Biomedical subjects
Publications and source records attributed to J Bostwick.
The transmaxillary K-wire is a simple, fast, safe, and effective technique for the fixation of unstable tractured malar bones. Combined with other techniques such as interdental fixation it simplifies and provides the fixation of the Le Fort II fracture or osteotomy and certain osteotomies used for facial advancement. The technique of insertion is described and illustrated.
Explore the source record for details and available documents.
The use of reconstructive surgical techniques accelerates recovery from radical pelvic surgery. It also allows the surgeon greater latitude in the type of procedure and the selection of patients for extended pelvic surgery. The techniques involved in three such reconstructive procedures are described, and their applicability is illustrated with care reports. The use of the compound myocutaneous flap, the axial cutaneous flap, and the omental island flap is discussed.
Explore the source record for details and available documents.
Various methods of reconstructing the nipple-areolar complex with auricular tissues are presented. A basic one-stage reconstructive technique is described which seems suitable for the use of various tissues. An alternative method of correcting the inverted nipple is reported.
Experience with 547 consecutive cases of cervical and facial penetrating trauma has indicated the value of an individualized approach rather than a firm policy of exploration for all wounds penetrating the platysma. In addition, the accumulated data suggest that the concept of separate classes of carotid injuries based on presence or absence of neurologic deficits bears further evaluation with respect to the advisability of reconstituting carotid artery flow.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Reconstruction of the pad of the heel by transposition of the flexor digitorum brevis muscle and split skin graft has proved to be quite durable, padding of the heel is adequate and protective pressure sensation has returned to the area. This procedure offers a simple one stage alternative to the cross-leg or local skin flaps for management of this difficult problem.
The goal of the surgical treatment of primary hyperparathyroidism is ablation of the proper amount of hyperfunctioning tissue. This paper presents our operative technique based on an experience in the treatment of 190 patients with primary hyperparathyroidism. The technique is based on a complete knowledge of the anatomy of the normal parathyroid gland as well as the pathology in primary hyperparthyroidism. We also propose a systematic and methodical search for possible abnormal locations incorporating a thorough knowledge of the specific embryology.
Current information of eyelid anatomy and function is reviewed. This is a basis for an approach to repair of wounds and defects of the lacrimal system, medial canthal region and eyelids.
We advise an aggressive approach in ablating basal cell carcinomas which have originated in the region of the medial canthus. Extirpation of the entire tumor under accurate histological control, whether it includes skin only or the entire orbital contents and ethmoid air cells--and reconstruction with one of the described procedures--gives the surgeon an effective armamentarium to successfully treat these potentially lethal lesions.
During a 16-year period, 47 wounds of the portal and/or superior mesenteric veins were encountered. Overall mortality was 57%. Survival was greatest in patients with injury to the superior mesenteric vein, wounds repairable by lateral phleborrhaphy, absence of associated major vascular trauma, and only transient or minimal hypovolemic shock. The majority of deaths were due to uncontrollable bleeding or sequelae of profound hemorrhagic shock. Limited follow-up of survivors has demonstrated a low patency rate at the site of venous repair, suggesting that mere ligation may be all that is necessary when lateral repair is impossible.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Those benign breast disorders that are amenable to improvement by aesthetic surgery are discussed from the points of view of indications, techniques, and results.
Breast reconstruction after mastectomy can avoid a permanent deformity. As a member of the breast management team, the reconstructive surgeon can give advice on timing and techniques. Breast reconstruction can either be started at the time of the mastectomy or delayed for months or years. Newer techniques of tissue expansion permit breast reconstruction without additional scars or significant hospitalization. Autogenous tissue breast reconstruction techniques are available that provide natural, long-lasting breast reconstruction without the need for a silicone breast implant.
Modern breast reconstruction techniques provide the women faced with breast cancer with a reliable source of rehabilitation and an alternative to breast loss subsequent to cancer treatment. As a member of the breast management team, the reconstructive surgeon provides valuable input on the appropriate timing and techniques for surgery. With the surgical oncologist and the plastic surgeon working together, the mastectomy and breast reconstruction can often be combined in one operation with less skin removal, shorter scars, and reduced inconvenience for the patient. Techniques of tissue expansion permit breast reconstruction without additional scars or significant hospitalization. With the development of autogenous tissue breast reconstruction techniques, women are also able to have natural, long-lasting breast reconstruction without the need for a breast implant.