Scandinavian journal of plastic and reconstructive surgery最新文献

{"title":"Three dimensional imaging in medicine. A critique by surgeons.","authors":"P Tessier,&nbsp;D Hemmy","doi":"10.3109/02844318609006284","DOIUrl":"https://doi.org/10.3109/02844318609006284","url":null,"abstract":"<p><p>Three dimensional reconstruction of CT scan data is available to surgeons. The authors discuss the relative merits and disadvantages of this new method of presentation of anatomical data. Recommendations are made for future development and implementation.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 1","pages":"3-11"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609006284","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14893861","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}

{"title":"Routine reinsertion of the hump in rhinoplasty.","authors":"M Lejour,&nbsp;J Duchateau,&nbsp;A Potaznik","doi":"10.3109/02844318609006293","DOIUrl":"https://doi.org/10.3109/02844318609006293","url":null,"abstract":"<p><p>Reinsertion of the hump as a free graft, a technique based on the rhinoplasty described by Skoog, has been performed for more than 10 years in severely deviated noses to hide residual deformities of the septum after rhinoplasty. The results have been so encouraging that this technique is now routinely used in all rhinoplasties requiring a reduction of the profile. Grafting the hump after remodelling gives a natural aspect to the dorsum, especially in patients with thin skin where irregularities of sharp edges of the cut nasal bones are otherwise often seen. The hump is tailored into a thin composite graft (bone + cartilage) 3-4 cm long and 3-5 mm broad. No major complications have been observed. 32 cases have been reviewed after a mean delay of 24 months. 29 show radiographic evidence of bone graft survival although no fusion with the nasal bones is observed. It is suggested that facial bone grafts survive better in the nose than grafts taken from the iliac crest or the ribs.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 1","pages":"55-9"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609006293","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14893866","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}

{"title":"Absent latissimus dorsi muscle and anhidrotic axilla in Poland's syndrome. Case report.","authors":"H Holmström,&nbsp;M Suurküla,&nbsp;C Lossing","doi":"10.3109/02844318609004493","DOIUrl":"https://doi.org/10.3109/02844318609004493","url":null,"abstract":"<p><p>The case of an 18-year-old female with absence of the right breast, sternocostal part of the major pectoral muscle and total absence of the minor pectoral muscle and the latissimus dorsi muscle, is presented. She also had decreased sweating capacity and absence of terminal hairs in the central part of her right axilla. Histological examination of skin specimens from this area of the axilla demonstrated hypoplasia of the apocrine sweat glands, but normal eccrine sweat glands, indicating an apocrine dependent axillary sweating function. The breast was constructed using a direct subcutaneous prosthesis implant, giving a final result that was good in regard to shape and softness. This provides grounds for reconsidering the use of the latissimus dorsi muscle flap in breast constructions in Poland's syndrome.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 3","pages":"313-8"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609004493","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14168181","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}

{"title":"Abdominal wall reconstruction.","authors":"L P Weinstein,&nbsp;D Kovachev,&nbsp;T Chaglassian","doi":"10.3109/02844318609006303","DOIUrl":"https://doi.org/10.3109/02844318609006303","url":null,"abstract":"<p><p>Patients with abdominal wall reconstruction present a difficult management problem to the oncological surgeon. There were 36 patients treated for abdominal wall primary and secondary tumors between the years 1973 and 1982 at the Memorial Hospital. There were 25 abdominal wall sarcomas, 6 recurrent colon cancers, 2 recurrent bladder cancers, 1 cervical cancer, 1 recurrent endometrial cancer and 3 complications of radiotherapy treated by excision and reconstruction of the defect. The desmoid tumors were closed primarily. The recurrent sarcomas after radical excision, were reconstructed with Marlex mesh and local mobilization of skin and subcutaneous tissue. The recurrent colon bladder and endometrial cancers had been treated with over 5,000 cGy each. Three patients had significant full thickness skin loss secondary to radiotherapy. These patients comprised the group that required a myocutaneous flap to provide full thickness skin and fascia. The tensor fascia lata flap was used in eight patients. This group of patients did extremely well in contrast to the group of radiated patients with Marlex mesh reconstruction. There were less complications in the TFL group. We recommended the TFL flap for a large abdominal wall defect and for a previously radiated abdominal wall.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 1","pages":"109-13"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609006303","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14081149","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}

{"title":"Soft tissue reconstruction of the anterior surface of the lower leg in burn patients using a free latissimus dorsi muscle flap.","authors":"H Hammer,&nbsp;I Bugyi,&nbsp;P R Zellner","doi":"10.3109/02844318609006310","DOIUrl":"https://doi.org/10.3109/02844318609006310","url":null,"abstract":"<p><p>The primary treatment of extensive, deep 3 degrees burn injuries of the lower leg can lead to adhesion of the split-thickness graft with the anterior tibial shaft. Chronic recurring defects with correlative soft-tissue infection can be the consequences, which complicate the patient's rehabilitation. In most cases large defects are involved, so that the secondary reconstructive measures must be planned on accordingly generous scale. The transfer of a latissimus dorsi free flap enables the surgeon to cover defects of almost the entire anterior aspect of the lower leg as well as the ventral circumference. We covered the muscle surface with mesh graft. All patients on whom this technique was practiced achieved an adequate, stable skin coverage without further recurrence of infection. A description of the technique is given based on case reports and their subsequent follow-up.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 1","pages":"137-40"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609006310","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14893855","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}

