Biomedical subjects

B Pavy

Publications and source records attributed to B Pavy.

12 recordsLinked to original sources

PubMed2001

[New approach to hand dressings in young children: the puppet dressing].

Applying a postoperative dressing on a child's hand is a very important matter, for it must be done rigorously and according to well established principles in order to be effective and inoffensive. The strictness of execution, that holds the surgeon's attention, makes us sometimes forget that the dressing is for a child who is usually anxious. First, we recall the general principles of a postoperative dressing adapted to young children. Then, we explain a method of applying a dressing in the shape of a puppet, which at first can appear to be funny, but seriously which is completely adapted to a young child. This pediatrician adaptation, that parents appreciate very much, makes the situation less stressful because the child finds himself in a game situation. The puppet dressing seems to be an advantageous modification of the traditional dressing of a child's hand.

Age Factors↗

PubMed2001

[Palatal aponeurosis and the insertion of the tensor muscle of the soft palate. An anatomic study and clinical applications].

INTRODUCTION: Knowledge of the anatomy of soft palate muscles is of great interest in cleft palate surgery, in surgical correction of obstructive sleep apnea syndrome and in excision of maxillo-facial carcinomas. Some authors described the palatal aponeurosis as the expansion of the tendon of the two tensor veli palatini muscles, others stated that the palatal aponeurosis is a distinct anatomic entity. METHOD: Ten dissections of the soft palate have been performed to improve our knowledge of its anatomy. RESULTS: The palatal aponeurosis is a distinct anatomic entity continuous with the periosteum of the nasal cavity. The tendon of the tensor veli palatini terminated on the inferior side of the aponeurosis. One fifth of the tensor's tendinous fibers terminated on the posterior border of the palatine bone and the others are spreading on the anterior and inferior side of the palatal aponeurosis. DISCUSSION: In cleft palate patients, this aponeurosis is absent, the palatal muscles are attached to the posterior border of the palatine bones. So it seems to be logical to recommend a soft-palate "pushback" to create a new space between the posterior border of the palatine bones and the soft-palate muscles.

Cleft Palate↗

PubMed1997

[Congenital thumb hypoplasia. Clinical study of twenty patients].

Congenital hypoplasia of the thumb is often seen in association with longitudinal failure of formation of the radius. A clinical study of 20 children, with 26 cases of hypoplasia of the thumb was conducted to evaluate the surgical indications according to the stage of the malformation. The results were evaluated for each patient of the study, with the position of the thumb, its spontaneous movements and its function. In grade II hypoplasia, treatment consisted of reanimation of the hypoplastic thumb by one or more tendinon transfers. In grade IV and V, pollicisation is the treatment of choice. In our experience, the surgical indications raise a problem essentially in grade III hypoplasia of Blauth's classification. In these cases, pollicisation gives the best results. Reanimation of the thumb with tendinon transfers can sometimes be used when parents refuse amputation of the thumb, when the first metacarpal is not excessively hypoplastic, and when the child is old enough to allow early physiotherapy.

Age Factors↗

PubMed1997

Musculature of the soft palate: clinico-anatomic correlations and therapeutic implications in the treatment of cleft palates.

OBJECTIVE: Hypoplasia of the maxilla, often described as a classic sequela to surgical repair of the cleft palate, has been rare in our experience. We believe that our surgical technique, which includes dividing the nasal mucosa and the abnormal muscular insertions at the posterior border of the hard palate, is an important factor in preventing this sequela. METHOD: We compared the anatomy of 12 normal palates in cadavers to the anatomy of cleft palates seen at operation and to the anatomy of one cleft palate in a fetus aged 34 weeks. RESULTS: In cleft palates, the muscular fibres have an abnormal sagittal orientation, inserting on the posterior border of the hard palate. CONCLUSION: The division of both the nasal mucosa and these abnormal muscular insertions at the posterior border of the hard palate enables the surgeon to eliminate the abnormal posterior pull of these fibers on the maxilla.

Cleft Palate↗

PubMed1996

[Iterative excision].

Iterative excision is a simple method which consists in reducing the surface of a skin lesion in several surgical stages before total removal. The surrounding healthy skin loosens in the time between each stage, making it possible to perform excisions with simple closures and thus reduce the final scar. Care must be taken to avoid deforming the neighboring structures. This technique is principally used for the face in children.

Child↗

PubMed1982

An epidemiological and genetic study of facial clefting in France. I. Epidemiology and frequency in relatives.

The frequencies of cleft lip with or without cleft palate (CL(P)) and isolated cleft palate (CP) have been estimated in France to be 0.082% and 0.035%, respectively, after exclusion of malformation syndromes. A genetic and epidemiological study has been carried out on 468 patients with CL(P) and 163 with CP. The results are given in detail and some specific points are discussed: the apparently low incidence in France, the relationship between sex ratio and abortion rates, the maternal effects, and the possibility of an association between CL(P) and CP.

Abortion, Spontaneous↗

PubMed1978