Twenty-year experience with early surgery for craniosynostosis: I. Isolated craniofacial synostosis--results and unsolved problems.


:Early surgery for isolated craniosynostosis is designed to improve morphology, to prevent functional disturbances, and equally important, to enhance the psychosocial development of the child. As the first of a two-part series, 104 patients with isolated craniofacial synostosis were retrospectively analyzed. Diagnoses included bilateral coronal (10), unilateral coronal (57), metopic (29), and sagittal synostosis (8). All patients underwent primary fronto-orbital advancement-calvarial vault remodeling procedures at less than 18 months of age (mean 8.1 months). Thirteen percent of patients (14) required a secondary cranial vault operation (mean age 22.6 months) to address residual deficits in craniofacial form. Perioperative complications were minimal (5.0 percent), and there was no mortality. Average length of postoperative follow-up was 46.0 months. By the classification of Whitaker et al., which assesses surgical results, 87.5 percent of patients were considered to have at least satisfactory craniofacial form (category I-II) at latest evaluation. Overall rates of hydrocephalus, shunt placement, and seizures (3.8, 1.0, and 2.9 percent, respectively) were low. Among the isolated craniosynostoses, unilateral coronal synostosis/plagiocephaly poses the most complex problems, including vertical orbital dystopia, nasal tip deviation, and residual craniofacial asymmetry; there is also a wide spectrum of findings and growth patterns in this subgroup.


Plast Reconstr Surg


McCarthy JG,Glasberg SB,Cutting CB,Epstein FJ,Grayson BH,Ruff G,Thorne CH,Wisoff J,Zide BM




Has Abstract


1995-08-01 00:00:00












  • Polydioxanone Threads for Facial Rejuvenation: Analysis of Quality Variation in the Market.

    abstract:BACKGROUND:Beside botulinum-toxin injections and hyaluronic acid fillers, thread lifts have established themselves as the third column of minimally invasive facial rejuvenation. Most commonly, barbed threads for this approach are made out of polydioxanone, a material known for decades from application in resorbable sut...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Aitzetmueller MM,Centeno Cerdas C,Nessbach P,Foehr P,Brett E,Thor D,Machens HG,Burgkart R,Duscher D

    更新日期:2019-12-01 00:00:00

  • Anesthesia for cosmetic surgery.

    abstract::Increasing numbers of plastic surgery procedures are performed in diverse environments, including traditional hospital operating rooms, outpatient surgery centers, and private offices. Just as plastic surgeons develop areas of specialization to better care for their patients, anesthesiologists have specialized in outp...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Taub PJ,Bashey S,Hausman LM

    更新日期:2010-01-01 00:00:00

  • Cerclage suture method for closed-tip rhinoplasty.

    abstract::This article presents a method for passing a cerclage suture around the nasal tip complex to narrow it. The method does not require elevation of the skin from the lower lateral cartilages. The method requires a double-pointed straight needle with the suture swaged on in the center. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Cutting CB

    更新日期:1999-11-01 00:00:00

  • The intravascular stenting method for treatment of extremity lymphedema with multiconfiguration lymphaticovenous anastomoses.

    abstract:BACKGROUND:In secondary extremity lymphedema, normal antegrade lymphatic flow is disrupted by the disease state. Attempts to capture aberrant retrograde lymphatic flow by means of microsurgical lymphaticovenous anastomoses have been hindered because of technical limitations. The authors applied the intravascular stenti...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Narushima M,Mihara M,Yamamoto Y,Iida T,Koshima I,Mundinger GS

    更新日期:2010-03-01 00:00:00

  • A new cannula for suction removal of parenchymal tissue of gynecomastia.

    abstract::Previous criticism about suction lipectomy for the correction of gynecomastia was related to the cannulae available at the time. With the improved design and tensile strength of the cannula, gynecomastia can be more easily corrected. The procedure can be completed with more control of the final contour and with fewer ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Rosenberg GJ

