Abstract：
:In the clinical management of combined tendon and nerve injuries, there are competing treatment strategies. Isolated tendon injuries should be rapidly mobilized after repair to prevent adhesion formation, whereas isolated nerve repairs are usually immobilized to prevent disruption and to allow axon regrowth. Recommendations in the published literature for the management of combined tendon and nerve injuries are vague and advise up to 3 weeks of immobilization. The goals of this study were to determine which length of nerve gap resulted in rupture of a repair following postoperative mobilization with the modified Duran protocol and with unrestricted motion and to determine whether nerve grafts are at risk of rupture after mobilization. A total of 100 digital nerves from 10 cadaver hands were tested with the modified Duran and the unsplinted protocols. Each digital nerve on each hand was sequentially resected and repaired at five progressively larger gap lengths after testing with both protocols. The mean nerve gaps at which disruption occurred were significantly different between the splinted (9.7 +/- 0.8 mm, n = 100) and unsplinted (7.3 +/- 1.9 mm, n = 100) protocols (t test, p < 0.001). One hundred percent of repairs remained intact, with up to 5 mm of resection with the modified Duran protocol (n = 100) and with up to 2.5 mm of resection with the unsplinted protocol (n = 100). All nerve grafts remained intact after mobilization within a dorsal-blocking splint (n = 100). Considering mechanical integrity of the nerve repair only, these data suggest that early mobilization with tendon protocols may be considered after a nerve injury to avoid the detrimental tendon sequelae that result from immobilization. The adequacy of functional recovery of mobilized nerves is yet to be determined.
journal_name
Plast Reconstr Surgjournal_title
Plastic and reconstructive surgeryauthors
Chao RP,Braün SA,Ta KT,Palesty JA,Mine R,Syed SA,Chang DJ,Thomson JGdoi
10.1097/00006534-200108000-00017subject
Has Abstractpub_date
2001-08-01 00:00:00pages
386-91issue
2eissn
0032-1052issn
1529-4242journal_volume
108pub_type
杂志文章abstract：:The outcomes of a consecutive series of 35 adults and adolescents judged to be skeletally mature (mean 18 years) who had unilateral cleft lip and palate and had undergone Le Fort I advancement fixed with miniplates were investigated. All patients had received grafts of autogenous iliac bone and were stabilized intraop...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：10.1097/00006534-199412000-00004
更新日期：1994-12-01 00:00:00
abstract：BACKGROUND:The preoperative localization of thoracodorsal artery perforators has been a challenge because of their topographic variation. METHODS:From November of 2005 to January of 2007, 25 patients underwent free thoracodorsal artery perforator flap transfer for reconstruction of the lower extremities (22 flaps) and...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：10.1097/PRS.0b013e31818458b3
更新日期：2008-10-01 00:00:00
abstract：BACKGROUND:Posttraumatic facial paralysis is a disabling condition. Current surgical management by faciofacial nerve suture provides limited recovery. To improve the outcome, the authors evaluated an add-on strategy based on a syngeneic transplantation of nasal olfactory stem cells in a rat model of facial nerve injury...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：10.1097/PRS.0000000000007367
更新日期：2020-12-01 00:00:00
abstract：:A new approach to total rhinoplasty, using a free dorsalis pedis flap containing part of the second metatarsal bone, is reported. ...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：10.1097/00006534-197903000-00018
更新日期：1979-03-01 00:00:00
abstract：BACKGROUND:Although much has been published with regard to the columella assessed on the frontal and lateral views, a paucity of literature exists regarding the basal view of the columella. The objective of this study was to evaluate the spectrum of columella deformities and devise a working classification system based...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：10.1097/PRS.0000000000000022
更新日期：2014-04-01 00:00:00
abstract：:Effective methods to identify novel genes in complicated dynamic tissue processes are needed in molecular biology research. Traditional techniques primarily target known genes and are inefficient in the pursuit of unknown genes. Here we describe the use of a modified differential display polymerase chain reaction (DD-...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：10.1097/00006534-200209010-00011
更新日期：2002-09-01 00:00:00
abstract：:Free-tissue transfer in the elderly has received increasing attention in the literature. Existing reports are limited by small samples or inadequate definition of the term elderly. This study reviewed 5 years' experience with free-tissue transfer in a geriatric population (mean age 75 years, range 70 to 83 years). For...
