{"title":"A microsurgical method for reconstruction of interrupted lymphatic pathways: autologous lymph-vessel transplantation for treatment of lymphedemas.","authors":"R G Baumeister, S Siuda, H Bohmert, E Moser","doi":"10.3109/02844318609006311","DOIUrl":"https://doi.org/10.3109/02844318609006311","url":null,"abstract":"<p><p>Refinements in microsurgery have made it possible to perform causal therapy on lymphedemas due to a local blockade of lymphatic pathways through transplantation of the patient's lymph collectors. End-to-end anastomoses with lymphatics before and after the blockade or crossing to the opposite side are performed under 40-fold magnification. Between July 1980 and February 1985 32 patients received this treatment. 23 patients had postmastectomy edema, and 9 patients had unilateral edema of the lower limb (2 primary, 7 secondary edemas). The lasting result was that the volume difference between the affected and the healthy limb decreased to about 65%. Lymphatic scintiscans showed improved lymphatic transport capacity with increasing time from surgery and long patency of the grafts.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 1","pages":"141-6"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609006311","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14893856","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":"Reconstruction of the thenar muscles by microsurgery.","authors":"A Berger","doi":"10.3109/02844318609006313","DOIUrl":"https://doi.org/10.3109/02844318609006313","url":null,"abstract":"<p><p>During the last four years 16 toe transfers have been performed at our Plastic and Reconstructive Surgical Clinic in Hannover. In three cases of complete loss of the thenar muscles and the thumb, additional muscle reconstruction for opposition and adduction was considered. The method used in these cases will be described.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 1","pages":"153-5"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609006313","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14893858","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":"Reconstruction of cleft maxilla with periosteoplasty.","authors":"A Massei","doi":"10.3109/02844318609006290","DOIUrl":"https://doi.org/10.3109/02844318609006290","url":null,"abstract":"<p><p>The principle of gnatoplasty using local periosteal flaps according to Skoog is employed, but an essential modification in reconstructing the cleft maxilla is suggested. The periosteum of the anterior aspect of the maxilla is transferred as an island flap instead of using it as a precarious pedicle flap. The island flap is based on the cheek tissues lying over the periosteum, thereby including the insertions of the mimic muscles. The vascular supply and the osteogenic activity of the periosteum is preserved, and satisfactory new bone production is obtained.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 1","pages":"41-4"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609006290","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14893863","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":"Rectus abdominis myocutaneous flap of the lower type in breast reconstruction.","authors":"N Bricout, P Banzet","doi":"10.3109/02844318609006300","DOIUrl":"https://doi.org/10.3109/02844318609006300","url":null,"abstract":"<p><p>A lower rectus abdominis myocutaneous flap has been used in thirteen cases; in twelve patients for breast reconstruction with delay after mammectomy, and in one patient to close a defect due to an extensive mammectomy for cancer recurrence. In our opinion, the main advantages of the lower rectus abdominis myocutaneous flap are the very natural shape and the firmness of the reconstructed breast. The color and thickness of the abdominal skin is also quite similar to that of the chest. The low design of the cutaneous island, as in an abdominoplasty, gives an excellent cosmetic result. There is also enough skin and fat to make a breast implant unnecessary. In corpulent women the ends of the flap have to be resected to avoid partial necrosis. In slim women, the entire cutaneous island can be used. In all cases, repair of the musculo-aponeurotic wall has been performed without any prosthetic material. No foreign material has been used in this reconstruction. No eventration was observed in our patients.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 1","pages":"93-6"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609006300","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14081153","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":"ECRL-strip platy for metacarpal base fixation after excision of the trapezium.","authors":"L E Necking, O Eiken","doi":"10.3109/02844318609006324","DOIUrl":"https://doi.org/10.3109/02844318609006324","url":null,"abstract":"<p><p>Excision of the trapezium is always followed by instability and proximal migration of the first metacarpal base. In the present report, a modification of a previously suggested technique of metacarpal fixation is presented. The base is trapped between the APL- and FCR-tendons by means of a strip from the ECRL-tendon. This technique was applied in 44 thumbs with trapezial arthrosis. Stability and mobility were restored in all thumbs and the results as to strength and freedom from pain were successful in 80%. The suggested procedure is simple both technically and in regard to post-operative care and is particularly suitable in older patients.