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医学伦理学

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  • Microvascular anastomosis: vascular cuff technique.

    abstract::A technique is described for reinforcing and sealing a microvascular anastomosis by using a detached vessel segment as a cuff around the anastomosis. This may allow fewer microvascular sutures to be used. This would allow a simpler, less traumatic, and more rapid repair and may allow "more vessels to be repaired by mo...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199103000-00029

    authors: Robbins TH

    更新日期:1991-03-01 00:00:00

  • Tissue expansion in the treatment of pressure ulcers.

    abstract::The authors report their experience using skin expanders in 11 patients with severe bed sores. The expanders, with different volumes, from 250 to 1000 cc, were generally overfilled using the cutaneous tonometer. In fact, with the information revealed by this apparatus on the skin in expansion, the authors were able to...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199103000-00018

    authors: Esposito G,Di Caprio G,Ziccardi P,Scuderi N

    更新日期:1991-03-01 00:00:00

  • Transplantation of purified autologous fat: a 3-year follow-up is disappointing.

    abstract::The idea of autologous fat microtransplants has recently resurfaced because of interest by the press. Past experiments have shown that small amounts of fat may be transplanted with an expected survival rate between 10 and 50 percent without ectodermis. A great fund of knowledge exists showing that skin grafts will sur...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Ersek RA

    更新日期:1991-02-01 00:00:00

  • Diphallia and hindgut duplication.

    abstract::Diphallia is a rare congenital condition that presents in many, varied ways. Associated anomalies are to be expected. These anomalies should be sought out and treated as early in the patient's life as possible because they are the principal cause of mortality in these individuals. Half the patients reviewed by Ravitch...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Dean JA,Horton CE

    更新日期:1991-02-01 00:00:00

  • Restoration of the anterior neck surface in the burned patient by free groin flap.

    abstract::In treating extensive burn contractures of the anterior neck, we obtained good results using free flaps. Ninety-nine patients with neck contractures were treated with free flaps. The ages of the patients range from 2 to 64 years. We used 84 free groin flaps, 10 free latissimus dorsi musculocutaneous flaps, 2 free delt...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199102000-00009

    authors: Ohkubo E,Kobayashi S,Sekiguchi J,Ohmori K

    更新日期:1991-02-01 00:00:00

  • The resection of orbicularis oculi muscle from the upper eyelid in experimental surgery on the monkey.

    abstract::The purpose of this study was to determine the maximum amount of orbicularis oculi muscle that may safely be resected from the upper eyelid without causing functional abnormalities. Measured amounts of that muscle were surgically excised from both upper eyelids in six cynomolgus monkeys. All the eyelids were photograp...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199101000-00006

    authors: Craig DM,Sullivan PK

    更新日期:1991-01-01 00:00:00

  • Expanded preauricular full-thickness free skin graft.

    abstract::A preauricular skin graft with expansion for repair of a facial defect is presented. This technique preserves a more natural appearance in color, texture, and thickness than is otherwise possible and provides a larger graft than the usual preauricular graft method. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199101000-00025

    authors: Iwahira Y,Maruyama Y

    更新日期:1991-01-01 00:00:00

  • Evaluation of HTR polymer as a craniomaxillofacial graft material.

    abstract::An experimental animal study was undertaken to evaluate the potential use of HTR polymer as a craniomaxillofacial reconstructive material. Its properties of marked hydrophilicity, a negative surface charge, and extensive porosity combined with a calcium graft coating suggested favorable osteoconductive properties. Fou...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199012000-00006

    authors: Eppley BL,Sadove AM,German RZ

    更新日期:1990-12-01 00:00:00

  • Surgical correction of the inverted nipple with a tendon graft: hammock procedure.

    abstract::Our procedure, in which the inverted nipple was suspended using autogenous tendon grafts, was easy to perform, and it was not necessary to cut the lactiferous ducts. There was no deformity of the nipple or areola after this procedure, and the surgical scars were inconspicuous. Three patients who were followed up for o...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199011000-00030

    authors: Kurihara K,Maezawa N,Yanagawa H,Imai T

    更新日期:1990-11-01 00:00:00

  • Direct monitoring of capillary perfusion following normovolemic hemodilution in an experimental skin-flap model.

    abstract::The effects of normovolemic hemodilution on skin flap survival are studied in a recently developed skin-flap model (homozygous hairless mouse ear) in which nutritional capillary flow is monitored directly by means of intravital microscopy from the time of flap creation throughout the establishment of necrosis. Two dil...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199011000-00018

    authors: Barker JH,Hammersen F,Galla TJ,Bondàr I,Zeller P,Menger MD,Messmer K

    更新日期:1990-11-01 00:00:00

  • Lamellar split osteotomy: a new craniofacial technique.

