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Biomedical subjects

J Fissette

Publications and source records attributed to J Fissette.

At least 55 records · Page 3Linked to original sources

[The latissimus dorsi territory: a privileged donor site].

The latissimus dorsi is one of the most used donor areas in various fields of reconstructive surgery. After a short historical review, the main anatomical features, classical as well as new, are outlined in the view of reconstructive procedures. If it now demonstrated that the exceptional reliability of this myocutaneous territory allows to perform operations that belong to the routine like taking part in mammary reconstructions or to more sophisticated techniques, like in head and neck reconstruction. Among future prospects, we will consider the total mammary reconstruction and the cardiomyoplasty.

Back↗

[Intramuscular vascularization of the human latissimus dorsi].

The anatomical data concerning to the latissimus dorsi and its neurovascular pedicle are revised with its applications in reconstructive surgery. The use of this muscle in cardiomyoplasty depends upon a good understanding of its vascularisation and the intramuscular innervation. Our angiological study of the human latissimus dorsi demonstrates clearly the topographic distribution of the branches of the thoraco dorsal artery ant the peripheral blood supply after interrupting the intercostal and lumbar perforating vessels. These findings demonstrate the vascular reliability of the muscle for cardiomyoplasty.

Humans↗

The use of the free parascapular flap in midpalmar soft tissue defect.

Clinical applications of a new free flap are presented. The parascapular flap is a cutaneous unit whose blood supply is provided by a posterior branch of the inferior scapular artery. It is a safe and relatively large flap (approximately 8 by 12 cm or more) with a constant pedicle. It has no sensory nerve. The donor site is easy to close directly. As suggested by Baudet, we think it is useful in reconstruction of the palm and, in some cases, the dorsum of the hand.

Adult↗

Carpal and Guyon tunnel syndrome in burns at the wrist.

A series of 22 patients with burns of the upper extremities have been evaluated by clinical and electromyographic (EMG) studies. As suggested by others, a significantly higher incidence of carpal tunnel syndrome and sensory involvement of the ulnar nerve was discovered. Those findings suggest that we pay more attention to the median and ulnar nerves at the wrist level in burns and treat them when compression is demonstrated by clinical and EMG evaluation.

Adolescent↗

Treatment of carpal tunnel syndrome. Comparative study with and without epineurolysis.

Three series of cases of Carpal Tunnel Syndrome have been studied. One series was treated a different, respected surgical team, the second series by the author by decompression alone, and the third series by additional intraneural decompression using the microscope. The authors found very little difference in the results, apart from marginally better results in the presence of thenar muscle involvement.

Carpal Tunnel Syndrome↗