Double free flaps in head and neck reconstruction.

abstract：:Great progress has been made in both the basic science and the clinical knowledge base used in orbital reconstruction. With this, increasing complex orbital reconstructive problems are better managed. The diagnosis, treatment plan, and the actual reconstruction have evolved to a higher level. Several areas of progress...

journal_title：Clinics in plastic surgery

authors： Nguyen PN,Sullivan P

更新日期：1992-01-01 00:00:00

abstract：:The midline forehead flap has been a preferred choice for nasal repair in our practice for over 20 years, with no significant complication ever having developed (Figs. 9 to 11). The abundance and length of tissue it provides is remarkable, given the inconspicuous defect remaining in the forehead area. Its use is econo...

journal_title：Clinics in plastic surgery

authors： Tardy ME Jr,Sykes J,Kron T

更新日期：1985-07-01 00:00:00

abstract：:The apparent simplicity of liposuction and the ease with which it is performed, may lull the novice plastic surgeon into overlooking the evolutionary developments that have brought it to today's level of popularity in body contouring surgery. Patients who may benefit from liposuction range widely from the thin patient...

journal_title：Clinics in plastic surgery

authors： Hunstad JP,Aitken ME

更新日期：2006-01-01 00:00:00

abstract：:A conservative osteotomy of the zygomaticomaxillary buttress in combination with a rapid palatal expansion appliance is a dependable technique for the treatment of horizontal maxillary deficiency in adults. This procedure has been used successfully in 56 patients in our series, but 17 patients (30 percent) required a ...

journal_title：Clinics in plastic surgery

authors： Lehman JA Jr,Haas AJ

更新日期：1989-10-01 00:00:00

abstract：:The next millennium will witness the most exciting advances in the field of plastic surgery. Some of these advances are already here today whereas others are just starting to surface. These include soft-tissue and bone reconstruction, tissue engineering, gene therapy, microsurgery, and fetal surgery to name just a few...

journal_title：Clinics in plastic surgery

authors： Habal MB

更新日期：1996-01-01 00:00:00

abstract：:Diabetes mellitus is a complex metabolic disorder whose components have several direct and indirect effects on the healing of wounds. This article examines how diabetes affects wound healing from the standpoint of alterations in the microvasculature, nerve function, and the immune system. ...

journal_title：Clinics in plastic surgery

authors： Morain WD,Colen LB

更新日期：1990-07-01 00:00:00

abstract：:The concept of female beauty has changed throughout time, but the form and size of the breasts and gluteal region have remained constant as symbols of maximum femininity. Sculptures and prints show us feminine figures that are voluminous and reflect human history's interest in fertility. The early years of gluteal aug...

journal_title：Clinics in plastic surgery

authors： de la Peña JA,Rubio OV,Cano JP,Cedillo MC,Garcés MT

更新日期：2006-07-01 00:00:00

abstract：:The abnormal anatomy and principles of treatment of the bilateral cleft lip deformity have been presented. The Millard technique of bilateral cleft lip repair provides for a philtrum of proper width, a lip of proper height, a full-depth labial sulcus, and complete muscle continuity. Transposition of prolabium not requ...

journal_title：Clinics in plastic surgery

authors： Trier WC

更新日期：1985-10-01 00:00:00

abstract：:Pre-expanded perforator flaps, a combination of tissue expansion with perforator flaps, are emerging as another landmark of plastic surgery. This flap inherits the characteristics of both perforator flaps and expanded flaps, making it a highly versatile option in reconstructive surgery. However, the definition of the ...

journal_title：Clinics in plastic surgery

authors： Wang C,Yang S,Zhang J,Yan L,Song P,Hyakusoku H,Pu LL

更新日期：2017-01-01 00:00:00

abstract：:The technique of mandibular reconstruction utilizing rigid internal fixation and vascularized bone grafts has been described. This type of repair should be considered in all patients undergoing mandibular resection for head and neck malignancies. Although no ideal method of reconstruction has yet been described, it ap...

journal_title：Clinics in plastic surgery

authors： Wenig BL,Keller AJ

更新日期：1989-01-01 00:00:00

abstract：:Few areas in plastic surgery have changed as rapidly as the management of complex facial fractures. This article delineates five principles governing current management of the patient with injuries of the craniomaxilloficial skeleton. ...

journal_title：Clinics in plastic surgery

authors： Rohrich RJ,Shewmake KB

更新日期：1992-01-01 00:00:00

abstract：:The vascular anatomy of perforators varies between individuals; thus, accurate preoperative assessment of perforators is essential for safely planning perforator flaps. Perforator computed tomographic angiography (P-CTA) with multidetector-row computed tomography (MDCT) is one of the best available methods to precisel...

journal_title：Clinics in plastic surgery

authors： Ono S,Hayashi H,Ohi H,Ogawa R

更新日期：2017-01-01 00:00:00

abstract：:In our litigious medical environment, and particularly after the breast implant debacle, plastic surgeons must understand the regulatory implications of devices they implant in their patients. This article reviews the regulatory aspects of ultrasound-assisted lipoplasty and the regulatory fundamentals that apply to al...

