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 fasciocutaneous flaps. The ELAF provides the same pliable, thin fasciocutaneous tissue and a longer pedicle than the RFF. In contrast to the RFF, the donor site can be closed primarily and heals with an acceptable scar without any functional deficit. The authors therefore strongly recommend clinical application of these flaps in head and neck reconstruction.
journal_name
Clin Plast Surgjournal_title
Clinics in plastic surgeryauthors
Ninkovic M,Harpf C,Schwabegger AH,Rumer-Moser A,Ninkovic Msubject
Has Abstractpub_date
2001-04-01 00:00:00pages
367-74issue
2eissn
0094-1298issn
1558-0504journal_volume
28pub_type
杂志文章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
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abstract::The vascular anatomy of perforators varies between individuals; thus, accurate preoperative assessment of perforators is essential for safely planning perforator flaps. Perforator computed tomographic angiography (P-CTA) with multidetector-row computed tomography (MDCT) is one of the best available methods to precisel...
journal_title:Clinics in plastic surgery
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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
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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
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doi:10.1016/j.cps.2008.11.004
更新日期:2009-04-01 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::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::The most common complication of blepharoplasty is an unnatural distortion of the lower eyelid. Identification of the underlying anatomic deformities dictates the reconstructive procedures. Emphasis is placed on utilization of the dermal-orbicular pennant lateral canthoplasty. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1993-04-01 00:00:00
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journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1993-07-01 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
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更新日期:1999-10-01 00:00:00
abstract::Laser technology has evolved rapidly in the last 2 decades. The theory of selective photothermolysis guides the proper selection and use of lasers to safely and effectively treat patients. This review summarizes the basic concepts and adjustable parameters for laser devices, emphasizing the importance of selective pho...
journal_title:Clinics in plastic surgery
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abstract::Although the weight of evidence generally indicates that improved contracture rates with retropectoral placement of the prosthesis and excellent aesthetic results can be obtained with this approach, there remains a significant cadre of surgeons who believe their own retromammary results are equal to or better than the...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1988-10-01 00:00:00
abstract::The task of managing an open wound complicated by exposed bony structures underneath is difficult, if not challenging. We have instituted a method of managing the problems in stages using an artificial dermis and skin grafting technique in 17 wounds in 15 individuals from Sept. 2006 to Feb. 2009. While all wounds were...
journal_title:Clinics in plastic surgery
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doi:10.1016/j.cps.2011.09.011
更新日期:2012-01-01 00:00:00
abstract::Use of the transverse abdominal island flap for breast reconstruction enables the plastic surgeon to redistribute the body's excess fat and skin into more fashionable and aesthetic proportions. The operation remains a complex and detailed procedure. Patient selection, suitability, and preparation for the operation are...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1984-04-01 00:00:00
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journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
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更新日期:2003-10-01 00:00:00
abstract::Craniofacial surgery has evolved through an era of refinement and finesse, both in techniques and in results. Tissue expansion offers an opportunity to improve the quantity and quality of tissue available for these procedures. It may also be of benefit in long-term molding of the craniofacial skeleton during growth of...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1987-01-01 00:00:00
abstract::Orthopedic and orthodontic management of patients born with clefts of the lip, alveolus and palate is based on the application of basic biomechanical principles adapted to the individualized cleft anatomy. This article focuses on orthopedic and orthodontic preparation for 2 stages of interdisciplinary orthodontic/surg...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2014.01.001
更新日期:2014-04-01 00:00:00
abstract::In the past 3 years, more than 125 patients have undergone primary and secondary lower blepharoplasty by the transconjunctival method. The ability to adequately remove fat with this approach has been impressive. Exposure of the central and medial fat compartments is excellent. The lateral fat pad area is not as easy t...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1992-04-01 00:00:00
abstract::Identifying the position, course, and caliber of the dominant perforator is extremely valuable in the preoperative study for perforator surgery. Besides reliability, the ideal technique should offer low cost and high availability and reproducibility. It should be fast, easy to interpret, and free of morbidity. Multide...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2011.03.004
更新日期:2011-04-01 00:00:00
abstract::Over the past decade, many changes and updates have occurred in the world of vascular anomalies, including their histopathology. An appreciation has developed that a combined team approach is optimal in arriving at a correct diagnosis. Technical advances such as immunohistochemical stains for GLUT1, an excellent marke...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
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更新日期:2011-01-01 00:00:00
abstract::Great progress has been made in both the basic science and the clinical knowledge base used in orbital reconstruction. With this, increasing complex orbital reconstructive problems are better managed. The diagnosis, treatment plan, and the actual reconstruction have evolved to a higher level. Several areas of progress...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1992-01-01 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:
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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
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更新日期:2013-07-01 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::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::Assessing risk and avoiding complications in breast reduction requires a meticulous history, systematic physical examination, management of expectations, and careful consideration and execution of operative technique. Attention should be paid to comorbidities. Shape, symmetry, contours, scar location, skin quality, ni...
journal_title:Clinics in plastic surgery
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doi:10.1016/j.cps.2015.12.007
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abstract::This article explores the functioning of highly effective teams in burn care. Critical to the success of the team is the health of burn care providers, who can experience burnout. Wellness must be promoted by health care organizations, which, in turn, are responsible for the health of the populations they serve. Profe...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2017.06.003
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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
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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 transconjunctival approach to lower lid blepharoplasty provides access for both fat resection and transposition to soften tear trough deformities and correct infraorbital fat herniation. Overall, there is a paradigm shift that has focused more on enhancing lower lid-cheek shape and contour and preserving orbital v...
journal_title:Clinics in plastic surgery
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doi:10.1016/j.cps.2014.09.001
更新日期:2015-01-01 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
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