Management of Unfavorable Outcomes in Head and Neck Free Flap Reconstruction: Experience-Based Lessons from the MD Anderson Cancer Center.

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

authors： Alonso JE,Regazzoni P

更新日期：1991-07-01 00:00:00

abstract：:The transconjunctival approach to lower lid blepharoplasty provides access for both fat resection and transposition to soften tear trough deformities and correct infraorbital fat herniation. Overall, there is a paradigm shift that has focused more on enhancing lower lid-cheek shape and contour and preserving orbital v...

journal_title：Clinics in plastic surgery

authors： Davison SP,Iorio ML,Oh C

更新日期：2015-01-01 00:00:00

abstract：:The most common precancerous skin lesions are actinic keratoses, Bowen's disease, and keratoacanthoma. Actinic keratoses appear over the exposed areas of the body as the result of actinic radiation. Bowen's disease is most probably secondary to the effects of internal carcinogens. Keratoacanthomas are self-limited les...

journal_title：Clinics in plastic surgery

authors： Pinkus H,Mehregan AH

更新日期：1980-07-01 00:00:00

abstract：:Asian rhinoplasty differs from traditional rhinoplasty approaches in preoperative analysis, patient expectations, nasal anatomy, and surgical techniques used. Platyrrhine nasal characteristics are common, with low dorsum, weak lower lateral cartilages, columellar retraction, and thick sebaceous skin often noted. Typic...

journal_title：Clinics in plastic surgery

authors： Toriumi DM,Pero CD

更新日期：2010-04-01 00:00:00

abstract：:Cancer of the nose is very common and lesions seen by reconstructive surgeons are often recurrent and extensive. Surgical removal of cancer of the nasal skin can usually be accomplished under local anesthesia, and in most instances frozen section histologic examination should be used to confirm the adequacy of excisio...

journal_title：Clinics in plastic surgery

authors： Bennett JE,Thurston JB

更新日期：1976-07-01 00:00:00

abstract：:Ambulatory surgery in a private plastic surgery office is a practical and desirable reality. This can be achieved only in a properly staffed facility. A small number of employees are needed but each must be carefully selected for proper qualifications and attributes, appropriate training and skills necessary to execut...

journal_title：Clinics in plastic surgery

authors： Godfrey NV,Aston SJ

更新日期：1983-04-01 00:00:00

abstract：:This study used stromal vascular fraction gel (SVF-gel), a mechanically processed fat-derived product, to treat eye bag and tear trough deformity. SVF-gel is prepared by a process of centrifugation and intersyringe shifting and is particularly rich in SVF cells and native adipose extracellular matrix. SVF-gel injectio...

journal_title：Clinics in plastic surgery

authors： Jiang S,Quan Y,Wang J,Cai J,Lu F

更新日期：2020-01-01 00:00:00

abstract：:Although the cause of the midfacial anomalies in Apert syndrome is still elusive, a great experience has accrued in the management of these physically and psychologically handicapping deformities. An interdisciplinary approach that includes input from an orthodontist, pediatric dentist, and oral and maxillofacial surg...

journal_title：Clinics in plastic surgery

authors： Ferraro NF

更新日期：1991-04-01 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

authors： Randolph MA,Anseth K,Yaremchuk MJ

更新日期：2003-10-01 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

authors： Agarwal S,Sorkin M,Levi B

更新日期：2017-10-01 00:00:00

abstract：:In our litigious medical environment, and particularly after the breast implant debacle, plastic surgeons must understand the regulatory implications of devices they implant in their patients. This article reviews the regulatory aspects of ultrasound-assisted lipoplasty and the regulatory fundamentals that apply to al...

journal_title：Clinics in plastic surgery

authors： D'Amico RA

更新日期：1999-04-01 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

authors： Nayyar A,Charles AG,Hultman CS

更新日期：2017-07-01 00:00:00

abstract：:Total mastectomy is an effective operation for patients who are candidates for a prophylactic mastectomy. This operation removes a larger percentage of breast tissue than subcutaneous mastectomy. The cosmetic results of total mastectomy with immediate reconstruction compare favorably with those of subcutaneous mastect...

journal_title：Clinics in plastic surgery

authors： Horton CE,Dascombe WH

更新日期：1988-10-01 00:00:00

abstract：:Nerve imaging is an important component in the assessment of patients presenting with suspected peripheral nerve pathology. Although magnetic resonance neurography and ultrasound are the most commonly utilized techniques, several promising new modalities are on the horizon. Nerve imaging is useful in localizing the ne...

