MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Clinics in Plastic Surgery' source. Wed, 08 Feb 2012 10:49:01 +0100 http://www.medworm.com/index.php?rid=5422018&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS009412981100201X%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5422018 Sat, 19 Nov 2011 03:45:22 +0100 5422018 http://www.medworm.com/index.php?rid=5422017&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001271%2Fabstract%3Frss%3Dyes This article presents the dynamic process of wound healing and the basic tenets to minimize scarring. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5422017 Sat, 19 Nov 2011 03:45:22 +0100 5422017 http://www.medworm.com/index.php?rid=5422016&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001349%2Fabstract%3Frss%3Dyes Conclusion on the basis of these results, the authors feel that any future study of donor-site dressings should incorporate the most commonly used dressing (alginate) as a control. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5422016 Sat, 19 Nov 2011 03:45:22 +0100 5422016 http://www.medworm.com/index.php?rid=5422015&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001337%2Fabstract%3Frss%3Dyes The task of managing an open wound complicated by exposed bony structures underneath is difficult, if not challenging. We have instituted a method of managing the problems in stages using an artificial dermis and skin grafting technique in 17 wounds in 15 individuals from Sept. 2006 to Feb. 2009. While all wounds were noted to assume aberrant healing processes, the majority of involved bony structures were devoid of periosteal covering compounded by various degrees of infection. Of 15 incidents, mechanical trauma was responsible for 10, chemical burns for two and electrical burns for two patients. A chronic non-healing ulcer with exposed bone formed in an old burn scar accounted for the remaining one. The regimen of surgical management consisted of initial debridement, the coverage of the ... Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5422015 Sat, 19 Nov 2011 03:45:22 +0100 5422015 http://www.medworm.com/index.php?rid=5422014&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001325%2Fabstract%3Frss%3Dyes Large, full-thickness calvarial defects present a series of significant reconstructive challenges involving a range of techniques, including local and free flaps. Occasionally these conventional methods may not be possible due to technical, or patient, factors. Artificial dermis is already widely used in burns surgery and is increasing in oncological reconstruction. We believe that artificial dermis coupled with split-thickness skin grafting provides an excellent option for closure of these defects when other techniques are not appropriate. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5422014 Sat, 19 Nov 2011 03:45:22 +0100 5422014 http://www.medworm.com/index.php?rid=5422013&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001313%2Fabstract%3Frss%3Dyes Current research on the complex interplay between the microbiota, the barrier function and the innate immune system of the skin indicates that the skin's microbiota have a beneficial role, much like that of the gut microflora. As a consequence, interest in strategies beyond antibiotica that allow a more selective modulation of the skin microflora is constantly growing. This review will briefly summarize our current understanding of the cutaneous microbiota and summarize existing information on pre- and probiotic strategies for skin. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5422013 Sat, 19 Nov 2011 03:45:22 +0100 5422013 http://www.medworm.com/index.php?rid=5422012&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001295%2Fabstract%3Frss%3Dyes Significant progress has been made over the years in the development of in vitro-engineered substitutes that mimic human skin, either to be used as grafts for the replacement of lost skin or for the establishment of human-based in vitro skin models. This review summarizes these advances in in vivo and in vitro applications of tissue-engineered skin. We further highlight novel efforts in the design of complex disease-in-a-dish models for studies ranging from disease etiology to drug development and screening. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5422012 Sat, 19 Nov 2011 03:45:22 +0100 5422012 http://www.medworm.com/index.php?rid=5422011&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS009412981100126X%2Fabstract%3Frss%3Dyes Each one of us is a self-organizing mass of multiple cell types. From fertilization of the embryo our tissue structures develop until an adult morphology is achieved. At that point our capacity for self-organization is directed to maintaining that morphology in the face of the insults of our daily life and the processes of aging. When a given insult overwhelms our capacity to repair by regeneration the result is scar repair. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5422011 Sat, 19 Nov 2011 03:45:22 +0100 5422011 http://www.medworm.com/index.php?rid=5422010&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001301%2Fabstract%3Frss%3Dyes Changes in mechanical properties are an essential characteristic of the aging process of human skin. Previous studies attribute these changes predominantly to the altered collagen and elastin organization and density of the extracellular matrix. Here, we show that individual dermal fibroblasts also exhibit a significant increase in stiffness during aging in vivo. With the laser-based optical cell stretcher we examined the viscoelastic biomechanics of dermal fibroblasts isolated from 14 human donors aged 27 to 80. Increasing age was clearly accompanied by a stiffening of the investigated cells. We found that fibroblasts from old donors exhibited an increase in rigidity of ∼60% with respect to cells of the youngest donors. A FACS analysis of the content of the cytoskeletal polymers shows ... Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5422010 Sat, 19 Nov 2011 03:45:22 +0100 5422010 http://www.medworm.com/index.php?rid=5422009&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001283%2Fabstract%3Frss%3Dyes Skin is the most voluminous organ of the body. It assumes several important physiological functions and represents also a “social interface” between an individual and other members of society. This is the main reason its age-dependent modifications are in the forefront of dermatological research and of the “anti-aging” cosmetic industry. Here we concentrate on some aspects only of skin aging, as far as the cellular and extracellular matrix components of skin are concerned. Most well studied mechanisms of skin aging can be situated at the postgenetic level, both epigenetic and post-translational mechanisms being involved. Some of these mechanisms will be reviewed as well as the capacity of fucose- and rhamnose-rich oligo- and polysaccharides (FROP and RROP) to counteract several of ... Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5422009 Sat, 19 Nov 2011 03:45:22 +0100 5422009 http://www.medworm.com/index.php?rid=5422008&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001350%2Fabstract%3Frss%3Dyes The compilation of articles in this issue is intended to share the broad array of clinical and scientific research underway on skin: its physiology, architecture, behavior, and the potential and challenges in engineering it from tissue and cells. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5422008 Sat, 19 Nov 2011 03:45:22 +0100 5422008 http://www.medworm.com/index.php?rid=5422007&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811002008%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5422007 Sat, 19 Nov 2011 03:45:22 +0100 5422007 http://www.medworm.com/index.php?rid=5422006&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001994%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5422006 Sat, 19 Nov 2011 03:45:22 +0100 5422006 http://www.medworm.com/index.php?rid=5422005&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001982%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5422005 Sat, 19 Nov 2011 03:45:22 +0100 5422005 http://www.medworm.com/index.php?rid=5360329&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000733%2Fabstract%3Frss%3Dyes This article provides a comprehensive overview of each surgical treatment option for rheumatoid hand reconstruction. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5360329 Fri, 07 Oct 2011 04:00:00 +0100 5360329 http://www.medworm.com/index.php?rid=5360332&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001180%2Fabstract%3Frss%3Dyes This article reviews the merits of various reconstructive options in these settings and examines the pertinent anatomy, clinical challenges, and risk-benefit profiles of each option. The review is limited to salvage reconstructive procedures of the small joints of the hand. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5360332 Tue, 04 Oct 2011 04:00:00 +0100 5360332 http://www.medworm.com/index.php?rid=5360328&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001179%2Fabstract%3Frss%3Dyes Thumb reconstruction aims to restore the cardinal thumb traits and actions including mobility, stability, sensibility, length, and appearance. The level of thumb loss is divided into thirds: distal (tip to interphalangeal [IP] joint), middle (IP joint to metacarpal neck), and proximal (metacarpal neck to carpometacarpal joint). Distal third reconstruction usually requires only soft tissue restoration. Many options exist for middle third reconstruction, including increasing thumb ray length (metacarpal lengthening, osteoplastic reconstruction, toe transfer) and increasing relative length (phalangization). Proximal third reconstruction is best accomplished with toe transfer, pollicization, or on-top plasty (pollicization of a damaged index finger). (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5360328 Tue, 04 Oct 2011 04:00:00 +0100 5360328 http://www.medworm.com/index.php?rid=5360334&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001568%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5360334 Sat, 01 Oct 2011 04:00:00 +0100 5360334 http://www.medworm.com/index.php?rid=5360333&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000745%2Fabstract%3Frss%3Dyes Wide awake hand surgery means no sedation, no tourniquet, and no general anesthesia for hand surgery. The only medications given to the patient are lidocaine with epinephrine. Lidocaine is for anesthesia, and epinephrine provides hemostasis, which deletes the need for a tourniquet. The advantages are: (1) the ability of the comfortable unsedated tourniquet-free patient to perform active movement of the reconstructed structures during surgery so the surgeon can make alterations to the reconstruction before the skin is closed to improve the outcome of many surgeries; and (2) the deletion of all risks, costs, and inconveniences of sedation and general anesthesia. