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Biomedical subjects

H McComb

Publications and source records attributed to H McComb.

18 recordsLinked to original sources
PubMed1994

Primary repair of the bilateral cleft lip nose: a 4-year review.

Four years ago, a new method of primary repair of the bilateral cleft lip nose was described. The splayed-out alar domes and columellar crura that lie within the nasal tip were exposed by an open-tip rhinoplasty. They were united to re-form the columella and narrow the nasal tip. This report is the first stage of a longitudinal study of the nasolabial growth and development of the first seven consecutive patients who were treated by this method at Princess Margaret Hospital. At 3 to 4 years of age, the columellae are well developed, and there appears to be no interference with growth. The external nasal scars create minimal disfigurement.

Child, Preschool↗
PubMed1993

Osseointegrated titanium implants for the attachment of facial prostheses.

The ability to penetrate skin permanently with posts of pure titanium has led to a dramatic breakthrough in the attachment of facial prostheses. The posts are attached to screws of titanium that are completely integrated in the underlying bone, without any intervening soft tissue. This precise and rigid fixation permits rehabilitation of patients with complex defects that would be otherwise untreatable.

Adolescent↗
PubMed1990

Primary repair of the bilateral cleft lip nose: a 15-year review and a new treatment plan.

For 15 years a forked flap has been used for columella reconstruction in primary repair of the bilateral cleft lip nose. With the adolescent growth spurt, three unfavorable features have become apparent: (1) the columella may grow too long and the nostrils too large, (2) often the nasal tip remains broad, and (3) there is a drift of the columellar base and the lip-columellar angle is transgressed by scar. This procedure has therefore been discontinued. A new treatment plan is presented in which the columella is reconstructed from tissues in the splayed-out nasal tip.

Adolescent↗
PubMed1989

Cleft lip and palate: new directions for research.

In this personal essay, presented as the keynote address at the inaugural meeting of the Australasian Cleft Palate Association, the author provides an overview of what many might call "the state-of-the-art." But beyond that, the author also plots direction to our efforts so our science can progress.

Cleft Lip↗
PubMed1985

Primary correction of unilateral cleft lip nasal deformity: a 10-year review.

A 10-year follow-up of patients who underwent primary correction of their cleft lip nasal deformity is presented. These are the first 10 consecutive patients who were treated following a change in treatment plan in 1973. Primary correction of the cleft lip nasal deformity essentially consists in elevating the displaced alar cartilage at the time of lip repair. There has been no interference with nasal growth, and the position of the alar cartilages and nasal tip has been maintained.

Cartilage↗
PubMed1979

The structure and function of the Burns Unit at the Royal Perth Hospital.

This article describes the design of the Burns Unit at the Royal Perth Hospital, and emphasizes the importance of flexibility, while at the same time providing opportunities for isolation and the control of infection. The manner in which the Unit functions is described with special reference to a modified hospital bed which facilitates bathing of the patient. Control of infection and early replacement of full thickness skin loss have been regarded as essential. The facilities and the treatment regime adopted have been shown to produce excellent results.

Australia↗
PubMed1977

An overview of plastic surgery.

In addition to many technical refinements during the past decade, plastic surgery has made particular advances through the use of microsurgery, in the control of burn wound infection, by the use of implantable silicones, in the correction of craniofacial deformities and through the development of axial-pattern and other specialized flaps.

Breast↗
PubMed1975

Treatment of the unilateral cleft lip nose.

Unilateral nasal shortening is an essential step in both the primary and the secondary treatment of the unilateral cleft lip nose. Procedures for this are described.

Cleft Lip↗
PubMedDate not supplied

Nasal symmetry: a 10-year comparison between the Pigott and McComb nasal correction.

The objective assessment of the symmetry of the cleft lip nose has not been properly evaluated. A simple technique using enlarged photographs and area assessment is described. Two different techniques were assessed, the Pigott "alar leapfrog" technique and the McComb alar lift technique. The children were assessed at 10 years of age. The results show no differences in the linear measurements or when the symmetry is assessed in the frontal view. In the worm's eye view, the Pigott correction was shown to produce a more asymmetric nose when compared with the McComb technique. Both corrections produce significant asymmetry when compared with a control group.

Abnormalities, Multiple↗