Infraorbital nerve palsy after rhinoplasty.
A case of permanent damage to the infraorbital nerve during rhinoplasty is reported. The complication does not appear to have been previously reported.
Adult↗
Biomedical subjects
K W Cullen
Publications and source records attributed to K W Cullen.
Flexor tendon repair in zone 2 followed by controlled active mobilisation.
Over a two-year-period, 34 adult patients who had suffered zone two flexor tendon injuries to 38 fingers (70 tendons) were managed post-operatively by a regime of early active mobilisation. The results of this technique, assessed by the Strickland criteria after a mean follow-up period of 10.2 months, compared favourably with other more cumbersome methods.
Adolescent↗
Eyelid reconstruction using temporalis fascia.
A case is reported of traumatic full-thickness loss of half the upper eyelid. The defect was reconstructed using a pedicled temporalis fascial flap in conjunction with a skin graft. The method is useful when more standard forms of reconstruction are impossible. The advantages of using temporalis fascia and some pitfalls are described.
Adolescent↗
Juvenile basal cell carcinoma.
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Adolescent↗
Tissue expanders in surgery.
The technique of tissue expansion using inflatable expanders has gained widespread attention in the surgical literature. We give two examples of its use and emphasise possible complications which may arise. The search for methods to close complex wounds, often associated with radiation-damaged tissue or exposed bone, has resulted in a progression from random skin flaps to axial pattern flaps with a longer length to breadth ratio guaranteed by anatomically constant vessels. Musculocutaneous, fasciocutaneous and free flaps have been described over the body surface allowing complex reconstruction at local and distant sites. The use of expansion is of particular value in allowing local tissue to fill defects with minimal functional and aesthetic disturbance. In the face and scalp, in particular, tissue expansion appears to be a promising method of at least partially removing disfiguring lesions and is useful in reconstruction following traumatic loss. The concept of tissue expansion in medicine is not new. During pregnancy the abdominal skin becomes gradually stretched over the expanding uterus. Large skin excisions can be carried out in abdominoplasty following weight loss. Skin and mucosa can be seen to expand rapidly over benign enlarging neoplasms. The serial excision of large naevi has been practised for many years by plastic surgeons. Skin grafts placed over fasciotomy wounds to obtain tension-free closure can be subsequently excised in stages to obtain a minimally stretched linear scar.
Adult↗
Surfasoft, a new graft dressing.
We present our preliminary experience using Surfasoft, a new dressing material, in the management of burns following skin grafting. It was found to be a useful dressing in awkward sites where conventional dressings have many disadvantages.
Adolescent↗
The complications of tissue expansion in the burned scalp.
Our initial experience with tissue expansion in the reconstruction of the burned scalp is discussed. We discuss the complications encountered, their management and how these may be minimized.
Adolescent↗
Small cell carcinoma of skin: a report of two cases.
We present two cases of small cell carcinoma of skin and review the evidence for the origin of these tumours from Merkel cells situated in the basal layers of the epidermis. The aggressive behaviour of these tumours makes their initial histological diagnosis important if careful follow-up is to be instituted and we suggest that more radical primary treatment might improve results. We emphasise the need to exclude an origin from other sites apart from skin and the role of electron microscopy and immunohistochemistry in identifying these tumours as being distinct from other poorly differentiated carcinomas.
Aged↗