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Biomedical subjects

J B McCraw

Publications and source records attributed to J B McCraw.

61 records · Page 4Linked to original sources
PubMed1976

Intraoral reconstruction in head and neck cancer surgery.

Numerous techniques are available to resurface the oral cavity. These range from the very simple and straightforward to the very difficult and complex. Certainly for small lesions, local excision and direct approximation of mucosa is all that is necessary. For larger defects, particularly those which will require some other form of reconstruction, additional tissue must be brought into the operative defect. For superficial excisions, skin or mucosal grafts are adequate to resurface the mouth. For areas of extensive resection, flaps of some type are required. The use of local random flaps, regional arterialized flaps, and myocutaneous flaps have been described. The decision for their use must be as individual as each patient. Free flap transfer has specific theoretical benefits. The advantages and disadvantages of each technique have been presented and, it is hoped, will allow the reconstructive surgeon greater latitude in selecting a technique of reconstruction.

Head and Neck Neoplasms↗
PubMedDate not supplied

Reconstruction for cervical irradiation ulcers with myocutaneous flaps.

Radiation-induced skin changes are commonly seen in patients who have been treated for head and neck malignancies. Some of these skin changes can progress into chronic postradiation ulcers, which despite aggressive medical wound management will not resolve spontaneously. Skin grafts and local cutaneous flaps located within the radiation field are unreliable and rarely provide adequate stable coverage. In this article, the authors report a combined experience of 52 patients whose postradiation cervical ulcers were successfully and reliably treated with myocutaneous flaps.

Abdominal Muscles↗
PubMedDate not supplied

Reconstruction of the breast following mastectomy.

The experience with 300 reconstructions after mastectomy over a ten year period is reported. The whole reconstruction was performed in one stage, including latissimus dorsi flap, volume replacement by a double lumen prosthesis and nipple-areola reconstruction. In 50% of the cases adjustment of the opposite breast has been necessary to achieve symmetry. Prophylactic subcutaneous or total mastectomy was done in the high risk group. Twenty-six patients have undergone immediate reconstruction at the time of the mastectomy, but the psychological reaction of these patients is less positive, because they have not lived with the deformity. There are few early complications despite of the extended operation. No local recurrence has occurred. The best results are obtained with the latissimus dorsi flap because of maximum protection for the implant and better correction of the absent anterior axillary fold.

Breast↗