Previous reports on median cleft lip.
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Child, Preschool↗
Biomedical subjects
G C Scrimshaw
Publications and source records attributed to G C Scrimshaw.
Semantic inaccuracy and honesty.
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Cleft Lip↗
Lip adhesion--a passing fad?
Lip adhesion before a definitive cleft palate repair has received recent attention, and is being advocated for use in more cases. The presumed benefits are cited. Are these benefits exaggerated or misrepresented? What about the disadvantages? The author believes a more critical appraisal of the advantages and more awareness of the possible disadvantages are in order.
Cleft Lip↗
Malar/orbital/zygomatic fracture causing fracture of underlying coronoid process.
In 1 week two patients with depressed fractures of the malar/orbital/zygomatic complex presented with roentgen evidence of fractures of the underlying coronoid process caused by the transmitted impact of the malar/orbital/zygomatic fragment without direct injury to the mandible. No similar cases had been seen in the previous 12 years, and reports found in the literature stated that this type of fracture occurs in only about 2% of all mandible fractures. Conservative treatment is recommended unless there is obvious displacement.
Adolescent↗
A simple system for splicing strip grafts into sheets.
An alternative method of joining small strips of skin graft into larger sheeets in order to achieve complete coverage of large defects is reported. Split-thickness grafts are often needed larger than the skin strip obtained by dermatome. Suturing grafts together to form a larger sheet is difficult and often results in tearing and puckering of the graft so that spots do not adhere properly. A rapid, simple method of joining sheets of skin using neurosurgical clips is described. Removal of these clips is faster and easier than suture removal. The method is most useful where "tie-over" stent dressings are used, but also has general applications.
Humans↗
How I do it: Pedicle planning with surrogate skin.
Preplanning a pedicle using foam polyethylene helps eliminate errors of size and location and allows less scarring, less wasted tissue, less anesthesia time, and better assurance of fit and survival of the pedicle. The foam sheet is inexpensive, easily cut, can be sterilized, and resembles skin in compressibility, tension, and torque resistance. This technique for pedicle planing with surrogate skin is demonstrated in a variety of large and small pedicles.
Humans↗
Otoplasty by abrasion sculpture and fixation.
Many methods are used for cosmetic otoplasty. This method is a composite of several techniques that achieves simplicity, no irreversible cartilage removal, and a slow and controlled approach to the final form. Abrasion is used to set the proper line and location, and sutures are applied to control the degree of fold. The operative technique was illustrated in one patient with results shown in four. It is applicable to protruding ears and some "lop" ears; scapha and concha can be corrected to individually varying degrees.
Adult↗