{"title":"Facial disassembly for tumor resection.","authors":"C Lauritzen, B Vällfors, J Lilja","doi":"10.3109/02844318609006320","DOIUrl":"https://doi.org/10.3109/02844318609006320","url":null,"abstract":"<p><p>A standardized method of surgical dismantelling of the face for access to the periorbital area is described in detail. Its use in 11 patients with periorbital tumors is described and illustrated by selected case reports. It was concluded that many tumors in the periorbital area that previously were considered inoperable with craniofacial disassembling techniques can be adequately treated without sacrificing eyes or mutilating the face.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 2","pages":"201-6"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609006320","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14915644","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":"Wrist denervation and compression of the lunate in Kienböck's disease.","authors":"L Ekerot, K Jonsson, L E Necking","doi":"10.3109/02844318609006323","DOIUrl":"https://doi.org/10.3109/02844318609006323","url":null,"abstract":"<p><p>Thirteen wrists with Kienböck's disease, stage III or IV, were denervated. Three wrists were examined repeatedly over a period of 2 1/2 years prior to operation, showing the natural course of lunate compression. The remaining 10 wrists were operated on sooner after diagnosis and the lunate compression was compared with the natural compression course. The hypothesis that wrist denervation was detrimental to the lunate was not supported by the present material.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 2","pages":"225-7"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609006323","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14915646","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":"Clinical experience and complications with fasciocutaneous flaps.","authors":"D E Tolhurst","doi":"10.3109/02844318609006296","DOIUrl":"https://doi.org/10.3109/02844318609006296","url":null,"abstract":"<p><p>Our experience over the last 5 years with fasciocutaneous flaps in various areas of the body is described. Flap complications and special variations of the fasciocutaneous principle are discussed. Observations on our imperfect knowledge of the blood supply of the skin and deep fascia have been made and relevant experimental work briefly outlined.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 1","pages":"75-8"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609006296","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14657936","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":"Reconstructing chest walls with vertical abdominal fasciocutaneous flaps.","authors":"Y Maruyama, K Onishi, Y Iwahira","doi":"10.3109/02844318609006297","DOIUrl":"https://doi.org/10.3109/02844318609006297","url":null,"abstract":"<p><p>Our experience with the vertical fasciocutaneous flap in the reconstruction of chest wall defects is described. The vascular supply of this vertical abdominal fasciocutaneous flap comes from perforating vessels stemming from superior epigastric vessels. The flap can be elevated in the same way as a standard fasciocutaneous or vascular island flap with a small part of the rectus muscle and superior epigastric vessels attached. This type of flap was used in 16 patients with major anterior chest wall excisional defects. The average size of the flap was approximately 10 by 33 cm. Superficial necrosis was observed in 2 patients and distal 2 cm total skin loss was observed in one patient. All other flaps survived completely.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 1","pages":"79-83"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609006297","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14892850","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":"Summary of carbon dioxide laser usage in plastic surgery.","authors":"D B Apfelberg","doi":"10.3109/02844318609006286","DOIUrl":"https://doi.org/10.3109/02844318609006286","url":null,"abstract":"<p><p>Pathophysiology and clinical usage of the carbon dioxide laser is reviewed. The unique light is capable of relatively bloodless excision when finely focused or vaporization and cautery when defocused. Malignant and infectious lesions can be resected and sterilized by the laser's heat. \"Laserbrasion\" can remove superficial lesions such as tattoos, xanthelasma, warts and other similar lesions.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 1","pages":"19-24"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609006286","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14893859","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":"Three dimensional imaging in medicine. A critique by surgeons.","authors":"P Tessier, 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, J Duchateau, 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, M Suurküla, 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, D Kovachev, 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, I Bugyi, 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}