Abstract:
:Several aspects must be considered in the performance of muscle and musculocutaneous flaps. Some of the most important are not at all related to the technical elevation and manipulation of the individual flap. It is hoped that this brief outline will prove beneficial to many successful future reconstructive applications of these flaps. Never before has the discerning reconstructive surgeon been required to consider so many ingenious options and apply them with such perception. Certainly, the future of reconstructive surgery is secure if we respond reasonably and knowledgeably.
journal_name
Clin Plast Surgjournal_title
Clinics in plastic surgeryauthors
McCraw JB,Vasconez LOsubject
Has Abstractpub_date
1980-01-01 00:00:00pages
9-13issue
1eissn
0094-1298issn
1558-0504journal_volume
7pub_type
杂志文章abstract::The double free-muscle transfer technique has restored prehension in patients following complete avulsion of the brachial plexus. This achievement was almost inconceivable as recently as several years ago and has now given new hope for these patients to be able to use their otherwise useless limbs. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1997-01-01 00:00:00
abstract::Proper care of the patient with a vascular anomaly requires the expertise of multiple specialists. Because of the need for an interdisciplinary approach, several vascular anomalies centers have now been developed across the world. A hematologist/oncologist provides clinical acumen in establishing a correct diagnosis a...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2010.08.002
更新日期:2011-01-01 00:00:00
abstract::Craniofacial growth is a complex phenomenon. Knowing the starting blocks and the ultimate function, the pathways leading to the "finished product" become only a matter of connecting the dots. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
abstract::Gradual maxillary distraction by modified osteotomies and external force systems is a procedure with minimal morbidity and few complications. The interaction between surgeons and orthodontists is critical, however. The wide range of possibilities for remodeling a hypoplastic maxilla by distraction allows the potential...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/S0094-1298(03)00126-3
更新日期:2004-04-01 00:00:00
abstract::In the language of medical liability, no concept has received as much misinterpretation as "informed consent." In the last five years, most medical liability carriers have experienced a significant increase in claims that allege failure to obtain a proper informed consent prior to treatment. The authors discuss forens...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1999-01-01 00:00:00
abstract::Traumatic nerve injuries are common conditions treated by hand surgeons, and the optimal treatment of a severed nerve requires providing a healthy wound bed, generous trimming to healthy nerve substance, and a minimal-tension approximation. The gold standard for repair of a critical nerve gap has been the nerve autogr...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2014.03.006
更新日期:2014-07-01 00:00:00
abstract::This technique has evolved over 13 years and has been associated with very few mesh-related complications. A recently reported study of 65 consecutive patients with a mean follow-up of 47.4 months reported a hernia rate of 1.5% (1 of 65) and an incidence of mesh-related infection of 1.5% (1 of 65). It appears that the...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1994-04-01 00:00:00
abstract::This article supplies an introduction to the structure and purpose of managed care financial incentives, with particular attention to those affecting referrals to specialists. It then addresses some of the ethical problems attending such incentive schemes and discusses the characteristics that make some financial ince...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1999-01-01 00:00:00
abstract::Placing the incision at the hairline or just posterior to the boundary of the hair, with subcutaneous elevation of the flaps, is a more effective way to correct the aging upper face, whether it be "crow's feet," excess forehead skin, or eyebrow ptosis. Furthermore, by placing the facial rhytidectomy incision at the si...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1992-04-01 00:00:00
abstract::Lockwood's changes in surgical design of the medial thigh lift have improved results and decreased complications but still have the fundamental problem of poor tissue fixation to rigid tissue. To provide increased support to the medial thigh incisions, modifications to this technique have been tried. This article desc...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2007.09.003
更新日期:2008-01-01 00:00:00
abstract::Autologous breast reconstruction has become increasingly popular in the past several years as more experience has been gained in the various techniques. Advantages to autologous reconstruction include improved shaping and symmetry, which also allow for a more natural reconstruction. The transverse rectus abdominis myo...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1998-04-01 00:00:00
abstract::Over the past decade, many changes and updates have occurred in the world of vascular anomalies, including their histopathology. An appreciation has developed that a combined team approach is optimal in arriving at a correct diagnosis. Technical advances such as immunohistochemical stains for GLUT1, an excellent marke...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2010.08.007
更新日期:2011-01-01 00:00:00
abstract::Free muscle transfer is now a feasible procedure in several fields of reconstructive surgery. In this article, basic science behind clinical free muscle transfer, including essential aspects like donor muscle selection (type of blood supply, architecture of fibers, fiber length, and muscle volume), donor nerve selecti...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/s0094-1298(02)00020-2
更新日期:2002-10-01 00:00:00
abstract::This article describes the surgical procedures used for the aesthetic improvements of the flanks and abdomen. A clinical classification for patient selection regarding when to use liposuction, surgery, or both, is included. Isolated flankplasty, isolated abdominoplasty, and combined flanks with abdominoplasty performe...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1996-10-01 00:00:00
