Natural host defense mechanisms.

Abstract:

:Severe injury, whether the result of a major accident, a large burn, or a complicated surgical operation, often results in sepsis. Under such conditions both specific and nonspecific host defense systems are affected. The individual facets of major concern are chemotaxis, phagocytosis, intracellular killing, complement depletion, and depression of humoral and cellular mediated immunity. The most profound changes occur in cell-mediated immunity. Within a few hours o injury, the number of circulating T cells becomes depleted, concomitantly thoracic duct lymphocytes are markedly reduced. This change is not only quantitative but functional. The clinical impact of these deficient host defense mechanisms lies in the fact that low virulent organisms may become a lethal threat to the injured patient. Currently, investigators are attempting to reverse thse deficiencies through the use of immunotherapy.

journal_name

Clin Plast Surg

authors

Heggers JP

subject

Has Abstract

pub_date

1979-10-01 00:00:00

pages

505-13

issue

4

eissn

0094-1298

issn

1558-0504

journal_volume

6

pub_type

杂志文章,评审
  • Cross-face nerve transplant.

    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...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Anderl H

    更新日期:1979-07-01 00:00:00

  • The anatomy of revisions after primary breast augmentation: one surgeon's perspective.

    abstract::Although breast augmentation is a procedure with a high patient satisfaction rate, at some point in time, some patients will need a revision. A better understanding of what leads to revisions is desirable to determine whether the frequency of revisions can be reduced. With that in mind, we reviewed all revisions in a ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:10.1016/j.cps.2008.07.001

    authors: Spear SL,Dayan JH,West J

    更新日期:2009-01-01 00:00:00

  • Tissue engineering and dentistry.

    abstract::This article assesses the current state of the art of tissue engineering and its applications in dentistry, especially in the reconstruction and repair of orofacial tissues, including bone and oral mucosa, for the restoration of function and improved cosmetics. The article discusses at length the tissue engineering of...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Buckley MJ,Agarwal S,Gassner R

    更新日期:1999-10-01 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

  • Hemostasis in plastic surgical patients.

    abstract::Every surgeon should be acutely cognizant of the importance of the evaluation and treatment of bleeding abnormalities. Dependence upon a normal platelet and clotting system is a requirement for surgery. Significant emphasis should always be placed on a detailed history and physical examination. Routine laboratory eval...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Hicks PD Jr,Stromberg BV

    更新日期:1985-01-01 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

  • Prefabricated and prelaminated flaps for head and neck reconstruction.

    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:

    authors: Pribaz JJ,Fine NA

    更新日期:2001-04-01 00:00:00

  • Unilateral cleft lip repair. Z-plasty.

    abstract::All unilateral clefts of the lip are not alike. The deficiencies that exist, especially in the lateral lip element, can vary considerably. Because of these differences, it is unreasonable to expect one technique of repair to satisfy all situations. In more difficult complete unilateral cleft lip deformity, the Z-plast...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Lewis MB

    更新日期:1993-10-01 00:00:00

  • A new method for total reconstruction of the nose: the ears as donor areas.

    abstract::The concha of the ear appears to be the best donor site for total nasal reconstruction, no matter what the cause of the loss of the nose. The advantages of the technique are as follows: (1) The skin is of the same color, texture, and thickness as that of a normal nose. (2) The osteocartilaginous framework is automatic...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Orticochea M

    更新日期:1981-07-01 00:00:00

  • Noncontrast magnetic resonance imaging for preoperative perforator mapping.

    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

    authors: Masia J,Navarro C,Clavero JA,Alomar X

    更新日期:2011-04-01 00:00:00

  • Precision nasal profileplasty with life-sized slide projections, calibrated xerograms, and intraoperative measurements.

    abstract::Full-scale photographic projections and xerographic cephalograms are useful aids in obtaining precision alterations of the nasal profile line. ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Furnas DW

    更新日期:1987-10-01 00:00:00

  • Fronto-orbital and cranial osteotomies with resorbable fixation using an endoscopic approach.

    abstract::Over the past 3 years the authors have used modified minimally invasive endoscopic techniques in the surgical correction of craniosynostosis. For selected patients, these techniques offer an alternative to traditional techniques, minimizing postoperative morbidity and the need for cranial banding. Long-term follow-up ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:10.1016/j.cps.2004.03.007

    authors: Cohen SR,Holmes RE,Ozgur BM,Meltzer HS,Levy ML

    更新日期:2004-07-01 00:00:00

  • The clinical spectrum of pigmented lesions.

    abstract::This article presents the clinical features of a spectrum of pigmented lesions. It begins with benign lesions that may be confused with melanocytic nevi, such as lentigines, seborrheic keratoses, and dermatofibromas. The next section focuses on the various types of melanocytic nevi, including congenital, blue, and Spi...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Schaffer JV,Bolognia JL

    更新日期:2000-07-01 00:00:00

  • Strategies for the treatment of enophthalmos.

