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 the columella, correction of the nasal cartilage deformity, alignment of the cleft alveolar segments, increase in the surface area of the nasal mucosal lining, up-righting of the columella, and achieving close approximation of the cleft lip segments at rest result from gentle application of forces through the NAM appliance. Preservation of these presurgical changes is achieved through the coordinated and modified surgical technique of the primary cleft repair.
journal_name
Clin Plast Surgjournal_title
Clinics in plastic surgeryauthors
Grayson BH,Maull Ddoi
10.1016/S0094-1298(03)00140-8subject
Has Abstractpub_date
2004-04-01 00:00:00pages
149-58, viiissue
2eissn
0094-1298issn
1558-0504pii
S0094129803001408journal_volume
31pub_type
杂志文章,评审abstract::As a technical innovation, microsurgery has changed concepts and strategies throughout plastic surgery. The infrastructures of plastic surgery currently are evolving in ways that make the identity and future of the specialty uncertain. Microsurgery also may be a basis for fresh thoughts in these areas of infrastructur...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/s0094-1298(03)00087-7
更新日期:2002-01-01 00:00:00
abstract::Anatomic implants provide useful alternatives to breast augmentation for the discerning surgeon, particularly in breasts with tight skin envelopes or deficient lower poles. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:2001-07-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2015.12.012
更新日期:2016-04-01 00:00:00
abstract::Lipoplasty accomplishes the opposite of classic plastic surgery results. Instead of a long incision, there is a tiny one; instead of undermining, tunneling is performed; instead of redraping and resection of the skin, lipoplasty uses skin retraction. Retraction versus traction is the key principle of liposuction. The ...
journal_title:Clinics in plastic surgery
pub_type: 历史文章,杂志文章
doi:
更新日期:1996-10-01 00:00:00
abstract::Knowledge of abdominal anatomy is key to achieving optimal results in abdominoplasty. With adequate knowledge of the anatomy, the surgeon can tailor his or her techniques to fit the needs of the patient while still maximizing the blood supply to the abdominal flaps and minimizing complications. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2010.03.003
更新日期:2010-07-01 00:00:00
abstract::Asian rhinoplasty differs from traditional rhinoplasty approaches in preoperative analysis, patient expectations, nasal anatomy, and surgical techniques used. Platyrrhine nasal characteristics are common, with low dorsum, weak lower lateral cartilages, columellar retraction, and thick sebaceous skin often noted. Typic...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2009.12.008
更新日期:2010-04-01 00:00:00
abstract::Seroma formation is one of the major postoperative complications of abdominoplasty. Progressive tension sutures have been proposed as an adjunct procedure to combat this problem. Apart from being a simple addition to abdominoplasty, the sutures also eliminate other complications, such as postoperative drains, and incr...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2010.03.004
更新日期:2010-07-01 00:00:00
abstract::Clinically objective assessment of the occlusal function remains largely, even today, in the research laboratory instead of in the clinical setting, as part of the routine assessment along with the morphologic documentation. Functional outcomes of the stomatognathic system can be measured in terms of occlusal contact ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2007.04.003
更新日期:2007-07-01 00:00:00
abstract::Microsurgical free tissue transfer allows for the immediate reconstruction of any composite mandibular defect. Most patients are candidates for reconstruction, and careful preoperative planning is an important key to success. Osteocutaneous free tissue transfer is currently the reconstructive modality of choice. The t...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1995-01-01 00:00:00
abstract::The main goals of treating severe crush injuries are debriding away devitalized tissue and filling any resultant dead space with vascularized tissue. In the authors' experience, the most ideal methods for soft tissue coverage in treating crush injuries are the iliac flap, the adipofascial lateral arm flap, and the gra...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2016.11.002
更新日期:2017-04-01 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
pub_type: 杂志文章
doi:
更新日期:1989-10-01 00:00:00
abstract::Pulmonary edema and local anesthetic toxicity are potential complications of the use of large volumes of infiltrate during lipoplasty. In most patients, these unfavorable developments are prevented by physiologic and pharmacologic mechanisms. The latter may be inadequate in some patients, however, and it is imperative...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract::Recognition of alar rim deformities is an important component of the preoperative analysis of the nose. Correction of these deformities improves the esthetic balance of the nose and has an added benefit of improving the function of the external nasal valve. Classification systems have been proposed to enable surgeons ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2009.12.007
更新日期:2010-04-01 00:00:00
abstract::The two stage principle is one of the most important features of the procedure. It allows starting the operation at a very early stage (one to six months). The donor area in the periphery is very well supplied, therefore as many facial fascicles as necessary can be sacrificed on the healthy side. We have never noticed...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1979-07-01 00:00:00
abstract::The problem of high velocity facial injuries with multiple facial fractures concerns the severity of the bony injury. Attempts at closed reduction of the large comminuted segments common to these fractures result in eventual bony collapse and soft tissue shrinkage. The solution to these problems lies in the early expo...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1989-01-01 00:00:00
abstract::Scar prognosis is a matter of great natural interest to patients. It is important to realize that the nature of the injury is the most important consideration in the final result. The orientation of the wound in relation to the normal lines of skin tension, its location and pattern, and peculiarities of the individual...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1977-04-01 00:00:00
abstract::This article covers many issues of particular interest to the care of the child who presents to the emergency department with a traumatic wound. General concepts regarding the staffing of an emergency department, staff qualifications, and their consultation patterns are reviewed. Issues pertaining to the management of...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1998-10-01 00:00:00
abstract::Burn care and burned people are probably the least likely candidates as subjects of fine art. To disprove this notion, three paintings are offered as examples of artistic treatment of an unlikely issue. ...
