Reconstruction of congenital hand anomalies to provide stable pinch and/or grasp: Case pictorial series.

Congenital hand anomalies can cause substantial functional problems. There are multiple situations where there is lack of stable pinch and/or grasp that can be improved by surgical intervention. An example of reconstructive surgical intervention in each of three specific congenital hand anomalies is presented: hypoplastic thumb, absence of the fingers, and insufficient length and stability of the digits.

Effects of compressive vests on pulmonary function of infants with thoracic burn scars.

Objective: To prospectively evaluate the effects of compressive vests on the pulmonary function of infants with thoracic burn scars.

Methods: Between April 2000 and October 2005, all infants aged 2 years or less and all those aged between 2 and 3 years if they had concomitant pulmonary pathology, who were in need of a compressive vest for the treatment of burn scars to the thorax, underwent comparative pulmonary function testing under sedation with the vest closed and then opened.

Results: Of the 23 infants who met the inclusion criteria, 19 had complete data.

Systemic capillary leak syndrome presenting as recurrent shock.

Objective: To report a case of systemic capillary leak syndrome (SCLS) in a child.

Design: Case report.

Setting: Pediatric intensive care unit.

Physiolysis for correction of clinodactyly in children.

Congenital clinodactyly is a lateral deviation of a finger frequently caused by an abnormal middle phalanx (trapezoidal or triangular delta phalanx). The physis extends longitudinally on the short side of the middle phalanx. Resection of the abnormal longitudinal physis and fat graft interposition (physiolysis) has been reported to correct the lateral finger deviation in growing children.

Superior eyelid incision: an alternative approach for frontozygomatic dermoid cyst excision.

Sixty-five children presenting with frontozygomatic (lateral brow) dermoid cysts were operated using an upper eyelid crease incision. There were 38 girls and 27 boys age 3 months to 13 years (mean age, 15 months). The lesions were left sided in 32 patients and right sided in 33 patients.