    abstract::Craniofacial osteotomies have by convention been bilamellar translocations of the entire substance of the dysmorphic bone. This approach limits the surgeon by reducing the stable bone mass available for fixation, creating dependence on concave surfaces. Most important, it changes the bony topography that determines th...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Salyer KE,Hall CD,Joganic EF

    更新日期:1990-11-01 00:00:00

  • Critical ischemia times and survival patterns of experimental pig flaps.

    abstract::Previous work on critical ischemia time suggested (1) a greater susceptibility of myocutaneous flaps over skin flaps to the ischemia reperfusion injury and (2) that duration of ischemia may affect the survival area of a flap. Using a pig model, 55 animals were operated on and the critical ischemia times and survival p...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Picard-Ami LA Jr,Thomson JG,Kerrigan CL

    更新日期:1990-10-01 00:00:00

  • Histologic investigation of vascular malformations of the face after transarterial embolization with ethibloc and other agents.

    abstract::Twenty-one vascular malformations located in the facial area, 11 high-flow arteriovenous malformations and 10 slow-flow malformations, underwent combined treatment by embolization and later surgery. Embolization was performed simultaneously with superselective angiography of the branches of the external carotid artery...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Niechajev I,Clodius L

    更新日期:1990-10-01 00:00:00

  • The role of emergent exploration in free-tissue transfer: a review of 150 consecutive cases.

    abstract::One-hundred and fifty consecutive free-tissue transfers were reviewed to evaluate the role of emergent exploration in flap survival. Eleven flaps exhibited signs of circulatory failure between 1 hour and 6 days postoperatively and required return to the operating room. In eight patients the preoperative diagnosis was ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Hidalgo DA,Jones CS

    更新日期:1990-09-01 00:00:00

  • Late recurrence of localized cutaneous melanoma: its influence on follow-up policy.

    abstract::This paper reports 11 cases of recurrence 10 years or more after primary treatment of clinically local cutaneous melanoma at the Peter MacCallum Cancer Institute. Using the product-limit method for estimating recurrence-free survival, two late recurrence rates have been calculated. The estimated late recurrence rate a...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199009000-00024

    authors: McEwan L,Smith JG,Matthews JP

    更新日期:1990-09-01 00:00:00

  • The cocaine user: the potential problem patient for rhinoplasty.

    abstract::The current popularity of cocaine use poses special hazards for the patient and the plastic surgeon during rhinoplasty. It is incumbent upon the surgeon to inquire preoperatively about possible recreational use of cocaine. As the preferred site of cocaine administration, the nasal septal mucosa is exposed to both the ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Slavin SA,Goldwyn RM

    更新日期:1990-09-01 00:00:00

  • Cutaneous ciliated cyst: case report and literature review.

    abstract::An 18-year-old girl had a cyst excised from the left buttock in 1988. The cyst was diagnosed to be a cutaneous ciliated cyst, since histologic examination using special stains demonstrated its lining to be similar to fallopian tube epithelium. Only 20 such cases have been published to date, and this report is probably...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Varma SK,Rayner SS,Brown LJ

    更新日期:1990-08-01 00:00:00

  • The reverse-flow posterior tibial artery island flap: anatomic study and 72 clinical cases.

    abstract::Based on anatomic, dye injection, and angiography observations since 1984, 72 patients with tissue defects of the foot (due to injury or surgery) have been reconstructed using a reverse-flow posterior tibial artery island flap. In the 72 patients, etiology has included extensive crushing (40 patients), burn scars (10 ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Liu K,Li Z,Lin Y,Cao Y

    更新日期:1990-08-01 00:00:00

  • The venous territories (venosomes) of the human body: experimental study and clinical implications.

    abstract::The venous architecture of the integument and the underlying deep tissues was studied in six total-body human fresh cadavers and a series of isolated regional studies of the limbs and torso. A radiopaque lead oxide mixture was injected, and the integument and deep tissues were dissected and radiographed. The sites of ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199008000-00001

    authors: Taylor GI,Caddy CM,Watterson PA,Crock JG

    更新日期:1990-08-01 00:00:00

  • A method for repositioning the external ear.

    abstract::The malposition of an otherwise normal-appearing external ear is not uncommon in certain craniofacial syndromes. This paper presents a 10-year experience of 14 patients who underwent external ear repositioning. In this technique, a posterior incision is used to mobilize surrounding soft tissues circumferentially aroun...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199007000-00021

    authors: Whitaker LA,Yaremchuk MJ,Posnick JC

    更新日期:1990-07-01 00:00:00

  • Rare craniofacial clefts: Tessier no. 4 clefts.

