Search PubMed⌕ Search

Biomedical subjects

H H Caffee

Publications and source records attributed to H H Caffee.

At least 55 records · Page 3Linked to original sources
PubMed1982

External compression for the prevention of scar capsule contracture--a preliminary report.

One of the many methods that have been suggested for the prevention of capsule contracture is the use of capsule expansion exercises. However, the effectiveness of such treatment has remained controversial and has never been studied in a controlled manner. An experiment was designed to study the effect of intermittent external compression on gel implants in dogs. In adult mongrel dogs 200 cc gel implants were placed subcutaneously on either side of the chest wall. Postoperatively, the dogs were treated with an inflation panel which was held over one implant by a canvas jacket. The other implant served as a control. The implants were evaluated by both applanation and indention tonometry. Treatment continued for three months and the dogs were followed for an additional twelve months postoperatively. Of the original 5 dogs, 2 failed to develop contracture on either side. The remaining 3 developed varying degrees of contracture which was in all cases more severe on the control side. In the twelve months of subsequent follow-up, 2 of these dogs remained soft on the treated side and firm on the control side.

Animals↗
PubMed1982

Leukopenia and silver sulfadiazine.

The relationship of silver sulfadiazine therapy to leukopenia has been controversial. In our burn unit the incidence of leukopenia increased dramatically in 1978. Leukopenia was observed only in silver sulfadiazine-treated patients and not in patients treated with other agents. Because cimetidine had been introduced at about that time, the possibility of a drug interaction was investigated with a prospective randomized study. It was found that leukopenia continued to appear in a large percentage of patients in both groups, although the incidence was higher in cimetidine-treated patients.

Adult↗
PubMed1982

The nasolabial flap: a problem and its correction.

The excision of small cutaneous malignancies of the nose frequently results in defects that are appropriate for closure with a nasolabial flap. However, in the older male patient with thick nasal skin, the flap frequently undergoes the trapdoor phenomenon, producing a bulky, unsightly mass. This problem can be corrected, however, by excision of the redundant skin and subcutaneous tissue, leaving a graftable base that can be resurfaced with a full-thickness postauricular skin graft. This method of revision appears superior to just elevating and thinning the flap.

Adult↗
PubMed1981

Tensor fascia lata myocutaneous free flaps.

Twelve tensor fascia lata myocutaneous free flaps were done in 11 patients. There were 2 complete failures and 2 partial failures. The complete failures were related to problems with the recipient vessels. The flap has a reliable pedicle and vascular territory and can be transferred with its sensory nerve. Excessive bulk is a common problem, especially on the heel and ankle.

Adolescent↗
PubMed1980

Scalp and skull reconstruction after electrical burn.

A case of electrical injury in a 21-year-old woman with loss of scalp and skull is presented. The recommended method of reconstruction is transposition of the omentum with vascular anastomosis and skin grafts to cover the omentum. The patient was operated on 15 months postinjury because of painful ulcerations in a previous skin graft, and an uneventful recovery followed. She began wearing a wig 8 weeks after reconstruction.

Adult↗
PubMed1980

Microvascular synthetic grafts.

Expanded polytetrafluoroethylene (PTFE) was tested in rats as a microvascular synthetic graft. An inside diameter of 1.25 mm was used in the rat carotid artery, and various graft thicknesses were tried. Although several of the grafts remained patent, none of the samples tested were reliable enough to replace autologous vein graft.

Animals↗
PubMed1979

The extended dorsalis pedis flap.

An extended dorsalis pedis island flap was used to cover the heel in two patients. The arterial predicles were extended by cutting and bridging with vein grafts to allow the flaps to reach the defects. By this method, excellent coverage is obtained and the protective sensation may be retained or restored by preservation or extension of the sensory nerves.

Adult↗
PubMed1978

Skin rejection in graft-versus-host disease.

Graft-versus-host disease is becoming a common clinical problem, one which can require the consultation of a plastic surgeon for restoration of skin coverage. An understanding of the immunological basis of the disease is essential to the clinical management of this condition. A case of GVHD is reported, and the principles of treatment are discussed.

Adolescent↗
PubMed1977

Gallium 67 citrate scanning in the diagnosis of intraabdominal abscess.

Fifty-one consecutive gallium scans in fifty patients with suspected intraabdominal abscess are reviewed. There were twelve true-positive, seven false-positive, twenty-nine true-negative, and two false-negative scans. Accumulation of gallium in the colon and in areas of healing and repair caused soem interpretive difficulty. Despite a significant number of false-positive results, we believe that gallium scanning is a valuable diagnostic tool. Careful attention to technic and cautious interpretation should significantly reduce false-positive and false-negative scans.

Abdomen↗