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Biomedical subjects

D W Todd

Publications and source records attributed to D W Todd.

17 recordsLinked to original sources

Giant epignathus. A case report.

We report the successful treatment of a 2.8 kg female infant born with a giant epignathus, and we present our current prenatal and neonatal recommendations for managing this problem. We recommend that the delivery be done by cesarean section, that an adjacent operating room be ready for the baby, and that a neonatologist, anesthesiologist, and pediatric surgeon be standing by. The term epignathus now commonly applies to a teratoma protruding from a newborn's mouth. The survival of these otherwise normal children has been very low. We discuss the perinatal, neonatal, and operative care necessary to improve survival, as evidenced by the case presented.

Biomarkers, Tumor

Temporary banding of the gastroesophageal juncture in a very small neonate with esophageal atresia and tracheoesophageal fistula.

A 700 gm, small-for-gestational-age infant with severe respiratory distress, esophageal atresia, and Type C tracheoesophageal fistula was treated with initial banding of the gastroesophageal juncture followed by a gastrostomy. Primary repair was completed later, when the infant had stabilized and grown. Continuous air pressure had distended the fistula, thus dilating the distal esophagus and facilitating repair. In very small, high-risk infants with Type C esophageal atresia and tracheoesophageal fistula, banding of the distal esophagus enables enteral feeding and time for growth while protecting the lungs from repetitive aspiration and pneumonia and facilitates subsequent repair. The patient described here is one of the smallest infants reported to survive this problem. It is also the first time the enlargement of the distal pouch and removal of the band from above have been described.

Abnormalities, Multiple

A thoracic expansion technique for Jeune's asphyxiating thoracic dystrophy.

A technique of expanding the thoracic cage diameter using a methyl methacrylate (acrylic) prosthesis is described and the subject of Jeune's asphyxiating thoracic dystrophy is reviewed. Children needing surgical treatment include those with a progressive deterioration of their respiratory status, an increase in respiratory infections, and failure to thrive. This surgical technique is recommended for its simplicity, short operating time, and effectiveness.

Asphyxia Neonatorum

True aneurysm formation in a 6-month-old child.

A patient had a true aneurysm of the left iliac artery, first noted at 6 months of age. The aorta was normal and no septic course could be documented. Furthermore, the umbilical artery catheter tip did not lie in the vicinity of the aneurysm. To our knowledge, this is a heretofore unreported event.

Aneurysm

A family affected with intestinal polyposis and gliomas.

The third affected family with Turcot syndrome is presented and the problems associated with the occurrence of familial aggregates of cancer are discussed. Turcot syndrome represents the unique and discrete occurrence of polyposis coli with glioblastoma multiforme, medulloblastoma, or both.

Adolescent

Polypoid lesions of the acalculous gallbladder.

The controversy about gallbladder polyps has centered chiefly around their potential for malignancy. Among 3,525 cholecystectomies done over a 25-year period, there were 26 cases of carcinoma with only 9% not associated with stones. Thirty-nine cases of polypoid lesions of the acalculous gallbladder were investigated. The classic symptoms of pain, flatulence, food intolerance, and nausea were present in the great majority of cases. Most patients, especially those with symptoms of short duration, reported improvement following cholecystectomy.

Cholecystectomy

Liver resection.

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Accidents, Traffic

The age of dental implantology.

Dental implants have been evolving over the past 20 years and have now achieved a level of predictability that allows them to be considered in a wide variety of clinical situations. This article reviews current dental implant concepts for patient selection, treatment planning and restoration.

Dental Implants