Abstract：
:The vascular anatomy of perforators varies between individuals; thus, accurate preoperative assessment of perforators is essential for safely planning perforator flaps. Perforator computed tomographic angiography (P-CTA) with multidetector-row computed tomography (MDCT) is one of the best available methods to precisely reveal the 3-dimensional anatomic details of perforators. The aim of this report is to describe the authors' experience using P-CTA with MDCT for detecting the perforating vessel preoperatively and a step-by-step approach to harvest perforator flaps based on this technique. This report also provides a comprehensive review of literature on other preoperative assessment tools of perforators.
journal_name
Clin Plast Surgjournal_title
Clinics in plastic surgeryauthors
Ono S,Hayashi H,Ohi H,Ogawa Rdoi
10.1016/j.cps.2016.09.004subject
Has Abstractpub_date
2017-01-01 00:00:00pages
21-30issue
1eissn
0094-1298issn
1558-0504pii
S0094-1298(16)30139-0journal_volume
44pub_type
杂志文章,评审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：: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：:Flap prefabrication and prelamination are evolving, new techniques that are useful in reconstructing complex defects of the head and neck. Flap prefabrication involves the introduction of a new blood supply by means of a vascular pedicle transfer into a volume of tissue. After a period of neovascularization, this volu...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：2001-04-01 00:00:00
abstract：:Because the chin, like the nose, occupies a prominent position in the face, it must also be assessed in planning any changes in the facial profile. For example, a large nose associated with a microgenia does not appear as large when the chin is augmented. A chin increased in the vertical dimension confers an excessive...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1991-01-01 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：:Placing the incision at the hairline or just posterior to the boundary of the hair, with subcutaneous elevation of the flaps, is a more effective way to correct the aging upper face, whether it be "crow's feet," excess forehead skin, or eyebrow ptosis. Furthermore, by placing the facial rhytidectomy incision at the si...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1992-04-01 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 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：:This article presents the clinical features of a spectrum of pigmented lesions. It begins with benign lesions that may be confused with melanocytic nevi, such as lentigines, seborrheic keratoses, and dermatofibromas. The next section focuses on the various types of melanocytic nevi, including congenital, blue, and Spi...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：2000-07-01 00:00:00
abstract：:Face transplantation can provide improved quality of life to patients with extensive burn injuries. Facial vascularized composite allotransplantation (VCA) offers a new paradigm of treatment options, serving as a powerful reconstructive tool to restore facial form and function. Although currently facial VCA patients m...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2017.05.017
更新日期：2017-10-01 00:00:00
abstract：:Excision of large and giant melanocytic nevi presents a distinct challenge to the pediatric plastic surgeon. The exact risk of malignant degeneration remains unknown. These unsightly lesions can be psychologically damaging to both parent and child. The pediatric plastic surgeon must have an armamentarium of techniques...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2004.08.004
更新日期：2005-01-01 00:00:00
abstract：:Seroma formation is one of the major postoperative complications of abdominoplasty. Progressive tension sutures have been proposed as an adjunct procedure to combat this problem. Apart from being a simple addition to abdominoplasty, the sutures also eliminate other complications, such as postoperative drains, and incr...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：10.1016/j.cps.2010.03.004
更新日期：2010-07-01 00:00:00
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journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2013.07.007
更新日期：2013-10-01 00:00:00
abstract：:This article supplies an introduction to the structure and purpose of managed care financial incentives, with particular attention to those affecting referrals to specialists. It then addresses some of the ethical problems attending such incentive schemes and discusses the characteristics that make some financial ince...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1999-01-01 00:00:00
abstract：:As a technical innovation, microsurgery has changed concepts and strategies throughout plastic surgery. The infrastructures of plastic surgery currently are evolving in ways that make the identity and future of the specialty uncertain. Microsurgery also may be a basis for fresh thoughts in these areas of infrastructur...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：10.1016/s0094-1298(03)00087-7
更新日期：2002-01-01 00:00:00
abstract：:Simultaneous breast augmentation and mastopexy is a common procedure often considered to be one of the most difficult cosmetic breast surgeries. One-stage augmentation mastopexy was initially described more than 50 years ago. The challenge lies in the fact that the surgery has multiple opposing goals: to increasing th...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2015.06.008
更新日期：2015-10-01 00:00:00
abstract：:An 18-month experience with an endoscopically assisted "closed" technique of modified transblepharoplasty lower lid and midface rejuvenation is presented. In the modified approach, preseptal dissection in the body of the lower lid is eliminated to decrease the incidence of septal scarring and lower lid retraction. The...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：2001-10-01 00:00:00
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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：:A conservative osteotomy of the zygomaticomaxillary buttress in combination with a rapid palatal expansion appliance is a dependable technique for the treatment of horizontal maxillary deficiency in adults. This procedure has been used successfully in 56 patients in our series, but 17 patients (30 percent) required a ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1989-10-01 00:00:00
abstract：:This article presents a contemporary overview of tip suturing and tip structural grafting techniques used to refine the wide nasal tip. Previous reductive techniques have proved to produce unnatural results over time. It is imperative to correctly evaluate the nose and assess all possible pitfalls during the preoperat...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2015.09.013
更新日期：2016-01-01 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：:This article is a review of cost considerations and outcomes pertaining to the use of acellular dermal matrices (ADMs) in reconstructive and aesthetic breast surgery. The history of the use of ADMs in breast surgery and all case series describing outcomes and use of ADM in breast reconstructive and aesthetic surgery a...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2012.02.007
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abstract：:An angiosome is a composite block of tissue that is supplied anatomically by source (segmental or distributing) vessels that span between the skin and bone. In addition to supplying the deep tissues, the source vessels of these angiosomes supply branches to the overlying skin, which pass either between the deep tissue...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/s0094-1298(03)00034-8
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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 most common complication of blepharoplasty is an unnatural distortion of the lower eyelid. Identification of the underlying anatomic deformities dictates the reconstructive procedures. Emphasis is placed on utilization of the dermal-orbicular pennant lateral canthoplasty. ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1993-04-01 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：: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：: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 autolog...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2016.12.005
更新日期：2017-04-01 00:00:00
abstract：:The deep-plane midface lift offers many advantages in midface rejuvenation. Anatomic analysis of aging and embryologic evidence both support surgical facial “degloving” in the sub-SMAS plane and resuspension of the platysma/SMAS unit. This approach offers more complete repositioning of facial soft tissue compared with...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2014.08.009
更新日期：2015-01-01 00:00:00
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journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2007.05.005
更新日期：2007-07-01 00:00:00
