Refinements in hand coverage with microvascular free flaps.

Abstract:

:The specialized tissue requirements or dorsal and palmar skin are analyzed and options for full-thickness replacement outlined in detail. Thoughtful and accurate preoperative planning is the key to success. Dorsal coverage with a variety of pedicled and free fasciocutaneous flaps are quite satisfactory. Palmar coverage is more difficult and the need for sensation more critical. Free vascularized temporoparietal fascial flaps covered with full-thickness skin grafts are currently the treatment of choice for most complex wounds.

journal_name

Clin Plast Surg

authors

Upton J,Havlik RJ,Khouri RK

subject

Has Abstract

pub_date

1992-10-01 00:00:00

pages

841-57

issue

4

eissn

0094-1298

issn

1558-0504

journal_volume

19

pub_type

杂志文章,评审
  • Lateral Skin-Platysma Displacement: A New Approach to Neck Rejuvenation Through a Lateral Approach.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2019.06.006

    authors: Pelle-Ceravolo M,Angelini M

    更新日期:2019-10-01 00:00:00

  • Local anesthetics for skin grafting and local flaps.

    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

    authors: Farhangkhoee H,Li EY,Thoma A

    更新日期:2013-10-01 00:00:00

  • Timing and decision-making in the treatment of congenital upper extremity deformities.

    abstract::With growth and development, the hand undergoes profound structural and functional changes. Congenital anomalies lead to development of aberrant functional patterns. Appropriate timing of surgical correction is essential to minimize deformity and prevent development of aberrant function before set patterns of cortical...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Netscher DT,Scheker LR

    更新日期:1990-01-01 00:00:00

  • Cutaneous pigmentation.

    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:

    authors: McGavran MH

    更新日期:1987-04-01 00:00:00

  • Evolving concepts of craniomaxillofacial fracture management.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Rohrich RJ,Shewmake KB

    更新日期:1992-01-01 00:00:00

  • Biochemistry of bone induction and dystrophic calcification.

    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:

    authors: Nimni ME

    更新日期:1994-07-01 00:00:00

  • The ethics of managed care financial incentives to limit care. Some thoughts for specialists.

    abstract::This article supplies an introduction to the structure and purpose of managed care financial incentives, with particular attention to those affecting referrals to specialists. It then addresses some of the ethical problems attending such incentive schemes and discusses the characteristics that make some financial ince...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Latham SR

    更新日期:1999-01-01 00:00:00

  • Endoscopy in the outpatient setting.

    abstract::Office endoscopy is an accepted safe alternative to in-hospital care. Attention to detail will help to ensure that the vast majority of procedures will be successfully completed without incident. Although there are regional differences, in many parts of North America office endoscopy has become mainstream, and is pref...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2013.04.006

    authors: Frank M

    更新日期:2013-07-01 00:00:00

  • Facial Gender Confirmation Surgery: Facial Feminization Surgery and Facial Masculinization Surgery.

    abstract::Facial feminization surgery was pioneered in the 1980s to provide options for trans women who were having difficulty with their outward appearance. This process presented a novel application of craniofacial surgery at the time. This text outlines the basic differences between male and female facial morphology, as well...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2018.03.005

    authors: Deschamps-Braly JC

    更新日期:2018-07-01 00:00:00

  • Closed, nonendoscopic, small-incision forehead lift.

    abstract::As endoscopic techniques made inroads into surgery, one of the first procedures they were adapted to by plastic surgeons was the forehead lift. The "closed" forehead lift procedure has since achieved wide acceptance and exists as a viable alternative to open procedures for many patients. Experience has shown, however,...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:10.1016/j.cps.2008.02.002

    authors: Marten TJ

    更新日期:2008-07-01 00:00:00

  • Perioperative nursing care of the pediatric hypospadias patient.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Buckholz VW

    更新日期:1988-07-01 00:00:00

  • Alloplastic nasal and perialar augmentation.

    abstract::Our favorable experience with use of porous hydroxyapatite granules to augment the craniofacial skeleton (more than 200 patients during an 8-year period) has led us to use this method to augment the nasal skeleton in selected cases. Extensive experience has been achieved in augmenting the perialar, maxilla, and glabel...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Byrd HS,Hobar PC

    更新日期:1996-04-01 00:00:00

  • Strategies for the treatment of enophthalmos.

    abstract::The surgical correction of post-traumatic enophthalmos is among the most challenging problems for the surgeon. A thorough understanding of orbital anatomy and the purposed mechanisms of enophthalmos is crucial to the ultimate success or failure of the procedures. The successful orbital reconstruction begins with a car...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Grant MP,Iliff NT,Manson PN

    更新日期:1997-07-01 00:00:00

  • Managing Mutilating Hand Injuries.

    abstract::Mutilating injuries include a wide and heterogeneous spectrum of clinical presentations, each being unique in terms of pattern of tissue damage, patient characteristics, and functional requirements. Understanding the principles of reconstruction of bone and soft tissues, a wide repertoire of surgical techniques, and t...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2019.02.009

    authors: Lahiri A

    更新日期:2019-07-01 00:00:00

  • The lateral arm flap.

    abstract::The authors contend that the conventional flap (LAF) and the ELAF should be considered among the best choices of all possible fasciocutaneous flaps for head and neck reconstruction. Easy and quick dissection under tourniquet, design variability, and potential sensory innervation make these flaps superior to other fasc...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Ninkovic M,Harpf C,Schwabegger AH,Rumer-Moser A,Ninkovic M

    更新日期:2001-04-01 00:00:00

  • Monitoring of the burn patient.

