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Operative Techniques in Plastic and Reconstructive Surgery最新文献

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Soleus Flap for Lower Leg Reconstruction 比目鱼肌瓣用于小腿重建
Operative Techniques in Plastic and Reconstructive Surgery Pub Date : 2019-07-01 DOI: 10.1093/MED/9780190499075.003.0086
J. Friedman, E. Ruff
{"title":"Soleus Flap for Lower Leg Reconstruction","authors":"J. Friedman, E. Ruff","doi":"10.1093/MED/9780190499075.003.0086","DOIUrl":"https://doi.org/10.1093/MED/9780190499075.003.0086","url":null,"abstract":"Open wounds in the middle third of the lower leg often require soft tissue reconstruction to allow for primary wound healing. The soleus muscle flap is uniquely suited for this purpose and is used primarily as a muscle flap without the accompanying overlying skin. This muscle has a blood supply that is segmental in nature, arising from multiple perforators from the posterior tibial vessels. Given that that this blood supply is primarily located in the proximal third of the leg, the soleus muscle flap is generally based proximally to allow for coverage of middle-third defects. While the muscle has a clear intermuscular septum which separates the medial head from the lateral segment, the use of a so-called hemi-soleus flap is less reliable and thus used on an infrequent basis. The soleus muscle flap can also be based distally in the leg for small distal-third defects; however, this flap can often be unreliable due to a paucity of sufficient perforators located in this area.","PeriodicalId":100987,"journal":{"name":"Operative Techniques in Plastic and Reconstructive Surgery","volume":"9 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72578708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Replantation 再植
Operative Techniques in Plastic and Reconstructive Surgery Pub Date : 2019-07-01 DOI: 10.1093/med/9780190499075.003.0094
Grant M. Kleiber, K. Brandt
{"title":"Replantation","authors":"Grant M. Kleiber, K. Brandt","doi":"10.1093/med/9780190499075.003.0094","DOIUrl":"https://doi.org/10.1093/med/9780190499075.003.0094","url":null,"abstract":"Successful replantation depends on multiple variables. A coordinated effort of emergency transport services, emergency room personnel, operating room staff, anesthesiologists and postoperative nursing is required for success. The need for this team approach has led to the development of several specialized replantation centers worldwide. The authors discuss the various mechanisms of injury and their chances for successful replantation. This chapter examines the indications and contraindications for appropriate replantation. Also provided are many useful techniques for vessel and nerve repair, bony fixation, tendon repair, and soft tissue coverage. The chapter also discusses postoperative management, rehabilitation, and follow-up.","PeriodicalId":100987,"journal":{"name":"Operative Techniques in Plastic and Reconstructive Surgery","volume":"147 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79826183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Extensor Tendon Repair 伸肌腱修复
Operative Techniques in Plastic and Reconstructive Surgery Pub Date : 2019-07-01 DOI: 10.1093/MED/9780190499075.003.0091
S. Oates
{"title":"Extensor Tendon Repair","authors":"S. Oates","doi":"10.1093/MED/9780190499075.003.0091","DOIUrl":"https://doi.org/10.1093/MED/9780190499075.003.0091","url":null,"abstract":"Because of their location on the dorsum of the hand, the extensor tendons are particularly vulnerable to injury. This is even more likely over the joints since the dorsal skin is particularly thin there. Injuries can occur from both sharp and blunt trauma. Untreated extensor tendon injuries can result in significant functional impairment and potential long-term permanent deformities of the hand. There are significant differences in treatment for extensor tendon injuries involving the finger zones versus the hand. This chapter will describe the most common treatment modalities for extensor tendon injuries to the hand and forearm.","PeriodicalId":100987,"journal":{"name":"Operative Techniques in Plastic and Reconstructive Surgery","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87872082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pharyngeal Flap 咽皮瓣
Operative Techniques in Plastic and Reconstructive Surgery Pub Date : 2019-07-01 DOI: 10.1093/med/9780190499075.003.0051
Raj Yvas, L. Patty, Donald S. Mowlds
