In persistent cases, the edges of the fistula may be pared and brought together with sutures, or the actual cautery may be applied to induce cicatricial contraction.
Later, cicatricial contraction takes place at the injured portions, producing the most intractable form of fibrous stricture.
Innocent Stricture or Cicatricial Stenosis of the Gullet.
When the fixation is due to cicatricial contraction of the soft parts, mobility is best restored by forming an artificial joint well in front of the cicatricial tissue, as suggested by Esmarch.
The clinical features resemble those of cicatricial stricture; the difficulty of swallowing is usually of gradual onset, it concerns solids in the first instance, then semi-solids like porridge or bread and milk, and finally fluids.
It may result also from fracture or from separation of one of the epiphyses in the region of the knee, or from cicatricial contraction of the quadriceps.
Much more frequently it results from cicatricial contraction of the soft parts of the face or mouth following such conditions as cancrum oris, ulceration, or burns.
Cicatricial contraction leading to stenosis may ensue, and cause persistent dyspnœa.
Murphy has practised resection of cicatricialor atrophied portions of the cauda, with end-to-end suture.
If the raw surface left is likely to result in cicatricial contraction, skin grafting should be employed.
Account should be taken of the nature of the tissues to be anesthetized, for it is known that cicatricial tissues and inflammatory areas do not lend themselves to the action of these drugs.
Union of the denuded surfaces is the rule, and the cicatricial tissue, formed during the earlier months of pregnancy, is strong enough to resist the shock of labor at term.
When a young girl a tumor was removed from the front of her neck by operation, and cicatricialtumors then spread like a band encircling one-half her neck.
Unfortunately but little diminution of the cicatricial contraction is effected by Reverdin's method.
Pyloroplasty is an operation devised by Heineke and Mikulicz, and is designed to remove the mechanic obstruction in cicatricial stenoses of the pylorus, at the same time creating a new pylorus.
Zesas was for cicatricial stenoses 60 per cent, and for malignant cases 84 per cent.
Thiersch therefore recommends that for the prevention of cicatricial contraction, the grafting be performed with large strips of skin.
This was apparently the result of the difficulty of isolating the vessels in the tangled mass of clot and cicatricial tissue surrounding them, and is a strong argument against too early interference.
It was found embedded in firm cicatricial tissue close to the sciatic notch; this compressed the nerve to such a degree that a waist was apparent upon it.
All the nerves and vessels of the arm were united into one firm bundle by cicatricial tissue.
The pustules in the course of from four days to a week desiccate and are shed, leaving behind them violaceous pigmentations of the surface without persistent cicatricial sequelæ.
They tend to increase, or they may appear to heal by the peculiar firm cicatricial formation, but on the swollen margins new deposits, abscesses, and ulcers tend continually to form.
This formation of a cicatricial tissue demands further recognition when the termination of inflammation is considered.
If, on the contrary, the latter are completely destroyed, their place is filled with the cicatricial new growth.
One of the most protracted cases is that recorded by Bollinger of a veterinarian who, after an eleven years' illness, recovered with cicatricialcontraction of the nose and larynx and a decided cachectic appearance.
After the crust falls off a reddened surface is left of a cicatricial nature, usually somewhat depressed below the level of the surrounding skin, and frequently showing lesser pits, which latter appearance is termed foveolation.
Any abnormal state of the mucous membrane, with {681} the exception of an atrophic condition and cicatricial changes, affords an excellent abode for diphtheria.
Eventually, a patch of cicatricial tissue remains as the sole indication of the previous disturbance.
When the pharynx and posterior surface of the palate are both ulcerated, cicatricial adhesions are sometimes inevitable, and thus serious stricture of the suprapalatine pharyngeal canal may ensue.
In a number of cases cicatrices or cicatricial alterations were found where typhoid fever or dysentery had existed in the previous history.
When, however, a follicular ulcer of some size does heal, cicatricial stenosis may result, followed by chronic constipation, just as in the case of simple catarrhal ulceration.
As the result of adhesions and the formation and contraction of cicatricial tissue very serious disturbances of the functions of the stomach may follow the repair of gastric ulcer.
Cicatrization of the ulcers takes place by the formation of cicatricial tissue at their base; the excavation is filled up partially, by contraction the edges are brought together, and the tissue solidifies.
Cases may recover without important sequelae, but stricture very often results from cicatricial complications.
Remarkable results have been reported by Loreta in cases of cicatricial stenosis of the pylorus.
The most frequent sequel in neglected cases iscicatricial stricture.
Cicatricial contractions around their bases give them peculiar forms; they are club-shaped, simple, or branched.
Hauser[72] has shown that the tubular glands grow down into the cicatricial tissue, where they may branch in all directions.
Stercoral ulcers of the colon are not unfrequently the starting-point of cicatricial contraction of the calibre of the bowel.
The cicatricial site of a previous patch is rarely again attacked.
When occurring in an acute form it is more amenable to treatment and less likely to end in cicatricial changes.
