Allograft coverage of open wounds of various types in children

80

ABSTRACH

SURAL NERVE BIOPSIES IN PAEDIATRIC NEUROLOCICAL DISORDERS. 0. Appenzeller, R. D. Snyder and M. Kornfeld. Develop. Med. Child. Neurol. 12:42-48 (February),

1970.

Biopsy of the sural nerve from behind the ankle was performed in 18 children with neuromuscular disorders. In 6 cases the biopsy was instrumental in reaching a diagnosis of neuropathy, and so the method is put forward as being of value in investigating cases, especially in infancy and childhood when diagnosis Fowest.

can be diEcult.-D.

M.

mended. Scar formation prevents further infiltration and further growth, and thus the development of a Kasabach-Merritt syndrome in some cases of giant hemangioma be prevented.

‘Circumcision”

by dividing skin as well as tissue around the hemangioma

is done

subcutaneous using a scal-

pel or diathermy. In 14 appropriate cases hemangioma growth ceased at the scar, a fact which could be proved microscopically. -G. Brandesky. ALLOGRAFT COVERAGEOF OPEN WOUNDS OF VARIOUS TYPES IN CHILDREN. James A. O’Neill,

Jr.

Southern

Med. J. 63:881-885

( August ) , 1970. Cadaver

wound management, decreases losses and improves patient com-

allograft to be useful -G. Holcomb, Jr.

for at least

2 weeks.

1970.

In cases of large cutaneous, rapidly growing hemangiomas “circumcision” is recom-

might

The author concludes that this method of wound care tends to hasten wound closure,

fort. No complications were encountered with the use of this material. He found the

THE LARGE CUTANEOUS HEMANGIOMA IN INFANCY. H. Hartz. Wien. Med. Wschr. (June),

mydion acetate until eschar was separable from the wound. As soon as the eschar was removed, allografts were applied without sutures and left open when possible. The 37 patients had from one to ten applications of allograft, with an average of three applications.

simplifies metabolic

TNTEGUMENT AND CONNECTIVE TISSUE

120:469472

if dressings had been used. Thirty-seven patients with burns ranging from IO to 65 per cent of body surface had initial topical therapy with either 0.5 per cent silver nitrate soaks or 10 per cent Sulfa-

skin was obtained

under

aseptic

conditions, using a Brown electric dermatome and stored at 4°C. Also fresh fetal skin was obtained from ten fetal cadavers. Fiftyseven children between the ages of 3 weeks and I2 years were treated with these grafts. Forty-five patients with burns, two with wound dehiscence following operation, four with skin loss from wringer injuries, five with large traumatic skin avulsions and one infant with an extensive infected slough were treated with allografts. Allografts coverage appeared to enhance the speed of healing significantly. The children were more comfortable and were able to move the affected areas more readily than

AUTOMOBILE ACCIDENTS IN CHILDREN AND SURFACE COVERING OF HEEL DEFECT BY THIGH GRAFT: A NEW METHOD, S. C. Lodha,

M.

Brit.

Surg.

J.

C. Mehta

and

57:538-540

In two cases of heel injury

P. L.

Bapna.

(July),

1970.

in children

a

pedicle graft from the posterior asped of the same thigh by fully flexing the knee was used. This method was said to be superior to cross leg flaps as functionally a flap from the thigh has rich subcutaneous fat, acts as a cushion, and can bear the body weight. The knee flexion does not cause stiffness in children and the donor area in the thigh is less obvious than scars from the lower leg. -1. Lari. LIFE-THREATENING STAPHLOCOCCALDISEASE FOLLOWING EAR PIERCING. Frederick . . Lovejoy and David Smith. Pediatrics 46: 301303

(August),

1970.

Three cases of life-threatening cal disease-sepsis, osteomyelitis abscess-followed ing.-C. Rubin.

home-performed

staphlococand liver ear pierc-

THORAX CONGENITAL CLEFT Sm. and J. H. Biitel. Thorax (July),

A. Eiigelaar 25:490-498

1970.

A review of the embryology of the sternum and the pathogenesis and surgical treat-