{"title":"Pharyngeal Flap","authors":"Raj Yvas, L. Patty, Donald S. Mowlds","doi":"10.1093/med/9780190499075.003.0051","DOIUrl":"https://doi.org/10.1093/med/9780190499075.003.0051","url":null,"abstract":"Closure of the velopharyngeal sphincter is necessary for the correct phonation of vowels and most consonants. Dysfunction of the velopharyngeal sphincter allows excess air passage into the nasal cavity, resulting in altered speech. Surgeons rely on a handful of diagnostic modalities as well as perceptual speech analysis by cleft-trained speech-language pathologists for proper evaluation of the underlying abnormality causing velopharyngeal dysfunction and for determination of subsequent treatment options. Pharyngeal flap surgery is considered in patients whose dysfunction occurs due to velopharyngeal insufficiency from a large anteroposterior central gap during closure of the velum and pharynx. The pharyngeal flap creates a static central obstruction while maintaining two patent lateral airway openings, ultimately aiding in improved phonation of oral consonants.","PeriodicalId":100987,"journal":{"name":"Operative Techniques in Plastic and Reconstructive Surgery","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90153542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Alveolar Bone Grafting 牙槽骨移植
Operative Techniques in Plastic and Reconstructive Surgery Pub Date : 2019-07-01 DOI: 10.1093/MED/9780190499075.003.0012
R. Vyas, Gennaya L. Mattison
{"title":"Alveolar Bone Grafting","authors":"R. Vyas, Gennaya L. Mattison","doi":"10.1093/MED/9780190499075.003.0012","DOIUrl":"https://doi.org/10.1093/MED/9780190499075.003.0012","url":null,"abstract":"Alveolar bone grafting plays a crucial role in cleft reconstruction. When neonatal presurgical orthodontia is successful in aligning the cleft segments, alveolar reconstruction can be initiated as a gingivoperiosteoplasty during primary cleft lip repair. In children with cleft palate, alveolar bone grafting is usually done after transverse maxillary expansion with a palatal expander. Exact timing of bone grafting is controversial; most centers initiate orthodontic evaluation/expansion between ages 7 and 8 years (beginning of mixed dentition) with an aim to bone graft before age 10 in order to allow osteogenic incorporation prior to eruption of the permanent canine teeth.","PeriodicalId":100987,"journal":{"name":"Operative Techniques in Plastic and Reconstructive Surgery","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87480746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Naso-orbito-ethmoidal Complex Injuries 鼻-眶-筛复合损伤
Operative Techniques in Plastic and Reconstructive Surgery Pub Date : 2019-07-01 DOI: 10.1093/MED/9780190499075.003.0057
H. Alqattan, Ajani G. Nugent, S. Thaller
{"title":"Naso-orbito-ethmoidal Complex Injuries","authors":"H. Alqattan, Ajani G. Nugent, S. Thaller","doi":"10.1093/MED/9780190499075.003.0057","DOIUrl":"https://doi.org/10.1093/MED/9780190499075.003.0057","url":null,"abstract":"Comprehensive reconstruction of naso-orbito-ethmoidal fractures remains among the most challenging clinical problems for plastic surgeons. Successful repair centers on accurate diagnosis through a comprehensive history and physical examination and diagnostic imaging. Once this foundation is achieved, accurate anatomic reconstruction requires a stepwise approach and an intimate knowledge of the normal bony and soft tissue anatomy. The cornerstone remains the precise repositioning of the medial canthal tendon. Once this foundation is successfully reconstructed, the remaining bony framework can be anatomically, repositioned, reinforced, replaced with bone grafts &stabilized with rigid internal fixation.","PeriodicalId":100987,"journal":{"name":"Operative Techniques in Plastic and Reconstructive Surgery","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85340947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advances in Hair Transplantation 毛发移植研究进展
Operative Techniques in Plastic and Reconstructive Surgery Pub Date : 2019-07-01 DOI: 10.1093/MED/9780190499075.003.0026
A. Barrera
