Comparison of rapid versus slow tissue expansion on skin-flap viability.

Abstract:

:The effect of rapid versus slow tissue expansion on random-pattern skin-flap survival lengths was evaluated in two groups of pigs. Each group (group 1--slow; group 2--rapid) was further evaluated for the effect that delay (A), delay plus expansion (B), expansion only (C), and acute flap elevation (D) had on flap length viability. Intergroup and intragroup comparisons were made. In the slowly expanded group, significantly greater flap length viabilities were demonstrated in the slow expansion flaps as compared with the delay plus expander flaps and the delayed flaps, respectively. In the rapidly expanded group, the flap length viabilities of flaps C, B, and A were statistically equal. However, the flap length viability of the rapidly expanded flaps was statistically equal to that of the slowly expanded flaps (C1 = C2). The effect tissue expansion has on improving flap length viability as compared with the delay phenomenon may be related to the combination of a delay effect plus increased nutrient flow density that slow expansion produces. This combined metabolic enhancement is preserved with rapid tissue expansion.

journal_name

Plast Reconstr Surg

authors

Schneider MS,Wyatt DB,Konvolinka CW,Hassanein KM,Hiebert JM

doi

10.1097/00006534-199311000-00020

subject

Has Abstract

pub_date

1993-11-01 00:00:00

pages

1126-32

issue

6

eissn

0032-1052

issn

1529-4242

journal_volume

92

pub_type

杂志文章
  • Apoptosis and plastic surgery.

    abstract::Apoptosis, or programmed cell death, is a phenomenon that is integral to development and cellular homeostasis. In the last decade, many of the essential molecules and pathways that control this phenomenon have been elucidated. Because apoptosis is involved in almost all physiologic and pathologic processes, the unders...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.PRS.0000049639.64947.EF

    authors: Gastman BR,Futrell JW,Manders EK

    更新日期:2003-04-01 00:00:00

  • A prospective cohort study of fibula free flap donor-site morbidity in 157 consecutive patients.

    abstract:BACKGROUND:Although the fibula free flap is preferred for bony head and neck reconstruction, donor-site morbidity remains a concern. The authors' goal was to evaluate potential risk factors for complications and whether the type of wound closure and timing of postoperative ambulation had an effect on the development of...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e318221dc2a

    authors: Momoh AO,Yu P,Skoracki RJ,Liu S,Feng L,Hanasono MM

    更新日期:2011-09-01 00:00:00

  • Keratin gel filler for peripheral nerve repair in a rodent sciatic nerve injury model.

    abstract:BACKGROUND:Restoration with sufficient functional recovery after long-gap peripheral nerve damage remains a clinical challenge. In vitro, keratins, which are derived from human hair, enhance activity and gene expression of Schwann cells. The specific aim of the authors' study was to examine keratin gel as conduit fille...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3182268ae0

    authors: Lin YC,Ramadan M,Van Dyke M,Kokai LE,Philips BJ,Rubin JP,Marra KG

    更新日期:2012-01-01 00:00:00

  • Reconstruction of the burned nipple-areola complex.

    abstract::Reconstructive results of 115 burned nipple-areola complexes in 84 female patients were reviewed. Results of nipple reconstruction using local quadrapod flaps (33 percent good, 45 percent fair, 22 percent poor) and composition grafts from the earlobe (20 percent good, 60 percent fair, 20 percent poor) were comparable,...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198610000-00007

    authors: Pensler JM,Haab RL,Parry SW

    更新日期:1986-10-01 00:00:00

  • Congenital midline nasal muscle with associated nasal deformity.

    abstract::A case is presented of a congenital nasal deformity consisting of a midline nasal muscle, alar cartilage defect, and partially obstructed nostril. The embryology of nasal development is reviewed, and an attempt is made to explain this unique anomaly. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198103000-00015

    authors: Bauer BS,Kernahan DA

    更新日期:1981-03-01 00:00:00

  • Microvascular polytetrafluoroethylene prostheses: the cellular events of healing and prostacyclin production.

