Biomedical subjects
Publications and source records attributed to J G Vandervord.
The forehead can be reconstructed using a bi-pedicled bone flap based on the temporalis muscles. The technique is illustrated by the description of a patient in whom post-operative radio-isotope scanning was used to demonstrate the viability of the transposed bone. The technique is useful when there has been previous infection.
The pectoralis major myocutaneous island flap is useful for axillary reconstruction following resection of tumour and skin in the axilla. It is a useful alternative to the latissimus dorsi flap, particularly when the vascular pedicle of the latissimus dorsi muscle is infiltrated by tumour or has been sacrificed by previous surgery.
A series of 112 cases of bone grafting in secondary cleft lip and palate deformities is presented with a follow-up averaging 7.5 years. The orthodontic management of these patients is described. The advantages of this procedure, in terms of secure fistula closure, maxillary stability, ease of subsequent orthodontic and prosthodontic management and the benefits from an aesthetic point of view are analysed and their relevance in total patient management discussed.
The material presented in this paper is a preliminary report on the use of bone marrow grafting in the secondary closure of alveolar palatal defects in young children with mixed dentition. A group of patients is presented in whom successful closure of an alveolar fistula was achieved with improvement of the eruption pattern of the teeth adjacent to the cleft due to new bone formation that allowed early orthodontic alignment. The concept of the formation of a dynamic growing bone from bone marrow grafting is discussed.