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Biomedical subjects

R Ellenbogen

Publications and source records attributed to R Ellenbogen.

31 records · Page 2Linked to original sources

Male baldness: immediate single-stage rotation of very long arterialized temporo-parieto-occipital flaps.

Over a period of 5 years we have performed 62 rotations of long temporo-parieto-occipital flaps in a single stage without delay for both frontal and occipital male baldness. The technique and indications are reported and discussed. The good results obtained permit us to affirm that this surgical technique is safe, simple to perform, and rapidly effective. It has clear advantages over techniques involving delay, including guaranteed survival and vitality of the rotated flap, speedier execution, and few, if not minimal, complications.

Alopecia↗

The improvement of the gummy smile using the implant spacer technique.

A simple technique for correction of a gummy smile by partially transecting the levator labii superioris, the major lip elevator, and decreasing its cephalic excursion using an implant spacer is presented. Results are given for 21 patients, and 3 representative patients are discussed, in whom a silicone implant with maxillary augmentation with concomitant rhinoplasty; cartilage from the nasal septum with concomitant rhinoplasty; and a silicone implant independent of rhinoplasty without maxillary augmentation were utilized.

Adult↗

A technique for the closure of small septal perforations.

The small septal perforation has been a particular problem with regard to its symptoms. One author even recommended its conversion into a large septal perforation to decrease the symptoms. A simple technique using autologous nasal cartilage is presented in 4 cases with follow-up for one year.

Cartilage↗

Transcoronal eyebrow lift with concomitant upper blepharoplasty.

A technique for eyebrow lift is presented which employs the eyebrow arch used by makeup artists to add subjectively to the operation and prevent the aesthetically displeasing result of a too highly arched brow. The marking technique to achieve the proper life is outlined. A concomitant blepharoplasty technique and its indications are presented.

Adult↗

Regrowth of platysma following platysma cervical lift: etiology and methodology of prevention.

Platysma regrowth after platysma cervical lift is a new complication. We postulate that the platysma reestablishes itself by hypertrophy of muscle fibers contained in its posterior SMAS sheath as well as by muscle regrowth along the posterior sheath. We now routinely cut both platysma and posterior sheath. We also recommend excision of anterior platysma not connected to the posterior sheath. Closure of platysma should be from the mentum to the upper thyroid cartilage utilizing nonabsorbable sutures.

Adult↗

Visual criteria for success in restoring the youthful neck.

We have suggested visual criteria for achieving and assessing success in platysma cervical lift. We believe it is now possible to satisfy these criteria in most patients, even those with a low-lying hyoid. Anterior adjustment of the platysma is more important for desirable results than posterior adjustment or posterior closure alone. If present in a heavy neck, the subplatysma fat pocket must be excised. A posterior submental incision as well as a more radical submental lipectomy with platysma sling (submental neck lift) is helpful for patients who are not yet candidates for an upward lift. The cutting of the platysma and fashioning of the sling, as well as defatting, may possibly add to the longevity of the lift, but this can be ascertained only by long-term follow-up.

Adult↗

Partial trisomy 21.

This report presents and 18 1/2-year-old patient with clinical features of Down syndrome and severe mental retardation due to partial trisomy 21. Cytogenetic studies using Giemsa banding chromosomes revealed translocation of the 21q21 qter segment onto the short arms of chromosome #8 (46,XY,--8, + t(8qter 8p23::21q21 21 qter)). It is recommended that patients with features of Down syndrome whose chromosome analysis was done prior to introduction of banding studies undergo repeat karyotyping.

Adolescent↗

Pseudo-paralysis of the mandibular branch of the facial nerve after platysmal face-lift operation.

With the increasing popularity of platysmal face lifts, the anatomy of the cervical branch of the facial nerve should be noted. The postoperative appearance of lack of ability to retrude the corner of the mouth, in someone who had a "full denture" smile preoperatively, could possibly be due to severance or stretching of the rami of the cervical branch of the facial nerve--rather than an injury of the facial nerve of the marginal mandibular branch.

Aged↗

A new device to assist in sizing breasts.

There is a gray zone in specific communication about what size a woman's breasts will be after surgery. I have devised a clear plastic shell which accurately simulates a bra cup size of a breast in the upright position. This can be used for preoperative demonstration under clothes, intraoperatively with inflatable implants, preoperatively with gel implants, and in pexis. I have used these with great success for two years in my practice.

Adult↗

Injectable fluid silicone therapy. Human morbidity and mortality.

Four patients who had received silicone injections had the following complications: migration, hepatic disease manifested as granulomatous hepatitis (previously undescribed, to our knowledge), hypopigmentation, and death. Silicone should now be considered as a possible cause of hepatic granulomas in an appropriate host.

Adult↗