Friday, Nov. 22, 1985
Campus/Area
University Daily Kansan
11
New technique helps plastic surgeons
By Stefani Day Of the Kansan staff
KANSAS CITY, Kan. — A Kansas child's shoe is made from a toe.
The toe-made nose is a far sight better than what he had before, which was nothing, John Hiebert, plastic surgeon and professor of surgery at the University of Kansas Medical Center, said yesterday.
The child's nose actually was fashioned out of a flap of bone and tissue taken from his big toe, Hiebert said. This ability to transfer composite tissue — tissue that contains bone, skin, muscle and blood vessels — is a relatively new technique that is helping surgeons correct nature's hoofs.
"Sometimes we'll see individuals who do not have a nose, who do not have a midface," he said. "The use of microsurgery and free flap
reconstruction, transfer of tissues from one part of the body to another, has made some of this a little easier.
"There are some exciting new things as we've begun to understand mechanisms of bone growth and blood supply. We have techniques now of moving bone that will grow and keeping its blood supply intact by using the microscope to attach the vessels supplying the bone that was brought from another place into the face. It's the same in soft tissue reconstruction."
As the anatomy becomes better understood, more possibilities for tissue substitution are opened.
dearly every year there may be a half dozen new flaps that are described." Hiebert said.
If he was building a cheek instead of a nose, Hiebert said, he probably wouldn't use tissue from the foot. He said composite tissue, called "free
The tissue used depends on the part of the face that is being constructed.
flaps," could be taken from all over the body.
"If I wanted tissue and bone," he said, "I would probably take it from the hip area. I might take it from the foot.
"If I wanted soft tissue itself, I might take it from the arm or from the chest or back. If I wanted muscle alone, I might take it from the lower extremities."
Transferring composite tissue allows surgeons to complete in one operation what a few years ago might have taken a year or more.
"They've had means for reconstructing noses for many years using soft tissues from elsewhere," Hiebert said. "But this is new, quicker. You get there faster."
The technique, which Hiebert said was developed 10-15 years ago, is in
"Ten years ago, 15 years ago, it was a glorious stage of 'Look what I can do.' he said.
its refinement stage now.
The advances have not eliminated the risks, however. Problems can arise from bleeding, infection, inadequate blood supply and bones that move and heal in the wrong position.
He said refinement meant trying to find ways of making a better free flap. It also means finding ways to transfer the flap in less time and assuring that it will survive.
"Other complications can be related to brain injuries, injuries to the eyes or the optic nerves," he said. "Sometimes the complications can be as severe as death.
"I think that with increased experience over the last ten years, that in a well-trained individual with a good team, carrying out this surgery is much less risky than it used to be."
For the best in Authentic Chinese Food
House of Hupei
2907 W. 6th
843-8070
On Campus
"Jesus Christ Superstar" will be shown at 7:30 p.m. today at the Escenical Christian Ministries building, 1204 Oread Ave.
The KU Biology Club will meet at 4.p.m. today in the Sunflower Room of the Kansas Union.
NAACP threatens boycott
The KU Honor Students Association will sponsor a trip to the Nelson-Atkins Museum of Art in Kansas Ci
The KU office of minority affairs will present the Modern Times Theater Company from New York in "Freedom Days." a play about the civil rights movement, at 8 p.m. Saturday at Central Junior High School, 1400 Massachusetts St. There is no admission charge.
ty, Mo. A bus will leave Nunemaker Center at 2 p.m. Sunday.
United Press International
KANSAS CITY, Mo. — If it does not answer charges of discrimination in hiring and promoting, the National Association for the Advancement of Colored People may call for a boycott of Dillard's Department Stores Inc. an NAACP official said Wednesday.
The NAACP released figures indicating that black customers were
responsible for 23 percent of the chain store's $800 million in annual sales.
However, the NAACP figures cited that only 6 percent of Dillard's employees nationwide were black, and only 3 percent of workers in the Missouri and Kansas stores were black.
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Christmas is Coming!
One-of-a-kind authentic
jewelry and gifts
The original
Kenya Book bag $16
jewelry priced from $1
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the BIOLOGY CLUB presents: Dr. O. Taylor, who will speak on— "Sex at 14 mph— Honeybee mating biology"
"Sex at 14 mph—Honeybee mating biology"
4 p.m., Friday, Nov. 22
in the Sunflower Rm, Kansas Union The Biology Club is an informal group of undergraduates graduate students and professors who meet every Friday in the Sunflower Rm of the Kansas Union for beer and biology conversation.
(paid for by Student Activity fee)
SUNDAY
Nov.24 2 p.m.
$1.50 Woodruff Aud.
PYRAMID
PIZZA
KU=MU
PRE-PARTY
FEATURING
THE
DOGS
IN CONCERT
TONIGHT
Nov.22 8:00 p.m.
AT THE NATIONAL GUARD ARMORY 200 Iowa (across from the Holidome)
$7.00
For ticket info call Scott (913) 749-0364 PYRAMID PIZZA MUST BE 19 YEARS OF AGE PYRAMID PIZZA
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