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


: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.


Plast Reconstr Surg


Hayashi A,Yanai A,Komuro Y,Nishida M




Has Abstract


2004-08-01 00:00:00














  • Closure of the donor defect for breast reconstruction with rectus abdominis myocutaneous flaps.

    abstract::The abdominal muscles not only constitute a multidirectional cinch that holds the abdominal contents in place, but they also determine the flexion and rotational movements of the trunk. The rectus is mainly responsible for flexion and the obliques are responsible for rotating the trunk. It is therefore important to ma...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Drever JM,Hodson-Walker N

    更新日期:1985-10-01 00:00:00

  • Use of Routine Pathologic Evaluation of Nonmalignant Lesions in Hand Surgery: A National Study.

    abstract:BACKGROUND:Most lesions of the upper extremity are common and benign, and many have questioned the need for routine pathologic evaluation of these specimens. The authors aim to examine the national use of routine pathologic examination of nonmalignant hand lesions to help guide health care policy and practice patterns....

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Cho HE,Kelley B,Zhong L,Chung KC

    更新日期:2018-08-01 00:00:00

  • Botox therapy for ischemic digits.

    abstract:BACKGROUND:Treating patients with Raynaud's phenomenon who have chronic pain and ulcerations is extremely challenging. Unrelenting pain can lead to dysfunction and disuse, rendering the patient debilitated and/or chronically depressed. Pharmacologic vasodilators and surgical sympathectomies offer variable benefits. Out...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Neumeister MW,Chambers CB,Herron MS,Webb K,Wietfeldt J,Gillespie JN,Bueno RA Jr,Cooney CM

    更新日期:2009-07-01 00:00:00

  • rhBMP-4 gene therapy in a juvenile canine alveolar defect model.

    abstract:BACKGROUND:Autologous bone grafts have the disadvantages of donor-site pain and morbidity, finite supply, increased costs, and prolonged hospitalizations. Using a juvenile canine model, the authors hypothesized that recombinant human (rh) bone morphogenetic protein (BMP)-4 gene therapy-treated alveolar defects would pr...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Chen JC,Winn SR,Gong X,Ozaki WH

    更新日期:2007-11-01 00:00:00

  • What's New in Cleft Palate and Velopharyngeal Dysfunction Management?

    abstract:LEARNING OBJECTIVES:After studying this article, the participant should be able to: 1. Have a clear understanding of the evolution of concepts of velopharyngeal dysfunction, especially as it relates to patients with a cleft palate. 2. Explain the subjective and objective evaluation of speech in children with velopharyn...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Naran S,Ford M,Losee JE

    更新日期:2017-06-01 00:00:00

  • Patient-reported outcome measures in plastic surgery: use and interpretation in evidence-based medicine.

    abstract::Understanding patients' perceptions of surgical results and their impacts on quality of life is of primary importance in plastic surgery, as procedures are largely performed to improve either appearance or function. Patient-reported outcome measures are questionnaires specifically designed to quantify aspects of healt...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Pusic AL,Lemaine V,Klassen AF,Scott AM,Cano SJ

    更新日期:2011-03-01 00:00:00

  • Free flap reconstruction of foot and ankle defects in pediatric patients: long-term outcome in 91 cases.

    abstract:BACKGROUND:Free tissue transfer has not been fully adopted as the primary mode of treating foot and ankle defects in potentially indicated patients, partly because of the lack of sizable vessels and the potential in the long term of differential growth in the flap and the recipient site. Also lacking are long-term outc...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Lin CH,Mardini S,Wei FC,Lin YT,Chen CT

    更新日期:2006-06-01 00:00:00

  • The cross-groin flap for coverage of foot and ankle defects in children. Case reports.

    abstract::The cross-groin flap is useful for covering soft tissue defects of the distal portion of the lower limb in a child. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Furnas DW

    更新日期:1976-02-01 00:00:00

  • Kinetics of E-selectin expression in surgical flaps.

    abstract::During the ischemia/reperfusion phenomenon, adhesion molecules seem to play a critical role in the recruitment of neutrophils to sites of eventual tissue injury. E-selectin is an endothelium-derived molecule that mediates adhesion of neutrophils to activated endothelial cells. In vitro expression of E-selectin, after ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Wang C,Kerrigan CL,Stotland MA

