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23건 · 최신순-
Simultaneous mastopexy in patients undergoing prophylactic nipple-sparing mastectomies and immediate reconstruction.
[BACKGROUND] In some patients, a satisfactory aesthetic result of reconstruction following a nipple-sparing mastectomy (NSM) is limited by breast ptosis that goes uncorrected in the early phase of reconstruction. Most plastic surgeons remai…
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Complications leading to surgery after breast implantation.
[BACKGROUND] Local complications that require additional surgical procedures are an important problem for women with breast implants. [METHODS] We studied 749 women who lived in Olmsted County, Minnesota, and received a first breast implan…
- John B. Erich, D.D.S., M.D.
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Noma: a review.
Cancrum oris or noma is a condition not well known in western Europe and North America. It is, however, a relatively common cause of mortality and disability in children of undeveloped areas of Africa, Asia, and South America. This paper de…
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Conservative management in full-thickness nipple-areolar necrosis after subcutaneous mastectomy.
Nipple-areolar necrosis is a known and expected complication in a small percentage of patients undergoing subcutaneous mastectomy, especially with concomitant mastopexy or in smokers. Impending ischemia or congestion of the areola can often…
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Detailed technique of subcutaneous mastectomy with and without mastopexy.
Successful subcutaneous mastectomy without an unreasonable incidence of complications is achievable only with meticulous attention to detail. Detailed techniques of subcutaneous mastectomy with and without mastopexy and concomitant reconstr…
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Reconstruction in head and neck cancer: a place for conservatism.
With the advent of microvascular free flaps and complex musculocutaneous flaps in head and neck reconstruction, simpler methods are often forgotten. Since complication rates have been high with more complex intraoral reconstructions, experi…
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Breast reconstruction: current state of the art.
The current state of the art makes breast reconstruction possible in any patient who has undergone mastectomy, whether simple, modified radical, or radical. Indications for reconstruction are a strong desire on the part of the patient and a…
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Unusual complication of submuscular placement of implants in breast surgery.
In two patients who underwent breast reconstruction using submuscular implants , ectopic bone formation occurred at the site of unintended periosteal elevation.…
- Current state of the art in breast reconstruction.
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Subcutaneous mastectomy: current state of the art.
Subcutaneous mastectomy, although widely performed, is still considered by some to be controversial. Appropriate indications for the procedure and alternatives, as well as points of technique, complications, and secondary surgery are presen…
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Pitfalls and problems with subcutaneous mastectomy.
The most frequent problems after subcutaneous mastectomy involve capsule formation, inadequate resection of breast tissue, and a poor aesthetic result as a consequence of nipple-areolar ptosis. These problems can be largely avoided by the s…
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Breast reconstruction after mastectomy.
The treatment of carcinoma of the breast, as with any other disease, may be considered optimal only when maximal rehabilitation has been achieved. Satisfactory restoration of contour is now possible in most patients after mastectomy. Recons…
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The case for submuscular implantation of prostheses in reconstructive breast surgery.
Subcutaneous mastectomy has been plagued by serious problems, especially capsule formation and poor cosmetic results. Since Jarrett's presentation of submuscular implantation, we have had extensive experience with that technique and have fo…
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Management of radiation necrosis and advanced cancer of the chest wall in patients with breast malignancy.
Aggressive resection, with individualized reconstruction by several methods, is of value in many patients with radiation necrosis and/or advanced breast cancer of the chest wall. Although this does not always significantly lengthen survival…
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Breast reconstruction after mastectomy.
Breast reconstruction is being performed with increased frequency, encouraged largely by the positive reaction of satisfied patients, and enabled by more recent advances in plastic surgery. Many of the disadvantages of external prosthesis (…
- Facial prostheses or surgical reconstruction?
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Experience with and comparision of methods of reduction mammaplasty.
Experinece with bilateral reduction mammaplasty in 213 patients has been reviewed. Complications, while not infrequent, are rarely of a serious or lasting nature. In the experience of the authors, the McKissock procedure has yielded the mos…
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Points of technique in reduction mammaplasty by the vertical-pedicle method.
The technique of reduction mammaplasty by the vertical-pedicle method of McKissock has been enjoying increasing popularity, although there are some apparent drawbacks resulting in less than optimal results. The points of technique emphasize…
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Use of muscular, musculocutaneous and omental flaps to reconstruct difficult defects.
These recently popularized flaps make reconstruction of some difficult defects possible in a single operation, with surprisingly good results. They have significant advantage over free flaps (except, perhaps, in the hands ofa few experts) b…
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Experience with the deltopectoral flap.
The deltopectoral flap is a most versatile source of skin coverage or mucosal lining (or both). There is remarkable safety in the use of this flap in relation to its size, and there is only limited need for delay--because it pedicle is an a…
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Contour restoration following simple or modified radical mastectomy.
With the increasing performance of modified radical mastectomy in the treatment of female breast cancer, satisfactory restoration of contour can be performed by a relatively simple procedure. In a large number of patients, this constitutes …
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Breast restoration after mastectomy for cancer.
The clinical problems encountered in the reconstruction of breasts of patients who have undergone mastectomy for cancer are presented. The indications and contraindications for reconstruction of the breast are arbitrarily defined. Various m…