Disorders of the female breast in the pediatric age group.
Breast Neoplasms/epidemiology; Breast/*abnormalities/embryology/injuries/surgery; Burns/surgery; Child; Female; Fibroadenoma/epidemiology; Humans; Hyperplasia; Nipples/abnormalities; Poland Syndrome/physiopathology; Reconstructive Surgical Procedures; Tissue Expansion
SUMMARY: Disorders of the female breast in the pediatric age group are a relatively common finding; however, there is limited information in the current literature. The plastic surgeon treating these patients is faced with a wide range of reconstructive problems. By understanding the various breast disorders, the plastic surgeon can better diagnose and treat this patient population appropriately.
Pryor Landon S; Lehman James A Jr; Workman Meredith C
Plastic and reconstructive surgery
2009
2009-07
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1097/PRS.0b013e3181aa0ef9" target="_blank" rel="noreferrer noopener">10.1097/PRS.0b013e3181aa0ef9</a>
Gynecomastia: an outcome analysis.
Adolescent; Adult; Aged; Child; Gynecomastia/*surgery; Humans; Male; Middle Aged; Retrospective Studies; Treatment Outcome
BACKGROUND: Gynecomastia refers to the presence of femalelike mammary glands in a male. This disorder can lead to significant psychologic stress and self-consciousness. This study consists of a chart review of 174 patients treated surgically between July 1, 1976, and February 27, 2001. RESULTS: Operative procedures were excision, excision with suction-assisted lipectomy (SAL), SAL, skin excision (skin) and skin excision with SAL. Overall complication rate was 20%. No significant difference in complication rates was found between grades or procedures. Revision rates between grades were I = 10.3%, II = 14.5% and III = 34.8% (P \textless 0.001). In grade III, gynecomastia revision rates for excision +/- SAL was 29% and skin +/- SAL was 38.1% (P = 0.644). Of the 8 revisions in the skin-sparing procedures, 6 were revised with a scar-forming procedure. Therefore, 77% of patients with grade III gynecomastia were adequately treated with a skin-sparing procedure. CONCLUSION: Skin-sparing operations should be the initial procedure chosen for most grade III gynecomastia patients.
Wiesman Irvin M; Lehman James A Jr; Parker Michael G; Tantri M Devi Prasad; Wagner Douglas S; Pedersen John C
Annals of plastic surgery
2004
2004-08
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1097/01.sap.0000116256.01831.17" target="_blank" rel="noreferrer noopener">10.1097/01.sap.0000116256.01831.17</a>
Massive Intradural Dermoid Cyst Without Sinus Tract.
*Cerebellar Neoplasms; *Dermoid Cyst; Humans
Dermoid cysts can present as a rare, benign, congenital intracranial tumor of neuroectoderm origin trapped during embryogenesis. Past clinical reports have reported lesions in the posterior fossa, at the midline, and in the intradural region all in conjunction with a superficial sinus tract. The authors present a unique patient of a completely intracranial, intradural, dermoid tumor of the midline cerebellum devoid of any evidence of sinus tract. The histological characteristics, radiological features, and management of this unusual patient are described.
Abouhassan William; Chao John Kuang; Lehman James A Jr
The Journal of craniofacial surgery
2017
2017-10
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1097/SCS.0000000000003916" target="_blank" rel="noreferrer noopener">10.1097/SCS.0000000000003916</a>