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5360333 Sat, 01 Oct 2011 04:00:00 +0100 5360333 http://www.medworm.com/index.php?rid=5360331&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001222%2Fabstract%3Frss%3Dyes This article discusses the origin and management of ischemic hand conditions, with an emphasis on recognizing the patterns of ischemia that are commonly seen. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5360331 Sat, 01 Oct 2011 04:00:00 +0100 5360331 http://www.medworm.com/index.php?rid=5360330&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000873%2Fabstract%3Frss%3Dyes Advances in anatomical research have created the base for a vast variety of flaps that can be raised in the hand. They are either based on the palmar arterial system or on the dorsal vascular system, which is fed by either perforating vessels from the palmar side or the dorsal arterial system nourished by dorsal carpal arterial network. The majority of small to moderate size defects in the hand can be reconstructed with these types of flaps. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5360330 Sat, 01 Oct 2011 04:00:00 +0100 5360330 http://www.medworm.com/index.php?rid=5360327&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001167%2Fabstract%3Frss%3Dyes This article reviews principles of diagnosis and treatment of nonunions and malunions, including conditions affecting the thumb and pediatric patients. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5360327 Sat, 01 Oct 2011 04:00:00 +0100 5360327 http://www.medworm.com/index.php?rid=5360326&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000721%2Fabstract%3Frss%3Dyes Although restoration of hand function in brachial plexus patients remains a formidable challenge, the past decade has brought significant improvement in our ability to restore hand function even in the most severe cases. Today, the following options are available to restore hand function: (1) direct nerve repair; (2) nerve grafting; (3) nerve transfers from intraplexal or extraplexal sources; (4) tendon transfers (and tenodesis); (5) free functioning muscle transfer; (6) arthrodesis; and (7) a combination of these techniques. Opportunity for future improvement exists, and the next decade will no doubt bring further innovation. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5360326 Sat, 01 Oct 2011 04:00:00 +0100 5360326 http://www.medworm.com/index.php?rid=5360325&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001143%2Fabstract%3Frss%3Dyes In the management of traumatic peripheral nerve injuries, the severity or degree of injury dictates the decision making between surgical management versus conservative management and serial examination. This review explores some of the recent literature, specifically addressing recent basic science advances in end-to-side and reverse end-to-side recovery, Schwann cell migration, and neuropathic pain. The management of nerve gaps, including the use of nerve conduits and acellularized nerve allografts, is examined. Current commonly performed nerve transfers are detailed with focus on both motor and sensory nerve transfers, their indications, and a basic overview of selected surgical techniques. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5360325 Sat, 01 Oct 2011 04:00:00 +0100 5360325 http://www.medworm.com/index.php?rid=5360324&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS009412981100071X%2Fabstract%3Frss%3Dyes Tendon transfers are performed predominantly to restore hand function or balance due to injuries of the radial, median, and ulnar nerves. Current surgical techniques for the most common tendon transfers for reconstruction of radial, median, and ulnar nerve palsies are demonstrated. These techniques can also be applied to restore flexion and extension of the fingers and thumb after injuries to the extrinsic flexor and extensor muscles and tendons of the forearm or intrinsic muscles of the hand. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5360324 Sat, 01 Oct 2011 04:00:00 +0100 5360324 http://www.medworm.com/index.php?rid=5360323&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001210%2Fabstract%3Frss%3Dyes The hand surgeon's familiarity with options for flexor tendon reconstruction is essential. Efforts at primary repair are not always successful nor are the conditions after injury necessarily conducive to primary coaptation of tendon ends. Single-stage and two-stage grafting, tenolysis, and pulley reconstruction are parts of the reconstructive surgeon's armamentarium. Future interventions of tissue engineering suggest the possibility of creating a theoretically endless supply of available donor material for use in tendon reconstruction. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5360323 Sat, 01 Oct 2011 04:00:00 +0100 5360323 http://www.medworm.com/index.php?rid=5360322&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001209%2Fabstract%3Frss%3Dyes This article discusses scar contracture of the hand. It contains a brief outline of the anatomy of the hand and upper extremities and the types of injuries involved. Hand reconstruction, including examination, nonoperative treatment, surgery, excision and skin grafting, flaps, postoperative management, and complications, are covered. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5360322 Sat, 01 Oct 2011 04:00:00 +0100 5360322 http://www.medworm.com/index.php?rid=5360320&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001234%2Fabstract%3Frss%3Dyes This article focuses on the key principles for functional reconstruction of the upper extremity with free functional muscle transfers. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5360320 Sat, 01 Oct 2011 04:00:00 +0100 5360320 http://www.medworm.com/index.php?rid=5360319&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000708%2Fabstract%3Frss%3Dyes This article critically examines the latest innovations and refinements in the continual pursuit of excellence for microsurgical toe-to-hand transplantation. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5360319 Sat, 01 Oct 2011 04:00:00 +0100 5360319 http://www.medworm.com/index.php?rid=5360318&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001192%2Fabstract%3Frss%3Dyes The authors provide a review of treatment of the mutilated hand, discussing the effect of injury on soft tissue loss, intrinsic and extrinsic musculature, paravascular structures, tendons, and the bony skeleton. The authors review functional loss and restoration. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5360318 Sat, 01 Oct 2011 04:00:00 +0100 5360318 http://www.medworm.com/index.php?rid=5360317&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001258%2Fabstract%3Frss%3Dyes Reconstruction of the upper extremity is designed primarily to restore function. The limb without function becomes a burden or liability to the patient. The challenges that surgeons face to restore that which was lost from injury, cancer resection, or disease are based on the principles of forefathers in hand surgery. Dysfunction may arise from soft tissue contractures, nerve or tendon loss or damage, amputations, ischemia, malunion or nonunion, stiffness, or pain. New innovation and improvements of established techniques are continuously updating the methods used for any given area of reconstruction. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5360317 Sat, 01 Oct 2011 04:00:00 +0100 5360317 http://www.medworm.com/index.php?rid=5360316&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001556%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5360316 Sat, 01 Oct 2011 04:00:00 +0100 5360316 http://www.medworm.com/index.php?rid=5360315&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001544%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5360315 Sat, 01 Oct 2011 04:00:00 +0100 5360315 http://www.medworm.com/index.php?rid=5360314&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811001532%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5360314 Sat, 01 Oct 2011 04:00:00 +0100 5360314 http://www.medworm.com/index.php?rid=5360321&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000861%2Fabstract%3Frss%3Dyes This article reviews the biology of healing, pertinent anatomy of the hand, and operative and nonoperative treatment of the stiff hand. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5360321 Thu, 22 Sep 2011 04:00:00 +0100 5360321 http://www.medworm.com/index.php?rid=5109419&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000824%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5109419 Thu, 30 Jun 2011 23:00:00 +0100 5109419 http://www.medworm.com/index.php?rid=5109418&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000691%2Fabstract%3Frss%3Dyes This article highlights the advances, advantages, and efficacy associated with the use of barbed sutures in lifting and wound closure. