Biomedical subjects
Publications and source records attributed to P Korula.
A comparative study of roentgenograms of the paranasal sinuses between 37 patients with cleft lip and palate and 37 control subjects of the same age group was done using a planimeter. The results indicate that there is no statistical difference in the sizes. The paranasal sinuses increased in size with age in patients as well as in control subjects.
Skillful handling of a microsurgical needle holder is dependent not only on manual dexterity but also on the ergonomics of its design. This paper presents the design of a modified needle holder that makes it better suited to the atraumatic passage of a semi-circular needle through tissues.
Twenty cadaver dissections of the clavicular head of the pectoralis major muscle were carried out to determine the detailed anatomical arrangement of the vascular and nerve supply, with a view to using this muscle as an independent neuromyovascular unit in the treatment of established facial palsy. In all dissections, the muscle was found to have an independent nerve and vascular supply. A clinical case is reported with anatomical description and essential details of the operative technique. The ideal neuromyovascular unit is briefly described and the advantages of the pectoralis major for this use are illustrated. It is emphasized that limiting the goals of free muscle transfer to reanimation of the lower facial musculature will produce the most satisfactory results.
One of the options available for the treatment of temporomandibular ankylosis is the replacement of the joint by the sternoclavicular joint pedicled on neck muscles. This paper describes a modified technique of pedicled sternoclavicular joint transfer and evaluates its advantages.
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