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 tissues or through the deep tissues, usually muscle, to pierce the outer layer of the deep fascia, usually at fixed skin sites. Hence, perforator flaps, when dissected to the underlying source vessels, involve tracing vessels either between the deep tissues, whether muscle tendon or bone, or through the deep tissues, usually muscle.
journal_name
Clin Plast Surgjournal_title
Clinics in plastic surgeryauthors
Taylor GIdoi
10.1016/s0094-1298(03)00034-8subject
Has Abstractpub_date
2003-07-01 00:00:00pages
331-42, vissue
3eissn
0094-1298issn
1558-0504pii
S0094-1298(03)00034-8journal_volume
30pub_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::Excision of large and giant melanocytic nevi presents a distinct challenge to the pediatric plastic surgeon. The exact risk of malignant degeneration remains unknown. These unsightly lesions can be psychologically damaging to both parent and child. The pediatric plastic surgeon must have an armamentarium of techniques...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2004.08.004
更新日期:2005-01-01 00:00:00
abstract::The distinction between primary and secondary syndactyly is made on the basis of their relation to the morphogenesis. The latter is associated with antecedent malformation which results in subsequent refusion of parts. Based on these considerations, a practical classification is suggested. The management of the variou...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1976-01-01 00:00:00
abstract::The treatment of complex malocclusions with overriding skeletal discrepancies requires an exceptional amount of pretreatment planning. The roles of the orthodontist and the surgeon are equally important. Sufficient input from each member of the orthognathic surgical team is necessary before any patient care is deliver...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2007.05.002
更新日期:2007-07-01 00:00:00
abstract::Autologous breast reconstruction has become increasingly popular in the past several years as more experience has been gained in the various techniques. Advantages to autologous reconstruction include improved shaping and symmetry, which also allow for a more natural reconstruction. The transverse rectus abdominis myo...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1998-04-01 00:00:00
abstract::Diagnosis and proper initial management of acute fractures of the carpal bones is critical because of the limited blood supply of many bones of the wrist and the role of the carpus in optimizing hand function. Pathology is correctly diagnosed by a focused history and examination. Injuries may be missed with a cursory ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2019.03.007
更新日期:2019-07-01 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::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
更新日期:2017-10-01 00:00:00
abstract::The two inferiorly based rectus abdominis myocutaneous flaps are the most versatile and accessible flaps for high pelvic defects. Their primary contribution is in the obliteration of the pelvic "deadspace." At the present time, these useful flaps are generally considered only for massive defects of the perineum, groin...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1988-07-01 00:00:00
abstract::Over the past several years, there has been a tremendous growth and interest in buttocks augmentation in the United States. Surgical techniques have evolved over time to correct anatomical deficiencies and fulfill patient requests, including silicone implant placement (subcutaneous, intramuscular, submuscular, and sub...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2006.04.005
更新日期:2006-07-01 00:00:00
abstract::The abnormal anatomy and principles of treatment of the bilateral cleft lip deformity have been presented. The Millard technique of bilateral cleft lip repair provides for a philtrum of proper width, a lip of proper height, a full-depth labial sulcus, and complete muscle continuity. Transposition of prolabium not requ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1985-10-01 00:00:00
abstract::Phalloplasty represents the most complete genitoperineal transformation for trans men. Although voiding while standing is a priority for most trans men, most patients want to use the neophallus for sexual experience after they are accustomed to their new voiding abilities. Different techniques have been used to obtain...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2018.03.012
更新日期:2018-07-01 00:00:00
abstract::A six-step nasoplasty for the primary correction of the unilateral and bilateral cleft nasal deformity is presented. A review of the evolution of primary nasal reconstruction and preliminary results of the method are described and illustrated. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1993-10-01 00:00:00
abstract::Ring avulsion injury is classically believed to be one of the most challenging for the reconstructive surgeon. Injury patterns include a spectrum from laceration to complete amputation, with differential magnitude of injury to soft tissue, tendon, joint complex, and bone. Although ring avulsion injury can result in de...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2006.11.001
更新日期:2007-04-01 00:00:00
abstract::Ambulatory surgery in a private plastic surgery office is a practical and desirable reality. This can be achieved only in a properly staffed facility. A small number of employees are needed but each must be carefully selected for proper qualifications and attributes, appropriate training and skills necessary to execut...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1983-04-01 00:00:00
abstract::All patients with a cleft lip deformity have an associated nasal deformity that varies in degree of severity. A three-dimensional understanding of the anatomy of the cleft nose aids surgeons in selecting the proper technique for repair. Analysis and performance of orthognathic surgery should be done before nasal surge...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2015.09.016
更新日期:2016-01-01 00:00:00
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:
更新日期:1999-01-01 00:00:00
abstract::The Pittsburgh Tissue Engineering Initiative (PTEI) is the prime catalyst for tissue-engineering research and the development of a viable for-profit tissue-engineering industry in southwestern Pennsylvania. PTEI operates targeted programs that support commercializable research; provide professional and community educa...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1999-10-01 00:00:00
abstract::Dermabrasion utilizing wire brushes and Fluro-Ethyl refrigerant anesthesia is an effective way of ameliorating a variety of epidermal and dermal defects. Familiarization with proper equipment and technique is imperative. The overall incidence of troublesome complications is relatively low and is offset by the consider...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1977-04-01 00:00:00
abstract::Although breast augmentation is a procedure with a high patient satisfaction rate, at some point in time, some patients will need a revision. A better understanding of what leads to revisions is desirable to determine whether the frequency of revisions can be reduced. With that in mind, we reviewed all revisions in a ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2008.07.001
更新日期:2009-01-01 00:00:00
abstract::This article describes the surgical procedures used for the aesthetic improvements of the flanks and abdomen. A clinical classification for patient selection regarding when to use liposuction, surgery, or both, is included. Isolated flankplasty, isolated abdominoplasty, and combined flanks with abdominoplasty performe...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1996-10-01 00:00:00
abstract::Lockwood's changes in surgical design of the medial thigh lift have improved results and decreased complications but still have the fundamental problem of poor tissue fixation to rigid tissue. To provide increased support to the medial thigh incisions, modifications to this technique have been tried. This article desc...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2007.09.003
更新日期:2008-01-01 00:00:00
abstract::Flap prefabrication and prelamination are evolving, new techniques that are useful in reconstructing complex defects of the head and neck. Flap prefabrication involves the introduction of a new blood supply by means of a vascular pedicle transfer into a volume of tissue. After a period of neovascularization, this volu...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:2001-04-01 00:00:00
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:
更新日期:1996-04-01 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::The deep-plane midface lift offers many advantages in midface rejuvenation. Anatomic analysis of aging and embryologic evidence both support surgical facial “degloving” in the sub-SMAS plane and resuspension of the platysma/SMAS unit. This approach offers more complete repositioning of facial soft tissue compared with...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2014.08.009
更新日期:2015-01-01 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::For the treatment of bone gaps of less than 4 cm, cancellous autografting remains the treatment of choice. But for gaps exceeding 4 cm, the distraction osteogenesis is a viable option. The following conditions should be satisfied: (1) patient selection; (2) stable fixation; (3) osteotomy by corticotomy; (4) 7- to 14-d...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1991-07-01 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::Simultaneous breast augmentation and mastopexy is a common procedure often considered to be one of the most difficult cosmetic breast surgeries. One-stage augmentation mastopexy was initially described more than 50 years ago. The challenge lies in the fact that the surgery has multiple opposing goals: to increasing th...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2015.06.008
更新日期:2015-10-01 00:00:00