RESUMEN
INTRODUCTION: The patients with cranial deformity suffer from headache, dizziness, irritability, loss of concentration, depression, anxiety, intolerance to noise and vibration and neuromotor weakness. It is therefore essential to restore the calvarium. MATERIAL AND METHOD: This study was conducted in the Department of Oral and Maxillofacial Surgery, Armed Forces Medical College, Pune between Oct 2010 and Mar 2012. The study population was selected from the outpatient department and from the referred cases. The aim was to study the uptake of split thickness calvarial graft in the management of residual cranial defect. After applying the inclusion and exclusion criterions, ten cases were selected with residual cranial deformity, operated for cranioplasty using split thickness calvarial graft and evaluated. CONCLUSION: It was concluded that cranioplasty using autogenous split thickness calvarial graft for restoring cranial defects is a useful technique and this procedure allows the surgeon to reconstruct a moderate-to-large cranial defect, without breaching the inner cortical plate.
RESUMEN
PIP: In order to provide personalized antepartum, and postpartum care for unwed pregnant teenagers, the University of Pennsylvania Hospital established a Special Teen-Obstetrical Clinic in 1967. Patients who attended the Special Clinic showed a higher acceptance rate for contraception and a much higher school-returning rate than unwed teenagers who had been treated through the regular hospital prenatal and obstetrical clinic. The repeat pregnancy rate was disappointingly high for the Special Clinic patients, implying that specialized clinic programs will achieve little additional good if regular obstetrical care is high and personalized. The specialized clinic seemed to improve the general level of obstetrical care in the hospital.^ieng