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












  • A New Surgical Technique for Polysyndactyly of the Toes without Skin Graft.

    abstract::Reconstruction for polysyndactyly of the toes aims at cosmetic improvement. A previous method that uses a skin graft has inherent disadvantages of mismatched pigmentation between the graft and the surrounding skin and scar formation at the donor site. The authors' new improved surgical technique for the treatment of p...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Hayashi A,Yanai A,Komuro Y,Nishida M

    更新日期:2004-08-01 00:00:00

  • The Internet as a source of information on breast augmentation.

    abstract::The Internet was evaluated as a source of information for the layperson on the topic of breast augmentation. Three commonly used search engines (Excite, AOL, and Yahoo) were employed using the term "breast augmentation." These sites were then evaluated by each of three experienced plastic surgeons for their quality an...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Gordon JB,Barot LR,Fahey AL,Matthews MS

    更新日期:2001-01-01 00:00:00

  • The effectiveness of mandibular distraction in improving airway obstruction in the pediatric population.

    abstract:BACKGROUND:Distraction osteogenesis is an effective technique for elongating the deficient mandible. The authors specifically evaluated its effectiveness in the treatment of airway obstruction in pediatric patients with mandibular hypoplasia. METHOD:A comprehensive literature review of the National Library of Medicine...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Tahiri Y,Viezel-Mathieu A,Aldekhayel S,Lee J,Gilardino M

    更新日期:2014-03-01 00:00:00

  • The Essential Anatomical Subunit Approximation Unilateral Cleft Lip Repair.

    abstract::The anatomical subunit approximation cleft lip repair advantageously achieves a balanced lip contour, with the line of repair hidden along seams of aesthetic subunits. Dr. David Fisher's original description of the repair reflects the considerable thought that went into the evolution of his design. As his technique ha...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Chong DK,Swanson JW

    更新日期:2016-07-01 00:00:00

  • Wound healing: an overview.

    abstract::Understanding wound healing today involves much more than simply stating that there are three phases: inflammation, proliferation, and maturation. Wound healing is a complex series of reactions and interactions among cells and "mediators." Each year, new mediators are discovered and our understanding of inflammatory m...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Broughton G 2nd,Janis JE,Attinger CE

    更新日期:2006-06-01 00:00:00

  • Aesthetic outcome of different techniques of reconstruction following nipple-areola-preserving envelope mastectomy with immediate reconstruction.

    abstract:BACKGROUND:Nipple-preserving mastectomy and immediate reconstruction has further improved the aesthetic outcome of skin-sparing mastectomy. To investigate the effect of the type of reconstruction technique on aesthetic outcome, three different methods of reconstruction were compared using four evaluation modalities. M...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Mosahebi A,Ramakrishnan V,Gittos M,Collier J

    更新日期:2007-03-01 00:00:00

  • Treatment of hostile midline back wounds: an extreme approach.

    abstract::The basic principles of successful wound closure remain the same: careful preoperative evaluation, removal of underlying nonviable tissue, and well-vascularized soft-tissue coverage. Many complex or "hostile" back wound closures also require stabilization of the spine and a two-layered wound closure. The use of long a...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Few JW,Marcus JR,Lee MJ,Ondra S,Dumanian GA

    更新日期:2000-06-01 00:00:00

  • Revisiting upper eyelid anatomy: introduction of the septal extension.

    abstract:BACKGROUND:The current trend in plastic surgery of the eyelid has taken on increased dependence on anatomical considerations in the marriage of aesthetic and functional ideals. Often, the plastic surgeon performs ptosis and/or septal surgery in conjunction with blepharoplasty. The relationship between eyelid adnexal st...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Reid RR,Said HK,Yu M,Haines GK 3rd,Few JW

    更新日期:2006-01-01 00:00:00

  • Important aspects of head and neck reconstruction.

    abstract:LEARNING OBJECTIVES:After studying this article, the participant should be able to: 1. Select appropriate local and pedicled flaps for oral cavity reconstruction based on the location and extent of the defect and donor-site characteristics. 2. Understand the functions of the tongue and select the appropriate reconstruc...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Hanasono MM,Matros E,Disa JJ

    更新日期:2014-12-01 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


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

    更新日期:2000-02-01 00:00:00

  • Quantitative assessment of osseous, ocular, and periocular changes after hypertelorism surgery.

