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Biomedical subjects

G S Bromley

Publications and source records attributed to G S Bromley.

6 recordsLinked to original sources

Minimal-incision open carpal tunnel decompression.

A modification of the classic open carpal tunnel decompression is reported. This procedure provides for direct visualization of the carpal ligament and median nerve using a small palmar incision. Postoperative discomfort and scarring are diminished. The small dressing, without splinting, permits rapid return to usual daily activities, and time lost from work is minimized. For those who regard endoscopic decompression as a "blind" procedure, this technique provides for a direct approach with minimal morbidity.

Carpal Tunnel Syndrome↗

Cleft lip: morbidity and mortality in early repair.

A fifteen-year survey of primary lip repairs done at The New York Hospital revealed that lip closure can be accomplished during the first week of life with no mortality and with major morbidity slightly higher than that in repairs done after one week of age. Modern anesthetic techniques have markedly reduced respiratory complications from lip closure. Adequate postoperative sedation coupled with careful patient monitoring should appreciably reduce the incidence of wound dehiscence.

Cleft Lip↗

Xanthoma disseminatum: an unusual cause of facial and limb deformity.

A rare case of xanthoma disseminatum producing deformity of the head, neck, and extremities is reported. This pathologically benign disease, considered to represent one of the histiocyte proliferative disorders, is manifested by numerous cutaneous xanthomas primarily in flexion areas. Progressive enlargement of these lesions accompanied by marked fibrosis has produced the severe cosmetic and functional deformities described in this patient. Treatment in this case involved excision of xanthomatous contraction bands with split-thickness skin grafting, followed by intensive physical therapy.

Arm↗