A critical viewpoint by a general surgeon toward reconstructive surgery after mastectomy.

Abstract:

:Reconstructive breast surgery is accompanied by hazards, both known and unknown, which may endanger the life of the patient. On the other hand, the benefits are largely a modest gesture toward the physical and emotional adjustment. It is the duty of the physician to present all aspects of the contemplated procedure and let the patient decide whether her emotional needs justify the risks entailed.

journal_name

Clin Plast Surg

authors

Lester LJ

subject

Has Abstract

pub_date

1979-01-01 00:00:00

pages

15-7

issue

1

eissn

0094-1298

issn

1558-0504

journal_volume

6

pub_type

杂志文章
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    abstract::The problem of high velocity facial injuries with multiple facial fractures concerns the severity of the bony injury. Attempts at closed reduction of the large comminuted segments common to these fractures result in eventual bony collapse and soft tissue shrinkage. The solution to these problems lies in the early expo...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Gruss JS,Phillips JH

    更新日期:1989-01-01 00:00:00

  • Compressive neuropathies of the upper extremity.

    abstract::Although any peripheral nerve may be compressed anywhere along its course, nerve compression syndromes typically occur at predictable sites with predictable clinical presentations. A detailed history and physical examination can establish a diagnosis, and electrodiagnostic studies and at times imaging can confirm it. ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/s0094-1298(02)00103-7

    authors: Spinner RJ,Amadio PC

    更新日期:2003-04-01 00:00:00

  • New developments in pediatric plastic surgery research.

    abstract::Pediatric plastic surgery research is a rapidly expanding field. Unique in many ways, researchers in this field stand at the union of multiple scientific specialties, including biomedical engineering, tissue engineering, polymer science, molecular biology, developmental biology, and genetics. The goal of this scientif...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2004.10.003

    authors: Nacamuli RP,Wan DC,Lenton KA,Longaker MT

    更新日期:2005-01-01 00:00:00

  • Tissue expansion in craniofacial surgery.

    abstract::Craniofacial surgery has evolved through an era of refinement and finesse, both in techniques and in results. Tissue expansion offers an opportunity to improve the quantity and quality of tissue available for these procedures. It may also be of benefit in long-term molding of the craniofacial skeleton during growth of...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Argenta LC,VanderKolk CA

    更新日期:1987-01-01 00:00:00

  • Essential anatomy for contemporary upper lid blepharoplasty.

    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:

    authors: Siegel RJ

    更新日期:1993-04-01 00:00:00

  • Anatomic considerations in abdominoplasty.

    abstract::Knowledge of abdominal anatomy is key to achieving optimal results in abdominoplasty. With adequate knowledge of the anatomy, the surgeon can tailor his or her techniques to fit the needs of the patient while still maximizing the blood supply to the abdominal flaps and minimizing complications. ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:10.1016/j.cps.2010.03.003

    authors: Nahai FR

    更新日期:2010-07-01 00:00:00

  • Local anesthesia for otoplasty in children.

    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

    authors: Laberge LC

    更新日期:2013-10-01 00:00:00

  • Augmentation mammaplasty: retropectoral versus retromammary implantation.

    abstract::Although the weight of evidence generally indicates that improved contracture rates with retropectoral placement of the prosthesis and excellent aesthetic results can be obtained with this approach, there remains a significant cadre of surgeons who believe their own retromammary results are equal to or better than the...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Biggs TM,Yarish RS

    更新日期:1988-10-01 00:00:00

  • Correction of the deficient alveolar ridge.

    abstract::The success of a denture is dependent on a good foundation; therefore, construction of the prosthesis begins with extraction of the teeth. The teeth should be maintained as long as possible if they can be restored. When the teeth are extracted, bone resorption usually starts, owing to systemic and local factors. Good ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: el Deeb M,Waite DE,Mainous EG

    更新日期:1989-10-01 00:00:00

  • Nasoalveolar molding for infants born with clefts of the lip, alveolus, and palate.

    abstract::The principle objective of presurgical nasoalveolar molding (NAM) is to reduce the severity of the initial cleft deformity. This enables the surgeon and the patient to enjoy the benefits associated with a repair of a cleft deformity that is of minimal severity. Retraction of the premaxilla, presurgical elongation of t...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/S0094-1298(03)00140-8

    authors: Grayson BH,Maull D

    更新日期:2004-04-01 00:00:00

  • Bridging bone gaps with the Ilizarov technique. Biologic principles.

    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:

    authors: Alonso JE,Regazzoni P

    更新日期:1991-07-01 00:00:00

  • Regulatory aspects of ultrasound-assisted lipoplasty.

    abstract::In our litigious medical environment, and particularly after the breast implant debacle, plastic surgeons must understand the regulatory implications of devices they implant in their patients. This article reviews the regulatory aspects of ultrasound-assisted lipoplasty and the regulatory fundamentals that apply to al...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: D'Amico RA

    更新日期:1999-04-01 00:00:00

  • The medical record. Informing your patients before they consent.

    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:

    authors: Gorney M,Martello J,Hart L

    更新日期:1999-01-01 00:00:00

  • Perspectives on what's new in plastic surgery. The new millennium.

