Articles: surgery.
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Annals of plastic surgery · Jul 1983
Prevention of ectropion by horizontal shortening of the lower lid during blepharoplasty.
Vertical wedge excision of the lower lid is advocated in selected patients undergoing blepharoplasty to prevent postoperative ectropion. Candidates for "V" excision include patients with a predisposition for senile ectropion. Diagnosis and surgical technique are described.
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Equine veterinary journal · Jul 1983
Biography Historical ArticleEquine anaesthesia: discovery and rediscovery.
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Hypertrophic scars and contractures following 3rd degree burns originate in an excessive production of myofibroblasts from the granulation tissue. Early tangential excision and grafting helps in fighting the multiplication of these cells and hence some later complications. ⋯ Corrective surgery is accomplished by means of skin grafts or flaps. The authors' own methods are described for reconstructing destroyed organs such as scalp, eyebrows, eyelids, lips, chin, ears and nose.
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Patient selection is difficult. Modern-day plastic surgeons are becoming increasingly aware that patient selection is an important aspect of a successful surgical practice. Evaluation of the patient as a whole rather than just the deformity is necessary to avoid dissatisfied patients. ⋯ The importance of patient selection extends to patient management as a whole. Appropriate management is even more important in the office-based setting because the stress may have more of an impact on the patient than for hospitalized procedures. Awareness of the stress state in surgery and the patient's personality style allows for a knowledgeable surgeon and staff to anticipate behaviors and emotions and use appropriately their power and nurturance to lead the patient to the ultimate goal, a feeling of satisfaction with the surgical result.