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, nipple-areolar complex (NAC) shape, NAC position relative to inframammary fold, and NAC position relative to the volume of the breast should be evaluated. Because complications cannot always be anticipated, informed consent is a vital part of managing expectations. Intraoperative considerations include blood pressure control, limiting tension, delayed healing and tissue loss, and using applied anatomy to avoid malposition and asymmetry.
journal_name
Clin Plast Surgjournal_title
Clinics in plastic surgeryauthors
Shestak KC,Davidson EHdoi
10.1016/j.cps.2015.12.007subject
Has Abstractpub_date
2016-04-01 00:00:00pages
323-31issue
2eissn
0094-1298issn
1558-0504pii
S0094-1298(15)00194-7journal_volume
43pub_type
杂志文章,评审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::Intrathoracic infections associated with infection, leakage, or bleeding of the airway, lung parenchyma, esophagus, heart or great vessels is a life-threatening situation that luckily is infrequently seen. Failure to control these infections with the usual techniques can often be attributed to the presence of persiste...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1990-10-01 00:00:00
abstract::Trunk defects can be approached through a multitude of regional flaps that can be harvested from the shoulder girdle, the epigastric axis, the paraspinal region, or the pelvic girdle. The aim of the reconstruction is to provide adequate and tension-free restoration of tissue integrity with minimal functional morbidity...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2010.06.004
更新日期:2010-10-01 00:00:00
abstract::The two stage principle is one of the most important features of the procedure. It allows starting the operation at a very early stage (one to six months). The donor area in the periphery is very well supplied, therefore as many facial fascicles as necessary can be sacrificed on the healthy side. We have never noticed...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1979-07-01 00:00:00
abstract::In the past 30 years, MMS has become recognized as the treatment of choice for certain uncommon cutaneous neoplasms and for certain variants of BCC, squamous cell carcinoma, and melanoma. It offers an extremely high cure rate and maximally preserves healthy tissue, which often allows for preservation of function as we...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/s0094-1298(03)00096-8
更新日期:2004-01-01 00:00:00
abstract::The use of analgesic and sedative medications in plastic surgery can be divided into two main categories: premedication for general and local anesthesia and intraoperative sedation as an adjunct to local anesthesia. The actions and applications of specific agents are discussed. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1985-01-01 00:00:00
abstract::A straightforward approach to ptosis in a patient interested in aesthetic blepharoplasty is presented. Beginning with an explanation of how ptosis often becomes apparent after an aesthetic surgery of the upper lid, this article describes functional anatomy of the eyelid relevant to ptosis, and discusses the various ca...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2012.06.007
更新日期:2013-01-01 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::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 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::The temporal fossa, zygomatic arch, and malar-midface should be considered jointly when augmentation of the temporal area or reduction of the zygomatic arch are to be carried out. These anatomic areas relate so closely to one another that altering one affects the other. In addition, augmentation of the malar-midface a...
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::Despite a better appreciation of the relationship between the eye and the thyroid gland in Graves' disease, the treatment of moderate to severe exophthalmos remains surgical. For many years, standard textbooks recommended a risky, transfrontal approach for exophthalmos that had to be performed by a neurosurgeon. A pre...
journal_title:Clinics in plastic surgery
pub_type: 传,历史文章,杂志文章
doi:
更新日期:1983-10-01 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::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::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::Radiofrequency (RF)-based devices are used to improve face and neck laxity, a major feature of aging that until recently could only be addressed with surgery. Although these treatments are not meant to replace surgical procedures, patient satisfaction studies have been consistently high. For physicians offering these ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2016.03.014
更新日期:2016-07-01 00:00:00
abstract::There is a growing interest in upper arm aesthetic surgery but many patients do not accept the visible inner arm scar. Minimal incision brachioplasty using a shorter scar, concealed in the axilla, produces results equal to that of the traditional approach in comparable cases. Patients with massive weight loss may not ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2014.06.009
更新日期:2014-10-01 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::Ring avulsion injury is classically believed to be one of the most challenging for the reconstructive surgeon. Injury patterns include a spectrum from laceration to complete amputation, with differential magnitude of injury to soft tissue, tendon, joint complex, and bone. Although ring avulsion injury can result in de...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2006.11.001
更新日期:2007-04-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1997-07-01 00:00:00
abstract::The technique of dermal suspension, parenchymal reshaping mastopexy is a useful procedure for patients with massive weight loss with a typical presentation. The operation is tailored to the individual deformity, powerfully reshapes the breast, and can be safely combined with other commonly performed procedures. It is ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2018.08.009
更新日期:2019-01-01 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 goal of cosmetic blepharoplasty is to obtain an improvement in the appearance of the eyelids without causing functional or symptomatic alterations in the patients. Patients with undiagnosed problems in tear production who have cosmetic blepharoplasties are a common source of extremely dissatisfied patients with al...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1981-10-01 00:00:00
abstract::Alopecia from scalp burns can present psychological problems. Reconstructive surgery with rotating hair-bearing skin flaps has been useful in the rehabilitation of these patients. In many patients, one flap shift can establish an acceptable hair line. In extensive cases, multiple operations are necessary, including fr...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1982-04-01 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
pub_type: 杂志文章
doi:
更新日期:1984-07-01 00:00:00
abstract::The treatment of diabetic foot ulceration is complex with multiple considerations often leading to limb amputation. This article presents the usefulness of a multidisciplinary approach along with an algorithm to manage and salvage diabetic foot ulcers from amputation. This algorithm is a step-by-step guide to manage t...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2012.05.004
更新日期:2012-07-01 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
pub_type: 杂志文章
doi:
更新日期:1983-04-01 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::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::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