A series of 23 patients with chronic pilonidal disease have been treated by excision and transposition rhomboid flap. Full primary healing was obtained in all patients, with only two cases of wound seroma. The average hospital stay was 9 days. The mean follow-up period was 12 months, and no late recurrences have occurred.
Obtaining an adequate meatoplasty when performing mastoid surgery via an endaural approach is not always easy. This paper reviews the different types of meatoplasty available and describes a transposition flap of pretragal skin which can be used to provide a meatoplasty for mastoid cavities, acquired stenosis or congenital stenosis.
M~~~~~~~~~~~~~~~tE D I C A L JOURNAL 14 examination and glasses. I cannot see that anybody can raise any possible objection; my patients are more than pleased not to have the bother of going on elsewhere to get their glasses. Thousands of doctors all over the country dispense medicines. Moreover, they repeat medicine when required. If this is not " selling " an article, what is?-Curiously enough, the custom is so oldestablished that the chemists do not mind! If doctors can ' sell " teeth and medicines, to say nothing of trusses and abdominal belts, why not glasses?-I am, etc., London, Sept. 29th.
LMEDICAJ. JOUR?4IAL well as the barbiturates, extremely well; hypothyroid cases give one anxiety with even a very small dose of morphine. It seems to me probable that the cases which gave trouble were, in some degree, deficient thyroid ones. If the basal metabolic rate is taken it is probable that these susceptible cases can be identified, .and precautions taken. Animal experiments may be misleading: I have seen a dog weighing about 4 st. given
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