    更新日期:1994-09-01 00:00:00

  • Cranial particulate bone graft ossifies calvarial defects by osteogenesis.

    abstract:BACKGROUND:Cranial particulate bone graft heals inlay calvarial defects and can be harvested as early as infancy. The purpose of this study was to test the hypothesis that particulate bone promotes ossification primarily by osteogenesis. METHODS:Freshly harvested particulate bone, devitalized particulate bone, and hig...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Hassanein AH,Arany PR,Couto RA,Clune JE,Glowacki J,Rogers GF,Mulliken JB,Greene AK

    更新日期:2012-05-01 00:00:00

  • Patient-guided peripheral nerve exploration for the management of chronic localized pain.

    abstract:UNLABELLED:This technique represents a surgical adjunct for the management of chronic, localized pain in patients who continue to have pain despite exhaustive prior evaluation and treatment. The patient-guided approach was used in 10 patients referred with "intractable pain" and yielded good to excellent results in all...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Souza JM,Nystrom AN,Dumanian GA

    更新日期:2012-01-01 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


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

    更新日期:2006-04-01 00:00:00

  • Facial asymmetry: three-dimensional analysis using laser surface scanning.

    abstract::This study evaluates six different techniques with respect to their ability to quantitatively describe facial asymmetry in three dimensions. Three-dimensional facial images were acquired using a Cyberware 3030RGB laser surface scanner. Image processing was performed on a Silicon Graphics Indigo computer workstation. T...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: O'Grady KF,Antonyshyn OM

    更新日期:1999-09-01 00:00:00

  • Maternal cigarette smoking during pregnancy and the risk of having a child with cleft lip/palate.

    abstract::Maternal cigarette smoking during pregnancy as a risk factor for having a child with cleft lip/palate has been suggested by several epidemiologic studies. However, most of these studies contained small sample sizes, and a clear association between these two factors could not be established. The U.S. Natality database ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Chung KC,Kowalski CP,Kim HM,Buchman SR

    更新日期:2000-02-01 00:00:00

  • Delayed-immediate breast reconstruction: technical and timing considerations.

    abstract:BACKGROUND:In 2002, the author implemented a new two-stage approach, "delayed-immediate breast reconstruction," for patients who desire breast reconstruction and who are at an increased risk for conditions necessitating postmastectomy radiotherapy. There is increasing acceptance of this approach in clinical practice. T...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Kronowitz SJ

    更新日期:2010-02-01 00:00:00

  • Supplemental oxygen: ensuring its safe delivery during facial surgery.

    abstract::Electrosurgical coagulation in the presence of blow-by oxygen is a potential source of fire in facial surgery. A case report of a patient sustaining partial-thickness facial burns secondary to such a flash fire is presented. A fiberglass facial model is then used to study the variables involved in providing supplement...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Reyes RJ,Smith AA,Mascaro JR,Windle BH

    更新日期:1995-04-01 00:00:00

  • Use of the united suture in microvascular anastomoses.

    abstract::A technique for microvascular anastomoses is described. It leaves one suture united until the last, a maneuver which helps to avoid picking up the posterior wall with the anterior wall. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Harashina T

    更新日期:1977-01-01 00:00:00

  • Does velopharyngeal closure pattern affect the success of pharyngeal flap pharyngoplasty?

    abstract::Historically at The Hospital for Sick Children in Toronto, pharyngeal flap pharyngoplasty has been the treatment of choice for treatment of velopharyngeal insufficiency, regardless of velopharyngeal closure pattern. The authors hypothesize that pharyngeal flap pharyngoplasty is more effective in treating velopharyngea...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Armour A,Fischbach S,Klaiman P,Fisher DM

    更新日期:2005-01-01 00:00:00

  • Patterns of Dupuytren disease in fingers: studying correlations with a multivariate ordinal logit model.

