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Biomedical subjects

S N Snow

Publications and source records attributed to S N Snow.

48 records · Page 3Linked to original sources

Nasal tip reconstruction: the horizontal "J" rotation flap using skin from the lower lateral bridge and cheek.

The horizontal "J" flap is a rotation flap that uses skin from the lower lateral bridge and cheek to repair full-thickness skin defects of the nasal tip. Pertinent anatomic morphologic characteristics of the nasal tip skin that contribute to the unique character of the nose are discussed. The example defects presented resulted from the excision of skin cancers using micrographic surgery. Nasal tip reconstruction, using adjacent skin based on the nasal anatomic subunit principle, results in superior aesthetic repairs.

Basal Cell Carcinoma↗

Anatomic rubber stamps of the face and body to document procedures in dermatologic surgery: one picture is worth a thousand words.

Representations of the anatomic surface location of cutaneous lesions and the surgical procedures performed on these lesions can be transferred to the medical charts using simple anatomic rubber stamps (ARS) of the body. The technique is exemplified with symbols to represent surgical excision, chemical face peel, dermabrasion, micrographic surgery, and the harvesting of flaps and grafts. ARS are also useful in liposuction surgery, punch grafts for pitted facial scars, hair transplantation, sclerotherapy, laser surgery, and other cosmetic dermatologic procedures. ARS are particularly valuable in micrographic surgery for skin cancer because they help document the depth and breadth of cancer invasion and aid in the follow-up of recurrent skin cancer, especially when defects are reconstructed.

Basal Cell Carcinoma↗

Reusable loop stitches for inspection of grafts.

Reusable loop stitches are a good method of securing the stent in skin grafts. Two suture methods are presented: the free-loop and the loose-loop suture technique. Their main advantage is that they provide a loop of suture that can be repeatedly rethreaded with suture, thereby permitting reexaminations and re-stentings of the graft site without additional anesthesia.

Humans↗

The buried running dermal subcutaneous suture technique.

This article illustrates the buried running dermal subcutaneous suture technique, a more rapid method for closing large fusiform open skin wounds than vertically oriented buried dermal subcutaneous sutures that are individually tied and cut. This technique effectively closes dead space, provides excellent strength, and relieves wound tension uniformly.

Adipose Tissue↗

Basal cell carcinoma in a patient with acquired immunodeficiency syndrome: treatment with Mohs micrographic surgery fixed-tissue technique.

A case illustrating Mohs micrographic surgery fixed-tissue technique in the treatment of a large basal cell carcinoma of the left nasal alar groove in a patient with acquired immunodeficiency syndrome is described. Fixation of the tissue before excision and appropriate infectious disease precautions minimize exposure to the human immunodeficiency virus by the surgical and laboratory personnel, while Mohs micrographic mapping assures complete removal of a potentially life-threatening cancer in an immunocompromised patient.

Acquired Immunodeficiency Syndrome↗

Fingernail drill in bone surgery.

The fingernail drill is useful in bone surgery. It is useful in aiding the excision of bone and in the stimulation of granulation tissue in exposed cranial bone. The drill is safe, efficient, and easy to operate.

Anesthesia, Local↗

Chromoblastomycosis treated by Mohs micrographic surgery.

Mohs micrographic surgery has been used to treat a variety of skin cancers with excellent results. We present a case where the application of this technique was used effectively to treat a lesion of localized cutaneous chromoblastomycosis. One year following the surgery no recurrence has occurred.

Aged↗

Microscopically controlled surgery in the treatment of carcinoma of the penis.

Complete removal of carcinoma of the penis can be achieved by excision of the neoplasm layer by layer and microscopic examination of the entire undersurface of each layer by the systematic use of frozen sections. Microscopic guidance provides substantial assurance of eradication of the primary cancer, and permits preservation of maximal amounts of normal tissue and normal functions. In a series of 29 consecutive cases of squamous cell carcinoma of the penis the 5-year cure rate among the 25 determinate cases was 68 per cent. The fact that in this series only 1 patient had cancer limited to the prepuce is evidence that circumcision usually is successful for neoplasms so limited. The primary carcinoma was eradicated in 23 of the 25 lesions (92 per cent).

Aged↗

Microscopically controlled surgical treatment for squamous cell carcinoma of the lower lip.

MCS has stood the test of time and has demonstrated an unusually high five year rate of cure of 94.2 per cent in a series of 1,448 consecutive patients treated over a period of 40 years. In addition, because of the selectivity of MCS, a maximal amount of normal tissue is conserved which permits repair of defects with unusually good functional and cosmetic results.

Ambulatory Surgical Procedures↗