    abstract::This study was undertaken to obtain more insight into the morphologic and functional performance of microvascular polytetrafluoroethylene (PTFE) prostheses. Therefore, both the cellular events of healing (n = 30) and the prostacyclin production (n = 18) of microvascular polytetrafluoroethylene prostheses (length 10 mm...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: van der Lei B,Wildevuur CR

    更新日期:1988-05-01 00:00:00

  • Management of the infected or exposed breast prosthesis: a single surgeon's 15-year experience with 69 patients.

    abstract:BACKGROUND:In 2004, the senior author (S.L.S.) published an algorithm for the management of breast device infection and/or exposure. The purpose of this study was to build on the authors' prior experience by expanding the cohort of patients and to identify risk factors for failed breast device salvage and recurrent inf...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181d17fff

    authors: Spear SL,Seruya M

    更新日期:2010-04-01 00:00:00

  • Indocyanine Green Angiography Use in Breast Reconstruction: A National Analysis of Outcomes and Cost in 110,320 Patients.

    abstract:BACKGROUND:Indocyanine green angiography has gained popularity in breast reconstruction for its ability to assess mastectomy skin and tissue flap viability. The authors aim to analyze trends and outcomes associated with indocyanine green angiography use in breast reconstruction. METHODS:Using 2012 to 2014 data from th...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000004195

    authors: Chattha A,Bucknor A,Chen AD,Lee BT,Lin SJ

    更新日期:2018-04-01 00:00:00

  • Revenue Generation and Plastic Surgery Training Programs: 1-Year Evaluation of a Plastic Surgery Consultation Service.

    abstract:BACKGROUND:In academic institutions, residents make substantial contributions to clinical productivity. However, billing cannot be generated unless there is direct attending physician supervision of these services. The purpose of this study was to quantify clinical services provided by residents at a large academic med...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000002485

    authors: Drolet BC,Tandon VJ,Sargent R,Loor K,Schmidt ST,Liu PY

    更新日期:2016-09-01 00:00:00

  • Inframammary fold: a histologic reappraisal.

    abstract::The inframammary fold is a defining element in the shape and structure of the female breast. It should be preserved whenever possible in ablative procedures and recreated accurately when the breast is reconstructed after mastectomy. To date, no accurate anatomic description of this essential structure exists. Previous...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200002000-00011

    authors: Muntan CD,Sundine MJ,Rink RD,Acland RD

    更新日期:2000-02-01 00:00:00

  • What's New in Acellular Dermal Matrix and Soft-Tissue Support for Prosthetic Breast Reconstruction.

    abstract::Of the nearly 90,000 implant-based breast reconstructions performed in the United States, the majority use internal soft-tissue support. Aesthetically, these constructs may allow for better positioning of prosthesis, improve lower pole expansion, and increase projection. They may have particular utility in direct-to-i...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000003950

    authors: Kim JYS,Mlodinow AS

    更新日期:2017-11-01 00:00:00

  • A comparison of scar revision with the free electron and carbon dioxide resurfacing lasers.

    abstract::Laser scar revision was studied to measure the effects of targeting extracellular matrix protein versus tissue water on scar revision. We compared the free electron laser used at 7.7 microm (the amide III protein absorption band) to the carbon dioxide (CO2) laser and dermabrasion.Nude mice (n = 40) that had rejected s...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200110000-00026

    authors: Chen JS,Shack RB,Reinisch L,Spector N,Zinsser JW,Weisberg NK,Stricklin GP,Ellis DL

    更新日期:2001-10-01 00:00:00

  • Superficial Circumflex Iliac Artery Perforator Flap: An Anatomical Study of the Correlation of the Superficial and the Deep Branches of the Artery and Evaluation of Perfusion from the Deep Branch to the Sartorius Muscle and the Iliac Bone.

    abstract:BACKGROUND:Harvesting the sartorius muscle and the iliac bone with a superficial circumflex iliac artery (SCIA) perforator flap can be a challenging procedure. The aim of this study was to describe the anatomical topology of the deep branch of the SCIA in fresh cadavers, which has not been reported in detail. METHODS:...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000005282

    authors: Yoshimatsu H,Steinbacher J,Meng S,Hamscha UM,Weninger WJ,Tinhofer IE,Harima M,Fuse Y,Yamamoto T,Tzou CHJ

