Shoulder function following primary axillary nerve reconstruction in obstetrical brachial plexus patients.

Abstract:

BACKGROUND:In obstetrical brachial plexus palsy, suprascapular nerve reinnervation is a priority. For the most favorable outcomes in shoulder function, it is the authors' policy to also reconstruct the axillary nerve with intraplexus donors to the posterior cord (early cases) or directly with intraplexus or extraplexus motor donors (late cases). METHODS:Between 1979 and 2003, 80 consecutive patients (82 brachial plexuses) underwent plexus exploration and nerve reconstruction for obstetrical palsy. Axillary nerve reconstruction was performed in 60 plexuses, and evaluation of the results was carried out for 55 patients (56 plexuses) with adequate follow-up (mean follow-up, 6.5 years). RESULTS:Overall, there were good and excellent results (>/=M3+) in 49 of 56 plexuses (87.5 percent) for the deltoid muscle, and the average postoperative muscle grade for the deltoid was 3.89 +/- 0.79. The average shoulder abduction increased from 35 +/- 31 degrees preoperatively to 109 +/- 35 degrees postoperatively (average gain, 74 degrees), and the average external rotation increased from -13 +/- 28 degrees preoperatively to 47 +/- 18 degrees postoperatively (average gain, 60 degrees). The timing of surgery and the type of paralysis significantly influenced the final outcome. CONCLUSIONS:Reconstruction of the axillary nerve should always be performed to maximize the final outcome of shoulder function in obstetrical brachial plexus patients. The best results were seen in early cases (

journal_name

Plast Reconstr Surg

authors

Terzis JK,Kokkalis ZT

doi

10.1097/PRS.0b013e3181881f70

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

1457-1469

issue

5

eissn

0032-1052

issn

1529-4242

pii

00006534-200811000-00019

journal_volume

122

pub_type

杂志文章
  • The island rotation flap: a better alternative for nasal tip repair.

    abstract::The use of the island rotation flap for the repair of small and medium-sized partial-thickness defects of the nasal tip and soft triangle has led to extremely favorable aesthetic results far superior to that of full-thickness skin grafts. The color and thickness match have been excellent, and the complication rate was...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/00006534-199612000-00030

    authors: Millman B,Klingensmith M

    更新日期:1996-12-01 00:00:00

  • Segmental Multiple-Jaw Surgery without Orthodontia: Clear Aligners Alone.

    abstract::Segmental Le Fort I osteotomy, a complex procedure with many mobile parts, has traditionally required presurgical orthodontics with conventional braces, composed of metal brackets, bands, and archwires. These appliances are not always accepted by patients, particularly older teenagers and professional adults who previ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000004491

    authors: Kankam HKN,Gupta H,Sawh-Martinez R,Steinbacher DM

    更新日期:2018-07-01 00:00:00

  • A reliable method for monitoring the microvascular patency of free jejunal transfers in reconstructing the pharynx and cervical esophagus.

    abstract::Reconstruction of the pharynx and esophagus with revascularized segments of jejunum remains a time-proven entity. Most thromboses and subsequent flap failures have occurred within the first 24 hours after revascularization of the flap. What would therefore be desirable is a safe, proven monitoring system to assess the...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198905000-00024

    authors: Bafitis H,Stallings JO,Ban J

    更新日期:1989-05-01 00:00:00

  • The ageing surgeon.

    abstract::Why do some surgeons retire (or not), and perhaps more importantly, when should some surgeons retire? Interviews were conducted with 21 senior plastic surgeons to determine why plastic surgeons choose not to retire. In an effort to answer the second question (When should surgeons retire?), an analogy is constructed be...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0b013e318206328d

    authors: Luce EA

    更新日期:2011-03-01 00:00:00

  • Magnetic resonance imaging and explantation investigation of long-term silicone gel implant integrity.

    abstract:BACKGROUND:Information about silicone gel implant longevity is sparse. Magnetic resonance imaging studies have superseded explantation studies in the search for data on their long-term integrity. Unfortunately, the majority of studies are based predominantly on second-generation implant cohorts. Although magnetic reson...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000279374.99503.89

    authors: Collis N,Litherland J,Enion D,Sharpe DT

    更新日期:2007-10-01 00:00:00

  • The Bidirectional Movement of the Frontalis Muscle: Introducing the Line of Convergence and Its Potential Clinical Relevance.

