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Biomedical subjects

M R Wexler

Publications and source records attributed to M R Wexler.

At least 127 records · Page 7Linked to original sources

Surgical correction of ectropion of the anal mucosa.

A method to correct an ectropion of the anal mucosa, using the triangular flap technique, has been described. The operation is simple and physiologically sound, with special attention being paid to skin tension lines. The results are excellent, and the patient is relieved of discomfort, bleeding tenesmus and pruritus which accompany ectropion of the anal mucosa.

Anal Canal↗

X-ray grid.

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Facial Bones↗

Flap and wound size tracing on polyethylene sheet.

A simple method for evaluation of size and shape of skin flap size and wound size in experimental animals and clinical cases is hereby described--marking their sizes on polyethylene sheet. The use of the compensating polar planimeter for size measurements is described.

Animals↗

Surgical correction of hyperkeratosis in the Papillon-Lefèvre syndrome.

In a severe case of the Papillon-Lefèvre syndrome, surgical correction of the disabling hyperkeratosis on the dorsa of the hands was first tested in a small area and, when that proved successful, the entire dorsa of both hands were resurfaced. The result was functionally gratifying and the cosmetic appearance was improved.

Adult↗

An arbor flap: the tree-pattern flap, or how narrow may the base of a skin flap be? An experimental study.

Investigations were carried out employing pig skin flaps that were wider and shorter than the conventionally used longitudinal-rectangular flaps. The following main points summarize the findings of this experimental work. (1) Circulation flows radially through the base of the skin flap, creating a tree-foliage pattern, hence an arbor flap. (2) While a large area can survive on a narrow base and short narrow pedicle, the flap will not be viable if it has a long narrow pedicle. (3) Following initial distal necrosis of random flaps, narrowing of the base does not augment further necrosis. Therefore, to ensure good survival of a small flap, it is imperative that the flap be broadened immediately adjacent to its short narrow base, giving it a tree-foliage pattern, i.e., an arbor flap instead of a rectangular flap. In other words, very small random skin flaps should be constructed like trees and their distal ends should be broader than their bases.

Animals↗

Anesthesia in a hand surgery unit.

Impressions of two different regional anesthetic techniques used in the management of 670 cases in a hand surgery unit are described. For operations at or below the wrist, subcutaneous ring anesthesia for the forearm tourniquet, together with local nerve block or local infiltrative anesthesia using Lignocaine, is very satisfactory. It is effective, simple, and safe, and it permits patient cooperation with the surgeon, who can readily evaluate motor activity because the flexor and extensor extrinsic muscles of the hand are then not paralyzed. For more extensive upper limb surgery, intravenous regional anesthesia with Bupivacaine is very effective, though toxicity might result if the tourniquet is unreliable or is released too rapidly. These effects are minimized by the intravenous infection of diazepam (5 to 10 mg) immediately prior to release the tourniquet.

Adult↗

Hemangioma of the median nerve.

Intrinsic hemangiomas of peripheral nerves are extremely rare. Eight cases have been reported in the literature and only two of them involved the median nerve. An extensive cavernous hemangioma with carpal tunnel symptomatology is reported.

Adolescent↗

Lower eyelid reconstruction by V-Y advancement cheek flap.

Another method of one-stage total reconstruction of the lower eyelid is reported. The usually discarded cheek triangle of the Mustardé technique is advanced superiorly, covering a chondromucosal composite graft used for lining and support.

Adult↗