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30건 · 최신순-
Prominent ears and their correction: a forty-year experience.
The technique described in this article correcting the protruding ear deformity has evolved over 40 years. The original procedures and our subsequent modifications are described, including 20-year followup results. The possible pitfalls in …
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The use of particulate hydroxyapatite and plaster of Paris in aesthetic and reconstructive surgery.
The authors describe their early investigative results of using a mixture of hydroxyapatite (HA) and plaster of Paris (PP) in skull and frontal sinus defects in a large series of cats. Histologically, bone was found to form and infiltrate t…
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The inferior dermal-pyramidal type breast reduction: long-term evaluation.
The evolution of the technique of breast reduction using an inferior dermal pyramidal flap is discussed, including the changes we have found to enhance this procedure. The recommended use of a wide-based pyramidal breast parenchyma with a d…
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The orticochea pharyngoplasty and primary palatoplasty: an evaluation.
A primary Orticochea pharyngoplasty with a primary palatoplasty was studied in 15 children with cleft palates. Although all children demonstrated velopharyngeal competence, radiographic, endoscopic, and oral examinations suggested that 54% …
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To share or not to share.
We describe our extensive experience in nipple reconstruction on breasts formed by subpectoral implants, latissimus dorsi musculocutaneous flaps, or rectus abdominis musculocutaneous flaps.…
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Long-term clinical outcome of immediate reconstruction after mastectomy.
Immediate reconstruction of a breast removed for treatment of carcinoma can be accomplished without altering the cancer-ablative surgical procedure. The theoretical possibility that reconstruction might compromise the cure rate has tempered…
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A rationale for modifying the site of insertion of the orticochea pharyngoplasty.
A modification of the insertion level of Orticochea flaps is proposed. The purpose of the modification is to place the pharyngoplasty at a higher site, in the area of attempted velopharyngeal contact. The site of velopharyngeal contact can …
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The meaning of concepts related to breast reconstruction.
Information is presented from a psychometric study using a semantic differential to measure the meaning of concepts related to breast reconstruction. One hundred five women participated. All were experiencing breast reconstruction subsequen…
- Outpatient anesthesia for augmentation mammaplasty and capsulotomy at Duke Hospital.
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Microsurgical composite tissue transplantation: indications and technical considerations in breast reconstruction following mastectomy.
Twenty-six patients are presented who underwent reconstruction of the breast and thorax following mastectomy. A successful result ensued in 96 percent of the patients. Indications for the use of microsurgical composite tissue transplantatio…
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The correlation of histologic changes in the human breast with the menstrual cycle.
Histologic changes in the normal human mammary gland associated with the menstrual cycle were sought in tissues derived from a defined population of patients undergoing subcutaneous mastectomy or reduction mammoplasty for reasons other than…
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Modified radical mastectomy with immediate reconstruction for carcinoma of the breast.
Fifty patients undergoing immediate reconstruction of the breast following modified radical mastectomy for carcinoma were characterized by their clinical findings and the pathologic features of their tumors. Evidence of nipple--areolar invo…
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Selection of patients for heterotopic implantation of the areola and nipple.
In a prospective analysis of 291 specimens taken at mastectomy for carcinoma, 48 contained tumor in the nipple-areola complex. The characteristics of greater tumor size, higher frequency of lymph node involvement, midbreast tumor location a…
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Vascularized rib-periosteal and osteocutaneous reconstruction of the maxilla and mandible: an assessment.
Three approaches to provide rib-periosteal or osteocutaneous composite tissue in maxillary or mandibular reconstruction are presented. All methods appear to be useful in replacing viable osteocytes and improving vascularity of maxillary or …
- Plastic surgery.
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Is there a reduction mammaplasty for "all seasons?".
No technique will serve the needs of all patients requiring a reduction mammaplasty and mastopexy. However, the modified, inferiorly-based dermal flap technique appears to us to offer the most advantages and the greatest latitude for a pred…
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Microsurgical composite tissue transplantation.
Since 1974, 69 patients with extensive defects have undergone reconstruction by microsurgical composite tissue transplantation. Using this method, donor composite tissue is isolated on its blood supply, removed to a distant recipient site, …
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Use of the latissimus dorsi myocutaneous island flap for reconstruction in the head and neck area: case report.
Cadaver dissection indicated that a large amount of tissue could be transferred in one stage to the head and neck by a latissimus dorsi myocutaneous island flap tunneled beneath a pectoral skin bridge. A clinical trial of this flap (for one…
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Transfer of free flaps to provide well-vascularized, thick cover for breast reconstructions after radical mastectomy.
The use of a free flap to bring in well-vascularized cover for a breast reconstruction (following radical mastectomy) is presented. Eleven of 12 such transfers were successful. (One free groin glap failed, and that reconstruction was abando…
- A backward look into the future.
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Comparison of free flaps with pedicled flaps for coverage of defects of the leg or foot.
The use of free flaps to repair defects of the leg or foot is a viable alternative to cross-leg flaps because (1) the total time of immobilization and hospitalization is less, (2) the total number of general anesthetics is less, and (3) the…
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A rib-containing free flap to reconstruct mandibular defects.
A composite free flap based on intercostal vessels may be used to reconstruct in one stage defects around the mandible in which skin, soft tissue and bone are missing. A delay procedure is recommended one week prior to transfer.…
- Microsurgical composite tissue transplantation: a new horizon in plastic and reconstructive surgery.
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Microsurgical composite tissue transplantation: a method of immediate reconstruction of the head and neck.
A new approach utilizing microsurgical composite tissue transplantation is advocated for the management of difficult reconstructive problems in the region of the head and neck. This method is especially useful when local flap coverage may b…
- Technique for subcutaneous mastectomy and immediate reconstruction in the ptotic breast.
- Breast reconstruction.
- Immediate flap reconstruction for massive shotgun wound of face. Case report.
- CHANGING CONCEPTS IN THE TREATMENT OF PATIENTS WITH CLEFT LIP AND PALATE.
- The scope of plastic surgery in medical education.
- Self-induced trilene analgesia in plastic surgery, with special reference to the burned patient.