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 2","pages":"229-33"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609006324","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14915647","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":"Reconstruction of shoulder and arm defects using the latissimus dorsi myocutaneous flap. A report of five cases.","authors":"F N Abu Jamra, M Massad, R C Musharafieh","doi":"10.3109/02844318609004492","DOIUrl":"https://doi.org/10.3109/02844318609004492","url":null,"abstract":"<p><p>Five patients with extensive traumatic shoulder and arm defects in whom successful repair with the latissimus dorsi island myocutaneous flap are presented. The ease and speed of elevation of the flap, its wide skin surface, large size, and long pedicle make it an ideal flap for reconstruction of such defects.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 3","pages":"307-11"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609004492","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14711114","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":"Trends in conservative clitoroplasty.","authors":"F Mussinelli, A Carù, T L Cipollini","doi":"10.3109/02844318609006312","DOIUrl":"https://doi.org/10.3109/02844318609006312","url":null,"abstract":"<p><p>The authors present their trends in conservative clitoroplasty on the basis of 27 cases from January 1980 to August 1985. The technique described preserves as much of clitoral tissue as possible, and gives safe and very satisfying morpho-functional results regardless of the virilization degree. Preserved skin of clitoral shaft and of the foreskin is used to reconstruct labia minora. Erectile function is preserved by freeing and burying corpora cavernosa in the omolateral labial region. Clitoral glans, suitably trimmed when necessary, is preserved on its ventral muco-cutaneous pedicle.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 1","pages":"147-52"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609006312","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14893857","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":"Experimental laryngeal reconstruction with preformed composite graft.","authors":"L Ohlsén, U Nordin","doi":"10.3109/02844318609004484","DOIUrl":"https://doi.org/10.3109/02844318609004484","url":null,"abstract":"<p><p>The use of perichondrial grafts for reconstruction of the thyroid cartilage of the larynx was studied in two series of rabbits. In the first pilot study the thyroid cartilage was replaced by a cartilage performed by the neochondrogenic effect of an auricular perichondrial graft set into the defect on a subcutaneous flap. When this transplantation technique proved successful, another series was performed where a laryngeal defect of the thyroid cartilage and the underlying mucosa were replaced by a preformed composite graft. This composite graft consisted of a biological support of newly formed cartilage from the neochondrogenic effect of a free perichondrial graft and mucosal lining made of a retention cyst from a free graft of oral mucosa. The newly formed composite graft was transferred to set into the laryngeal defect on a subcutaneous flap. The reconstruction was successful and all the rabbits survived, with no respiratory distress. The newly formed cartilage offered sufficient support to the reconstructed larynx. The lining formed from the mucosa of the retention cyst consisted of undiffered stratified squamous cells. This lining membrane was sufficient to control the fibrous tissue response and maintain patency of the restored lumen.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 3","pages":"259-71"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609004484","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14712148","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":"Simple adaptation of Müller's muscle to the tarsal plate in congenital blepharoptosis. A preliminary report.","authors":"H Holmström, I Blomgren","doi":"10.3109/02844318609006319","DOIUrl":"https://doi.org/10.3109/02844318609006319","url":null,"abstract":"<p><p>Five patients with congenital blepharoptosis have undergone a simple adaptation of Müller's muscle to the tarsal plate. In two patients this led to a good postoperative result, in one to an over-correction, while two were not corrected enough. These results should stimulate further studies on the importance of Müller's muscle in congenital blepharoptosis.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 2","pages":"197-200"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609006319","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14915643","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}
P Santi, P Berrino, A Galli, C Quondamcarlo, M L Rainero
{"title":"Anterior transposition of the latissimus dorsi muscle through minimal incisions.","authors":"P Santi, P Berrino, A Galli, C Quondamcarlo, M L Rainero","doi":"10.3109/02844318609006299","DOIUrl":"https://doi.org/10.3109/02844318609006299","url":null,"abstract":"<p><p>Latissimus dorsi transposition is a useful procedure for the correction of various congenital and acquired thoracic deformities. The authors describe a surgical technique which allows anterior transposition of the whole muscle through minimal incisions. The technique has been used in 33 patients with post-mastectomy or post-subcutaneous mastectomy deformities, Poland's syndrome, deep radionecrosis, quadrantectomy, or breast underdevelopment following burns. The technique has proven safe and reliable, although the control of bleeding is difficult. Results are evaluated and compared with those obtained using traditional techniques; the absence of any significant posterior deformity is pointed out. The authors also suggest the use of this technique for breast reconstruction in patients presenting skin deficiencies: a tissue expander placed under the muscular flap makes it possible to avoid the transposition of a skin island.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"20 1","pages":"89-92"},"PeriodicalIF":0.0,"publicationDate":"1986-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844318609006299","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14892852","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}