A simple preparation of autologous fibrin glue for skin-graft fixation.

Numerous uses of fibrin glue as a sealant, hemostatic agent, and adhesive have been reported. We developed a simple method of preparing autologous fibrin glue for skin-graft fixation. Fifty patients have undergone the autologous fibrin glue technique for trauma, burns, and difficult wounds.

Preexpansion galeal scoring.

Preexpansion scoring releases the inflexible galea, permitting more rapid expansion of the scalp. In addition, when comparing this procedure with conventional scalp expansion, patients reported less pain when the galea was incised prior to insertion of the tissue expanders.

"Off-the-shelf" techniques for continuous tissue expansion.

Since modern tissue expansion was introduced in 1976, it has proved to be a safe and effective technique for obtaining extra tissue where traditionally distant flaps and grafts had been used. However, the lengthy expansion times and prolonged gross deformity of conventional expansion protocols have often deterred both physician and patient from choosing this reconstructive option. Over the past decade, attempts to shorten the total expansion time have centered around decreasing the time intervals between injections.

Carpal tunnel compression syndrome secondary to a retracted flexor digitorum sublimis tendon.

Carpal tunnel compression syndrome caused by a retracted divided sublimus tendon has been presented. The case presented here represents another cause of carpal tunnel compression syndrome. With resection of the space-occupying retracted and scarred sublimis tendon, the symptoms of median nerve compression remitted.