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 include skin- and nipple-sparing mastectomies with immediate reconstruction as well as oncoplastic procedures that allow larger excisions and better postoperative breast shape. This article provides an overview of these modern surgical approaches for breast cancer treatment.
journal_name
Clin Plast Surgjournal_title
Clinics in plastic surgeryauthors
Cil TD,McCready Ddoi
10.1016/j.cps.2017.07.002subject
Has Abstractpub_date
2018-01-01 00:00:00pages
1-11issue
1eissn
0094-1298issn
1558-0504pii
S0094-1298(17)30127-Xjournal_volume
45pub_type
杂志文章,评审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::We have presented the evolution of our current methods of breast reconstruction, which utilize the tissue expander in a variety of ways. We strongly support the concept that expansion should occur in the subcutaneous layer of the lower thoracic region. It is, after all, the region occupied by a mature breast that has ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1987-07-01 00:00:00
abstract::Low-level laser-assisted liposuction (LLLL), known as the Neira 4 L technique, is an excellent adjuvant tool for the surgeon practicing liposculpture. A low-level laser is used to create a transitory pore in the cell membrane of the adipocyte to move fat from inside the cell to the interstitial space outside without k...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2005.09.005
更新日期:2006-01-01 00:00:00
abstract::Few areas in plastic surgery have changed as rapidly as the management of complex facial fractures. This article delineates five principles governing current management of the patient with injuries of the craniomaxilloficial skeleton. ...
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::Assessing risk and avoiding complications in breast reduction requires a meticulous history, systematic physical examination, management of expectations, and careful consideration and execution of operative technique. Attention should be paid to comorbidities. Shape, symmetry, contours, scar location, skin quality, ni...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2015.12.007
更新日期:2016-04-01 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::Cutaneous infections are common occurrences in clinical practice. Plastic surgeons need to recognize the varied presentations of cutaneous infections because they may mimic cutaneous malignancies or be a harbinger of underlying disease. We have reviewed the diagnosis and management of some of the more common bacterial...
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::Free muscle transfer is now a feasible procedure in several fields of reconstructive surgery. In this article, basic science behind clinical free muscle transfer, including essential aspects like donor muscle selection (type of blood supply, architecture of fibers, fiber length, and muscle volume), donor nerve selecti...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/s0094-1298(02)00020-2
更新日期:2002-10-01 00:00:00
abstract::In summary, the commonest late physical complications of the burn injury have been reviewed and an approach to their management described. An understanding of the pathophysiology of the conditions is invaluable in planning one's approach to these problems. The techniques to control and correct chronic wound and hypert...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1977-10-01 00:00:00
abstract::The propensity of crosslinked collagen matrices to calcify when implanted in animals and human beings is well documented. This article demonstrates that the covalent binding of the biphosphonate, 3-amino-1-hydroxy-propane-1-1-diphosphonic acid, to active bone matrix inhibits bone formation as well as dystrophic calcif...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1994-07-01 00:00:00
abstract::The author recalls his early experiences in the experimental development of microsurgical replantation and transplantation. The operating microscope and an unlimited supply of microsutures have made possible the development of clinical microsurgery. ...
journal_title:Clinics in plastic surgery
pub_type: 历史文章,杂志文章
doi:
更新日期:1986-04-01 00:00:00
abstract::Technologic advances have made routine use of some form of monitoring mandatory in modern burn care. Nevertheless, not all patients require all forms of monitoring. Patients with minimal burns require only minimal monitoring (vital signs, 24-hour urine output, biochemical and hematologic profile). Larger burns, associ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1986-01-01 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::This article presents a survey of some of the nonpigmented cutaneous lesions that have the propensity or possibility to progress or transform into malignancies. For each lesion, the author discusses clinical appearance and course, histologic features, and general recommendations for treatment. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1987-04-01 00:00:00
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, complemen...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1979-10-01 00:00:00
abstract::Orbital hypertelorism represents lateralization of the orbits, meaning increased interorbital and outer orbital distances. Interorbital hypertelorism represents a failure of medial orbital wall medialization in the setting of normally positioned lateral orbital walls. The etiology and type of hypertelorism influence s...
journal_title:Clinics in plastic surgery
pub_type: 历史文章,杂志文章,评审
doi:10.1016/j.cps.2018.11.004
更新日期:2019-04-01 00:00:00
abstract::Soft-tissue augmentation lends another dimension to facial rejuvenation. Human collagen tissue matrix offers the most physiologic solution to dermal volume depletion, structural soft-tissue malposition, and the correction of facial rhytides and various soft-tissue contour defects. Results with the use of Dermalogen ha...
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::Complex head and neck reconstruction often mandates free tissue transfer to achieve the most optimal outcomes. Unfortunately, such challenging cases are not without risks of complications, the most dreaded of which is loss of the free flap. Aside from loss of the free flap, there are several other potential complicati...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2016.05.001
更新日期:2016-10-01 00:00:00
abstract::Several aspects must be considered in the performance of muscle and musculocutaneous flaps. Some of the most important are not at all related to the technical elevation and manipulation of the individual flap. It is hoped that this brief outline will prove beneficial to many successful future reconstructive applicatio...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1980-01-01 00:00:00
abstract::Fractures of the upper third of the face from vehicle accidents are relatively uncommon but can have serious associated injuries of the dura and frontal lobe when they do occur. The injury may result from the victim's face either striking the dashboard or bouncing violently off the lower broken edge of the penetrated ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1975-01-01 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::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::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::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::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
更新日期:2009-01-01 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::Although interest in buttocks implant procedures is growing around the world, it remains a technically demanding procedure. The intramuscular plane is thought to be superior to other planes of dissection. Asymmetry and visibility of the implants remain frequent complications when the surgeon works without any referenc...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2017.12.006
更新日期:2018-04-01 00:00:00
abstract::Phalloplasty represents the most complete genitoperineal transformation for trans men. Although voiding while standing is a priority for most trans men, most patients want to use the neophallus for sexual experience after they are accustomed to their new voiding abilities. Different techniques have been used to obtain...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2018.03.012
更新日期:2018-07-01 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::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:
更新日期:1999-01-01 00:00:00