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Plastic surgery at the University of Virginia: a 50-year retrospective.
The University of Virginia recently celebrated 50 years of plastic surgery history. Past and present chairmen were honored by the department and previous residents. Accomplishments by our department, faculty, and residents have come in area…
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Silicone gel implants in breast augmentation and reconstruction.
Silicone gel implants have been widely used for breast augmentation and reconstruction since the 1960s. Several alterations to both elastomer shell and filler gel have been made over the years to improve their ability to replicate the natur…
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Wound complications of abdominoplasty in obese patients.
The records of 90 patients who underwent an abdominoplasty at the University of Virginia Health Sciences Center were analyzed to determine the effect of obesity on the incidence of complications after this surgery. The study patients were d…
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Treatment of adolescent gynecomastia using a bipedicle technique.
Many methods have been described for the treatment of gynecomastia. Eleven adolescent boys have been managed with a bipedicle technique. These patients were evaluated for nipple-areolar viability, scarring, patient satisfaction, and hematom…
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Thomas Dent Mutter, MD: early reparative surgeon.
Thomas Dent Mutter (1811-1859) was one of the early American pioneers of plastic surgery. He studied under some of the great teachers in Europe during the early 19th century and returned to the United States as a professor of surgery at Tho…
- What's new in surgery for 1991? Plastic surgery.
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Lidocaine permeability in silicone tissue expanders: an in vitro analysis.
Tissue expansion has achieved a prominent role in soft-tissue reconstruction. Expansion-induced pain is often a limiting factor in this process and can affect patients for as long as 24 to 48 hours following each expansion session. Although…
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Electric burns of the oral cavity.
Low-voltage electric burns are the leading cause of electric burn injury in childhood and can result in an injury to the oral cavity that can heal with a noticeable deformity. The mechanisms of burn injuries to the oral cavity are either du…
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Tissue expansion in reconstructive hand surgery: case report.
A 22-year-old musician requested the correction of his digital syndactyly deformity without the use of skin grafts. Failure of the original correction to heal primarily resulted in the formation of dense scar tissue. A small, custom-designe…
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Galeal-pericranial flaps in head and neck reconstruction. Anatomy and application.
Head and neck deformities of congenital, traumatic, or neoplastic cause often require reconstruction. At the University of Virginia over the past 14 years, we have used galeal, temporalis fascial, and pericranial flaps to correct these defe…
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Combined free flap and local muscle flap for lower extremity salvage.
Reconstruction of extensive compound lower-extremity injuries may require the use of local flaps or free-tissue transfer. When either method alone is inadequate for reconstruction of two isolated defects on the same lower extremity, a combi…
- The Fort McHenry General Hospital for plastic and maxillofacial surgery.
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The impact of Indian methods for total nasal reconstruction.
The Indian art and science of total nasal reconstruction comprise the first chapter in the history of plastic surgery. Remarkably, centuries after their first use, the original Indian methods utilizing the cheek flap and median forehead fla…
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John Staige Davis: pioneer American plastic surgeon.
John Staige Davis was the first surgeon to devote his entire practice to plastic surgery and worked exclusively for its recognition as a specialty. He wrote the first American text on plastic surgery, published 78 papers on a wide range of …
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Nasolabial flap in intraoral reconstruction. Review of 55 cases.
The nasolabial skin flap has proved very useful in reconstruction of anterior intraoral defects after ablation for cancer. The technique allows immediate single-stage reconstruction with local tissue. Minimal functional or cosmetic deformit…
- Technique for division and suspension of the orbicularis oculi muscle.
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Breast reconstruction after mastectomy.
Recreation of normal breast anatomy and restoration of female body image after mastectomy for cancer are the goals of the reconstructive surgeon. Several recently refined techniques in plastic and reconstructive surgery have made the task o…