    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:

    authors: Fabri PJ

    更新日期:1986-01-01 00:00:00

  • Managing Necrosis of the Nipple Areolar Complex Following Reduction Mammaplasty and Mastopexy.

    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

    authors: Handel N,Yegiyants S

    更新日期:2016-04-01 00:00:00

  • The angiosomes of the body and their supply to perforator flaps.

    abstract::An angiosome is a composite block of tissue that is supplied anatomically by source (segmental or distributing) vessels that span between the skin and bone. In addition to supplying the deep tissues, the source vessels of these angiosomes supply branches to the overlying skin, which pass either between the deep tissue...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/s0094-1298(03)00034-8

    authors: Taylor GI

    更新日期:2003-07-01 00:00:00

  • Calf augmentation and correction of contour deformities.

    abstract::In general, augmentation of soft tissue has been a problem for plastic surgeons because of the body's protective mechanisms against foreign material, but silicone rubber implants are the author's choice of the materials currently available. The aesthetic considerations of the shape of the calf and techniques and compl...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Howard PS

    更新日期:1991-07-01 00:00:00

  • Chimeric flap in clinical use.

    abstract::With the development of modern microsurgical reconstruction, there are several alternative methods for the complicated head and neck defect or injured extremity. The double-paddled flap, double flaps, and double flap with vascular flow-through linkage are good tools for extensive wide, composite, and three-dimensional...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/s0094-1298(03)00046-4

    authors: Huang WC,Chen HC,Wei FC,Cheng MH,Schnur DP

    更新日期:2003-07-01 00:00:00

  • Role of Facial Vascularized Composite Allotransplantation in Burn Patients.

    abstract::Face transplantation can provide improved quality of life to patients with extensive burn injuries. Facial vascularized composite allotransplantation (VCA) offers a new paradigm of treatment options, serving as a powerful reconstructive tool to restore facial form and function. Although currently facial VCA patients m...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2017.05.017

    authors: Bharadia D,Sinha I,Pomahac B

    更新日期:2017-10-01 00:00:00

  • Frontoethmoidal meningoencephaloceles.

    abstract::Frontoethmoidal meningoencephaloceles constitute a well-defined clinical entity with remarkable epidemiologic peculiarities, being very prevalent in Southeast and Southern Asia, but relatively rare in Western Europe, Japan, Australia, and North America. They do not show an increased risk of recurrence in siblings and ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: David DJ,Simpson DA

    更新日期:1987-01-01 00:00:00

  • Anesthesia for plastic surgery in the pediatric patient.

    abstract::The anesthetic management of pediatric patients for plastic surgical procedures requires close cooperation and understanding between the surgeon and anesthesiologist. Success depends upon avoidance of psychological trauma, establishment and maintenance of a secure airway, and adequate access to the vascular system. ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Wallace CT

    更新日期:1985-01-01 00:00:00

  • Clinical applications of autografts, conduits, and allografts in repair of nerve defects in the hand: current guidelines.

    abstract::Traumatic nerve injuries are common conditions treated by hand surgeons, and the optimal treatment of a severed nerve requires providing a healthy wound bed, generous trimming to healthy nerve substance, and a minimal-tension approximation. The gold standard for repair of a critical nerve gap has been the nerve autogr...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2014.03.006

    authors: Rinker B,Vyas KS

    更新日期:2014-07-01 00:00:00

  • Compressive neuropathies of the upper extremity.

    abstract::Although any peripheral nerve may be compressed anywhere along its course, nerve compression syndromes typically occur at predictable sites with predictable clinical presentations. A detailed history and physical examination can establish a diagnosis, and electrodiagnostic studies and at times imaging can confirm it. ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/s0094-1298(02)00103-7

    authors: Spinner RJ,Amadio PC

    更新日期:2003-04-01 00:00:00

  • Hemostasis in plastic surgical patients.

    abstract::Every surgeon should be acutely cognizant of the importance of the evaluation and treatment of bleeding abnormalities. Dependence upon a normal platelet and clotting system is a requirement for surgery. Significant emphasis should always be placed on a detailed history and physical examination. Routine laboratory eval...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Hicks PD Jr,Stromberg BV

    更新日期:1985-01-01 00:00:00

  • Bone grafts in craniofacial surgery.

    abstract::Bone grafting or bone replacement is an integral part of craniofacial surgery. Most craniofacial surgeons prefer the use of autogenous bone; however, there are exceptions to this, because some plastic surgeons prefer the use of alloplastic implants for replacement of parts or missing segments in the craniomaxillofacia...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Salyer KE,Taylor DP

    更新日期:1987-01-01 00:00:00

  • "Marriage" abdominoplasty: body contouring with limited scars combining mini-abdominoplasty and liposuction.

    abstract::The "marriage" or union of aggressive truncal liposuction with modified abdominoplasty techniques has been applied by the authors to treat patients with abdominal deformities marked by lower abdominal skin excess, abdominal muscle laxity, and excess adipose tissue on the abdominal wall and in adjacent contours. In the...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2004.03.014

    authors: Walgenbach KJ,Shestak KC

    更新日期:2004-10-01 00:00:00

  • New microsurgical applications: implications for the infrastructures of plastic surgery.

    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

    authors: Lineaweaver WC

    更新日期:2002-01-01 00:00:00

  • Algorithms for the treatment of cleft lip and palate.

    abstract::Developing standardized outcomes and algorithms of treatment is a constantly evolving task. This article examines four variables in this process: cleft type, operative technique, surgical experience, and timing. Input from international cleft lip and palate programs regarding techniques and treatment modalities provid...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Stal S,Klebuc M,Taylor TD,Spira M,Edwards M

    更新日期:1998-10-01 00:00:00