British journal of plastic surgery最新文献_第5页

Horse shoe flap vaginoplasty—a new technique of vaginal reconstruction with labia minora flaps for primary vaginal agenesis 马蹄形阴道瓣阴道成形术——小阴唇瓣阴道再造术治疗原发性阴道发育不全的新技术

British journal of plastic surgery Pub Date : 2005-10-01 DOI: 10.1016/j.bjps.2005.04.013

V. Purushothaman

{"title":"Horse shoe flap vaginoplasty—a new technique of vaginal reconstruction with labia minora flaps for primary vaginal agenesis","authors":"V. Purushothaman","doi":"10.1016/j.bjps.2005.04.013","DOIUrl":"10.1016/j.bjps.2005.04.013","url":null,"abstract":"<div><p>Reconstruction of the vagina has always been a formidable surgical challenge. A variety of procedures with varying degrees of success have been described, but none has proved to be the ideal method. We have done 15 vaginal reconstructions using labia minora flaps. In the first eight patients, we used two labia minora flaps and sutured them together to create a neovagina. In the last eight patients this new technique of vaginoplasty using horse shoe labia minora flap was used. The neovagina is dilated gradually for a period of 3 months and at the end of 3 months the patient has an adequate sized vagina. All were done for vaginal agenesis.</p><p>Horse shoe flap vaginoplasty in Mayer, Rokitansky–Kuster–Hauser syndrome is a new technique. The entire hairless skin within the labia majora is used to create a neovagina. Both the labia minora along with the prepucial skin of the clitoris is elevated as a single flap thereby increasing the dimension of the Neovagina and also augmenting the blood supply of the flap, making it more reliable and finally the design simplifies the technique of suturing the neovaginal tube.</p></div>","PeriodicalId":9252,"journal":{"name":"British journal of plastic surgery","volume":"58 7","pages":"Pages 934-939"},"PeriodicalIF":0.0,"publicationDate":"2005-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.bjps.2005.04.013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25211444","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: 22

Seven reconstructions of the orbital and periorbital region with a contralateral orbitonasolabial flap 用对侧眶鼻唇瓣重建眼眶及眶周7例

British journal of plastic surgery Pub Date : 2005-10-01 DOI: 10.1016/j.bjps.2005.04.020

G. Dagregorio , F. Baraer , V. Darsonval

引用次数: 10

Genetic susceptibility to keloid disease: mutation screening of the TGFβ3 gene 瘢痕疙瘩病的遗传易感性:tgf - β3基因的突变筛选

British journal of plastic surgery Pub Date : 2005-10-01 DOI: 10.1016/j.bjps.2005.04.009

A. Bayat , J.M. Walter , O. Bock , U. Mrowietz , W.E.R. Ollier , M.W.J. Ferguson

{"title":"Genetic susceptibility to keloid disease: mutation screening of the TGFβ3 gene","authors":"A. Bayat , J.M. Walter , O. Bock , U. Mrowietz , W.E.R. Ollier , M.W.J. Ferguson","doi":"10.1016/j.bjps.2005.04.009","DOIUrl":"10.1016/j.bjps.2005.04.009","url":null,"abstract":"<div><p>Keloid disease (KD) is a fibroproliferative dermal tumour of unknown aetiology. The increased familial clustering in KD, its increased prevalence in certain races and its presence in identical twins suggest a strong genetic predisposition to keloid formation. Transforming growth factor beta isoforms (TGFβ) play a central role in wound healing and fibrosis and have been implicated in KD pathogenesis. Recent data has suggested that TGFβ<sub>3</sub> has an important role in scar formation. There is little known about the genetic variation present within the TGFβ<sub>3</sub> gene, which contains seven exons and six introns spanning 43 000 base pairs of the human genome. Exons one to seven and the promoter region (1000bp upstream from exon 1 in the 5′-flanking regions) were screened in 95 Caucasian KD cases and 95 Caucasian controls for the presence of novel mutations using a high throughput DHPLC mutation detection technology. There were no mutations identified in any of the exonic regions, however, multiple nondisease associated mutations were found in the promoter region of the TGFβ<sub>3</sub> gene. These data demonstrate that there is no association between the exonic and promoter regions of TGFβ<sub>3</sub> gene and keloid scarring in our cohort of Caucasian patients.</p></div>","PeriodicalId":9252,"journal":{"name":"British journal of plastic surgery","volume":"58 7","pages":"Pages 914-921"},"PeriodicalIF":0.0,"publicationDate":"2005-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.bjps.2005.04.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25210449","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: 43

