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 volume of tissue may be transferred, based only on its implanted vascular pedicle. The transfer may be local transposition or by microsurgical transfer. Flap prelamination refers to a technique in which additional tissue is added to an existing flap (without manipulation of its axial blood supply) to make a multilayered flap that may be used for complex, three-dimensional multilayered reconstructions. This technique may be used locally or at a distance, requiring microvascular transfer. Examples of each are described in this article.
journal_name
Clin Plast Surgjournal_title
Clinics in plastic surgeryauthors
Pribaz JJ,Fine NAsubject
Has Abstractpub_date
2001-04-01 00:00:00pages
261-72, viiissue
2eissn
0094-1298issn
1558-0504journal_volume
28pub_type
杂志文章abstract::Treacher Collins syndrome is a complex congenital malformation. The most important manifestations of this syndrome are hypoplastic or absent malar bone, centrofacial over-projection, eyelid coloboma, and micrognathia. This article presents an approach to re-establish the right centrofacial proportions through "flatten...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1994-10-01 00:00:00
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
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abstract::Neurofibromatosis of the skull base is a syndrome that may occur in an isolated fashion or as a component of Von Recklinghausen disease. This article discusses the clinical features of neurofibromatosis, diagnostic methods, and surgical treatment. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1995-07-01 00:00:00
abstract::The primary goal of engineering cartilage as a therapeutic approach is to restore the physiological conditions of an affected or defective tissue in the body. Cartilage tissue is distributed widely in the human body and possesses an organization related to the specific demand of a particular anatomical region. In sele...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/s0094-1298(03)00070-1
更新日期:2003-10-01 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::Aesthetic rhinoplasty in the non-Caucasian patient is a challenging operation, even to the experienced rhinoplastic surgeon used to operating on Caucasians. Only by thoroughly understanding the anatomic differences between the Caucasian and non-Caucasian nose can the plastic surgeon effectively manipulate the various ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1987-10-01 00:00:00
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:
更新日期:2001-04-01 00:00:00
abstract::Placing the incision at the hairline or just posterior to the boundary of the hair, with subcutaneous elevation of the flaps, is a more effective way to correct the aging upper face, whether it be "crow's feet," excess forehead skin, or eyebrow ptosis. Furthermore, by placing the facial rhytidectomy incision at the si...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1992-04-01 00:00:00
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
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2016.09.004
更新日期:2017-01-01 00:00:00
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journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1988-10-01 00:00:00
abstract::Knowledge of abdominal anatomy is key to achieving optimal results in abdominoplasty. With adequate knowledge of the anatomy, the surgeon can tailor his or her techniques to fit the needs of the patient while still maximizing the blood supply to the abdominal flaps and minimizing complications. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2010.03.003
更新日期:2010-07-01 00:00:00
abstract::Routine standardized periorbital planning prior to blepharoplasty and brow lifting facilitates optimal outcome and minimizes the need for reoperation. It should be an essential companion to blepharoplasty in all instances. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:
更新日期:1993-04-01 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::Gradual maxillary distraction by modified osteotomies and external force systems is a procedure with minimal morbidity and few complications. The interaction between surgeons and orthodontists is critical, however. The wide range of possibilities for remodeling a hypoplastic maxilla by distraction allows the potential...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/S0094-1298(03)00126-3
更新日期:2004-04-01 00:00:00
abstract::Each year, there are as many cases of nonmelanoma skin cancer as all other cancers combined. Although there is relatively low attributable mortality, the morbidity and expense of treatment is significant. Unlike many other malignancies, host and environmental factors relevant to the pathophysiology have been clearly d...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2004.11.009
更新日期:2005-04-01 00:00:00
abstract::Patients with bladder acontractility caused by lower motor neuron lesion are generally dependent on lifelong clean intermittent catheterization with all of its inherent risks. The functional neurovascular transfer of the latissimus dorsi muscle to the pelvis allows the restoration of voluntary voiding. This article de...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2012.07.017
更新日期:2012-10-01 00:00:00
abstract::This article underscores the importance of the growth process in the production of normal and abnormal craniofacial morphology. Although much has been learned over the past century, we still have only a limited appreciation of the 3D changes that occur in the skull during postnatal growth. We have also stressed that t...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1994-10-01 00:00:00
abstract::Wound healing is a complex process that often becomes problematic in complicated patients. When abnormal wound healing occurs, there are many possible ways to intervene. One intervention is through the use of dressings and topical agents. This article is a review of the latest dressings and topical agents available in...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2007.07.004
更新日期:2007-10-01 00:00:00
abstract::The priorities, timing, techniques, and philosophies of reconstruction of the burned face are outlined in this article. Each anatomic area is analyzed, and the appropriate procedure is described. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1992-07-01 00:00:00
abstract::Wetting solutions play a crucial role in traditional lipoplasty by reducing blood loss in the aspirate and diminishing postoperative ecchymosis and edema. From the inception of ultrasound-assisted lipoplasty a "wet environment" has been considered essential for efficient fat emulsification and for control of thermal s...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:
更新日期:1999-04-01 00:00:00
abstract::This article discusses the indications for and the advantages and principles of flap combinations and the selection of two pairs of recipient vessels for double free-flap transfers in reconstruction of extensive composite head and neck defects. ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2005.01.004
更新日期:2005-07-01 00:00:00
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
更新日期:2017-10-01 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::Nearly 20% of malignant melanoma in the human body occurs in the head and neck. Most studies divide the sites of origin of malignant melanoma in the head and neck into the following areas: the face, the scalp and neck, the external ear, and the eyelid or medial or lateral canthal area. Sixty-five percent of malignant ...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cps.2009.08.005
更新日期:2010-01-01 00:00:00
abstract::Since the turn of the century, surgeons have handled frontal sinus fractures with a variety of different procedures. The optimal management procedure remains controversial. We have presented a graduated anatomic algorithm for treatment of frontal sinus fractures based on the degree of fracture displacement and nasofro...
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::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
更新日期:2016-04-01 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::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::Low-level laser-assisted liposuction (LLLL), known as the Neira 4 L technique, is an excellent adjuvant tool for the surgeon practicing liposculpture. A low-level laser is used to create a transitory pore in the cell membrane of the adipocyte to move fat from inside the cell to the interstitial space outside without k...
journal_title:Clinics in plastic surgery
pub_type: 杂志文章
doi:10.1016/j.cps.2005.09.005
更新日期:2006-01-01 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