Three-dimensional folded free-flap reconstruction of complex facial defects using intraoperative modeling.

Abstract:

:Free-tissue transfer has emerged as the ideal way of reconstructing complex facial defects. Multifaceted free flaps are often needed, and we have developed a simple technique to determine both the volume of tissue required and the localization of the various epithelial surfaces, thereby simplifying these complex reconstructions. We report our experience in reconstructing 19 complex facial defects in which we have used an intraoperative alginate moulage that has provided an accurate three-dimensional model of the defect, helping to determine the volume of the flap required. The reconstruction was further simplified by converting this three-dimensional model into a two-dimensional pattern by wrapping the model with a piece of Esmarch bandage, thereby determining the locations and sizes of the epithelial surfaces. The pattern was then transferred to the donor site and the flap de-epithelialized and thinned in situ with complete confidence that the tissue was "tailor-made" for the defect.

journal_name

Plast Reconstr Surg

authors

Pribaz JJ,Morris DJ,Mulliken JB

doi

10.1097/00006534-199402000-00008

subject

Has Abstract

pub_date

1994-02-01 00:00:00

pages

285-93

issue

2

eissn

0032-1052

issn

1529-4242

journal_volume

93

pub_type

杂志文章
  • Comparison of Outcomes following Autologous Breast Reconstruction Using the DIEP and Pedicled TRAM Flaps: A 12-Year Clinical Retrospective Study and Literature Review.

    abstract:BACKGROUND:There are few studies that compare the deep inferior epigastric artery perforator (DIEP) flap to the pedicled transverse rectus abdominis myocutaneous (pTRAM) flap for use in reconstructive breast surgery. The authors examined four factors that aid in decision-making: donor-site morbidity, need for surgery r...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000001747

    authors: Knox ADC,Ho AL,Leung L,Tashakkor AY,Lennox PA,Van Laeken N,Macadam SA

    更新日期:2016-07-01 00:00:00

  • The impact of Smad3 loss of function on TGF-β signaling and radiation-induced capsular contracture.

    abstract:BACKGROUND:Capsular contracture remains a major problem following prosthetic breast implantation, especially in patients undergoing irradiation. Recent studies suggest that such radiation injuries are a cascading process of cytokine activation, with transforming growth factor (TGF)-β acting as the "master switch." Beca...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3182131bea

    authors: Katzel EB,Koltz PF,Tierney R,Williams JP,Awad HA,O'Keefe RJ,Langstein HN

    更新日期:2011-06-01 00:00:00

  • Recent Advances in Implant-Based Breast Reconstruction.

    abstract:LEARNING OBJECTIVES:After reading this article, the participant should be able to: 1. Understand the indications for implant-based breast reconstruction and the indications for nipple preservation compared to skin-sparing or skin-reducing patterns. 2. Understand the indications for direct-to-implant breast reconstructi...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000006510

    authors: Colwell AS,Taylor EM

    更新日期:2020-02-01 00:00:00

  • Comparison of elongations provided by subcutaneous pedicle rhomboid flap and Z-plasty in rat inguinal skin.

    abstract:BACKGROUND:The most commonly used technique in the treatment of contracture bands is Z-plasty. The subcutaneous pedicle rhomboid flap is a relatively new flap whose efficiency in the treatment of wide or linear contractures with two or more contracture bands has been demonstrated. This experimental study was planned to...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000197212.84348.db

    authors: Ertaş NM,Küçükçelebi A,Erbaş O,Bozdoğan N,Celebioğlu S

    更新日期:2006-02-01 00:00:00

  • Effect of a transpositional muscle flap on VEGF mRNA expression in a canine fracture model.

    abstract::The effect of sepsis on neovascularization in fractures that follows open fractures is important to the understanding of bone and soft-tissue healing. An animal model was designed that mimics the open fracture and the clinical repair of the human, high-energy open fracture. Vascular endothelial growth factor (VEGF) mR...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000066170.56389.27

    authors: Khodaparast O,Coberly DM,Mathey J,Rohrich RJ,Levin LS,Brown SA

    更新日期:2003-07-01 00:00:00

  • Evidence-Based Perioperative Nutrition Recommendations: Optimizing Results and Minimizing Risks.

