ABSTRACT
Lateral ptosis of the eyebrow is a major part of the complex changes that patients are seeking to improve with an upper blepharoplasty. Two hundred and eight patients have undergone a browpexy procedure at the time of blepharoplasty. This operative maneuver, which is performed through the blepharoplasty incision, prevents the brow from dropping below the superior orbital rim and creates a defined tarsal sulcus to produce a sculptured upper eyelid.
Subject(s)
Blepharoplasty/methods , Adult , Female , Humans , Male , Middle AgedABSTRACT
We present a case of desmoid tumor associated with prior alloplastic breast reconstruction. Wide local excision that includes chest wall resection, if necessary, is the primary treatment of choice. Patients with extensive nonresectable or recurrent disease may benefit from radiation therapy. Systemic therapy is a possibility in certain cases, but its toxicity generally precludes its use with this nonmetastatic tumor. Although this is the fourth reported case of desmoid tumor arising after implantation of a silicone prosthesis, we cannot claim a causal relationship. Careful follow-up consisting of yearly physical and mammagraphic examinations may facilitate early diagnosis and treatment of locally aggressive desmoid tumors but is not warranted, except in the context of routine screening for breast carcinoma.
Subject(s)
Breast Implants/adverse effects , Breast Neoplasms/surgery , Fibromatosis, Aggressive/etiology , Mammaplasty , Aged , Carcinoma in Situ/surgery , Carcinoma, Lobular/surgery , Female , Humans , Thoracic Neoplasms/etiologyABSTRACT
A one-stage semiautomated method for estimating total phospholipids in plasma is reported. The phospholipids are extracted into aqueous ethanol, combined with a Lewis acid, and the change in pH is monitored colorimetrically. The method, compared with the acid digestion method of Gomori [J. Lab. Clin. Med. 27, 955 (1942)], gives results that are about 0.25 mmol/liter lower, but seems to be a suitable and less hazardous alternative.
Subject(s)
Phospholipids/blood , Adolescent , Adult , Autoanalysis , Humans , Hydrogen-Ion Concentration , Middle Aged , Phosphatidylcholines/blood , Spectrophotometry/methodsABSTRACT
A series of 66 consecutive cases of blepharoplasty and rhytidectomy are reported, 60 of which were performed with a general anesthesia technic utilizing local anesthesia with epinephrine, in association with enflurane inhalation delivered via bilateral nasopharyngeal airways (BNPA). Six cases were not suitable candidates for the technic because of physical status or for anatomic reasons. The technic has teh advantage of providing airway control without tracheal intubation, light depth of anesthesia, compatibility with epinephrine, and highly acceptable limits of intraoperative bleeding and postoperative hematoma.
Subject(s)
Anesthesia, General/methods , Dermatologic Surgical Procedures , Enflurane , Epinephrine , Eyelids/surgery , Methyl Ethers , Surgery, Plastic , Adult , Aged , Anesthesia, Inhalation , Enflurane/administration & dosage , Female , Humans , Methyl Ethers/administration & dosage , Middle Aged , NasopharynxABSTRACT
The factors which may influence the result of a toxicological analysis on post mortem specimens are presented. These factors are discussed in varying depth and suggestions are made on ways of overcoming the problems.