    更新日期:2019-02-01 00:00:00

  • Financial impact of breast reconstruction on an academic surgical practice.

    abstract:BACKGROUND:The financial reimbursement for breast reconstruction is perceived to be low. The authors evaluated the financial impact of providing breast reconstruction for an academic medical practice and health care system. METHODS:The authors examined the billing records for 97 patients undergoing postmastectomy brea...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181a0722d

    authors: Alderman AK,Storey AF,Nair NS,Chung KC

    更新日期:2009-05-01 00:00:00

  • Cardiac arrhythmias during phenol face peeling.

    abstract::Thirty-nine percent of 54 phenol face peel patients treated rapidly developed some form of cardiac arrhythmia. When half the face was treated on consecutive days, only 22 percent of 100 patients developed cardiac arrhythmias and these were less severe. Serum phenol levels varied from 4.4 to 337.1 mg/L. Neither age, se...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198404000-00012

    authors: Gross BG

    更新日期:1984-04-01 00:00:00

  • Chimney sweeper's disease revisited: first case reported in a black. Case report.

    abstract::We present a case of occupation-related carcinoma of the scrotum (chimney sweeper's disease) in a black man. The history of this disease is outlined. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 历史文章,杂志文章

    doi:

    authors: Larson DL,Bennett JE

    更新日期:1978-02-01 00:00:00

  • Rigid internal fixation of fractures in the angular region of the mandible: an analysis of factors contributing to different complications.

    abstract::Data relating to 113 patients with 121 mandibular angle fractures treated according to the principles of rigid internal fixation were analyzed to determine which clinical factors are associated with different complications. Certain clinical characteristics were found to be associated with major complications. The use ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Iizuka T,Lindqvist C

    更新日期:1993-02-01 00:00:00

  • Refinements in face lifting: enhanced facial contour using vicryl mesh incorporated into SMAS fixation.

    abstract::As we have gained experience with the extended superficial musculoaponeurotic system (SMAS) technique in face lifting, refinements in our procedure have led to increased consistency in results. The important factors that have led to our technical modifications include the following: (1) the significance of the retaini...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200001000-00046

    authors: Stuzin JM,Baker TJ,Baker TM

    更新日期:2000-01-01 00:00:00

  • A modified keyhole technique for correction of macroglossia.

    abstract::The enlarged tongue, or macroglossia, may compromise vital function to the point that surgical correction is necessary. Although earlier procedures simply aimed at reducing tongue bulk, contemporary techniques attempt to decrease lingual dimension yet preserve critical neurosensory function. Still, modern approaches a...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0b013e31818cc3ab

    authors: Kaufman Y,Cole P,McKnight A,Hatef DA,Hollier L,Edmonds J

    更新日期:2008-12-01 00:00:00

  • The vascular basis of perforator flaps based on the source arteries of the lateral lumbar region.

    abstract:BACKGROUND:Perforator flaps based on the integument of the trunk have been well described in the literature; however, the anatomy of many donor sites has yet to be adequately documented. The integument of the lateral lumbar region of the trunk is supplied by a number of source arteries (lower posterior intercostal, lum...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000161464.11134.c1

    authors: Offman SL,Geddes CR,Tang M,Morris SF

    更新日期:2005-05-01 00:00:00

  • Assessment of skin flaps using optically based methods for measuring blood flow and oxygenation.

    abstract::The objective of this study was to compare two noninvasive techniques, laser Doppler and optical spectroscopy, for monitoring hemodynamic changes in skin flaps. Animal models for assessing these changes in microvascular free flaps and pedicle flaps were investigated. A 2 x 3-cm free flap model based on the epigastric ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000148415.54546.ca

    authors: Payette JR,Kohlenberg E,Leonardi L,Pabbies A,Kerr P,Liu KZ,Sowa MG

    更新日期:2005-02-01 00:00:00

  • The Medial Sural Artery Perforator Flap: Lessons Learned from 200 Consecutive Cases.

