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Download Manual of Internal Fixation in the Cranio-Facial Skeleton by Joachim Prein, L.A. Assael, D.W. Klotch, P.N. Manson, J. PDF

By Joachim Prein, L.A. Assael, D.W. Klotch, P.N. Manson, J. Prein, B.A. Rahn, W. Schilli

Clinics of Basil, Switzerland. textual content describing the foundations and strategies of inner fixation within the facial skeleton. For surgeons. define layout. Full-color and halftone illustrations. 20 participants, 7 US. DNLM: Skull--surgery.

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Although the venom is more toxic than that of the rattlesnake, morbidity is usually not as severe because of the small amount of venom that can actually be injected by the crea­ ture. One of the specific enzymes in the venom causes destruction of skin, fat, and blood vessels. This process eventually leads to soft tissue necrosis at the site of the bite. The venom also has a profound effect on the immune response, triggering the release of various inflammatory cytokines, hista­ mines, and interleukins that can themselves cause further injuries and systemic responses.

Figure 5-6 Deep-dermal third-degree burn with areas of full-thickness involvement. Partial-Thickness Burns, Deep Dermal Third Degree (Fig. 5-6) Result from exposure to flames, grease, chemicals, and electricity Wounds are usually dry, white, and minimally painful (due to damage to nerve endings) Generally, wounds heal in 3 to 8 weeks with severe hypertrophic scarring. Excision and grafting will accelerate closure. Full-Thickness Burns, Third Degree (Fig. 5-7) Result from high energy, and prolonged thermal exposure (chemicals, flames, electricity, explosions) Wounds are dry, white, or exhibit immediate eschar formation.

5% silver nitrate combined with chlorhexidine gluconate, normal saline, or soap and water to cleanse the burn wound. To prevent wound infection and deeper wound conversion, topical antimicrobials are used until epithelization of the wound is complete. The topical antimicrobials are provided via gauze appli­ cations, ointments, creams, or solutions; dressings are changed at least twice a day. Commonly used topical antimicrobials are out­ lined in Table 5-4 and antimicrobial dressings in Table 5-5.

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