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Biomedical subjects

J Lendrum

Publications and source records attributed to J Lendrum.

16 recordsLinked to original sources
PubMed1991

Three wall orbital decompression for Graves' ophthalmopathy via a coronal approach.

Ten patients with dysthyroid eye disease who underwent a three wall orbital decompression procedure performed via a coronal approach were reviewed. The indications, results, complications and surgical techniques involved in this surgery are discussed. We believe that this approach offers a number of advantages over other techniques and has a role in the management of carefully selected patients with dysthyroid eye disease who have severe unilateral or bilateral proptosis, with or without dysthyroid optic neuropathy.

Adult↗
PubMed1987

The sanctity of the upper lid in lower eyelid reconstruction questioned. A modification of a lid sharing procedure with a long-term follow-up.

Sharing techniques using the upper eyelid to reconstruct the lower one have been criticised for causing distortion of the normal upper lid leading to corneal exposure and possible visual disturbance, and for creating second-rate lids. A modification of previously described tarsoconjunctival flap techniques is described which minimises the known complications of earlier methods. A flap of conjunctiva alone is mobilised from the upper eyelid and covered with a full thickness skin graft. A second minor procedure to divide the flap from its donor site is necessary 2 weeks later. Forty-three patients over a 25-year period have undergone total lower eyelid reconstruction with this modified technique and are reviewed with some illustrative cases. Total or subtotal lower eyelid reconstruction is most commonly performed following tumour resection and only occasionally to correct congenital or traumatic defects. The surgical techniques available still cause controversy (Byrd, 1983). An upper lid sharing technique has been criticised for possibly causing a shortened or distorted normal lid (Mustardé, 1981). A modification of this method is described which has been used for over 25 years and has reduced the morbidity of the procedure, leading to acceptable cosmetic and functional long-term results.

Adult↗
PubMed1987

Three-dimensional computed tomographic scans in the planning of procedures for reconstructive craniofacial surgery.

Three-dimensional computed tomographic (3D CT) scans were used in the assessment of three cases being considered for craniofacial reconstructive surgery; the first patient had a frontal encephalocele, the second an orbital encephalocele and the third an apparent asymmetry of the face due to cervical scoliosis caused by developmental defects of the upper two cervical vertebrae. The 3D CT scans provided information which was of great help in deciding how best to manage each case.

Adolescent↗
PubMed1984

The Orticochea dynamic pharyngoplasty.

A description of the Orticochea dynamic sphincter pharyngoplasty is given and the results of its use over a period of eight years in 53 patients are presented. Improvement in nasal escape was found in 47 of these, of whom 20 lost all their escape. This compares with other published series and supports the original author's claims. The technique has significant advantages over other pharyngoplasties.

Adolescent↗
PubMed1984

The alar swing technique in the correction of the saddle nose deformity.

A technique is described, with illustrative cases, to correct supratip nasal depressions using the lateral alar crura. Its anatomical basis is considered and the technique briefly outlined. The operation and its modifications are suitable in the correction of mild and moderate saddle nose deformities and may even be suitable for certain selected severe cases.

Cartilage↗
PubMed1980

Alternatives to amputation.

Alternatives to conventional skin flap cover for limb wounds extend both the number and type of defects which can now be closed with reconstruction of both form and function for patients who might otherwise come to amputation. The old adage that where a sinus leads to dead or foreign material it can only be closed after removal of that dead or foreign material is no longer true. The number of patients coming to above-knee amputation after prosthetic replacement of the knee joint could be reduced by muscle flap cover of exposed arthroplasty prostheses.

Extremities↗
PubMed1978

Reconstruction of the horizontal rami of the mandible following avulsion in childhood.

A 7-year-old boy was involved in a road traffic accident in October 1971, and apparently had been dragged along face downwards with resultant avulsion of the entire horizontal mandibular rami, and most of the mandibular alveolar soft tissue and teeth. Repair by metal implants was attempted but these proved unsatisfactory, and soft tissue replacement for the missing alveolus was carried out by flap raised from arm. Rib grafting was carried out on three occasions at almost yearly intervals, but each time, probably owing to vascular insufficiency, non-union (or more correctly non-replacement) occurred in the left canine region. To "import" a new blood supply, and free some of the scar tissue, a compound muscle/bone/skin flap bearing the clavicle and sternomastoid muscle was transposed to the mandibular bed. This form of grafting was used extensively in World War I to repair facial gunshot wounds, and the transposed blood supply enabled success in the pre-antibiotic period. Bony union is now satisfactory 5 years after injuries and dentures have been recently fitted; speech is normal, the child's facial contours acceptable, and mastication has been satisfactory during this period.

Bone Transplantation↗
PubMed1975

Inflicted burns and scalds in children.

Ten children who had been burnt and six who had been scalded by parents or those caring for them were seen over three years. In no case did the thermal injury affect more than 5% of the body surface and there were no deaths. In seven the perineum or buttocks were in the burnt area. In 12 children there was evidence of other inflicted injury including six recent fractures. Staff caring for burnt children should be aware of this type of inflicted injury. X-ray skeletal surveys should be carried out in doubtful cases and a case conference initiated with the appropriate social work services to consider supervising the family after the child's discharge or taking legal care proceedings.

Burns↗