    更新日期:1997-11-01 00:00:00

  • Propranolol-epinephrine interaction: a potential disaster.

    abstract::Presented here are six examples of potentially life-threatening propranolol-epinephrine interactions. The only report found that warns of a deleterious clinical interaction between propranolol and epinephrine appeared in 1980. With widespread use of propranolol for approved and unapproved conditions, the population at...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Foster CA,Aston SJ

    更新日期:1983-07-01 00:00:00

  • Free toe-to-fingertip neurovascular flaps.

    abstract::Six cases of free toe-to-fingertip neurovascular flaps are presented. The principal advantages of this procedure over rotation island flaps are (1) achievement of better two-point discrimination, (2) an acceptable donor defect, (3) no cortical reorientation is necessary, and (4) there is minimal tension on the nerve. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Buncke HJ,Rose EH

    更新日期:1979-05-01 00:00:00

  • Reverse-flow island sural flap.

    abstract::The reverse flow island sural flap is presented as an alternative to flaps currently used for reconstruction of small and medium substance losses in the distal third of the leg, ankle, and heel. This is a random type of flap, based on the reverse flow of the superficial sural artery, which mainly depends on the anatom...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Almeida MF,da Costa PR,Okawa RY

    更新日期:2002-02-01 00:00:00

  • Anaphylactic-like reaction to methylene blue: case report and review of perioperative hypersensitivity reactions.

    abstract:BACKGROUND:Anaphylaxis and anaphylactic-like reactions in the perioperative period are a significant concern for anesthesiologists and surgeons. With an incidence as high as one in 3500 and a mortality rate of 3 to 6 percent, proper management of these reactions is essential. The available surgical literature provides ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Giladi AM,Kasten SJ

    更新日期:2012-07-01 00:00:00

  • A prospective, randomized, double-blind, controlled trial of continuous local anesthetic infusion in cosmetic breast augmentation.

    abstract:BACKGROUND:Narcotic pain medications are a significant component of most postoperative pain control regimens. Although they are usually effective, they produce several untoward side effects and sometimes provide inadequate analgesia. The continuous infusion of local anesthetic agents (via pain pump) has been used to su...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,随机对照试验


    authors: Kazmier FR,Henry SL,Christiansen D,Puckett CL

    更新日期:2008-03-01 00:00:00

  • The use of cartilage grafts in primary aesthetic rhinoplasty.

    abstract::Our experience with the use of cartilage grafts in 430 primary rhinoplasties is presented. We find grafts indicated when operating on small noses with thick skin to increase and define the dorsum, to add projection and angularity to the tip, to project the columella, and to correct the acute nasolabial angle. The proc...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Ortiz-Monasterio F,Olmedo A,Oscoy LO

    更新日期:1981-05-01 00:00:00

  • A novel device for the simple and efficient refinement of liposuctioned tissue.

    abstract::In short, our device allows a surgeon who is harvesting adipose tissue for autologous fat transplantation to immediately, easily, efficiently, and sterilely isolate adipose tissue from the unwanted waste components that are associated with primary liposuction effluent. It does so by "trapping" the fat tissue contained...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Katz AJ,Hedrick MH,Llull R,Futrell JW

    更新日期:2001-02-01 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


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

    更新日期:2017-12-01 00:00:00

  • Analysis of breast implant capsular tissue for crystalline silica and other refractile phases.

    abstract::This study questions previous reports of the presence of micrometer-sized areas of crystalline silica in pathologic tissue sections that are based exclusively on polarized-light microscopy. By using optical principles, it can be argued that it is impossible to identify unambiguously or to detect the birefringence of c...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Pasteris JD,Wopenka B,Freeman JJ,Young VL,Brandon HJ

    更新日期:1999-04-01 00:00:00

  • A prospective study of the relationship between strabismus and head posture in patients with frontal plagiocephaly.

    abstract::A prospective study was performed on 16 unoperated patients with frontal plagiocephaly to characterize the relationship between strabismus and abnormal head posture. Serial eye examinations were performed preoperatively and for 24 to 46 months following fronto-orbital advancement. In 14 patients (88 percent), preopera...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Gosain AK,Steele MA,McCarthy JG,Thorne CH