    abstract::Plastic surgery patients span the nutritional spectrum from generally healthy, nutritionally competent patients to inherently catabolic, nutritionally deficient, and chronic wound patients. Therefore, plastic and reconstructive surgery affords the opportunity to investigate the impact of nutrition across a heterogeneo...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000007004

    authors: Knackstedt R,Oliver J,Gatherwright J

    更新日期:2020-08-01 00:00:00

  • The Modified Sliding Alar Cartilage Flap: A Novel Way to Preserve the Internal Nasal Valve as Illustrated by Three-Dimensional Modeling.

    abstract:BACKGROUND:Preservation of the scroll area is essential when performing rhinoplasty to achieve a good functional outcome. This is of particular concern with tip-plasty procedures. The objectives of this study were (1) to describe a novel tip-plasty procedure consisting of sliding the cephalic portion of the alar cartil...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000005991

    authors: Racy E,Fanous A,Pressat-Laffouilhere T,Benmoussa N

    更新日期:2019-09-01 00:00:00

  • Maxillary advancement for mandibular prognathism: indications and rationale.

    abstract::The surgical correction of mandibular prognathism has traditionally involved posterior repositioning of the mandibular body. This treatment approach corrects the skeletal disproportion at the expense of reducing facial skeletal volume and can unpredictably result in inadequately supported soft tissues with loss of ske...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199105000-00001

    authors: Rosen HM

    更新日期:1991-05-01 00:00:00

  • Rigid internal fixation in the hand: 104 cases.

    abstract::One-hundred and four patients with fractures of the metacarpals and phalanges have been treated with rigid internal fixation over a 6-year period. Patients with both open and closed injuries had their fractures fixed by tension band wires, interosseous compression screws (lag screws), or plates and screws. The concept...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198602000-00022

    authors: Jabaley ME,Freeland AE

    更新日期:1986-02-01 00:00:00

  • Patient-Related Risk Factors for Worsened Abdominal Well-Being after Autologous Breast Reconstruction.

    abstract:BACKGROUND:Patient-reported lower satisfaction with the abdomen preoperatively is a strong predictor of undergoing DIEP flap surgery. The authors evaluated physical well-being of the abdomen before and after flap-based breast reconstruction to determine potential predictors for decreased postoperative abdominal well-be...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000006536

    authors: Stone JP,Bello RJ,Siotos C,Meyer ML,Sebai ME,Payne RM,Manahan MA,Cooney DS,Sacks JM,Broderick KP,Cooney CM,Rosson GD

    更新日期:2020-03-01 00:00:00

  • Carpal tunnel release through a limited skin incision under direct visualization using a new instrument, the carposcope.

    abstract::A new surgical technique with a set of instruments has been developed for the release of carpal tunnel. The technique allows division of the transverse carpal ligament through a short transverse skin incision (1.5 to 2 cm) of the wrist flexion crease under direct visualization. The technique has been used on 237 patie...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199608000-00016

    authors: Lee H,Jackson TA

    更新日期:1996-08-01 00:00:00

  • Care of maxillofacial injuries: survey of plastic surgeons.

    abstract::The purpose of this survey was to evaluate the current trends in the care of facial trauma. Data were obtained through the responses of a survey mailed to all those members and candidates listed in the 1989 American Society of Plastic and Reconstructive Surgeons Directory. A total of 2777 questionnaires were sent, wit...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199210000-00003

    authors: Thaller SR,Kawamoto HK

    更新日期:1992-10-01 00:00:00

  • An examination of the phenol-croton oil peel: part IV. Face peel results with different concentrations of phenol and croton oil.

    abstract::In Part IV of this examination of the phenol-croton oil peel, the author presents peeling solutions using phenol in concentrations between 16% and 50% as the carrier for croton oil. Previously, in Part I, the author showed that phenol alone in concentrations of less than 50% has no significant peeling effect on the sk...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200003000-00035

    authors: Hetter GP

    更新日期:2000-03-01 00:00:00

  • Implantable venous Doppler microvascular monitoring: laboratory investigation and clinical results.

    abstract::The purpose of this study was to compare the sensitivity of a 20-mHz ultrasonic Doppler device to detect microvascular thrombosis placed on the vein with that placed on the artery. A feasibility study in animals preceded a comparative clinical study in patients. Six rabbits were used to develop a bilateral hind limb p...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199401000-00024

    authors: Swartz WM,Izquierdo R,Miller MJ

    更新日期:1994-01-01 00:00:00

  • Upper and lower eyelid reconstruction.