journal_title：Plastic and reconstructive surgery
pub_type： 临床试验,杂志文章
doi：10.1097/00006534-199612000-00018
更新日期：1996-12-01 00:00:00
abstract：:We have presented the management of a case of benign lipoblastomatosis in the face. Knowledge of this rare condition will enable the surgeon to make intelligent intraoperative decisions when confronted with similar findings. ...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：
更新日期：1984-03-01 00:00:00
abstract：BACKGROUND:The septal extension graft is currently the most commonly used primary and secondary rhinoplasty technique in Asia because it provides maximal tip projection and rotational controllability. The authors compared the tip projection amount and rotational controllability of the tip support between the septal ext...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：10.1097/PRS.0000000000003920
更新日期：2018-01-01 00:00:00
abstract：SUMMARY:This is part IV of four articles describing the three-step principle for easy shaping of the breast in reconstructive and aesthetic breast surgery. This article may seem overdue because aesthetic corrections are routinely performed, frequently written about, and easier to execute, as no prior ablative surgery o...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：10.1097/PRS.0b013e3181aeeb21
更新日期：2009-08-01 00:00:00
abstract：:Deep mechanical massage has been advocated as an alternative or adjunctive therapy for the contouring of subcutaneous fat and as a treatment for cellulite. We evaluated the effects of deep mechanical massage using two pig models. Yucatan pigs were divided into three groups (n = 4). One side of each body received 4, 10...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：10.1097/00006534-200107000-00038
更新日期：2001-07-01 00:00:00
abstract：:Sternal clefting is an unusual congenital anomaly that should be repaired in early infancy. Early surgery is facilitated by a highly compliant bony thorax. The surgical technique is described, including the (1) removal of a wedge at the confluence of the two lateral sternal bands to allow their apposition, (2) intraop...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章,评审
doi：
更新日期：1991-11-01 00:00:00
abstract：BACKGROUND:Sweet's syndrome, originally described as an acute febrile neutrophilic dermatosis, belongs to a class of skin lesions that histologically have intense epidermal and/or dermal inflammatory infiltrate of neutrophils without evidence of infection or vasculitis. Skin lesions of Sweet's syndrome most commonly pr...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：10.1097/01.prs.0000172890.53979.09
更新日期：2005-08-01 00:00:00
abstract：:The authors present their latest development of a strictly vertical retroauricular incision to minimize a sequela of a face lift, namely, a visible scar. The temporal preauricular vertical incision and the retroauricular vertical incision form two parallel arms of a U-shaped incision. Anteriorly, a downward rotation f...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：10.1097/00006534-200206000-00058
更新日期：2002-06-01 00:00:00
abstract：BACKGROUND:The current standard of care for the prevention and treatment of scarring after burn injury is pressure garment therapy. Although this therapy has been used clinically for many years, controversy remains regarding its efficacy. The authors evaluated the efficacy of pressure garment therapy in a female red Du...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：10.1097/PRS.0000000000001507
更新日期：2015-09-01 00:00:00
abstract：:A series of 25 patients with periorbital hemangiomas was treated with intralesional corticosteroid injection. This resulted in a marked involution of the tumor in 16 patients, a moderate involution in 5 patients, and a minimal response in 4. No local or systemic complications were noted. The overall incidence of ocula...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：10.1097/00006534-198510000-00005
更新日期：1985-10-01 00:00:00
abstract：:There has been considerable disagreement in descriptions of the SMAS. Fresh cadaver dissection, combining anatomic dissection done with the aid of the operating microscope and histologic cross section of facial tissues, was performed in 24 facial halves. Histologic preparation was made on tissue macrosections, each 10...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章,评审
doi：
更新日期：1993-12-01 00:00:00
abstract：BACKGROUND:Although most craniosynostoses can be determined by pattern recognition, some patients defy phenotypic diagnosis and require computed tomography to determine sutural fusions. METHODS:The authors' craniofacial database was reviewed for patients treated for craniosynostosis between 1989 and 2007. Children wit...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：10.1097/PRS.0b013e31817f45f0
更新日期：2008-09-01 00:00:00
