The Experts below are selected from a list of 81 Experts worldwide ranked by ideXlab platform
John B. Mulliken - One of the best experts on this subject based on the ideXlab platform.
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resorbable Internal Splint an adjunct to primary correction of unilateral cleft lip nasal deformity
Plastic and Reconstructive Surgery, 2002Co-Authors: Granger B Wong, Ram Burvin, John B. MullikenAbstract:There is usually some relapse in position of the alar cartilage after primary repair of unilateral cleft lip. Therefore, preoperative or postoperative external Splinting has been recommended to supplement either closed or open suspension of the alar cartilage. The authors present a method using a resorbable Internal nostril Splint to shield the positioned alar cartilage from deformational forces caused by scar, and thus avoiding the problems associated with external Splinting. An Internal nasal Splint was placed in 15 infants during repair of unilateral complete cleft lip and nasal deformity. The nasal morphology was compared with that of 15 control patients who had the same nasolabial procedure without Internal Splinting. Average follow-up time was 20.4 months (range, 4 to 30 months). Photogrammetric analysis showed that asymmetry of the alar contours averaged 8.6 percent in the Splinted patients, as compared with 23 percent for controls (p < 0.01). Thus, alar asymmetry was decreased two-thirds in the Splinted group. An Internal resorbable nasal Splint is an adjunct to open alar suspension in primary repair of the unilateral cleft lip nasal deformity. An Internal nasal Splint protects the corrected alar cartilage longer than an external Splint and eliminates drawbacks, such as necrosis, cutaneous depression of the nostril sill, and patient non-compliance. This strategy of temporary Internal support of healing cartilage has other applications.
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resorbable Internal Splint: An Adjunct to Primary Correction of Unilateral Cleft Lip-nasal Deformity
Plastic and Reconstructive Surgery, 2002Co-Authors: Granger B Wong, Ram Burvin, John B. MullikenAbstract:: There is usually some relapse in position of the alar cartilage after primary repair of unilateral cleft lip. Therefore, preoperative or postoperative external Splinting has been recommended to supplement either closed or open suspension of the alar cartilage. The authors present a method using a resorbable Internal nostril Splint to shield the positioned alar cartilage from deformational forces caused by scar, and thus avoiding the problems associated with external Splinting. An Internal nasal Splint was placed in 15 infants during repair of unilateral complete cleft lip and nasal deformity. The nasal morphology was compared with that of 15 control patients who had the same nasolabial procedure without Internal Splinting. Average follow-up time was 20.4 months (range, 4 to 30 months). Photogrammetric analysis showed that asymmetry of the alar contours averaged 8.6 percent in the Splinted patients, as compared with 23 percent for controls (p
Maurizio Calcagni - One of the best experts on this subject based on the ideXlab platform.
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small hook thread quill and soft felt Internal Splint to increase the primary repair strength of lacerated rabbit achilles tendons biomechanical analysis and considerations for hand surgery
Clinical Biomechanics, 2011Co-Authors: Johanna Buschmann, Angela Muller, Kirill Feldman, Theo A Tervoort, Gion Fessel, Jess G Snedeker, Pietro Giovanoli, Maurizio CalcagniAbstract:Abstract Background For the prevention of re-rupture during early healing phase, the primary repair strength of repaired lacerated tendons in hand surgery should be maximal and the reconstructed diameter minimal. Two new repair methods (small hook thread and Internal Splint) were assessed for strength and reconstructed diameter characteristics. Methods Achilles tendons of 43 female New Zealand White rabbits were sectioned 2 cm above the calcaneus . Specimens were divided into 7 groups and repaired as follows: Kirchmayr method 2-strand with 4.0 polypropylene thread; Becker method 4-strand; 6-strand; Internal Splint; Kirchmayr method small hook 2-strand; Becker method small hook 4-strand, non-modified tendon. Load until failure, load until gap formation, gap length, cross-sectional area and failure stress were determined. Findings The small hook 2-strand suture had 1.3 fold higher loads until failure compared to a conventional 2-strand suture, P y = 0.65 + 3.6; r 2 = 0.72). The running suture increased the cross-sectional area at the repair site by a factor of 1.3. Interpretation Using a small hook thread instead of a 4.0 polypropylene thread significantly increases the primary repair strength with the same number of strands. Internal Splints may be an alternative to conventional 2-strand sutures for bridging large gaps.
Granger B Wong - One of the best experts on this subject based on the ideXlab platform.
