A Conceptual Model to Evaluate Service Quality of Direct-to-Consumer Telemedicine Consultation from Patient Perspective.

This research aims to develop a theoretical service quality (SQ) model for direct-to-consumer (DTC) telemedicine consultations. Although it can change care delivery for the better, it is crucial to create the appropriate measurement tool to collect and analyze patient's perceptions of SQ to identify any service pitfall and encourage a faster adoption. To the best of the authors' knowledge, this article is one of the first to investigate and propose a SQ model for DTC telemedicine consultations.

[Rieger's nasal flap. History, technical refinements and indications].

Rieger's flap, described by Rieger as a nasal rotation flap, has often been given other names and descriptions in the literature. We consequently felt an overview of the development, characteristics and technique of Rieger's flap was in order, with the goal of helping surgeons use it to best avail. Rieger's flap is irreplaceable for reconstructing defects of the lower third of the nose located on or near the midline.

[Transposition of a skin flap from the nasal dorsum for repair of skin loss on the nasal wing. Apropos of 9 clinical cases].

The authors use a transposition island skin flap from the nasal dorsum for repair of the ala nasi. It is a modification of the stalk-flap advocated by Edgerton in 1967 to augment the columella. The flap is vascularized by branches of the anterior ethmoidal artery.

Aesthetic aspects of reconstructive surgery of the lower lid.

Aesthetic repair of the lower eyelid should use palpebral skin and restrict the cutaneous scars to the orbital area. Except in young patients or those having previously undergone a blepharoplasty, it is usually possible to raise a 10- or 12-mm-wide flap from the upper eyelid. The use of such a flap lined with an alar chondromucosal graft is advocated in a one-stage procedure.

[Nasolabial flap in the repair of partial transfixing loss of substance of the nostril].

The nasolabial flap has frequently been used in many ways to repair the nostril. It has also been the subject of numerous criticisms, essentially related to the poor quality of the results obtained. However, the authors consider that it has an important place in the treatment of partial transfixing defects of the nostril.

[Surgical treatment of basal cell epithelioma of the face].

The surgical treatment of basal cell epithelioma proceeds in two stages: excision which must result in eradication and therefore complete cure of the lesion, and repair which, on the face, must not only cover the loss of substance but also take into account cosmetic considerations. Repair may consist of: simple suture after adjustment of the surrounding skin provided it has enough laxity; skin graft preferably using whole-thickness skin taken in the pre- or retro-auricular or supraclavicular regions; regional autoplasty with sometimes a skin island flap, and finally distant flap or free cutaneous or musculocutaneous transplant.

[Developmental aspects of nevus spilus: review of the literature apropos of 7 cases].

The nevus on nevus is a dischromic lesion with a double component made of a pigmented, pale-brown coloured spot, most often congenital punctuated by macular or discretely papular darker elements, with a usually later setting-up and conventionally characterized by an absence of evolutivity. A series of seven cases is reported of whom three present a very peculiar evolution: A 37 years old man is taking a medical advice for a nevus on a congenital nevus on the right buttock on which appeared later on a blue-coloured, lightly sensitive nodule which clinically calls to mind the diagnosis of a blue nevus: the surgical exeresis is refused by the patient. A little girl, born in 1972, has since her birth a nevus on nevus of her right fore-arm; in 1975 and 1976 appeared successively on this lesion three nodules evocative of Spitz melanoma (fig.

[Recurrent basal cell epitheliomas and those developing on pre-existing lesions (author's transl)].

Cancerous changes occur most frequently in four types of chronic acquired lesions: rare lupus scars and those of long-standing burns, rhinophymas, and radiodermatitis. Insufficient therapy is often applied because of underestimation of potential changes, fear of hemorrhage, or lack of knowledge of the extent of the lesion. The ulcerous forms and those developing in scar tissue have the poorest prognosis, and this also applies to centrofacial basal cell epitheliomas.