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Biomedical subjects

T A Cook

Publications and source records attributed to T A Cook.

At least 91 records · Page 5Linked to original sources

Adjuncts to face lifting procedures.

The face lift alone is seldom adequate treatment for the aging face. Rhinoplasty, brow lift, and blepharoplasty frequently are done to enhance the effect of the face lift itself. Other procedures must be considered for treatment of specific areas of the face. A presentation of the authors' techniques for dealing with these areas is given. A general presentation of make-up techniques and overall skin care is included as a guideline for the staff of the surgeon dealing with the aging face. Proper make-up, hair styling, and skin care can greatly aid the patient in enhancing her self-image.

Chin↗

Intestinal giardiasis, steatorrhoea and peripheral nerve dysfunction.

Two patients presented with similar peripheral neuropathic symptoms. Muscle denervation was shown by electromyography and muscle biopsy. Motor and sensory nerve conduction studies were normal. Both patients had intestinal giardiasis: 1 had asymptomatic steatorrhoea, and the other had diarrhoea and abdominal pain. Treatment with metronidazole abolished the gastrointestinal symptoms. After a delay of several months the neurological symptoms also gradually improved. No other cause of peripheral neuropathy was apparent on investigation, and the relationship between the intestinal giardiasis and the peripheral neuropathy is discussed.

Adult↗

M-plasty techniques.

Conventional closure of surgical defects in skin may cause unsightly protrusions (dog ears). Fusiform excisions with angles of 30 degrees or less reduce protrusion but may require excision of larger volumes and lengths of healthy skin and subcutaneous tissue than may be desirable. M-plasties reduce these requirements while still allowing use of 30 degrees angles at maximum. Applications and technical details are described and illustrated.

Dermatologic Surgical Procedures↗

Mixed mesenchymal differentiation in meningiomas.

Five intracranial meningiomas showing mixed mesenchymal differentiation are described. Three contained cartilage, three contained bone, four contained hyaline fibrous strands or nodules which in two instances were calcified, three contained angiomatous areas, one contained pericytoma-like areas, four contained pleomorphic and sometimes multinucleate giant cells, and one contained a mucoid matrix including spheroidal cells superficially resembling chordoma. The importance of recognising such tumours is emphasised as they can be misdiagnosed as metastatic deposits, particularly in a frozen section.

Adolescent↗

The elasticity of the internal lamina.

The elasticity has been investigated post mortem of the external iliac artery from 48 cases, matched normotensives and hypertensives, males and females, from the 3rd to the 8th decades. The lamina is shown to be truly elastic in that it resists stretch, for there is no increase in the length of the lamina, measured histometrically, in arterial cross-sections when segments of the artery are distended by pressures equivalent to the lifetime systolic blood pressure, or indeed much higher pressures even to the point of rupture. In this process gaps in the lamina, the representation on histological slides of fenestrae, become wider than in the undistended state. With advancing age there is a very slight increase in the length of the lamina but this is not accompanied by any increase in the number of gaps except in the case of male normotensives over the age of 60 yr. Between the 3rd and 8th decades gaps do not increase in size in the laminae of arteries from normotensives. The gaps do show an increase in size in hypertensives but only those above the age of 60 yr.

Adult↗

A 3-year multi-institutional experience with the liposhaver.

OBJECTIVE: To report a 3-year multi-institutional clinical experience with the liposhaver in facial plastic surgery. DESIGN: Nonrandomized, nonblinded, multi-institutional evaluation of the liposhaver in a clinical setting. INTERVENTIONS: Seventy-two patients who presented for facial plastic surgical procedures underwent surgery with the liposhaver. Seventy-six liposhaving procedures and 74 concomitant procedures were performed. Standardized preoperative and postoperative photographs were obtained. OUTCOME MEASURE: Subjective evaluation by the surgeons who performed the procedures. RESULTS: The liposhaver was used successfully in all cases. The fat was cleanly shaved and the contour results were even, without dimpling or significant asymmetry. Operative time was comparable to that of conventional liposuction. There were no cases of facial nerve injury and no evidence of increased bleeding intraoperatively. Two male patients had small postoperative hematomas in the immediate postoperative period that were successfully treated with conservative measures. An additional patient developed a small hematoma on postoperative day 5 that was effectively treated with needle aspiration and a pressure dressing. CONCLUSION: This 3-year multi-institutional report suggests that the liposhaver continues to offer a precise alternative to conventional liposuction.

Equipment Design↗

Closure of a scalp defect.

In repairing cutaneous defects, the facial plastic and reconstructive surgeon is faced with many specialized areas of tissue. Reconstruction of thin eyelid skin and thick, sebaceous nasal skin requires different methods. The unique characteristics of the scalp make it one of the greatest repair challenges in the head and neck region, sometimes requiring multiple different reconstructive techniques for the same defect.

Adult↗