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  • Adjacent muscle, facial, pericranial flaps  (1)
  • Gender identity changes  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Aesthetic plastic surgery 11 (1987), S. 229-239 
    ISSN: 1432-5241
    Keywords: Anophthalmic orbit ; Autogenous bone grafts ; Adjacent muscle, facial, pericranial flaps ; Orbital prosthesis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Twenty-four patients with severe anophthalmic orbit syndrome were treated with a combination of techniques utilizing autogenous tissue. Autogenous corticocancellous bone grafts were used in the orbit as a volume filler. The temporalis muscle and a fasciae flap with a pericranial flap were used as a curtain to cover the bone grafts and to give a softening effect. The prosthesis used was a regular eye shell. With this method it can be smaller, thinner, and lighter to produce less deformation of the lower lid, particularly when used for a long period of time. In children who have this deformity compounded by small orbits after oncologic treatment, three-wall orbital enlargement is done to achieve a larger orbit, so as to match the normal unaffected socket and produce symmetry.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Aesthetic plastic surgery 14 (1990), S. 143-150 
    ISSN: 1432-5241
    Keywords: Physical anthropology ; Male-Female differences ; Psychosocial problems ; Gender identity changes
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The “forceful” and macho look of a prototypical man may not be unduly appealing to others whom he meets. This “forceful” look might not even appeal to the individual himself. In order to soften this appearance, a series of operative procedures has been devised for use on the craniofacial skeleton. These surgical steps can be done in a single operation or as a series of multiple operative procedures. Moreover, the needs of some patients may require that only special segments of these procedures be performed. This article presents these operative procedures and describes the feasibility with which they can be performed. Complications and unfavorable outcomes, when they occur, are usually related to unrealistic expectations on the part of the patient. The surgical steps routinely performed are those that contour the forehead, orbits, malar eminence, cheeks, chin, angle of the mandible, and larynx. Three categories of patients are described: the female with a male face; the male with a “forceful look”; and the patient requesting a gender identity change. The psychosocial, psychological, and behavioral problems leading to the decision for surgery will be the basis of final patient selection.
    Type of Medium: Electronic Resource
    Location Call Number Limitation Availability
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