Fine needle aspiration of the larynx: a preliminary report.
A technique for endoscopic fine needle aspiration cytology (FNAC) of the larynx is presented and its use in a preliminary study of twelve patients is discussed.
Biopsy, Needle↗
Biomedical subjects
N R McLean
Publications and source records attributed to N R McLean.
The repair of defects in the head and neck region with the latissimus dorsi myocutaneous flap.
There are many different flaps available for head and neck reconstruction. The latissimus dorsi myocutaneous flap has been widely used in this unit on 80 occasions in the past three years, both as a pedicled and as a free microvascular flap following the excision of head and neck malignancy, the commonest pathology being intraoral squamous cell carcinoma. There were nine cases of complete or substantial flap loss requiring a further reconstructive procedure. Few of the patients who underwent total glossectomy suffered from overspill or aspiration and the fistula rate was low. Reference is made to the anatomy and the technique of raising this versatile flap which provides a large volume of tissue and has been particularly useful following total glossectomy when combined with a hyoid hitch.
Female↗
Zinc oxide tape: a useful dressing for the recalcitrant finger-tip and soft-tissue injury.
Zinc oxide tape has been used successfully in 40 patients to treat finger-tip and soft-tissue injuries which had not healed with conventional dressings. It is easy to apply, cheap and readily accepted by both patients and staff. The authors strongly recommend this simple dressing for the slow-to-heal finger-tip injury.
Adolescent↗
Some observations on controlled mobilisation following flexor tendon injury.
Several modifications of the Kleinert splint are described including a modified pulley, bar, taping of the pulps to prevent skin ulceration and the use of constant-tension springs to simulate more closely the normal flexor muscle function.
Adult↗
A review of the first 12 months of a hand clinic.
The potential problems faced on setting up a hand clinic and how they may be overcome are discussed. In its first 12 months there were 199 new referrals over 50% of which were either lacerations, fingertip injuries or fractures. The management of these cases is discussed.
Adult↗
The incidence of a palmaris longus tendon in patients with Dupuytren's disease.
The incidence of a palmaris longus tendon in patients with Dupuytren's disease is significantly greater than in a control group with normal hands (p = 0.014). If a patient has a palmaris longus tendon, then there is a highly significant chance of Dupuytren's disease developing in that hand (p less than 0.001).
Dupuytren Contracture↗
An inherent design fault in a deep fat fryer.
We wish to report on a design fault in the lid of a deep fat fryer which may lead to the unwary sustaining scalds of the hand.
Burns↗
The complications of tissue expansion in the burned scalp.
Our initial experience with tissue expansion in the reconstruction of the burned scalp is discussed. We discuss the complications encountered, their management and how these may be minimized.
Adolescent↗
Squamous carcinoma associated with vesicocutaneous fistula: reconstruction with a tensor fasciae latae myocutaneous flap.
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Abdominal Neoplasms↗
Resurfacing of the severely burned hand with a radial forearm flap.
The distally based island radial forearm flap has been used successfully on three occasions to resurface the severely burned hand as a single-stage procedure, in patients unsuitable for a multi-stage operation.
Adult↗
The treatment of lipomas by the "squeeze" technique.
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Esthetics↗
Replacement of the pharynx after pharyngolaryngectomy.
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Humans↗
The mistaken diagnosis of calcification in a free dermis-fat graft on the chest wall.
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Adipose Tissue↗
Some uses of hexcelite as a splintage material in plastic and burns surgery.
The clinical use of Hexcelite in plastic surgery and burns to construct strong, light-weight splints and to provide protective cover for skin grafts is described. Several examples are presented to illustrate its simplicity and adaptability.
Burns↗
Secondary malignant melanoma arising in a contralateral thigh donor site.
A case is reported in which a malignant melanoma appeared in a split-skin graft donor site on the contralateral thigh despite the fact that there had been an interval of 1 week between the excision of the primary tumour and the harvesting of the split-skin graft.
Female↗
Peripheral embolic phenomena from proximal arterial disease.
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Arm↗
The problem of pressure sores in a Regional Plastic Surgery Unit.
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Adolescent↗
A simple device to encourage the unwilling child to wear a pressure garment.
This brief report describes how, with commendable psychological insight, the father of a child recently treated in our burns unit adopted a very simple device to encourage his youngster to wear a pressure garment to deal with hypertrophic scarring.
Child, Preschool↗