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 alternative. Our experience with retromammary augmentation since 1963 indicates that fibrous capsular contracture around the implant is a persistent sequela. By placing the prosthesis behind the pectoral muscle, we believe we have achieved a significant decrease in this occurrence. Whereas there are a variety of hypothetical explanations for this observation, it may be that interposition of additional soft tissue between the implant and the observer may disguise the otherwise apparent problem, thus making its correction more apparent than real. Whatever the explanation, however, we have had fewer patients requiring fibrous capsule release and a higher incidence of patient satisfaction by placing the prosthesis behind the pectoral muscle.
journal_name
Clin Plast Surgjournal_title
Clinics in plastic surgeryauthors
Biggs TM,Yarish RSsubject
Has Abstractpub_date
1988-10-01 00:00:00pages
549-55issue
4eissn
0094-1298issn
1558-0504journal_volume
15pub_type
杂志文章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
更新日期：2005-01-01 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：: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：: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：: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：
更新日期：1999-10-01 00:00:00
abstract：:Reconstructive surgery of the nasolacrimal duct, or dacryocystorhinostomy, can be performed via an external or endonasal approach. For almost a century external dacryocystorhinostomy was the gold standard for correction of lacrimal duct obstruction. The endonasal approach became a safe surgical procedure using endosco...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2009.02.002
更新日期：2009-07-01 00:00:00
abstract：:The conspicuously high rate of BCC in the population mandates that clinicians have a clear understanding of the tumor's patterns of presentation and behavior. Goals of any form of treatment include establishment of the proper diagnosis and eradication of the lesion with a reasonable aesthetic result. ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1997-10-01 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：: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：:This article outlines the experience of authorities on emerging techniques in plastic surgery that are discussed within this issue, such as mesotherapy and lipodissolve, Russian threads, radiofrequency, and "laser lipo." Readers are invited to analyze the findings and determine whether there is something that could ap...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：10.1016/j.cps.2008.11.004
更新日期：2009-04-01 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：: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：
更新日期：1999-04-01 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：: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
更新日期：2019-07-01 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：:In general, augmentation of soft tissue has been a problem for plastic surgeons because of the body's protective mechanisms against foreign material, but silicone rubber implants are the author's choice of the materials currently available. The aesthetic considerations of the shape of the calf and techniques and compl...
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：:The dysplastic nevus, both the sporadic and familial type, has a significant association with melanoma of the skin. The congenital nevus, which ranges in size from less than 1 cm to a giant hairy nevus, are treated primarily for aesthetic reasons and, in the giant variety, are also treated as a prophylaxis against the...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1993-01-01 00:00:00
abstract：:The color of an individual's skin is an inherited trait, poorly understood in any real genetic sense and likely to remain so in the outbred populace. Pigmentary anomalies are assignable either to hyperpigmentation (melanoderma, ceruloderma) or hypopigmentation (leukoderma). This article briefly reviews such anomalies....
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1987-04-01 00:00:00
abstract：:Asian rhinoplasty differs from traditional rhinoplasty approaches in preoperative analysis, patient expectations, nasal anatomy, and surgical techniques used. Platyrrhine nasal characteristics are common, with low dorsum, weak lower lateral cartilages, columellar retraction, and thick sebaceous skin often noted. Typic...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：10.1016/j.cps.2009.12.008
更新日期：2010-04-01 00:00:00
abstract：:Anatomic implants provide useful alternatives to breast augmentation for the discerning surgeon, particularly in breasts with tight skin envelopes or deficient lower poles. ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：2001-07-01 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
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
更新日期：2004-07-01 00:00:00
abstract：:Recent developments in the management of breast cancer, including axillary sentinel lymph-node biopsy, as well as the inability to reliably detect micrometastatic disease in the axillary lymph nodes either preoperatively or intraoperatively, and the increasing use of both postmastectomy radiation therapy and neoadjuva...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2006.11.006
更新日期：2007-01-01 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：: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：:The specialized tissue requirements or dorsal and palmar skin are analyzed and options for full-thickness replacement outlined in detail. Thoughtful and accurate preoperative planning is the key to success. Dorsal coverage with a variety of pedicled and free fasciocutaneous flaps are quite satisfactory. Palmar coverag...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1992-10-01 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：: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：: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：:Mutilating injuries include a wide and heterogeneous spectrum of clinical presentations, each being unique in terms of pattern of tissue damage, patient characteristics, and functional requirements. Understanding the principles of reconstruction of bone and soft tissues, a wide repertoire of surgical techniques, and t...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2019.02.009
更新日期：2019-07-01 00:00:00
