Is reversed venous flow safe in free-flap transfer? A dilemma with the radial forearm flap.


:The distally based radial artery forearm flap has become our workhorse flap for hand and finger coverage, relying on reversed or retrograde venous outflow through the venae comitantes. Free-flap transfer, however, has been used by us only with antegrade venous anastomoses. This study was intended to determine if a single retrograde venous anastomosis would be adequate for flap viability. Six groups of saphenous flaps were developed in New Zealand White rabbits. In situ flaps compared antegrade with retrograde venous outflow in groups 1 and 2. Microvascular venous anastomoses with antegrade or retrograde outflow were compared in groups 3 and 4. Free-flap transfer with antegrade or retrograde venous outflow was compared in groups 5 and 6. No significant differences in survival was found between groups 1 and 2. A significant difference in survival (p = 0.025) was found between groups 3 and 4, but technical differences make these groups incomparable. Significantly better survival (p = 0.014, chi-squared test) was found in group 5 with antegrade outflow versus group 6 with retrograde outflow.


Plast Reconstr Surg


Stewart DH,Puckett CL




Has Abstract


1992-02-01 00:00:00












  • What's New in Acellular Dermal Matrix and Soft-Tissue Support for Prosthetic Breast Reconstruction.

    abstract::Of the nearly 90,000 implant-based breast reconstructions performed in the United States, the majority use internal soft-tissue support. Aesthetically, these constructs may allow for better positioning of prosthesis, improve lower pole expansion, and increase projection. They may have particular utility in direct-to-i...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Kim JYS,Mlodinow AS

    更新日期:2017-11-01 00:00:00

  • In vitro and in vivo investigation of the influence of implant surface on the formation of bacterial biofilm in mammary implants.

    abstract:BACKGROUND:Capsular contracture remains the most common complication following breast augmentation surgery, and evidence suggests that bacterial biofilm on the implant surface is responsible. The authors investigated whether the interaction of bacterial biofilm with implants independently determines progression to caps...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Jacombs A,Tahir S,Hu H,Deva AK,Almatroudi A,Wessels WLF,Bradshaw DA,Vickery K

    更新日期:2014-04-01 00:00:00

  • Simplifying circumferential body contouring: the central body lift evolution.

    abstract:BACKGROUND:Optimal central body contouring may be achieved with a combination of circumferential liposuction and excisional techniques for patients with diffuse lipodystrophy or generalized skin laxity or after massive weight loss. The central body lift has evolved to improve the contour of the trunk and proximal lower...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Rohrich RJ,Gosman AA,Conrad MH,Coleman J

    更新日期:2006-08-01 00:00:00

  • Nonsurgical correction of nasal deformity in unilateral complete cleft lip: a 6-year follow-up.

    abstract::Nasal deformity in unilateral cleft lip and palate patients increases with time, tongue malposition being one of the causes. Some authors have emphasized the role of nasal and adjacent facial musculature as active extrinsic agents. Another cause of alar deformity can be the lack of a proper foundation because of a max...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Bennun RD,Perandones C,Sepliarsky VA,Chantiri SN,Aguirre MI,Dogliotti PL

    更新日期:1999-09-01 00:00:00

  • Molecular and cellular characterization of mouse calvarial osteoblasts derived from neural crest and paraxial mesoderm.

    abstract:BACKGROUND:Cranial skeletogenic mesenchyme is derived from two distinct embryonic sources: mesoderm and cranial neural crest. Previous studies have focused on molecular and cellular differences of juvenile and adult osteoblasts. METHODS:To further understand the features of mouse-derived juvenile osteoblasts, the auth...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Xu Y,Malladi P,Zhou D,Longaker MT

    更新日期:2007-12-01 00:00:00

  • Clinical applications of free soleus and peroneal perforator flaps.

    abstract::Clinical applications of two free lateral leg perforator flaps are described: a free soleus perforator flap that is based on the musculocutaneous perforator vessels from one of the three main arteries in the proximal lateral lower leg, and a free peroneal perforator flap that is based on the septocutaneous or direct s...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Kawamura K,Yajima H,Kobata Y,Shigematsu K,Takakura Y

    更新日期:2005-01-01 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


    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

  • Repair of a lower leg defect with an ipsilateral gracilis myocutaneous flap.

    abstract::We report the use of a gracilis myocutaneous flap from the same thigh to repair a defect of the lower leg. This could be a useful alternative in well selected cases. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Shubailat GF,Ajluni NJ,Shahateet MA

    更新日期:1979-10-01 00:00:00

  • The use of resorbable spacers for nasal spreader grafts.

    abstract::The concept and technique of the use of resorbable synthetic material for nasal spreader grafts are presented. The material is felt to be particularly useful in revision rhinoplasty, in which the likelihood of internal valve collapse is high and the septum (the most common source of material for spreader grafts) often...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Stal S,Hollier L

