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Biomedical subjects

R M Woolf

Publications and source records attributed to R M Woolf.

At least 19 recordsLinked to original sources
PubMed1984

Cleft lip nasal deformity.

The nasal deformity in the cleft lip patient is produced by the lower lateral cartilage being subluxed inferiorly and laterally, which falsely lengthens the nose on the cleft side. The columella is not short. It simply extends laterally to a dipped area in the rim of the nostril. The cleft lip nasal deformity is correctable at the time of primary lip repair by advancing the lower lateral cartilage superiorly and medially. The correction will last with the cartilage fixed to the upper lateral cartilage-septal junction, its normal position. A deficient repair will not improve. A good repair will last, will not interfere with growth of the nose, and will free the patient from years of unnecessary embarrassment . Correction of the cleft lip nasal deformity in the adult requires repositioning of the lower lateral cartilage similar to what can be and should be done in the infant.

Adolescent↗
PubMed1984

Anatomy of a rhinoplasty--saw technique.

Great latitude is given the concept of individual variations in part and in the entirety, but generally corrective rhinoplasty requires anatomic alteration in five areas: removal of a dorsal hump (Fig 5-9A), narrowing of the bony nasal arch (Fig 5-9A), lowering and/or shortening of the upper lateral cartilages (Fig 5-9B), narrowing and lowering of the nasal tip (lower lateral cartilage) (Fig 5-9C), and shortening and tilting of the cartilaginous septum (Fig 5-9D). Proper appreciation of the contribution of each of these anatomic parts to the entire unit of nasal form will aid the surgeon in more consistently reaching the desired functional and cosmetic goal in corrective rhinoplasty.

Anesthesia, Local↗
PubMed1984

Basic anatomy: clinical application in rhinoplasty.

In responding to the request to update an article from a previously published work, I selected the subject of anatomy and rhinoplasty. The information presented, along with videotapes on the same material, has been frequently sought and, I hope, has been helpful in guiding residents who are learning to do a given operation. An updated application of basic anatomy to the correction of excesses and deficiencies of the nose is presented. The authors hope this will help trainees obtain good functional and aesthetic results.

Cartilage↗
PubMed1984

Nonoperative construction of the vagina: two unusual cases.

Twelve additional cases are added to our previous report on nonoperative construction of the congenitally absent vagina, bringing the total reported cases to 20, of which 19 have been treated successfully, We have not found it necessary to construct a vagina surgically with skin grafting since adopting this method. Two unusual cases of vaginal agenesis are reported. One case required lower vaginal tract dilatation and hookup to a closed-end uterus. Normal menses for 14 months have followed. We believe this case meets the maximum requirements to prove the value of graduated dilatation of the congenitally atretic vagina.

Adolescent↗
PubMed1983

Breast reconstruction: a better skin pattern.

Breast reconstruction following mastectomy has reached a high level of excellence. An S-shaped skin island on a latisimus dorsi myocutaneous flap is presented. This flap is an aid to better aesthetic balance in breast reconstruction.

Breast↗
PubMed1983

Pulmonary complications following abdominal lipectomy.

Previous reports underestimate the morbidity of a lipectomy, having focused on mortality statistics. Alterations of respiratory kinetics leading to complications do not always correlate with the usual signs and symptoms of respiratory failure. Patients at increased risk, namely, those with obesity, a smoking history, or lung disease, deserve special attention, including appropriate pulmonary function studies in the preoperative and postoperative phase. The following studies are indicated in the preoperative assessment of the high-risk patient: (1) vital capacity, (2) arterial blood gases, and (3) chest radiograph.

Abdomen↗
PubMed1978

Repositioning of prominent ears.

An operation for the repair of prominent ears is presented that includes the best features of the cartilage incision and cartilage suturing techniques. By using the best of several procedures, an operation has been developed which gives consistent, reproducible results in the treatment of prominent ears; and which is easily adaptable for children.

Adolescent↗
PubMed1977

Vertical ramisection for prognathism.

Forty-four patients with Class III malocclusion, who were operated on for prognathism, have been reviewed. In spite of the associated problems of pain, nausea, fear, relapse, additional orthodontia, lip numbness, lip weakness, and 8 weeks with their teeth wired together, only one patient of the 44 said he (or she) would decline this surgery if it were to be considered anew. The surgeon must make a strong effort to keep the vertical cut in the bony ramus posterior to the lingula, to avoid postoperative lip numbness. He should also keep traction on the soft tissues minimal, to avoid postoperative weakness of the lower lip. A significant relapse was uncommon in this series, and the facial symmetry was greatly enhanced. Most of these 44 patients (66 percent) said the improvement in their self-image and personal appearance was far more important to them than the improvement in their bite.

Adolescent↗
PubMed1977

Our experience with sagittal split osteotomy for retrognathia.

Twenty-six cases which had been operated upon for retrognathia are reviewed. Most of these patients were unmarried, young individuals, and the improvement in their self-image and appearance was the major benefit from the surgical procedure: a lesser number felt the improvement in their bite and function was more important. Relapse, weakness of the lower lip, and numbness of the lower lip were the 3 most common complications. They occurred with sufficient frequency to encourage us to find a surgical approach with less morbidity for this problem of skeletal asymmetry. Perhaps a "C" cut (as champion;ed by Hinds), a forward block of the mandible with cartilage (as described by Trauner), or a vertical cut of the ramus with the posterior fragment notched into the anterior fragment (Mehnert), would yield results with fewer undesirable effects.

Adolescent↗
PubMed1976

Benign inverted nipple: trans-nipple-areolar correction.

It is not expected that patients who have this correction for inverted nipples can nurse, but neither could they preoperatively. Their hygiene problems are solved. The deformity, their prime concern, has been corrected through a direct trans-nipple-areolar incision with nipple augmentation by flaps of breast tissue.

Breast↗