    abstract::A major difficulty in understanding rare craniofacial clefts arises from the fact that previous reports have focused on a single case or have grouped together different types of rare clefts. Less than 50 Tessier no. 4 clefts have been reported. This paper examines our experience with eight patients treated primarily o...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199006000-00001

    authors: Resnick JI,Kawamoto HK Jr

    更新日期:1990-06-01 00:00:00

  • Breast reduction with short L scar.

    abstract::I didactically compared the breast as a glandular cone with an envelope of skin and subcutaneous tissue. The aesthetic alterations of the breast are classified in four groups related to form, to volume, to grams, and to ptosis in centimeters. An imaginary plane that passes by the mammary sulcus (plane A) will determin...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199005000-00013

    authors: Bozola AR

    更新日期:1990-05-01 00:00:00

  • Rat ear reattachment as an animal model.

    abstract::The external ear of the rat is an excellent model for practicing microsurgical dissection and for the refinement of microvascular anastomoses, techniques that are crucial for microvascular en bloc tissue transfer and replantation. Preparation of the rat ear for replantation requires familiarity with the vascular anato...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199005000-00020

    authors: Chiu DT,Chen L,Chen ZW

    更新日期:1990-05-01 00:00:00

  • The operative treatment of isolated craniofacial dysostosis (plagiocephaly): a comparison of the unilateral and bilateral techniques.

    abstract::Both the safety and efficacy of the treatment of isolated craniofacial dysostosis (plagiocephaly) in infancy have been demonstrated. Opinions remain divided, however, as to the optimal type of procedure to be undertaken. In an attempt to answer this question, we have retrospectively evaluated a study population of 48 ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199005000-00003

    authors: Bartlett SP,Whitaker LA,Marchac D

    更新日期:1990-05-01 00:00:00

  • Cranial fasciitis of childhood.

    abstract::Cranial fasciitis of childhood is a benign lesion occurring superficial to or involving the cranial bones of children at a median age of 18 months, with a male sex predilection of 2:1. It is histologically described as a well-circumscribed, loose proliferation of stellate to spindle-shaped fibroblasts in a myxoid back...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199004000-00018

    authors: Coates DB,Faught P,Sadove AM

    更新日期:1990-04-01 00:00:00

  • Craniofacial and oral manifestations of fetal alcohol syndrome.

    abstract::Six representative patients with fetal alcohol syndrome (FAS) were studied for craniofacial and oral anomalies, dental development, and long-term bodily growth patterns. The craniofacial features observed were reduction of total head size, increased head-body ratio, the existence of upper and middle craniofacial asymm...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199004000-00003

    authors: Jackson IT,Hussain K

    更新日期:1990-04-01 00:00:00

  • "Sensible" flap coverage of pressure sores in patients with meningomyelocele.

    abstract::Restoration of sensibility in the paraplegic patient is the optimal therapy for the management and prevention of debilitating pressure sores. In patients with an absence of sensibility below the L3 spinal level, a locally transposed arterialized neuromyocutaneous gracilis flap may be uniquely utilized for ischial rest...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Lesavoy MA,Dubrow TJ,Korn HN,Cedars MG,Castro DJ

    更新日期:1990-03-01 00:00:00

  • Freeze-dried microarterial allografts.

    abstract::Rehydrated freeze-dried microarterial allografts were implanted to bridge arterial defects using New Zealand White rabbits as the experimental model. Segments of artery from the rabbit ear and thigh were harvested and preserved for a minimum of 2 weeks after freeze-drying. These allografts, approximately 1 mm in diame...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199002000-00014

    authors: Raman J,Hargrave JC

    更新日期:1990-02-01 00:00:00

  • Ipsilateral and cross-over elongation of the motor nerve by nerve grafting: an experimental study in sheep.

    abstract::In difficult reconstructions, ipsilateral or cross-over nerve grafting is sometimes necessary to achieve reinnervation and motor function. This experimental study in sheep was to answer the question of limitation of elongation of a motor nerve by grafting, the question of the optimal time for suturing the nerve graft ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199001000-00014

    authors: Frey M,Gruber H,Happak W,Girsch W,Gruber I,Koller R

    更新日期:1990-01-01 00:00:00

  • Heel coverage with a deepithelialized distally based fasciocutaneous flap.