{"title":"Advances in Hair Transplantation","authors":"A. Barrera","doi":"10.1093/MED/9780190499075.003.0026","DOIUrl":"https://doi.org/10.1093/MED/9780190499075.003.0026","url":null,"abstract":"This chapter presents a brief review of the history of hair transplantation and the anatomy and physiology of hair follicular units. Also presented is a step-by-step description of the author’s preferred technique and pearls learned over the past 25 years to consistently accomplish natural and aesthetically pleasing results. This very labor-intensive procedure requires a team of skillful assistants to be able to do this well and comfortably. The author also describes the details of equipment and instrumentation needed, from surgical blades to the dissection microscopes, and more. The most frequent cases seen in practice include male pattern baldness, female pattern alopecia, and scarring alopecias secondary to previous surgeries (i.e., post rhytidectomy). The restoration of lost sideburns and a temporal hairline will demonstrate some of these examples.","PeriodicalId":100987,"journal":{"name":"Operative Techniques in Plastic and Reconstructive Surgery","volume":"125 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91453562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Anesthesia 麻醉
Operative Techniques in Plastic and Reconstructive Surgery Pub Date : 2019-07-01 DOI: 10.1093/med/9780190499075.003.0002
W. Sivak, Erica Sivak, K. Shestak
{"title":"Anesthesia","authors":"W. Sivak, Erica Sivak, K. Shestak","doi":"10.1093/med/9780190499075.003.0002","DOIUrl":"https://doi.org/10.1093/med/9780190499075.003.0002","url":null,"abstract":"Regional anesthesia, or rendering only a targeted part of the body anesthetized, has numerous benefits for both the surgeon and patient. Local anesthetic agents are essential to create and maintain regional blockades, and detailed knowledge of these agents is essential to providing safe and effective care. This chapter begins with review of the basic pharmacology, indications, and contraindications for the use of regional anesthesia. Numerous specific blockades used to anesthetize distinct regions of the body are reviewed with specific focus on anatomy and technique. When safely performed, regional anesthesia can provide an optimal experience for both surgeon and patient.","PeriodicalId":100987,"journal":{"name":"Operative Techniques in Plastic and Reconstructive Surgery","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83817653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Rectus Femoris Flap for Groin Reconstruction 股直肌皮瓣在腹股沟重建中的应用
Operative Techniques in Plastic and Reconstructive Surgery Pub Date : 2019-07-01 DOI: 10.1093/MED/9780190499075.003.0079
P. Neligan
{"title":"The Rectus Femoris Flap for Groin Reconstruction","authors":"P. Neligan","doi":"10.1093/MED/9780190499075.003.0079","DOIUrl":"https://doi.org/10.1093/MED/9780190499075.003.0079","url":null,"abstract":"The rectus femoris muscle is an important but expendable knee extensor. It is a bipennate muscle with a dense and strong fascia on its undersurface. This feature makes it extremely attractive for the repair of defects of the lower abdominal wall and groin as a pedicled flap. It is centrally located between the vastus medialis and vastus lateralis muscles. It is generally used as a pedicled muscle and usually taken as a muscle flap without a skin paddle. The muscle is then grafted. Following harvest, the extensor tendons need to be centralized and repaired for a distance of 6–8 cm above the knee. In many situations this flap has been superseded by the ALT flap.","PeriodicalId":100987,"journal":{"name":"Operative Techniques in Plastic and Reconstructive Surgery","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87150755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Rectus Abdominis Flap
Operative Techniques in Plastic and Reconstructive Surgery Pub Date : 2019-07-01 DOI: 10.1093/MED/9780190499075.003.0039
Melissa A. Mueller, G. Evans
{"title":"The Rectus Abdominis Flap","authors":"Melissa A. Mueller, G. Evans","doi":"10.1093/MED/9780190499075.003.0039","DOIUrl":"https://doi.org/10.1093/MED/9780190499075.003.0039","url":null,"abstract":"The rectus abdominis flap is a versatile, workhorse flap. It is ideal for head and neck reconstruction requiring large, soft tissue bulk without bony reconstruction, particularly for defects of the tongue, orbits, maxilla, cheek, posterior mandible, and cranial base. Its ability to be folded upon itself and harvested with multiple skin paddles makes it versatile for complex three-dimensional and multilaminar defects. Its pedicle size and length and consistent vascular anatomy make the flap a reliable choice for head and neck reconstruction. Its indications in head and neck reconstruction and technique in harvest are elaborated in this chapter.","PeriodicalId":100987,"journal":{"name":"Operative Techniques in Plastic and Reconstructive Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85574278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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