18 results on '"Baker SR"'
Search Results
2. Outcomes following V-Y advancement flap reconstruction of large upper lip defects.
- Author
-
Griffin GR, Weber S, and Baker SR
- Subjects
- Adult, Aged, Aged, 80 and over, Female, Humans, Logistic Models, Male, Middle Aged, Reoperation statistics & numerical data, Retrospective Studies, Treatment Outcome, Carcinoma, Basal Cell surgery, Lip Neoplasms surgery, Melanoma surgery, Plastic Surgery Procedures methods, Skin Neoplasms surgery, Surgical Flaps
- Abstract
Objective: To characterize revision surgery following V-Y subcutaneous tissue pedicle advancement flap repair of large upper lip skin defects., Methods: Retrospective review of upper lip skin defects at least 3.0 cm(2) in area that were reconstructed with a V-Y subcutaneous tissue pedicle advancement flap at an academic tertiary care center. Depth and area of the defect, as well as involvement of the vermilion and nasal ala, were recorded as independent variables. Revision techniques were analyzed to identify patterns., Results: Thirty patients were identified as having upper lip skin defects with a mean (range) area of 7.0 (3.0-14.0) cm(2) (median, 6.25 cm(2)). The defect involved the nasal ala in 4 cases and the vermilion in 3 cases. At least 1 revision surgery was performed in 14 patients (47%). Alar or vermilion involvement was a significant factor in revision by χ(2) analysis (P = .03). Larger defect size did not predict a need for revision, even among cases where the defect did not involve the ala or vermilion (P = .68)., Conclusions: Reconstruction of large upper lip skin defects with a V-Y subcutaneous tissue pedicle advancement flap is associated with a 47% revision rate, and when the defect involves the ala or vermilion, the revision rate is increased. Defect size alone cannot be used to predict the need for revision surgery. Revision techniques are demonstrated., Competing Interests: The authors have no disclosures and have no commercial interests.
- Published
- 2012
- Full Text
- View/download PDF
3. The cephalic tuck procedure.
- Author
-
Pepper JP and Baker SR
- Subjects
- Humans, Rhinoplasty methods
- Published
- 2011
- Full Text
- View/download PDF
4. The autospreader flap in reduction rhinoplasty.
- Author
-
Pepper JP and Baker SR
- Subjects
- Humans, Surgical Flaps, Rhinoplasty methods
- Published
- 2011
- Full Text
- View/download PDF
5. Reconstructive perspectives of cutaneous defects involving the nasal tip: a retrospective review.
- Author
-
Collar RM, Ward PD, and Baker SR
- Subjects
- Aged, Carcinoma, Basal Cell surgery, Follow-Up Studies, Humans, Middle Aged, Mohs Surgery adverse effects, Nose Deformities, Acquired etiology, Nose Neoplasms surgery, Retrospective Studies, Skin Neoplasms surgery, Treatment Outcome, Algorithms, Decision Support Techniques, Free Tissue Flaps, Nose Deformities, Acquired surgery, Rhinoplasty methods, Skin Transplantation
- Abstract
Objectives: To create an algorithm that derives our preferred reconstruction technique for cutaneous defects involving the nasal tip and to review the management and outcomes of patients with nasal tip cutaneous defects after their initial reconstruction., Methods: A retrospective review of patients undergoing repair of cutaneous defects involving the nasal tip between January 2006 and January 2009. After data compilation, a defect-based algorithm deriving our repair technique was created., Results: Seventy-two patients were identified: 57% underwent full-thickness skin graft repair (n = 41), 19% underwent forehead flap repair (n = 14), and 17% underwent bilobe flap repair (n = 12). The remaining 7% underwent repair using nasal cutaneous flaps harvested adjacent to the defect (n = 5). Nasal tip defect involvement of an adjacent nasal aesthetic unit was the most critical factor in selecting a reconstruction technique. Further categorization by the presence of nasal ala involvement, cartilage exposure, and defect surface area allowed reliable prediction of our reconstruction technique. Dermabrasion was routinely performed early in the postoperative course (25% [18 of 72 patients]). Corticosteroid injection was commonly used for those undergoing forehead flap (71% [10 of 14 patients]) and bilobe flap (50% [6 of 12 patients]) repair. Aesthetic revision surgery was infrequently required (15% [11 of 72 patients]). All aesthetic outcomes were good or satisfactory., Conclusion: The included algorithm offers a systematic approach for managing cutaneous defects involving the nasal tip and derives our preferred technique with high reliability.