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5109418 Thu, 30 Jun 2011 23:00:00 +0100 5109418 http://www.medworm.com/index.php?rid=5109417&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000666%2Fabstract%3Frss%3Dyes This article discusses current noninvasive body-contouring modalities, including suction massage devices, radiofrequency energy, high-frequency focused ultrasound, cryolipolysis, and low-level light laser therapy devices. It also discusses imminent technologies awaiting approval by the Food and Drug Administration, reviews the basic science and clinical effects behind each of these existing and emerging technologies, addresses patient selection and clinical applications of each modality, and discusses the applicability and economics of providing noninvasive lipolysis services in office. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5109417 Thu, 30 Jun 2011 23:00:00 +0100 5109417 http://www.medworm.com/index.php?rid=5109414&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000046%2Fabstract%3Frss%3Dyes Cellulite affects all races, and it is estimated that 85% of women older than 20 years have some degree of cellulite. Many currently accepted cellulite therapies target deficiencies in lymphatic drainage and microvascular circulation. Devices using radiofrequency, laser, and light-based energies, alone or in combination and coupled frequently with tissue manipulation, are available for improving cellulite. Laser assisted liposuction may improve cellulite appearance. Although improvement using these devices is temporary, it may last several months. Patients who want smoother skin with less visible cellulite can undergo a series of treatments and then return for additional treatments as necessary. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5109414 Thu, 30 Jun 2011 23:00:00 +0100 5109414 http://www.medworm.com/index.php?rid=5109412&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000678%2Fabstract%3Frss%3Dyes This article reviews the non-invasive and minimally invasive options for skin tightening, focusing on peer-reviewed articles and presentations and those technologies with the most proven or promising RF non-excisional skin-tightening results for excisional surgeons. RF has been the mainstay of non-invasive skin tightening and has emerged as the “cutting edge” technology in the minimally invasive skin-tightening field. Because these RF skin-tightening technologies are capital equipment purchases with a significant cost associated, this article also discusses some business issues and models that have proven to work in the plastic surgeon's office for non-invasive and minimally invasive skin-tightening technologies. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5109412 Thu, 30 Jun 2011 23:00:00 +0100 5109412 http://www.medworm.com/index.php?rid=5109410&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000198%2Fabstract%3Frss%3Dyes Although the mechanism of action of botulinum toxin (BTX) has been intensively studied, many unanswered questions remain regarding the composition and clinical properties of the two formulations of BTX currently approved for cosmetic use. In the first half of this review, these questions are explored in detail, with emphasis on the most pertinent and revelatory studies in the literature. The second half delineates most of the common and some not so common uses of BTX in the face and neck, stressing important patient selection and safety considerations. Complications from neurotoxins at cosmetic doses are generally rare and usually technique dependent. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5109410 Thu, 30 Jun 2011 23:00:00 +0100 5109410 http://www.medworm.com/index.php?rid=5109408&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000654%2Fabstract%3Frss%3Dyes This review presents skin anatomy, dermabraders, indications for dermabrasion and microdermabrasion, and dermabrasion techniques for the face, along with potential complications. Dermabrasion is a minimally invasive technique used for skin resurfacing. Its applications include treatment of rhytids, abnormal scarring, and premalignant lesions. The risks of complications are low and include pigment changes, hypertrophic scarring, and infection. Despite the introduction of newer therapies, such as lasers and chemical peels, dermabrasion remains an effective tool for physicians to combat the effects of aging without the downtime required for surgery. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5109408 Thu, 30 Jun 2011 23:00:00 +0100 5109408 http://www.medworm.com/index.php?rid=5109407&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000204%2Fabstract%3Frss%3Dyes This article discusses the role of injectable soft-tissue fillers in the aging face, and their clinical and chemical behavior. Temporary and permanent fillers are discussed, namely hyaluronic acids, calcium hydroxylapatite, poly-l-lactic acid, liquid silicone, and polymethylmethacrylate. Techniques and outcomes are presented. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5109407 Thu, 30 Jun 2011 23:00:00 +0100 5109407 http://www.medworm.com/index.php?rid=5109406&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000216%2Fabstract%3Frss%3Dyes The recent availability of safe volumizing fillers has provided cosmetic physicians with the tools necessary to contour facial features non-surgically and cost-effectively. This review focuses on outlining objective parameters necessary for creating a template to maximize each individual's facial beauty. Phi relationships can be approached for all facial features and rely on the establishment of smooth ogee curves in all dimensions. Once goals have been determined and a budget established, a logical syntax is used to create an algorithm for selecting products and procedures. The methodology leads to consistent and pleasing results with a high rate of patient satisfaction. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5109406 Thu, 30 Jun 2011 23:00:00 +0100 5109406 http://www.medworm.com/index.php?rid=5109405&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000022%2Fabstract%3Frss%3Dyes This article reviews some of the principles involved in these procedures. Plastic surgeons need to be equally familiar with surgical and nonsurgical approaches to cosmetic medicine to provide a complete set of therapeutic options to their patients. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5109405 Thu, 30 Jun 2011 23:00:00 +0100 5109405 http://www.medworm.com/index.php?rid=5109404&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000058%2Fabstract%3Frss%3Dyes The evolution of thought and process in cosmetic medicine and surgery has united specialists from various backgrounds with the goal of providing safe, reproducible techniques to improve the various elements of the aging face from within and without. The realization that the aging face is both vector and volume based has dramatically altered the approach to reversing the signs of aging. Ultimately, it was the joining of forces from multiple specialties that provided a blueprint for impressive improvement in the return of a youthful, natural look. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5109404 Thu, 30 Jun 2011 23:00:00 +0100 5109404 http://www.medworm.com/index.php?rid=5109403&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS009412981100068X%2Fabstract%3Frss%3Dyes In the articles in this publication, the technologies that provide medical and surgical solutions for cosmetic indications are explored, including barbed sutures, neurotoxins, cosmeceuticals, sclerotherapy, dermabrasion, fillers, lasers, and other energy sources, including face and body contouring devices, that provide solutions that respond to a consumer demand for less aggressive solutions to the aging face and body contour deformities. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5109403 Thu, 30 Jun 2011 23:00:00 +0100 5109403 http://www.medworm.com/index.php?rid=5109402&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000812%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5109402 Thu, 30 Jun 2011 23:00:00 +0100 5109402 http://www.medworm.com/index.php?rid=5109401&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000800%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5109401 Thu, 30 Jun 2011 23:00:00 +0100 5109401 http://www.medworm.com/index.php?rid=5109400&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000794%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5109400 Thu, 30 Jun 2011 23:00:00 +0100 5109400 http://www.medworm.com/index.php?rid=5109416&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS009412981100006X%2Fabstract%3Frss%3Dyes This review presents mechanisms of action and a review of the clinical applications of injections currently in development for localized fat reduction. After being received with initial enthusiasm earlier in the decade, mesotherapy and other injectable methods for fat loss (Lipodissolve, PC/DC, DC, injection lipolysis, adipolysis) have been subjects of critical scrutiny by the media and the US Food and Drug Administration. Several medications with novel detergent and lipolytic activity are in development and have demonstrated potential as minimally invasive fat reducing treatments. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5109416 Sun, 05 Jun 2011 23:00:00 +0100 5109416 http://www.medworm.com/index.php?rid=5109415&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000071%2Fabstract%3Frss%3Dyes This article is a primer for physicians interested in updating their skills in sclerotherapy. It reviews common sclerosants, sclerotherapy techniques, patient evaluation, complications, and recent advancements in sclerotherapy. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5109415 Sun, 05 Jun 2011 23:00:00 +0100 5109415 http://www.medworm.com/index.php?rid=5109413&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000095%2Fabstract%3Frss%3Dyes Fractional photothermolysis combines the benefits of fully ablative lasers with significantly reduced downtime and fewer complications. Skin is treated in a fractional manner, with narrow cylinders of tissue being thermally heated and normal adjacent skin left unaffected, and the fractional devices have shown effectiveness in treating a variety of conditions, especially scarring and photodamage. There are many devices that use fractional photothermolysis, and practitioners are becoming more adept at using optimal parameters to induce near CO2 laser benefits. Fractionated lasers have become the cornerstone of a minimally invasive treatment regimen and have ushered in a new era of laser skin rejuvenation. