Abstract:
:Superiorly based pharyngeal flaps (PFs) are commonly used for the treatment of velopharyngeal insufficiency (VPI) in patients with cleft palate. However, failure may occur with recurrence of hypernasality and surgical revision may be necessary. Hemisphincter pharyngoplasty using either unilateral or bilateral posterior tonsillar pillars with the underlying palatopharyngeus muscle can be used to narrow the incompetent lateral portals. We retrospectively reviewed 22 patients diagnosed with VPI after PF surgery, who underwent hemisphincter pharyngoplasty from 1995 to 2007. Seventeen patients with complete speech assessment records were evaluated for the surgical outcome. Overall velopharyngeal function improvement was 88.2%. Symptoms of airway obstruction developed in 41% of the patients perioperatively. All of them improved gradually except 1 patient who needed continuous positive airway pressure mask treatment for obstructive sleep apnea. It is concluded that hemisphincter pharyngoplasty for narrowing of the incompetent portals is an effective treatment of VPI after PF.
journal_name
Ann Plast Surgjournal_title
Annals of plastic surgeryauthors
Lin WN,Wang R,Cheong EC,Lo LJdoi
10.1097/SAP.0b013e3181c71063subject
Has Abstractpub_date
2010-08-01 00:00:00pages
201-5issue
2eissn
0148-7043issn
1536-3708journal_volume
65pub_type
杂志文章abstract::Carpal tunnel decompression (CTD) is the most commonly performed surgical procedure within a hand unit. We have analyzed data on outcomes after carpal decompression performed by both open and closed techniques to assess whether outcomes differed between the 2 procedures. Data were jointly gathered from 2 units. The ai...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0000000000000267
更新日期:2015-11-01 00:00:00
abstract::Medpor implants were placed on the periosteum of the mandible in infant rabbits to study their effects on growth. Three months later radiological and histopathological studies were performed in situ and after removal of the mandible. The authors demonstrate that implants did not affect normal development of the mandib...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-199902000-00009
更新日期:1999-02-01 00:00:00
abstract::Because myelomeningocele defects vary in size, shape, and location, no single procedure applies to all. A large number of techniques have been described for closing the back defects occurring after excision of the meningocele sac, but new studies focus more on simple, reliable, and versatile alternatives because large...
journal_title:Annals of plastic surgery
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更新日期:2008-12-01 00:00:00
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journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/01.sap.0000110482.79996.a6
更新日期:2004-03-01 00:00:00
abstract::The structural and circulatory dynamics of expanded skin in connection with expander fillings were assessed in pigs following 7, 14, and 21 days of expansion by measuring the pressure of te fluid in the expander (Pexp) and the dermal blood flow. The results differed consistently on thoracic and abdominal sites. It was...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-198808000-00007
更新日期:1988-08-01 00:00:00
abstract:BACKGROUND:Lymphedema, a chronic disfiguring condition resulting from lymphatic dysfunction or disruption, can be difficult to accurately diagnose and manage. Of particular challenge is identifying the presence of clinically significant limb swelling through simple and noninvasive methods. Many historical and currently...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/01.sap.0000244977.84130.cf
更新日期:2007-05-01 00:00:00
abstract::The authors present their successful experience with an attractive alternative to the latissimus dorsi and gracilis muscle flaps for lower extremity reconstruction--the free rectus abdominis muscle flap. The muscle flap has a dual blood supply, but the longer pedicle length and larger vessel diameter of the inferior e...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-198311000-00003
更新日期:1983-11-01 00:00:00
abstract::Congenital absence of the vagina was repaired in twenty patients; the longest follow-up was seventeen years. The surgical method is described, including the skin graft, the sculpted prosthesis, and the mechanic's waste bolus for retention. The patient must be oriented thoroughly before the operation. Even with an opti...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-197807000-00004
更新日期:1978-07-01 00:00:00
abstract::Many controllable factors can influence free flap success rates, including the choice of recipient vessels, which can be as crucial as selecting the optimum donor site. The extremities are unique in that their dual venous systems offer an even greater diversity of options and perhaps risks. Whether the superficial as ...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-200044060-00009
更新日期:2000-06-01 00:00:00
abstract::The ability to perform abdominal cosmetic surgery in the ambulatory setting provides a more comfortable environment for the patient, ease of scheduling for the physician, and decreased costs. Avoiding the use of general anesthesia allows for quicker recovery, shorter length of hospital stay, and decreased rate of post...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-200105000-00005
更新日期:2001-05-01 00:00:00
abstract::Forearm and wrist injuries can result in a nonfunctional hand caused by loss of motor and sensory functions. Psychological stress is known to accompany traumatic hand injuries and may therefore affect functional outcome. The authors conducted a retrospective study of 107 patients diagnosed with a median, ulnar, or com...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-200207000-00013
更新日期:2002-07-01 00:00:00
abstract::Microcirculatory changes were monitored in 20 deep inferior epigastric artery perforator (DIEAP) flaps during unilateral breast reconstruction until the seventh postoperative day using laser Doppler perfusion imaging. Measurements were recorded according to the zonal classification by Scheflan and Dinner. The cutaneou...
journal_title:Annals of plastic surgery
pub_type: 临床试验,杂志文章
doi:10.1097/SAP.0b013e3181f3e39b
更新日期:2011-08-01 00:00:00
abstract::Incredibly complicated multidimensional defects have always strained the ingenuity of the reconstructive surgeon. Secondary perhaps to vascularized composite allotransplantation as a solution to this dilemma, the compound flap has been developed to be a more useful and available alternative. Their greatest versatility...
