Biomedical subjects

H R Webster

Publications and source records attributed to H R Webster.

5 recordsLinked to original sources

PubMed1999

Scar formation after skin injury to the human foetus in utero or the premature neonate.

A macroscopically visible scar was present at birth in three infants with a history of injury during amniocentesis at 16-20 weeks' gestation. In several neonates born between 21 and 31 weeks' gestation, chemical injury to the skin caused by extravasation of calcium gluconate healed by formation of a large scar. In the infant born at 21 weeks, biopsy of the injured area showed infiltration by large numbers of neutrophils and macrophages. It appears that a very immature neonate can mount a prominent inflammatory reaction and that both a midtrimester foetus and a very immature neonate heal injuries to the skin by scar formation and not by scarless healing.

Adolescent↗

PubMed1996

Urethral reconstruction using the radial artery forearm free flap: conventional and prefabricated.

For successful reconstruction of the scarred urethra it is logical to employ well-vascularized skin flaps. The radial artery forearm free flap is ideal for this purpose. This paper describes the first seven consecutive patients in whom we have used this flap for urethral reconstruction. In one, the forearm skin was too hirsute for urethral lining, and a prefabricated hairless skin flap was created by application of a preliminary full-thickness skin graft from a nonhairy site onto the forearm fascia. The longest follow-up is 5 1/2 years.

Adolescent↗

PubMed1994

Closure of the second toe transfer donor site without disruption of the deep transverse metatarsal ligament.

The second metatarsal is routinely excised to facilitate closure of the defect created by the harvest of a second toe transfer. However, if the deep transverse metatarsal ligament is not disrupted by the harvest, it seems unnecessarily destructive to remove the metatarsal. A small arterialized venous flap provides a logical solution to the problem of wound closure in this circumstance. This paper describes such a reconstruction, discusses the reasons for its selection and the long term outcome, which has been very satisfactory.

Adult↗

PubMed1994

Craniofacial tumors.

The management of craniofacial tumors is presented, beginning with a discussion of terminology and anatomy. The importance of imaging is stressed. The significance of the internal carotid artery and an investigation of cerebral artery supply also are given. The most significant advances in the treatment of these tumors have been the soft-tissue approaches, but methods of disassembling the bony face for the ultimate in exposure are also important. Free tissue transfer has been a great advance in reconstruction and prevention of infection and in giving some patients a second chance for further radiation. With the application of newer techniques of exposure and resection, together with vascularized reconstruction, the prognosis from these tumors has improved and the complications have been reduced.

Adult↗

PubMed1991

Nasal augmentation in chondrodysplasia punctata using tissue expansion.

Chondrodysplasia punctata is an uncommon group of congenital bone dysplasias. A common feature of this disease is a characteristic facial appearance including nasal hypoplasia. This paper describes the management of a case presenting with this disease in which soft tissue augmentation was achieved with tissue expansion of the nasal skin. Follow-up of more than 4 years demonstrates that a satisfactory result has been achieved, with no facial scars. The relevant literature is discussed.

Adult↗