The changes further lead in the course of time to cicatricial transformations, so that a gradual and progressive atrophy of the conjunctiva results.
The normal arytenoid drew the normal cord over, approximately to the edge of the cicatricial tissue of the operated side.
Gabriel Tucker and the author for dilatation of cicatricial esophageal stenosis.
In most cases of bronchiectasis there are strong indications for a bronchoscopic diagnosis, to eliminate such conditions as foreign body, cicatricial bronchial stenosis, or endobronchial neoplasm as etiologic factors.
Not uncommonly the operative treatment of the growths has been so mistakenly radical as to result in cicatricial or ankylotic stenoses which require their appropriate treatments.
The productive inflammation at the site of lodgement of the foreign body results in cicatricial contraction and the formation of a stricture at the top of the cavity, in which the foreign body is usually held.
Chronic postdiphtheritic stenosis may be of the panic, spasmodic or, rarely, the paralytic types; but more often it is of either the hypertrophic or cicatricial forms.
The local fixation and cicatricial contraction may be the site of a traction diverticulum.
While it is possible that spasmodic stenosis may supplement cicatricial stenosis, it is certainly exceedingly rare.
Prolonged treatment is required for the cure of established luetic cicatricial stenosis.
This method will yield ultimately a perfect voice and will avoid the unfortunate complications of cicatricial hypertrophic and ankylotic stenosis.
Cicatricial types of postdiphtheritic stenosis may be seen as webs, annular cicatrices of funnel shape, or masses of fibrous tissue causing fixation of the arytenoids as well as encroachment on the glottic lumen.
If the ulceration reaches the cartilage, cicatricial stenosis is almost certain to follow.
The presence of organic stenosis at the hiatus may remove the case altogether from the spasmodic class, or a cicatricial or infiltrated narrowing may be the result of static esophagitis.
These young capillary loops, with their supporting cells and fluids, constitute granulation tissue, which is usually fully formed in from three to five days, after which it begins to be replaced by cicatricial or scar tissue.
The deformity resulting from these necessarily heroic measures is not so great as might be expected, and can be further diminished by plastic operations, which should be undertaken beforecicatricial contraction has occurred.
Should the raw surface left be likely to result in an unsightly scar or in cicatricial contraction, skin-grafting should be employed.
In the kidney also, repair mainly takes place by cicatricial tissue, and although a few collecting tubules may be reformed, no regeneration of secreting tissue takes place.
Recovery is often followed bycicatricial contraction leading to deformity of the face.
In course of time this tissue becomes consolidated, and the cicatrix undergoes a certain amount of contraction--cicatricial contraction.
Any loss of substance is replaced by cicatricial tissue.
Skin-grafting is of great value in hastening healing after extensive burns, and in preventing cicatricial contraction.
The exudate on the surfaces causes them to adhere, capillary loops pass from one to the other, and their final fusion takes place by the further development of granulation and cicatricial tissue.
In the tongue the tertiary ulcer may prove the starting-point of cancer; and in the larynx or rectum the healing of the ulcer may lead to cicatricial stenosis.
The regeneration of secretory glands is usually incomplete, cicatricial tissue taking the place of the glandular substance which has been destroyed.
Pain in relation to a scar is usually due to nerve fibres being compressed or stretched in the cicatricial tissue; and in some cases to ascending neuritis.
These commence to grow towards the periphery, and, in so doing, grow through the cicatricialtissue that has formed at the seat of the operation.
With the loss of pressure from beneath, occasioned by the removal of so much of the cicatricial tissue, the epidermis the more readily closes over the wound.
This has for its object the transplantation of flaps from the side of the forehead or face into the lid to remedy a loss of tissue resulting from operation or cicatricial contraction.
In contraction of the palpebral aperture, either due to a congenital condition, or the result of a wound, trachoma, or other cicatricial contraction.
In order to obviate the cicatricial contraction some surgeons cover the area with a graft of mucous membrane.
The inflammation which occurs around the sutures leaves a permanent band of cicatricial tissue which continues the action of the sutures after they have been removed.
In operating upon such cases the chief difficulty will be found in denuding the surfaces necessary for the introduction of the sutures, owing to the density of the cicatricial tissues, which are always present.
The causes of a complete loss of voice, when it occurs, are chronic inflammation, cicatricial contractions, or improper union of the cartilage.
As a rule, fistulæ are bounded by rather scanty and inelastic walls, owing to the presence of cicatricial tissue; it is therefore more advantageous not to remove any tissue in order to produce a raw surface, or as little as possible.
The lid is first freed by dividing all the cicatricial bands, or, if only a small cicatrix be present, by excising that.
Arthur Johnstone's theory of the symptoms of the menopause is that the lining membrane of the uterus atrophies and becomes old cicatricial tissue, and sinks into quiet decay.
The above list will hopefully give you a few useful examples demonstrating the appropriate usage of "cicatricial" in a variety of sentences. We hope that you will now be able to make sentences using this word.
