A New Surgical Technique for Polysyndactyly of the Toes without Skin Graft.

Abstract:

:Reconstruction for polysyndactyly of the toes aims at cosmetic improvement. A previous method that uses a skin graft has inherent disadvantages of mismatched pigmentation between the graft and the surrounding skin and scar formation at the donor site. The authors' new improved surgical technique for the treatment of polysyndactyly of the toes does not require a skin graft and therefore avoids these problems. The authors designed a subcutaneous flap from the distal portion of a rectangular flap of skin from the dorsal side of the interdigital webbing and moved the former flap to the sidewall of the base of a toe. Both flaps are the same size; therefore, an interdigital space had to be of sufficient size to accommodate both of them. To ensure an adequate blood supply to the flap, careful handling of the subcutaneous flap is essential for success. This procedure can apply to polysyndactyly of the fourth, fifth, and sixth toes when the fourth and fifth toes adhere over the distal side of the distal interphalangeal joint and when the skin on the dorsal side of the fifth toe, regarded as the excessive one, is at lease twice the size of the dorsal rectangular flap. Ten patients with polysyndactyly of the toe were treated with this method. Aesthetically good results were obtained.

journal_name

Plast Reconstr Surg

authors

Hayashi A,Yanai A,Komuro Y,Nishida M

doi

10.1097/01.prs.0000131882.19567.65

subject

Has Abstract

pub_date

2004-08-01 00:00:00

pages

433-8

issue

2

eissn

0032-1052

issn

1529-4242

pii

00006534-200408000-00020

journal_volume

114

pub_type

杂志文章
  • Contrast-enhanced ultrasound combined with three-dimensional reconstruction in preoperative perforator flap planning.

    abstract:BACKGROUND:Along with technical advancements in perforator flap surgery, great interest has been recently focused on the accuracy of preoperative perforator location through the assessment of the donor-site vascular network. The goal of the present study was to investigate the usefulness of contrast-enhanced ultrasound...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3182729e9e

    authors: Su W,Lu L,Lazzeri D,Zhang YX,Wang D,Innocenti M,Qian Y,Agostini T,Levin LS,Messmer C

    更新日期:2013-01-01 00:00:00

  • Academic Productivity, Knowledge, and Education in Plastic Surgery: The Benefit of the Clinical Research Fellow.

    abstract:BACKGROUND:Academic research productivity is limited by strenuous resident and faculty schedules but nevertheless is imperative to the growth and success of our discipline. The authors report institutional experience with their clinical research fellowship model, providing two positions per year. METHODS:A critical an...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003681

    authors: Carney MJ,Weissler JM,Koltz PF,Fischer JP,Wu LC,Serletti JM

    更新日期:2017-10-01 00:00:00

  • Age-Related Differences in Psychosocial Function of Children with Craniofacial Anomalies.

    abstract:BACKGROUND:Age is a frequent consideration for surgical timing in pediatric craniofacial surgery for optimal psychosocial development. However, systematic evaluations of the effects of age in children under active treatment have not been thoroughly evaluated. METHODS:Ninety-nine patients (age, 8 to 17 years; 46.5 perc...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003687

    authors: Volpicelli EJ,Pfaff MJ,Hakimi K,Bradley JP,Solem RC,Lee JC

    更新日期:2017-10-01 00:00:00

  • Not All Gustilo Type IIIB Fractures Are Created Equal: Arterial Injury Impacts Limb Salvage Outcomes.

    abstract:BACKGROUND:Open tibia fractures are commonly stratified by the Gustilo classification, an orthopedic grading system that does not incorporate the presence of arterial injury when limb perfusion is intact. In the authors' experience, however, the presence of arterial injury appears to negatively impact microsurgical out...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003766

    authors: Stranix JT,Lee ZH,Jacoby A,Anzai L,Avraham T,Thanik VD,Saadeh PB,Levine JP

    更新日期:2017-11-01 00:00:00

  • Keloids have continuous high metabolic activity.

