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Biomedical subjects

S C L Leong

Publications and source records attributed to S C L Leong.

11 recordsLinked to original sources
PubMed2006

The flaming gypsy skirt injury.

On review of admissions over a 12-month period, we noted a significant number of women presenting with gypsy skirt burns. We describe all six cases to highlight the unique distribution of the wounds and the circumstances in which the accidents occurred. Four skirts were ignited by open fire heaters: two skirts ignited whilst the women were standing nearby, distracted with a telephone conversation; one brushed over the flame as she was walking past the heater; other whilst dancing in the lounge. One skirt was ignited by decorative candles placed on the floor during a social gathering. Another skirt was set alight by cigarette ember, whilst smoking in the toilet. Percentage surface area burned, estimated according to the rule of nines, showed that gypsy skirt burns were significant ranging from 7 to 14% total body surface area (TBSA) and averaging 9% TBSA. Two patients required allogenic split-skin grafts. Common sense care with proximity to naked flame is all that is needed to prevent this injury.

Adolescent↗
PubMed2006

Is there a role for the otolaryngologist in PFAPA syndrome? A systematic review.

AIMS: To define the role of medical or surgical treatment in patients with periodic fever, aphthous stomatitis, pharyngitis, and cervical adenitis (PFAPA syndrome). METHODS: A Medline search was performed using the terms PFAPA, periodic fever, aphthous stomatitis, pharyngitis, cervical adenitis, treatment. A systematic review of the English literature was performed. Papers on pyrexia of unknown origin in the pediatric population were excluded; this was because the clinical entities included in the differential diagnosis of pyrexia of unknown origin share many clinical characteristics with PFAPA, and may be ill defined. RESULTS: Twenty-seven papers have been published since 1989, of which 20 were in English language. There were five single case reports and two papers involving two patients each. There were 6 retrospective reviews of case notes, involving 5-94 patients over a 3-10 year review period. Given that current evidence on the effectiveness of tonsillectomy in PFAPA is extremely weak (level of evidence V), tonsillectomy should not be performed. CONCLUSIONS: PFAPA usually resolves without any long-term adverse effect, and as such, there is no role for tonsillectomy in these patients.

Child↗
PubMed2006

Frozen-food-related hand injuries.

Attempting to separate frozen food with a knife can result in serious injury to the hand. This injury is prevalent and is a common reason for referral to hand surgeons. Ten cases were reviewed over a 3-month period; the causative frozen food varied widely. Seven of the 10 patients required surgical exploration, and of these 7 patients, 3 were found to have significant injury. The injuries varied from digital nerve injuries to damaged flexor tendons. The other 4 patients were all found to have only soft tissue damage.

Adolescent↗
PubMed2006

Publish or perish.

Explore the source record for details and available documents.

Career Mobility↗
PubMed2005

No frills management of epistaxis.

Epistaxis is a common, potentially life threatening, emergency but first line medical staff are often not adequately trained in its management. This paper presents an illustrated step by step guide to the management of epistaxis by junior doctors in the emergency department.

Cautery↗
PubMed2004

A comparison of aesthetic proportions between the Oriental and Caucasian nose.

Differences in aesthetics between the Oriental and Caucasian nose were examined from a cohort of 118 healthy volunteers of which 61 had an Oriental and 57 had a Caucasian racial origin. The oriental nose projected less from the face, and was broader at the intercanthal level (P < 0.001) and the alar base (P < 0.001), but not at the bony base. The oriental nose projected less at all levels: nasion projection (P < 0.001) and tip projection (P < 0.001). The naso-labial angles for the Orientals in this study exhibited a wider range of variation than the Caucasians, with the oriental male exhibiting the most acute angle (average 86.2 degrees ), because of the forward angulation of the upper lip. Many of the average aesthetic parameters obtained from these two cohorts of healthy subjects did not conform to the published aesthetic standards, set out as the ideal goals for rhinoplasty.

Adolescent↗