    更新日期:2000-09-01 00:00:00

  • Online patient resources for breast reconstruction: an analysis of readability.

    abstract:BACKGROUND:Online resources for health information are commonly used by many patients. The discrepancy between functional health literacy and available patient information is recognized as an important contributor to health disparities. To provide understandable patient information, the National Institutes of Health an...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Vargas CR,Koolen PGL,Chuang DJ,Ganor O,Lee BT

    更新日期:2014-09-01 00:00:00

  • A study of the supraorbital nerve.

    abstract::A detailed description of the anatomical relationships of the supraorbital nerve as it courses across the forehead and under the scalp cannot be found in most anatomy textbooks, and illustrations of the nerve beyond the superior orbital rim frequently misrepresent its course. Because the supraorbital nerve is a struct...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Knize DM

    更新日期:1995-09-01 00:00:00

  • Salvage of externally exposed ventricular assist devices.

    abstract::Although externally exposed ventricular assist devices are associated with extremely high mortality rates, salvage may be accomplished by early aggressive wound debridement, transposition of a well-perfused autologous tissue (such as omentum), dead space obliteration, and adequate external coverage using vascularized ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Turowski GA,Orgill DP,Pribaz JJ,Eriksson E,Couper GS

    更新日期:1998-12-01 00:00:00

  • The Efficacy of Platelet-Rich Plasma Dressing for Chronic Nonhealing Ulcers: A Meta-Analysis of 15 Randomized Controlled Trials.

    abstract:BACKGROUND:Several randomized controlled trials comparing platelet-rich plasma to standard wound care for chronic wounds have been published. Previous articles have revealed that the role of platelet-rich plasma in promoting chronic wound healing is uncertain. This quantitative meta-analysis was conducted to evaluate w...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,meta分析


    authors: Xia Y,Zhao J,Xie J,Lv Y,Cao DS

    更新日期:2019-12-01 00:00:00

  • Prepectoral Breast Reconstruction in the Setting of Postmastectomy Radiation Therapy: An Assessment of Clinical Outcomes and Benefits.

    abstract:BACKGROUND:Prepectoral breast reconstruction following mastectomy has become a more widely performed technique in recent years because of its numerous benefits for women. These include full pectoralis muscle preservation, reduced loss of strength, reduced pain, and elimination of animation deformity. As with any breast...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Sbitany H,Gomez-Sanchez C,Piper M,Lentz R

    更新日期:2019-01-01 00:00:00

  • Postoperative Ketorolac in Breast and Body Contouring Procedures: A Nationwide Claims Analysis.

    abstract:BACKGROUND:Nonsteroidal antiinflammatory drugs are useful alternatives to narcotics for analgesia. However, concerns remain regarding their safety. The authors evaluated ketorolac use and complications. We hypothesized that no association between ketorolac and morbidity exists in patients undergoing body contouring. M...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Kelley BP,Chung KC,Chung TT,Bennett KG,Sacks G,Sears ED,Waljee JF

    更新日期:2018-10-01 00:00:00

  • The operative treatment of isolated craniofacial dysostosis (plagiocephaly): a comparison of the unilateral and bilateral techniques.

    abstract::Both the safety and efficacy of the treatment of isolated craniofacial dysostosis (plagiocephaly) in infancy have been demonstrated. Opinions remain divided, however, as to the optimal type of procedure to be undertaken. In an attempt to answer this question, we have retrospectively evaluated a study population of 48 ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Bartlett SP,Whitaker LA,Marchac D

    更新日期:1990-05-01 00:00:00

  • Lidocaine and epinephrine levels in tumescent technique liposuction.

    abstract::The safety of lidocaine dosing in the tumescent technique has been well documented, but there is little evidence regarding the safety of combining tumescent lidocaine infiltration with subcutaneous lidocaine infiltration required in other aesthetic surgery. The safety of lidocaine and epinephrine dosing was investigat...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Burk RW 3rd,Guzman-Stein G,Vasconez LO

    更新日期:1996-06-01 00:00:00

  • Vascular anatomy of the upper extremity muscles.

    abstract::This study delineates the vascular anatomy of the upper extremity with particular attention toward the size, location, and number of vascular pedicles supplying each muscle. Ten cadaver upper extremities were dissected. A total of 440 muscles and 2209 pedicles were identified. The major "named" arterial source, number...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Parry SW,Ward JW,Mathes SJ

    更新日期:1988-03-01 00:00:00

  • Evaluation of HTR polymer as a craniomaxillofacial graft material.

    abstract::An experimental animal study was undertaken to evaluate the potential use of HTR polymer as a craniomaxillofacial reconstructive material. Its properties of marked hydrophilicity, a negative surface charge, and extensive porosity combined with a calcium graft coating suggested favorable osteoconductive properties. Fou...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Eppley BL,Sadove AM,German RZ

