논문 목록
29건 · 최신순-
Neuroma of The Supraorbital Nerve Following Forehead Flap Reconstruction - Presentation and Surgical Management.
Localized pain or headache from neuroma formation is a rare and challenging complication of forehead flap surgery. Here the authors present a patient who developed local pain and dysesthesia following iatrogenic injury to the left supraorbi…
- Discussion: Fifteen-Year Review of the American Board of Plastic Surgery Maintenance of Certification Tracer Data: Clinical Practice Patterns and Evidence-Based Medicine in Zygomatico-Orbital Fractures.
-
Are Quantitative Measures of Academic Productivity Correlated with Academic Rank in Plastic Surgery? A National Study.
[BACKGROUND] The purpose of this study was to investigate the correlation between quantitative measures of academic productivity and academic rank among full-time academic plastic surgeons. [METHODS] Bibliometric indices were computed for …
- The orbit after Converse: seeing what is not there.
-
Converting to digital photography: a model for a large group or academic practice.
Digital photography has become an economical and efficient substitute for conventional photography. We recently converted our resident clinical photography to a digital format to make archiving more efficient and to save the costs of clinic…
-
Strategies for the treatment of enophthalmos.
The surgical correction of post-traumatic enophthalmos is among the most challenging problems for the surgeon. A thorough understanding of orbital anatomy and the purposed mechanisms of enophthalmos is crucial to the ultimate success or fai…
-
Transverse glabellar flap for obliteration/isolation of the nasofrontal duct from the anterior cranial base.
Management of fractures involving the nasofrontal duct region of the frontal sinus has focused on preserving function when possible or obliterating the sinus and duct when fracture patterns potentiate ductal obstruction and possible transcr…
-
High-energy ballistic and avulsive facial injuries: classification, patterns, and an algorithm for primary reconstruction.
A 17-year experience from 1977 to 1993 with gunshot, shotgun, and high-energy avulsive facial injuries emphasizes the superiority and safety of "ballistic wound" surgical management: (1) immediate stabilization in anatomic position of exist…
-
A comparison of flap vascular anatomy in three rhytidectomy techniques.
The purpose of this study was to examine differences in blood supply to facial flaps created by three rhyditectomy techniques. The techniques chosen for comparison included a two-layer technique, consisting of separate subcutaneous and exte…
-
Comparison of skin-tissue tensions using the composite and the subcutaneous rhytidectomy techniques.
Controversy as to benefits, risks, and long-term durability of the subcutaneous rhytidectomy as compared with the composite and the subcutaneous musculoaponeurotic system (SMAS) rhytidectomy procedures has persisted over the last several ye…
- Maxillofacial surgery within plastic surgery: "the Kazanjian Lecture, 1993".
-
Iliohypogastric nerve entrapment following abdominoplasty.
This is a case report of iliohypogastric nerve entrapment following abdominoplasty with plication of the anterior rectus sheath. Persistent lower abdominal pain postoperatively following abdominal surgery despite a negative gastrointestinal…
-
Rigid mesh fixation for alloplastic cranioplasty.
The evolution of cranioplasty techniques is described. A cranioplasty technique is presented that incorporates metallic mesh within acrylic and utilizes the principle of rigid fixation to avoid micromotion at the alloplastic-bone interface.…
-
Use of Medpor porous polyethylene implants in 140 patients with facial fractures.
Use of alloplastic materials in facial bone reconstruction is still controversial. Medpor porous polyethylene is a relatively new implant material that is well suited for this purpose and has a number of advantages over other alloplasts. It…
-
Acrylic splints for dental alignment in complex facial injuries.
Twenty-four patients with complex facial injuries were managed by wide subperiosteal exposure, precise anatomical reduction, rigid internal fixation, and immediate bone grafting when indicated, in conjunction with dental impressions, model …
-
Nasoethmoid orbital fractures. Current concepts and management principles.
The proper management of nasoethmoid orbital fractures relies upon early accurate diagnosis and treatment. A surgical plan must be established after careful review of the physical examination and CT scans. Identification of the extent and t…
-
Panniculus morbidus.
Eight patients with large panniculi are described where severe problems with hygiene, immobility, and chronic infection were caused by the lymphedematous, chronically infected pannus. Protracted nonsurgical management of the infected pannic…
- Management of blow-out fractures of the orbital floor. II. Early repair for selected injuries.
-
Management of the medial canthal tendon in nasoethmoid orbital fractures: the importance of the central fragment in classification and treatment.
The medial canthal tendon and the fragment of bone on which it inserts ("central" fragment) are the critical factors in the diagnosis and treatment of nasoethmoid orbital fractures. The status of the tendon, the tendon-bearing bone segment,…
-
High-energy orbital dislocations: the possibility of traumatic hypertelorbitism.
In a 4-year period from 1983 to 1987, 7160 patients with blunt injuries were admitted to the Maryland Institute of Emergency Medical Services Systems Shock Trauma Center. Facial injuries occurred in 10 percent of this population. High-energ…
-
Sequencing LeFort fracture treatment (Organization of treatment for a panfacial fracture).
The types of midfacial fractures and their complexity were evaluated in admissions to the Maryland Institute of Emergency Medical Service Systems (MIEMSS) during the years of 1984 to 1988. Two hundred and sixty-eight LeFort fractures were t…
-
Single eyelid incision for exposure of the zygomatic bone and orbital reconstruction.
Experience with a single lower eyelid incision with mobilization of the lateral canthus is described for exposure of the zygoma, lower and lateral orbit, and zygomaticofrontal suture. The incision may be either subciliary with a skin-muscle…
-
Deep orbital reconstruction for correction of post-traumatic enophthalmos.
Post-traumatic enophthalmos is a complex orbital deformity resulting from an injury disrupting orbital bone and ligament support, allowing displacement and a change in shape of the orbital soft-tissue contents. Clinically, this is manifeste…
-
Frontal cranioplasty: risk factors and choice of cranial vault reconstructive material.
A study of patients with large cranial defects involving the frontal bone, frontal sinus, nose, and orbit does not support the contention that there is a clear superiority of reconstructive material despite a history of previous bone infect…
-
Anesthesia in head and neck surgery. Head and neck cancer surgery and maxillofacial trauma.
Safe anesthetic management of head and neck surgery and maxillofacial trauma depends on an accurate identification of ancillary problems, precise intraoperative monitoring, and treatment. Protocols facilitate thorough management, and a disc…
-
Separate skin and muscle flaps in lower-lid blepharoplasty.
A lower-lid blepharoplasty technique that involves wide dissection of separate skin and muscle flaps and their individual redraping and resection is presented. This procedure, which can be used as a routine approach to lower-lid blepharopla…
- Toe pulp free grafts in nipple reconstruction.
- Technique for division and suspension of the orbicularis oculi muscle.
-
Electrical burns of the oral commissure: treatment results and principles of reconstruction.
Reconstruction of the average oral commissure electrical burn deformity yields good results when performed as a delayed procedure. Our preferred technique utilizes available vermilion for reconstruction of the lower lip by a rotation flap, …