    abstract::Reconstruction of the eyelids can range from simple repair to the integration of multiple complex procedures. Knowledge of eyelid anatomy, adequate preoperative planning, and meticulous surgical technique will optimize the anatomical and functional result. The purpose of this article is to review the relevant anatomy ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181eff70e

    authors: Codner MA,McCord CD,Mejia JD,Lalonde D

    更新日期:2010-11-01 00:00:00

  • Autologous Fat Injection versus Lundborg Resection Arthroplasty for the Treatment of Trapeziometacarpal Joint Osteoarthritis.

    abstract:BACKGROUND:Various operative approaches exist for treatment of trapeziometacarpal joint osteoarthritis. The aim of this study was to compare the results of Lundborg resection arthroplasty with solely autologous fat injection. METHODS:Twenty-one patients with symptomatic osteoarthritis of the trapeziometacarpal joint (...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003913

    authors: Erne HC,Cerny MK,Ehrl D,Bauer AT,Schmauss V,Moog P,Broer PN,Loew S,Schmauss D

    更新日期:2018-01-01 00:00:00

  • Mesh lift: a new procedure for long-lasting results in brow lift surgery.

    abstract:BACKGROUND:Prevention of recurrent eyebrow ptosis is the greatest challenge in brow lift surgery today. In this article, the author describes a new surgical procedure to provide long-lasting results in brow lift surgery. METHODS:Over 7 years, this new technique was used in 37 patients. Except for four, all patients we...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000182601.94805.58

    authors: Mutaf M

    更新日期:2005-10-01 00:00:00

  • Diagnostic pediatric computed tomographic scans of the head: actual dosage versus estimated risk.

    abstract:BACKGROUND:Recent publications have implicated computed tomographic scans in the genesis of cancer and developmental delay. To determine whether the imaging protocols used in the authors' craniofacial practice could be harmful, they reviewed patient radiation exposure data for 77 patients. They then reviewed the litera...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181b59d2d

    authors: Jaffurs D,Denny A

    更新日期:2009-10-01 00:00:00

  • A methodological analysis of the plastic surgery cost-utility literature using established guidelines.

    abstract:BACKGROUND:Cost-utility studies, common in medicine, are rare within plastic surgery despite their capability of measuring the value of procedures by considering the societal costs of improving quality of life. The objectives of this study were to analyze the design quality of the plastic surgery cost-utility literatur...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000000004

    authors: Tessler O,Mattos D,Vorstenbosch J,Jones D,Winograd JM,Liao EC,Austen WG Jr

    更新日期:2014-04-01 00:00:00

  • Quantitative evaluation of volume augmentation in the tear trough with a hyaluronic Acid-based filler: a three-dimensional analysis.

    abstract:BACKGROUND:Despite the prevalent use of hyaluronic acid-based filling materials for facial soft-tissue augmentation and favorable reports of durability in the infraorbital region, no quantitative data exist on the long-term durability of these products following injection. This study represents the first attempt to use...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181d70317

    authors: Donath AS,Glasgold RA,Meier J,Glasgold MJ

    更新日期:2010-05-01 00:00:00

  • Melanoma Extirpation with Immediate Reconstruction: The Oncologic Safety and Cost Savings of Single-Stage Treatment.

    abstract:BACKGROUND:The timing of reconstruction following melanoma extirpation remains controversial, with some advocating definitive reconstruction only when the results of permanent pathologic evaluation are available. The authors evaluated oncologic safety and cost benefit of single-stage neoplasm extirpation with immediate...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000002241

    authors: Karanetz I,Stanley S,Knobel D,Smith BD,Bastidas N,Beg M,Kasabian AK,Tanna N

    更新日期:2016-07-01 00:00:00

  • Percutaneous collagen induction: minimally invasive skin rejuvenation without risk of hyperpigmentation-fact or fiction?

    abstract:BACKGROUND:Photoaging is generally treated by ablative procedures that injure the epidermis and basal membrane and lead to fibrosis of the papillary dermis. Damaging the epidermis significantly can cause potential adverse effects such as dyspigmentation. It was recently shown in clinical trials that percutaneous collag...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e318188245e

    authors: Aust MC,Reimers K,Repenning C,Stahl F,Jahn S,Guggenheim M,Schwaiger N,Gohritz A,Vogt PM