journal_title:Annals of plastic surgery
pub_type: 历史文章,杂志文章
doi:10.1097/SAP.0000000000000884
更新日期:2017-02-01 00:00:00
abstract::Infected femoral shaft fractures and femoral nonunions are difficult to manage. In the presence of associated segmental bony defects, limb length discrepancy, or complex deformities, Ilizarov techniques seem to be the ideal choice for management. We would like to describe small case series of 3 patients managed using ...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0b013e3182a795f0
更新日期:2013-11-01 00:00:00
abstract::Ectodermal dysplasia syndrome is a hereditary disease of ectodermal origin. Appearances of nail dystrophy, alopecia or hypotrichosis, saddle nose deformity, and palmoplantar hyperkeratosis are usually associated with a lack of sweat glands as well as partial or complete absence of teeth. These manifestations are usual...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0000000000000933
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Breast implant illness (BII) after aesthetic breast augmentation remains a poorly defined syndrome encompassing a wide spectrum of symptoms. While previously published series have observed overall symptomatic improvement after breast implant removal, there is a lack of studies evaluating changes in specific ...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0000000000002446
更新日期:2020-07-01 00:00:00
abstract::Chronic, nonhealing wounds place an enormous burden on both the health care system and patients, with no definitive treatments available. There has been increasing evidence that the microbial composition of wounds may play an important role in wound healing. Culture-independent methods for bacterial detection and anal...
journal_title:Annals of plastic surgery
pub_type: 杂志文章,评审
doi:10.1097/SAP.0000000000001450
更新日期:2018-07-01 00:00:00
abstract::The totem pole rib bone graft for nasal reconstruction is presented as an effective way to prepare the donor bone for the correction of saddle-nose deformity. The article's title emanates from the fact that when the sculpturing of the rib is completed it has the appearance of a totem pole before the separate parts are...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-198310000-00003
更新日期:1983-10-01 00:00:00
abstract::Multiple symmetric lipomatosis (MSL) is a rare disease of unknown etiology, characterized by the presence of multiple, symmetrical, noncapsulated lipomas, mostly in the neck and upper trunk. To date, there is no effective medical treatment of MSL. Surgical treatment is based on 2 options, namely, lipectomy and/or lipo...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0b013e31827f5295
更新日期:2014-11-01 00:00:00
abstract::The morphology of macrostomia and a method of myoplasty and commissuroplasty are described. The important operative considerations are accurate commissure positioning, muscle reconstruction, obliteration of the lateral subdermal groove, placement of a vermilion flap across the commissure, and Z-plasty of skin in the n...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-198108000-00010
更新日期:1981-08-01 00:00:00
abstract::The thickness of the upper eyelid is a bothersome condition that can be alleviated by blepharoplasty in Asians. Preseptal fat lies widely deep to the orbicularis oculi in the lower part of the upper eyelid, and the retro-orbicularis oculus fat (ROOF) pad lies in the lateral supraorbital area. We demonstrate the effect...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
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更新日期:2008-02-01 00:00:00
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journal_title:Annals of plastic surgery
pub_type: 杂志文章
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更新日期:2007-02-01 00:00:00
abstract::A new method of lower lip reconstruction using a full-thickness cheek island flap based on the facial vessels is described. The functional potential of the method is assessed in six patients. The technique outlined is simple in design and execution. It is capable of total lower lip reconstruction without appreciable m...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-198301000-00002
更新日期:1983-01-01 00:00:00
abstract::Although microsurgery has rapid expanded, problems related to microarterial anastomosis continue. Cigarette smoking is one of the major risks for anastomosis by increasing platelet adhesion, and its effects on endothelial cells. Aim of this article is to study the negative effects of cigarettes on microarterial anasto...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0b013e3181b404fa
更新日期:2010-07-01 00:00:00
abstract:PURPOSE:This study aims to review the incidence and outcomes for children with superficial spreading melanomas (SSM) using population-based data. METHODS:The Surveillance, Epidemiology, and End Results database (1974-2009) was analyzed for all patients less than 20 years of age diagnosed with SSM. RESULTS:Overall, 72...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0000000000000141
更新日期:2015-09-01 00:00:00
abstract::The relative merit of cartilage scoring versus suturing in otoplasty remains a subject of debate among leading plastic surgeons. We compared a variety of otoplasty techniques in 42 rabbit ears using anterior or posterior scoring, horizontal or vertical mattress sutures, and combinations of scoring and suturing. The ea...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-199501000-00009
更新日期:1995-01-01 00:00:00
abstract:BACKGROUND:Attempts to salvage upper and lower extremities have performed more frequently in recent decades, although there are clear cases that cannot be salvaged. The purpose of this retrospective study was to present our experience in using free calcaneus osteocutaneous fillet flap for preserving below-knee amputati...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
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更新日期:2019-08-01 00:00:00
abstract::The sural artery flap is a distally based fasciocutaneous flap. It is based on a reverse flow through anastomoses between the peroneal artery and the communicating vascular network of the medial sural nerve. In the difficult area of defects in the lower leg and the ankle and heel region, it has a wide variety of indic...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-199807000-00011
更新日期:1998-07-01 00:00:00
abstract::Long-term follow-up of free flaps used for skull coverage in this experience has revealed that serious sequela are more likely after muscle-only free flaps. Over the past 2 decades, 8 muscle and 6 composite free flaps have been used in 12 patients. Debulking was the only secondary procedure necessary in 1 composite fl...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/01.sap.0000123024.80566.8c
更新日期:2004-05-01 00:00:00
abstract:INTRODUCTION:Our objective was to determine the compliance of observational studies in plastic surgery with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement checklist. METHODS:All cohort, cross-sectional, and case-control studies published in five major plastic surgery journa...
journal_title:Annals of plastic surgery
pub_type: 杂志文章,评审
doi:10.1097/SAP.0000000000000419
更新日期:2016-05-01 00:00:00