Abstract：
:The two stage principle is one of the most important features of the procedure. It allows starting the operation at a very early stage (one to six months). The donor area in the periphery is very well supplied, therefore as many facial fascicles as necessary can be sacrificed on the healthy side. We have never noticed any functional disturbances. The nerves leading to the buccinator muscle and those which innervate the lateral pull of the mouth are especially suitable. This weakening of the strong pull of the mouth is of great value for symmetry but unfortunately relapse to the original state is common. The selection of the nerve fascicles on the healthy side must be executed in a deep layer below the muscles because all large branches are located here. The end of the sural grafts should positioned far back on the paralyzed side to enable easy anastomoses at the second stage. A face lift incision on the paralyzed side and tightening of the skin are of additional value and provide some support to the elongated muscles. The combination of cross-face nerve transplant with other substitutional methods in which muscles are used for reinnervation is very promising. In our experience physiotherapy is a very important measure. It should be started after the onset of the palsy and continued until restoration of the face is complete. It is usually applied three times a week with exponential current and at a strength of 20 to 60 milliamperes. Each group of muscles receives a 2 to 3 minutes dosage. It is helpful if the patient can use a stimulation apparatus at home daily for short treatments.
journal_name
Clin Plast Surgjournal_title
Clinics in plastic surgeryauthors
Anderl Hsubject
Has Abstractpub_date
1979-07-01 00:00:00pages
433-49issue
3eissn
0094-1298issn
1558-0504journal_volume
6pub_type
杂志文章abstract：:Remarkable advances in burn care have been made over recent decades, and it is recognized that the organized efforts of burn teams are required to continue enhancing survival rates and quality of life for patients. Patients with major burns are unique, representing one of the most severe models of trauma, and therefor...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2009.05.015
更新日期：2009-10-01 00:00:00
abstract：:For a century, under various implant circumstances, the propensity of pFGs to be replaced with host fibroblasts and collagen has been established. Harvested from screened human donors, Fascian is an injectable formulation of the same substance that is applicable for soft-tissue repair and augmentation. Provided in pre...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：2001-01-01 00:00:00
abstract：:The endoscope already has revolutionized aesthetic forehead surgery by reducing the morbidity rate associated with the forehead lift operation. The ability to do the operation through a minimally invasive approach is predicated on the illumination and magnification that the endoscope provides. It is this same illumina...
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
abstract：:Treacher Collins syndrome is a complex congenital malformation. The most important manifestations of this syndrome are hypoplastic or absent malar bone, centrofacial over-projection, eyelid coloboma, and micrognathia. This article presents an approach to re-establish the right centrofacial proportions through "flatten...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1994-10-01 00:00:00
abstract：:The "marriage" or union of aggressive truncal liposuction with modified abdominoplasty techniques has been applied by the authors to treat patients with abdominal deformities marked by lower abdominal skin excess, abdominal muscle laxity, and excess adipose tissue on the abdominal wall and in adjacent contours. In the...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2004.03.014
更新日期：2004-10-01 00:00:00
abstract：:Our investigations suggest that polyurethane coating of implants prevents longitudinal fibrosis, circumferential capsule formation, and contracture as long as the underlying smooth silicone surface remains firmly and completely covered. Although not studied extensively, our experimental observations give no indication...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1988-10-01 00:00:00
abstract：:Ring avulsion injury is classically believed to be one of the most challenging for the reconstructive surgeon. Injury patterns include a spectrum from laceration to complete amputation, with differential magnitude of injury to soft tissue, tendon, joint complex, and bone. Although ring avulsion injury can result in de...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：10.1016/j.cps.2006.11.001
更新日期：2007-04-01 00:00:00
abstract：:As endoscopic techniques made inroads into surgery, one of the first procedures they were adapted to by plastic surgeons was the forehead lift. The "closed" forehead lift procedure has since achieved wide acceptance and exists as a viable alternative to open procedures for many patients. Experience has shown, however,...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：10.1016/j.cps.2008.02.002
更新日期：2008-07-01 00:00:00
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：:There is a growing interest in upper arm aesthetic surgery but many patients do not accept the visible inner arm scar. Minimal incision brachioplasty using a shorter scar, concealed in the axilla, produces results equal to that of the traditional approach in comparable cases. Patients with massive weight loss may not ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2014.06.009
更新日期：2014-10-01 00:00:00
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...
