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Plast Reconstr Surg ; 76(1): 13-24, 1985 Jul.
Article En | MEDLINE | ID: mdl-4011767

The oromandibular limb hypogenesis syndrome is a group of anomalies affecting the mandible, tongue, and maxilla with or without reductive limb anomalies. Their genetic origin is uncertain, and no drug-induced teratogen has been clearly identified. Although many similarities exist on both an embryologic and clinical level, distinction between these entities is appropriate. A new classification system with these principles in mind is presented. Two cases are presented of glossopalatine ankylosis with hypodactyly representing the thirteenth and fourteenth cited in the world literature. One patient presented with a fatal pulmonary hypoplasia not previously reported in association with this syndrome. Three of the 14 cases with reductive limb anomalies reported have had fatal outcomes.

Abnormalities, Multiple/pathology , Mandible/abnormalities , Maxilla/abnormalities , Tongue/abnormalities , Abnormalities, Multiple/classification , Ankylosis/classification , Ankylosis/pathology , Arm/abnormalities , Female , Humans , Infant, Newborn , Leg/abnormalities , Male , Micrognathism/classification , Pierre Robin Syndrome/classification , Pierre Robin Syndrome/pathology , Syndrome
J Hand Surg Am ; 7(1): 47-52, 1982 Jan.
Article En | MEDLINE | ID: mdl-7061808

Pasteurella multocida is a common cause of infection following bites or scratches caused by dogs and (especially) cats. It is rarely reported, however, and apparently often overlooked as a pathogen. The typical clinical manifestation is a rapidly developing cellulitis at the site of injury. The infection is potentially dangerous and can cause a chronic local infection of deep tissues and osteomyelitis. It responds well to several antimicrobials, with penicillin being drug of choice. Fifty-five patients are reported--72% with cat bites and/or scratches and 28% with dog bites. Ninety-two percent of the wounds went deeply through the skin. All patients presented for treatment 12 to 72 hours after receiving the animal wounds to their hands. Drainage from all wounds was serosanguineous or purulent, and cultures taken were positive for P. multocida. All of the wounds responded to surgical drainage and penicillin. One patient developed osteomyelitis. The acute onset of cellulitis, lymphangitis, and serosanguineous or purulent drainage from hand wounds 12 to 24 hours after cat or dog bites should suggest P. multocida as the predominant etiologic agent. Immediate surgical drainage and penicillin therapy is the treatment of choice.

Bites and Stings/complications , Cats , Dogs , Hand Injuries/complications , Pasteurella Infections/etiology , Wound Infection/etiology , Adolescent , Adult , Aged , Animals , Anti-Bacterial Agents/therapeutic use , Child , Child, Preschool , Drainage , Female , Humans , Male , Middle Aged , Pasteurella Infections/diagnosis , Pasteurella Infections/therapy , Wound Infection/diagnosis , Wound Infection/therapy
Plast Reconstr Surg ; 65(6): 811-7, 1980 Jun.
Article En | MEDLINE | ID: mdl-6247731

Characteristics of cutaneous lesions caused by herpes simplex virus (HSV-1) are: Acquired by skin-to-skin contact; humans are the only natural host. Often on the hands of health care personnel. Painful swelling, erythema, vesicles, and ulcerations. Possible involvement of cutaneous digital areas of paronychium, eponychium, and subungual matrix. Similar to a bacterial (septic) or fungal felon. Self-limiting--14- to 21-day course. An aseptic felon, which provides a contraindication to surgical incision and drainage of the deep pulp space. Severe pain: the major complaint from all patients. Relieved of pain by decompression of the involved nail bed, either by segmentally excising or perforating the overlying nail or both to unroof the vesicles.

Herpesviridae Infections/surgery , Paronychia/surgery , Adult , Female , Herpesviridae Infections/complications , Humans , Infant , Male , Middle Aged , Nails/surgery , Paronychia/etiology , Staphylococcal Infections/complications
Ann Plast Surg ; 3(3): 227-30, 1979 Sep.
Article En | MEDLINE | ID: mdl-543657

Carpal tunnel syndrome associated with laceration of the median nerve in the distal forearm sometimes occurs. The presenting symptoms related to the initial trauma and the obvious sequelae of the nerve injury itself may focus attention on the neuroma, but the neurological disability may be due in great part to carpal tunnel compression of the nerve distal to the neuroma. Operative decompression usually results in prompt recovery. The possibility of post-traumatic carpal tunnel syndrome must be considered by those evaluating and caring for the primary nerve injury.

Carpal Tunnel Syndrome/etiology , Forearm Injuries/complications , Median Nerve/injuries , Neuroma/etiology , Adult , Aged , Carpal Tunnel Syndrome/surgery , Female , Humans , Male , Middle Aged , Nerve Regeneration
Plast Reconstr Surg ; 64(1): 17-23, 1979 Jul.
Article En | MEDLINE | ID: mdl-451062

An accessory parotid gland occurs in approximately 21 percent of human subjects. It is located anterior to the main parotid gland, usually just above Stensen's duct and connected by its own duct to the latter. Any lesions that can occur in the main parotid gland can also arise in an accessory parotid gland. For the excision of lesions of the accessory parotid gland, we prefer to turn the same cervicofacial flap used for a lateral or total parotidectomy. This permits one to fully visualize the superficial and deep main parotid segments, the trunk and the branches of the facial nerve, and the accessory parotid gland along with its duct system and Stensen's duct.

Parotid Neoplasms/surgery , Salivary Gland Diseases/diagnosis , Adenoma/surgery , Adult , Carcinoma/surgery , Cysts/surgery , Female , Humans , Male , Middle Aged , Parotid Gland/anatomy & histology , Parotid Neoplasms/diagnosis , Salivary Gland Diseases/surgery
Arch Surg ; 113(3): 303-5, 1978 Mar.
Article En | MEDLINE | ID: mdl-346003

A 60-year-old woman had a solitary mass in her left eyebrow that was first thought to be a dermoid cyst and following excision and histological examination was found to be a localized, malignant, non-Hodgkin's lymphoma of the mixed lymphocytic and histiocytic type. Subsequent lymphangiography after excisional biopsy of the left eyebrow mass demonstrated extensive para-aortic and inguinal lymph node involvement.

Eyebrows , Facial Neoplasms/diagnosis , Lymphoma, Large B-Cell, Diffuse/diagnosis , Lymphoma, Non-Hodgkin/diagnosis , Eyebrows/pathology , Female , Humans , Lymphatic Metastasis , Lymphography , Middle Aged
Plast Reconstr Surg ; 61(2): 225-30, 1978 Feb.
Article En | MEDLINE | ID: mdl-622413

We describe our experiences with 8 patients who had expanding neurilemmomas of the posterolateral parotid area. Treatment is surgical dissection of the encapsulated tumor mass from its nerve of origin, under magnification, with preservation of that nerve and removal of the mass.

Head and Neck Neoplasms/diagnosis , Neurilemmoma/diagnosis , Parotid Neoplasms/diagnosis , Adult , Aged , Diagnosis, Differential , Female , Head and Neck Neoplasms/pathology , Humans , Male , Middle Aged , Neurilemmoma/pathology , Neurilemmoma/surgery , Parotid Neoplasms/pathology