Abstract:
:We have completed 25 SLC-RAC sequences for complete unilateral clefts of the lip, using the straight-line closure as a preliminary step to facilitate the definitive closure, which is done about 6 months later. Fourteen of the straight-line closures were done on newborn children with local anesthesia, and the rest were done at a later time under general anesthesia because of later referral or refuge/immigrant status, using general anesthesia. We have had no major complications such as lip dehiscence, major infection, respiratory problems, or bleeding. Since our original publication, we have increased the scope of the straight-line closure to include wider nasal undermining for better repositioning of the nasal structures, and we have adopted Millard's technique of lining the gap in the pyriform aperture with a vermilion flap (Millard's "L" flap). Our oldest patient is not yet in adolescence, so our study is incomplete, but our impression is that the preliminary straight-line closure has materially improved the results of surgery for complete unilateral cleft lips. The history of the straight-line closure forms a continuum from the 1st century A.D., and includes Malgaigne, Mirault, and Veau repairs as well as those of many others.
journal_name
Clin Plast Surgjournal_title
Clinics in plastic surgeryauthors
Furnas DWsubject
Has Abstractpub_date
1984-10-01 00:00:00pages
701-37issue
4eissn
0094-1298issn
1558-0504journal_volume
11pub_type
历史文章,杂志文章abstract::Marked technical improvements in the surgical management of craniosynostosis have come hand-in-hand with refinements in anesthesia, intensive care, and radiographic image analysis. At the beginning of the second century of the care of these patients, we now have a variety of sophisticated options that represent safer,...
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::The age and general condition of the patient, size and shape of the remaining breast, various risk factors such as the histologic type of carcinoma, and family history are all critical in governing the definitive management of the remaining breast during postmastectomy breast reconstruction. The philosophy, timing, an...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1984-04-01 00:00:00
abstract::The result of secondary rhinoplasties in men must be absolutely natural. The dorsum, the tip's elevation, and the diverse angles that the nose forms with the rest of the face--that is, shape, dimension, and proportion--must be correct. Illustrative cases of the most frequent defects are presented along with ways to pr...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1991-10-01 00:00:00
abstract::The accepted method of treatment for acute, contaminated, upper extremity wounds is serial débridement and delayed closure. Emergency free tissue transfer challenges these concepts by advocating radical débridement and early closure of these wounds. The use of emergency free tissue transfer in the upper extremity allo...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1989-07-01 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::Microsurgical free tissue transfer allows for the immediate reconstruction of any composite mandibular defect. Most patients are candidates for reconstruction, and careful preoperative planning is an important key to success. Osteocutaneous free tissue transfer is currently the reconstructive modality of choice. The t...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1995-01-01 00:00:00
abstract::Patients with bladder acontractility caused by lower motor neuron lesion are generally dependent on lifelong clean intermittent catheterization with all of its inherent risks. The functional neurovascular transfer of the latissimus dorsi muscle to the pelvis allows the restoration of voluntary voiding. This article de...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2012.07.017
更新日期:2012-10-01 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::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::Otoplasty can be performed safely and effectively under local anesthesia in children as young as 5 years of age. Child preparation, local anesthetics, detailed infiltration technique, surgical procedure, and complications are discussed. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2013.07.007
更新日期:2013-10-01 00:00:00
abstract::The technique of dermal suspension, parenchymal reshaping mastopexy is a useful procedure for patients with massive weight loss with a typical presentation. The operation is tailored to the individual deformity, powerfully reshapes the breast, and can be safely combined with other commonly performed procedures. It is ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2018.08.009
更新日期:2019-01-01 00:00:00
abstract::Orbital hypertelorism represents lateralization of the orbits, meaning increased interorbital and outer orbital distances. Interorbital hypertelorism represents a failure of medial orbital wall medialization in the setting of normally positioned lateral orbital walls. The etiology and type of hypertelorism influence s...
