Biomedical subjects
M B Habal
Publications and source records attributed to M B Habal.
Breast augmentation and the implant mania.
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Congenital lipofibromatosis associated with macrodactyly of the foot.
Congenital lipofibromatosis of the foot, a type of paracrine growth disorder, is a distinct clinical entity that must be differentiated from other causes of macrodactyly, with specific diagnostic and therapeutic considerations. Eleven skeletally immature patients with congenital lipofibromatosis and macrodactyly of the foot were studied. Diagnostic histopathologic criteria were documented. The most specific pathologic finding of congenital lipofibromatosis is an overabundance of fibrofatty tissue on the plantar aspect of the foot and involved toes. Surgical defatting or debulking procedures, ray resection, and phalangeal epiphysiodesis produced significant cosmetic improvement. Syndactylization and phalangeal resection were not as beneficial.
Effect of Ringer's lactate irrigation on the formation of postoperative abdominal adhesions.
Intraabdominal adhesions continue to pose a potentially serious postoperative clinical problem. Reported here is an experiment designed to study any effect that balanced Ringer's lactate (RL) solution may have on intraabdominal adhesion formation. Surgical trauma was induced in mice by controlled gauze abrasion of one side of the abdominal wall; the opposite side was used as a control. RL irrigation was compared with no irrigation. Adhesions were scored on the basis of incidence (%) and severity (on a 0-10 scale). The abraded right peritoneum exhibited 100% adhesions for both the RL group and the nonirrigated group. However, on the side that was not abraded, the nonirrigated group showed only 30% incidence of adhesions and 1.7 +/- 3.3 severity as compared with 100% adhesions and 7.7 +/- 2.2 severity for the RL group. These results suggest the need for further studies to establish the extent to which irrigation with solutions such as Ringer's lactate or saline may enhance formation of postoperative adhesions.
Bone-ceramic composite for enhancement of bone graft regeneration.
A new technique in bone grafting for the correction of a bony cleft and other associated bony defects is discussed. The technique involves the use of composite bone grafts.
Psychological aspects of parents of children with craniofacial anomalies.
Parents of 27 children with pure craniosynostosis seen at a craniofacial clinic were surveyed to measure variables associated with family psychological stress. Each parent was asked to complete the Questionnaire on Resources and Stress and to provide information on various family and demographic characteristics. The level of psychological stress was positively associated with the number of older children in the home, not having one's own car, and not having prior experience caring for a handicapped person. Having someone to help care for one's child was also positively associated with family stress level. The level of family stress was negatively associated with the respondent's current health and degree of satisfaction with the amount of time clinic staff spent with one's child. These findings suggest a means of identifying families at high risk for stress associated with having a child with a craniofacial disorder who may need supportive services.
Interference of craniofacial plating systems in diagnostic imaging.
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Regarding the safety of silicone implants.
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Aesthetics of feminizing the male face by craniofacial contouring of the facial bones.
The "forceful" and macho look of a prototypical man may not be unduly appealing to others whom he meets. This "forceful" look might not even appeal to the individual himself. In order to soften this appearance, a series of operative procedures has been devised for use on the craniofacial skeleton. These surgical steps can be done in a single operation or as a series of multiple operative procedures. Moreover, the needs of some patients may require that only special segments of these procedures be performed. This article presents these operative procedures and describes the feasibility with which they can be performed. Complications and unfavorable outcomes, when they occur, are usually related to unrealistic expectations on the part of the patient. The surgical steps routinely performed are those that contour the forehead, orbits, malar eminence, cheeks, chin, angle of the mandible, and larynx. Three categories of patients are described: the female with a male face; the male with a "forceful look"; and the patient requesting a gender identity change. The psychosocial, psychological, and behavioral problems leading to the decision for surgery will be the basis of final patient selection.
Acute Pseudomonas chondritis as a sequel to ear piercing.
A patient is reported who had Pseudomonas chondritis secondary to ear piercing. The cause, pathogenesis, symptoms, and diagnosis of acute chondritis are discussed. Principles of treatment are enumerated.
Involvement of the thymus and cellular immune system in craniofacial malformation syndromes.
Craniofacial structures, the aortic arch, thymus, and parathyroid glands all arise from the embryologic pharyngeal pouches, and DiGeorge and Job craniofacial malformation syndromes have defined immunologic deficiencies. The question addressed by this study is whether patients with other pharyngeal pouch malformations could also have immunologic abnormalities. Twelve patients, 4 female and 8 male, were selected at random from the Tampa Bay Craniofacial Center. Their diagnoses included: cleft lip/cleft palate, hemifacial microsomia/Goldenhar syndrome, Treacher-Collins syndrome, craniofacial hemangiomata, cranio-synostosis syndromes, and Tessier 13 cleft. Fresh blood samples were analyzed against age-matched controls for immunoglobin number, using immunoelectrophoresis, T-cell, B-cell, and natural killer cell quantity via Coulter counter and monoclonal antibody labeling, as well as lymphocyte stimulation and response functions with phytohemagglutinin, concanavalin A, pokeweed mitogen, and Staphylococcus aureus mitogens. All patients studied had some abnormality of their immune systems. Seven had specific T-cell abnormalities and three patients had abnormalities in all three categories studied. This indicates that patients with any pharyngeal pouch malformation may have an abnormality of the immune system.
Bone grafting for cranial reconstruction.
Precise reconstruction of defects of facial bones including the neurocranium is now possible with the use of CAD/CAM technology and biomaterials, such as OsteoMesh, combined with bone grafting.
Orbital teratomas: a new approach for surgical treatment.
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Practice of plastic and reconstructive surgery in Florida.
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New concepts in pediatric plastic surgery.
The pediatric patient who requires plastic surgery usually has a birth defect or congenital deformity. Such problems may vary from a simple strawberry hemangioma to the most complex deformity involving the entire facial skeleton and soft tissue. New technics in treatment and advances in diagnosis allow such problems to be corrected with impunity, giving patients the opportunity to grow and lead normal, productive lives.
Cleft palate teams and the craniofacial centers in Florida: a state network.
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Clavicular osteotomy and internal rigid fixation to the super extended pectoralis major musculocutaneous flap.
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Middle ear tissue mass and audiometric data from otologic care of infants with cleft palate.
Routine early myringotomy in patients with cleft lip, cleft palate, or both revealed polypoid tissue masses as well as otitis media with effusion. Changes in middle ear mucosa usually associated with chronic middle ear dysfunction were observed in the early months (2 to 8) of life.