Biomedical subjects

D C Leeb

Publications and source records attributed to D C Leeb.

5 recordsLinked to original sources

PubMed1978

Floor of mouth reconstruction with free dorsalis pedis flap.

Inadequate function frequently follows extensive obliterative surgery in the oral cavity. Extra tissue will allow closure and reconstruction of the defect with improvement of oral competency. We describe a method wherein a free dorsalis pedis arterialized flap is used for closure of intraoral defects. This method has the following advantages: (1) The flap may be raised while the extirpative portion of the procedure is in progress. (2) There is no need for prior delays of the flap. (3) The skin of the dorsalis pedia area is thinner than that of other flap ares, allowing the flap to be twisted along several planes. (4) A second procedure is not needed to return the base of the "flap pedicle." (5) The time of operation was not found to be greater than that in cases in which a forehead or deltopectoral flap was used.

Arteries↗

PubMed1977

Reconstruction of the floor of the mouth with a free Dorsalis pedis flap.

The dorsalis pedis flap used for immediate reconstruction in two patients after resection of cancers of the floor of the mouth. The procedure has much to recommend it in the immediate repair of such defects.

Foot↗

PubMed1977

Arteriovenous fistula and paralysis of mandibular branch of facial nerve following direct wiring of a jaw fracture: case report.

We present a case in which interosseous wiring of the mandible resulted in an A-V fistula and an injury to the mandibular ramus of the facial nerve. These two complications can serve as a reminder to all who desire to use interosseous wiring in the treatment of mandibular fractures.

Arteries↗

PubMed1976

Liver dysfunction following small-bowel bypass for obesity. Nonoperative treatment of fatty metamorphosis with parenteral hyperalimentation.

A patient with liver dysfunction following small-bowel bypass for obesity was treated successfully with intravenous hyperalimentation. The hepatic steatosis and dysfunction were most likely caused by the preferential absorption of carbohydrate in the remaining small bowel, with resulting relative protein starvation. Routine use of high-protein, low-carbohydrate diets postoperatively until weight stabilization has occurred may prevent this complication.

Adult↗

PubMedDate not supplied

Mandible stabilization between ablative and reconstructive surgery.

The biphase external skeletal-fixation splint (Morris splint) for mandibular stabilization has been used in cases of ablative surgery. It is a practical approach to stabilization for patients whether or not they undergo reconstruction, either immediate or delayed. The Morris splint can be applied without increasing the time required for major resection. It can be left in place for prolonged periods, but it still allows easy surgical access and easy postoperative care and observation. While not a new tool, it has been little used by the head and neck cancer surgeon, probably because it has not been presented for this purpose but rather for treating fractures. A practical approach to the use of the Morris biphase splint is presented, as well as the indications for its use and some results of our experience with this tool.

Bone Screws↗