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Tongue flaps and the closing of large fistulas of the hard palate
ABSTRACTS
alopecic region. The flap is delayed twice within a two week period and then transferred at surgery. The donor defect is closed primarily and the flap is utilized to reconstruct the burned alopecic area. Excellent pre-and postoperative pictures are available that show dramatic results, as well as good operative descriptions.--A. B. Sokol CT of Orbital Infection and Its Cerebral Complications.
R. A. Zimmerman and L. T. Bilaniuk. Am J Roentgenol 134:45-50, (January), 1980.
Eighteen patients with orbital infections (8 secondary to paranasal sinusitis and 7 secondary to trauma) underwent CT scans to evaluate the extent of infection. The scans accurately defined the extent and character of the inflammation. Intracranial extention in the form of epidural or subdural abscess, cerebrites and cerebral abscess were demonstrated. The scans were also useful in the follow-up of intracranial complications during and after treatment. Randall 14I.Powell Experiences With the Reichert Procedure in Closure of Unilateral Cleft Lips. K. Honigmann. Plast Reconstr Surg
65:164-168, (February), 1980. The goals of cleft lip repair are: Symmetry of upper lip, ample vermilion mucosa with a tuberculum, a loose and normally arched vermilion border with a well formed cupid's bow, normally functioning obicularis oris muscle and a deep vestibule of the mouth. The Reichert procedure with the author's modification, is advocated for the repair of incomplete and small complete cleft lips. The procedure is compared to the Millard procedure for the readers edification. Excellent pre and postoperative results are given so that the reader may assess the aesthetic quality of the results of this procedure.--A. B. Sokol Tongue Flaps and the Closing of Large Fistulas of the Hard Palate. S. Carreirao and S. Lessa. Ann Plast Surg 4:182-
190, (March), 1980. The experiences with the tongue flap based upon thirteen patients operated since 1974, form the basis of this report. The anatomy of the tongue, as well as operative descriptions in performing the lingual flap operation, are given by excellent diagrams, explanations and pre-and postoperative photographs. The method of closure of palatal fistula is given in detail by the authors, as well as the treatment of the palatal lining developed from remaining palatal and/or oral flaps. The authors discuss the etiologies for the formation of palatal fistual and recommend the lingual flap without reservation for the closure of these wound complications. In addition, an excellent commentary is provided by Dr. Jose Guerrerosantos, who is an acknowledged master in the reconstruction of congenital anomalies.--A. B. Sokol Healing of Bone Grafts in Children With Cleft Lip and Palate. B. Oberholzer, B. Graf-pinthus, M. Bettex. Z
Kinderchir 28:1 18, (September), 1979. Thirty patients who were all treated with bone grafts because of cleft palate are reported. Special radiologic techniques were developed to demonstrate the degree of the cleft and the success of healing. Treatment of all 30 patients was
697
eminently successful and the cleft decreased in time. Adequate vascularity and sufficient mucosa in the region of the cleft are essential to produce good results. The authors recommend that grafting should be carried out as late as possible.--Karl-Ludwig Waag Treatment of Hyperthyroidism in Childhood and Adolescence J. G. Desjardins, S. Yazbeek, J. Guitard, et al. Chir
P6diatr 20:393-395, (November/December), 1979. Over a period of 13 yr, 33 cases of hyperthyroidism at St. Justin's Hospital were reviewed comparing medical and surgical treatment. According to the results, surgical treatment appears to be preferable because of the long term dangers of I TM and because of the high frequency of hypothyroidism in medically treated patients.--J. Deevey
THORAX Bronchopulmonary Foregut Malformation in the Goldenhar A n o m o l a d . A. Bowen III and W. H. Parry Am J Roentgenol
134:186-188, (January), 1980. A newborn with the Goldenhar anomalad (ear anomalies, epibulbar ocular dermoids, and vertebral anomalies) also had evidence of right pulmonary hypoplasia. The infant did well until 6 mo of age when he developed episodes of choking on saliva and coughing episodes after feedings. Repeat radiographs revealed an opaque right chest with small cyst-like radiolucencies at the base. An esophogram revealed the bronchus to originate from the distal esophagus. After right pneumonectomy recovery was uneventful. Associated anomalies in the Goldenhar anomalad involve the heart, urinary, gastrointestinal, and appendicular skeletal systems. Nine cases of lung malformation have been reported but none with the main stem bronchus originating from the esophagus. The authors feel that the combination of vertebral anomalies and pulmonary hypoplasia warrent an esophogram for evaluation of a possible bronchopulmonary foregut malformation.Randall HI. Powell Pulmonary Lymphangiectasis in Noonan Syndrome. R. J.
Hernandez, A. M. Stern; A. Rosenthal. Am J Roentgenol 134:75-80, (January), 1980.
Four patients with Noonan's syndrome and cardiac disease had evidence of pulmonary lymphangiectasia on chest radiographs with a prominent reticulonodular pulmonary interstitial pattern. The cardiac lesions included moderate to severe valvular pulmonary stenosis with an associated ASD in two patients and a small VSD in another. The patients also had superior deviation of the QRS axis on electrocardiograms. Three patients underwent cardiac surgery and all had abnormal lymph channels and all three developed postoperative problems due to interruption of the abnormal lymph channels. This abnormality should be suspected in the patient with Noonan's syndrome who presents with valvular pulmonary stenosis, septal defects, abnormal QRS axis and an abnormal reticulonodular pattern on chest radiographs.--Randall 14I.Powell Bacterial Ecology of the Upper Respiratory Tract of the Newborn. J. Snajdauf and M. Kabelka. Z Kinderchir
28:18-22, (September), 1979.
alopecic region. The flap is delayed twice within a two week period and then transferred at surgery. The donor defect is closed primarily and the flap is utilized to reconstruct the burned alopecic area. Excellent pre-and postoperative pictures are available that show dramatic results, as well as good operative descriptions.--A. B. Sokol CT of Orbital Infection and Its Cerebral Complications.