    abstract:BACKGROUND:Dupuytren disease affects fingers in a variable fashion. Knowledge about specific disease patterns (phenotype) based on location and severity of the disease is lacking. METHODS:In this cross-sectional study, 344 primary affected hands with Dupuytren disease were physically examined. The Pearson correlation ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Lanting R,Nooraee N,Werker PMN,van den Heuvel ER

    更新日期:2014-09-01 00:00:00

  • Refinements in nasal reconstruction: the cross-paramedian forehead flap.

    abstract:BACKGROUND:Nasal reconstruction can be a challenge for the plastic surgeon. The forehead flap is the workhorse in nasal reconstruction, providing similar skin color, texture, structure, and reliability. There are disadvantages of the forehead flap, including a difficult arc of rotation, which risks displacement of medi...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Angobaldo J,Marks M

    更新日期:2009-01-01 00:00:00

  • Videoscope-Assisted Cleft Palate Surgery: Rationale, Experience, and Technical Implementation.

    abstract::Limited visibility characteristic of cleft palate repair presents both ergonomic and educational challenges to cleft surgeons. Despite widespread recognition and reporting, posture-related spine disorders continue to represent a significant and potentially career-limiting problem for cleft/craniofacial surgeons. In ad...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Levites HA,Sergesketter AR,Sharif-Askary B,Hollenbeck ST,Allori AC,Marcus JR

    更新日期:2020-11-01 00:00:00

  • Mammary implants, diving, and altitude exposure.

    abstract::Mammary implants were exposed to various simulated dive profiles followed by altitude exposures to stimulate aircraft travel and then were observed for bubble formation and volume changes. Minimal volume changes occurred after each dive. Numerous bubbles formed, however, reaching their maximum size in 3 hours. By comp...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Vann RD,Riefkohl R,Georgiade GS,Georgiade NG

    更新日期:1988-02-01 00:00:00

  • Reconstruction of irradiated postpneumonectomy empyema cavity with chain-link coupled microsurgical omental and TRAM flaps.

    abstract::We present the first case of complete hemithoracic reconstruction of an irradiated postpneumonectomy recurrent empyema cavity that was unresponsive to multiple conventional treatments. The procedure described used a chain-link of two coupled free flaps consisting of an omental and TRAM flap. A single abdominal donor s...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Rand RP,Maser B,Dry G,Vallieres E

    更新日期:2000-01-01 00:00:00

  • Decision-Making in Middle Vault Reconstruction following Dorsal Hump Reduction in Primary Rhinoplasty.

    abstract:BACKGROUND:Dorsal hump reduction during open rhinoplasty disrupts the continuity between the upper lateral cartilages and the dorsal septum. Options to reconstitute the midvault include primary closure of the upper lateral cartilages to the dorsal aspect of the septum, placement of spreader grafts, and creation of spre...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Avashia YJ,Marshall AP,Allori AC,Rohrich RJ,Marcus JR

    更新日期:2020-06-01 00:00:00

  • Gene expression of TGF-beta, TGF-beta receptor, and extracellular matrix proteins during membranous bone healing in rats.

    abstract::Poorly healing mandibular fractures and osteotomies can be troublesome complications of craniomaxillofacial trauma and reconstructive surgery. Gene therapy may offer ways of enhancing bone formation by altering the expression of desired growth factors and extracellular matrix molecules. The elucidation of suitable can...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Steinbrech DS,Mehrara BJ,Rowe NM,Dudziak ME,Luchs JS,Saadeh PB,Gittes GK,Longaker MT

    更新日期:2000-05-01 00:00:00

  • Combined orthognathic distraction procedure: Le Fort I maxillary osteotomy and mandibular curvilinear distraction osteogenesis. A new technique for craniofacial management.

    abstract::Dentofacial deformities are traditionally treated by maxillary and mandibular osteotomies conducted separately or simultaneously. Recently, distraction osteogenesis has become an irreplaceable part of the surgical armamentarium, for its ability to induce new bone formation between the surfaces of bone segments that ar...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Schendel SA,Hazan-Molina H,Aizenbud D