    更新日期:1990-12-01 00:00:00

  • Lifting of the upper two-thirds of the face: supraperiosteal-subSMAS versus subperiosteal approach. The quest for physiologic surgery.

    abstract::The supraperiosteal-subSMAS lifting technique, which has been performed since 1985, for the rejuvenation of the upper two-thirds of the face is described, and the results obtained in a series of 128 cases treated, emphasizing the attainment of an effective rejuvenation together with a minimum of complications and unde...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: de la Plaza R,de la Cruz L

    更新日期:1998-11-01 00:00:00

  • Preexpansion galeal scoring.

    abstract::Preexpansion scoring releases the inflexible galea, permitting more rapid expansion of the scalp. In addition, when comparing this procedure with conventional scalp expansion, patients reported less pain when the galea was incised prior to insertion of the tissue expanders. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Edmond JA,Padilla JF 3rd

    更新日期:1994-04-01 00:00:00

  • Mortality in patients with necrotizing fasciitis.

    abstract:BACKGROUND:The prognostic factors that determine outcome in patients with necrotizing fasciitis remain poorly understood. The aim of this study was to analyze the variables that affect the mortality and morbidity of patients with necrotizing fasciitis and to create a simple method for estimating the probability of mort...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Golger A,Ching S,Goldsmith CH,Pennie RA,Bain JR

    更新日期:2007-05-01 00:00:00

  • Studies in cranial suture biology: up-regulation of transforming growth factor-beta1 and basic fibroblast growth factor mRNA correlates with posterior frontal cranial suture fusion in the rat.

    abstract::The mechanisms involved in normal cranial suture development and fusion as well as in the pathophysiology of craniosyostosis are not well understood. The purpose of this study was to investigate the expression of several cytokines--transforming growth factor-beta-1 (TGF-beta1), basic fibroblast growth factor (bFGF), a...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Most D,Levine JP,Chang J,Sung J,McCarthy JG,Schendel SA,Longaker MT

    更新日期:1998-05-01 00:00:00

  • Cerclage suture method for closed-tip rhinoplasty.

    abstract::This article presents a method for passing a cerclage suture around the nasal tip complex to narrow it. The method does not require elevation of the skin from the lower lateral cartilages. The method requires a double-pointed straight needle with the suture swaged on in the center. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Cutting CB

    更新日期:1999-11-01 00:00:00

  • Browpexy: lateral orbicularis muscle fixation as an adjunct to upper blepharoplasty.

    abstract::Lateral ptosis of the eyebrow is a major part of the complex changes that patients are seeking to improve with an upper blepharoplasty. Two hundred and eight patients have undergone a browpexy procedure at the time of blepharoplasty. This operative maneuver, which is performed through the blepharoplasty incision, prev...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Zarem HA,Resnick JI,Carr RM,Wootton DG

    更新日期:1997-10-01 00:00:00

  • Rehabilitation of the replanted upper extremity.

    abstract::A concise protocol for the rehabilitation of the upper extremity after replantation is presented with special emphasis in the early mobilization of the hand. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Papanastasiou S

    更新日期:2002-03-01 00:00:00

  • Mechanisms of murine cranial suture patency mediated by a dominant negative transforming growth factor-beta receptor adenovirus.

    abstract::Using a physiologic model of mouse cranial suture fusion, the authors' laboratory has previously demonstrated that transforming growth factor (TGF)-betas appear to be more abundantly expressed in the suture complex of the fusing posterior frontal compared with the patent sagittal suture. Furthermore, the authors have ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Song HM,Fong KD,Nacamuli RP,Warren SM,Fang TD,Mathy JA,Cowan CM,Aalami OO,Longaker MT

    更新日期:2004-05-01 00:00:00

  • Computer-assisted three-dimensional planning in craniofacial surgery.

    abstract::Three-dimensional surface reconstruction from computed tomographic (CT) data has been used to plan craniofacial operations. Cephalometric and anthropometric databases were integrated with three-dimensional CT reconstructions to quantitate the skeletal deformity and to assist in the design of the surgical procedure. In...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Altobelli DE,Kikinis R,Mulliken JB,Cline H,Lorensen W,Jolesz F

    更新日期:1993-09-01 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


    authors: Lewis CM

    更新日期:1982-04-01 00:00:00

  • Reconstruction of breast asymmetry in Poland's chest-wall deformity using microvascular free flaps.

    abstract::Poland's syndrome comprises a spectrum of chest-wall deformities affecting, to various degrees, the rib cage, the chest-wall muscles, the neurovascular structures of the ipsilateral arm, and the overlying breast. This study details our experience with nine female Poland's syndrome patients who had chest-wall and breas...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Longaker MT,Glat PM,Colen LB,Siebert JW

    更新日期:1997-02-01 00:00:00