    abstract::The adenosine triphosphate (ATP) content of keloids and scars resected from patients was demonstrated by high-performance liquid chromatography. The surface color of hypertrophic scars was red or pink and that of atrophic scars was white. The ATP content of red scars was (in mmol/g protein) 1.06 +/- 0.14, of pink scar...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199909030-00012

    authors: Ueda K,Furuya E,Yasuda Y,Oba S,Tajima S

    更新日期:1999-09-01 00:00:00

  • Free tissue transfer in patients with renal disease.

    abstract::Several authors have cited renal disease as a risk factor for free flap failure. The authors performed a retrospective analysis of all patients who underwent free tissue transfer with concomitant renal disease, including acute renal failure, end-stage renal disease, chronic renal insufficiency, and functional kidney t...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000122214.55090.16

    authors: Moran SL,Salgado CJ,Serletti JM

    更新日期:2004-06-01 00:00:00

  • Enhanced healing of cutaneous wounds in rats using beads with positively charged surfaces.

    abstract::The efficacy of electrical fields in soft-tissue repair is unclear. Materials with a charged surface provide a localized charged environment. We examined the effects of surface-charged particles in wound healing in rats with paired dorsal incisions with one side serving as a control. Tensiometry demonstrated that afte...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Mustoe TA,Weber DA,Krukowski M

    更新日期:1992-05-01 00:00:00

  • Surgical correction of Stahl's ear using the cartilage turnover and rotation method.

    abstract::Various operative methods for the correction of Stahl's ear exist. We, however, have devised an alternative "turnover and rotation" procedure. In this procedure, the deformed cartilage itself is used in its original contour to form a new scaphoid fossa, thus simplifying the corrective procedure and establishing a reli...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198901000-00031

    authors: Sugino H,Tsuzuki K,Bandoh Y,Tange I

    更新日期:1989-01-01 00:00:00

  • Syndactylic toe transfer for fingertip reconstruction.

    abstract::In the case of multiple fingertip reconstruction requiring toe transfer, double toes can be elevated in the syndactylic fashion with a single vascular pedicle for transfer, followed by separation a few weeks later. The biggest advantage of this procedure is that the problem of limitation of recipient arteries for mult...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Hirasé Y,Kojima T,Takeishi M,Konno M

    更新日期:1995-03-01 00:00:00

  • Breast reconstruction with myocutaneous flaps in previously irradiated patients.

    abstract::Breast reconstructions performed with latissimus dorsi and transverse rectus abdominis myocutaneous (TRAM) flaps in 82 patients with a history of previous chest-wall irradiation were compared with similar reconstructions in 202 nonirradiated patients to determine whether prior irradiation was associated with more freq...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Kroll SS,Schusterman MA,Reece GP,Miller MJ,Smith B

    更新日期:1994-03-01 00:00:00

  • Pearls and perils of caring for the postbariatric body contouring patient.

    abstract::Postbariatric body contouring surgery has grown in prevalence, mirroring the ascent of weight loss surgery. With the rise in prevalence of this subset of plastic surgery procedures, we are gaining wisdom about technique, safety, and outcomes associated with this patient population. The pearls of patient management inc...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0b013e318262f545

    authors: Shermak MA

    更新日期:2012-10-01 00:00:00

  • Immediate versus delayed one-stage sternal débridement and pectoralis muscle flap reconstruction of deep sternal wound infections.

    abstract:BACKGROUND:The management of postoperative deep sternal wound infection varies widely based on the discretion of the cardiovascular surgeon and the plastic surgeon. METHODS:Analysis of patients with deep sternal wound infection undergoing one-step radical sternal débridement and muscle flap reconstruction by a single ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181a205f9

    authors: Cabbabe EB,Cabbabe SW

    更新日期:2009-05-01 00:00:00

  • Vascular Endothelial Growth Factor Enhances Proliferation of Human Tenocytes and Promotes Tenogenic Gene Expression.

    abstract:BACKGROUND:In obtaining human tenocytes for tendon tissue engineering, a low proliferation rate and phenotype loss during passaging is a problem. It was the authors' aim to evaluate the influence of vascular endothelial growth factor (VEGF) on human tenocyte growth and gene expression. METHODS:Human tenocytes were exp...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000004920

    authors: Kraus A,Sattler D,Wehland M,Luetzenberg R,Abuagela N,Infanger M

    更新日期:2018-11-01 00:00:00

  • Second toe wrap-around flap.

