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Biomedical subjects

M Meley

Publications and source records attributed to M Meley.

At least 19 recordsLinked to original sources

[Local anesthesia].

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Anesthesia, Local↗

[Treatment of septicemias and skin infections in burn patient by teicoplanin. Study of its skin diffusion].

In this study, teicoplanin was administered to burnt patients by IV and IM route in monotherapy or in association with other antibiotics. 12 cases of septicaemia and 8 severe cutaneous cocci Gram + infections were treated. Dosage varied from 5 mg/kg to 14 mg/kg. Clinical cure was observed in 89% of cases, and eradication of cocci Gram + in 83%. The MICs of Staphylococcus were between 0.25 micrograms/ml and 4 micrograms/ml, with a majority of methicillin-resistant Staphylococcus at 1. Average through serum concentrations were 7.4 micrograms/ml, and peak serum concentrations were 26 micrograms/ml (1 hour after injection). Tolerance was good in 19 of the 20 cases (95%). Skin levels of teicoplanin were found to be 1.6 times the through serum level. It was noted that in burnt patients whose UBS is superior to 100, the dose should be increased by about 50%.

Adolescent↗

Craniofacial lesions by grindstone wheels.

The authors report two new cases of craniofacial lesions due to the explosion of grindstone wheels and consider, after a short technological introduction, the specific features of these lesions diagnostically and therapeutically. These wheels are subject to mechanical shocks, may be run too fast for their capabilities, and may become overheated during use. In explosions, fragments may penetrate deeply, and are frequently small and difficult to see on X-rays because they are not very radio-opaque. Prevention of these injuries is most important: when they happen, surgeons must search carefully for all fragments.

Accidents↗

[Reconstruction of the temporomandibular joint with a total intermediate prosthesis].

A method for reconstruction of temporomandibular joint is proposed using an intermediary prosthesis and non-sealed cupula. This prosthesis respects the cranial articular slope and provides twofold mobility at the cupular level, which approaches physiological conditions and allows reproduction of buccal opening and closing movements as well as lateralization. A strict surgical procedure is essential when inserting the prosthesis, particular care being necessary in the approach to the facial nerve and control of its temporofacial contingent until above the zygomatic arch. Indications for this procedure are discussed in relation to injuries and tumoral, degenerative and malformatory lesions.

Ankylosis↗

[Musculocutaneous flaps in maxillofacial surgery].

The principal general characteristics of musculocutaneous flaps are described. Originally indicated for repair of wounds and reconstructive surgery following operation for cancer, they are now employed to treat post-radiotherapy lesions, burn sequelae, and even facial asymmetry. The principal clinical features of the most commonly applied flaps are discussed with a view to defining their maxillofacial applications more precisely.

Bone Transplantation↗