    abstract:BACKGROUND:Cosmetic treatment of the forehead using neuromodulators is challenging. To avoid adverse events, the underlying anatomy has to be understood and thoughtfully targeted. Clinical observations indicate that eyebrow ptosis can be avoided if neuromodulators are injected in the upper forehead, despite the frontal...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000006756

    authors: Cotofana S,Freytag DL,Frank K,Sattler S,Landau M,Pavicic T,Fabi S,Lachman N,Hernandez CA,Green JB

    更新日期:2020-05-01 00:00:00

  • Tip shaping in primary rhinoplasty: an algorithmic approach.

    abstract:BACKGROUND:Underprojection and lack of tip definition often coexist. Techniques that improve both nasal tip refinement and projection are closely interrelated, and an algorithmic approach can be developed to improve the predictability of the dynamic changes that occur. Use of nondestructive and nonpalpable techniques t...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e31817d5f7d

    authors: Ghavami A,Janis JE,Acikel C,Rohrich RJ

    更新日期:2008-10-01 00:00:00

  • Lumbar Flap versus the Gold Standard: Comparison to the DIEP Flap.

    abstract:BACKGROUND:The lumbar artery perforator flap is an excellent free flap for breast reconstruction whenever the deep inferior epigastric perforator (DIEP) flap is not an option. The main indication is a lack of abdominal bulk, often seen in young BRCA-positive women seeking prophylactic amputation and immediate reconstru...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000006681

    authors: Opsomer D,Vyncke T,Depypere B,Stillaert F,Blondeel P,Van Landuyt K

    更新日期:2020-04-01 00:00:00

  • In the Eye of the Beholder: Changes in Perceived Emotion Expression after Smile Reanimation.

    abstract:BACKGROUND:Tools to quantify layperson assessments of facial palsy are lacking. In this study, artificial intelligence was applied to develop a proxy for layperson assessments, and compare sensitivity to existing outcome measures. METHODS:Artificially intelligent emotion detection software was used to develop the emot...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000005865

    authors: Dusseldorp JR,Guarin DL,van Veen MM,Jowett N,Hadlock TA

    更新日期:2019-08-01 00:00:00

  • Expansion of the socket and orbit for congenital clinical anophthalmia.

    abstract:BACKGROUND:Congenital clinical anophthalmia requires fitting an artificial eye, achieving a pleasing aspect of the palpebral apparatus, and stimulating growth of the orbit, as well as of the entire midface. METHODS:Out of 25 patients with clinical anophthalmia, 22 were treated according to a new protocol (first descri...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000181653.38200.eb

    authors: Gundlach KK,Guthoff RF,Hingst VH,Schittkowski MP,Bier UC

    更新日期:2005-10-01 00:00:00

  • The face as a sensory organ.

    abstract:BACKGROUND:The human face is a highly specialized organ for receiving the sensory information from the environment and for its transmission to the cortex. The advent of facial transplantation has shown that excellent reconstruction of disfiguring defects can be achieved; thus, the expectations are now focused on functi...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0b013e3181fed6fd

    authors: Siemionow M,Gharb BB,Rampazzo A

    更新日期:2011-02-01 00:00:00

  • Nonaesthetic Applications for Botulinum Toxin in Plastic Surgery.

    abstract:BACKGROUND:Since their introduction to clinical medicine in 1989, botulinum toxin injections have been used for many indications. First used for nonsurgical management of strabismus, botulinum toxin injections are now widely used in plastic and reconstructive surgery for aesthetic indications; however, nonaesthetic ind...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000006908

    authors: Freeman MD,Margulies IG,Sanati-Mehrizy P,Burish N,Taub PJ

    更新日期:2020-07-01 00:00:00

  • The Essential Anatomical Subunit Approximation Unilateral Cleft Lip Repair.

    abstract::The anatomical subunit approximation cleft lip repair advantageously achieves a balanced lip contour, with the line of repair hidden along seams of aesthetic subunits. Dr. David Fisher's original description of the repair reflects the considerable thought that went into the evolution of his design. As his technique ha...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000002257

    authors: Chong DK,Swanson JW

    更新日期:2016-07-01 00:00:00

  • Laser deepithelialization: an adjunct to reduction mammaplasty.

