Abstract：
:The task of managing an open wound complicated by exposed bony structures underneath is difficult, if not challenging. We have instituted a method of managing the problems in stages using an artificial dermis and skin grafting technique in 17 wounds in 15 individuals from Sept. 2006 to Feb. 2009. While all wounds were noted to assume aberrant healing processes, the majority of involved bony structures were devoid of periosteal covering compounded by various degrees of infection. Of 15 incidents, mechanical trauma was responsible for 10, chemical burns for two and electrical burns for two patients. A chronic non-healing ulcer with exposed bone formed in an old burn scar accounted for the remaining one. The regimen of surgical management consisted of initial debridement, the coverage of the resultant wound with an artificial dermis and a partial-thickness skin grafted over this dermis-like structure grown with granulation tissues. Complete wound healing was attained in 15 out of 17 with outstanding cosmetic and minimal donor-site morbidity. Despite initial failure encountered in two, the morbidities noted were low. It is especially useful in large defects that usually require flaps for coverage.
journal_name
Clin Plast Surgjournal_title
Clinics in plastic surgeryauthors
Chen X,Chen H,Zhang Gdoi
10.1016/j.cps.2011.09.011subject
Has Abstractpub_date
2012-01-01 00:00:00pages
69-75issue
1eissn
0094-1298issn
1558-0504pii
S0094-1298(11)00133-7journal_volume
39pub_type
杂志文章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 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：:To understand the functional anatomy of the lower limb, one must apply one's knowledge of the gross anatomy to the gait cycle. Gait analysis then leads to a better understanding of the function and dysfunction seen in the lower limb. Data from biochemical studies help one appreciate the forces the major joints are sub...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1986-10-01 00:00:00
abstract：:In general, augmentation of soft tissue has been a problem for plastic surgeons because of the body's protective mechanisms against foreign material, but silicone rubber implants are the author's choice of the materials currently available. The aesthetic considerations of the shape of the calf and techniques and compl...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1991-07-01 00:00:00
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
更新日期：2003-07-01 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：:Clinically objective assessment of the occlusal function remains largely, even today, in the research laboratory instead of in the clinical setting, as part of the routine assessment along with the morphologic documentation. Functional outcomes of the stomatognathic system can be measured in terms of occlusal contact ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2007.04.003
更新日期：2007-07-01 00:00:00
abstract：:Recognition of alar rim deformities is an important component of the preoperative analysis of the nose. Correction of these deformities improves the esthetic balance of the nose and has an added benefit of improving the function of the external nasal valve. Classification systems have been proposed to enable surgeons ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：10.1016/j.cps.2009.12.007
更新日期：2010-04-01 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：:This article assesses the current state of the art of tissue engineering and its applications in dentistry, especially in the reconstruction and repair of orofacial tissues, including bone and oral mucosa, for the restoration of function and improved cosmetics. The article discusses at length the tissue engineering of...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1999-10-01 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：: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：: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：:Lipoplasty accomplishes the opposite of classic plastic surgery results. Instead of a long incision, there is a tiny one; instead of undermining, tunneling is performed; instead of redraping and resection of the skin, lipoplasty uses skin retraction. Retraction versus traction is the key principle of liposuction. The ...
journal_title：Clinics in plastic surgery
pub_type： 历史文章,杂志文章
doi：
更新日期：1996-10-01 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：: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：:In plastic surgery, there are many procedures that can be performed using local instead of general anesthesia. Not only can this help mitigate health care costs, but precious operating-room resources can also be directed to areas of greater need. Common procedures that can be performed under local anesthetics include ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2013.07.004
更新日期：2013-10-01 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：: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
pub_type： 杂志文章,评审
doi：
更新日期：1991-04-01 00:00:00
abstract：:The dysplastic nevus, both the sporadic and familial type, has a significant association with melanoma of the skin. The congenital nevus, which ranges in size from less than 1 cm to a giant hairy nevus, are treated primarily for aesthetic reasons and, in the giant variety, are also treated as a prophylaxis against the...
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：: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：:Our favorable experience with use of porous hydroxyapatite granules to augment the craniofacial skeleton (more than 200 patients during an 8-year period) has led us to use this method to augment the nasal skeleton in selected cases. Extensive experience has been achieved in augmenting the perialar, maxilla, and glabel...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1996-04-01 00:00:00
abstract：:This article discusses the use of Radiesse; a semisolid, cohesive subdermal injectable implant. Through direct and invaluable experience gained over time, plastic surgeons will decide which areas of the face may best be suited for Radiesse and which may be appropriate for other fillers. ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：10.1016/j.cps.2006.08.002
更新日期：2006-10-01 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：: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：:Advances in the management of the pediatric hypospadias patient have greatly improved his outcome. This article discusses the many facets of nursing care of the pediatric hypospadias patient. Preoperative teaching and postoperative care are defined and explored. ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1988-07-01 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
pub_type： 杂志文章
doi：10.1016/j.cps.2009.12.008
更新日期：2010-04-01 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：:Identifying the position, course, and caliber of the dominant perforator is extremely valuable in the preoperative study for perforator surgery. Besides reliability, the ideal technique should offer low cost and high availability and reproducibility. It should be fast, easy to interpret, and free of morbidity. Multide...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：10.1016/j.cps.2011.03.004
更新日期：2011-04-01 00:00:00
abstract：:The key to the correction of severely deviated noses is straightening the nasal septum. An emphasis is placed on conservative management of the external nasal framework while being prepared to perform extensive surgery on the deviated septum. If the septum can be modified and repositioned in the midline without losing...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1988-01-01 00:00:00
