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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.

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    Roberts.pdf (20.08Mb)
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    Publication date
    2011-09-22
    Author
    Roberts, Alan Clive
    Supervisor
    Baker, T. G.
    Keyword
    Facial prosthesis
    Silicone elastomer
    Physical properties
    Skin
    Plastic surgery
    Cyanoacrylate
    Adhesion
    Applicator system
    Surgeon's survey
    Prosthetics
    Tissue adhesives
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    Rights
    Creative Commons License
    The University of Bradford theses are licenced under a Creative Commons Licence.
    Institution
    University of Bradford
    Department
    Postgraduate School in Biomedical Sciences
    Awarded
    1988
    
    Metadata
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    Abstract
    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.
    URI
    http://hdl.handle.net/10454/5065
    Type
    Thesis
    Qualification name
    PhD
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    Theses

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