摘要:

On May 14, 1977, a group of colleagues and former trainees gathered in Pittsburgh to honor Dr. William L. (“Willie”) White, Chief of the Section of Plastic Surgery at the University of Pittsburgh School of Medicine, on the occasion of his retirement after 18 years as program director.Participating in the festivities were Drs. Henry H. Bahnson Robert M. Goldwyn, Salvador Castanares, Victor Hay-Row, Frederic Rueckert, Richard P. Jobe, Dwight C. Hanna, George S. Richardson, Dennis J. Hurwitz, Garry S, Brody, Ronald J. North, Ross H. Musgrave, and Robert A. Chase.

ISSN:0148-7043    

出版商:OVID    

年代:1978

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

To find answers to the many questions about abnormal postnatal growth and change of the craniofacial skeleton, a series of surgical experiments was carried out in both young and adult animals. The purpose of this review is to relate this information to basic ideas about bone change and some local factors which may or may not affect skeletal changes. No gross regional deformity was noted after resection of sutures in young animals. The growth of bone at sutures was secondary or compensatory to other factors. In young animals, increase in size of the nasal or orbital cavities decelerated considerably after resection of either nasal septum or orbital tissues. With an increase in volume of orbital contents, orbital volume increased. These prominent gross changes in young animals were not noted in adult animals after resection of nasal septum, enucleation of the eye, or intrabulbar injection of silicone. After unilateral resection of the mandibular condyle in both young and adult monkeys, an extreme unilateral facial skeletal deformity developed. The important factor apparently was loss of integrity of the temporomandibular joint rather than loss of a growth site. The craniofacial skeleton, a three-dimensional mosaic of bones and cavities, develops as a result of the synchronous coordination of the differential activities at various sites. The dynamics of the growth and change are a fascinating, complex, incomplete chapter of biology. An understanding of factors that may or may not influence the craniofacial skeleton in both young and adult animals can aid diagnosis and surgical treatment.

ISSN:0148-7043    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

Three cases are presented illustrating various uses of peri-cranial flaps.In a patient with Apert's syndrome, a large pericranial flap was folded over bone pâté harvested from the upper frontal bone to improve forehead contour.Silicone and acrylic implants had been inserted in 2 other patients, 1 of whom had previously undergone radiation therapy for the correction of cranial defects. Both were lost due to infection. Autogenous bone grafts covered by pericranial flaps healed without difficulty, emphasizing the superiority of autogenous bone grafts over foreign substances in craniofacial reconstruction.Further uses of pericranial flaps are discussed.

ISSN:0148-7043    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

An operation for the repair of prominent ears is presented that includes the best features of the cartilage incision and cartilage suturing techniques. By using the best of several procedures, an operation has been developed which gives consistent, reproducible results in the treatment of prominent ears; and which is easily adaptable for children.

ISSN:0148-7043    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

Since 1972, over 800 burn victims have been treated with hyperbaric oxygen at the Bum Center of Sherman Oaks Community Hospital in Los Angles. HBO is used only as an adjuvant to standard resuscitation and is not intended to replace current accepted therapy. The results of the first three-year study program show definite changes in burn care delivery. There has been a definite decrease in the mortality as compared with our own predictions and statistics and with those of the N.B.I.E. In addition, a marked improvement in morbidity and a reduction in hospital stay were noted.

ISSN:0148-7043    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

The basis of our study lies in the clear demonstration that rectal temperature in cool and comfortable environments is a function of the metabolic load but that once a critical level of environmental warmth has been exceeded, the rectal temperature increases above the metabolically controlled level. This effect forms the basis of the presently suggested limits for healthy individuals during heat exposure in industry. We show that impairment of thermoregulation due to extensive burns makes such environmental limits unacceptable.Our experiment was aimed at demonstrating certain tolerance limits above which the extensively burned patient (40% deep second-or third-degree burns) cannot realistically be expected to function under the workload employed. Nine subjects with varying degrees of anhidrosis were subjected to standard workloads under carefully controlled environmental conditions. We found a dramatic diminution in heat tolerance in patients with healed burns covering more than 40% of their body surface area.

ISSN:0148-7043    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

Grafts of autogenous cartilage were utilized in 88 patients to augment the nasal spine, to add definition to the columella, or to support the feet of the crurae when the tip is raised. Complications were uncommon. This technique is an extremely useful adjunct when changing tip profile.

ISSN:0148-7043    

出版商:OVID    

年代:1978

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1978

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1978

数据来源: OVID