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The Development of Facial Prosthetics and Adhesives in Plastic and Reconstructive Surgery. A study in the application of prosthetic materials and devices used in plastic and reconstructive surgery together with tissue adhesives as an alternative to conventional ligation.

Various silicone elastomers have been evaluated for use in the prosthetic
reconstruction of facial defects. Their strength, texture, flexibility,
hardness, ease of preparation, pigment receptivity and retention, and
their resistance to cleaning were compared and the data consulted when an
elastomer was chosen to restore defects, improve aesthetics and reestablish
the confidence of a selection of patients. Detailed case
reports are provided, together with information on the adhesives or
mechanical methods available for retaining the facial prosetheses. Cyanoacrylate
adhesives for use on skin surfaces and as tissue adhesives
have been studied in detail. A novel n-butyl 413 cyanoacrylate has been
developed with a viscosity, haemostatic property and stability to make it
particularly suitable for use in skin grafting and tissue repair. It has
already been used with good results on patients with severe burns. An
improved formulation, containing a fluorescent dye, can be precisely
applied through a specially constructed foot-controlled dispenser
illuminated by a fibre-optic supplying UV-light. Cyanoacrylates are already being used as tissue adhesives in place of the
conventional but potentially disfiguring suture. The availability of
improved, imperceptible adhesives and a precision applicator, which can
be used in a modern operating theatre, will extend their effectiveness
and satisfy some of the needs of Plastic, and Oral and Maxillo-Facial
Surgeons. Portable applicators have potential use in battlefield and in
veterinary surgery and overcome the imprecision characteristic of
earlier methods. / Loctite UK

Identiferoai:union.ndltd.org:BRADFORD/oai:bradscholars.brad.ac.uk:10454/5065
Date January 1988
CreatorsRoberts, Alan Clive
ContributorsBaker, T. G.
PublisherUniversity of Bradford, Postgraduate School in Biomedical Sciences
Source SetsBradford Scholars
LanguageEnglish
Detected LanguageEnglish
TypeThesis, doctoral, PhD
Rights<a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/"><img alt="Creative Commons License" style="border-width:0" src="http://i.creativecommons.org/l/by-nc-nd/3.0/88x31.png" /></a><br />The University of Bradford theses are licenced under a <a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/">Creative Commons Licence</a>.

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