Pollicisation of the Index Finger in Congenital Anomalies

Between 1977 and 1988, 30 pollicisations were performed on 22 children with hypoplasia or aplasia of the thumb. A review was undertaken to grade the results. 73% were graded good or excellent, 17% fair and ten % poor. 36% required secondary surgery to achieve a satisfactory result. Better results were obtained in Blauth III or IV deformities, with poorer outcomes in Blauth V or patients with associated radial hypoplasia. Good functional and cosmetic results were found in patients operated upon at an early age. The presence of previously unreported bony spikes was a significant cause of poor mobility and was amenable to secondary surgery.

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The state of renal functions and urokinase activity of urine in newborns and the first month infants with congenital anomalies of the kidney and urinary tract

Bulletin of Siberian Medicine ◽

10.20538/1682-0363-2009-3-37-42 ◽

2009 ◽

Vol 8 (3) ◽

pp. 37-42

Author(s):

O. A. Zenchenko ◽

A. V. Suvorova

Keyword(s):

Urinary Tract ◽

Congenital Anomalies ◽

Functional Condition ◽

The State ◽

Early Age ◽

Renal Functions ◽

Ultrasonic Diagnostics ◽

Urine Formation ◽

Newborn Children

In our own experience we examined a functional condition of kidneys and urokinase activity of urine at 105 newborns and children of early age with congenital anomalies of the kidney and urinary tract. Inspection was spent at all newborn children after revealing of anomalies of uric system by means of ultrasonic diagnostics. It is established that functional infringements of kidneys at children with congenital anomalies of the kidney and urinary tract have certain sequence: decrease urokinase activity of urine, formation tubular dysfunctions, infringement glomerular functions of kidneys.

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Outcome of Split Thickness Skin Grafting and Multiple Z-Plasties in Postburn Contractures of Groin and Perineum: A 15-Year Experience

Plastic Surgery International ◽

10.1155/2014/358526 ◽

2014 ◽

Vol 2014 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Wani Sajad ◽

Raashid Hamid

Keyword(s):

Surgical Treatment ◽

Skin Grafting ◽

Cosmetic Outcome ◽

Primary Concern ◽

Secondary Surgery ◽

Cosmetic Results ◽

Cosmetic Appearance ◽

Thickness Skin ◽

Split Thickness Skin Grafting

Background. Groin and perineal burn contracture is a rare postburn sequel. Such postburn contractures causes distressing symptoms to the patients and in the management of these contractures, both functional and cosmetic appearance should be the primary concern. Aims. To study the outcome of surgical treatment (STSG and multiple Z-plasties) in postburn contractures of groin and perineum. Material and Methods. We conducted a study of 49 patients, with postburn groin and perineal contractures. Release of contracture with split thickness skin grafting (STSG) was done in 44 (89.79%) patients and release of contracture and closure by multiple Z-plasties was done in 5 (10.21%) patients. Results. Satisfactory functional and cosmetic outcome was seen in 44 (89.79%) patients. Minor secondary contractures of the graft were seen in 3 (6.81%) patients who were managed by physiotherapy and partial recurrence of the contracture in 4 (8.16%) patients required secondary surgery. Conclusion. We conclude that postburn contractures of the groin and perineum can be successfully treated with release of contracture followed by STSG with satisfactory functional and cosmetic results. Long term measures like regular physiotherapy, use of pressure garments, and messaging with emollient creams should not be neglected and should be instituted postoperatively to prevent secondary contractures of the graft and recurrence of the contracture.

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Marked Variation Exists Among Surgeons and Hospitals in the Use of Secondary Cleft Lip Surgery

The Cleft Palate-Craniofacial Journal ◽

10.1177/1055665619880056 ◽

2019 ◽

Vol 57 (2) ◽

pp. 198-207

Author(s):

Thomas J. Sitzman ◽

Adam C. Carle ◽

Jaclyn N. Lundberg ◽

Pamela C. Heaton ◽

Michael A. Helmrath ◽

...

Keyword(s):

Congenital Anomalies ◽

Cleft Lip ◽

Primary Repair ◽

Multivariable Analysis ◽

Multiple Congenital Anomalies ◽

Secondary Surgery ◽

Pediatric Hospitals ◽

Cleft Lip Repair ◽

Procedure Volume ◽

Specific Factors

Objective: To identify child-, surgeon-, and hospital-specific factors at the time of primary cleft lip repair that are associated with the use of secondary cleft lip surgery. Design: Retrospective cohort study. Setting: Forty-nine pediatric hospitals. Participants: Children who underwent cleft lip repair between 1999 and 2015. Main outcome measure: Time from primary cleft lip repair to secondary lip surgery. Results: By 5 years after primary lip repair, 24.0% of children had undergone a secondary lip surgery. In multivariable analysis, primary lip repair before 3 months had a 1.22-fold increased hazard of secondary surgery (95% confidence interval [CI]: 1.02-1.46) compared to repair at 7 to 12 months of age, and children with multiple congenital anomalies had a 0.77-fold decreased hazard of secondary surgery (95% CI: 0.68-0.87). After adjusting for cleft type, age at repair, presence of multiple congenital anomalies, and procedure volume, there remained substantial variation in secondary surgery use among surgeons and hospitals ( P < .01). For children with unilateral cleft lip repaired at 3 to 6 months of age, the predicted proportion of children undergoing secondary surgery within 5 years of primary repair ranged from 4.9% to 21.8% across surgeons and from 4.5% to 24.7% across hospitals. Conclusions: There are substantial differences among surgeons and hospitals in the rates of secondary lip surgery. Further work is needed to identify causes for this variation among providers.

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Pollicization of the Index Finger for Radial Hypoplasia

Hand ◽

10.1007/s11552-014-9693-z ◽

2014 ◽

Vol 10 (1) ◽

pp. 159-160

Author(s):

Christian Eccles ◽

John Dunn ◽

Scott Kozin ◽

Miguel Pirela-Cruz

Keyword(s):

Index Finger ◽

Radial Hypoplasia

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A Community Based High Risk Register for Hearing Loss

Journal of Speech and Hearing Disorders ◽

10.1044/jshd.4704.373 ◽

1982 ◽

Vol 47 (4) ◽

pp. 373-375 ◽

Cited By ~ 2

Author(s):

James L. Fitch ◽

Thomas F. Williams ◽

Josephine E. Etienne

Keyword(s):

Hearing Loss ◽

System Identification ◽

High Risk ◽

Language Learning ◽

Education Program ◽

Communication System ◽

Auditory Signal ◽

Early Age ◽

Community Based ◽

Children With Hearing Loss

The critical need to identify children with hearing loss and provide treatment at the earliest possible age has become increasingly apparent in recent years (Northern & Downs, 1978). Reduction of the auditory signal during the critical language-learning period can severely limit the child's potential for developing a complete, effective communication system. Identification and treatment of children having handicapping conditions at an early age has gained impetus through the Handicapped Children's Early Education Program (HCEEP) projects funded by the Bureau of Education for the Handicapped (BEH).

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