[The treatment of congenital deformities of the hand and foot].
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Biomedical subjects
Publications and source records attributed to E Marumo.
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It is generally well known that an infant with a cleft palate will have facial underdevelopment after corrective surgery. In such a case, we can suppose that the internal remodeling of the facial bone becomes abnormal postoperatively. The purpose of this study was to observe the changes in palatal bone remodeling after palatal surgery and the external bone growth inhibition using the microradiography and hard tissue labeling method. In this investigation we had 4 experimental groups and used large undecalcified ground sections to observe the whole palatal bone. Our experiments showed that the changes resulting from surgery include not only external bone growth inhibition, but also considerable abnormal remodeling in the interior of the bone. When the mucoperiosteum was removed, the changes continued to occur for an especially long period.
In treatment of moderate to severe blepharoptosis in the Oriental, an excellent result can be obtained by frontalis suspension using free palmaris longus tendons. Postoperative functional training is unnecessary. Children of 5 or 6 with congenital upper eyelid ptosis are favorable candidates for correction by this method. In traumatic cases, the operation may be performed about six months after injury.
The various types of cleft hand are classified into four groups and the surgical methods for each group presented. Since cleft hand varies greatly, it is impossible to dscribe its surgical treatment without making these distinctions. The surgical procedures used in our department in representative cases from each of the four groups are reported.
A case report of an intraneural haemangioma which occurred in a nineteen year old girl, with an acute clinical course. Intraneural haemangioma is a rare condition, but may be another cause of carpal tunnel syndrome.
We describe our method of operation for syndactyly repair and our results in 62 patients (74 hands, 143 commissures), all treated more than two years ago. The operation was performed on patients aged from 17 months to two years (except those with acrosyndactyly). Postoperative web formation was not seen in any of these patients.
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