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Biomedical subjects

D H Frank

Publications and source records attributed to D H Frank.

30 records · Page 2Linked to original sources
PubMed1980

Osteomyelitis of the skull following scalp reduction and hair plug transplantation.

A case of Staphylococcus aureus osteomyelitis of the skull following scalp reduction and hair plug transplantation is presented. Frontal and biparietal craniectomies were performed, adjacent galea and subcutaneous tissues were excised, and intravenous antibiotics were administered to eradicate the infection and forestall the development of sagittal sinus thrombosis. Persistent drainage of hair plug transplantation sites may suggest underlying osteomyelitis.

Hair↗
PubMed1980

Tetanus resulting from osteomyelitis of the zygoma.

This case of successfully managed clinical tetanus following osteomyelitis of a minimally fractured zygoma serves to remind us to consider the possibility of this diagnosis even in an apparently uncomplicated facial wound. The prodromal and clinical signs of tetanus in this case are classical. Early recognition of the disease and appropriate supportive measures lead to an anticipated outcome.

Adult↗
PubMed1980

Accidental hypothermia treated without mortality.

Accidental hypothermia, a core temperature below 34 degrees C., is frequently fatal, particularly in the ill and elderly. Traditional treatment methods result in reported mortalities of between 45 and 100 per cent. Despite these terrible statistics, advocates of slow rewarming persist. They cite the shock and vascular collapse which can occur with peripheral dilation as reasons to avoid rapid external rewarming. Isolated successes using internal core rewarming, such as hemodialysis or cardiopulmonary bypass, are spectacular but not practical in the usual clinical situation. By combining methods used for the resuscitation of burn injury with the treatment principles for frostbite, a highly effective treatment protocol results. Agressive fluid resuscitation, rapid immersion rewarming and careful systematic monitoring have been used to treat ten consecutive patients without a single death. Concomitant problems of alcoholism, stroke, myxedema, tuberculosis and paraplegia were also treated. Rapid external rewarming by immersion can result in a low mortality in patients with severe hypothermia.

Acidosis↗
PubMed1979

Evaluation of Debrisan as a treatment for leg ulcers.

Dextranomer beads, a new treatment for leg ulcerations, has been widely promoted. Comparison with simple saline dressings in an animal model demonstrated no significant difference in its ability to decrease the quantitative bacterial count of granulation tissue. In a prospective randomized clinical study it appeared that, in moist exudative venous stasis ulcers, dextranomer beads may be an effective way of decreasing bacterial contamination. In drier ulcerations caused by this ischemia, this difference was not observed. Recognized principles of treatment such as elevation, debridement, physiological protection of granulation tissue, or vascular reconstruction are as important as a particular dressing regimen and must be utilized in the treatment of leg ulcerations.

Adult↗
PubMed1979

Rapid slide technique with dextranomer beads for bacteriologic assessment of wounds in the elderly: comparison with quantitative biopsy method.

A rapid slide technique to provide quantitative bacteriologic assessment of wounds in elderly and debilitated patients is described. It involves the use of material from dextranomer-bead (Debrisan) wound dressings to replace tissue biopsy for deciding when a wound is ready for closure or when a specific therapy is no longer efficacious. In 27 patients an 81 percent correlation was demonstrated between the bacterial count as determined by the new method and that determined by the more complicated tissue biopsy.

Bacteria↗
PubMed1978

Conservation of normal tissue in the treatment of massive basal cell carcinoma.

Reconstruction of a defect of the shoulder and chest wall following resection of extensive basal cell carcinoma is demonstrated using classic principles of flap design and delay. Preservation of the normal tissue in an arm before amputation allowed for closure of a wound that could not be covered with musculocutaneous, omental, or microvascular free flaps.

Amputation, Surgical↗
PubMedDate not supplied

Management of burns of the head and neck.

Burns of the head and neck with or without respiratory tract injury remain a serious and complex problem. Care of patients with this injury requires astute frequent clinical examinations, repeated laryngoscopy or flexible bronchoscopy, and serial laboratory investigations. Superb monitoring and care by the entire burn team with frequent dialogue among the individuals with specialized knowledge, mature clinical judgement in regard to therapy, the long-term follow-up help burn victims survive the injury and achieve the best possible functional ability and cosmetic appearance. There are no simple answers or rote decisions in the management of these injuries. The challenge requires the most innovative and creative care coupled with large amounts of hard work. Many of the recent advances in the management of burns of the head and neck have permitted these patients to survive and have helped them to return as functioning members of society.

Adult↗