    abstract:BACKGROUND:The medial sural artery perforator flap is a versatile option in reconstructive microsurgery. However, most reports of this flap have been limited by sample size. This study reviews the experience of a single large-volume center using the medial sural artery perforator flap and its variants for a variety of ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000007282

    authors: Deek NFA,Hsiao JC,Do NT,Kao HK,Hsu CC,Lin CH,Lin CH

    更新日期:2020-11-01 00:00:00

  • Expanded preauricular full-thickness free skin graft.

    abstract::A preauricular skin graft with expansion for repair of a facial defect is presented. This technique preserves a more natural appearance in color, texture, and thickness than is otherwise possible and provides a larger graft than the usual preauricular graft method. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199101000-00025

    authors: Iwahira Y,Maruyama Y

    更新日期:1991-01-01 00:00:00

  • Boomerang pattern correction of gynecomastia.

    abstract:BACKGROUND:After excess skin and fat are removed, a body-lift suture advances skin and suspends ptotic breasts, the mons pubis, and buttocks. For women, the lift includes sculpturing adiposity. While some excess fat may need removal, muscular men should receive a deliberate effort to achieve generalized tight skin clos...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000000933

    authors: Hurwitz DJ

    更新日期:2015-02-01 00:00:00

  • Nonsurgical treatment of cicatricial ectropion with hyaluronic acid filler.

    abstract:BACKGROUND:Cicatricial lower eyelid ectropion is caused by a shortening of the anterior lamella, with resultant eversion of the eyelid away from the globe. Treatment is typically surgical; however, the author hypothesized that a nonsurgical injection of hyaluronic acid filler could stretch the tethered skin and act as ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000299382.31856.d8

    authors: Fezza JP

    更新日期:2008-03-01 00:00:00

  • Experience with the gold weight and palpebral spring in the management of paralytic lagophthalmos.

    abstract:BACKGROUND:The loss of the blink reflex and the ability to close the eye actively are disabling functional and aesthetic impairments common to patients with facial paralysis. Nonphysiologic (static) management techniques involve implantation of devices in the upper eyelid that mechanically aid eye closure. The most pop...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000299919.18076.b4

    authors: Terzis JK,Kyere SA

    更新日期:2008-03-01 00:00:00

  • Use of Diced Conchal Cartilage with Perichondrial Attachment in Rhinoplasty.

    abstract:BACKGROUND:The conchal cartilage is favored in nasal tip surgery, but is limited in dorsal augmentation. The authors evaluated diced conchal cartilage with perichondrial attachment in augmentation of the nasal dorsum, radix, and/or tip. METHODS:The medical records of 37 patients who underwent rhinoplasty using diced c...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000001227

    authors: Kim JH,Jang YJ

    更新日期:2015-06-01 00:00:00

  • Use of lateral upper arm free flaps for soft-tissue reconstruction of the contracted eye socket.

    abstract:BACKGROUND:Severe orbital soft-tissue loss and contracted eye sockets often present in patients who have had enucleation, exenteration, or other ocular diseases. In this article, the authors report a novel contracted eye socket reconstruction technique using lateral upper arm free flaps and review the surgical outcome ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000000133

    authors: Li Y,Song H,Liu J,Li D

    更新日期:2014-05-01 00:00:00

  • The "babysitter" procedure: minihypoglossal to facial nerve transfer and cross-facial nerve grafting.

    abstract:BACKGROUND:In 1984, Terzis introduced the "babysitter" procedure, a new concept in facial reanimation. It involves two stages, with coaptation of ipsilateral 40 percent hypoglossal to facial nerve on the affected side, performed concomitantly with cross-facial nerve grafting and secondary microcoaptations 8 to 15 month...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e31819ba4bb

    authors: Terzis JK,Tzafetta K

    更新日期:2009-03-01 00:00:00

  • Nasolabial flap for nasal tip reconstruction.

    abstract:BACKGROUND:The nasolabial flap is a pedicled flap with a wide description and application for use in lateral nasal wall, ala, columella, and intraoral reconstruction. It is a versatile flap that is well tolerated by the patient, with very acceptable donor-site scars. The soft and spongy nature of the flap, with its pro...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e318182370b

    authors: Thornton JF,Weathers WM

    更新日期:2008-09-01 00:00:00