Treatment of earthquake-related craniofacial injuries aboard the USNS Comfort during Operation Unified Response.


BACKGROUND:Craniofacial injuries secondary to earthquake-related trauma are uncommonly reported and can pose a significant reconstructive challenge. The objective of this study is to report and analyze earthquake-related craniofacial injury reconstruction and the disaster relief capabilities of a U.S. Navy hospital ship. METHODS:A review of earthquake-related injuries treated over 40 days requiring craniofacial reconstruction onboard a U.S. Navy hospital ship was performed. RESULTS:From January 20 to February 28, 2010 (40 days), 869 patients were admitted to the USNS Comfort. Thirty-three patients (4 percent) treated by the craniofacial service underwent 93 craniofacial surgical procedures. Average patient hospitalization time was 17 days (range, 5 to 38 days). The fractures treated included nine mandibles, 12 zygomaticomaxillary-orbital complexes, 16 orbital floors, eight Le Fort, four naso-orbitoethmoid, and two cranial vault fractures. The soft-tissue injuries treated were two heminasal avulsions, two traumatic cleft lips, and eight other complex facial lacerations. Short-term complications included wound dehiscence (6 percent) and postoperative malocclusion (6 percent). There were no postsurgical wound infections, visual field changes, or mortality. CONCLUSIONS:Complex craniofacial surgery services can be safely delivered onboard a United States Navy hospital ship for devastating injuries caused by natural disasters. Although craniofacial injuries represented a small percentage of the total patients admitted to our hospital ship, the survivors of facial injury required complex and multiple procedures to achieve optimal results. Despite heavy wound contamination and the intrinsic delay in presentation associated with mass casualty triage, facial fractures can be treated adequately and with low morbidity and mortality.


Plast Reconstr Surg


Ray JM,Lindsay RW,Kumar AR




Has Abstract


2010-12-01 00:00:00














  • Ipsilateral island fibula transfer for segmental tibial defects: antegrade and retrograde fashion.

    abstract::Five patients with segmental tibial defects whose contralateral fibula could not be used as a donor were treated with ipsilateral island fibular transfer in an antegrade or retrograde fashion. Antegrade-flow pedicled flaps based on the peroneal vessel as in the conventional free flap were used for the proximal or midd...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Chung YK,Chung S

    更新日期:1998-02-01 00:00:00

  • Methods and results of rhinophyma treatment.

    abstract::Rhinophyma is a disfiguring soft-tissue hypertrophy of the nose. It is an uncommon disease that primarily affects Caucasian men in the fifth to seventh decades of life. Nine cases from the authors' series and a comparison of results following various treatment modalities are presented. Eight of the patients were Cauca...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Redett RJ,Manson PN,Goldberg N,Girotto J,Spence RJ

    更新日期:2001-04-15 00:00:00

  • The Use of Absorbable Mesh in Implant-Based Breast Reconstruction: A 7-Year Review.

    abstract:BACKGROUND:Breast reconstruction is most frequently performed using implants or expanders. Adjunctive materials such as acellular dermal matrix and synthetic meshes are used to support the implant or expander. A paucity of large studies exist on the use of synthetic mesh for breast reconstruction. METHODS:A retrospect...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Faulkner HR,Shikowitz-Behr L,McLeod M,Wright E,Hulsen J,Austen WG Jr

    更新日期:2020-12-01 00:00:00

  • Innovative Surgical Approach Using a Mesh Sling for the Aging Neck.

    abstract:BACKGROUND:Rejuvenation of the neck is essential to achieve a young facade. Different approaches for aging neck rejuvenation have been developed throughout the years. Most of them focus on specific elements that contribute to the aging neck. The main drawbacks of these techniques are recurrence of the platysma bands, m...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Gronovich Y

    更新日期:2018-06-01 00:00:00

  • Critical Evaluation of Risk Factors and Early Complications in 564 Consecutive Two-Stage Implant-Based Breast Reconstructions Using Acellular Dermal Matrix at a Single Center.