    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:

    authors: Grant MP,Iliff NT,Manson PN

    更新日期:1997-07-01 00:00:00

  • Severe Crush Injury to the Forearm and Hand: The Role of Microsurgery.

    abstract::The main goals of treating severe crush injuries are debriding away devitalized tissue and filling any resultant dead space with vascularized tissue. In the authors' experience, the most ideal methods for soft tissue coverage in treating crush injuries are the iliac flap, the adipofascial lateral arm flap, and the gra...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2016.11.002

    authors: Del Piñal F,Urrutia E,Klich M

    更新日期:2017-04-01 00:00:00

  • Microsurgical workhorse flaps in head and neck reconstruction.

    abstract::The aim of reconstruction after resection of head and neck tumors is to achieve acceptable functional and esthetic results with minimal donor site morbidity. Although many flaps have been developed for bone and soft tissue reconstructions, our experience in the past years has identified the anterolateral thigh flap (c...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2005.02.006

    authors: Lutz BS,Wei FC

    更新日期:2005-07-01 00:00:00

  • Foam-covered mammary implants.

    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:

    authors: Brand KG

    更新日期:1988-10-01 00:00:00

  • Alloplastic nasal and perialar augmentation.

    abstract::Our favorable experience with use of porous hydroxyapatite granules to augment the craniofacial skeleton (more than 200 patients during an 8-year period) has led us to use this method to augment the nasal skeleton in selected cases. Extensive experience has been achieved in augmenting the perialar, maxilla, and glabel...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Byrd HS,Hobar PC

    更新日期:1996-04-01 00:00:00

  • Precision planning in blepharoplasty. The importance of preoperative mapping.

    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:

    authors: Flowers RS,Flowers SS

    更新日期:1993-04-01 00:00:00

  • Lateral Skin-Platysma Displacement: A New Approach to Neck Rejuvenation Through a Lateral Approach.

    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

    authors: Pelle-Ceravolo M,Angelini M

    更新日期:2019-10-01 00:00:00

  • Endoscopic evaluation of the patient with head and neck cancer.

    abstract::Endoscopic evaluation of the patient with head and neck cancer is important in the precise diagnosis and staging of the disease, as well as in ruling out synchronous disease. Various types of instruments and techniques may be employed in this evaluation. Endoscopic surgery for malignant disease may play a role in the ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Lyon ST,Holinger LD

    更新日期:1985-07-01 00:00:00

  • Perioperative nursing care of the pediatric hypospadias patient.

    abstract::Advances in the management of the pediatric hypospadias patient have greatly improved his outcome. This article discusses the many facets of nursing care of the pediatric hypospadias patient. Preoperative teaching and postoperative care are defined and explored. ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Buckholz VW

    更新日期:1988-07-01 00:00:00

  • Chimeric flap in clinical use.

    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

    authors: Huang WC,Chen HC,Wei FC,Cheng MH,Schnur DP

    更新日期:2003-07-01 00:00:00

  • The Pittsburgh Tissue Engineering Initiative.

    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:

    authors: Russell AJ,Farkas DL,Huard J,Rubin RT

    更新日期:1999-10-01 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

  • 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

  • The challenge to manage reflex sympathetic dystrophy/complex regional pain syndrome.

    abstract::The challenge to understand reflex sympathetic dystrophy/complex regional pain syndrome may require a better understanding of the complex relationship between the central and peripheral nervous systems. There is no comprehensive hypothesis that clearly explains the etiology and no uniformly successful treatment method...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2005.07.002

    authors: Merritt WH

    更新日期:2005-10-01 00:00:00

  • Complications in blepharoplasty.

    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:

    authors: Castañares S

    更新日期:1978-01-01 00:00:00

  • Emergency free tissue transfer for reconstruction of acute upper extremity wounds.

    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:

    authors: Breidenbach WC 3rd

    更新日期:1989-07-01 00:00:00

  • Demineralized bone implants.

    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:

    authors: Glowacki J,Mulliken JB

    更新日期:1985-04-01 00:00:00