Biomedical subjects
Publications and source records attributed to E A Shadid.
A simple method for repair of skin defects after neurosurgical ablation of meningomyelocele is described. One or two skin flaps adjoining the defect are elevated, the right based superiorly and the left inferiorly. They are then transposed to cover the dural repair, and the donor site is repaired by a split-thickness skin graft. The ability of these flaps to close defects of all sizes is stressed.
This paper is a review of a series of forty-four patients with squamous cell carcinoma of the hand. The various forms of treatment carried out are outlined and the results reported.
Meningomyelocele skin defects in ten newborn infants were closed with bilateral lumbar transposition flaps and split-thickness skin grafts. Eight repairs healed promptly without incident. The superficial layer of the flaps in one patient necrosed and were replaced by skin grafts. One patient died of pneumonia and overwhelming sepsis, though the flaps and grafts were healing without reaction. These flaps were useful, even when small, because their placement could be varied to completely cover the defect.
The case of a 3-year-old female is reported whose condition was diagnosed as congenital, complete paralysis of the right facial nerve in 1962; and a short time later more specifically described as Moebius syndrome. In 1971, a circumoral fascial sling was inserted in preparation for a masseter muscle transfer. Voluntary movement on the right side of her mouth was noted following surgery and continued to improve, making facial actions more symmetrical. This function has remained stable during a five year follow-up. Although the mechanism of action is not fully understood, it is postulated that the presence of the sling may have presented the subclinically active muscles a force to work against or perhaps the surgery may have liberated those muscles from adjacent fibrous tissue.
A case of symmetrical, diffuse macrocheilia due to lymphangiectasia is presented. No primary cause for this case or for many other pathologic forms of macrocheilia has been established. Tranverse mucosal wedge resection of the lip with mucosal advancement, however, is a satisfactory method of treatment.
We present a patient who had a benign teratoid tumor of the parotid gland. We believe this is the first such case reported.
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