Biomedical subjects
M Meley
Publications and source records attributed to M Meley.
[The facial wound, its cicatricial fate].
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[Musculocutaneous flaps in maxillofacial surgery].
The principal general characteristics of musculocutaneous flaps are described. Originally indicated for repair of wounds and reconstructive surgery following operation for cancer, they are now employed to treat post-radiotherapy lesions, burn sequelae, and even facial asymmetry. The principal clinical features of the most commonly applied flaps are discussed with a view to defining their maxillofacial applications more precisely.
[Panorama of lesions of the facial bone structure].
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[The management of facial traumata. The urgency of facial repair. (author's transl)].
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[Radiological exploration of maxillofacial trauma].
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[Angiomas of the face. Surgical possibilities].
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[Platysma: surgical importance].
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[The lips, mutilations and repair].
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[Extension of basal cell epitheliomas. Value of extemporaneous histological examination and bone scintigraphy (author's transl)].
Though basal cell epitheliomas present the advantage of lack of spread into lymph nodes and of having only local activity they can extend considerably both on the surface and in the deep tissues. Because of the difficulty in obtaining complete excision of recurrences the authors are prudent in their attitude and take all possible precautions during treatment of these lesions, including extemporaneous histological examinations and bone scintigraphy which appear to be indispensable.
[A simple immobilization procedure for alveolodental injuries (author's transl)].
In the case of partial or total luxations, or in alveolar fractures, the treatment consists in immobilisation of injured teeth. Since three years we use brackets on teeth's vestibular side joined by metallic wire. This technic very easy to use, gives good results (87% on 75 cases). It is the finest way for primary dentition.
[What to do in case of labiomaxillopalatine cleft].
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[Epigastric congenital diverticulum of the right ventricle. Resection during the neonatal period (author's transl)].
The authors relate a neo-natal case of cardiac diverticulum of the right ventricle, reaching the epigastric area and associated with several connected malformations : partial pericardial agenesis, anterior diaphagmatic breach, diastasis of Musc. recti abdominis, skin aplasia in the epigastric area, and, moreover, dextrocardia with Fallot tetralogy. The diverticulum was successful resected in emergency.
[Value of dacryography in the exploration of injuries to the lacrimal ducts (author's transl)].
Dacryography is the only objective non-clinical method for studying the permeability of the lacrimal excretory ducts. Pre-operatively, it is an essential element for the choice of surgical intervention; post-operatively, it is always indicated if weeping persists. New surgical techniques such as arterial grafting have stimulated renewed interest in this method.
[Reconstruction of the lacrimal ducts: results in a series of 102 cases (author's transl)].
Surgery of the lacrimal appartus falls into the realm of a paradox: paradoxical because of the means employed to repair an excretory apparatus which is not absolutely indispensable; paradoxical because of the great difficulty encountered in assessing results in operated patients with: obstruction without weeping or; weeping without obstruction. The indication for operation is related to two factors: that of the act itself--valid in new lesions, debatable in old lesions, doubtful in relapses; that of the technique used, which in the authors' view is mainly a function of the state of the lacrimal sac. An objective analysis of a series of 102 cases strengthened the authors' opinions but with a feeling of circumspection tainted with deception.
[Complete repair in one stage of the sequelae of unilateral total hare lip (author's transl)].
The sequelae of hare lip, of mixed origin, malformative and surgical, require careful analysis of the deformities present in order to ensure their correction. The basic concept is replacement of the cleft in its initial position, i.e.: --re-opening of the cleft, --exposure of the bony edges, --excision of scar tissue. Restoration is then performed starting deep and working upwards, with primary attention paid to the skeleton with the complex concern of: --normalisation of the underlying bone and of occlusion, --re-establishment of oro-nasal muscular equilibrium, --esnuring nasal ventilation. without neglecting the overall morphology. With this in mind, complete repair in one stage is most likely to result in a harmonious overall result.
[Proceedings: Calcified metastases of an epithelioma of the ovary].
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[Poisoning by immersion in a cleaning tank].
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