Search PubMed⌕ Search

Biomedical subjects

W H Kudryk

Publications and source records attributed to W H Kudryk.

6 recordsLinked to original sources
PubMed1992

Cherubism.

Cherubism is a rare inherited fibro-osseous disorder that affects the jaws, producing a characteristic facial appearance. Patients are normal at birth; however, by their second or third year of life they develop a fullness of the lower one half of their face and retraction of the lower eyelids that exposes a rim of sclera below the iris. The facial appearance is similar to a Renaissance cherub with its gaze toward heaven. A case of cherubism in a 19-year-old male, complicated by severe orbital compression resulting in diplopia, is presented. The patient was diagnosed at three years of age when he developed the characteristic cherub facies and severe dental anomalies that required surgical correction. At age 14, he underwent facial contouring surgery of his jaws. Orbital compression later developed due to lesions growing in the floor of his orbits. This was corrected by way of a subciliary approach to the orbit. The patient's facial appearance and visual function were markedly improved by the surgery. A review of the literature detailing this rare disease is discussed.

Adult↗
PubMed1988

Superiorly based osteoplastic flap for frontal sinus disease.

The osteoplastic flap is a widely used technique as an approach to frontal sinus disease. All current textbooks describe the technique with basing the flap inferiorly along the orbital rim and across the naso-frontal suture line. Since 1977, we have had occasion to base the flap superiorly in eight cases with good results. We feel that the superiorly based flap is ideally indicated in unilateral disease, particularly in the balding male, where a coronal incision would be very obvious. It is also a more direct approach. The skin incision itself can be parallel to the brow or almost identical to a blepharoplasty incision. After the floor of the frontal sinus has been removed (as in a Lynch or Howarth approach), cuts in the anterior wall of the frontal sinus are made under direct vision, and the bone is fractured at the superior extent of the sinus. This is certainly quicker and simpler than the standard approach, where a template is required. The risks of CSF leak are greatly diminished. The surgeon has the option of obliterating the sinus, removing the intersinus septum, or creating a mucoperiosteal flap. Details of the technique and two illustrative cases are presented.

Adult↗
PubMed1988

The malignant lymphoepithelial lesion of the salivary glands.

Malignant lymphoepithelial lesion (MLEL) is a rare neoplasm of the salivary gland which has an exceptionally high incidence in the Eskimo. Eighty-four cases have been previously reported. Seven additional cases in six Eskimos and one Filipino patient are reported in this paper. The etiology, treatment and prognosis of these lesions is then discussed.

Adult↗
PubMed1985

Ankylosis of the temporomandibular joint from psoriatic arthritis.

A review of 27 cases of temporomandibular joint arthritis in patients with psoriasis reveals the main pathologic features to be condylar erosions, condylar osteoporosis, calcification of the articular disc, and subchondral cyst formation. We present another pathological process, temporomandibular joint bony ankylosis in a patient with psoriasis. Surgical management consisted of a high condylectomy, with a silastic implant to maintain the vertical dimension of the ramus. A very good functional result was obtained and 21/2 years later her incisive distance is 44 mm.

Adult↗
PubMed1975

Case report: Chylous fistula following right radical neck dissection.

Two unusual cases of chylous fistulae following right radical neck dissection are presented. Treatment in the second case consisted of pressure dressing and replacing the regular blended tube feeding diet with one containing medium chain triglycerides to replace ordinary lipids (long chain triglycerides). Caloric intake was supplemented with parenteral protein and fat infusions. This resulted in prompt cessation of the leak. Other methods of controlling fistulae such as re-operation and oversewing the area or using muscle flaps, or direct packing of the wound often lead to other complications and frequently require considerable time to control the leak.

Chyle↗