    abstract::A new use is described for the CO2 laser--that of deepithelialization. Deepithelialization is a technique used in a myriad of plastic surgical procedures. This paper introduces the use of the laser for deepithelialization and illustrates its advantages in 44 consecutive patients undergoing reduction mammaplasty. Advan...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198705000-00013

    authors: Becker DW Jr,Bunn JC

    更新日期:1987-05-01 00:00:00

  • Clinical and Quantitative Isokinetic Comparison of Abdominal Morbidity and Dynamics following DIEP versus Muscle-Sparing Free TRAM Flap Breast Reconstruction.

    abstract:BACKGROUND:The deep inferior epigastric perforator (DIEP) flap, which is a modification of the muscle-sparing free transverse rectus abdominis musculocutaneous (TRAM) flap, is being more frequently used in an effort to reduce postoperative abdominal morbidity. However, there is no consensus as to which of these flaps i...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003843

    authors: Uda H,Kamochi H,Sarukawa S,Sunaga A,Sugawara Y,Yoshimura K

    更新日期:2017-12-01 00:00:00

  • Method for immediate measurement of skin removed during rhytidectomies.

    abstract::A method for measuring skin removed during rhytidectomy is presented based on analysis of 50 female patients. More skin was removed in primary rhytidectomies than in subsequent ones. Younger patients, aged 30 to 39 years, had measurably more skin removed than any other group between 40 and 69. The amounts of skin remo...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198204000-00005

    authors: Lewis CM

    更新日期:1982-04-01 00:00:00

  • Septum-based mammaplasty: a surgical technique based on Würinger's septum for breast reduction.

    abstract:BACKGROUND:During the past 7 years, the senior author (M.H.) has been performing septum-based mammaplasty. The aim of this article is to report the safety and ease of breast shaping by using this technique. METHODS:A series of 110 consecutive patients underwent septum-based breast reduction performed by a single surge...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/PRS.0b013e318196b852

    authors: Hamdi M,Van Landuyt K,Tonnard P,Verpaele A,Monstrey S

    更新日期:2009-02-01 00:00:00

  • Improved myoelectric prosthesis control accomplished using multiple nerve transfers.

    abstract:BACKGROUND:The control of shoulder-level disarticulation prostheses is significantly more difficult than that of prostheses for more distal amputations. Amputees have significant difficulties coordinating the separate functions of prosthetic shoulder, elbow, wrist, and hand/hook components. The user must lock one joint...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000242487.62487.fb

    authors: Hijjawi JB,Kuiken TA,Lipschutz RD,Miller LA,Stubblefield KA,Dumanian GA

    更新日期:2006-12-01 00:00:00

  • A method of reconstructing a pendulous breast utilizing the tissue expander.

    abstract::It is possible to reconstruct a breast mound of almost any size by utilizing tissue expansion. In order to produce a pendulous breast which is also ptotic, the tissue-expansion technique has been combined with two other procedures. A new technique is being introduced. It is that of elevating the lower third of the mat...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198709000-00009

    authors: Versaci AD

    更新日期:1987-09-01 00:00:00

  • Metabolic and contractile responses of fast and slow twitch rat skeletal muscles to ischemia and reperfusion.

    abstract::The purpose of this study was to investigate the significance of fiber type and the effects of the duration of ischemia on metabolic and contractile function of skeletal muscle. Under anesthesia, the distal tendons of the fast twitch extensor digitorum longus (EDL) and slow twitch soleus (SOL) muscles of the right hin...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199701000-00025

    authors: Carvalho AJ,McKee NH,Green HJ

    更新日期:1997-01-01 00:00:00

  • A combined rectus abdominis musculocutaneous flap and vascularized iliac bone graft with double vascular pedicles.

    abstract::Although a free vascularized iliac bone graft has been successfully used for the reconstruction of large bone defects, there is a serious problem of how to repair in one stage patients having a large bone defect with a very wide skin defect. A free combined rectus abdominis musculocutaneous flap and vascularized iliac...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199109000-00020

    authors: Koshima I,Soeda S,Nakayama Y,Ishii M,Harada S,Kaneko M

    更新日期:1991-09-01 00:00:00

  • The role of biofilms: are we hitting the right target?