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5109413 Sun, 05 Jun 2011 23:00:00 +0100 5109413 http://www.medworm.com/index.php?rid=5109411&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000083%2Fabstract%3Frss%3Dyes Laser technology has evolved rapidly in the last 2 decades. The theory of selective photothermolysis guides the proper selection and use of lasers to safely and effectively treat patients. This review summarizes the basic concepts and adjustable parameters for laser devices, emphasizing the importance of selective photothermolysis in clinical practice. It then covers the clinical applications of laser devices, including vascular lesions, hair removal, tattoo removal, facial rejuvenation, and fractional resurfacing. The authors intend to make the reader feel comfortable with the proper selection and application of lasers to treat their patients. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5109411 Sun, 05 Jun 2011 23:00:00 +0100 5109411 http://www.medworm.com/index.php?rid=5109409&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000034%2Fabstract%3Frss%3Dyes This article has tried to highlight the chemistry of botanic extracts in the current marketplace and review the best research available. In some ways, more questions have been raised than answered; yet, ideas for intellectual discourse have been provided. Herein lies the physician cosmeceutical challenge. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=5109409 Sun, 05 Jun 2011 23:00:00 +0100 5109409 http://www.medworm.com/index.php?rid=4864100&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000356%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4864100 Thu, 31 Mar 2011 23:00:00 +0100 4864100 http://www.medworm.com/index.php?rid=4864099&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000265%2Fabstract%3Frss%3Dyes This article reviews the use of tissue oximetry for intraoperative decision making, flap physiology, and postoperative monitoring, and also comments on common flap complications. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4864099 Thu, 31 Mar 2011 23:00:00 +0100 4864099 http://www.medworm.com/index.php?rid=4864098&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000253%2Fabstract%3Frss%3Dyes In this article, the authors discuss the advances in monitoring free tissue transfers, with a focus on the implantable Doppler system. Authors address indications and techniques for implanting the Doppler system, in addition to presenting a framework to assess the reliability and potential benefits of the implantable Doppler device. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4864098 Thu, 31 Mar 2011 23:00:00 +0100 4864098 http://www.medworm.com/index.php?rid=4864097&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS009412981100023X%2Fabstract%3Frss%3Dyes This article focuses on the available data for one new technology, near-infrared spectroscopy, and its current use in clinical practice. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4864097 Thu, 31 Mar 2011 23:00:00 +0100 4864097 http://www.medworm.com/index.php?rid=4864096&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000186%2Fabstract%3Frss%3Dyes Fluorescent angiography is a simple and effective real-time tool for measurement of tissue perfusion both in and out of the operating room. It has multiple uses including: (1) identifying perforating vessels during flap planning; (2) locating primary and secondary angiosomes within a prepared flap; (3) as an aid in decision making for tissue debridement and flap creation; (4) intraoperative evaluation of microanastomoses; (5) postoperative flap monitoring, and (6) documentation of perfusion. The technology is easy to use in the hands of the operating surgeon and is safe for the patient, as it requires no radiation exposure. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4864096 Thu, 31 Mar 2011 23:00:00 +0100 4864096 http://www.medworm.com/index.php?rid=4864095&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000228%2Fabstract%3Frss%3Dyes This article describes how dynamic infrared thermography (DIRT) can be used in autologous breast reconstruction with a deep inferior epigastric perforator flap. This noninvasive and noncontact technique for indirect monitoring of skin blood perfusion can be used in the preoperative planning and intraoperative evaluation of flap perfusion, as well as the postoperative monitoring of perfusion dynamics of DIEP flaps. DIRT provides valuable information on the perfusion physiology of perforators. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4864095 Thu, 31 Mar 2011 23:00:00 +0100 4864095 http://www.medworm.com/index.php?rid=4864094&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000174%2Fabstract%3Frss%3Dyes This article provides details of this experience with multiple donor site contrast-enhanced MRA. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4864094 Thu, 31 Mar 2011 23:00:00 +0100 4864094 http://www.medworm.com/index.php?rid=4864093&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000137%2Fabstract%3Frss%3Dyes This article discusses this method and presents our experience. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4864093 Thu, 31 Mar 2011 23:00:00 +0100 4864093 http://www.medworm.com/index.php?rid=4864092&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000125%2Fabstract%3Frss%3Dyes Perforator flaps are preferable for breast reconstruction after mastectomy in many patients. Preoperative imaging of the perforators and source vessels is desirable to reduce surgeon stress, limit donor and recipient site complications, and minimize operative time and associated costs. Computed tomographic angiography (CTA) has been shown to provide highly accurate representations of vascular anatomy with excellent spatial resolution. A critical review of the currently available literature was performed to identify the benefits of preoperative imaging (specifically CTA) in perforator flap reconstruction. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4864092 Thu, 31 Mar 2011 23:00:00 +0100 4864092 http://www.medworm.com/index.php?rid=4864091&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000162%2Fabstract%3Frss%3Dyes This article explores the utility of CTA in imaging perforators, pedicles and recipient vessels across a wide range of flap types and donor sites. CTA has a range of clinical applications in autologous breast reconstruction, and can aid operative planning and improve outcomes. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4864091 Thu, 31 Mar 2011 23:00:00 +0100 4864091 http://www.medworm.com/index.php?rid=4864090&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000113%2Fabstract%3Frss%3Dyes Perforator-based free flaps rely on the appropriate dominant vessel supplying the vascular territory of the flap. Preoperative knowledge of the vascular anatomy can improve outcome and diminish surgical time. Several preoperative imaging techniques exist for surgical planning. Computed tomographic and magnetic resonance angiography are two emerging modalities that provide exceptional anatomic detail. Despite the growing utilization of cross-sectional imaging for preoperative planning, each modality has specific technical considerations that are necessary to consider in order to produce a quality study. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4864090 Thu, 31 Mar 2011 23:00:00 +0100 4864090 http://www.medworm.com/index.php?rid=4864089&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000150%2Fabstract%3Frss%3Dyes This article focuses on the preoperative, intraoperative, and postoperative use of the handheld Doppler for free tissue transfer with an emphasis on perforator flap breast reconstruction. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4864089 Thu, 31 Mar 2011 23:00:00 +0100 4864089 http://www.medworm.com/index.php?rid=4864088&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000101%2Fabstract%3Frss%3Dyes The sine qua non to best ensure viability of any autogenous tissues used for breast reconstruction is to maximize the appropriate circulatory pattern to that tissue. This overview of tools used in this regard, all based on the physical principles of the Doppler effect, compares the role today of acoustic Doppler sonography, color duplex ultrasound, and laser Doppler flowmetry for perforator identification and flap monitoring. The audible Doppler has recognized limitations, but remains the simplest and most universally available device to assist in this purpose. Laser Doppler flowmetry provides a reasonable system for both intraoperative and post-procedure objective monitoring of the chosen tissue transfer. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4864088 Thu, 31 Mar 2011 23:00:00 +0100 4864088 http://www.medworm.com/index.php?rid=4864087&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000241%2Fabstract%3Frss%3Dyes A myriad of options exist for autologous tissue perforator-based breast reconstruction. Each perforator selected has its distinct vascular territory, and proper knowledge of perforator perfusion characteristics helps maximize outcome and limit complications. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4864087 Thu, 31 Mar 2011 23:00:00 +0100 4864087 http://www.medworm.com/index.php?rid=4864086&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000149%2Fabstract%3Frss%3Dyes This article chronicles many of the technological advancements and reviews the current toolbox that surgeons now have at their disposal when performing autologous reconstruction. It focuses on preoperative, intraoperative, and postoperative tools that have enabled the achievement of more reliable and predictable outcomes, especially in the setting of microvascular breast reconstruction. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4864086 Thu, 31 Mar 2011 23:00:00 +0100 4864086 http://www.medworm.com/index.php?rid=4864085&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000277%2Fabstract%3Frss%3Dyes During the era of pedicle musculocutaneous flaps, plastic surgeons performed operations such as the latissimus dorsi and the TRAM with confidence and regularity. We have now entered the era of microvascular perforator flap reconstruction as patients and surgeons have recognized the benefits of muscle preservation. Microvascular perforator flaps such as the DIEP, SGAP, and TUG are arguably more complicated to perform and have the potential for morbidities that include total flap necrosis, partial flap necrosis, and fat necrosis. As such, the number of surgeons performing these procedures has remained less than those performing pedicle flap reconstruction. Reasons have included selecting appropriate patients for microvascular breast reconstruction, uncertainty regarding perforator caliber an... Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4864085 Thu, 31 Mar 2011 23:00:00 +0100 4864085 http://www.medworm.com/index.php?rid=4864084&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000344%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4864084 Thu, 31 Mar 2011 23:00:00 +0100 4864084 http://www.medworm.com/index.php?rid=4864083&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000332%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4864083 Thu, 31 Mar 2011 23:00:00 +0100 4864083 http://www.medworm.com/index.php?rid=4864082&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129811000320%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4864082 Thu, 31 Mar 2011 23:00:00 +0100 4864082 http://www.medworm.com/index.php?rid=4191729&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810001458%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4191729 Wed, 24 Nov 2010 02:48:33 +0100 4191729 http://www.medworm.com/index.php?rid=4191726&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810001100%2Fabstract%3Frss%3Dyes This article focuses on the management of the osseous deformities associated with vascular anomalies. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4191726 Wed, 24 Nov 2010 02:48:33 +0100 4191726 http://www.medworm.com/index.php?rid=4191725&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS009412981000091X%2Fabstract%3Frss%3Dyes Vascular anomalies are disorders of abnormal vasculogenesis or lymphogenesis. All types of vascular anomalies may involve the airway, causing varying degrees of upper airway obstruction as well as dysphagia and bleeding. Certain signs and symptoms may implicate airway involvement with a hemangioma or vascular malformation. It is necessary to distinguish a vascular anomaly from other airway lesions such as a congenital cyst. This is accomplished with imaging and endoscopy. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4191725 Wed, 24 Nov 2010 02:48:33 +0100 4191725 http://www.medworm.com/index.php?rid=4191723&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS009412981000088X%2Fabstract%3Frss%3Dyes This article describes the clinical features, diagnosis, and management of arteriovenous malformation, capillary malformation–arteriovenous malformation, and PTEN-associated vascular anomaly. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4191723 Wed, 24 Nov 2010 02:48:33 +0100 4191723 http://www.medworm.com/index.php?rid=4191722&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000866%2Fabstract%3Frss%3Dyes This article discusses the types, diagnosis, and the nonoperative and operative management of venous malformations. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4191722 Wed, 24 Nov 2010 02:48:33 +0100 4191722 http://www.medworm.com/index.php?rid=4191721&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000891%2Fabstract%3Frss%3Dyes This article describes the clinical features, diagnosis, and management of lymphatic malformations. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4191721 Wed, 24 Nov 2010 02:48:33 +0100 4191721 http://www.medworm.com/index.php?rid=4191719&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000842%2Fabstract%3Frss%3Dyes Vascular tumors of childhood are typically benign. The 4 most common types are infantile hemangioma (IH), congenital hemangioma (CH), kaposiform hemangioendothelioma (KHE), and pyogenic granuloma (PG). Vascular tumors must be differentiated from vascular malformations. Although tumors and malformations may appear as raised, blue, red, or purple lesions, their management differs significantly. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4191719 Wed, 24 Nov 2010 02:48:33 +0100 4191719 http://www.medworm.com/index.php?rid=4191717&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810001112%2Fabstract%3Frss%3Dyes Medical imaging has become critically important in the diagnosis and treatment planning of vascular anomalies. The classification of lesions into fast-flow and slow-flow categories, the identification of a soft tissue mass, and the determination of the extent of the lesions are all facilitated by the use of magnetic resonance imaging, ultrasonography, catheter angiography, and other imaging studies. The use of these imaging techniques in the diagnosis and assessment of vascular tumors, malformations, and combined malformation syndromes is discussed in this article. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4191717 Wed, 24 Nov 2010 02:48:32 +0100 4191717 http://www.medworm.com/index.php?rid=4191716&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000957%2Fabstract%3Frss%3Dyes Vascular anomalies are localized defects of vascular development. Most of them occur sporadically (ie, there is no familial history of lesions, yet in a few cases clear inheritance is observed). These inherited forms are often characterized by multifocal lesions that are mainly small in size and increase in number with patients' age. The authors review the known (genetic) causes of vascular anomalies and call attention to the concept of Knudson's double-hit mechanism to explain incomplete penetrance and large clinical variation in expressivity observed in inherited vascular anomalies. The authors also discuss the identified pathophysiological pathways involved in vascular anomalies and how it has opened the doors toward a more refined classification of vascular anomalies and the developmen... Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4191716 Wed, 24 Nov 2010 02:48:32 +0100 4191716 http://www.medworm.com/index.php?rid=4191715&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000878%2Fabstract%3Frss%3Dyes Vascular anomalies are disorders of the endothelium that can affect each part of the vasculature (capillaries, arteries, veins, or lymphatics). Although nearly always benign, vascular anomalies can involve any anatomic structure. Significant progress in understanding and treating patients with vascular anomalies has been made during the past quarter century since the introduction of a biologic classification for these lesions. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4191715 Wed, 24 Nov 2010 02:48:32 +0100 4191715 http://www.medworm.com/index.php?rid=4191714&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810001379%2Fabstract%3Frss%3Dyes “Disease is very old and nothing about it has changed. It is we who change as we learn to recognize what was formerly imperceptible.”—From John Martin Charcot, De l’Expectation en Medecine (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4191714 Wed, 24 Nov 2010 02:48:32 +0100 4191714 http://www.medworm.com/index.php?rid=4191713&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810001446%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4191713 Wed, 24 Nov 2010 02:48:32 +0100 4191713 http://www.medworm.com/index.php?rid=4191712&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810001434%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4191712 Wed, 24 Nov 2010 02:48:32 +0100 4191712 http://www.medworm.com/index.php?rid=4191711&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810001422%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4191711 Wed, 24 Nov 2010 02:48:32 +0100 4191711 http://www.medworm.com/index.php?rid=4191720&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000933%2Fabstract%3Frss%3Dyes Capillary malformations (CMs) are the most common vascular malformations. They are comprised of the small vessels of the capillary network in skin and mucous membranes. In the vast majority of affected individuals, CMs are isolated and not associated with any underlying abnormalities. Depending on size and location, however, they may cause significant morbidity due to disfigurement or stigmatization and, rarely, herald the presence of an underlying syndrome. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4191720 Mon, 11 Oct 2010 00:00:00 +0100 4191720 http://www.medworm.com/index.php?rid=4191724&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000921%2Fabstract%3Frss%3Dyes This article discusses the diagnosis, management, and treatment of patients with capillary lymphaticovenous malformation, capillary-arteriovenous malformation, and capillary-arteriovenous fistulas and congenital lipomatous overgrowth, vascular malformations, epidermal nevi, and skeletal anomalies syndrome. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4191724 Fri, 08 Oct 2010 00:00:00 +0100 4191724 http://www.medworm.com/index.php?rid=4191728&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000854%2Fabstract%3Frss%3Dyes This article emphasizes the hematologic complications and management of these patients. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4191728 Mon, 04 Oct 2010 00:00:00 +0100 4191728 http://www.medworm.com/index.php?rid=4191727&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000945%2Fabstract%3Frss%3Dyes This article focuses on surgical principles and technical pearls in the treatment of these unique problems involving the upper limb. If incorporated into routine management, these suggestions will improve surgical outcomes. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4191727 Mon, 04 Oct 2010 00:00:00 +0100 4191727 http://www.medworm.com/index.php?rid=4191718&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000908%2Fabstract%3Frss%3Dyes Over the past decade, many changes and updates have occurred in the world of vascular anomalies, including their histopathology. An appreciation has developed that a combined team approach is optimal in arriving at a correct diagnosis. Technical advances such as immunohistochemical stains for GLUT1, an excellent marker for infantile hemangioma, and vascular immunostains such as D2-40, PROX1, and vascular endothelial growth factor receptor 3, which distinguish lymphatics from arteries and veins, have been of immense help in daily practice. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=4191718 Mon, 04 Oct 2010 00:00:00 +0100 4191718 http://www.medworm.com/index.php?rid=3978099&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810001033%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3978099 Sat, 18 Sep 2010 05:42:49 +0100 3978099 http://www.medworm.com/index.php?rid=3978098&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS009412981000057X%2Fabstract%3Frss%3Dyes The introduction of supermicrosurgery, which allows the anastomosis of smaller caliber vessels and microvascular dissection of vessels ranging from 0.3 to 0.8mm in diameter, has led to the development of new reconstructive techniques. New applications of this technique are for crushed fingertip replantations with venule grafts, toe tip transfers for fingertip loss, partial auricular transfers for total tracheal and eyelid defects, and lymphaticovenular anastomoses under local anesthesia for lymphedema. Regarding free flaps, free perforator-to-perforator flaps, including deep inferior epigastric perforator or paraumbilical perforator flaps, gluteal artery perforator flaps, thoracodorsal artery perforator flaps, anterolateral thigh perforator flaps, superficial circumflex iliac artery perfor... Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3978098 Sat, 18 Sep 2010 05:42:49 +0100 3978098 http://www.medworm.com/index.php?rid=3978094&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000507%2Fabstract%3Frss%3Dyes This article reviews pertinent surgical anatomy, preoperative planning, intraoperative decision making in flap elevation, and reported outcomes. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3978094 Sat, 18 Sep 2010 05:42:48 +0100 3978094 http://www.medworm.com/index.php?rid=3978092&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000519%2Fabstract%3Frss%3Dyes The propeller flap, based on a single vascular pedicle supplying a fasciocutaneous island of skin, is a very useful technique to reconstruct soft tissue defects and has wide applications throughout the body. The use of this unique flap is pushing the boundaries of local flap reconstruction and bringing up intriguing questions about our understanding of the vascular basis of fasciocutaneous flaps. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3978092 Sat, 18 Sep 2010 05:42:48 +0100 3978092 http://www.medworm.com/index.php?rid=3978087&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000544%2Fabstract%3Frss%3Dyes The recent enthusiasm for perforator flaps underlines the need for a detailed understanding of the cutaneous vasculature. The principle determinant of success in perforator flap surgery is the inclusion of an adequately sized cutaneous perforator in the flap. Therefore, the size, distribution, and variability of cutaneous perforators of the human body are crucial to the design and execution of successful perforator flap surgery. Based on numerous anatomic studies, the authors have found that the main source arteries supplying the skin are fairly constant but the individual cutaneous perforators are quite variable. Knowledge of the overall architecture of the vasculature and an awareness of the variability, combined with a flexible operative plan, will enable the perforator flap surgeon to ... Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3978087 Sat, 18 Sep 2010 05:42:48 +0100 3978087 http://www.medworm.com/index.php?rid=3978086&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000830%2Fabstract%3Frss%3Dyes When I was first exposed to the concept of perforator flaps, I did not immediately embrace the idea. In fact, I was hard pressed to see the point. From my perspective, I couldn’t understand why one would jeopardize the vascularity of a flap by dissecting its major pedicle to an extent that I had always been taught was dangerous. I had been taught to sew the skin paddle of any flap to the underlying muscle so as not to risk shearing the perforating vessels supplying the skin from within the muscle. These myocutaneous flaps were reliable; the anatomy was well known, and they were safe. Why in the world would I take such a risk and make a perfectly safe flap an unsafe one? One day I was doing a free TRAM flap and I decided, out of curiosity, to look at the perforators on the nonpedicled sid... Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3978086 Sat, 18 Sep 2010 05:42:47 +0100 3978086 http://www.medworm.com/index.php?rid=3978085&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810001021%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3978085 Sat, 18 Sep 2010 05:42:47 +0100 3978085 http://www.medworm.com/index.php?rid=3978084&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS009412981000101X%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3978084 Sat, 18 Sep 2010 05:42:47 +0100 3978084 http://www.medworm.com/index.php?rid=3978083&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810001008%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3978083 Sat, 18 Sep 2010 05:42:47 +0100 3978083 http://www.medworm.com/index.php?rid=3978097&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000829%2Fabstract%3Frss%3Dyes This article reviews the major applications of the proximally pedicled anterolateral thigh flap, describes the technique of flap harvest, and discusses techniques of flap transposition as well as pointing out some potential hazards. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3978097 Thu, 05 Aug 2010 23:00:00 +0100 3978097 http://www.medworm.com/index.php?rid=3978090&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000568%2Fabstract%3Frss%3Dyes This article highlights the essential techniques in planning and raising perforator flaps and the common pitfalls to be avoided. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3978090 Wed, 04 Aug 2010 23:00:00 +0100 3978090 http://www.medworm.com/index.php?rid=3978095&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000520%2Fabstract%3Frss%3Dyes Trunk defects can be approached through a multitude of regional flaps that can be harvested from the shoulder girdle, the epigastric axis, the paraspinal region, or the pelvic girdle. The aim of the reconstruction is to provide adequate and tension-free restoration of tissue integrity with minimal functional morbidity, water- and airtight closure of cavities, and coverage of exposed vital structures. Potential donor sites should be estimated for their tissue quality and anticipated donor site morbidity. The prototypical pedicled flap has a constant, reliable anatomy; however, the pedicled flap should have a configuration that is versatile and adequate for coverage and should resist infection. Also, the surgical technique should be uncomplicated. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3978095 Sun, 01 Aug 2010 23:00:00 +0100 3978095 http://www.medworm.com/index.php?rid=3978096&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000581%2Fabstract%3Frss%3Dyes This article demonstrates the possibilities for defect coverage with perforator flaps as well as their anatomic and technical considerations. Lateral arm, posterior interosseous artery, ulnar artery, radial artery perforator flaps, and intrinsic hand flaps are described. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3978096 Thu, 29 Jul 2010 23:00:00 +0100 3978096 http://www.medworm.com/index.php?rid=3978093&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000532%2Fabstract%3Frss%3Dyes Perforator flaps, since their first description in 1989, have in many ways revolutionized reconstructive surgery. Whereas little more than a decade ago many surgeons were still hesitant to fully trust perforator flaps to be a reliable option, nowadays these flaps are often first choice. Investigators have to remain critical, however, of their advances and realize that not every reconstruction will require or benefit from a perforator flap, as previously well-established, nonperforator flaps still have their indication and can give excellent results. The most important skill in reconstructive surgery of the head and neck is not cutting the flap but assessing the defect, planning the reconstruction, and choosing wisely from the ever-increasing options available. (Source: Clinics in Plastic S... Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3978093 Thu, 29 Jul 2010 23:00:00 +0100 3978093 http://www.medworm.com/index.php?rid=3978088&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000556%2Fabstract%3Frss%3Dyes This article reviews historical aspects of flap development, leading up to the exciting recognition of perforator flaps. The role and use of perforator-type flaps in the reconstructive armamentarium is reviewed as it pertains to different regions of the body. