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Biomedical subjects

M F Stranc

Publications and source records attributed to M F Stranc.

At least 37 records · Page 2Linked to original sources
PubMed1979

A classification of injuries of the nasal skeleton.

A classification of fractures of the nasal skeleton is presented, based on both the pattern of impact and the subsequent damage sustained. The fractures are broadly classed into those resulting from lateral force and those from frontal impact. The latter are further subdivided into three levels of planes of injury; knowledge of the applied anatomy of these injuries is shown to be essential. The clinical findings and the management of each group are discussed.

Adult↗
PubMed1979

Conservative treatment of keratoacanthoma.

In recent years there has been a trend toward more aggressive management of keratoacanthoma: surgical extirpation has been recommended as giving a superior result and resolving diagnostic problems. A selection of cases is presented suggesting that (1) surgical repair in the florid phase can be little short of mutilating, (2) the scars produced by the natural resolution of keratoacanthoma are usually insignificant, and (3) in those in which the residual scar must be "tidied up," the final result is more acceptable than that achieved through earlier interference. Emphasis is placed on close, personal follow-up, to preclude mistaken diagnosis.

Adolescent↗
PubMed1979

An intraarticular approach to correction of the bifid thumb.

Surgery of the bifid thumb may leave significant residual deformity. A technique is presented in which the nondominant component is amputated, while its collateral ligament and an attached epiphyseal segment are preserved in continuity. These are relocated accurately on the dominant part. Intraarticular reshaping of the proximal bone is also performed. We report 2 cases in which this method was used, with three- and six-year follow-up. Adequate skeletal correction and stability have been achieved, no disturbance of growth has been noted, and function is satisfactory.

Child, Preschool↗
PubMed1978

Primary treatment of craniofacial injuries.

This presentation offers analysis of findings and treatment of 15 patients who suffered cranio-facial injury. 4 of them sustained isolated fractures of the glabella and supra-orbital margin; the remainder suffered disruption of the facial and cranial skeleton. In all cases, the possibility of dural tear with C. S. F. leak, should be considered. The advantages of primary treatment of cranio-facial injuries by a joint neuro- and maxillo-facial team are as follows:--The risk of meningitis is greatly reduced.--The precise diagnosis of injury and maximum conservation of tissue is possible.--Most of the dissection necessary for repair is carried out by the force of impact and no fibrous tissue is present to hinder reconstruction.--Finally, primary surgery gives the best possible cosmetic results. Secondary skeletal surgery, even on the scale proposed by Tessier, often falls short of the results possible with adequate primary treatment.

Adolescent↗