    abstract::The purpose of this study was to develop a methodology to quantify osseous, ocular, and periocular fat changes caused by correction of orbital hypertelorism to test the hypothesis that there is a quantitatively predictable relationship between the movement of the osseous orbit and that of the ocular globe. A retrospec...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Panchal J,Kim YO,Stelnicki E,Pilgram T,Marsh JL

    更新日期:1999-07-01 00:00:00

  • The GILLS score: part I. Patient selection for tongue-lip adhesion in Robin sequence.

    abstract:BACKGROUND:The compromised airway in Robin sequence demands prompt operative intervention. Tongue-lip adhesion is one alternative; however, the outcome of this technique is variable. The purpose of this study was to identify variables that preoperatively predict the success of adhesion in Robin sequence patients with l...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Rogers GF,Murthy AS,LaBrie RA,Mulliken JB

    更新日期:2011-07-01 00:00:00

  • Deferoxamine restores callus size, mineralization, and mechanical strength in fracture healing after radiotherapy.

    abstract:BACKGROUND:Therapeutic augmentation of fracture-site angiogenesis with deferoxamine has proven to increase vascularity, callus size, and mineralization in long-bone fracture models. The authors posit that the addition of deferoxamine would enhance pathologic fracture healing in the setting of radiotherapy in a model wh...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Donneys A,Ahsan S,Perosky JE,Deshpande SS,Tchanque-Fossuo CN,Levi B,Kozloff KM,Buchman SR

    更新日期:2013-05-01 00:00:00

  • Xeroradiography in the diagnosis of facial fractures.

    abstract::Xeroradiography, because of its unique phenomenon of "edge enhancement," has some advantages for assessing facial fractures. In 17 of the 19 patients in our pilot study group, this technique was as valuable as, or more so than, plain films. The xerogram done prior to laminagraphy is a useful "map" for the radiologist ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Marshall KA,Sadowsky NL,Sigman D

    更新日期:1978-08-01 00:00:00

  • Evolution in minimal-incision palatoplasty: surgical technique and outcomes in 67 consecutive cases.

    abstract:BACKGROUND:Conventional palatoplasty relies on extensive mucosal incisions and isolation of flaps on the palatine vessels to facilitate midline closure and velar reconstruction. This introduces substantial scarring, which has adverse effects on vascularity and growth. The authors have developed a minimally invasive pal...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Pan BS,Rapp SJ,Vu A,Uribe-Rivera A,Billmire DA,Gordon CB

    更新日期:2014-07-01 00:00:00

  • Surgical management of penoscrotal lymphangioma circumscriptum.

    abstract::Lymphangioma circumscriptum of the penis and scrotum is an unusual entity that may be indistinguishable from genital warts. After confirmation of the diagnosis, a treatment plan consisting of wide excision should be outlined. To lower the chance of recurrence, not only the affected skin but all the subjacent subcutane...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Latifoğlu O,Yavuzer R,Demir Y,Ayhan S,Yenidünya S,Atabay K

    更新日期:1999-01-01 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


    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

  • Ipsilateral island fibula transfer for segmental tibial defects: antegrade and retrograde fashion.

    abstract::Five patients with segmental tibial defects whose contralateral fibula could not be used as a donor were treated with ipsilateral island fibular transfer in an antegrade or retrograde fashion. Antegrade-flow pedicled flaps based on the peroneal vessel as in the conventional free flap were used for the proximal or midd...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Chung YK,Chung S

    更新日期:1998-02-01 00:00:00

  • Advances in extensor tendon diagnosis and therapy.

    abstract:LEARNING OBJECTIVES:After studying this article, the participant should be able to: 1. Identify clinical situations in which hand sonography can result in the detection of partial extensor tendon tears. 2. Identify the limitations of magnetic resonance imaging in diagnosing extensor tendon tears. 3. Understand the vari...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Soni P,Stern CA,Foreman KB,Rockwell WB

    更新日期:2009-02-01 00:00:00

  • The treatment of periorbital infantile hemangioma with intralesional corticosteroid.

    abstract::A series of 25 patients with periorbital hemangiomas was treated with intralesional corticosteroid injection. This resulted in a marked involution of the tumor in 16 patients, a moderate involution in 5 patients, and a minimal response in 4. No local or systemic complications were noted. The overall incidence of ocula...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Kushner BJ

    更新日期:1985-10-01 00:00:00

  • One preventable cause of spontaneous deflation of inflatable mammary prostheses.

