An uncommon sequel to thumb trauma: epidermoid cyst.
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Biomedical subjects
Publications and source records attributed to I T Jackson.
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A method of pharyngoplasty based on the orticochea principle of using lateral pharyngeal flaps which contain the palaptopharyngeus muscle, is described. The results of this procedure, and its advantages over other methods, are presented.
Four geographically widely separated medical centres with a primary interest in cranio-facial surgery present their combined complications to illustrate the dangers and unsolved problems of this surgery. There wre 149 cases with 2 deaths and 3 other life threatening situations (infections). Approximately 60% of the patients had no complications (90/149). Secondary corrections are often necessary to obtain the desired result or correct problems produced by the surgery. The complexity and rarity of the surgery and supporting disciplines is such that in the interest of the patient and the speciality concentration of this surgery in a few centres is desirable.
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The syndrome of defects which characterise the cleft lip and palate patient undergoing secondary surgery is listed, and the traditional system of multiple sequential operations for its correction is challenged. A single stage combined procedure is described which permits the correction of maxillary collapse and hypoplasia to be combined with closure of an anterior palatal fistula and lip revision, together with some improvement of abnormal nasal appearance.
A simple method is described of using a commercial drape or sheet of polyethylene to keep dressings moist prior to the application of delayed skin grafts.
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