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Biomedical subjects

J O Stallings

Publications and source records attributed to J O Stallings.

At least 19 recordsLinked to original sources
PubMed1989

A reliable method for monitoring the microvascular patency of free jejunal transfers in reconstructing the pharynx and cervical esophagus.

Reconstruction of the pharynx and esophagus with revascularized segments of jejunum remains a time-proven entity. Most thromboses and subsequent flap failures have occurred within the first 24 hours after revascularization of the flap. What would therefore be desirable is a safe, proven monitoring system to assess the patency of the microvascular anastomoses and subsequent viability of the transferred bowel segment. This paper reports on such a monitoring system, which involves the creation of a surgical window on the anterior cervical flap. The jejunal serosa is tacked to this window, and a thin split-thickness skin graft is placed directly on the bowel. The technique is simple, safe, efficacious, and leaves no significant defect.

Esophageal Neoplasms↗
PubMed1982

Secondary burn reconstruction: recent advances with microvascular free flaps, regional flaps, and specialized grafts.

A representative series of cases are presented which demonstrate secondary reconstructive plastic surgery procedures for the burn victim utilizing microvascular free flaps, regional flaps, and specialized skin grafts. The unstable burn scar of the lower extremity could be managed either by a microvascular free-flap transfer, a muscle transfer, a myocutaneous flap transfer, or a reverse dermis graft, or overgrafting. In the present day, there are many treatment modalities available to us. Long-term wearing of the Jobst pressure stocking is essential in many cases to minimize the hypertrophic burn scar. In our experience, Kenalog injection into a hypertrophic burn scar always has resulted in improvement of the condition although it is usually necessary to give multiple injections into the hypertrophic burn scar at eight week intervals. We have never known Kenalog to fail to improve a hypertrophic scar by flattening it out to a significant extent, but it may take a year or more of injections to accomplish this goal. Microvascular surgery is most definitely a team effort requiring at least two fully trained microvascular surgeons, plus experienced operating room personnel. One microvascular surgeon harvests the free flap, and the other microvascular surgeons prepares the recipient area. Both microvascular surgeons participate in the multiple anastomoses that are required. A microvascular laboratory is essential to the success of a microvascular team, and constant practice is mandatory to maintain and enhance these precision skills. The primary burn surgeon ideally must always keep in mind ways to minimize functional and aesthetic deformity and to continue to improve the quality of life of the burn victim.

Adolescent↗
PubMed1976

Use of nasopharyngeal tubes as aids to lateral port construction and maintenance of the airway in pharyngeal flap surgery.

We suggest the bilateral placement of nasopharyngeal tubes of appropriate size as a simple aid in constructing lateral ports of the correct size when doing a superiorly-based, lined, pharyngeal flap for velopharyngeal incompetence. If one leaves the tubes in for 24 to 48 hours postoperatively, they are of great help in maintaining a clear airway during that period.

Adolescent↗