Tissue suction of the male and female breast.

Liposuction has been used either alone or combined with resection for the correction of male and female breast deformities. The majority of the 32 patients in our study were treated for gynecomastia (69%). Other indications were Madelung's disease, gender dysphoria, asymmetry, hypertrophy, postburn and postreconstruction deformities. In 54% of the gynecomastia cases, suction alone gave a satisfactory result. In all but one male patient suction permitted us to avoid incisions other than periareolar incisions. Thirteen aspirates from gynecomastias and three glands resected secondarily after suction were examined histologically. All aspirates included glandular tissue. We conclude that breast tissue is accessible to the suction cannula, and that this is a valuable tool for correcting gynecomastia and for use in many aesthetic procedures on female patients.

[Open intercarpal palmar dislocation fracture with capitate fracture--stabilization by external fixation]. / Offene interkarpale palmare Luxationsfraktur mit Kapitatumfraktur--Stabilisierung durch Fixateur externe.

A case of open carpal dislocation fracture not previously described is reported on. Reduction and stabilization of the dislocation were successfully performed using external fixation without additional Kirschner wires. Despite extensive trauma, hand function is now excellent, and there are no signs of residual carpal instability.

[Lesions of the epiphyses - classification - therapy - prognosis (author's transl)]. / Epiphysenfugenläsionen. Klassifikation - Therapie - Prognose.

Between 1970 and 1980 53 children with epiphyseal injuries were treated. Analysing these 53 cases we found that metaphyseal lesions of the epiphyseal plate (i.e. epiphyseolysis, separation of the epiphysis with triangular metaphyseal fragment) heal completely, even in those cases in whom an open reduction was necessary. Conservatively treated epiphyseal injuries (i.e. fracture of the epiphysis, crushing of the epiphyseal plate) showed bad results. Contrary to these results 80% of open reduced injuries showed good results. We can conclude that epiphyseal injuries do not necessarily end in disturbances of growth or malformation if surgical correction of the injury is done as early as possible and if the injured extremity is immobilised at least 3 to 5 weeks. Destruction of the epiphyseal vascular system can only be avoided by surgical reposition of the epiphyseal injury.