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Biomedical subjects

N B Hart

Publications and source records attributed to N B Hart.

23 records · Page 2Linked to original sources

Reconstruction of cupid's bow: a quadrilateral flap technique.

The cupid's bow is an important feature of the normal upper lip, and every effort should be made to reconstruct it during initial cleft lip surgery or trauma repair. However, a secondary surgical procedure is often necessary to improve the appearance and symmetry in the cupid's bow area. For this purpose, the authors present a quadrilateral type of interposition flap that can be used in both unilateral and bilateral cupid's bow reconstruction. This procedure is applicable only when adequate vermilion is available.

Cleft Lip↗

The effect of absorbable gelatin sponge on experimental microvascular anastomoses.

Following a pilot study a controlled trial was carried out to assess the effect of absorbable gelatin sponge on reducing the bleeding from microvascular anastomoses of the femoral arteries and veins of rats. A model was used which approximated to the clinical situation and the bleeding time was significantly reduced in arteries and veins. There was no significant difference in patency rates or wound infection.

Animals↗

The importance of symmetry in forehead flap rhinoplasty.

Five patients who have undergone forehead flap rhinoplasty at the West Midlands Regional Plastic and Jaw Surgery Unit are described. The variations in technique are outlined with particular reference to the symmetrical appearance of the reconstructed nose.

Adult↗

Tulle-gras dressings.

Tulle-gras backed with a soluble polyvinyl alcohol film has been compared with standard tulle-gras to treat patients with minor burns. The new material although less comformable to body contours offered the advantages of decreased dressing time and improved patient comfort. No adverse effects were observed on wound flora or healing rate.

Adolescent↗

Thromboembolic prophylaxis in plastic surgery: an appraisal.

A survey by questionnaire was conducted amongst consultant plastic surgeons in the UK: 54 replies were received (44% response rate). Three consultants (5.5%) never used any form of DVT prophylaxis. The other 51 (94%) used some form of prophylaxis in at-risk patients. The methods used were found to be diverse. Ten respondents belonged to units with fixed policies for prophylaxis. A controlled trial is suggested to provide statistical evidence of the need for thromboembolic prophylaxis among plastic surgical patients. We believe there is a need for units to develop fixed protocols for the prevention of thromboembolism in at-risk patients.

Adult↗