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A single cervical approach to aberrant right subclavian artery
ABSTRACTS
452 jection of the premaxilla had been restrained and the maxillary segments developed well. In a small group of five cases the premaxilla had been removed to facilitate lip closure. This had a disastrous effect middle third
on the development of of the face.-A. 7oIZeys
the
the stents just below 31/z mo the tracheal
completely relieved, granulating raw area of mucosa had been replaced by a smooth glistening mucosal layer. Her tracheostomy tube was removed 4 mo later, at which time bronchoscopy revealed
Congenital Large Pharynx. A New Syndrome with a Report on 41 Personal Cases. James S. Calnan. Brit. J. Plast. Surg. 24:263-271 (July), 1971. A group of 41 patients is described who were investigated for nasal speech defects. They had no obvious palate defects but on cephalometric measurement evidence was found of an increased depth of the pharynx in the anteroposterior diameter. The actual and effective lengths of the soft palate were normal. The intelligence, reading ability, dental occlusion, and neurological states of these patients were aIso assessed. The mobility of the velum was estimated. The width of the pharynx could not be measured satisfactorily. The average intelligence seemed less than normal. Thirty-two patients were operated upon by various techniques. Retroposition of the soft palate gave unsatisfactory results. Hynes pharyngoplasty produced improvement, but the best results followed costal cartilage implants. Teflon implants were not retained. Of these patients 60% obtained normal speech after surgical treatment--A. Jolleys Tracheal Stenosis: Treatment by an Endoscopic Method. M. F. Mcinnes. Canad. Med. Ass. J. 106:577-580 (March 4), 1972. The author reports successful treatment of acquired tracheal stenosis in a 15-yr-old girl admitted to The Children’s Hospital of Winnipeg. The patient had had three openheart procedures for complicated tetralogy of Fallot. Following the last procedure she required assisted ventilation using a cuffed intratracheal tube for 5 days. One month later she developed respiratory distress, and an emergency tracheostomy was required. Tracheal dilatations were attempted but proved to be unsuccessful. Sequentially, larger silastic tubes were placed in the area of stenosis, fastened to the tracheostomy tube below, and with the proximal end of
the vocal cords. After stenosis was aImost and the previously
a
near
normal
tracheal
lumen.
The girl has not suffered any difficulties related to her tracheal stricture in the intervening 4 yr.-C. C. Ferguson A Single Cervical Right Subclavian and Scheerer, 71:227-230
An aberrant clavian artery in a 14-yr-old
Approach to Aberrant Artery, 7. 0. Arnold, R. J. R. Jude. Surgery
(February),
1972.
retroesophageal right subcaused dysphagia lusorum boy. Cervical approach al-
lowed division of the vessel, closure of the and end-to-side anastoproxima1 lumen, mosis with the right carotid artery. This approach avoids thoracotomy.-W. K. Sieber Lingual Thyroid: Behaviour After Transplantation. R. S. Lawson. Aust. New Zeal. J. Surg. 41:247-249 (February), 1972. A progress
report
is given
of a patient
who had a lingual thyroid treated by excision and transplantation in 1956, when she was 11 yr old. The patient has remained well without any medication and has given birth to two euthyroid children. During each pregnancy a pronounced swelling developed in the right abdominal rectus muscle, the site of the graft, but subsided after childbirth.-_l. R. Solomon
ANESTHESIA AND INHALATION THERAPY An
Analysis of the Operating Characteristics of the 0.25 IUS Travenol Infant Membrane Oxygenator. J. C. Boyd, J. F. Moran, and R. E. Clark. Surgery 71:262-269 (February), 1972.
Laboratory evaluation of this membrane oxygenator unit is presented, discussion centering about desirable features for use in newly born infants with respiratory distress syndrome.-W. K. Sieber
452 jection of the premaxilla had been restrained and the maxillary segments developed well. In a small group of five cases the premaxilla had been removed to facilitate lip closure. This had a disastrous effect middle third
on the development of of the face.-A. 7oIZeys
the
the stents just below 31/z mo the tracheal
completely relieved, granulating raw area of mucosa had been replaced by a smooth glistening mucosal layer. Her tracheostomy tube was removed 4 mo later, at which time bronchoscopy revealed
Congenital Large Pharynx. A New Syndrome with a Report on 41 Personal Cases. James S. Calnan. Brit. J. Plast. Surg. 24:263-271 (July), 1971. A group of 41 patients is described who were investigated for nasal speech defects. They had no obvious palate defects but on cephalometric measurement evidence was found of an increased depth of the pharynx in the anteroposterior diameter. The actual and effective lengths of the soft palate were normal. The intelligence, reading ability, dental occlusion, and neurological states of these patients were aIso assessed. The mobility of the velum was estimated. The width of the pharynx could not be measured satisfactorily. The average intelligence seemed less than normal. Thirty-two patients were operated upon by various techniques. Retroposition of the soft palate gave unsatisfactory results. Hynes pharyngoplasty produced improvement, but the best results followed costal cartilage implants. Teflon implants were not retained. Of these patients 60% obtained normal speech after surgical treatment--A. Jolleys Tracheal Stenosis: Treatment by an Endoscopic Method. M. F. Mcinnes. Canad. Med. Ass. J. 106:577-580 (March 4), 1972. The author reports successful treatment of acquired tracheal stenosis in a 15-yr-old girl admitted to The Children’s Hospital of Winnipeg. The patient had had three openheart procedures for complicated tetralogy of Fallot. Following the last procedure she required assisted ventilation using a cuffed intratracheal tube for 5 days. One month later she developed respiratory distress, and an emergency tracheostomy was required. Tracheal dilatations were attempted but proved to be unsuccessful. Sequentially, larger silastic tubes were placed in the area of stenosis, fastened to the tracheostomy tube below, and with the proximal end of
the vocal cords. After stenosis was aImost and the previously
a
near
normal
tracheal
lumen.
The girl has not suffered any difficulties related to her tracheal stricture in the intervening 4 yr.-C. C. Ferguson A Single Cervical Right Subclavian and Scheerer, 71:227-230
An aberrant clavian artery in a 14-yr-old
Approach to Aberrant Artery, 7. 0. Arnold, R. J. R. Jude. Surgery
(February),
1972.
retroesophageal right subcaused dysphagia lusorum boy. Cervical approach al-
lowed division of the vessel, closure of the and end-to-side anastoproxima1 lumen, mosis with the right carotid artery. This approach avoids thoracotomy.-W. K. Sieber Lingual Thyroid: Behaviour After Transplantation. R. S. Lawson. Aust. New Zeal. J. Surg. 41:247-249 (February), 1972. A progress
report
is given
of a patient
who had a lingual thyroid treated by excision and transplantation in 1956, when she was 11 yr old. The patient has remained well without any medication and has given birth to two euthyroid children. During each pregnancy a pronounced swelling developed in the right abdominal rectus muscle, the site of the graft, but subsided after childbirth.-_l. R. Solomon
ANESTHESIA AND INHALATION THERAPY An
Analysis of the Operating Characteristics of the 0.25 IUS Travenol Infant Membrane Oxygenator. J. C. Boyd, J. F. Moran, and R. E. Clark. Surgery 71:262-269 (February), 1972.
Laboratory evaluation of this membrane oxygenator unit is presented, discussion centering about desirable features for use in newly born infants with respiratory distress syndrome.-W. K. Sieber