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T R Vecchione

Publications and source records attributed to T R Vecchione.

At least 19 recordsLinked to original sources

Glabellar frown lines: direct excision, an evaluation of the scars.

The direct excision of glabellar frown lines is a method that is not new, but neither has it been well evaluated. This paper describes the method, discusses the reason for the problem, and suggests why this method should have long-lasting results. Several examples of the scars are demonstrated. In selected patients, this may be a reasonable alternative to the myriad surgical possibilities in our quest for a solution to this problem.

Adult

Connective-tissue disease following breast augmentation: a preliminary test of the human adjuvant disease hypothesis.

It has been proposed that scleroderma in particular or connective-tissue diseases in general may be caused by exposure to silicone-containing materials used for breast augmentation. We performed a historical cohort study to estimate the point prevalence of this potential complication sometimes referred to as "human adjuvant disease." Three-hundred and seventy-eight patients who underwent augmentation mammaplasty with silicone-containing envelope-type prostheses from 1970 through 1981 were surveyed. Regional musculoskeletal syndromes, fibrositis, or osteoarthritis occurred in a third (38 of 125) of our responders. No patient developed an inflammatory systemic rheumatic disease during the period of observation (mean 6.8 years for the 125 subjects). Using calculations based on risk for development of rheumatic disease, it does not appear likely that augmentation mammaplasty is a significant or major inducer of inflammatory connective-tissue diseases in general. However, the number of patients surveyed was small, and our results must be considered preliminary. We could not exclude a specific risk for the development of scleroderma.

Adult

An approach to the late effects of oral commissure injuries.

This article describes the treatment of the late effects of oral commissure scarring, especially after electrical cord injuries. The combination of mucosal advancement flaps plus split vermilion grafts and full-thickness preauricular skin grafts are used and illustrated in two patients. These methods have yielded satisfactory results in six patients.

Adolescent

Reconstruction and/or salvage of nipple projection.

A simple method of creating nipple projection in flattened nipple-areola complexes is presented. The results required, on average, 14 months of follow-up, with very good projection and general appearance in all patients. This technique eliminates the unnecessary surgical gymnastics of other methods when obtaining nipple projection.

Adult

Calcified capsule following augmentation mammaplasty.

Five patients who developed calcification of the capsule following augmentation mammaplasty are described. This long-term complication may be encountered with increasing frequency and should be considered in evaluating women with solid, firm, constructed capsules.

Adult

Palatal grafts for lip reconstruction.

Palatal mucosal grafts are used to provide bulk and improve the contour of lip defects. Since the palatal grafts are markedly different in color, they must be placed behind the wet-dry mucosal line so that they cannot be easily seen at conversational distances. The contrast with the red vermilion is too great for this graft to be used as a cosmetic lip substitute, but when the graft is used as a living tissue expander in the posterior position, it improves subtle lip contours.

Adult