    abstract:BACKGROUND:Acellular dermal matrix for implant-based breast reconstruction appears to cause higher early complication rates, but long-term outcomes are perceived to be superior. This dichotomy is the subject of considerable debate. The authors hypothesized that patient characteristics and operative variables would have...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Selber JC,Wren JH,Garvey PB,Zhang H,Erickson C,Clemens MW,Butler CE

    更新日期:2015-07-01 00:00:00

  • Comparison of vascular hemodynamics in experimental models of microvascular anastomoses.

    abstract::Blood flow was measured in the canine saphenous artery using electromagnetic flowmetry. Significant increase in blood flow was noted after occlusion of the distal femoral artery. However, after raising a saphenous island flap there was no significant change in the blood flow before and after distal femoral artery occl...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Rao VK,Morrison WA,Angus JA,O'Brien BM

    更新日期:1983-02-01 00:00:00

  • Techniques of monitoring buried fasciocutaneous free flaps.

    abstract:BACKGROUND:Although postoperative monitoring of microsurgical reconstruction is key to discovering early vascular compromise, monitoring a buried flap can be problematic. METHODS:A single surgeon's tracheal and pharyngoesophageal reconstructions with fasciocutaneous free flaps performed between 2002 and 2007 are revie...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Ferguson REH Jr,Yu P

    更新日期:2009-02-01 00:00:00

  • Method for measurement of circumduction of the thumb to evaluate results of opponensplasty.

    abstract::A simple method for measuring circumduction of the thumb, by using a ratio of the range of motion to the length of the first metacarpal, is described. This method can be of value in assessing many aspects of thumb function, especially the improvement in function after opponensplasty. The improved ability to position t...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Browne EZ Jr,Teague MA,Gruenwald C

    更新日期:1979-08-01 00:00:00

  • Motor versus sensory neuron regeneration through collagen tubules.

    abstract::Differences in regeneration of sensory and motor nerves were studied in rats to determine the effects of entubulation with collagen conduits. The rat sciatic nerve was repaired either with a 10-mm saline-filled gap or with a no-gap end-to-end repair cuffed within collagen tubules. These repairs were compared with the ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Madorsky SJ,Swett JE,Crumley RL

    更新日期:1998-08-01 00:00:00

  • The effect of cigarette smoking on the survival of free vascularized and pedicled epigastric flaps in the rat.

    abstract::Microsurgeons suspect that cigarette smoking reduces the survival of free vascularized flaps and replantations, but this has never been proven. This experimental study investigates the effect of smoking on free-flap survival. A fasciocutaneous epigastric flap was used in 30 rats as a free flap and in 30 rats as a pedi...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: van Adrichem LN,Hoegen R,Hovius SE,Kort WJ,van Strik R,Vuzevski VD,van der Meulen JC

    更新日期:1996-01-01 00:00:00

  • Advanced cranial reconstruction using intracranial free flaps and cranial bone grafts: an algorithmic approach developed from the modern battlefield.

    abstract:BACKGROUND:The objective of this study was to report outcomes after initiation of an algorithmic approach (Bethesda protocol) using intracranial free flaps, cranial bone autografts, and dermal/fat grafts to treat warfare-related cranial frontofacial defects after war-related decompressive craniectomy. METHODS:A retros...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Kumar AR,Tantawi D,Armonda R,Valerio I

    更新日期:2012-11-01 00:00:00

  • Closure of the circular defect with double rotation flaps and Z-plasties.

    abstract::A method is presented for the closure of a circular defect without altering its shape. It employs semicircular rotational flaps and Z-plasties. Its use in 178 patients with malignant skin neoplasms is presented. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Golomb FM

    更新日期:1984-12-01 00:00:00

  • The Influence of Insurance Type on Management of Carpal Tunnel Syndrome: An Analysis of Nationwide Practice Trends.

    abstract:BACKGROUND:The purpose of this study was to evaluate the impact of insurance type on use of diagnostic testing, treatments, and the efficiency of care for patients with carpal tunnel syndrome. METHODS:The 2009 to 2013 Truven MarketScan Databases were used to identify adult patients with carpal tunnel syndrome. Insuran...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Sears ED,Swiatek PR,Hou H,Chung KC