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resorbable Internal Splint an adjunct to primary correction of unilateral cleft lip nasal deformity
Plastic and Reconstructive Surgery, 2002Co-Authors: Granger B Wong, Ram Burvin, John B. MullikenAbstract:There is usually some relapse in position of the alar cartilage after primary repair of unilateral cleft lip. Therefore, preoperative or postoperative external Splinting has been recommended to supplement either closed or open suspension of the alar cartilage. The authors present a method using a resorbable Internal nostril Splint to shield the positioned alar cartilage from deformational forces caused by scar, and thus avoiding the problems associated with external Splinting. An Internal nasal Splint was placed in 15 infants during repair of unilateral complete cleft lip and nasal deformity. The nasal morphology was compared with that of 15 control patients who had the same nasolabial procedure without Internal Splinting. Average follow-up time was 20.4 months (range, 4 to 30 months). Photogrammetric analysis showed that asymmetry of the alar contours averaged 8.6 percent in the Splinted patients, as compared with 23 percent for controls (p < 0.01). Thus, alar asymmetry was decreased two-thirds in the Splinted group. An Internal resorbable nasal Splint is an adjunct to open alar suspension in primary repair of the unilateral cleft lip nasal deformity. An Internal nasal Splint protects the corrected alar cartilage longer than an external Splint and eliminates drawbacks, such as necrosis, cutaneous depression of the nostril sill, and patient non-compliance. This strategy of temporary Internal support of healing cartilage has other applications.
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resorbable Internal Splint: An Adjunct to Primary Correction of Unilateral Cleft Lip-nasal Deformity
Plastic and Reconstructive Surgery, 2002Co-Authors: Granger B Wong, Ram Burvin, John B. MullikenAbstract:: There is usually some relapse in position of the alar cartilage after primary repair of unilateral cleft lip. Therefore, preoperative or postoperative external Splinting has been recommended to supplement either closed or open suspension of the alar cartilage. The authors present a method using a resorbable Internal nostril Splint to shield the positioned alar cartilage from deformational forces caused by scar, and thus avoiding the problems associated with external Splinting. An Internal nasal Splint was placed in 15 infants during repair of unilateral complete cleft lip and nasal deformity. The nasal morphology was compared with that of 15 control patients who had the same nasolabial procedure without Internal Splinting. Average follow-up time was 20.4 months (range, 4 to 30 months). Photogrammetric analysis showed that asymmetry of the alar contours averaged 8.6 percent in the Splinted patients, as compared with 23 percent for controls (p
Jeffrey Wacksman - One of the best experts on this subject based on the ideXlab platform.
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use of kidney Internal Splint stent kiss catheter in urinary diversion after pyeloplasty
Urology, 1993Co-Authors: Elizabeth L Ritchie, Michael E Reisman, Mark R Zaontz, David A Hatch, Jeffrey WacksmanAbstract:We report on the use of a new catheter, the kidney Internal Splint/stent (KISS), to facilitate renal urine drainage following pyeloplasty. The catheter combines the desirable qualities of nephrostomy tube diversion, anastomotic stent, and trocar placement in a single tube. The special construction of its lumen diminishes the likelihood of obstructed drainage. Our experience using the KISS catheter with 31 patients undergoing pyeloplasty shows it provides effective Internal and external urinary diversion.
Johanna Buschmann - One of the best experts on this subject based on the ideXlab platform.
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small hook thread quill and soft felt Internal Splint to increase the primary repair strength of lacerated rabbit achilles tendons biomechanical analysis and considerations for hand surgery
Clinical Biomechanics, 2011Co-Authors: Johanna Buschmann, Angela Muller, Kirill Feldman, Theo A Tervoort, Gion Fessel, Jess G Snedeker, Pietro Giovanoli, Maurizio CalcagniAbstract:Abstract Background For the prevention of re-rupture during early healing phase, the primary repair strength of repaired lacerated tendons in hand surgery should be maximal and the reconstructed diameter minimal. Two new repair methods (small hook thread and Internal Splint) were assessed for strength and reconstructed diameter characteristics. Methods Achilles tendons of 43 female New Zealand White rabbits were sectioned 2 cm above the calcaneus . Specimens were divided into 7 groups and repaired as follows: Kirchmayr method 2-strand with 4.0 polypropylene thread; Becker method 4-strand; 6-strand; Internal Splint; Kirchmayr method small hook 2-strand; Becker method small hook 4-strand, non-modified tendon. Load until failure, load until gap formation, gap length, cross-sectional area and failure stress were determined. Findings The small hook 2-strand suture had 1.3 fold higher loads until failure compared to a conventional 2-strand suture, P y = 0.65 + 3.6; r 2 = 0.72). The running suture increased the cross-sectional area at the repair site by a factor of 1.3. Interpretation Using a small hook thread instead of a 4.0 polypropylene thread significantly increases the primary repair strength with the same number of strands. Internal Splints may be an alternative to conventional 2-strand sutures for bridging large gaps.