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 early correction of major craniofacial deformities is relapse at the maxillary level, mainly because of the lack of adequate dental occlusion. Rigid fixation methods have been used in surgical correction of Crouzon's disease and Apert's syndrome in order to preserve the position of the mobilized segments. In Crouzon's cases conventional monoblock advancements were performed, using anchor wire osteosynthesis at the frontal region and two metal plates attached to the temporal bone to support the middle third of the face. In Apert's syndrome cases, a monoblock advancement modified by the facial bipartition concept was the selected procedure to obtain a three-dimensional correction. Because a midfacial vertical elongation was necessary, a third plate joins the hemi faces, fixing them to the intermediate frontal bar. Advantages of this method have been demonstrated over the past 2 years. Sixteen children had a one-stage reconstruction by multiple osteotomies and extensive, combined mobilizations of the craniofacial complex. Successful long-lasting corrections attest to the efficacy of this fixation method.
journal_name
Clin Plast Surgjournal_title
Clinics in plastic surgeryauthors
Del Campo AFsubject
Has Abstractpub_date
1989-01-01 00:00:00pages
205-11issue
1eissn
0094-1298issn
1558-0504journal_volume
16pub_type
杂志文章abstract::Reconstruction of soft tissue defects following tumor ablation procedures in the trunk and extremities can challenge the microsurgeon. The goal is not just to provide adequate soft tissue coverage but also to restore form and function and minimize donor site morbidity. Although the principles of the reconstructive lad...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2020.06.007
更新日期:2020-10-01 00:00:00
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
更新日期:2010-07-01 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::Upper extremity reconstruction may be greatly facilitated by "thinking nerve" in the initial evaluation. Frequently, the obvious soft tissue deformity or bone or joint pathology distracts the reconstructive surgeon from an underlying nerve problem. When pain is a portion of the presenting complaints, thinking nerve be...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1989-07-01 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::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::This article describes the surgical procedures used for the aesthetic improvements of the flanks and abdomen. A clinical classification for patient selection regarding when to use liposuction, surgery, or both, is included. Isolated flankplasty, isolated abdominoplasty, and combined flanks with abdominoplasty performe...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1996-10-01 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::Although blepharoplasty has long been the traditional method of improving the aesthetic appearance of the eyelid area, it yields little improvement in several of the major signs of periorbital aging including (1) wrinkling of the infrabrow and lower lid skin, (2) crow's foot wrinkles, (3) malar bags and wrinkles, (4) ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1998-01-01 00:00:00
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:
更新日期:2000-04-01 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::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::Frontoethmoidal meningoencephaloceles constitute a well-defined clinical entity with remarkable epidemiologic peculiarities, being very prevalent in Southeast and Southern Asia, but relatively rare in Western Europe, Japan, Australia, and North America. They do not show an increased risk of recurrence in siblings and ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1987-01-01 00:00:00
abstract::In the past 3 years, more than 125 patients have undergone primary and secondary lower blepharoplasty by the transconjunctival method. The ability to adequately remove fat with this approach has been impressive. Exposure of the central and medial fat compartments is excellent. The lateral fat pad area is not as easy t...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1992-04-01 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::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::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:
更新日期:1985-07-01 00:00:00
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
更新日期:2003-04-01 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::This article presents our approach to performing an endoscopically assisted facelift. The advantages of the subperiosteal dissection are discussed. The procedure is expoused considering different approaches and variations depending on each particular case. Surgical procedures for the forehead, cheeks, and neck are dis...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1997-04-01 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 technique of mandibular reconstruction utilizing rigid internal fixation and vascularized bone grafts has been described. This type of repair should be considered in all patients undergoing mandibular resection for head and neck malignancies. Although no ideal method of reconstruction has yet been described, it ap...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1989-01-01 00:00:00
abstract::Surface aesthetics of an attractive nose result from certain lines, shadows, and highlights with specific proportions and breakpoints. Analysis emphasizes geometric polygons as aesthetic subunits. Evaluation of the complete nasal surface aesthetics is achieved using geometric polygons to define the existing deformity ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2015.09.004
更新日期:2016-01-01 00:00:00
abstract::The goal of this article is to introduce clinical investigators to the basic concepts of cost-effectiveness analysis. This line of research is not commonly pursued in clinical studies probably because of unfamiliarity of plastic surgeons with the field of health economics and health research methodology in general. Th...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2007.10.012
更新日期:2008-04-01 00:00:00
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 an...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1979-01-01 00:00:00
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
更新日期:2004-04-01 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::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:
更新日期:1987-01-01 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::This article explores the functioning of highly effective teams in burn care. Critical to the success of the team is the health of burn care providers, who can experience burnout. Wellness must be promoted by health care organizations, which, in turn, are responsible for the health of the populations they serve. Profe...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2017.06.003
更新日期:2017-10-01 00:00:00