journal_title:Clinics in plastic surgery
pub_type: 历史文章,杂志文章
doi:
更新日期:1986-01-01 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
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract::Remarkable advances in burn care have been made over recent decades, and it is recognized that the organized efforts of burn teams are required to continue enhancing survival rates and quality of life for patients. Patients with major burns are unique, representing one of the most severe models of trauma, and therefor...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2009.05.015
更新日期:2009-10-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1992-07-01 00:00:00
abstract::"Adipose tissue is a valuable, exploitable, appealing source of regenerative cells that can be used for a variety of clinical challenges. This article reviews the history of the development of adipose-derived cell science, particularly in the context of tissue engineering and regenerative medicine. It describes some o...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2014.12.010
更新日期:2015-04-01 00:00:00
abstract::The goal of this article is to introduce clinical investigators to the basic concepts of cost-effectiveness analysis. This line of research is not commonly pursued in clinical studies probably because of unfamiliarity of plastic surgeons with the field of health economics and health research methodology in general. Th...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2007.10.012
更新日期:2008-04-01 00:00:00
abstract::Pedicle perforator flaps and keystone perforator island flaps are additional tools for reconstructive surgeons. Advances in understanding of vascular anatomy, the dynamic nature of perforator perfusion, inter-perforator flow and the hot-spot principle have led to reconstructive techniques that allow innovative autolog...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2016.12.005
更新日期:2017-04-01 00:00:00
abstract::This article underscores the importance of the growth process in the production of normal and abnormal craniofacial morphology. Although much has been learned over the past century, we still have only a limited appreciation of the 3D changes that occur in the skull during postnatal growth. We have also stressed that t...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1994-10-01 00:00:00
abstract::A clear understanding of upper eyelid anatomy is an absolute prerequisite for performing advanced invagination-type blepharoplasty. This article describes the author's simple, systematic approach to intraoperative identification of the levator aponeurosis as well as the other key layers of fascia in the upper lid. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1993-04-01 00:00:00
abstract::The age and general condition of the patient, size and shape of the remaining breast, various risk factors such as the histologic type of carcinoma, and family history are all critical in governing the definitive management of the remaining breast during postmastectomy breast reconstruction. The philosophy, timing, an...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1984-04-01 00:00:00
abstract::The author discusses implementation of suction-assisted lipectomy in Japan and describes his experience in coping with the complications of this procedure over the past four years. Included are patient selection, preoperative testing, operative procedure, as well as complications. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1984-07-01 00:00:00
abstract::Fat grafting is as a unique regenerative filler with soluble factors and progenitor cells that may remodel scar tissue in an easy yet effective way. A combination of microfat grafting, lipococoncentrate injection, scar subcision, and platelet-rich plasma supplementation may be used to treat the majority of facial scar...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2019.08.010
更新日期:2020-01-01 00:00:00
abstract::In plastic surgery, there are many procedures that can be performed using local instead of general anesthesia. Not only can this help mitigate health care costs, but precious operating-room resources can also be directed to areas of greater need. Common procedures that can be performed under local anesthetics include ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2013.07.004
更新日期:2013-10-01 00:00:00