Abstract：
:In the past 30 years, MMS has become recognized as the treatment of choice for certain uncommon cutaneous neoplasms and for certain variants of BCC, squamous cell carcinoma, and melanoma. It offers an extremely high cure rate and maximally preserves healthy tissue, which often allows for preservation of function as well as an optimal cosmetic outcome. Because it is performed in an office setting under local anesthesia, MMS is a very cost-effective procedure and often extends operability to patients who are poor candidates for general anesthesia. In the past 30 years, MMS has evolved in a number of ways. The fixed tissue technique is uncommonly employed today. This makes the procedure less painful and faster and allows for immediate reconstruction. In addition, because statistics have demonstrated the reliability of MMS, it has become less necessary to delay definitive reconstruction or use temporizing measures. With experience and training, more Mohs' surgeons have become adept at repairing the surgical defects they create; nevertheless, at times, it is necessary for the Mohs' surgeon to call on his or her colleagues to reconstruct the Mohs' defect or to assist in ridding patients of their cancer. At times, a multidisciplinary approach may provide the best care for patients. It also encourages collegiality and this has led to increasing respect for MMS by other surgical disciplines in the past 30 years.
journal_name
Clin Plast Surgjournal_title
Clinics in plastic surgeryauthors
Lang PG Jrdoi
10.1016/s0094-1298(03)00096-8subject
Has Abstractpub_date
2004-01-01 00:00:00pages
5-31issue
1eissn
0094-1298issn
1558-0504pii
S0094-1298(03)00096-8journal_volume
31pub_type
杂志文章,评审abstract：:The advantages rendered by corrective osteotomies that mobilize large segments of the craniofacial complex, including the forehead, orbits, and maxillae, exceed those of any partial correction in this particular region. This fact has been fully demonstrated in recent years by different authors. An inconvenience of ear...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1989-01-01 00:00:00
abstract：:To understand the functional anatomy of the lower limb, one must apply one's knowledge of the gross anatomy to the gait cycle. Gait analysis then leads to a better understanding of the function and dysfunction seen in the lower limb. Data from biochemical studies help one appreciate the forces the major joints are sub...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1986-10-01 00:00:00
abstract：:The temporal fossa, zygomatic arch, and malar-midface should be considered jointly when augmentation of the temporal area or reduction of the zygomatic arch are to be carried out. These anatomic areas relate so closely to one another that altering one affects the other. In addition, augmentation of the malar-midface a...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1991-01-01 00:00:00
abstract：:Primary amputation in vascular trauma should be rare in the absence of prolonged ischemia, massive soft-tissue loss, and multiple fractures. Repair of the artery and vein, soft-tissue coverage, and rigid skeletal fixation is associated with an excellent limb salvage rate. Fasciotomy should be performed in cases with c...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：
更新日期：1986-10-01 00:00:00
abstract：:The propensity of crosslinked collagen matrices to calcify when implanted in animals and human beings is well documented. This article demonstrates that the covalent binding of the biphosphonate, 3-amino-1-hydroxy-propane-1-1-diphosphonic acid, to active bone matrix inhibits bone formation as well as dystrophic calcif...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1994-07-01 00:00:00
abstract：:Trunk defects can be approached through a multitude of regional flaps that can be harvested from the shoulder girdle, the epigastric axis, the paraspinal region, or the pelvic girdle. The aim of the reconstruction is to provide adequate and tension-free restoration of tissue integrity with minimal functional morbidity...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：10.1016/j.cps.2010.06.004
更新日期：2010-10-01 00:00:00
abstract：:In composite rhytidectomy, all of the deep aging anatomic components of the midface are elevated in the skin flap. The platysma muscle, cheek fat, and orbicularis oculi muscle are repositioned in this bipedicled musculocutaneous flap, which very effectively improves the nasolabial fold. Repositioning of all of the dee...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1995-04-01 00:00:00
abstract：:Aesthetic reconstructive rhinoplasty by definition means the creation of a nose that blends happily with its face and enjoys patent bilateral airways. This goal requires the construction of a delicate but dependable support to the bridge and tip, adequate viable lining, and cover of the correct color and texture. All ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1981-04-01 00:00:00
abstract：:There is a growing interest in upper arm aesthetic surgery but many patients do not accept the visible inner arm scar. Minimal incision brachioplasty using a shorter scar, concealed in the axilla, produces results equal to that of the traditional approach in comparable cases. Patients with massive weight loss may not ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2014.06.009
更新日期：2014-10-01 00:00:00
abstract：:Reconstruction of soft tissue defects following tumor ablation procedures in the trunk and extremities can challenge the microsurgeon. The goal is not just to provide adequate soft tissue coverage but also to restore form and function and minimize donor site morbidity. Although the principles of the reconstructive lad...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2020.06.007
更新日期：2020-10-01 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
pub_type： 杂志文章
doi：10.1016/j.cps.2008.07.004
更新日期：2009-01-01 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
pub_type： 杂志文章,评审
doi：
更新日期：1989-01-01 00:00:00
