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Biomedical subjects

D W Furnas

Publications and source records attributed to D W Furnas.

At least 73 records · Page 4Linked to original sources
PubMed1978

Genesis of a replantation program.

Development of a replantation program entails establishment of microsurgical skills in the laboratory, training in clinical microvascular technics, supervision, if possible, in the first microvascular free flaps, and close liaison with supporting personnel who transport patients, care for them acutely, and carry out their rehabilitation. Of twenty-six replantations or revascularizations (14 incomplete and 12 complete), twenty-three were successful. The three failures (1 complete and 2 incomplete procedures) were all digits, and each was part of a multiple digit injury.

Amputation, Traumatic↗
PubMed1978

Festoons of orbicularis muscle as a cause of baggy eyelids.

Occasionally, baggy eyelids are caused by a laxity of the orbicularis oculi muscle. The extent of these orbicularis festoons is evaluated by a careful examination--including the "squinch" and the "pinch" tests. We excise such festoons of excess muscle and then support the orbicularis oculi of the lower lid by using periosteal and muscular sutures. (Orbicularis plication is an alternate procedure for the lower lid). Any muscle festoons of the upper lid are simply excised.

Blepharoptosis↗
PubMed1978

Thermal injury on the foot and ankle of a paraplegic: report of a case from exposure to sunshine.

The case of a paraplegic patient who sustained a fullthickness thermal injury to his left foot from exposure to sunshine is described. Electromagnetic energy from the sun can cause enough damage to full thickness of the skin when the heat is intense enough or not dissipated sufficiently. The lesson of it is that paralyzed and anesthetic individuals should be cautious about sunbathing.

Ankle↗
PubMed1978

Correction of prominent ears with multiple sutures.

Mattress sutures from conchal cartilage to mastoid fascia, from scaphoid fossa to temporal fascia, from scapha to concha, and from the earlobe to the sternocleidomastoid muscle insertion give a satisfactory correction of most prominent ears.

Ear, External↗
PubMed1977

Free osteocutaneous flap from a rib to the tibia.

A large bony defect of the tibia, covered with thin unstable scar, was repaired successfully with a free osteocutaneous flap composed of 10 cm of the ninth rib with a 9 X 6 cm area of overlying muscle and skin. Microvascular anatomoses were done between the intercostal vessels in the transplant and the anterior tibial vessels in the recipient area.

Adult↗
PubMed1976

Acute management of the upper airway in facial burns and smoke inhalation.

Among 740 patients with acute burns who were admitted to our burn center from 1972 through, 1975, thirty-six required upper airway access within the first 24 hours after burn for oral and facial burns or smoke inhalation. Nasotracheal intubation was initially used. Twelve survived; 11 were successfully extubated and one required a tracheostomy. If the patient had not sustained major smoke inhalation, extubation was usually possible without tracheostomy when edema subsided between one and six days after the burn. It is concluded that endotracheal intubation is a satisfactory method of gaining airway control in severe oral and facial burns and in smoke inhalation. The mortality associated with orofacial burns or smoke inhalation is related to the degree of lung damage, patients' s age, and the extent of the burn; it is not related to the method of upper airway control.

Acute Disease↗
PubMed1976

The hand sandwich: adjacent flaps from opposing body surfaces.

An anteriorly-based lateral chest flap gives volar coverage to the opposite denuded hand, while a flap from the adjacent inner arm gives dorsal coverage. While transferring the flaps, the donor sites are joined together to form a temporary chest-arm adhesion, which is separated later with skin grafting.

Adult↗