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Biomedical subjects

T A Tromovitch

Publications and source records attributed to T A Tromovitch.

At least 19 recordsLinked to original sources
PubMed1993

Comparison of skin hooks and Foley catheters for immediate tissue expansion.

BACKGROUND: Immediate tissue expansion has been reported to expand skin sufficiently to permit primary closure of large facial defects up to 5 cm in diameter. OBJECTIVE: We wished to evaluate and compare skin hooks with foley catheters in producing tissue expansion. METHODS: Seven patients with post-Mohs surgery defects measuring 3.0 to 5.5 cm in diameter and located on scalp, temple, or forehead skin were treated with immediate tissue expansion. RESULTS: Immediate tissue expansion provided a 16 to 36% increase in the tissue available for closure, over and above what was achieved by undermining alone. In each case, adequate stretching of skin was achieved to permit primary closure relatively easily, which was not possible with undermining alone. Skin hooks were found to be equivalent to foley catheters in their ability to produce tissue expansion. At the one year follow-up visit, some spreading of the scar was noted, ranging from 1 to 7 mm, which appears in part to be related to the degree to which the skin was expanded. CONCLUSION: These findings support the concept that immediate tissue expansion is a separate and distinct process from undermining, which provides additional tissue for reconstructive surgery.

Aged↗
PubMed1991

Combined curettage and excision: a treatment method for primary basal cell carcinoma.

A retrospective study of 403 primary basal cell carcinomas treated with aggressive curettage followed immediately by excision revealed microscopic tumor present in the curettage margin in 64 (15.9%) of the patients and in the excisional margin in 12 (2.5%) after curettage and excision. In 92% (11 of 12) of patients with persistent tumor after the combined curettage and excision technique the tumors were of the aggressive growth (fibrosing, sclerosing, scirrhous, and morpheaform) variety of basal cell carcinoma. Both lateral and deep margins were involved with tumor. The short-term cure rate was 97.6% for the combined technique. Excluding aggressive growth BCCs, the use of curettage allows the surgeon to define tumor borders better before excision. This proves especially beneficial in tumors with clinically indistinct borders.

Basal Cell Carcinoma↗
PubMed1989

Secondary intention healing. The primary approach for management of selected wounds.

Secondary intention healing is an ancient and well-established method of wound management. Since the advent of various reconstructive techniques, it is often forgotten as a valuable alternative to immediate surgical reconstruction of wounds. In certain situations the cosmetic and functional results of secondary intention healing are equal to the results of more complex reconstructive surgery. We describe a case in which remarkable results were obtained from spontaneous healing of a facial wound.

Aged↗
PubMed1989

Carbon dioxide laser treatment of erythroplasia of Queyrat.

We present a case of erythroplasia of Queyrat in a 77-year-old man involving the distal two-thirds of the penis. There was no urethral or periurethral involvement. Due to the location of the lesion, its recognition as carcinoma in situ, and the technical difficulty of cold-steel excision in this area, we used the carbon dioxide (CO2) laser to selectively destroy the tumor. In this case the laser provided controllable tissue destruction, ease of surgery, and excellent cosmesis.

Aged↗
PubMed1987

Refinements in split-thickness skin grafting technique.

Modifications for split-thickness grafting techniques are discussed, including the use of incontinuity, semipermeable, biologic dressings during harvesting, spiral basting sutures for graft attachment, and meshing to increase graft coverage.

Bandages↗
PubMed1984

Zyderm collagen: implantation technics.

This paper describes in detail the injection technics for Zyderm collagen, purified bovine collagen (EPC), presently used by us. Because we were clinical investigators, we have used the material for longer than 6 years. The paper outlines our initial technics, some of which were successful and some, not successful. Equipment, patient positioning, technics for estimating whether or not EPC will work, syringe and needle positioning, and how best to judge whether or not the implant is being placed in the dermis are discussed. Each indication for EPC and each area where EPC is effective are addressed individually, with special emphasis on the precise technic that produces the best and longest-lasting results. Because we feel that injection technic is critical for safety and efficacy, this detailed description of the technic and how it was derived is submitted for others to share.

Cicatrix↗
PubMed1983

The Shaw Scalpel.

The Shaw Scalpel is a new relatively inexpensive electric scalpel that produces cold-steel scalpel accuracy with instant coagulation of most blood vessels encountered in dermatologic surgery. It surely will become a favorite instrument for dermatologic surgeons.

Dermatology↗
PubMed1983

Basal-cell carcinomas of the temple.

A size comparison of basal-cell carcinomas on the temple referred for microscopically controlled excision (chemosurgery, fresh-tissue type) with those on the cheek confirms that tumors in the former area are larger than those in the latter. Possible reasons for this size difference are considered. Of the most interest is the fact that the size differential was not due to a higher incidence of larger, sclerosing tumors. The temple should probably be considered a "high risk" location similar to the perinasal, periocular, and periauricular areas and the scalp.

Aged↗
PubMed1983

A multicenter double-blind evaluation of ketoconazole in the treatment of dermatomycoses.

A multicenter double-blind study was conducted on the use of ketoconazole and griseofulvin for the treatment of dermatomycoses. Of one hundred thirty cases (one hundred twenty-seven patients) for which efficacy data were available, sixty-six were treated with a single daily dose of 200 mg ketoconazole, and sixty-four were treated with a single daily dose of 250 mg griseofulvin for periods of two to sixteen weeks. The proportion of remissions observed with ketoconazole (61 percent) was significantly greater (p = 0.02) than that observed with griseofulvin (39 percent). The proportion of relapses within two months was significantly less (p less than 0.01) in the ketoconazole group (9 percent) than in the griseofulvin group (43 percent). The frequency and severity of side effects were comparable in the two groups.

Adolescent↗
PubMed1982

Suture materials, 1980s: properties, uses, and abuses.

The development of modern suture material offers the dermatologic surgeon an important choice in would closure. This review, although prejudiced in some instances by the author's experience, likes, and dislikes, is an attempt to clarify the difference between various absorbable and nonabsorbable sutures. Properties of suture material are discussed in detail. Guidelines for choice in regard to wound healing, location of incision, and surgical needles are offered. Lastly, the use of staples in wound closure is mentioned.

Absorption↗
PubMed1982

Cosmetic dermatologic surgery.

This article deals with the office treatment of several common cosmetic problems. The topic of benign lesions is discussed, which includes the management of lentigines, milia, spider nevi, telangiectasis, xanthelasma, and keloids. The use of several modalities for the treatment of acne scarring is advocated; these include dermabrasion, punch-transplant replacement techniques, and collagen implants. Chemical face peels for actinic damage and premature wrinkling are described, and the use of hair transplants, scalp-reduction techniques, and scale flaps to surgically correct male-pattern alopecia are discussed.

Acne Vulgaris↗
PubMed1981

Large, aggressive basal-cell carcinomas of the scalp.

Large, aggressive basal-cell carcinomas of the scalp in young adults are widely and deeply invasive, and may be fatal for those reasons or because of metastatic spread. Five cases are presented that were treated by microscopically controlled excision (Mohs' fresh-tissue technique) after other methods of management had failed. The salient features of these cases and 17 similar cases from the literature and compared with those of basal-cell carcinomas in general.

Adolescent↗