- Published
- 2011
- Full Text
- View/download PDF
6. SMAS flap rhytidectomy.
- Author
-
Pepper JP and Baker SR
- Subjects
- Humans, Rhytidoplasty methods, Surgical Flaps
- Published
- 2011
- Full Text
- View/download PDF
7. Retrospective review of transconjunctival sub-orbicularis oculi pad lift blepharoplasty.
- Author
-
Baker SR
- Subjects
- Adipose Tissue transplantation, Humans, Retrospective Studies, Blepharoplasty methods, Conjunctiva surgery
- Published
- 2010
- Full Text
- View/download PDF
8. Predictors of satisfaction with facial plastic surgery: results of a prospective study.
- Author
-
Hessler JL, Moyer CA, Kim JC, Baker SR, and Moyer JS
- Subjects
- Adult, Aged, Demography, Female, Health Status, Humans, Male, Middle Aged, Predictive Value of Tests, Prospective Studies, Psychiatric Status Rating Scales, Surveys and Questionnaires, Treatment Outcome, Face surgery, Patient Satisfaction, Plastic Surgery Procedures psychology
- Abstract
Objective: To identify demographic and psychological factors that predict satisfaction or dissatisfaction with outcomes among patients undergoing facial plastic surgery., Methods: All patients presenting to the Center for Facial Cosmetic Surgery at the University of Michigan between January 1, 2007, and January 1, 2008, were asked to participate. Patients answered an initial baseline survey consisting of demographic information and an assessment of their baseline level of optimism/pessimism in addition to a surgery-specific outcome questionnaire both preoperatively and 4 to 6 months postoperatively., Results: Fifty-one patients (mean [SD] age, 53 [13.0]; 69% female; 98% white) participated. Patients over the mean age of 53 years were more satisfied with their results than those under the mean age (P = .01). Patients currently being treated for depression were more satisfied with surgical outcomes than those not being treated (P = .05). No correlation was identified between baseline optimism/pessimism or other baseline factors and patients' perceived surgical outcomes. Surgeons were decidedly less positive in their assessment of the outcome than patients., Conclusion: Despite a priori hypotheses that patients treated for depression might be more pessimistic and rate their satisfaction lower than other patients, patients treated for depression show a trend toward greater satisfaction from facial plastic surgical procedures than those not treated for depression.
- Published
- 2010
- Full Text
- View/download PDF
9. Long-term results of carbon dioxide laser resurfacing of the face.
- Author
-
Ward PD and Baker SR
- Subjects
- Female, Humans, Hypopigmentation, Male, Middle Aged, Lasers, Gas adverse effects, Rhytidoplasty methods, Skin Aging
- Abstract
Objective: To evaluate the long-term effectiveness of, and the complications associated with, carbon dioxide laser treatment of rhytidosis and solar aging., Methods: This retrospective report describes our experience with 47 patients who underwent entire facial carbon dioxide laser resurfacing., Results: The mean improvement in facial rhytid score at long-term follow-up was 45%. This improvement was consistent in all facial subsites. With the exception of 1 case of hyperpigmentation, which resolved within 2 years of treatment, hypopigmentation was the only long-term adverse effect. This complication was present in 6 patients (13%). The patients who developed hypopigmentation were more likely to have a greater response to treatment., Conclusion: Our findings show that carbon dioxide laser resurfacing is a safe and effective treatment for facial rhytids.
- Published
- 2008
- Full Text
- View/download PDF
10. Matrix metalloproteinase expression in normal skin associated with basal cell carcinoma and in distal skin from the same patients.