    abstract::The microsurgical second toe wrap-around technique is an ideal treatment option for reconstruction of the distal half of the finger with circumferential loss of skin and nail associated with an uninjured proximal interphalangeal joint and an intact insertion of the flexor digitorum superficialis tendon. Follow-up of 1...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199111000-00016

    authors: Wei FC,Chen HC,Chuang DC,Chen S,Noordhoff MS

    更新日期:1991-11-01 00:00:00

  • Electrophysiologic change and facial contour following botulinum toxin A injection in square faces.

    abstract:BACKGROUND:This study was proposed to evaluate the facial contour and electrophysiologic changes of the masseter and temporalis muscles before and after botulinum toxin A injection in the wide lower face (square face). METHODS:The botulinum toxin A injections were performed on 10 patients for the treatment of square f...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000271068.71399.ae

    authors: Lee CJ,Kim SG,Kim YJ,Han JY,Choi SH,Lee SI

    更新日期:2007-09-01 00:00:00

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

    abstract::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 sin...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199202000-00006

    authors: Stewart DH,Puckett CL

    更新日期:1992-02-01 00:00:00

  • Liposuction-assisted posterior brachioplasty: technical refinements in upper arm contouring.

    abstract:BACKGROUND:Brachioplasty has increased 4059 percent from 2000 to 2008 in the United States, with 14,059 upper arm lift procedures performed in 2008. Numerous variations in the evolution of brachioplasty have been described to improve on complications and outcomes. Liposuction-assisted posterior brachioplasty is the nex...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181ebe23c

    authors: Nguyen AT,Rohrich RJ

    更新日期:2010-10-01 00:00:00

  • Paranasal implants for correction of midface concavity.

    abstract::Central midface concavity was corrected with the placement of porous polyethylene implants in the paranasal area. This simulated the effect of skeletal osteotomies and advancement without altering dental occlusion. Implants were placed to correct congenital, posttraumatic, and cleft-related skeletal midface retrusion ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199810000-00055

    authors: Yaremchuk MJ,Israeli D

    更新日期:1998-10-01 00:00:00

  • Donor-site morbidity after autologous costal cartilage harvest in ear reconstruction and approaches to reducing donor-site contour deformity.

    abstract:BACKGROUND:Harvesting of rib as a source of cartilage can result in significant donor-site morbidity. In experienced hands, excellent results from using autologous rib cartilage are achievable for ear reconstruction, rhinoplasty, and otolaryngology. The authors report the morbidity associated with the harvest of costal...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e318170709e

    authors: Uppal RS,Sabbagh W,Chana J,Gault DT

    更新日期:2008-06-01 00:00:00

  • Living Donation of Vascularized Composite Allografts.

    abstract::Living donation has become a medically and ethically accepted practice in solid organ transplantation. Published proceedings from the international kidney transplant community and from the Ethics Committee of The Transplantation Society articulated the general principles and specific recommendations for living donatio...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000004659

    authors: Pomahac B,Alhefzi M,Bueno EM,McDiarmid SV,Levin LS

    更新日期:2018-09-01 00:00:00

  • The use of autologous fibrin adhesive in skin transplantation.

    abstract::A method for preparing concentrated fibrinogen for use in autologous fibrin adhesive is described. The adhesive was used in seven patients with eight chronic leg ulcers. The ulcers were divided into two equal sections, and the adhesive was used to seal split-thickness skin grafts in one section, while no adhesive was ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Dahlstrøm KK,Weis-Fogh US,Medgyesi S,Rostgaard J,Sørensen H

    更新日期:1992-05-01 00:00:00

  • Incidence of cleft palate fistula: an institutional experience with two-stage palatal repair.

    abstract::The purpose of this study was to determine the incidence of cleft palatal fistula in a series of nonsyndromic children treated at the authors' institution. This retrospective analysis of 103 patients with cleft palate treated by five surgeons between 1982 and 1995 includes 60 boys and 33 girls, whose median age was 18...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200111000-00011

    authors: Muzaffar AR,Byrd HS,Rohrich RJ,Johns DF,LeBlanc D,Beran SJ,Anderson C,Papaioannou aA A

