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Biomedical subjects

J W Polley

Publications and source records attributed to J W Polley.

11 recordsLinked to original sources
PubMed1995

Microsurgical forehead reconstruction: an aesthetic approach.

Satisfactory forehead reconstruction can be accomplished by microsurgical free tissue transfer. Basic principles of forehead resurfacing include: (1) replacement with similar quality soft tissue as a well-defined complete aesthetic unit, (2) establishment of the hairline 5-6 cm above the eyebrows, and (3) use of adjunctive procedures to enhance the aesthetic result. We have found the radial forearm flap and the groin flap to be excellent flaps for achieving this goal.

Adult↗
PubMed1994

Form-fitting fixation.

Use of rigid fixation systems in craniomaxillofacial surgery has significantly improved clinical results. We describe the technical application of utilizing rigid fixation systems in the actual process of reshaping bone flaps and grafts. We call the use of this technique form-fitting fixation, and describe its application in a wide variety of craniofacial reconstructions.

Adult↗
PubMed1994

Craniomaxillofacial surgery in the Jehovah's Witness patient.

The reconstruction of severe craniofacial anomalies in patients who will not accept blood transfusions presents a considerable challenge to the craniofacial team. Traditionally, these patients have been refused major reconstructions, receiving no treatment or a highly compromised substitute. A management protocol was developed utilizing preoperative erythropoietin and ferrous sulfate therapy, intraoperative in-line normovolemic hemodilution, and meticulous intraoperative hemostasis which allows us to perform major craniomaxillofacial reconstructions in Jehovah's Witness patients without the use of homologous or predonated autologous blood transfusions.

Adolescent↗
PubMed1993

An intraoperative patient stabilization device.

An intraoperative patient stabilization device is described for use in aesthetic breast surgery. This simple device maintains the patient in the vertical position throughout the many positional changes during aesthetic breast surgery.

Female↗
PubMed1993

Leveling of the occlusal plane during model surgery.

A level occlusal plane is a prerequisite for success in all orthognathic surgical procedures. Occlusal plane leveling must be obtained at the time of model surgery and splint manufacturing or an occlusal cant will be translated to the operating theater. We describe the use of a small-scale flat-line level, utilized during model surgery for two jaw procedures, to level the occlusal plane accurately and quickly.

Dental Articulators↗
PubMed1992

Chemotherapy and surgical resection combined with immediate reconstruction in a 1-year-old child with rhabdomyosarcoma of the maxilla.

Parameningeal head and neck rhabdomyosarcomas of childhood are often considered unresectable and are treated with irradiation and chemotherapy. High-dose radiation therapy has a very long-term detrimental effect on the developing face and also results in many other significant long-range complications. With the availability of advanced craniofacial surgical and free-tissue-transfer techniques, one-stage resection and immediate reconstruction, along with the use of effective preoperative and postresection chemotherapy instead of local radiation, may be the logical approach to the treatment of selected patients with chemosensitive parameningeal head and neck rhabdomyosarcomas.

Antineoplastic Combined Chemotherapy Protocols↗
PubMed1992

The retroauricular coronal incision.

The coronal incision has been modified so that if it needs to be extended to improve exposure, the extension will be behind the ear and therefore less noticeable. The incision has been used in 25 adults and 30 children with no complications. Its cosmetic appearance is superior to the preauricular coronal incision, and it is preferred especially by young people in whom the scar tends to widen with time.

Adult↗
PubMed1989

In vitro preservation of traumatic human skin autografts in a massive degloving injury.

The in vitro preservation of human skin autografts is a valuable technique in the management of severe degloving injuries. The authors describe the storage of traumatically induced human skin autografts involving nearly one third of the total body surface of a patient. These autografts were preserved in tissue-culture medium for 19 days and then transplanted onto the patient's prepared wounds, successfully acting as biologic dressings and permanent grafts. To the authors' knowledge, this is the largest clinical application of skin-storage techniques for the preservation of traumatic human skin autografts that is known to have been reported.

Adult↗
PubMed1987

The use of Teflon in orbital floor reconstruction following blunt facial trauma: a 20-year experience.

A myriad of materials have been used for reestablishing continuity of the orbital floor following blunt facial trauma. Traditionally, autogenous grafts have been the material of choice for orbital floor reconstruction; however, alloplastic materials have gained popularity because of their availability and ease of use. A large clinical experience with long-term treatment results has never been reported for any substance used in orbital floor reconstruction. The purpose of this study was to review our long-term treatment results using Teflon for orbital floor reconstruction following blunt trauma, with emphasis on the incidence of infection, extrusion, and implant displacement. This report presents a 20-year review of 230 Teflon implants for reconstruction of traumatic orbital floor defects. With a mean follow-up period of 30 months, there was only one implant infection and no complications of extrusion or implant displacement. These findings support the use of Teflon as a safe and effective material for the reconstruction of orbital floor defects following blunt facial trauma.

Adolescent↗