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3978088 Thu, 29 Jul 2010 23:00:00 +0100 3978088 http://www.medworm.com/index.php?rid=3978091&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000490%2Fabstract%3Frss%3Dyes Over the past decade, muscle perforator flaps have proven their versatility as another important option when a soft tissue flap is essential. Valuable as either local or free flaps, these are no longer a novelty, and are perhaps even becoming a necessity for the mainstream reconstructive surgeon. Prior microsurgical capabilities will unquestionably simplify the transition to harvesting the diminutive vascular pedicle of these flaps, while perhaps shortening the learning curve, but these skills are not imperative. With proper assistance and perseverance, as with any other aspect of surgery, muscle perforator flaps can become a mainstay, if not the preferred method, for soft tissue repairs even in the community hospital where resources tend to be less available. (Source: Clinics in Plastic S... Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3978091 Wed, 21 Jul 2010 23:00:00 +0100 3978091 http://www.medworm.com/index.php?rid=3978089&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000702%2Fabstract%3Frss%3Dyes This article reviews the available techniques for preoperative planning with the currently available imaging modalities: hand-held Doppler, color Doppler (duplex) ultrasound, CT angiography, and MR angiography. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3978089 Wed, 21 Jul 2010 23:00:00 +0100 3978089 http://www.medworm.com/index.php?rid=3744659&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000660%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3744659 Wed, 30 Jun 2010 23:00:00 +0100 3744659 http://www.medworm.com/index.php?rid=3744658&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000477%2Fabstract%3Frss%3Dyes One of Dr Ralph Millard's basic principles of plastic surgery is to “know the beautiful normal.” Dr Pedro Cormenzana helps us understand the normal anatomy of the abdomen, specifically the relationships of the umbilicus, suprapubic scar, and pubis. Aesthetic plastic surgery results are hard to judge because much too often they are subjectively judged. Determining the norm, with its variations, gives surgeons an opportunity to judge their work against an objective measure. Through his keen observation and attention to detail, Dr Cormenzana has determined a set of measurements that can help surgeons plan their surgical procedures and judge the deformities that may present after primary abdominoplasty. As is the case for all the articles in this issue of Clinics in Plastic Surgery, “Rev... Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3744658 Wed, 30 Jun 2010 23:00:00 +0100 3744658 http://www.medworm.com/index.php?rid=3744657&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000404%2Fabstract%3Frss%3Dyes In the last decade, body contour surgery has advanced substantially. Abdominoplasty is the most frequent procedure in body contour aesthetic surgery. The surgeon who performs body rejuvenation procedures needs knowledge of anatomic, technical, and artistic concepts to assess and resolve the full spectrum of trunk deformities. The anatomical variations in abdomen types and the diversity of deformities make necessary a clear understanding so the surgeon can arrive at an accurate diagnosis and apply advanced techniques. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3744657 Wed, 30 Jun 2010 23:00:00 +0100 3744657 http://www.medworm.com/index.php?rid=3744656&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000453%2Fabstract%3Frss%3Dyes “Concepts on Correction of the Musculoaponeurotic Layer in Abdominoplasty” by Dr Fabio Nahas in this issue of Clinics in Plastic Surgery is the most extensive compilation I have had the pleasure of reading on the subject of abdominal wall plication. It is a tour de force. Although some of us may not use all of the techniques he describes, understanding the range of deformities, the range of techniques to treat those deformities, and the thought process behind all of it is what differentiates us, plastic surgeons, from other specialists who might attempt to perform body-contouring surgery without a well-grounded basis. Dr Nahas' article is essential reading for all who perform abdominoplasty surgery. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3744656 Wed, 30 Jun 2010 23:00:00 +0100 3744656 http://www.medworm.com/index.php?rid=3744655&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000325%2Fabstract%3Frss%3Dyes The musculoaponeurotic layer of the abdominal wall should be corrected during abdominoplasty according to the specific deformity that the patient presents with. In this article, the anatomic basis of deformities and defects of the abdominal wall is described. Different degrees of deformities secondary to pregnancy are described as well as congenital muscle malposition. These conditions should be treated in specific ways so that the most efficient correction can be achieved and no recurrence will occur. In cases of associated incisional hernias, the ‘‘components separation'’ technique can be considered for abdominal wall reconstruction and 2 alternative techniques of dissection of myoaponeurotic components are described for the correction of specific defects. (Source: Clinics in Plast... Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3744655 Wed, 30 Jun 2010 23:00:00 +0100 3744655 http://www.medworm.com/index.php?rid=3744654&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS009412981000043X%2Fabstract%3Frss%3Dyes In their article in “No-Drain Abdominoplasty with Progressive Tension Sutures” for this issue of Clinics in Plastic Surgery, Drs Todd Alan Pollock and Harlan Pollock write about a technique that they have employed for a very long time with excellent success. It is interesting to note that despite their success there is little increase in the adaptation of their technique in the United States. I have taken several informal surveys in multiple plastic surgery meetings and discovered that US plastic surgeons feel that it takes too long to place the progressive tension sutures (PTS), and despite the Pollocks' findings, most feel that the sutures are ineffective in reducing seromas. On the other hand, almost always after I conduct these informal surveys, many surgeons convey that they have ... Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3744654 Wed, 30 Jun 2010 23:00:00 +0100 3744654 http://www.medworm.com/index.php?rid=3744651&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000441%2Fabstract%3Frss%3Dyes The technique described by Dr Simeon Wall, Jr, in “SAFE Circumferential Liposuction with Abdominoplasty” in this issue of Clinics in Plastic Surgery, has some interesting details that are worth discussing. First, Dr Wall attributes a majority of his attained contour improvement to circumferential liposuction and its accompanying skin retraction rather than to the abdominoplasty component. Although I am not aware of any studies that confirm or deny the effectiveness of Dr Wall's SAFE liposuction technique, the results Dr Wall shares are impressive and should be considered by all who perform liposuction. It is my hope that the publication of Dr Wall's article in this issue, along with his presentations at national meetings, will lead others to confirm the technique's benefits. If that do... Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3744651 Wed, 30 Jun 2010 23:00:00 +0100 3744651 http://www.medworm.com/index.php?rid=3744650&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000398%2Fabstract%3Frss%3Dyes The SAFELipo technique allows for safe, consistent liposuction that does not damage flap blood supply and is easily taught to, and reproducible by, other surgeons. The fat separation used in the SAFELipo technique is performed without suction, which prevents suction avulsion injury to blood vessels by the cannula. Blood vessels then remain intact while free, separated fat is aspirated with small diameter cannulas. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3744650 Wed, 30 Jun 2010 23:00:00 +0100 3744650 http://www.medworm.com/index.php?rid=3744649&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000465%2Fabstract%3Frss%3Dyes Over the last decade in the minds of many plastic surgeons, the term “lipoabdominoplasty” has increasingly become synonymous with Dr Osvaldo Saldanha's technique. I have had the pleasure of writing a discussion of an article in Plastic and Reconstructive Surgery about his technique, and I refer the reader to it for my in-depth analysis. On reading “Lipoabdominoplasty: The Saldanha technique” for this issue of Clinics in Plastic Surgery, I note that, as I have observed over the years, Dr Saldanha has further refined his technique and has made it easier to understand. I personally have used his technique, with a few modifications to suit my needs, and have found it to be an excellent addition to my armamentarium, especially in the patient who has a thick panniculus on presentation. (... Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3744649 Wed, 30 Jun 2010 23:00:00 +0100 3744649 http://www.medworm.com/index.php?rid=3744647&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000428%2Fabstract%3Frss%3Dyes As the readers will see throughout this issue of Clinics in Plastic Surgery on abdominoplasty, some of the basic tenets of Dr Rosenfield's technique (as with all the other techniques presented) are based on principles that are in complete opposition to principles of other techniques. For example, although the high lateral tension abdominoplasty technique that Dr Rosenfield describes and the lipoabdominoplasty technique described by Dr Saldanha in “Lipoabdominoplasty: The Saldanha technique” (elsewhere in this issue) espouse a limited supraumbilical dissection, they diametrically oppose each other when it comes to liposuctioning the supraumbilical flap. Dr Rosenfield feels strongly that liposuctioning the minimally undermined flap is dangerous and should be avoided at all times, with th... Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3744647 Wed, 30 Jun 2010 23:00:00 +0100 3744647 http://www.medworm.com/index.php?rid=3744644&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000374%2Fabstract%3Frss%3Dyes This article describes a full (Type IV) abdominoplasty with or without liposuction is performed. When extensive abdominal liposuction is performed in conjunction with a full abdominoplasty, it is also known as lipoabdominoplasty. The article also describes 10 “special situations” in the abdominoplasty population. