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Biomedical subjects

N K James

Publications and source records attributed to N K James.

6 recordsLinked to original sources
PubMed1992

A bipedicled neurovascular step-advancement flap for soft tissue lengthening in clinodactyly.

Recommendations for the surgical treatment of clinodactyly have centered on techniques of osteotomy with or without bone grafting. However, the limiting factor to the correction may be tension in the soft tissues. A new technique to correct clinodactyly is described utilising an opening wedge osteotomy and bone grafting plus a bipedicled neurovascular step-advancement flap to correct the soft tissue deficiency. The procedure has been performed in five cases.

Bone Transplantation↗
PubMed1991

Plastic surgery audit codes: are the results reproducible?

The effective coding of data to produce a medical audit relies on agreement between the coders. This study was designed to assess whether coders can agree on codes for diagnosis and operations in a plastic surgery unit. Information from 50 patients was presented to a panel of six coders who were required to code the data using the International Classification of Diseases (ICD-9) and the Office of Population Census Studies (OPCS-4) systems. The results show that agreement between all the panellists occurred in only 32 out of 50 patients for one diagnostic code and 30 out of 50 for one operation code. When a patient had more than one diagnosis or operation, agreement was very much worse. Expert coders produced better results than the medical coders. The results are discussed with reference to other coding systems.

Abstracting and Indexing↗
PubMed1990

Review of burns caused by bitumen and the problems of its removal.

Bitumen burns are difficult to treat as the substance adheres to the skin. Twenty-four patients with such burns admitted as inpatients over a 9-year period have been reviewed. The mean size of the burn injury was 3 per cent of the total body surface area (mean full thickness burn: 1 per cent). Sixteen patients required operative treatment to achieve healing but no secondary reconstructive procedures have been performed. Twenty-two patients, who were burned at work, returned to their original employment within 2 months of injury. There was no decrease in the need for operation or decrease in the time to healing in those patients who had attempted early removal of the bitumen. Suggested principles of management are: cool the bitumen continuously with cold water until hard to dissipate the retained heat, leave the bitumen intact except around the eyes, and deroof tense blisters.

Accidents, Occupational↗
PubMedDate not supplied

Nasal symmetry: a 10-year comparison between the Pigott and McComb nasal correction.

The objective assessment of the symmetry of the cleft lip nose has not been properly evaluated. A simple technique using enlarged photographs and area assessment is described. Two different techniques were assessed, the Pigott "alar leapfrog" technique and the McComb alar lift technique. The children were assessed at 10 years of age. The results show no differences in the linear measurements or when the symmetry is assessed in the frontal view. In the worm's eye view, the Pigott correction was shown to produce a more asymmetric nose when compared with the McComb technique. Both corrections produce significant asymmetry when compared with a control group.

Abnormalities, Multiple↗