    更新日期:2008-11-01 00:00:00

  • The free serratus anterior flap and its cutaneous component for reconstruction of the face: a series of 27 cases.

    abstract:BACKGROUND:The serratus anterior flap is commonly used without its cutaneous component and is covered with a skin graft. The authors have successfully used the free serratus anterior flap along with its skin paddle and have found it to be valuable for reconstruction of the face. METHODS:Fresh cadaveric dissections and...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000208297.02556.a5

    authors: Pittet B,Mahajan AL,Alizadeh N,Schlaudraff KU,Fasel J,Montandon D

    更新日期:2006-04-01 00:00:00

  • Follicular anatomy of the anterior temporal hairline and implications for rhytidectomy.

    abstract:BACKGROUND:Incisions made perpendicular to the hair follicles during anterior frontal hairline brow lifts or forehead shortening procedures help produce an inconspicuous forehead scar. The success of this "hidden" incision relies on the anteriorly directed frontal hairline follicles and their growth vector. The authors...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000259191.59277.7a

    authors: Mowlavi A,Majzoub RK,Cooney DS,Wilhelmi BJ,Guyuron B

    更新日期:2007-05-01 00:00:00

  • Significance of shoulder function in the reconstruction of prehension with double free-muscle transfer after complete paralysis of the brachial plexus.

    abstract::Reconstruction of shoulder stability and movement in cases with complete paralysis of the brachial plexus was performed to improve the outcomes for universal function of prehension after double free-muscle transfer (Doi's procedure). In cases in which the C5 or C6 nerve root was available as a donor, neurotization of ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000085820.24572.EE

    authors: Doi K,Hattori Y,Ikeda K,Dhawan V

    更新日期:2003-11-01 00:00:00

  • Perfecting the design of the gluteus maximus perforator-based island flap for coverage of buttock defects.

    abstract:BACKGROUND:The new design of the gluteus maximus perforator-based island flap for coverage of gluteal defects has the distinct advantage of being able to use customizable tissue components for coverage and at the same time sparing the source vessel. This adds a further option for use in reconstruction. METHODS:After e...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181cb675f

    authors: Kim JT,Kim YH,Naidu S

    更新日期:2010-06-01 00:00:00

  • Metopic synostosis: evaluation of aesthetic results.

    abstract::Analysis of intermediate- and long-term results of surgical treatment of metopic synostosis is lacking. We therefore retrospectively studied 23 patients with metopic synostosis (14 males, 9 females) who have been followed from 3 months to 8.1 years (mean 42.5 months) after operation. Age at first operation ranged from...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Cohen SR,Maher H,Wagner JD,Dauser RC,Newman MH,Muraszko KM

    更新日期:1994-11-01 00:00:00

  • Health-related quality-of-life assessment and surgical outcomes for auricular reconstruction using autologous costal cartilage.

    abstract:BACKGROUND:This study aims to assess the health-related quality-of-life benefit following auricular reconstruction using autologous costal cartilage in children. In addition, key aspects of the surgical reconstruction are assessed. METHODS:After auricular reconstruction, patients completed two questionnaires. The firs...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3182402ca7

    authors: Soukup B,Mashhadi SA,Bulstrode NW

    更新日期:2012-03-01 00:00:00

  • The clinical importance of the relationship between the deep peroneal nerve and the dorsalis pedis artery on the dorsum of the foot.

    abstract:BACKGROUND:The aim of this study was to describe the relationship between the deep peroneal nerve and the dorsalis pedis artery to help ensure a safer surgical approach in flap surgery. METHODS:The dissection of 36 cadaver lower limbs was undertaken to describe the relationship of the deep peroneal nerve to the dorsal...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000270310.39084.2d

    authors: İkiz ZAA,Üçerler H,Uygur M

    更新日期:2007-09-01 00:00:00

  • Abdominoplastic secondary full-thickness skin graft vaginoplasty for male-to-female transsexuals.

    abstract::When inversion of combined penile and scrotal skin flaps for vaginoplasty in male-to-female transsexuals has become impossible or has not led to functional results, alternative vaginoplasty techniques should be considered. Colocolpopoiesis involves major surgery and often leads to disappointing long-term results. An A...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199805000-00013

    authors: Hage JJ,Karim RB

    更新日期:1998-05-01 00:00:00