Faculty Bibliography

In an attempt to obtain objective analysis of outcome in reduction mammaplasty patients, a retrospective study was done for women having elective bilateral reduction mammaplasty. Participants were chosen from a pool of over 200 consecutive reduction mammaplasty patients at the University of Missouri-Columbia. Of those eligible for inclusion, 72 met the criteria and were available for long-term follow-up. These patients answered a panel of questions regarding weight change, brassiere size, exercise, activity level, symptoms, and a personal appraisal of appearance. Statistical analysis was done to evaluate the change in each variable in relationship to the time of surgery, i.e., before surgery, 6 months after surgery, and at the present time. The findings revealed a significant stable reduction of breast mass. The women reported a significant reduction of symptoms that had been associated with their macromastia. They also reported a significant increase in exercise and other physical and social activities

The tumescent technique consists of injection of large amounts of dilute lidocaine and epinephrine into the subcutaneous fat prior to performing liposuction. This preinjection provides local anesthesia and reduction in postoperative pain. Blood loss, bruising, and swelling are significantly reduced. The large volume of injectate is a complete fluid replacement, eliminating the need for intravenous fluid support. In the authors' experience, patients are most comfortable when the tumescent technique is combined with monitored intravenous sedation

The purpose of this article is to report how a group of 391 well-educated, White, midwestern American married fathers of young adolescents (11 to 14 years) described their perceptions of how they were raised. The question 'Describe how your parents parented you' was asked as part of a larger quasi-experimental study to test the outcomes of communication skills training among a sample of families in a community. The fathers' short-answer descriptions were succinct yet substantive. Using content analysis procedures, 6 themes were identified. Four reflected the men's perceptions of specific strategies used by their parents. The themes were labeled establishing boundaries, parental presence, adhering to guidelines, and communication techniques. A 5th theme, labeled family size, indicated that some men perceived that the structure influenced how they were parented. The 6th theme, evaluation of their parents' parenting, encompassed the men's opinions of how successful they perceived their parents were at raising them. The men's perceptions are discussed within the context of fathering roles. The themes are offered as a framework to define parenting, and implications for nursing practice and research are proposed

One of the most unsettling sequela of facial paralysis (FP) is the loss of the blink reflex, leading to both a functional and aesthetic deformity. A successful method of treating FP and, in particular, loss of eye-sphincter function, is the use of the cross-facial nerve graft (CFNG) to reinnervate the previously denervated orbicularis oculi muscle. The present study examined the histomorphometric aspects of the entire CFNG, with respect to axon diameter and myelin area. The axon profile of the CFNG had a positive correlation with motor end-plate counts and electrophysiologic recordings. These results should help in further understanding the number of motor axons needed to restore adequate function to the paralyzed eye sphincter, and establish more rational reconstructive procedures

The salvage rate of degloved amputation of the fingers is as low as 50%. This case report consists of a multiple-finger degloving amputation characterized by intact tendons, pulleys, and bone, but avulsed neurovascular bundles. After replantation, the range of motion of the fingers was nearly full. Protective-to-light touch sensation was obtained with transpositional digital nerve transfers. Grasp strength was 80% that of the uninjured side. In addition to good functional recovery, the aesthetic appearance obtained by replantation of the degloved skin was far better than that obtained by other reconstruction methods. A first web space flap was used to release a flexion contracture of the proximal interphalangeal joint of the middle finger