Jerome E. Adamson

Nasal reconstruction with the expanded forehead flap

This report details the experience with nine patients over a 3-year period who had partial or total nasal reconstruction using an expanded forehead flap. The history of nasal reconstruction is reviewed, emphasizing the evolution of the forehead flap as the ideal donor site. The authors experience with skin expansion of the forehead to produce a thin ideal flap is presented in detail. Complications of the procedure are reviewed. Technical considerations to achieve a good result are emphasized. The forehead donor site is minimal and well accepted. This procedure provides a solution to a major problem with partial and total nasal reconstruction.

Congenital Aplasia or Hypoplasia of the Thumb and Finger Extensor Tendons

Six cases of congental deformity of the extensor tendons of the fingers and thumb associated with soft-tissue flexion contractures are presented. The severity of the deformity varied from involvement of a single thumb to involvement of all ten digits. Various procedures to correct this deformity have been described. The procedure used for correcting the deformities in three of the cases in this series is described in detail. It consists in transfer of combinations of the superficial flexor tendons of the long, ring, and little fingers to the central slips of the extensor hood at the base of the proximal phalanges of the involved digits after release of the soft-tissue contractures.

Use of a muscle flap in lower blepharoplasty.

An adjunctive technique for lower lid blepharoplasty is presented. This operative procedure uses the principle of anchoring the upper margin of the lower lid by suturing a triangular muscle flap from it to the lateral-superior part of the orbital rim. This more effective support for the lower lid margin permits one to excise more redundant tissue without getting an ectropion.

Benign masseteric hypertrophy

SummaryBenign masseteric hypertrophy is an uncommon condition, but one that should be straightforward to diagnose if the entity is born in mind. The typical history and physical signs are described, the differential diagnosis enumerated, and proper treatment reviewed.

Hand: The Fundamentals of Therapy

Assessment Treatment principles and tools Flexor tendons Extensor tendons Peripheral nerve injuries Tendon transfers Peripheral nerve entrapment Conditions of the wrist and finger tendons Dupuytrens contracture Fractures of the hand Joint injuries of the fingers and thumb The wrist Amputations - digital and partial hand The arthritic hand The complex hand injury Microvascular free tissue transfer The burnt hand Chronic regional pain syndrome

Metastasizing basal cell carcinoma of the skin with myelophthisic anemia

A case report of a metastasizing basal cell carcinoma is presented, primary in the leg with regional inguinal lymph node metastasis, followed by extensive metastasis to skin and bone marrow with myelophthisic anemia and terminal splenohepatic and unilateral adrenal metastasis.