    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:

    authors: Habal MB

    更新日期:1996-01-01 00:00:00

  • Ptosis repair in aesthetic blepharoplasty.

    abstract::A straightforward approach to ptosis in a patient interested in aesthetic blepharoplasty is presented. Beginning with an explanation of how ptosis often becomes apparent after an aesthetic surgery of the upper lid, this article describes functional anatomy of the eyelid relevant to ptosis, and discusses the various ca...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2012.06.007

    authors: Martin JJ Jr

    更新日期:2013-01-01 00:00:00

  • Fractures of the Carpal Bones.

    abstract::Diagnosis and proper initial management of acute fractures of the carpal bones is critical because of the limited blood supply of many bones of the wrist and the role of the carpus in optimizing hand function. Pathology is correctly diagnosed by a focused history and examination. Injuries may be missed with a cursory ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2019.03.007

    authors: Christie BM,Michelotti BF

    更新日期:2019-07-01 00:00:00

  • Current concepts in medial thighplasty.

    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

    authors: Mathes DW,Kenkel JM

    更新日期:2008-01-01 00:00:00

  • History and current concepts of lipoplasty.

    abstract::Lipoplasty accomplishes the opposite of classic plastic surgery results. Instead of a long incision, there is a tiny one; instead of undermining, tunneling is performed; instead of redraping and resection of the skin, lipoplasty uses skin retraction. Retraction versus traction is the key principle of liposuction. The ...

    journal_title:Clinics in plastic surgery

    pub_type: 历史文章,杂志文章

    doi:

    authors: Illouz YG

    更新日期:1996-10-01 00:00:00

  • Straight-line closure: a preliminary to Millard closure in unilateral cleft lips (with a history of the straight-line closure, including the Mirault misunderstanding).

    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:

    authors: Furnas DW

    更新日期:1984-10-01 00:00:00

  • Reconstruction for limb-sparing procedures in soft-tissue sarcomas of the extremities.

    abstract::An understanding of the biology of soft-tissue sarcomas and knowledge of refined techniques of adjuvant therapy have allowed limb-sparing procedures to become predominant in the management of these tumors. Immediate bony reconstruction with prosthetic implantation has met with consistent success largely because of the...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Drake DB

    更新日期:1995-01-01 00:00:00

  • Principles and practice of cutaneous laser and light therapy.

    abstract::Laser technology has evolved rapidly in the last 2 decades. The theory of selective photothermolysis guides the proper selection and use of lasers to safely and effectively treat patients. This review summarizes the basic concepts and adjustable parameters for laser devices, emphasizing the importance of selective pho...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:10.1016/j.cps.2011.02.007

    authors: Nelson AA,Lask GP

    更新日期:2011-07-01 00:00:00

  • Neurofibromatosis of the skull base.

    abstract::Neurofibromatosis of the skull base is a syndrome that may occur in an isolated fashion or as a component of Von Recklinghausen disease. This article discusses the clinical features of neurofibromatosis, diagnostic methods, and surgical treatment. ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Jackson IT

    更新日期:1995-07-01 00:00:00

  • Imaging of Damaged Nerves.

    abstract::Nerve imaging is an important component in the assessment of patients presenting with suspected peripheral nerve pathology. Although magnetic resonance neurography and ultrasound are the most commonly utilized techniques, several promising new modalities are on the horizon. Nerve imaging is useful in localizing the ne...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2019.12.003

    authors: Purger DA,Sakamuri S,Hug NF,Biswal S,Wilson TJ

    更新日期:2020-04-01 00:00:00

  • Refinements in intrathoracic use of muscle flaps.

    abstract::Intrathoracic infections associated with infection, leakage, or bleeding of the airway, lung parenchyma, esophagus, heart or great vessels is a life-threatening situation that luckily is infrequently seen. Failure to control these infections with the usual techniques can often be attributed to the presence of persiste...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Meland NB,Arnold PG,Pairolero PC,Trastek VF

    更新日期:1990-10-01 00:00:00

  • Laser hair removal.

    abstract::We are in a state of evolution in long-term hair removal. Safe and effective technology is now available. Lasers will always become smaller, faster, and perhaps more effective. For those interested in offering this procedure, evidence indicates that we are beyond the experimental phase. The treating physician should c...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: DiBernardo BE,Perez J,Usal H,Thompson R,Ferraro FJ,Fallek SR

    更新日期:2000-04-01 00:00:00

  • Modifying the wound healing response with exogenous growth factors.

    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:

    authors: Steed DL

    更新日期:1998-07-01 00:00:00

  • Microfat and Lipoconcentrate for the Treatment of Facial Scars.

    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

    authors: Pallua N,Kim BS

    更新日期:2020-01-01 00:00:00

  • Management of the alveolar cleft.

    abstract::Orthopedic and orthodontic management of patients born with clefts of the lip, alveolus and palate is based on the application of basic biomechanical principles adapted to the individualized cleft anatomy. This article focuses on orthopedic and orthodontic preparation for 2 stages of interdisciplinary orthodontic/surg...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2014.01.001

    authors: Santiago PE,Schuster LA,Levy-Bercowski D

    更新日期:2014-04-01 00:00:00

  • Repair of bilateral cleft lip: Millard's technique.

    abstract::The abnormal anatomy and principles of treatment of the bilateral cleft lip deformity have been presented. The Millard technique of bilateral cleft lip repair provides for a philtrum of proper width, a lip of proper height, a full-depth labial sulcus, and complete muscle continuity. Transposition of prolabium not requ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Trier WC

    更新日期:1985-10-01 00:00:00

  • Deep plane face lifting for midface rejuvenation.

    abstract::The deep-plane midface lift offers many advantages in midface rejuvenation. Anatomic analysis of aging and embryologic evidence both support surgical facial “degloving” in the sub-SMAS plane and resuspension of the platysma/SMAS unit. This approach offers more complete repositioning of facial soft tissue compared with...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2014.08.009

    authors: Gordon NA,Adam SI 3rd

    更新日期:2015-01-01 00:00:00