Frank W. Masters

CERVICAL THYMIC CYST.

Abstract 1. 1. Cervical thymic cyst is a rare lesion resulting from degeneration of ectopic thymic tissue. 2. 2. The embryology, clinical characteristics and pathologic findings have been reviewed. 3. 3. The frequent reports of such cases since 1960 suggest that previously unreported cases have been erroneously diagnosed as branchial cleft cyst.

Blindness without direct injury to the globe: a complication of facial fractures.

Two cases of bilateral told blindness, resulting from fractures of the middle third of the face without direct trauma to the globe, are reported. The mechanism of such blindness is discussed, and the literature on it is reviewed.

Temporalis transfer for lagopthalmos due to seventh nerve palsy.

Abstract Fourteen patients with a loss of function of the seventh nerve have undergone temporalis transfer operations for the resulting lagopthalmos. A detailed description of the operation is given. Ten of the fourteen patients have had good or excellent results. The preservation of all other normally functioning cranial nerves and the dynamic nature of this procedure combined with its low morbidity have led the authors to believe that temporalis transfer is the preferred method of repair of lagopthalmos resulting from seventh nerve palsy.

Gasoline-induced contact burns

Gasoline contact may cause significant full-thickness burn injuries. Systemic complications may result from the absorption of hydrocarbons through the skin. Regional neuromuscular absorption may produce transient or even permanent impairment. It is vital that the physician be aware of the possible full-thickness injuries and complications that may result from cutaneous exposure to gasoline.

The lateral S incision: an advantageous approach to subcutaneous mastectomy.

Over 30 patients have had bilateral subcutaneous mastectomies through the lateral S incision, with nipple preservation and subpectoral implantation of a gel-bag prosthesis. Although the incision is more noticeable than those located in the inframammary fold, the total cosmetic result has been comparable to other techniques. The technique has permitted the resection of a maximal amount of breast tissue, including the tail of Spence, with fewer complications when compared to other techniques.

Retrograde flap—A coverage problem

Abstract 1. 1. The problem of the partially detached flap at a wound margin is presented and discussed. 2. 2. The history of the wounding and the appearance of the wound affect closure and care. 3. 3. Devascularized flaps should be detached and the skin, if not damaged, may be used for immediate wound coverage after radical defatting, or free split grafts from other donor sites may be employed. 4. 4. Pedicle tissue is used primarily to protect important structures or to facilitate future reconstruction