Remodelling the upper eyelid in the management of orbitopalpebral neurofibromatosis 眶睑神经纤维瘤病的上睑重塑治疗

British journal of plastic surgery Pub Date : 2005-10-01 DOI: 10.1016/j.bjps.2005.04.019

Daniel Marchac, Jonathan A. Britto

{"title":"Remodelling the upper eyelid in the management of orbitopalpebral neurofibromatosis","authors":"Daniel Marchac, Jonathan A. Britto","doi":"10.1016/j.bjps.2005.04.019","DOIUrl":"10.1016/j.bjps.2005.04.019","url":null,"abstract":"<div><p>Neurofibromatosis of the orbitopalpebral complex is a debilitating disease. The development of safe craniofacial surgical technique has greatly improved outcome in the surgical palliation of this progressive condition, and various centres have reported their experience. Extensive upper eyelid neurofibroma creates a functional and aesthetic problem, which is inadequately addressed in the literature. The experience of the senior author (DM) representing the treatment of 27 such patients is currently reported. The stigmata of eyelid neurofibromatosis were scored retrospectively by a novel scale applied to standardised photographs at patient presentation. A numeric severity score was given to each of: upper eyelid ptosis, canthal malposition, and oculo-palpebral diastasis. Disease progression and post-operative result were similarly scored at various stages follow-up photography. All patients underwent a full thickness, transverse or transverse-oblique resection of upper eyelid disease, with immediate levator reconstruction and canthopexies as necessary. A mean improvement of 3.33 points was achieved in the majority of patients (median one operation per patient; mean 1.5, range 1–3). Secondary eyelid procedures (<em>n</em>=9 pts) represented tumour debulking, canthopexy, or procedures to deepen the fornix in patients with prostheses. This series demonstrates that a tailored, often radical palpebral remodelling in orbitopalpebral neurofibromatosis may provide functional and aesthetic benefit.</p></div>","PeriodicalId":9252,"journal":{"name":"British journal of plastic surgery","volume":"58 7","pages":"Pages 944-956"},"PeriodicalIF":0.0,"publicationDate":"2005-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.bjps.2005.04.019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25211440","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: 31

‘Extended deep inferior epigastric artery flaps’ for reconstruction after excision of chondrosarcoma sternum 胸骨软骨肉瘤切除术后重建的“延伸腹壁下深动脉皮瓣”

British journal of plastic surgery Pub Date : 2005-10-01 DOI: 10.1016/j.bjps.2005.04.011

R.K. Sharma, Sandeep Mehrotra, R.S. Dhaliwal

引用次数: 6

Evaluation of VPI-assessment with videofluoroscopy and nasoendoscopy 透视和鼻内窥镜对vpi评价的评价

British journal of plastic surgery Pub Date : 2005-10-01 DOI: 10.1016/j.bjps.2005.02.012

Christina Havstam , Anette Lohmander , Christina Persson , Hans Dotevall , Agneta Lith , Jan Lilja

