Abstract

Successful outcomes in the treatment of complete unilateral cleft-lip and palate (CUCL/P) and complete bilateral cleft lip and ~alate (CBCLP) are not obtained universally, despite significant improvements in surgical techniques over the past three decades. In particular, deficient palatal growth may occur even when expert surgical treatment is rendered. The factors which contribute most signifkantly to unfavorable growth outcomes remain obscure.

Abstract

The use of microsurgical techniques has significantly altered the management of lower extremity trauma. Indications for amputation or salvage continue to change, as microsurgical transplants have become more commonplace. Reconstruction of a severely traumatized leg usually involves mulriple complicated procedures, each of which can cause its own set of complications. The historically high rate of complications of these procedures and the fact that the resultant limb is never completely normal has led some to the conclusion that severely traumatized limbs should not be salvaged. In order to evaluate our own results in light of these considerations we have reviewed our most recent experience with this difficult problem.

Abstract

The purpose of this article is to report the development and use of the custom Christensen prosthesis (Garrett modification] for total temporomandibular joint reconstruction, its indications, protocol, adjunctive treatment and evolution to present design.