- Author
-
Monhian N, Jewett BS, Baker SR, and Varani J
- Subjects
- Carcinoma, Basal Cell surgery, Cells, Cultured, Fibroblasts, Humans, Keratinocytes, Mohs Surgery, Skin Neoplasms surgery, Carcinoma, Basal Cell metabolism, Matrix Metalloproteinase 1 biosynthesis, Matrix Metalloproteinase 9 biosynthesis, Skin metabolism, Skin Neoplasms metabolism
- Abstract
Objective: To obviate the difficulty of ruling out confounding variables (eg, age, individual variability) as the source of differences seen when comparing tumor tissue and control tissue from unrelated individuals, we examined the expression of matrix metalloproteinase (MMP)-1 (interstitial collagenase) and MMP-9 (92-kDa gelatinase B) in histologically normal skin immediately adjacent to basal cell carcinomas (peritumoral tissue) after Mohs micrographic surgery and postauricular skin from the same patients., Design: Peritumoral and postauricular skin samples were obtained from 17 patients undergoing Mohs surgery. Expression of MMP-1 and MMP-9 was examined in these specimens using a combination of approaches including zymography, collagen-degradation assays, and immunohistology., Results: The expression levels of MMP-1 and MMP-9 were consistently elevated in the peritumoral tissue compared with skin from the distal site., Conclusion: This finding indicates that even when potentially important variables such as age and individual variability are controlled for, tumor-specific effects on the expression of MMP-9 and MMP-1 remain.
- Published
- 2005
- Full Text
- View/download PDF
11. Management of the wide nasal dorsum.
- Author
-
Harris MO and Baker SR
- Subjects
- Adult, Cartilage surgery, Female, Humans, Nasal Septum abnormalities, Nasal Septum surgery, Nose abnormalities, Nose surgery, Rhinoplasty methods
- Abstract
The literature is replete with discussions outlining surgical techniques for managing nasal tip deformities. In contrast, articles devoted to specific dorsal nasal abnormalities are rare. Surgical management of the nasal dorsum has traditionally been relegated to either augmentation or reduction followed by osteotomy. Contemporary rhinoplasty demands attention to the creation of an ideal profile line, which may require dorsal reduction in some areas and augmentation in others. Treatment of the patient with an appropriate projection of the profile but with a wide nasal dorsum presents a special challenge: to narrow the nasal bridge without altering its projection. We discuss several surgical techniques to narrow the nasal dorsum, while maintaining dorsal height. Selected cases are presented to illustrate these techniques and to clarify surgical options.
- Published
- 2004
- Full Text
- View/download PDF
12. Is deep-plane face-lift better than superficial musculoaponeurotic system plication face-lift?
- Author
-
Baker SR
- Subjects
- Humans, Rhytidoplasty methods
- Published
- 2004
- Full Text
- View/download PDF
13. Treatment of head and neck melanoma, lentigo maligna subtype: a practical surgical technique.
- Author
-
Anderson KW, Baker SR, Lowe L, Su L, and Johnson TM
- Subjects
- Female, Head and Neck Neoplasms therapy, Humans, Hutchinson's Melanotic Freckle pathology, Melanoma pathology, Middle Aged, Mohs Surgery adverse effects, Head and Neck Neoplasms surgery, Hutchinson's Melanotic Freckle surgery, Melanoma surgery, Surgical Procedures, Operative methods
- Abstract
Melanoma with the lentigo maligna histological pattern often provides a significant and difficult challenge to the head and neck surgeon. The lentigo maligna subtype is the most common type of melanoma on the head and neck. This potentially lethal form of cancer is associated with greater nonvisual lesional extension that is often not clinically apparent. Failure to excise the entire lesion results in a higher risk of local recurrence and a poorer prognosis. The staged excision technique described herein results in histological interpretation of 100% of the peripheral margins using formalin-fixed vertical sections. Definitive local excision and soft tissue reconstruction are performed in a subsequent stage, with an assurance that 100% of the peripheral margins have been evaluated and interpreted as free of disease.