    更新日期:1996-04-01 00:00:00

  • A primer of schematics to facilitate the design of the preferred muscle perforator flaps.

    abstract:BACKGROUND:The universal adoption of muscle perforator flaps has been hampered by a lack of uniformity that would ensure the reliable harvest of the requisite vascular pedicle. Anatomical anomalies of their vascular supply are the anticipated norm, creating a conundrum inasmuch as retention of an adequate circulation i...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Hallock GG

    更新日期:2009-03-01 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

  • The psychological aspects of cosmetic breast augmentation.

    abstract:BACKGROUND:The psychological aspects of cosmetic breast augmentation have been the focus of a great deal of empiric study over the past 40 years. METHODS:Studies investigating the preoperative characteristics and psychosocial status of women interested in breast augmentation are reviewed. Investigations of postoperati...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Sarwer DB

    更新日期:2007-12-01 00:00:00

  • An investigation to optimize angiogenesis within potential dermal replacements.

    abstract:BACKGROUND:Acute and chronic wounds are costly and invariably expose significant structures. Surgical reconstruction causes donor-site morbidity, scarring, and the need for intensive care. Reconstruction using an artificial dermis avoids donor sites, but available collagen-based solutions are susceptible to poor take. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Potter MJ,Linge C,Cussons P,Dye JF,Sanders R

    更新日期:2006-05-01 00:00:00

  • Improving reemployment rates after limb salvage of acute severe tibial fractures by microvascular soft-tissue reconstruction.

    abstract::Patients with severe open tibial fractures may have a low rate of reemployment after reconstruction. Sixty-five limb-salvage patients were followed for at least 2 years to determine the factors that influence future employment. The preinjury conditions found to influence reemployment included age less than 40, higher ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Francel TJ

    更新日期:1994-04-01 00:00:00

  • Transiliac and retroperitoneal approach for coverage of sacrogluteal defects with inferiorly based rectus abdominis musculocutaneous flaps.

    abstract::An inferiorly based rectus abdominis musculocutaneous flap is transferred to the sacrogluteal region through a transiliac approach. This technique is a simple and safe alternative to obtain a short pathway from the anterior abdomen to the sacral area. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Hayashi A,Maruyama Y

    更新日期:1992-12-01 00:00:00

  • Aesthetic and oncologic outcome after microsurgical reconstruction of complex scalp and forehead defects after malignant tumor resection: an algorithm for treatment.

    abstract:BACKGROUND:Limited follow-up data on aesthetic outcome and survival after microsurgical reconstruction of complex scalp and forehead defects are available. These data are important to improve reconstruction quality and patient counseling. The purpose of this study was to evaluate surgical, aesthetic, and oncologic outc...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: van Driel AA,Mureau MAM,Goldstein DP,Gilbert RW,Irish JC,Gullane PJ,Neligan PC,Hofer SOP

    更新日期:2010-08-01 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

  • The capsule quality of saline-filled smooth silicone, textured silicone, and polyurethane implants in rabbits: a long-term study.

    abstract::Recently, there have been many new designs in both the surface texture and chemical composition of breast implants that claim reduced constrictive capsular formation. The purpose of this study was to utilize a quantitative method to determine the firmness of capsules formed around saline-filled smooth silicone, textur...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Bucky LP,Ehrlich HP,Sohoni S,May JW Jr

    更新日期:1994-05-01 00:00:00

  • J. G. Hierzel: a lip-switch flap in 1756.

    abstract::After reviewing the historical aspects of the various lip-switch flaps, the authors draw attention to the existence of a report of a lip-switch flap performed in Sweden in 1756 by J.G.Hierzel. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 传,历史文章,杂志文章


    authors: Vrebos J,Dupuis C

    更新日期:1994-01-01 00:00:00

  • Bilateral neuromata of the great auricular nerves 8 years following face lift.

    abstract::A patient is presented with bilateral neuromata incontinuity of the great auricular nerves 8 years following face lift. The neuromata were excised and repaired utilizing the operating microscope. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Manstein CH,Manstein G

    更新日期:1985-12-01 00:00:00