    abstract::A distally based fasciocutaneous flap for heel coverage is reported. Its blood supply depends on distal septocutaneous perforators interconnected with the suprafascial plexus. A "turn-down" transposition and distal deepithelialization were utilized to avoid kinking of the pedicle. After a 1-year follow-up, it has prov...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199001000-00022

    authors: Carriquiry CE

    更新日期:1990-01-01 00:00:00

  • Improved healing of microvascular PTFE prostheses by induction of a clot layer: an experimental study in rats.

    abstract::This study was undertaken to test the hypothesis that the induction of a clot layer on the graft surface of microvascular polytetrafluoroethylene (PTFE) prostheses might improve their healing. PTFE microvascular prostheses (n = 18), mechanically roughened PTFE microvascular prostheses (n = 18), and Chitosan-impregnate...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198912000-00016

    authors: van der Lei B,Wildevuur CR

    更新日期:1989-12-01 00:00:00

  • Revising the nasal tip: a new approach.

    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:

    authors: Ribeiro L

    更新日期:1989-10-01 00:00:00

  • Jejunal free autograft: analysis of complications and their resolution.

    abstract::Review of 101 patients who underwent 111 free jejunal autografts has demonstrated an absolute procedural failure rate of 13.5 percent. Salvage reconstruction with a second jejunum was successful in six of nine patients and one third-time jejunum was successful, giving an overall salvage rate of 70 percent. There were ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Coleman JJ 3rd,Tan KC,Searles JM,Hester TR,Nahai F

    更新日期:1989-10-01 00:00:00

  • Guarded burr for deepening of nasofrontal junction.

    abstract::Appropriate deepening of the nasofrontal junction remains one of the most difficult parts of rhinoplasty. A guarded burr is introduced that provides a safe and effective means of deepening or creating a shallow nasofrontal groove. The burr has a special guard that prevents the cutting of soft tissue. The guarded burr ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198909000-00023

    authors: Guyuron B

    更新日期:1989-09-01 00:00:00

  • Congenital double lip: a review of seven cases.

    abstract::Congenital double-lip deformity is an infrequent developmental abnormality affecting the lips, more commonly the upper lip. We report seven cases of double lip, all in males, of which six were in the upper lip and one in the lower lip. It was quite interesting to observe that in the upper lip, the buccal portion of th...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198909000-00006

    authors: Reddy KA,Roa AK

    更新日期:1989-09-01 00:00:00

  • Functional mandibular reconstruction: prevention of the oral invalid.

    abstract::Composite mandibulectomy for carcinoma can create an "oral invalid," with difficulty in mastication. Functional reconstruction has fallen short of ideal. Three patients were seen with significant anatomic deficits and functional debilitations resulting from large composite mandibulectomies for oral carcinoma. Each pat...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Lukash FN,Sachs SA

    更新日期:1989-08-01 00:00:00

  • Sapphire tip technology for YAG laser excisions in plastic surgery.

    abstract::Thirty-two patients with a variety of vascular and nonvascular lesions have been resected over a 3-year period with the neodymium:YAG laser utilizing sapphire peripheral scalpel devices. These innovative peripheral devices concentrate the YAG laser energy to a small area at the end of the scalpel, providing precise in...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198908000-00014

    authors: Apfelberg DB,Maser MR,Lash H,White DN

    更新日期:1989-08-01 00:00:00

  • The split calvarial graft donor site in the elderly: a study in cadavers.

    abstract::In 37 cadavers of average age 75.5 years, the calvarium was studied. In all, the diploe and outer and inner tables were found to be definite layers. Although the parietal bone thickness did decrease with age in this study, there was no correlation between age and the outer table or diploe thickness. No significant cha...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198907000-00006

    authors: Sullivan WG,Smith AA

    更新日期:1989-07-01 00:00:00

  • Free-flap free flap.

    abstract::We present a patient who sustained bilateral below-knee amputations that were treated with skin grafts as initial coverage. A latissimus dorsi free flap was later used as definitive coverage of one stump. Then at a subsequent operation a portion of the same latissimus dorsi free flap was reharvested, again as a free f...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198907000-00025

    authors: Valauri FA,Alpert BS,Buncke HJ

    更新日期:1989-07-01 00:00:00

  • Vaginal reconstruction with an axial subcutaneous pedicle flap from the inferior abdominal wall: a new method.

    abstract::A new method of vaginal reconstruction is reported. In the procedure, the left inferior abdominal wall flap with the subcutaneous pedicle containing epigastric superficial blood vessels and/or the circumflex iliac superficial vessel and the external pudendal vessel and their branches is raised and passed through an im...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198906000-00013

    authors: Chen ZJ,Chen MY,Chen C,Wu N

    更新日期:1989-06-01 00:00:00

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