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15건 · 최신순-
Drains and seromas in TRAM flap breast reconstruction.
Surgeons who perform transverse rectus abdominis musculocutaneous (TRAM) flaps have differing opinions about how many drains are required in the breast and abdomen to prevent seroma. The authors therefore decided to review their experience …
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Venous congestion and blood flow in free transverse rectus abdominis myocutaneous and deep inferior epigastric perforator flaps.
A series of 240 deep inferior epigastric perforator (DIEP) flaps and 271 free transverse rectus abdominis myocutaneous (TRAM) flaps from two institutions was reviewed to determine the incidence of diffuse venous insufficiency that threatene…
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An approach to the repair of partial mastectomy defects.
In many cases, breast deformity caused by partial mastectomy can be reduced or corrected by plastic surgery. Partial breast reconstruction is best performed immediately after the partial mastectomy using an approach determined by the size o…
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Integrated breast mound reduction and nipple reconstruction with the wraparound flap.
A new method for nipple reconstruction is described that combines revision of an autologous tissue breast mound with creation of a projecting nipple. The method is applicable only to reconstructed breast mounds that must be reduced or lifte…
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The vermilion-sharing graft for repairing a vermilionectomy defect.
Lower lip vermilionectomy defects can be repaired with a full-thickness graft of vermilion from the upper lip. The graft width should be approximately one-half that of the lower lip defect, sharing the vermilion between the two lips. The gr…
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Reconstruction and the radiated breast: is there a role for implants?
The use of breast implants in irradiated patients is controversial. Recently, 39 irradiated implants were compared with 338 nonirradiated implants in 297 patients between January of 1975 and October of 1994 at The University of Texas M. D. …
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Deep-plane cervicofacial rotation-advancement flap for reconstruction of large cheek defects.
The blood supply and reliability of cervicofacial rotation-advancement flaps for cheek reconstruction can be improved significantly by dissecting the flap in the deep plane (i.e., below the superficial musculoaponeurotic system and the plat…
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Necrosis of abdominoplasty and other secondary flaps after TRAM flap breast reconstruction.
The risks of abdominoplasty flap necrosis, umbilical necrosis, and mastectomy flap edge necrosis were compared in a series of 227 patients who had undergone transverse rectus abdominis myocutaneous (TRAM) flap breast reconstructions. Abdomi…
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Comparison of the rectus abdominis free flap with the pectoralis major myocutaneous flap for reconstructions in the head and neck.
The pectoralis major myocutaneous flap (PMMF) is often used in the reconstruction of large head and neck defects. Unfortunately, its use is associated with a high incidence of minor complications, can distort the contour of the neck, and ma…
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The oncologic risks of skin preservation at mastectomy when combined with immediate reconstruction of the breast.
Most oncologic surgeons agree that removal of the nipple, the areola and any recent scar at the site of the biopsy is necessary during a mastectomy for treatment of carcinoma of the breast. There is less agreement about what should be done …
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Immediate reconstruction: current status in cancer management.
Immediate elective repair of various defects caused by ablative surgery for treatment of cancer is becoming increasingly common. In comparison with delayed reconstruction, immediate reconstruction has the advantage of lower costs and, in mo…
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Nipple centralization for the correction of breast deformity from segmental mastectomy.
A breast deformed by lateral tissue deficiency and severe lateral displacement of the nipple, caused by the treatment of an early breast cancer with segmental mastectomy and radiotherapy, was corrected by a modification of techniques used c…
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Current concepts in breast reconstruction after mastectomy.
Breast reconstruction has been playing an increasing role in breast cancer therapy at The University of Texas M. D. Anderson Cancer Center. Our goal is not only to correct cosmetic deformity but also to allow mastectomy patients to wear nor…
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A comparison of deepithelialization and deskinning in inferior pedicle breast reduction.
To test the hypothesis that deskinning instead of deepithelializing the pedicle can save time when using the inferior pedicle technique of breast reduction without incurring added risk, a comparison of deskinning with deepithelialization wa…
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Subcutaneous endoscopy in suction lipectomy.
Subcutaneous photographs of tissues treated by suction lipectomy have been obtained by adapting fiberoptic endoscopy equipment. These photographs document the presence of an intact neurovascular supply to the overlying skin and lend support…