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Biomedical subjects

D A Reid

Publications and source records attributed to D A Reid.

At least 37 records · Page 2Linked to original sources
PubMed1984

Digital deformities and dental malocclusion due to finger sucking.

The habit of finger and thumb sucking in infancy usually ceases spontaneously by the age of 5 years. If the habit is not broken, serious deformities of the digit may appear along with significant disturbance of the dental occlusion. If diagnosed early, the habit can be broken and the threatening disturbances of digital growth and dental occlusion will resolve spontaneously. If not, even more complicated surgical and orthodontic measures may be required. Five such cases are reported.

Adolescent↗
PubMed1984

Controlled trial of the Grassi (pH) intraoperative test for completion of proximal gastric vagotomy.

Forty-eight patients undergoing PGV for duodenal ulcer were randomized to Grassi test (24) or no test (24). Operations were performed by surgeons who were Fellows of the Royal College of Surgeons trained in the technique of PGV and every effort was made to complete the vagotomy if the test was positive. Patients were assessed by standard pentagastrin test preoperatively and postoperatively. The two groups were closely matched for age (Grassi 48, non-Grassi 43), sex (Grassi 20 males; non-Grassi, 21 males), preoperative BAO (6.4 +/- 1.2 S.E.M. millimols hydrogen ions per hour and 6.6 +/- 0.9 S.E.M. millimols hydrogen ions per hour) and preoperative PAO (45.5 +/- 2.1 S.E.M. millimols hydrogen ions per hour and 40.5 +/- 2.6 S.E.M. millimols hydrogen ions per hour). Postoperatively, the BAO was 1.2 +/- 0.4 S.E.M. millimols hydrogen ions per hour for the Grassi group and 0.8 +/- 0.2 S.E.M. millimol hydrogen ions per hour. The postoperative PAO (pg) for the Grassi group was 19.1 +/- 0.9 S.E.M. millimols hydrogen ions per hour and for the non-Grassi group, it was 19.5 +/- 1.9 S.E.M. millimols hydrogen ions per hour. The mean reduction in PAO (pg) were 57.0 +/- 4.3 per cent for the Grassi group and 51 +/- 4 per cent for the non-Grassi group, but two patients in the non-Grassi group had a reduction of less than 10 per cent, one of whom has had recurrent symptoms at three months. Eight Grassi and four non-Grassi patients had reductions of greater than 65 per cent. The mean operating was 110.0 +/- 6.8 minutes for the Grassi patients and 87.0 +/- 3.1 for the non-Grassi patients.

Adult↗
PubMed1982

Late follow-up of highly selective vagotomy with excision of the ulcer compared with Billroth I gastrectomy for treatment of benign gastric ulcer.

We present the late results of a prospective randomized trial of highly selective vagotomy with excision of the ulcer (HSV + E) (n = 26 cases) versus standard Billroth I partial gastrectomy (BI) (n = 30). The operations were performed by registrars, senior registrars or consultants. Results of postoperative morbidity, functional outcome and recurrence rates have previously been reported at an average follow-up period of 4 years (1), at which stage neither operation offered a distinct advantage. At an average follow-up period of 8 years, 54 of the original 56 patients have been reassessed, using a standard Visick grading. HSV + E offers a better symptomatic result. There is an increased recurrence rate in both groups with time, 6 following HSV + E and 5 following BI gastrectomy.

Clinical Trials as Topic↗
PubMed1981

Anomalous right subclavian artery arising proximal to a postductal thoracic aortic coarctation.

Approximately 1% of patients with postductal thoracic aortic coarctation have an associated anomalous right subclavian artery. Previous reports indicated that the aberrant right subclavian vessel arose distal to the coarctation site. The case of a patient is presented in whom the anomalous right subclavian artery originated proximal to the postductal coarctation. We believe this to be among the first reports of this entity. The embryological development pathway and clinical implications of this congenital defect complex are discussed.

Abnormalities, Multiple↗
PubMed1981

Thumb lengthening of the Gillies' method.

The Gillies' method of thumb lengthening is presented. It has proved of value in cases of isolated loss of the thumb in the region of the metacarpophalangeal joint sustained by a working man, particularly as pollicisation is not considered justifiable in such cases. The method achieves a result in a one-stage procedure and provides a strong useful thumb although of limited length. Sensation on the tactile surface is good due to preservation of the median nerve supply.

Amputation, Traumatic↗
PubMed1980

Long term follow up of neurovascular island flaps.

The results of a ten year mean follow up of twenty Neurovascular Island Flaps and two Radial Nerve Innervated Cross Finger Flaps are presented. Sensory acuity sufficient for tactile gnosis was achieved in nineteen cases. In only one case had sensory acuity deteriorated since operation. Use of the flap was hampered in one patient by a pre-existing neuroma. Complete sensory reorientation occurred in five patients. Sensory misreference persisted more commonly on dominant hands. It was our impression that Porter's Letter Test revealed the patients making most use of their neurovascular island flaps. The place of neurovascular island flaps in the management of the mutilated hand is discussed.

Adolescent↗
PubMed1980

The Gillies' thumb lengthening operation.

The standard Gillies' thumb-stall operation is a most successful method of lengthening a thumb which has been lost in the region of the metacarpophalangeal joint and where all four fingers are intact. Pollicisation is not considered justifiable in such a case. The method achieves a result in a one-stage procedure and provides a strong, useful thumb although of limited length. Should a deeper thumb/index web be required, this may readily be achieved by a Z-plasty, although this has rarely been found necessary. Sensation on the tactile surface is good. We consider this is due to the fact that the median nerve supply over the palmar aspect of the thumb is left intact. Normal sensation has been demonstrated over the volar surface of the thumb is left intact. Normal sensation has been demonstrated over the volar surface of the thumb at an early stage following operation. The cosmetic appearance would, generally speaking, not be acceptable in a female patient and an alternative method has usually been used viz., tubed pedicle, bone graft and island flap. Free transfer of the second toe has given good cosmetic results and has been described by Gilbert and Tubiana (1979) and le Quang (1979). A working man, however, readily accepts the cosmetic result particularly when taken in conjunction with a relatively short rehabilitation period.

Amputation, Traumatic↗
PubMed1970

Thumb injuries.

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Amputation, Traumatic↗