    更新日期:2001-11-01 00:00:00

  • Prospective study of the accuracy of the surgeon's diagnosis in 2000 excised skin tumors.

    abstract::Expeditious yet efficacious removal of skin tumors is a common responsibility for the plastic surgeon. The need to minimize potential risks for mortality or morbidity from undue or excessive surgical resections and to control costs by avoiding unnecessary procedures behooves us to make a precise clinical diagnosis pre...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199804050-00014

    authors: Hallock GG,Lutz DA

    更新日期:1998-04-01 00:00:00

  • Scalp stretching with a tissue expander for closure of scalp defects.

    abstract::The authors show a way of reconstruction of scalp defects with excellent results using a tissue expander. This method creates "new" scalp tissue for coverage of defects with normal hair-bearing skin having a dense and even growth of hair. The hairs grow in the correct direction. The authors also show that almost all o...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198504000-00025

    authors: Nordström RE,Devine JW

    更新日期:1985-04-01 00:00:00

  • The disruptive physician: righteous Maverick or dangerous Pariah?

    abstract:BACKGROUND:"Disruptive physician" is a term appearing more frequently in many hospital bylaws. It has significant negative implications that can lead to loss of privileges for plastic surgeons. METHODS:Exploring the various definitions of disruptive physician reveals palpable differences between those of the Joint Com...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e31819348bd

    authors: Zbar RIS,Taylor LD,Canady JW

    更新日期:2009-01-01 00:00:00

  • New method of preparing a pectoralis major myocutaneous flap with a skin paddle that includes the third intercostal perforating branch of the internal thoracic artery.

    abstract:BACKGROUND:Although the use of free flaps has become a major option for head and neck reconstruction, the pectoralis major myocutaneous flap still plays an important role because of its advantages and its convenience as a pedicle flap located adjacent to head and neck lesions. However, there remain two problems with th...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e31819f2967

    authors: Rikimaru H,Kiyokawa K,Watanabe K,Koga N,Nishi Y,Sakamoto A

    更新日期:2009-04-01 00:00:00

  • The reverse-flow posterior tibial artery island flap: anatomic study and 72 clinical cases.

    abstract::Based on anatomic, dye injection, and angiography observations since 1984, 72 patients with tissue defects of the foot (due to injury or surgery) have been reconstructed using a reverse-flow posterior tibial artery island flap. In the 72 patients, etiology has included extensive crushing (40 patients), burn scars (10 ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Liu K,Li Z,Lin Y,Cao Y

    更新日期:1990-08-01 00:00:00

  • Extended transverse rectus abdominis musculocutaneous flap.

    abstract::The transverse rectus abdominis musculocutaneous flap is widely used for breast reconstruction, but it does not have a rich blood supply. A previous article described the inclusion of superficial epigastric vessels and superficial circumflex iliac vessels to "supercharge" the flap. Subsequent experience has shown that...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199309001-00033

    authors: Takayanagi S

    更新日期:1993-09-01 00:00:00

  • Sequential chimeric anterolateral thigh flap for reconstruction of through-and-through oropharyngeal defects with no suitable neck recipient vessels.

    abstract::The anterolateral thigh flap is currently the frontline choice for head and neck reconstruction. The authors used a chimeric anterolateral thigh flap for reconstruction of a through-and-through oropharyngeal defect. Because of the absence of suitable recipient vessels in the proximity of the defect, the authors recrui...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3182879f32

    authors: Vanmierlo B,Craggs B,Van Eeckhout G,Zeltzer A,Hamdi M

    更新日期:2013-05-01 00:00:00

  • Implant-Based Breast Reconstruction Using a Polyester Mesh (Surgimesh-PET): A Retrospective Single-Center Study.

    abstract:BACKGROUND:Although the introduction of acellular dermal matrices is considered one of the most important advancements in alloplastic breast reconstruction, costs and local policy limit their use in Italy. The purpose of this study was to assess short-term outcomes following Surgimesh-PET-based breast reconstruction. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000002180

    authors: Baldelli I,Cardoni G,Franchelli S,Fregatti P,Friedman D,Pesce M,Ponte E,Santori G,Santi P

    更新日期:2016-06-01 00:00:00