journal_title：Clinics in plastic surgery
pub_type： 历史文章,杂志文章
doi：
更新日期：1984-10-01 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：:An angiosome is a composite block of tissue that is supplied anatomically by source (segmental or distributing) vessels that span between the skin and bone. In addition to supplying the deep tissues, the source vessels of these angiosomes supply branches to the overlying skin, which pass either between the deep tissue...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/s0094-1298(03)00034-8
更新日期：2003-07-01 00:00:00
abstract：:This article highlights the challenges in managing pulmonary failure after burn injury. The authors review several different ventilator techniques, provide weaning parameters, and discuss complications. ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2017.02.011
更新日期：2017-07-01 00:00:00
abstract：:Identifying the position, course, and caliber of the dominant perforator is extremely valuable in the preoperative study for perforator surgery. Besides reliability, the ideal technique should offer low cost and high availability and reproducibility. It should be fast, easy to interpret, and free of morbidity. Multide...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：10.1016/j.cps.2011.03.004
更新日期：2011-04-01 00:00:00
abstract：:The advantages rendered by corrective osteotomies that mobilize large segments of the craniofacial complex, including the forehead, orbits, and maxillae, exceed those of any partial correction in this particular region. This fact has been fully demonstrated in recent years by different authors. An inconvenience of ear...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1989-01-01 00:00:00
abstract：:Aesthetic rhinoplasty in the non-Caucasian patient is a challenging operation, even to the experienced rhinoplastic surgeon used to operating on Caucasians. Only by thoroughly understanding the anatomic differences between the Caucasian and non-Caucasian nose can the plastic surgeon effectively manipulate the various ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1987-10-01 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：:Pre-expanded perforator flaps, a combination of tissue expansion with perforator flaps, are emerging as another landmark of plastic surgery. This flap inherits the characteristics of both perforator flaps and expanded flaps, making it a highly versatile option in reconstructive surgery. However, the definition of the ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2016.09.008
更新日期：2017-01-01 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：:Since the turn of the century, surgeons have handled frontal sinus fractures with a variety of different procedures. The optimal management procedure remains controversial. We have presented a graduated anatomic algorithm for treatment of frontal sinus fractures based on the degree of fracture displacement and nasofro...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1992-01-01 00:00:00
abstract：:The Pittsburgh Tissue Engineering Initiative (PTEI) is the prime catalyst for tissue-engineering research and the development of a viable for-profit tissue-engineering industry in southwestern Pennsylvania. PTEI operates targeted programs that support commercializable research; provide professional and community educa...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1999-10-01 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：:For the treatment of bone gaps of less than 4 cm, cancellous autografting remains the treatment of choice. But for gaps exceeding 4 cm, the distraction osteogenesis is a viable option. The following conditions should be satisfied: (1) patient selection; (2) stable fixation; (3) osteotomy by corticotomy; (4) 7- to 14-d...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1991-07-01 00:00:00
abstract：:Wound healing is a complex process that often becomes problematic in complicated patients. When abnormal wound healing occurs, there are many possible ways to intervene. One intervention is through the use of dressings and topical agents. This article is a review of the latest dressings and topical agents available in...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2007.07.004
更新日期：2007-10-01 00:00:00
abstract：:Pedicle perforator flaps and keystone perforator island flaps are additional tools for reconstructive surgeons. Advances in understanding of vascular anatomy, the dynamic nature of perforator perfusion, inter-perforator flow and the hot-spot principle have led to reconstructive techniques that allow innovative autolog...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2016.12.005
更新日期：2017-04-01 00:00:00
abstract：:Microdermabrasion is the general term applied to the technique of abrading the skin with a high-pressure flow of crystals. Patient selection, equipment, and technique for face, hands, and chest are described. Results of a survey on the efficacy of the treatment are provided. ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：2000-10-01 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：:Alopecia from scalp burns can present psychological problems. Reconstructive surgery with rotating hair-bearing skin flaps has been useful in the rehabilitation of these patients. In many patients, one flap shift can establish an acceptable hair line. In extensive cases, multiple operations are necessary, including fr...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1982-04-01 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