    更新日期:2016-11-01 00:00:00

  • Tissue expansion in the treatment of pressure ulcers.

    abstract::The authors report their experience using skin expanders in 11 patients with severe bed sores. The expanders, with different volumes, from 250 to 1000 cc, were generally overfilled using the cutaneous tonometer. In fact, with the information revealed by this apparatus on the skin in expansion, the authors were able to...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Esposito G,Di Caprio G,Ziccardi P,Scuderi N

    更新日期:1991-03-01 00:00:00

  • The shifting paradigm in the management of giant congenital melanocytic nevi: review and clinical applications.

    abstract:SUMMARY:Congenital melanocytic nevi remain a subject of controversy with respect to risk of malignant transformation and recommended management. Recent studies indicate a lower malignant risk (0.7 to 2.9 percent) than had previously been estimated. Surgery has not been proven to reduce malignant risk or improve quality...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Arad E,Zuker RM

    更新日期:2014-02-01 00:00:00

  • Principles of pediatric mandibular fracture management.

    abstract::Mandible fractures are commonplace in today's craniofacial practice; however, managing the infrequent, operative pediatric mandible injury requires a thorough knowledge base and thoughtful approach. Not only do these patients demonstrate variable anatomy due to differing stages of dental eruption, but condylar disrupt...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Cole P,Kaufman Y,Izaddoost S,Hatef DA,Hollier L

    更新日期:2009-03-01 00:00:00

  • Outcome analysis of reduction mammaplasty.

    abstract::In an attempt to obtain objective analysis of outcome in reduction mammaplasty patients, a retrospective study was done for women having elective bilateral reduction mammaplasty. Participants were chosen from a pool of over 200 consecutive reduction mammaplasty patients at the University of Missouri-Columbia. Of those...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Boschert MT,Barone CM,Puckett CL

    更新日期:1996-09-01 00:00:00

  • Beyond working hours: part I. Genesis and current difficulties.

    abstract::The roots of the working hours mandate and controversy are outlined, the effect on resident education is described, and the service versus education equation is defined. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Luce EA

    更新日期:2012-04-01 00:00:00

  • Long-term persistence of tissue-engineered adipose flaps in a murine model to 1 year: an update.

    abstract:BACKGROUND:Tissue engineering of patient-specific adipose tissue has the potential to revolutionize reconstructive surgery. Numerous models have been described for the production of adipose tissue with success in the short term, but little has been reported on the stability of this tissue-engineered fat beyond 4 months...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Findlay MW,Messina A,Thompson EW,Morrison WA

    更新日期:2009-10-01 00:00:00

  • Avulsion Thighplasty: Technique Overview and 6-Year Experience.

    abstract:UNLABELLED:When choosing a thigh lift operation, the surgeon also chooses which complications he/she will be managing, and the most dreaded after conventional thigh lifting are those of lymphatic origin such as lymphocele or lymphedema. The authors describe avulsion thighplasty, a technique that spares lymphatics by us...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Hunstad JP,Kortesis BG,Knotts CD

    更新日期:2016-01-01 00:00:00

  • Use of the pharyngeal flap in the treatment of congenital velopharyngeal incompetence.

    abstract::Seventy-four patients were referred to the senior author because of presumed velopharyngeal incompetence without cleft palate. As a result of an extensive preoperative evaluation that included assessment of articulation patterns, nasal emission, oronasal resonance, and general speech intelligibility, 57 of the 74 pati...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Stueber K,Wilhelmsen HR

    更新日期:1984-02-01 00:00:00

  • Evaluation of fibrin glue in rat sciatic nerve repairs.

    abstract::Using the rat sciatic nerve model, we evaluated the merits of homologous fibrin glue in the repair of peripheral nerve transections as compared to standard epineural suture repairs. A total of four study groups were used, with 10 animals assigned to each group. In group I, the transected sciatic nerve was repaired wit...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Cruz NI,Debs N,Fiol RE

    更新日期:1986-09-01 00:00:00

  • Revisiting upper eyelid anatomy: introduction of the septal extension.