{"title":"Evaluation of VPI-assessment with videofluoroscopy and nasoendoscopy","authors":"Christina Havstam , Anette Lohmander , Christina Persson , Hans Dotevall , Agneta Lith , Jan Lilja","doi":"10.1016/j.bjps.2005.02.012","DOIUrl":"10.1016/j.bjps.2005.02.012","url":null,"abstract":"<div><p>The purpose of this study was to investigate how different amounts of visual assessment information influence the recommended treatment for velopharyngeal insufficiency (VPI). Is a patient presented with videofluoroscopy (VF) in lateral projection recommended the same treatment as when frontal projection, nasoendoscopy, or both, are added?</p><p>Retrospective material with video recorded assessment of VPI was blinded and copied in random order. Each patient was then presented in four separate combinations: VF in lateral projection; VF in lateral and frontal projection; VF in lateral projection and nasoendoscopy; and VF in lateral and frontal projection and nasoendoscopy (all of the available assessment material). The cleft palate team of Göteborg, Sweden, mutually rated velopharyngeal function and recommended action based on the presented material.</p></div><div><h3>Subjects</h3><p>Nineteen consecutive patients (median age 7:5 years, range 4:4–19:7) investigated with VF in lateral and frontal projection and nasoendoscopy during 1997–99 at the cleft palate centre in Göteborg, Sweden. Post operative assessments were excluded. Percent agreement and Kappa calculations were used to compare the different combinations of parts of information to all of the available information.</p></div><div><h3>Results</h3><p>Thirteen of the 19 patients (68%) were recommended the same action regardless of the amount of presented information. Percent agreement (Kappa) between parts and all of the available information: VF in lateral projection 84% (0.75), VF in lateral and frontal projection 79% (0.74), and VF in lateral projection and nasoendoscopy 84% (0.72).</p></div><div><h3>Conclusions</h3><p>VF in lateral projection is recommended to be the first step in visualising velopharyngeal function, and nasoendoscopy the next when further investigation is required.</p></div>","PeriodicalId":9252,"journal":{"name":"British journal of plastic surgery","volume":"58 7","pages":"Pages 922-931"},"PeriodicalIF":0.0,"publicationDate":"2005-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.bjps.2005.02.012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40935959","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: 56

Rupture of an expander prosthesis mimics axillary cancer recurrence 扩张假体破裂模拟腋窝癌复发

British journal of plastic surgery Pub Date : 2005-10-01 DOI: 10.1016/j.bjps.2005.04.058

T. Ismael, J. Kelly, P.J. Regan

引用次数: 7

Nipple migration in a pig using the technique of serial excision 使用连续切除技术的猪乳头移位

British journal of plastic surgery Pub Date : 2005-10-01 DOI: 10.1016/j.bjps.2005.04.034

E. Christofides, A. Potgieter, L. Chait

{"title":"Nipple migration in a pig using the technique of serial excision","authors":"E. Christofides, A. Potgieter, L. Chait","doi":"10.1016/j.bjps.2005.04.034","DOIUrl":"10.1016/j.bjps.2005.04.034","url":null,"abstract":"<div><p>Moving a misplaced nipple-areola complex (NAC) without causing additional scarring has proved to be difficult, especially if it is to be moved medially, laterally or inferiorly.</p><p>This study investigated the possibility of migrating the NAC without leaving additional scarring by using the technique of serial excision.</p><p>Two adult female pigs were used. Three pairs of pseudo-areolas of similar size were tattooed around a teat in each pig. Crescentic serial excisions of skin were undertaken at 2 weekly intervals on the upper and middle pairs of pseudo-areolas in each pig and the lower pairs were left as controls. The crescentic excision on the upper set of nipples consisted of skin only. The crescentic excision on the middle set of nipples consisted of 75% skin and 25% tattooed pseudo-areola.</p><p>Results showed that nipple migration by serial excision is possible. However, each set of nipple pseudo-areola complex (NPAC) behaved differently. When skin only was excised, the NPAC's became distorted and enlarged but when skin and areola was excised, the NPAC maintained its dimensions.</p><p>Taking our findings into account, an approach to moving a misplaced NAC using this technique in the clinical situation is described. Its use to move a misplaced NAC in two women is demonstrated.</p></div>","PeriodicalId":9252,"journal":{"name":"British journal of plastic surgery","volume":"58 7","pages":"Pages 908-913"},"PeriodicalIF":0.0,"publicationDate":"2005-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.bjps.2005.04.034","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25211442","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

Giant basal cell carcinoma of the thoracic wall: a case report and review of the literature 胸壁巨大基底细胞癌1例报告及文献复习

British journal of plastic surgery Pub Date : 2005-10-01 DOI: 10.1016/j.bjps.2005.04.017

M. Lorenzini, S. Gatti, A. Giannitrapani

引用次数: 37

Potential blindness: an unusual complication of lateral canthopexy 潜在失明:外侧眦固定术的不寻常并发症

British journal of plastic surgery Pub Date : 2005-10-01 DOI: 10.1016/j.bjps.2005.04.023

Jonathan A. Britto , Raymond Buncic , Oren Lapid , John H. Phillips

引用次数: 2