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 the ability to plan the reconstructive journey leading to a functional hand are crucial. Management of these injuries involves several on-the-spot decisions by the surgeon. This article aims to equip the surgeon with the key principles and the bits of knowledge that are essential for effective planning and execution when dealing with such injuries.
journal_name
Clin Plast Surgjournal_title
Clinics in plastic surgeryauthors
Lahiri Adoi
10.1016/j.cps.2019.02.009subject
Has Abstractpub_date
2019-07-01 00:00:00pages
351-357issue
3eissn
0094-1298issn
1558-0504pii
S0094-1298(19)30019-7journal_volume
46pub_type
杂志文章,评审abstract::Since the first implant-based breast surgeries were performed nearly 70 years ago, breast augmentation it has changed drastically. As understanding of breast augmentation has advanced, so too have the technologies and techniques used to improve results and minimize the risk of complications in breast implant surgery. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2020.09.004
更新日期:2021-01-01 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::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::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::Tendon transfers are performed predominantly to restore hand function or balance due to injuries of the radial, median, and ulnar nerves. Current surgical techniques for the most common tendon transfers for reconstruction of radial, median, and ulnar nerve palsies are demonstrated. These techniques can also be applied...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2011.07.002
更新日期:2011-10-01 00:00:00
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:
更新日期:1996-04-01 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::The midline forehead flap has been a preferred choice for nasal repair in our practice for over 20 years, with no significant complication ever having developed (Figs. 9 to 11). The abundance and length of tissue it provides is remarkable, given the inconspicuous defect remaining in the forehead area. Its use is econo...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1985-07-01 00:00:00
abstract::Developing standardized outcomes and algorithms of treatment is a constantly evolving task. This article examines four variables in this process: cleft type, operative technique, surgical experience, and timing. Input from international cleft lip and palate programs regarding techniques and treatment modalities provid...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00
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:
更新日期:1985-01-01 00:00:00
abstract::Experimental and clinical cases document that the omentum and jejunum can be harvested successfully as a free flap using laparoscopic assistance. Our gross and microscopic findings attest to the viability of this approach. If the omentum is not needed in it entirety, one can safely custom design the free flap to match...
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::Trunk defects can be approached through a multitude of regional flaps that can be harvested from the shoulder girdle, the epigastric axis, the paraspinal region, or the pelvic girdle. The aim of the reconstruction is to provide adequate and tension-free restoration of tissue integrity with minimal functional morbidity...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2010.06.004
更新日期:2010-10-01 00:00:00
abstract::Diabetes mellitus is a complex metabolic disorder whose components have several direct and indirect effects on the healing of wounds. This article examines how diabetes affects wound healing from the standpoint of alterations in the microvasculature, nerve function, and the immune system. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1990-07-01 00:00:00
abstract::In composite rhytidectomy, all of the deep aging anatomic components of the midface are elevated in the skin flap. The platysma muscle, cheek fat, and orbicularis oculi muscle are repositioned in this bipedicled musculocutaneous flap, which very effectively improves the nasolabial fold. Repositioning of all of the dee...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1995-04-01 00:00:00
abstract::Dermatologists and their plastic surgical colleagues treating acne vulgaris and its sequelae have an effective arsenal of anti-acne preparations to inhibit and avoid many of the long-term, cosmetically deforming effects of severe inflammatory acne. It is incumbent upon the physician participating in the care of the ea...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1987-04-01 00:00:00
abstract::The relationship between work activities and the diagnostic entities discussed in this article is poorly understood, but their development is probably multifactorial. The enormous cost to industry and society is driving many investigators to study the causes and pathologic manifestations of CTDs, and this research sho...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1996-07-01 00:00:00
abstract::The treatment of diabetic foot ulceration is complex with multiple considerations often leading to limb amputation. This article presents the usefulness of a multidisciplinary approach along with an algorithm to manage and salvage diabetic foot ulcers from amputation. This algorithm is a step-by-step guide to manage t...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2012.05.004
更新日期:2012-07-01 00:00:00
abstract::This article presents the author's experience using the Tanzer technique with modifications. Included also are changes in technique based on results from long-term follow-up studies. ...
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::This article presents the author's personal philosophy for treatment of various abdominal wall defects resulting from surgical complications and unfavorable results of previous abdominal interventions. The purpose is not to discuss and analyze care and management of all soft tissue complications encountered after abdo...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2005.12.003
更新日期:2006-04-01 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::Burns and trauma cause superficial and deep soft tissue wounds that cannot heal to the preinjury state. Healing requires cell proliferation and differentiation into the injured tissue type, laying down extracellular matrix, often as collagens. Heterotopic ossification causes severe pain, nonhealing wounds, and restric...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2017.05.006
更新日期:2017-10-01 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::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::The objectives of this article are to explain the mechanisms of injury that result in ischemia of the nipple areolar complex (NAC) after reduction mammaplasty or mastopexy, to offer recommendations about the management of this complication, and to illustrate reconstructive techniques that can be used to correct deform...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2015.12.012
更新日期:2016-04-01 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::The armamentarium of the modern breast surgeon includes the time-tested procedures of modified radical mastectomy and lumpectomy with sentinel lymph node biopsy with postoperative radiation, but has evolved to include several options that produce excellent oncologic endpoints and improved cosmesis. These options inclu...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2017.07.002
更新日期:2018-01-01 00:00:00
abstract::Despite a better appreciation of the relationship between the eye and the thyroid gland in Graves' disease, the treatment of moderate to severe exophthalmos remains surgical. For many years, standard textbooks recommended a risky, transfrontal approach for exophthalmos that had to be performed by a neurosurgeon. A pre...
journal_title:Clinics in plastic surgery
pub_type: 传,历史文章,杂志文章
doi:
更新日期:1983-10-01 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::Each year, there are as many cases of nonmelanoma skin cancer as all other cancers combined. Although there is relatively low attributable mortality, the morbidity and expense of treatment is significant. Unlike many other malignancies, host and environmental factors relevant to the pathophysiology have been clearly d...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2004.11.009
更新日期:2005-04-01 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