abstract::Flap prefabrication and prelamination are evolving, new techniques that are useful in reconstructing complex defects of the head and neck. Flap prefabrication involves the introduction of a new blood supply by means of a vascular pedicle transfer into a volume of tissue. After a period of neovascularization, this volu...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:2001-04-01 00:00:00
abstract::The next millennium will witness the most exciting advances in the field of plastic surgery. Some of these advances are already here today whereas others are just starting to surface. These include soft-tissue and bone reconstruction, tissue engineering, gene therapy, microsurgery, and fetal surgery to name just a few...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract::A six-step nasoplasty for the primary correction of the unilateral and bilateral cleft nasal deformity is presented. A review of the evolution of primary nasal reconstruction and preliminary results of the method are described and illustrated. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1993-10-01 00:00:00
abstract::The surgical correction of post-traumatic enophthalmos is among the most challenging problems for the surgeon. A thorough understanding of orbital anatomy and the purposed mechanisms of enophthalmos is crucial to the ultimate success or failure of the procedures. The successful orbital reconstruction begins with a car...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1997-07-01 00:00:00
abstract::Cancer of the nose is very common and lesions seen by reconstructive surgeons are often recurrent and extensive. Surgical removal of cancer of the nasal skin can usually be accomplished under local anesthesia, and in most instances frozen section histologic examination should be used to confirm the adequacy of excisio...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1976-07-01 00:00:00
abstract::The goal of this article is to introduce clinical investigators to the basic concepts of cost-effectiveness analysis. This line of research is not commonly pursued in clinical studies probably because of unfamiliarity of plastic surgeons with the field of health economics and health research methodology in general. Th...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2007.10.012
更新日期:2008-04-01 00:00:00
abstract::The use of analgesic and sedative medications in plastic surgery can be divided into two main categories: premedication for general and local anesthesia and intraoperative sedation as an adjunct to local anesthesia. The actions and applications of specific agents are discussed. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1985-01-01 00:00:00
abstract::The primary goal of engineering cartilage as a therapeutic approach is to restore the physiological conditions of an affected or defective tissue in the body. Cartilage tissue is distributed widely in the human body and possesses an organization related to the specific demand of a particular anatomical region. In sele...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/s0094-1298(03)00070-1
更新日期:2003-10-01 00:00:00
abstract::Lateral skin-platysma displacement is a new technique for neck rejuvenation based on composite platysma-cutaneous flaps repositioned laterally through cable sutures. This technique skews the anatomy of the muscle, displacing it in a more lateral position and decreases the risk of paramedian bands recurrence. Traction ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2019.06.006
更新日期:2019-10-01 00:00:00
abstract::Reconstruction of soft tissue defects following tumor ablation procedures in the trunk and extremities can challenge the microsurgeon. The goal is not just to provide adequate soft tissue coverage but also to restore form and function and minimize donor site morbidity. Although the principles of the reconstructive lad...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2020.06.007
更新日期:2020-10-01 00:00:00
abstract::This article reviews 5 areas in burn care that increasingly use evidence-based medicine to optimize quality and safety: resuscitation protocols, transfusion practices, vascular access, venous thromboembolic prophylaxis, and rational use of antibiotics. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2017.02.015
更新日期:2017-07-01 00:00:00
abstract::Bone grafting or bone replacement is an integral part of craniofacial surgery. Most craniofacial surgeons prefer the use of autogenous bone; however, there are exceptions to this, because some plastic surgeons prefer the use of alloplastic implants for replacement of parts or missing segments in the craniomaxillofacia...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1987-01-01 00:00:00
abstract::The distinction between primary and secondary syndactyly is made on the basis of their relation to the morphogenesis. The latter is associated with antecedent malformation which results in subsequent refusion of parts. Based on these considerations, a practical classification is suggested. The management of the variou...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1976-01-01 00:00:00
abstract::A clear understanding of upper eyelid anatomy is an absolute prerequisite for performing advanced invagination-type blepharoplasty. This article describes the author's simple, systematic approach to intraoperative identification of the levator aponeurosis as well as the other key layers of fascia in the upper lid. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1993-04-01 00:00:00
abstract::Routine standardized periorbital planning prior to blepharoplasty and brow lifting facilitates optimal outcome and minimizes the need for reoperation. It should be an essential companion to blepharoplasty in all instances. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1993-04-01 00:00:00
abstract::Experimental and clinical cases document that the omentum and jejunum can be harvested successfully as a free flap using laparoscopic assistance. Our gross and microscopic findings attest to the viability of this approach. If the omentum is not needed in it entirety, one can safely custom design the free flap to match...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1995-10-01 00:00:00