{"title":"Metacarpophalangeal joint replacement with osseointegrated endoprostheses.","authors":"C G Hagert,&nbsp;P I Brånemark,&nbsp;T Albrektsson,&nbsp;K G Strid,&nbsp;L Irstam","doi":"10.3109/02844318609006321","DOIUrl":"https://doi.org/10.3109/02844318609006321","url":null,"abstract":"<p><p>A new type of endoprosthesis for reconstruction of the metacarpophalangeal (MCP) joint has been tested. The novel arthroplasty consists of a joint mechanism with two screw-shaped fixtures for bone anchorage. These fixtures, of commercially pure titanium, are gently screwed into the anchoring bone on each side of the diseased joint, the aim being to achieve osseointegration, i.e. a direct contact between implant and bone without interposed soft tissue layers. The hand was immobilized in a dorsal splint for 8-10 days post-operatively after which a carefully controlled mobilization program was initiated. In principle, the titanium fixtures, the surgical technique and the primary immobilization represent an approach similar to that previously used in various reconstruction procedures of the jaw. This paper describes 5 case histories of reconstructions required because of osteoarthrosis in a single MCP joint. Prior to the operation, all patients suffered from severe problems resulting from their arthrotic joints and they had not been able to work for several months. After surgery they were evaluated by a clinical assessment program and X-rays were taken at various times of follow-up. As well as visual inspection all radiograms were subjected to densitometry by means of a computer-based image-analysis system in order to provide information on the development of bone density in the bone-to implant interface region. From a functional point of view the treatment with osseointegrated prostheses must be regarded as being successful. All patients were able to go back to their original work and their hands had a satisfactory range of movement and grip strength with no signs of impaired function on longer follow-up time. Clinical problems were one re-operation, one case of implant fracture and one case requiring exchange of the joint mechanism. The computer-assisted evaluation of the radiograms revealed the presence of calcified tissue in many sections where the naked eye was not capable of differentiating any bone. In conclusion, it seems possible to establish osseointegration of MCP-endoprostheses in the arthrotic human joint in complicated cases which were regarded as contraindicated for any other joint arthroplasty.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 2","pages":"207-18"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609006321","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14915645","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}

{"title":"Effects of acetylsalicylic acid and naproxen on the mechanical and biochemical properties of intact skin in rats.","authors":"L F Solheim,&nbsp;H Rönningen,&nbsp;E Barth,&nbsp;N Langeland","doi":"10.3109/02844318609006314","DOIUrl":"https://doi.org/10.3109/02844318609006314","url":null,"abstract":"<p><p>Acetylsalicylic acid, ASA (150 mg/kg/12 h), and naproxen (20 mg/kg/12 h) were administered to young male rats for 9 and 18 days. The doses were set to provide serum concentrations comparable with anti-inflammatory steady state levels in humans. Mechanical tests were performed on skin from the back of the rats. The drugs did not affect the tensile strength of intact skin, nor were differences found in the dry weight or content and concentration of collagen in the skin. However, the rate of collagen synthesis decreased significantly during the study in the ASA treated rats. The naproxen, on the other hand, had no effect. The results may be interpreted as the ASA having an inhibitory effect both on the synthesis and degradation of collagen in skin.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 2","pages":"161-3"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609006314","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14915819","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}

{"title":"The free scapular flap. An alternative to conventional flaps on the upper extremity.","authors":"J Holmberg,&nbsp;L Ekerot","doi":"10.3109/02844318609006322","DOIUrl":"https://doi.org/10.3109/02844318609006322","url":null,"abstract":"<p><p>The free scapular flap was used as an alternative to a conventional pedicle flap in resurfacing scarred areas and padding major nerve trunks on the upper extremities in a series of 8 patients. The free flap proved to be rather reliable (one failure), convenient to the patients and cheaper for the Health Service than a conventional flap.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 2","pages":"219-23"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609006322","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14664345","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}

{"title":"The subcutaneous tissue flap and the misconception of fasciocutaneous flaps.","authors":"R Gumener,&nbsp;D Montandon,&nbsp;F Marty,&nbsp;A Zbrodowski","doi":"10.3109/02844318609006294","DOIUrl":"https://doi.org/10.3109/02844318609006294","url":null,"abstract":"<p><p>The authors report an anatomical study on the vascularisation of the subcutaneous tissue, which is an anatomical entity with a very rich vascular network. This leads to the concept of an original flap and suggests a modification of the concept of the fasciocutaneous flap.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 1","pages":"61-5"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609006294","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14657935","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}

{"title":"The regeneration of adrenergic nerves in a free microvascular groin flap in the rat.","authors":"T Lähteenmäki","doi":"10.3109/02844318609006317","DOIUrl":"https://doi.org/10.3109/02844318609006317","url":null,"abstract":"<p><p>The regeneration of adrenergic nerves in free microvascular groin flaps in the rat was investigated. The adrenergic nerves were revealed with glyoxylic acid-induced fluorescence and with formaldehyde-induced fluorescence methods. In the control specimens taken from the contralateral groin, adrenergic nerves were seen in the erector pili muscles and as networks around arteries and arterioles. In the free flap four weeks postoperatively, a few regenerating adrenergic nerves were observed at the margins under the flap and following the pedicle. Eight weeks postoperatively many tiny regenerating nerves were observed to invade the flap at the margins and under it. Many regenerating nerves were observed to reinnervate the artery and vein, forming a nerve plexus in the pedicle. The number of single nerve fibres invading the flap at the margins decreased sixteen weeks postoperatively, but more nerves were observed along arterioles in the flap and pedicle. Twenty-four weeks postoperatively some regenerating adrenergic nerves were observed around arteries and arterioles in different areas in the flap and in erector pili muscles. A rich network of nerves remained around the pedicle. However, the reinnervation of the vasculature of the flap remained patchy and inadequate, and many arteries and arterioles remained without innervation.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 2","pages":"183-8"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609006317","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14664344","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}