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Biomedical subjects

D Elliot

Publications and source records attributed to D Elliot.

At least 73 records · Page 4Linked to original sources

The stretched scar: the benefit of prolonged dermal support.

A study of skin suture following elliptical excision of tattoos from the upper limb shows that when the dermis is supported by a subcuticular non-absorbable suture for 6 months there is (a) a highly significant and numerically considerable (37.5%) reduction of scar stretching over that following conventional interrupted skin suture and (b) a significant reduction of scar width (15.7%) when compared with the same material used as a subcuticular suture for 3 weeks. Subcuticular polyglycolic acid achieved no reduction in scar width at one year when compared with conventional interrupted sutures.

Adolescent↗

The expanded latissimus dorsi flap.

The safety of tissue expansion of the latissimus dorsi musculocutaneous flap is confirmed and the advantage of expansion of this flap before transfer illustrated.

Adult↗

Long term hand function without long finger extensors: a clinical study.

This study examines the premise that, following severe injuries to the dorsum of the hand, reconstruction of the long extensor tendons of the fingers may not be necessary for many patients. The long-term hand function of nine patients who sustained such injuries and had operations to provide skin cover only, has been comprehensively assessed using objective tests and a detailed questionnaire. It is concluded that provision of skin cover followed by intensive early mobilisation may be an adequate management of these injuries.

Adult↗

Ulnar fasciocutaneous flap of the wrist.

An ulnar fasciocutaneous flap has been developed to provide skin cover of the donor defect after elevating radial forearm flaps and used for that purpose in 55 patients. A case is reported in which the same type of flap was used to cover a traumatic skin defect on the front of the wrist.

Adult↗

Ptosis with blepharophimosis and epicanthus inversus.

The rare syndrome which includes ptosis, blepharophimosis and epicanthus inversus is recorded in one family through five generations. The genetic significance of the syndrome is emphasised and the literature on the surgical management of the condition reviewed.

Abnormalities, Multiple↗

The excursions of the long extensor tendons of the hand.

In a cadaveric study in seven hands, the mathematical relationship between extensor tendon excursion and joint motion (wrist, m.p., p.i.p. and d.i.p.) has been investigated. This has been found to be linear at all joints, allowing the mean tendon excursions corresponding to ten degrees of joint motion to be calculated for each of the above joints for all five rays of the hand. A table of these excursion values is presented as a reference for calculation of clinical problems.

Finger Joint↗

The role of endorphins in septicaemic shock: a pilot study in burned patients.

There is recent evidence that circulating opioid peptides, or 'endorphins', act as chemical messengers responsible for the induction of the complex cardiovascular changes leading to hypotension in septicaemic shock. The pilot study of an investigation of opioid peptides in septicaemia in burned patients is presented. Serial measurements of plasma beta-endorphin and metenkephalin were performed throughout the recovery of six patients with large burns (20-70 per cent BSA). Our preliminary findings concur with previous evidence that opioid peptides may play a role in the hypotension of septicaemic shock.

Adolescent↗

The behaviour of presternal scars in a fair-skinned population.

The incidence of keloid and hypertrophic change and of scar stretching in the presternal region were studied in a fair-skinned population following open heart surgery through a median sternotomy incision. No patient in this study developed keloid change although scar hypertrophy and stretching were frequent. These changes were unrelated to the material used in subcuticular suture of the skin in a comparison of catgut, prolene and polyglycolic acid. Hitherto, unrecognised differences of scar maturation between different areas of the presternal skin were noted to be statistically significant. Scar hypertrophy is most likely in that part of the scar overlying the body of the sternum and particularly in the female. Scar stretching occurs most frequently in the lower third of the scar overlying the xiphisternum and extending onto the abdomen.

Adolescent↗

Cutaneous lymphomas of the face and scalp.

The presentation of malignant lymphoma as a solitary, discrete cutaneous nodule on the face or scalp is rare. This paper describes the clinical features of five patients with this manifestation of lymphoma referred to one plastic surgery unit over a period of 3 years.

Adolescent↗