R. A. Zimmerman and L. T. Bilaniuk. Am J Roentgenol 134:45-50, (January), 1980.
Eighteen patients with orbital infections (8 secondary to paranasal sinusitis and 7 secondary to trauma) underwent CT scans to evaluate the extent of infection. The scans accurately defined the extent and character of the inflammation. Intracranial extention in the form of epidural or subdural abscess, cerebrites and cerebral abscess were demonstrated. The scans were also useful in the follow-up of intracranial complications during and after treatment. Randall 14I.Powell Experiences With the Reichert Procedure in Closure of Unilateral Cleft Lips. K. Honigmann. Plast Reconstr Surg
65:164-168, (February), 1980. The goals of cleft lip repair are: Symmetry of upper lip, ample vermilion mucosa with a tuberculum, a loose and normally arched vermilion border with a well formed cupid's bow, normally functioning obicularis oris muscle and a deep vestibule of the mouth. The Reichert procedure with the author's modification, is advocated for the repair of incomplete and small complete cleft lips. The procedure is compared to the Millard procedure for the readers edification. Excellent pre and postoperative results are given so that the reader may assess the aesthetic quality of the results of this procedure.--A. B. Sokol Tongue Flaps and the Closing of Large Fistulas of the Hard Palate. S. Carreirao and S. Lessa. Ann Plast Surg 4:182-
190, (March), 1980. The experiences with the tongue flap based upon thirteen patients operated since 1974, form the basis of this report. The anatomy of the tongue, as well as operative descriptions in performing the lingual flap operation, are given by excellent diagrams, explanations and pre-and postoperative photographs. The method of closure of palatal fistula is given in detail by the authors, as well as the treatment of the palatal lining developed from remaining palatal and/or oral flaps. The authors discuss the etiologies for the formation of palatal fistual and recommend the lingual flap without reservation for the closure of these wound complications. In addition, an excellent commentary is provided by Dr. Jose Guerrerosantos, who is an acknowledged master in the reconstruction of congenital anomalies.--A. B. Sokol Healing of Bone Grafts in Children With Cleft Lip and Palate. B. Oberholzer, B. Graf-pinthus, M. Bettex. Z
Kinderchir 28:1 18, (September), 1979. Thirty patients who were all treated with bone grafts because of cleft palate are reported. Special radiologic techniques were developed to demonstrate the degree of the cleft and the success of healing. Treatment of all 30 patients was
697
eminently successful and the cleft decreased in time. Adequate vascularity and sufficient mucosa in the region of the cleft are essential to produce good results. The authors recommend that grafting should be carried out as late as possible.--Karl-Ludwig Waag Treatment of Hyperthyroidism in Childhood and Adolescence J. G. Desjardins, S. Yazbeek, J. Guitard, et al. Chir
P6diatr 20:393-395, (November/December), 1979. Over a period of 13 yr, 33 cases of hyperthyroidism at St. Justin's Hospital were reviewed comparing medical and surgical treatment. According to the results, surgical treatment appears to be preferable because of the long term dangers of I TM and because of the high frequency of hypothyroidism in medically treated patients.--J. Deevey
THORAX Bronchopulmonary Foregut Malformation in the Goldenhar A n o m o l a d . A. Bowen III and W. H. Parry Am J Roentgenol
134:186-188, (January), 1980. A newborn with the Goldenhar anomalad (ear anomalies, epibulbar ocular dermoids, and vertebral anomalies) also had evidence of right pulmonary hypoplasia. The infant did well until 6 mo of age when he developed episodes of choking on saliva and coughing episodes after feedings. Repeat radiographs revealed an opaque right chest with small cyst-like radiolucencies at the base. An esophogram revealed the bronchus to originate from the distal esophagus. After right pneumonectomy recovery was uneventful. Associated anomalies in the Goldenhar anomalad involve the heart, urinary, gastrointestinal, and appendicular skeletal systems. Nine cases of lung malformation have been reported but none with the main stem bronchus originating from the esophagus. The authors feel that the combination of vertebral anomalies and pulmonary hypoplasia warrent an esophogram for evaluation of a possible bronchopulmonary foregut malformation.Randall HI. Powell Pulmonary Lymphangiectasis in Noonan Syndrome. R. J.
Hernandez, A. M. Stern; A. Rosenthal. Am J Roentgenol 134:75-80, (January), 1980.
Four patients with Noonan's syndrome and cardiac disease had evidence of pulmonary lymphangiectasia on chest radiographs with a prominent reticulonodular pulmonary interstitial pattern. The cardiac lesions included moderate to severe valvular pulmonary stenosis with an associated ASD in two patients and a small VSD in another. The patients also had superior deviation of the QRS axis on electrocardiograms. Three patients underwent cardiac surgery and all had abnormal lymph channels and all three developed postoperative problems due to interruption of the abnormal lymph channels. This abnormality should be suspected in the patient with Noonan's syndrome who presents with valvular pulmonary stenosis, septal defects, abnormal QRS axis and an abnormal reticulonodular pattern on chest radiographs.--Randall 14I.Powell Bacterial Ecology of the Upper Respiratory Tract of the Newborn. J. Snajdauf and M. Kabelka. Z Kinderchir
28:18-22, (September), 1979.