Abstract：
:Pedicle perforator flaps and keystone perforator island flaps are additional tools for reconstructive surgeons. Advances in understanding of vascular anatomy, the dynamic nature of perforator perfusion, inter-perforator flow and the hot-spot principle have led to reconstructive techniques that allow innovative autologous tissue transfer while limiting donor site morbidity. Further modifications of the pedicle perforator flap have led to a multitude of freestyle pedicle perforator flap options, as well as freestyle free flaps for soft tissue reconstruction. Modifications in the keystone perforator island flap have increased the degrees of freedom for soft tissue coverage of large defects, with reliable and aesthetically pleasing results.
journal_name
Clin Plast Surgjournal_title
Clinics in plastic surgeryauthors
Abraham JT,Saint-Cyr Mdoi
10.1016/j.cps.2016.12.005subject
Has Abstractpub_date
2017-04-01 00:00:00pages
385-402issue
2eissn
0094-1298issn
1558-0504pii
S0094-1298(16)30188-2journal_volume
44pub_type
杂志文章,评审abstract：:Orthopedic and orthodontic management of patients born with clefts of the lip, alveolus and palate is based on the application of basic biomechanical principles adapted to the individualized cleft anatomy. This article focuses on orthopedic and orthodontic preparation for 2 stages of interdisciplinary orthodontic/surg...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2014.01.001
更新日期：2014-04-01 00:00:00
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：
更新日期：1987-10-01 00:00:00
abstract：:A clear understanding of upper eyelid anatomy is an absolute prerequisite for performing advanced invagination-type blepharoplasty. This article describes the author's simple, systematic approach to intraoperative identification of the levator aponeurosis as well as the other key layers of fascia in the upper lid. ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1993-04-01 00:00:00
abstract：:The primary goal of engineering cartilage as a therapeutic approach is to restore the physiological conditions of an affected or defective tissue in the body. Cartilage tissue is distributed widely in the human body and possesses an organization related to the specific demand of a particular anatomical region. In sele...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/s0094-1298(03)00070-1
更新日期：2003-10-01 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：:Wound healing is a complex process that often becomes problematic in complicated patients. When abnormal wound healing occurs, there are many possible ways to intervene. One intervention is through the use of dressings and topical agents. This article is a review of the latest dressings and topical agents available in...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2007.07.004
更新日期：2007-10-01 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：:Wetting solutions play a crucial role in traditional lipoplasty by reducing blood loss in the aspirate and diminishing postoperative ecchymosis and edema. From the inception of ultrasound-assisted lipoplasty a "wet environment" has been considered essential for efficient fat emulsification and for control of thermal s...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1999-04-01 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：: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：:The success of a denture is dependent on a good foundation; therefore, construction of the prosthesis begins with extraction of the teeth. The teeth should be maintained as long as possible if they can be restored. When the teeth are extracted, bone resorption usually starts, owing to systemic and local factors. Good ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1989-10-01 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：: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：: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：: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：
更新日期：1981-07-01 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：: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：: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：
更新日期：1989-07-01 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：: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：:Primary amputation in vascular trauma should be rare in the absence of prolonged ischemia, massive soft-tissue loss, and multiple fractures. Repair of the artery and vein, soft-tissue coverage, and rigid skeletal fixation is associated with an excellent limb salvage rate. Fasciotomy should be performed in cases with c...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1986-10-01 00:00:00
abstract：:The aesthetic and functional reconstruction of the orbital and periorbital anatomy poses a complex challenge to the reconstructive surgeon. Four clinical cases are illustrated regarding the restoration of contour, and coverage of vital structures following tumor resections. ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1988-04-01 00:00:00
abstract：:The article focuses on the authors' autologous fat grafting technique and its application in regenerative treatment of different scars and ulcers. Although easy to perform, this surgical approach requires some technical procedures and specific management to maximize its effectiveness which are highlighted in the artic...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2015.03.008
更新日期：2015-07-01 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：:Pulmonary edema and local anesthetic toxicity are potential complications of the use of large volumes of infiltrate during lipoplasty. In most patients, these unfavorable developments are prevented by physiologic and pharmacologic mechanisms. The latter may be inadequate in some patients, however, and it is imperative...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1999-07-01 00:00:00
abstract：:Over the past several years, there has been a tremendous growth and interest in buttocks augmentation in the United States. Surgical techniques have evolved over time to correct anatomical deficiencies and fulfill patient requests, including silicone implant placement (subcutaneous, intramuscular, submuscular, and sub...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：10.1016/j.cps.2006.04.005
更新日期：2006-07-01 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：:Craniofacial growth is a complex phenomenon. Knowing the starting blocks and the ultimate function, the pathways leading to the "finished product" become only a matter of connecting the dots. ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1990-01-01 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：: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