journal_title:Clinics in plastic surgery
pub_type: 历史文章,杂志文章,评审
doi:10.1016/j.cps.2018.11.004
更新日期:2019-04-01 00:00:00
abstract::Fundamental principles of management of breast burns begin with recognition and preservation of any viable breast bud tissue. Reconstruction begins when the burned breast envelope is insufficient to allow unrestricted breast development. Complete contracture release is obtained by incision or excision of the restricti...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:2000-01-01 00:00:00
abstract::Because the chin, like the nose, occupies a prominent position in the face, it must also be assessed in planning any changes in the facial profile. For example, a large nose associated with a microgenia does not appear as large when the chin is augmented. A chin increased in the vertical dimension confers an excessive...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1991-01-01 00:00:00
abstract::Aesthetic reconstructive rhinoplasty by definition means the creation of a nose that blends happily with its face and enjoys patent bilateral airways. This goal requires the construction of a delicate but dependable support to the bridge and tip, adequate viable lining, and cover of the correct color and texture. All ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1981-04-01 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::Close cooperation between the plastic surgeon and the otologist, with each understanding and respecting the importance of the other's role, will provide the atresia/microtia patient with the best possible chance of a successful outcome. The purpose of the atresia repair is to improve hearing. Our goal is to attain, th...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1990-04-01 00:00:00
abstract::Dermabrasion utilizing wire brushes and Fluro-Ethyl refrigerant anesthesia is an effective way of ameliorating a variety of epidermal and dermal defects. Familiarization with proper equipment and technique is imperative. The overall incidence of troublesome complications is relatively low and is offset by the consider...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1977-04-01 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::Human bites of the lips are very common. If less than 10 mm in size, they are treated conservatively and if greater, are treated surgically. Many lip bites are treated immediately, when infection is present, surgery is performed a few days later. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1984-10-01 00:00:00
abstract::Fat grafting is as a unique regenerative filler with soluble factors and progenitor cells that may remodel scar tissue in an easy yet effective way. A combination of microfat grafting, lipococoncentrate injection, scar subcision, and platelet-rich plasma supplementation may be used to treat the majority of facial scar...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2019.08.010
更新日期:2020-01-01 00:00:00
abstract::There are three mechanisms of bone formation that underlie the use of the different types of implants. In osteogenesis, viable osteoblasts and preosteoblasts are transplanted from one part of the body to the site where new bone is needed; cancellous marrow grafts are an example of such osteogenic engraftment. In osteo...
journal_title:Clinics in plastic surgery
pub_type: 历史文章,杂志文章,评审
doi:
更新日期:1985-04-01 00:00:00
abstract::The early experience of hand transplantation has yielded a mixture of successes and failures. No life-threatening adverse effects have been encountered from immunosuppression, yet additional medications were required in some cases with unknown long-term efficacy or side effects. Limited functional returns have been ob...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2005.05.005
更新日期:2005-10-01 00:00:00
abstract::The article focuses on the authors' autologous fat grafting technique and its application in regenerative treatment of different scars and ulcers. Although easy to perform, this surgical approach requires some technical procedures and specific management to maximize its effectiveness which are highlighted in the artic...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2015.03.008
更新日期:2015-07-01 00:00:00
abstract::With the development of modern microsurgical reconstruction, there are several alternative methods for the complicated head and neck defect or injured extremity. The double-paddled flap, double flaps, and double flap with vascular flow-through linkage are good tools for extensive wide, composite, and three-dimensional...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/s0094-1298(03)00046-4
更新日期:2003-07-01 00:00:00
abstract::Growth factors exert a powerful influence over wound healing. They control the growth, differentiation, and metabolism of cells. Although their influence on wound repair has been studied, there are only a few reports in which growth factors applied topically exerted a positive influence on wound repair. However, there...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1998-07-01 00:00:00
abstract::This article presents a contemporary overview of tip suturing and tip structural grafting techniques used to refine the wide nasal tip. Previous reductive techniques have proved to produce unnatural results over time. It is imperative to correctly evaluate the nose and assess all possible pitfalls during the preoperat...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2015.09.013
更新日期:2016-01-01 00:00:00
abstract::I believe that if one follows the precautions outlined, including a time-tested surgical technique and thorough clinical history and physical examination, the operation of blepharoplasty should prove to be one of the most gratifying aesthetic operations. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1978-01-01 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::Rigid fixation of facial osteotomies has had a significant effect on reducing morbidity in these patients. Any osteotomy in a patient with erupted permanent dentition previously fixed with wires and intermaxillary fixation can now be managed by metal plates and screws, eliminating or decreasing the need for the jaws t...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1989-10-01 00:00:00