Search PubMed⌕ Search

Biomedical subjects

M Costagliola

Publications and source records attributed to M Costagliola.

At least 37 records · Page 2Linked to original sources
PubMed1994

[Iliac transosseous transposition of rectus abdominis muscle flap to cover a sacral pressure sore].

The use of an inferiorly based rectus abdominis myocutaneous flap to cover a pelvic pressure sore offers a solution when the possibilities of other local flaps have been exhausted. For sacral pressure sores, the iliac bone is an obstacle for the transposition of this flap. In this case report, we describe how this obstacle can be overcome by creating a trans-osseous tunnel in the ala of the iliac bone through which the flap takes the most direct route to the recepient site.

Adult↗
PubMed1994

[Launois Bensaude disease. Focus apropos of 16 cases].

After a review of the clinical, pathological and aetiological features, the authors describe the various surgical techniques used (conventional surgery or liposuction) to restore a normal social life to these patients, deformed by their disease. They confirm the predominant role of conventional surgery and define the limited indications in which liposuction can be used. Based on a review of 16 cases, the surgeon must make sure that the patient has ceased his or her alcohol abuse before performing this difficult treatment associated with a number of complications.

Alcoholism↗
PubMed1993

[Esthetic reconstruction of the face in burnt patients].

All reconstruction should be aesthetic but in burned patient, everything combines to make a cosmetically satisfactory result more difficult to achieve. However the burns patients, deformed and disfigured has to confront the gaze of others in daily life. Three points are discussed by authors: skin quality can be improved or replaced by a full thickness pressure graft; surgical modification of the underlying structures; repair of peri-orificial areas and free edges.

Adult↗
PubMed1992

Primary pressure grafts in early reconstruction of deep facial burns.

The face is an area of great cosmetic importance where the repair of deep burns is particularly delicate, as both appearance and function must be taken into account. In order to improve the aesthetic prognosis of full skin thickness facial burns, a primary pressure graft technique was used in eight patients. Early excision was carried out during postburn day 3 and after good-quality granulation tissue was obtained around day 10, a full skin thickness graft was applied. Pressure was applied to the graft and maintained for 10 days. The grafts took successfully in all patients with very satisfactory cosmetic results. This is an original technique as it replaces burned tissue at a very early stage with tissue which is normal in thickness and quality.

Burns↗
PubMed1991

[Sagittal rhinoplasty for broad noses].

Normal profile wide noses, without osteo-cartilaginous bump, are rare and very few cases have been described in the literature, to our knowledge. Based on a short experience of 4 cases, we describe a surgical variant of the classic rhinoplasty technique. The resection of two osteo-cartilaginous symmetrical quadrilaterals resolves this specific problem with no risk of profile modification with sagging and necessity of reinclusion.

Esthetics↗
PubMed1991

[Use of frequency doubled Nd-YAG laser and automatic scanning in the treatment of portwine hemangioma].

The authors report their experience in the treatment of portwine stains by means of two recent improvements. The first improvement concerns the use of frequency doubled Nd-YAG laser which emits at 532 nanometres. This wave-length corresponds to an absorption peak of haemoglobin and is therefore more selectively absorbed by haemangiomatous tissue. This helps to explain the better clinical results obtained and the elimination of the other effects classically induced by argon laser, with complete preservation of the healthy, non-angiomatous skin as well as skin and scalp hair. Treatment is consequently facilitated, as illustrated by a series of 79 patients who received a total of 92 treatment sessions over a period of 14 months. The second improvement consists of the addition of an automat which allows the beam to be used continuously with scanning of adjacent bands. This automat not only allows a very homogeneous treatment by eliminating all of the errors associated with manual scanning, but can also be used to treat large portwine stains in a single session instead of the multiple sessions required previously. An interval of 5 to 6 months should be respected before treating the residual part of the portwine stain situated more deeply in the dermis, which should be considered to be a new portwine stain. The combination of these two apparatuses allows fluences (fluence is the product of the power selected by the exposure time per unit area) of only 8 to 15 joules/cm2 due to the dynamics of the treatment in contrast with other static modalities which require higher fluences.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1991

[The inframammary fold: myth or reality?].

Is the inframammary fold an anatomical entity? In order to answer this question, the authors conducted an anatomical, histological and radiological study. The results of these studies were concordant and were able to anatomically define the inframammary fold. The inframammary fold corresponds to a division of the fascia superficialis. It contains numerous fibres stretched between the fascia superficialis and the fascia prepectoralis. In contrast, there are no fibres connecting the fascia superficialis to the deep dermis.

Adult↗
PubMed1991

[Degeneration of scars. Apropos of 14 cases].

The authors report 14 cases of scar carcinomas, arising in different types of scars, over a 5-year period. The histological type of tumour was squamous cell carcinoma. The different sites of occurrence, from those of spontaneous skin neoplasms reflect their different pathogenesis. The diagnosis must be made early, before lymph node involvement, which is the most significant prognostic factor. Treatment should be first prophylactic to ensure good quality healing. Once the tumour has appeared, only aggressive wide excision provides a hope of cure.

Adult↗
PubMed1991

[Failure and problems: apropos of a cranioplasty].

The authors report a case of post-traumatic cranioplasty associated with various complications. They stress the difficulties in managing this type of reconstruction when a vast cerebral defect is associated with ventriculo-peritoneal by-pass.

Craniocerebral Trauma↗
PubMed1990

[Development of jurisprudence concerning the medical contract in esthetic surgery].

The authors report a study of 60 years of French Jurisprudence in relation to the medical contract in cosmetic surgery. Although the obligation can only be in the form of means in the case of surgery of living tissues, a special obligation nevertheless applies when the operation is not performed as a therapeutic procedure but at the patient's wishes. It is an obligation of caution and diligence, respecting the role of proportionality in the indications and the means applied to obtain the desired objective and the safety of the patient. The application of these means will be judged by the magistrate more severely than in therapeutic surgery. A certain degree of laxity in the investigation of a causal relationship in civil law has led to the use of the concept of decreased chance of survival for the compensation of victims of serious complications occurring during cosmetic surgical operations.

France↗
PubMed1990

[Otoplasties for prominent ears].

The authors describe a personal otoplasty technique based on several well known methods. This simple technique is performed as an outpatient procedure without chondrotomy, allowing controlled adjustment of the correction regardless of the type of deformity and ensures reliable long-term results. After describing the various steps of the operation, the authors present the rare complications which may occur.

Ear, External↗
PubMed1990

[Value of early decompression in compartment syndrome of the burnt hand].

Our experience with over one hundred burned hands has shown that the compartment syndrome is a frequent occurrence in the hand and fingers. It is often underestimated because clinical diagnosis is difficult and an infra-clinical ischaemia may exist although the pulse is present. We believe it is important to carry out systematically Whiteside's method of investigating pressure in the compartments of the hand. When pressure exceeds 40 mm Hg the interosseous compartments and sometimes the digital canals or even the antebrachial compartment should be opened. This simple technique followed by early excision and graft and intensive rehabilitation has in our experience transformed the prognosis of burned hands.

Burns↗