgery. The rarity of these cases makes it impossible to do a comparative analysis including randomized clinical trials for outcome studies to find the optimal treatment for each patient.

Adult↗

Microsurgical anatomy of the facial nerve.

Microsurgical dissection of cadaver facial nerves revealed quantifiable complexities not presented in standard description. Total branches, intraparotid connections between divisions, and extraparotid connections between divisions are more common than generally noted, and 33% of the dissections demonstrated an extraplanar buccal branch originating within the parotid gland, and innervating the perioral muscles. These details of facial nerve anatomy suggest surgical procedures such as tumor resection, facial nerve reconstruction, facial reanimation, and facelifting.

Facial Nerve↗