    abstract:BACKGROUND:The current trend in plastic surgery of the eyelid has taken on increased dependence on anatomical considerations in the marriage of aesthetic and functional ideals. Often, the plastic surgeon performs ptosis and/or septal surgery in conjunction with blepharoplasty. The relationship between eyelid adnexal st...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Reid RR,Said HK,Yu M,Haines GK 3rd,Few JW

    更新日期:2006-01-01 00:00:00

  • Polydioxanone Threads for Facial Rejuvenation: Analysis of Quality Variation in the Market.

    abstract:BACKGROUND:Beside botulinum-toxin injections and hyaluronic acid fillers, thread lifts have established themselves as the third column of minimally invasive facial rejuvenation. Most commonly, barbed threads for this approach are made out of polydioxanone, a material known for decades from application in resorbable sut...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Aitzetmueller MM,Centeno Cerdas C,Nessbach P,Foehr P,Brett E,Thor D,Machens HG,Burgkart R,Duscher D

    更新日期:2019-12-01 00:00:00

  • One-Stage versus Two-Stage Repair of Asymmetric Bilateral Cleft Lip: A 20-Year Retrospective Study of Clinical Outcome.

    abstract:BACKGROUND:Both one- and two-stage approaches have been widely used for patients with asymmetric bilateral cleft lip. There are insufficient long-term outcome data for comparison of these two methods. The purpose of this retrospective study was to compare the clinical outcome over the past 20 years. METHODS:The senior...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Chung KH,Lo LJ

    更新日期:2018-05-01 00:00:00

  • Management of large scalp defects with local pedicle flaps.

    abstract::Recent reports have emphasized free-flap reconstruction for large defects of the scalp and calvarium following resection of tumors, infection, or trauma. In most cases, however, a carefully planned local transposition or rotation flap may be equally effective, and the technical difficulties and donor-site problems ass...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Lesavoy MA,Dubrow TJ,Schwartz RJ,Wackym PA,Eisenhauer DM,McGuire M

    更新日期:1993-04-01 00:00:00

  • The Auto-eFACE: Machine Learning-Enhanced Program Yields Automated Facial Palsy Assessment Tool.

    abstract:BACKGROUND:Facial palsy assessment is nonstandardized. Clinician-graded scales are limited by subjectivity and observer bias. Computer-aided grading would be desirable to achieve conformity in facial palsy assessment and to compare the effectiveness of treatments. This research compares the clinician-graded eFACE scale...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Miller MQ,Hadlock TA,Fortier E,Guarin DL

    更新日期:2021-02-01 00:00:00

  • Monitoring buried free flaps: limitations of the implantable Doppler and use of color duplex sonography as a confirmatory test.

    abstract:BACKGROUND:Postoperative monitoring of free flaps is important to minimize the risk of flap failure, but monitoring buried free flaps is difficult because the standard methods of clinical examination and surface Doppler monitoring are not possible. Buried free flaps are often monitored using an implantable 20-MHz ultra...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Rosenberg JJ,Fornage BD,Chevray PM

    更新日期:2006-07-01 00:00:00

  • Diphallia and hindgut duplication.

    abstract::Diphallia is a rare congenital condition that presents in many, varied ways. Associated anomalies are to be expected. These anomalies should be sought out and treated as early in the patient's life as possible because they are the principal cause of mortality in these individuals. Half the patients reviewed by Ravitch...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Dean JA,Horton CE

    更新日期:1991-02-01 00:00:00

  • Preoperative imaging for DIEA perforator flaps: a comparative study of computed tomographic angiography and Doppler ultrasound.

    abstract:BACKGROUND:Abdominal donor-site flaps, including the transverse rectus abdominis musculocutaneous (TRAM) and deep inferior epigastric artery (DIEA) perforator flaps, are standard in autologous breast reconstruction. With significant variation in the vascular anatomy of the abdominal wall, preoperative imaging is essent...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Rozen WM,Phillips TJ,Ashton MW,Stella DL,Gibson RN,Taylor GI

    更新日期:2008-01-01 00:00:00