Biomedical subjects
Publications and source records attributed to M J Earley.
A technique is described, with illustrative cases, to correct supratip nasal depressions using the lateral alar crura. Its anatomical basis is considered and the technique briefly outlined. The operation and its modifications are suitable in the correction of mild and moderate saddle nose deformities and may even be suitable for certain selected severe cases.
Forty-one human bites of the face are presented with a comparative review of earlier published series. Their primary treatment is outlined. The majority of bites presented few initial complications due to the excellent blood supply of the face and the use of prophylactic antibiotics. Secondary reconstruction, however, usually entailed multiple staged operations.
Of 40 patients with amputated thumbs referred for replantation to the Manchester Microsurgical Unit over five and a half years, 10 (25%) were not considered to be feasible replants, 6(15%) were abandoned at the primary operation, and 24 were replanted. Mode of selection of patients for replantation and operative methods are considered. The 14 thumb replants that survived were studied in detail and functional results are presented. Only one patient had a result that prevented normal activities, the remainder having returned to former occupations.
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The clinical and pathological features of two further cases of the condition previously described as Recurring Digital Fibrous Tumour of Childhood are presented. The ultrastructural appearance of the characteristic cell inclusions bears some resemblance to Mallory's hyaline and suggest increased functional activities in the fibroblasts carrying these unusual dense bodies. Retention of abnormal metabolic products in fibroblasts is the most likely explanation. The term Inclusion Body Fibromatosis is proposed for this entity.
This paper presents the results of 80 out of 98 severed flexor tendons repaired between 1976 and January 1981 using the Kleinert technique with immediate dynamic splintage. In this series 13 repairs were in the thumb and 85 in the fingers (19 in Zone 1; 66 in Zone 2). Only 10% of the injuries were industrial. A total of 80 tendon repairs were available for assessment using the methods of White and Kleinert; 60% of these were graded excellent to good, with 55% excellent to good for Zone 2 repairs. An "injury score" has been devised to indicate severity of injury and this correlated well with poor results in Zone 2 injuries. Better results were obtained in the young and in well motivated patients. Delayed repairs did badly, especially in Zone 2.
Surgical repair of enterocutaneous fistulae in Crohn's disease may result in large skin defects of the anterior abdominal wall. We present a case in which a large defect was managed with reconstruction using a pedicled rectus abdominis myocutaneous flap in a single procedure. The case highlights the technical challenge of such a case and the value of a joint surgical approach between plastic and colorectal services.