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Biomedical subjects

T D Rees

Publications and source records attributed to T D Rees.

At least 91 records · Page 5Linked to original sources

A clinical evaluation of the results of submusculo-aponeurotic dissection and fixation in face lifts.

In 25 random patients undergoing rhytidectomy, we did unilateral subplatysmal-fascial dissections of the superficial musculoaponeurotic system (SMAS) of the face and neck--with redistribution of the tension of this system and fixation by suturing. Late evaluation of these patients by 3 observers showed no detectable difference in the results, as compared to the other side on which the standard technique of skin flap elevation alone was done. Our investigation did not study the usefulness of more extensive dissections of the muscle with complete transection excision of segments of it, or the formation of long muscle flaps.

Dermatologic Surgical Procedures↗

The medical consultation: its role in dentistry.

Dental practice frequently requires close cooperation between the dentist and physician. The medical consultation request is extremely valuable in achieving this cooperation. The request must contain sufficient information to enable the physician to understand the dentist's findings, the patient's anticipated dental treatment needs, and the specific reasons for the consultation request. To ensure completeness, accuracy, and to provide a clear record from a medico-legal standpoint, the medical consultation request should be in writing.

Adult↗

Current concepts of rhinoplasty.

Like all surgical operation, aesthetic rhinoplasty is a technique that is constantly undergoing change. These changes are brought about by accumulated experience, improved instrumentation, and not the least by the pressure of changing cultural and social requirements. The fine subtleties of rhinoplasty are difficult to learn by the student and difficult to master by the mature surgeon. Technique improves with the accumulation of surgical experience and constant observation and study of one's results. The learning process should never stop. The most significant changes in rhinoplasty technique since the operation was designed are emphasis on attention to detail and less, rather than more, extensive surgery. The removal of less bone, cartilage, and soft tissue is emphasized as well as meticulous attention to details of repositioning and alignment of all structures.

Anesthesia↗

The tuberous breast.

The tuberous breast deformity cannot usually be corrected satisfactorily by standard augmentation mammaplasty or mastopexy. The two operative techniques described have been most helpful in dealing with this difficult problem. Anatomic differences in patients may permit or require modification of the techniques to correct a specific deformity. Although our experience to date with these techniques has been limited in number, we have been pleased with the postoperative results.

Adult↗

Facial atrophy.

The author's personal experience with 84 patients demonstrating varying degrees of facial atrophy is reported. Of these, 59 patients had forms of progressive hemifacial atrophy. Hemifacial atrophy seems best classified into two groups: those who demonstrate inflammatory changes during the course of the disease as opposed to the more benign or noninflammatory types. The inflammatory type of hemifacial atrophy is usually associated with skin and ophthalmic pathology. It is suggested that it is often difficult, if not impossible, to distinguish between Romberg's disease and hemifacial atrophy from scleroderma; therefore, these terms might best be eliminated in classifying hemifacial atrophy. The etiology of facial atrophy remains unknown in the overwhelming majority of cases.

Adolescent↗

Complications of free grafts of masticatory mucosa.

A discussion has been presented and examples provided to illustrate some of the complications that may be encountered in conjunction with free grafts of masticatory mucosa. The clinical problems presented are seen infrequently, but the clinician must be aware of the possibility of their occurrence when counseling patients on the possible sequelae of such surgical procedures. A knowledge of complications that may occur in free soft tissue grafting procedures, and of the underlying mechanisms causing these problems, may aid the clinician in anticipating and avoiding similar experiences.

Gingiva↗

Mammary asymmetry.

Significant mammary asymmetry is not uncommon although accurate statistics are not available. Modern techniques of mammary augmentation and breast reduction have resulted in effective methods of treatment of most such deformities. The management of this problem was discussed.

Breast↗