    abstract::Spontaneous "overnight" deflation of inflatable prostheses is rather uncommon, but we have had a 5.7% incidence of it in a 24-month period in which we used implants with a suturable tab and fastened them to the subjacent fascia. At exploration we found these tabs had torn the bag of the implant, usually at the vulcani...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Rubin LR,Speace G

    更新日期:1979-09-01 00:00:00

  • Algorithm for the Management of Intracranial Hypertension in Children with Syndromic Craniosynostosis.

    abstract:BACKGROUND:The purpose of this study was to examine the relationship of head growth, obstructive sleep apnea, and intracranial hypertension in patients with syndromic or complex craniosynostosis, and to evaluate the authors' standardized treatment protocol for the management of intracranial hypertension in these patien...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Spruijt B,Joosten KFM,Driessen C,Rizopoulos D,Naus NC,van der Schroeff MP,Wolvius EB,van Veelen MC,Tasker RC,Mathijssen IMJ

    更新日期:2015-08-01 00:00:00

  • Practical Tips to Improve Efficiency and Success in Upper Limb Replantation.

    abstract:LEARNING OBJECTIVES:After reading this article, participant should be able to: 1. Describe the technique of replantation for very distal amputation of the digit and salvage procedures for venous drainage. 2. Perform single-digit replantation after viewing the videos. 3. Recognize appropriate cases for joint salvage tec...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Woo SH

    更新日期:2019-11-01 00:00:00

  • Bioactive glass hydroxyapatite in fronto-orbital defect reconstruction.

    abstract:BACKGROUND:Synthetic bioactive ceramics and glasses have osteoconductive properties. These materials are capable of chemically bonding to the bone tissue. In addition, special bioactive glasses do not favor microbial growth. In this study, the clinical outcome of bioactive glass and hydroxyapatite in head and neck surg...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Aitasalo KMJ,Peltola MJ

    更新日期:2007-12-01 00:00:00

  • Superior results using the islandized hemipalatal flap in palatoplasty: experience with 500 cases.

    abstract:BACKGROUND:The double-opposing Z-plasty palatal repair, as reported by Dr. Furlow, is one of the most popular methods of primary cleft palate repair. However, the repair as originally described is difficult to perform on wide palatal clefts. The authors have modified the original repair by altering the hard palatal fla...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Bindingnavele VK,Bresnick SD,Urata MM,Huang G,Leland HA,Wong D,Hammoudeh J,Reinisch J

    更新日期:2008-07-01 00:00:00

  • Studies in fat grafting: Part IV. Adipose-derived stromal cell gene expression in cell-assisted lipotransfer.

    abstract:BACKGROUND:Fat graft volume retention remains highly unpredictable, but addition of adipose-derived stromal cells to fat grafts has been shown to improve retention. The present study aimed to investigate the mechanisms involved in adipose-derived stromal cell enhancement of fat grafting. METHODS:Adipose-derived stroma...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Garza RM,Rennert RC,Paik KJ,Atashroo D,Chung MT,Duscher D,Januszyk M,Gurtner GC,Longaker MT,Wan DC

    更新日期:2015-04-01 00:00:00

  • Transfer of vascularized extensor tendons from the foot to the hand with a dorsalis pedis flap.

    abstract::The use of the dorsalis pedis flap with vascularized extensor tendons was presented. An anatomic study has been carried out that has shown that the vascularization of the foot extensor tendons can be exclusively dependent on the blood contribution coming from the dorsalis pedis artery. In two cases that are presented ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Vila-Rovira R,Ferreira BJ,Guinot A

    更新日期:1985-09-01 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

  • Postoperative Patient- and Parent-Reported Outcomes for Children with Congenital Hand Differences: A Systematic Review.

    abstract:BACKGROUND:Patient- and parent-reported outcomes are increasingly considered as measures of treatment effectiveness for congenital conditions. The authors' specific aim was to review the use of patient- and parent-reported outcomes of quality of life, activities of daily living, perception of hand appearance, and satis...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Bickham RS,Waljee JF,Chung KC,Adkinson JM

    更新日期:2017-06-01 00:00:00

  • Management of soft-tissue complications of the lateral approach for calcaneal fractures.

    abstract:BACKGROUND:Soft-tissue complications after using the lateral approach for internal fixation of calcaneal fractures are relatively frequent, even in skilled hands. The global management of these wounds has never been standardized. METHODS:The authors present a series of 24 patients with wound edge necrosis of lateral a...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Cavadas PC,Landin L

    更新日期:2007-08-01 00:00:00