journal_title：Clinics in plastic surgery

authors： Purger DA,Sakamuri S,Hug NF,Biswal S,Wilson TJ

更新日期：2020-04-01 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

authors： Doi K,Hattori Y,Tan SH,Dhawan V

更新日期：2002-10-01 00:00:00

abstract：:The author discusses implementation of suction-assisted lipectomy in Japan and describes his experience in coping with the complications of this procedure over the past four years. Included are patient selection, preoperative testing, operative procedure, as well as complications. ...

journal_title：Clinics in plastic surgery

authors： Shirakabe T

更新日期：1984-07-01 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

authors： McGavran MH

更新日期：1987-04-01 00:00:00

abstract：:The authors discuss how, in performing an endoscopic brow lift, meticulous surgical technique, adherence to anatomic dissection planes, and direct visualization used at key points in the procedure enable a safer, more-complete dissection and a better outcome. Anatomy as it relates to the procedure is discussed. Patien...

journal_title：Clinics in plastic surgery

authors： Terella AM,Wang TD

更新日期：2013-01-01 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

authors： McCraw JB,Vasconez LO

更新日期：1980-01-01 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

authors： Thoma A,Strumas N,Rockwell G,McKnight L

更新日期：2008-04-01 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

authors： Handel N,Yegiyants S

更新日期：2016-04-01 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

authors： Dhir K,Ghavami A

更新日期：2016-01-01 00:00:00

abstract：:Over the past decade, many changes and updates have occurred in the world of vascular anomalies, including their histopathology. An appreciation has developed that a combined team approach is optimal in arriving at a correct diagnosis. Technical advances such as immunohistochemical stains for GLUT1, an excellent marke...

journal_title：Clinics in plastic surgery

authors： Gupta A,Kozakewich H

更新日期：2011-01-01 00:00:00

abstract：:Great progress has been made in both the basic science and the clinical knowledge base used in orbital reconstruction. With this, increasing complex orbital reconstructive problems are better managed. The diagnosis, treatment plan, and the actual reconstruction have evolved to a higher level. Several areas of progress...

journal_title：Clinics in plastic surgery

authors： Nguyen PN,Sullivan P

更新日期：1992-01-01 00:00:00

abstract：:The Pittsburgh Tissue Engineering Initiative (PTEI) is the prime catalyst for tissue-engineering research and the development of a viable for-profit tissue-engineering industry in southwestern Pennsylvania. PTEI operates targeted programs that support commercializable research; provide professional and community educa...

journal_title：Clinics in plastic surgery

authors： Russell AJ,Farkas DL,Huard J,Rubin RT

更新日期：1999-10-01 00:00:00

abstract：:The distinction between primary and secondary syndactyly is made on the basis of their relation to the morphogenesis. The latter is associated with antecedent malformation which results in subsequent refusion of parts. Based on these considerations, a practical classification is suggested. The management of the variou...

journal_title：Clinics in plastic surgery

authors： Entin MA

更新日期：1976-01-01 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

authors： Heggers JP

更新日期：1979-10-01 00:00:00

abstract：:All unilateral clefts of the lip are not alike. The deficiencies that exist, especially in the lateral lip element, can vary considerably. Because of these differences, it is unreasonable to expect one technique of repair to satisfy all situations. In more difficult complete unilateral cleft lip deformity, the Z-plast...

journal_title：Clinics in plastic surgery

authors： Lewis MB

更新日期：1993-10-01 00:00:00

abstract：:The double free-muscle transfer technique has restored prehension in patients following complete avulsion of the brachial plexus. This achievement was almost inconceivable as recently as several years ago and has now given new hope for these patients to be able to use their otherwise useless limbs. ...

journal_title：Clinics in plastic surgery

authors： Doi K

更新日期：1997-01-01 00:00:00

abstract：:The surgical correction of post-traumatic enophthalmos is among the most challenging problems for the surgeon. A thorough understanding of orbital anatomy and the purposed mechanisms of enophthalmos is crucial to the ultimate success or failure of the procedures. The successful orbital reconstruction begins with a car...

journal_title：Clinics in plastic surgery

authors： Grant MP,Iliff NT,Manson PN

更新日期：1997-07-01 00:00:00