abstract：:Technologic advances have made routine use of some form of monitoring mandatory in modern burn care. Nevertheless, not all patients require all forms of monitoring. Patients with minimal burns require only minimal monitoring (vital signs, 24-hour urine output, biochemical and hematologic profile). Larger burns, associ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1986-01-01 00:00:00
abstract：:The treatment of diabetic foot ulceration is complex with multiple considerations often leading to limb amputation. This article presents the usefulness of a multidisciplinary approach along with an algorithm to manage and salvage diabetic foot ulcers from amputation. This algorithm is a step-by-step guide to manage t...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2012.05.004
更新日期：2012-07-01 00:00:00
abstract：:Fibroproliferative disorders (FPDs) are common and serious disorders. Hypertrophic scar (HSc) and keloids represent the dermal equivalents of FPD and impose lower mortality but great morbidity. This article reviews current knowledge in the pathophysiology and molecular and cellular characteristics of postburn HSc. Add...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2009.05.014
更新日期：2009-10-01 00:00:00
abstract：:We have presented the evolution of our current methods of breast reconstruction, which utilize the tissue expander in a variety of ways. We strongly support the concept that expansion should occur in the subcutaneous layer of the lower thoracic region. It is, after all, the region occupied by a mature breast that has ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1987-07-01 00:00:00
abstract：:Total mastectomy is an effective operation for patients who are candidates for a prophylactic mastectomy. This operation removes a larger percentage of breast tissue than subcutaneous mastectomy. The cosmetic results of total mastectomy with immediate reconstruction compare favorably with those of subcutaneous mastect...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1988-10-01 00:00:00
abstract：:Despite a better appreciation of the relationship between the eye and the thyroid gland in Graves' disease, the treatment of moderate to severe exophthalmos remains surgical. For many years, standard textbooks recommended a risky, transfrontal approach for exophthalmos that had to be performed by a neurosurgeon. A pre...
journal_title：Clinics in plastic surgery
pub_type： 传,历史文章,杂志文章
doi：
更新日期：1983-10-01 00:00:00
abstract：:The color of an individual's skin is an inherited trait, poorly understood in any real genetic sense and likely to remain so in the outbred populace. Pigmentary anomalies are assignable either to hyperpigmentation (melanoderma, ceruloderma) or hypopigmentation (leukoderma). This article briefly reviews such anomalies....
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1987-04-01 00:00:00
abstract：:Fractures of the upper third of the face from vehicle accidents are relatively uncommon but can have serious associated injuries of the dura and frontal lobe when they do occur. The injury may result from the victim's face either striking the dashboard or bouncing violently off the lower broken edge of the penetrated ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1975-01-01 00:00:00
abstract：:This article presents a contemporary overview of tip suturing and tip structural grafting techniques used to refine the wide nasal tip. Previous reductive techniques have proved to produce unnatural results over time. It is imperative to correctly evaluate the nose and assess all possible pitfalls during the preoperat...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2015.09.013
更新日期：2016-01-01 00:00:00
abstract：:The technique of dermal suspension, parenchymal reshaping mastopexy is a useful procedure for patients with massive weight loss with a typical presentation. The operation is tailored to the individual deformity, powerfully reshapes the breast, and can be safely combined with other commonly performed procedures. It is ...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2018.08.009
更新日期：2019-01-01 00:00:00
abstract：:This article outlines the experience of authorities on emerging techniques in plastic surgery that are discussed within this issue, such as mesotherapy and lipodissolve, Russian threads, radiofrequency, and "laser lipo." Readers are invited to analyze the findings and determine whether there is something that could ap...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：10.1016/j.cps.2008.11.004
更新日期：2009-04-01 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 article focuses on the authors' autologous fat grafting technique and its application in regenerative treatment of different scars and ulcers. Although easy to perform, this surgical approach requires some technical procedures and specific management to maximize its effectiveness which are highlighted in the artic...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2015.03.008
更新日期：2015-07-01 00:00:00
abstract：:This article is a review of cost considerations and outcomes pertaining to the use of acellular dermal matrices (ADMs) in reconstructive and aesthetic breast surgery. The history of the use of ADMs in breast surgery and all case series describing outcomes and use of ADM in breast reconstructive and aesthetic surgery a...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2012.02.007
更新日期：2012-04-01 00:00:00
abstract：:The early experience of hand transplantation has yielded a mixture of successes and failures. No life-threatening adverse effects have been encountered from immunosuppression, yet additional medications were required in some cases with unknown long-term efficacy or side effects. Limited functional returns have been ob...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cps.2005.05.005
更新日期：2005-10-01 00:00:00
abstract：:The concha of the ear appears to be the best donor site for total nasal reconstruction, no matter what the cause of the loss of the nose. The advantages of the technique are as follows: (1) The skin is of the same color, texture, and thickness as that of a normal nose. (2) The osteocartilaginous framework is automatic...
journal_title：Clinics in plastic surgery
pub_type： 杂志文章
doi：
更新日期：1981-07-01 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：: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
pub_type： 杂志文章
doi：
更新日期：1985-07-01 00:00:00