abstract：BACKGROUND:One of the most common complications of the use of foreign material, in both reconstructive and cosmetic breast surgery, is capsular contracture. Historically, research on capsular contracture has focused mainly on reducing bacterial contamination through antibiotic solutions. Only secondary studies have foc...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：10.1097/PRS.0000000000006553
更新日期：2020-03-01 00:00:00
abstract：:After a very cautious dissection, the crossing of cartilages is going to produce a "spring effect" which, in pushing them to the right position, will consequently correct the pinch. This is a simple procedure, indicated only for nose tips or, if associated with other techniques, to correct secondary rhinoplasty patien...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：
更新日期：1989-10-01 00:00:00
abstract：BACKGROUND:Bibliometric indices are proposed measures to quantitatively and qualitatively evaluate scholarly output within academic medicine. The authors sought to validate bibliometric indices as an indicator of academic productivity within plastic surgery and their association with promotion of faculty surgeons in ac...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：10.1097/PRS.0000000000000594
更新日期：2014-11-01 00:00:00
abstract：BACKGROUND:The loss of the blink reflex and the ability to close the eye actively are disabling functional and aesthetic impairments common to patients with facial paralysis. Nonphysiologic (static) management techniques involve implantation of devices in the upper eyelid that mechanically aid eye closure. The most pop...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：10.1097/01.prs.0000299919.18076.b4
更新日期：2008-03-01 00:00:00
abstract：:A very rare case of congenital skin tube pedicle with congenital constriction band syndrome was presented. Only one report concerning this bizarre abnormality could be found in the available literature, and no consideration of its etiology has previously been published. In our case, the skin tube was accompanied by th...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：10.1097/00006534-199204000-00029
更新日期：1992-04-01 00:00:00
abstract：:Auricular pseudocyst is an asymptomatic cystic swelling of the upper portion of the auricle. Various therapeutic approaches have been employed with variable success. We report our results with nine patients treated by needle aspiration and bolstered pressure sutures applied over both aspects of the cyst for 1 week. Tr...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：10.1097/00006534-199104000-00030
更新日期：1991-04-01 00:00:00
abstract：BACKGROUND:Soft-tissue complications after using the lateral approach for internal fixation of calcaneal fractures are relatively frequent, even in skilled hands. The global management of these wounds has never been standardized. METHODS:The authors present a series of 24 patients with wound edge necrosis of lateral a...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：10.1097/01.prs.0000267418.66689.61
更新日期：2007-08-01 00:00:00
abstract：LEARNING OBJECTIVES:After studying this article, the participant should be able to: 1. Describe the alternatives for auricular reconstruction. 2. Discuss the pros and cons of autogenous reconstruction of total or subtotal auricular defects. 3. Enumerate the indications for prosthetic reconstruction of total or subtotal...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：10.1097/00006534-200104150-00024
更新日期：2001-04-15 00:00:00
abstract：:For breast reconstruction, we have found that breast symmetry can be created optimally when the patient is brought to a totally upright position with the trunk vertical and perpendicular to the floor. The size of the opposite breast can better be appreciated. Nipple and areola position can be determined accurately eve...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：10.1097/00006534-198601000-00010
更新日期：1986-01-01 00:00:00
abstract：:Fewer than 100 cases of desmoid tumor of the breast have been reported. We report the first recorded case of desmoid associated with silicone gel-filled implants. ...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：
更新日期：1994-03-01 00:00:00
abstract：:Currently, fat transplantation occurs immediately after harvesting procedures. Because low rates of fat graft take are well reported in the literature, many patients require multiple surgical procedures for fat graft harvest. These subsequent procedures lead to increased cost, donor-site morbidity, and patient discomf...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章,评审
doi：10.1097/PRS.0000000000006699
更新日期：2020-04-01 00:00:00
abstract：:The role of the plastic surgeon in the diagnosis and management of congenital anomalies is often a complicated one that involves the integration of input from numerous specialists into the evaluation process. Diastematomyelia is a serious neurosurgical problem that often presents with cutaneous findings in a neurologi...
journal_title：Plastic and reconstructive surgery
pub_type： 杂志文章
doi：
更新日期：1995-07-01 00:00:00