    更新日期:2014-04-01 00:00:00

  • Early passive mobilization after digital nerve repair and grafting in a fresh cadaver.

    abstract::In the clinical management of combined tendon and nerve injuries, there are competing treatment strategies. Isolated tendon injuries should be rapidly mobilized after repair to prevent adhesion formation, whereas isolated nerve repairs are usually immobilized to prevent disruption and to allow axon regrowth. Recommend...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Chao RP,Braün SA,Ta KT,Palesty JA,Mine R,Syed SA,Chang DJ,Thomson JG

    更新日期:2001-08-01 00:00:00

  • Rhinophyma: treatment with electrocautery and silver-impregnated porcine xenograft.

    abstract::A typical case of advanced rhinophyma is reported. Partial excision reduced the size of the nose by two-thirds, leaving a thin layer of dermis. This was covered with silver-impregnated porcine xenograft, which allowed efficient drainage and remained adherent in its initial application for 2 weeks. A total of four appl...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Ersek RA,Denton DR

    更新日期:1984-08-01 00:00:00

  • J. G. Hierzel: a lip-switch flap in 1756.

    abstract::After reviewing the historical aspects of the various lip-switch flaps, the authors draw attention to the existence of a report of a lip-switch flap performed in Sweden in 1756 by J.G.Hierzel. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 传,历史文章,杂志文章


    authors: Vrebos J,Dupuis C

    更新日期:1994-01-01 00:00:00

  • Body Dysmorphic Disorder in Patients Seeking Abdominoplasty, Rhinoplasty, and Rhytidectomy.

    abstract:BACKGROUND:Body dysmorphic disorder may negatively affect self-perception of body shape and lead patients to seek cosmetic surgery. This study estimates the level of body dissatisfaction and prevalence of body dysmorphic disorder symptoms in candidates for three plastic surgical procedures. METHODS:Three hundred patie...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: de Brito MJA,Nahas FX,Cordás TA,Tavares H,Ferreira LM

    更新日期:2016-02-01 00:00:00

  • Limited value of preoperative cervical vascular imaging in patients with velocardiofacial syndrome.

    abstract::The purpose of this two-part study was to evaluate the safety of surgical management of speech production disorders in patients with velocardiofacial syndrome without preoperative cervical vascular imaging studies. Anomalous internal carotid arteries have been shown to be a frequent feature of velocardiofacial syndrom...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,多中心研究


    authors: Witt PD,Miller DC,Marsh JL,Muntz HR,Grames LM

    更新日期:1998-04-01 00:00:00

  • Three- and four-dimensional arterial and venous anatomies of the thoracodorsal artery perforator flap.

    abstract:BACKGROUND:The vascular anatomy of the thoracodorsal artery perforator flap, which has not previously been elucidated, was examined using three- and four-dimensional computed tomographic angiography and venography. METHODS:Twenty-five thoracodorsal artery perforator flaps were harvested from fresh cadavers from the We...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Schaverien M,Saint-Cyr M,Arbique G,Brown SA,Rohrich RJ

    更新日期:2008-05-01 00:00:00

  • Update on ischemia-reperfusion injury for the plastic surgeon: 2011.

    abstract::Ischemia-reperfusion injury occurs when tissue is reperfused following a prolonged period of ischemia. It is a subject of interest to plastic surgeons involved in replantation, free tissue transfer, and composite tissue allotransplantation, as it can have a significant impact on the overall success of these procedures...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Wang WZ,Baynosa RC,Zamboni WA

    更新日期:2011-12-01 00:00:00

  • Use of Routine Pathologic Evaluation of Nonmalignant Lesions in Hand Surgery: A National Study.

    abstract:BACKGROUND:Most lesions of the upper extremity are common and benign, and many have questioned the need for routine pathologic evaluation of these specimens. The authors aim to examine the national use of routine pathologic examination of nonmalignant hand lesions to help guide health care policy and practice patterns....

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Cho HE,Kelley B,Zhong L,Chung KC

    更新日期:2018-08-01 00:00:00