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55건 · 최신순-
Fate of the TRAM flap after abdominoplasty in a rat model.
During a classical abdominoplasty, all musculocutaneous perforators from the deep inferior epigastric vessels are normally divided. Even if somehow neovascularization could relink the abdominal skin and rectus abdominis muscles, reestablish…
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Prospective study of the accuracy of the surgeon's diagnosis in 2000 excised skin tumors.
Expeditious yet efficacious removal of skin tumors is a common responsibility for the plastic surgeon. The need to minimize potential risks for mortality or morbidity from undue or excessive surgical resections and to control costs by avoid…
- Complications, untoward events, and reality.
- Cosmetic trauma surgery.
- The fetus and the plastic surgeon: present expectations versus future dilemmas.
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Salvage by tattooing of areolar complications following breast reduction.
Even partial areolar loss following breast reduction must be considered an aesthetic disaster for which there are few surgical options for correction. Tattooing, as directly borrowed from postmastectomy techniques for nipple-areola creation…
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Prediction of nipple viability following reduction mammoplasty using laser Doppler flowmetry.
The assessment of viability of a pedicled nipple-areola complex after reduction mammoplasty frequently may be frustrating due to equivocal clinical signs of adequate blood flow. Although conversion to a composite graft is always a safe opti…
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Temporary tarsorrhaphy "zipper".
Reconstructive eyelid procedures on occasion justify the concomitant use of a temporary, reversible tarsorrhaphy to provide corneal protection. A dilemma ensues in the trauma patient when frequent neurological evaluations simultaneously req…
- Re: Recertification.
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Recontouring of the lateral forehead using the temporalis muscle.
Contour deformities of the lateral forehead are not uncommon after direct injuries or extirpative procedures, or as a sequela to iatrogenic maneuvers for juxtaposed craniomaxillofacial endeavors. Transposition of noncutaneous local vascular…
- Logos--vanity or venality?
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Methods for providing vascularized tissue protection of microanastomoses.
Perianastomotic thrombosis following free tissue transfer must be systematically prevented if even routine successes are to be expected. One possible culprit that must be considered is the method of soft tissue closure around the recipient …
- In defense of intrauterine repair of cleft lip.
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Prevention of the teardrop areola following the inferior pedicle technique of breast reduction.
Elevation of the inferior portion of the areola with placement of dermal traction sutures will reduce the risk of an inverted teardrop areola deformity following inferior pedicle reduction mammaplasty. The long-term results in creation of a…
- Bursting the tissue expander bubble.
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Suction cannula assisted placement of traction sutures.
Many reconstructive techniques require placement of autogenous tissues or temporary implants into large subcutaneous cavities. This procedure may be facilitated by using traction sutures for their insertion. The blunt suction lipectomy cann…
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Tissue expansion techniques in burn reconstruction.
The functional or aesthetic burn deformity invariably is the consequence of a local skin shortage. The ideal solution would be replacement with new normal tissues, and these can now be created via an adaptation of the natural phenomenon of …
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Skin deepithelialization using the carbon dioxide laser.
Skin deepithelialization is an integral part of many reconstructive procedures, but it can be a tedious and time-consuming ordeal when using conventional techniques. The carbon dioxide laser has been used in rats to facilitate skin deepithe…
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Extremity tissue expansion.
The gradual mechanical distention of tissues in the extremities using inflatable balloons allows elimination of local defects or expansion of known extremity donor sites to facilitate other reconstructive requirements. Complication rate are…
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Simultaneous bilateral foot reconstruction using a single radial forearm flap.
The radial forearm septocutaneous flap is an excellent source of thin tissue with an anatomically consistent network of large vessels that simplify microsurgical transfer. It may be divided into multiple flaps leaving a single donor-site de…
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Salvage of the congested nipple during reduction mammoplasty.
It is not uncommon following reduction mammoplasty that the nipple-areola vasularity becomes compromised. If simple maneuvers do not restore circulation, then a free nipple graft becomes mandatory to minimize morbidity. Occasionally, nipple…
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Simultaneous brachioplasty, thoracoplasty, and mammoplasty.
Body contour surgery for the patient who has experienced massive weight loss requires extensive and multiple operations. Any means of reducing the number of such procedures while obtaining optimal results would be most beneficial to both su…
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Multipurpose background for standardization in medical photography.
A dual photography background system consisting of a quadrilled format on one side and a plain background on the other is described. It is mobile and efficient as a space- and time-saving device for medical photography.…
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Nasal degloving injuries.
Degloving injuries of the external nose are severe soft tissue avulsions requiring meticulous repair to prevent airway embarrassment and to provide the best aesthetic result. Usually the underlying nasal scaffolding remains intact, but asso…
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Reconstruction of a lower eyelid defect using the temporalis muscle.
Massive defects of the cheek and simultaneous involvement of both eyelids preclude the use of local flaps and standard techniques for total lower eyelid replacement. Regional flaps may not provide enough coverage nor bulk, or they may requi…