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Biomedical subjects

S W Parry

Publications and source records attributed to S W Parry.

44 records · Page 3Linked to original sources

Facial resurfacing at Shriners Burns Institute: a 16-year experience in young burned patients.

The records of 1,220 pediatric and adolescent patients admitted with a diagnosis of facial burns or facial burn scars were reviewed. Four hundred fifty patients underwent resurfacing of the face with skin grafts or flaps. One hundred ten patients underwent resurfacing performed in aesthetic units and were followed for an average of 5.75 years. Our experience in managing the patients in the latter group suggests that donor sites from above the clavicle give an optimum color and texture match regardless of whether grafting is full or split thickness.

Adolescent↗

Bilateral gluteus maximus myocutaneous advancement flaps: sacral coverage for ambulatory patients.

The standard gluteus maximus myocutaneous flap, though an excellent procedure for coverage of sacral soft-tissue defects, has several disadvantages. It is usually quite bulky, and risks hip instability in the ambulatory patient. Bilateral gluteus maximus myocutaneous advancement flaps obviate these problems. The superior half of each gluteus maximus muscle, with overlying skin island, is released from its origin and insertion. The superior gluteal artery is identified and preserved. Each myocutaneous unit may be advanced to the midline. The line of cleavage between units preserves normal contour. Donor-site deformity is closed in the V-Y advancement fashion. Hip instability is thus avoided. This technique is useful in the management of sacral defects in the ambulatory patient.

Buttocks↗

Bilateral forearm and hand compartment syndrome following thrombolysis for acute myocardial infarction: a case report.

A patient suffering from a cocaine-induced myocardial infarction was treated with thrombolytic therapy and developed acute bilateral compartment syndromes of the upper extremities and hands from bleeding due to attempted bilateral radial artery cannulation. He was treated with emergent decompression of the forearm compartments and intrinsic muscles of the hands and recovered excellent hand function without significant neurologic or muscular damage. The problems encountered in the management of this case are detailed, and recommendations for prevention and therapy are discussed.

Adult↗