Simultaneous revascularization and soft tissue coverage in the traumatized upper extremity with a flow-through radial forearm free flap.
Explore the source record for details and available documents.
Adult↗
Biomedical subjects
S J Kasten
Publications and source records attributed to S J Kasten.
A retrospective analysis of revision sphincter pharyngoplasty.
This retrospective study was undertaken to determine the revision rate for dynamic sphincter pharyngoplasty (DSP) at the University of Michigan Medical Center to analyze the determinants contributing to the need for revision pharyngoplasties, and ultimately to improve primary pharyngoplasty to avoid the need for revision. The records of 30 children with repaired palatal clefts who presented with velopharyngeal insufficiency and hypernasal speech, and who underwent DSP from January 1988 through July 1994 were reviewed. Clinical follow-up ranged from 6 to 48 months (mean, 20.2 months). Seven of the original 30 patients (23%) had persistent, moderate-to-severe hypernasality that required reoperation, while 1 patient (3%) demonstrated hyponasality requiring revision. Seven of 8 patients who underwent revision pharyngoplasty had acceptable speech after revision. Dehiscences, low-lying pharyngoplasty flaps, and end-to-end suturing of the flaps were the main determinants resulting in the need for revision. In our study, female gender and older age was associated with a higher success of primary operation.
Adolescent↗
Carpal tunnel syndrome: a case of median nerve injection injury and a safe and effective method for injecting the carpal tunnel.
The carpal tunnel syndrome is a compressive neuropathy of the median nerve at the wrist. The local injection of corticosteroid is an effective treatment modality in properly selected cases; however, this usually efficacious and safe procedure may result in serious complications if insufficient attention is paid to technique. A recent case of severe median nerve injury secondary to local steroid injection at the wrist prompted this report. We present a safe and effective method for injection of the carpal tunnel syndrome.
Adrenal Cortex Hormones↗