    abstract:BACKGROUND:Chronic infections affect 17 million people yearly, and approximately 550,000 people die each year from, or with, their chronic infections. Acute and chornic infection differences are well known to clinicians, but the role of bacteria in producing these clinical differences remains poorly understood. METHOD...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0b013e3181fca244

    authors: Wolcott R,Dowd S

    更新日期:2011-01-01 00:00:00

  • Evolution of Bilateral Free Flap Breast Reconstruction over 10 Years: Optimizing Outcomes and Comparison to Unilateral Reconstruction.

    abstract:BACKGROUND:There is an increasing trend for contralateral prophylactic mastectomy, but studies focusing on bilateral free flap breast reconstruction are lacking. METHODS:A retrospective review was performed of all bilateral free flap breast reconstructions performed from 2000 to 2010. RESULTS:Overall, 488 patients un...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000001233

    authors: Chang EI,Chang EI,Soto-Miranda MA,Zhang H,Nosrati N,Ghali S,Chang DW

    更新日期:2015-06-01 00:00:00

  • Why Women Request Labiaplasty.

    abstract:BACKGROUND:In recent years, labiaplasty has jumped in popularity, despite opposition to the procedure. In 2007, the American College of Obstetricians and Gynecologists declared the recommendation of cosmetic vaginal procedures to be "untenable," although in 2016 they allowed consideration of labiaplasty in adolescents ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003181

    authors: Sorice SC,Li AY,Canales FL,Furnas HJ

    更新日期:2017-04-01 00:00:00

  • Obtaining a gentle contour to the columella by modifying the maxillary spine.

    abstract::There are several structures involved in columellaplasty, and all affect the support and shape of the tip, the columella, and the upper lip. The present paper considers only the problem of the deformities of the maxillary spine and its lower extension over the midline, causing broadening and asymmetrical development o...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198111000-00003

    authors: Stoksted P,Gutierrez C

    更新日期:1981-11-01 00:00:00

  • The retaining ligaments of the cheek.

    abstract::The zygomatic ligaments (McGregor's patch) anchor the skin of the cheek to the inferior border of the zygoma just posterior to the origin of the zygomaticus minor muscle. The mandibular ligaments tether the overlying skin to the anterior mandible. Both these ligaments are obstacles to surgical maneuvers intended to ad...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198901000-00003

    authors: Furnas DW

    更新日期:1989-01-01 00:00:00

  • The location of the blood supply in random flaps.

    abstract::The blood supply of random skin flaps in the pig is mainly in a microvascular plexus in the deeper layer of the dermis. However, there is vasculature in both the dermis and the subcutaneous fat, with good collaterals between the two systems. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197609000-00010

    authors: Myers B,Donovan W

    更新日期:1976-09-01 00:00:00

  • Hair-bearing neck flap for upper-lip reconstruction in the male.

    abstract::Reconstruction of the upper lip resulting in a hair-bearing area and a non-hair-bearing lining is described in two cases of full-thickness lip defects. A unipedicled neck flap was used in one case and a bipedicled neck flap in the other, both comprised of hair-bearing and adjacent non-hair-bearing areas. The neck flap...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198302000-00025

    authors: Tsur H,Shafir R,Orenstein A

    更新日期:1983-02-01 00:00:00

  • Proximal peroneal perforator in dual-skin paddle configuration of fibula free flap for composite oral reconstruction.

    abstract:BACKGROUND:Composite defects of the oral cavity are often the result of trauma or advanced-stage tumor extirpation. The resultant deformity frequently requires a three-dimensional reconstruction of bone and soft-tissue. The fibula free flap is the preferred method of reconstruction, with various modifications focused o...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000000216

    authors: Potter JK,Lee MR,Oxford L,Wong C,Saint-Cyr M

    更新日期:2014-06-01 00:00:00

  • Development of articulation before delayed hard-palate closure in children with cleft palate: a cross-sectional study.

    abstract::The development of articulation before surgical closure of the hard palate was compared in 75 preschool children with cleft lip and palate and 40 preschool children born without clefts. The children were aged 2 years to 5 years 11 months. The patients had significantly poorer articulation skills than the controls at e...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198710000-00007

    authors: Noordhoff MS,Kuo J,Wang F,Huang H,Witzel MA

    更新日期:1987-10-01 00:00:00