journal_title：Clinics in plastic surgery

authors： D'Amico RA

更新日期：1999-04-01 00:00:00

abstract：:Because the chin, like the nose, occupies a prominent position in the face, it must also be assessed in planning any changes in the facial profile. For example, a large nose associated with a microgenia does not appear as large when the chin is augmented. A chin increased in the vertical dimension confers an excessive...

journal_title：Clinics in plastic surgery

authors： McCarthy JG,Ruff GL,Zide BM

更新日期：1991-01-01 00:00:00

abstract：:The principle objective of presurgical nasoalveolar molding (NAM) is to reduce the severity of the initial cleft deformity. This enables the surgeon and the patient to enjoy the benefits associated with a repair of a cleft deformity that is of minimal severity. Retraction of the premaxilla, presurgical elongation of t...

journal_title：Clinics in plastic surgery

authors： Grayson BH,Maull D

更新日期：2004-04-01 00:00:00

abstract：:The objectives of this article are to explain the mechanisms of injury that result in ischemia of the nipple areolar complex (NAC) after reduction mammaplasty or mastopexy, to offer recommendations about the management of this complication, and to illustrate reconstructive techniques that can be used to correct deform...

journal_title：Clinics in plastic surgery

authors： Handel N,Yegiyants S

更新日期：2016-04-01 00:00:00

abstract：:In summary, the commonest late physical complications of the burn injury have been reviewed and an approach to their management described. An understanding of the pathophysiology of the conditions is invaluable in planning one's approach to these problems. The techniques to control and correct chronic wound and hypert...

journal_title：Clinics in plastic surgery

authors： Parks DH

更新日期：1977-10-01 00:00:00

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...

journal_title：Clinics in plastic surgery

authors： Chen X,Chen H,Zhang G

更新日期：2012-01-01 00:00:00

abstract：:Excision of large and giant melanocytic nevi presents a distinct challenge to the pediatric plastic surgeon. The exact risk of malignant degeneration remains unknown. These unsightly lesions can be psychologically damaging to both parent and child. The pediatric plastic surgeon must have an armamentarium of techniques...

journal_title：Clinics in plastic surgery

authors： Bauer BS,Corcoran J

更新日期：2005-01-01 00:00:00

abstract：:Complex head and neck reconstruction often mandates free tissue transfer to achieve the most optimal outcomes. Unfortunately, such challenging cases are not without risks of complications, the most dreaded of which is loss of the free flap. Aside from loss of the free flap, there are several other potential complicati...

journal_title：Clinics in plastic surgery

authors： Chang EI,Hanasono MM,Butler CE

更新日期：2016-10-01 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

authors： Masia J,Navarro C,Clavero JA,Alomar X

更新日期：2011-04-01 00:00:00

abstract：:The priorities, timing, techniques, and philosophies of reconstruction of the burned face are outlined in this article. Each anatomic area is analyzed, and the appropriate procedure is described. ...

journal_title：Clinics in plastic surgery

authors： Achauer BM

更新日期：1992-07-01 00:00:00

abstract：:For the treatment of bone gaps of less than 4 cm, cancellous autografting remains the treatment of choice. But for gaps exceeding 4 cm, the distraction osteogenesis is a viable option. The following conditions should be satisfied: (1) patient selection; (2) stable fixation; (3) osteotomy by corticotomy; (4) 7- to 14-d...

journal_title：Clinics in plastic surgery

authors： Alonso JE,Regazzoni P

更新日期：1991-07-01 00:00:00

abstract：:Lateral skin-platysma displacement is a new technique for neck rejuvenation based on composite platysma-cutaneous flaps repositioned laterally through cable sutures. This technique skews the anatomy of the muscle, displacing it in a more lateral position and decreases the risk of paramedian bands recurrence. Traction ...

journal_title：Clinics in plastic surgery

authors： Pelle-Ceravolo M,Angelini M

更新日期：2019-10-01 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

authors： Gonzalez R,Gonzalez R

更新日期：2018-04-01 00:00:00

abstract：:The advent of acellular dermal matrices (ADMs) has changed the way implant reconstruction is performed and has opened the door to muscle-sparing techniques that can be performed as an NSM (nipple-sparing mastectomy) with DTI (direct to implant) with excellent cosmesis and less patient morbidity. The article discusses ...

journal_title：Clinics in plastic surgery

authors： Zenn MR

更新日期：2018-01-01 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

authors： Gard D

更新日期：1987-04-01 00:00:00

abstract：:The goal in breast reduction surgery is to reduce volume but at the same time to maintain circulation, sensation and breast feeding potential. A dermoglandular or central pedicle is the most likely to achieve all three. The superior pedicle is reserved mainly for very small reductions or mastopexies, but the author st...

journal_title：Clinics in plastic surgery

authors： Chiari A Jr

更新日期：2002-07-01 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

authors： Buckholz VW

更新日期：1988-07-01 00:00:00

abstract：:Incision placement in patients undergoing augmentation mammaplasty is an important element of the overall strategic plan of the procedure. Whatever incision location is chosen, access to the breast must be sufficient to afford accurate dissection of the pocket, to allow easy insertion of the implant, and to provide fo...

journal_title：Clinics in plastic surgery

authors： Hammond DC

更新日期：2009-01-01 00:00:00