- Published
- 2001
- Full Text
- View/download PDF
14. Reconstruction of nasal alar defects.
- Author
-
Driscoll BP and Baker SR
- Subjects
- Adult, Aged, Aged, 80 and over, Carcinoma, Basal Cell surgery, Cartilage transplantation, Female, Humans, Male, Melanoma surgery, Middle Aged, Rhinoplasty adverse effects, Surgical Flaps, Mohs Surgery rehabilitation, Nose Neoplasms surgery, Rhinoplasty methods, Skin Neoplasms surgery
- Abstract
Objective: To evaluate aesthetic and functional results of reconstruction of the nasal alar subunit using free cartilage grafts with an interpolated cheek or forehead flap and a vascularized mucosal flap when required., Setting: University-based facial plastic surgery practice., Patients: A case series of 50 patients with primary alar defects undergoing nasal alar reconstruction., Main Outcome Measures: Observer's and patient's rating of the final results, patient's rating of breathing and level of self-consciousness, and medical record review of complications., Results: Most aesthetic outcomes were excellent to good. Breathing from the reconstructed side can be returned to preoperative status in most of these patients., Conclusion: Staged reconstruction of the nasal ala using free cartilage grafts, interpolated cheek or forehead and mucosal flaps when necessary, result in a highly aesthetic and functional outcome in most patients.
- Published
- 2001
- Full Text
- View/download PDF
15. The extended Abbe flap in the reconstruction of complex midfacial defects.
- Author
-
Naficy S and Baker SR
- Subjects
- Aged, Aged, 80 and over, Carcinoma, Basal Cell diagnosis, Esthetics, Facial Neoplasms diagnosis, Female, Follow-Up Studies, Humans, Male, Middle Aged, Treatment Outcome, Wound Healing physiology, Carcinoma, Basal Cell surgery, Facial Neoplasms surgery, Plastic Surgery Procedures methods, Surgical Flaps
- Abstract
The Abbe flap is most commonly used to repair full-thickness defects of the lip that do not involve the commissure. This well-perfused axial flap is based on the labial branches of the facial artery. The inferior labial vessels have been shown to support a cutaneous territory, including the entire lower lip, chin, and submental skin. Defects extending beyond the confines of the upper lip may be reconstructed with an extended lip switch flap that is based on the inferior labial artery. This "extended" Abbe flap allows functional and cosmetically acceptable repair of the upper lip, medial cheek, columella, and nasal sill. Case presentations illustrate the technique and outcome.
- Published
- 2000
- Full Text
- View/download PDF
16. Suture contouring of the nasal tip.
- Author
-
Baker SR
- Subjects
- Adult, Female, Humans, Nasal Obstruction surgery, Nasal Septum surgery, Rhinoplasty methods, Suture Techniques
- Abstract
Scoring, morselizing, and resecting the alar cartilages in an attempt to modify the position and shape of the nasal tip may lead to postoperative distortions of the lobule. Contour grafts have the disadvantage of asymmetries, visible irregularities, and absorption. For these reasons, surgeons have adopted suture techniques as the primary method of recontouring the alar cartilages. My philosophy in dealing with mild to moderate tip deformities consists of the following principles: (1) limited or no resection of cartilages; (2) no scoring or morselization of alar cartilages, which produces irreversible change and unpredictable results; (3) use of support grafts in the form of columellar struts and lateral crural battens to supplement structure and correct intrinsic alar cartilage weaknesses; (4) reliance primarily on the use of sutures to recontour and position the tip; and (5) limited use of contour grafts for situations that cannot be corrected with sutures and support grafts. Arch Facial Plast Surg. 2000;2:34-42
- Published
- 2000
- Full Text
- View/download PDF
17. Development of Graves orbitopathy after blepharoplasty. A rare complication.
- Author
-
Rosenthal EL and Baker SR
- Subjects
- Adrenal Cortex Hormones therapeutic use, Female, Graves Disease drug therapy, Humans, Middle Aged, Postoperative Complications drug therapy, Blepharoplasty, Graves Disease etiology, Postoperative Complications etiology
- Published
- 1999
- Full Text
- View/download PDF
18. Orbital fat preservation in lower-lid blepharoplasty.
- Author
-
Baker SR
- Subjects
- Adipose Tissue surgery, Adult, Aged, Female, Humans, Male, Middle Aged, Blepharoplasty methods
- Abstract
In the last 4 years, there have been a few reports concerning unconventional management of the fat posterior to the orbital septum (intraorbital) as well as periorbital fat located superficial to the orbital septum in a plane both superficial and deep to the orbicularis oculi muscle. With reference to intraorbital fat, some reports suggest that this fat be preserved and mobilized to other areas to recontour the lower lid, while other authors suggest repositioning the fat within the bony orbit. To address these new concepts, a discussion of the theories behind these approaches is needed.
- Published
- 1999
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.