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Biomedical subjects

S T Shuker

Publications and source records attributed to S T Shuker.

6 recordsLinked to original sources

Maxillofacial blast injuries.

Blast injuries cause specific lesions and occur more often than previously, because of the wide use of explosives. This is especially the case in wartime. More and more people lose their lives every day due to blast injuries. The mechanism of the injury and pathophysiology of this trauma are discussed. The clinical effects as well as management are presented. The most dramatic effects observed are fractures to the middle third of the face, reported here for the first time, with their management. New fracture lines are typically seen in fractures of the mandible due to the blast wave effects. This presentation should help in the prevention and management to save the lives of patients in future.

Blast Injuries↗

Severe lower lip disfigurement resulting from war injuries. Management by local tissue traction.

A new technique is presented for severe lower lip disfigurement resulting from war injury. The procedure consists of a Kirschner wire used as the means of traction on the remaining soft tissue of the lower lip, using the upper teeth or pyriform aperture bone as remote fixed points for tissue traction. The technique which is simple, short, and effective provides an acceptable appearance, texture, and skin sensation. It proved to have several advantages over other more commonly employed methods.

Bone Wires↗

Intra-nasal stabilization for severe nasal war injuries.

A new technique is presented for reduction and stabilization of avulsed and severe nasal war injuries. The procedure consists of moulded portex tracheostomy tubes, number 7 or 8, which, acting as intra-nasal scaffolding for soft and hard tissues, provide a patent airway of a vaulted or parabolic shape in the middle meatus region. The technique which is simple, short, and effective provides an acceptable appearance and is suitable for later reconstruction if needed. It proved to have several advantages over other more commonly employed methods.

Humans↗

Prevention of tongue prolapse by immediate stabilization in severely avulsed mandibular war injuries.

A significantly successful procedure for tongue stabilization, used in six cases of severe war injuries to the mandible, which prevents the serious complications of tongue prolapse, is here presented. The procedure consists of a the insertion of horseshoe-shaped Kirschner wire, the ends of which are fixed to the posterior mandibular segments, thus acting as a scaffolding for the lacerated soft tissues of the anterior two-thirds of the tongue, floor of the mouth and the submandibular region. This technique provides an acceptable appearance and assists feeding, reduces dribbling and dryness of the tongue, limits the likelihood of infection of the soft tissues of the floor of the mouth with subsequent contracture, affords scaffolding for the soft tissues, foundation for bone grafts, and permits greater freedom in augmenting the vermilion of the lower lip.

Bone Wires↗