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3744644 Wed, 30 Jun 2010 23:00:00 +0100 3744644 http://www.medworm.com/index.php?rid=3744643&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000349%2Fabstract%3Frss%3Dyes Knowledge of abdominal anatomy is key to achieving optimal results in abdominoplasty. With adequate knowledge of the anatomy, the surgeon can tailor his or her techniques to fit the needs of the patient while still maximizing the blood supply to the abdominal flaps and minimizing complications. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3744643 Wed, 30 Jun 2010 23:00:00 +0100 3744643 http://www.medworm.com/index.php?rid=3744642&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000489%2Fabstract%3Frss%3Dyes Abdominoplasty to the uninitiated may seem to be fairly simple: “Draw an ellipse, cut it out, tighten up the abdominal wall, and close the defect.” In truth, abdominoplasty is very complex, requiring knowledge, artistry, judgment, and technical skill to accomplish well. Part of the complexity is that it is an “anterior-only” procedure performed on a “cone-shaped” circumferential lower trunk. The plastic surgeon has to create balance in removing vertical excess, reducing scar width, creating proper mons pubis contour, eliminating the umbilical defect, and positioning the umbilicus. The surgeon has to make adjustments and compromises because many of these goals run counter to each other. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3744642 Wed, 30 Jun 2010 23:00:00 +0100 3744642 http://www.medworm.com/index.php?rid=3744641&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000659%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3744641 Wed, 30 Jun 2010 23:00:00 +0100 3744641 http://www.medworm.com/index.php?rid=3744640&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000647%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3744640 Wed, 30 Jun 2010 23:00:00 +0100 3744640 http://www.medworm.com/index.php?rid=3744639&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000635%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3744639 Wed, 30 Jun 2010 23:00:00 +0100 3744639 http://www.medworm.com/index.php?rid=3744652&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000386%2Fabstract%3Frss%3Dyes Techniques for abdominal contouring have proliferated and evolved over the past 2 decades. Now more than ever, aesthetic operations are tailored to fit the anatomic features and aesthetic goals of each individual patient, stressing the absolute importance of patient selection. This short scar procedure relies on a combination of liposuction and modified skin resection and muscle tightening in the lower abdomen. It has been the author's experience that this results in a more rapid recovery in most patients. It is almost always performed in conjunction with liposuction of the posterior trunk to achieve a harmonious recontouring of the aesthetic unit of the trunk. The techniques employed are familiar to all plastic surgeons performing body contouring procedures. Patient selection is the abso... Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3744652 Wed, 09 Jun 2010 23:00:00 +0100 3744652 http://www.medworm.com/index.php?rid=3744646&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000362%2Fabstract%3Frss%3Dyes This article outlines the techniques and tools to accomplish these superior results safely and consistently. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3744646 Sun, 06 Jun 2010 23:00:00 +0100 3744646 http://www.medworm.com/index.php?rid=3744645&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000416%2Fabstract%3Frss%3Dyes Dr Alan Matarasso is obviously a very experienced master plastic surgeon whose article on “Traditional Abdominoplasty” in this issue of Clinics in Plastic Surgery covers a wide range of presenting problems as well as his philosophy and approach to abdominoplasty. The interaction of blood supply of the abdomen with the technical details of the procedure, especially liposuction, is so elegantly covered it is a must read, not only by the novice abdominoplasty surgeon but by the experienced one. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3744645 Sun, 06 Jun 2010 23:00:00 +0100 3744645 http://www.medworm.com/index.php?rid=3744653&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000350%2Fabstract%3Frss%3Dyes Seroma formation is one of the major postoperative complications of abdominoplasty. Progressive tension sutures have been proposed as an adjunct procedure to combat this problem. Apart from being a simple addition to abdominoplasty, the sutures also eliminate other complications, such as postoperative drains, and increase the patient's mobility. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3744653 Tue, 25 May 2010 23:00:00 +0100 3744653 http://www.medworm.com/index.php?rid=3744648&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129810000337%2Fabstract%3Frss%3Dyes Traditional abdominal plastic surgery results in a high rate of morbidity because of the necessity for a large undermining of the flap. In 2001, Saldanha using the term “lipoabdominoplasty” for the first time, standardized a selective undermining, corresponding to 30% of the traditional undermining, between the medial borders of the rectus abdominal muscles. This procedure combines 2 traditional techniques, abdominoplasty and liposuction. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3744648 Thu, 29 Apr 2010 23:00:00 +0100 3744648 http://www.medworm.com/index.php?rid=3343791&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS009412981000009X%2Fabstract%3Frss%3Dyes (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3343791 Tue, 09 Mar 2010 14:02:05 +0100 3343791 http://www.medworm.com/index.php?rid=3343790&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129809001515%2Fabstract%3Frss%3Dyes In this review, the complications of rhinoplasty are examined in terms of their timing of presentation. An algorithmic approach to postoperative problems is discussed. Complications can frequently be avoided by meticulous technique, recognition of pitfalls, and early attention to perioperative morbidity. Reoperative rates can be minimized with good patient education and proper command of the postoperative situation, so that unnecessary procedures are not undertaken. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3343790 Tue, 09 Mar 2010 14:02:05 +0100 3343790 http://www.medworm.com/index.php?rid=3343789&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129809001679%2Fabstract%3Frss%3Dyes The cleft-lip nasal deformity presents a formidable challenge in rhinoplasty surgery. A wide variety of techniques have been proposed for the correction of this problem, which is proof of the difficulty of this reconstructive problem. The approach outlined in this article amalgamates many cleft-lip rhinoplasty concepts into a single unified technique. This technique is designed to address the deficiencies present on the cleft side of the nose. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3343789 Tue, 09 Mar 2010 14:02:05 +0100 3343789 http://www.medworm.com/index.php?rid=3343788&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129809001497%2Fabstract%3Frss%3Dyes This article discusses the steps involved in the external approach to secondary rhinoplasty. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3343788 Tue, 09 Mar 2010 14:02:05 +0100 3343788 http://www.medworm.com/index.php?rid=3343787&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129809001540%2Fabstract%3Frss%3Dyes As the United States becomes more racially and ethnically diverse, the number of non-Caucasian patients seeking rhinoplasty is increasing. The non-Caucasian, or ethnic, rhinoplasty patient can be a surgical challenge due to the significant anatomic variability from the standard European nose as well as variability within each ethnicity. Becoming familiar with the common anatomic differences as well as the aesthetic goals in the ethnic rhinoplasty patient will assist the surgeon in attaining consistent, ethnically congruent, and aesthetically pleasing results. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3343787 Tue, 09 Mar 2010 14:02:05 +0100 3343787 http://www.medworm.com/index.php?rid=3343786&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS009412980900162X%2Fabstract%3Frss%3Dyes Asian rhinoplasty differs from traditional rhinoplasty approaches in preoperative analysis, patient expectations, nasal anatomy, and surgical techniques used. Platyrrhine nasal characteristics are common, with low dorsum, weak lower lateral cartilages, columellar retraction, and thick sebaceous skin often noted. Typically, patients seek augmentation of these existing structures rather than reductive procedures. Autologous cartilage, in particular use of costal cartilage, has been shown to be a reliable technique, which, when executed properly, produces excellent long-term results. An understanding of cultural perspectives, knowledge of the nasal anatomy unique to Asian patients, and proficiency with augmentation techniques are prerequisites in attaining the desired results for patient and ... Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3343786 Tue, 09 Mar 2010 14:02:05 +0100 3343786 http://www.medworm.com/index.php?rid=3343785&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129809001527%2Fabstract%3Frss%3Dyes Lengthening the short nose is a challenging area of rhinoplasty. The short nose can be a naturally occurring aesthetic disproportion, or the result of a congenital abnormality or traumatic deformity. The surgical approach depends mostly on the quality of the lining, skeleton, overlying skin, and the amount of correction desired. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3343785 Tue, 09 Mar 2010 14:02:05 +0100 3343785 http://www.medworm.com/index.php?rid=3343784&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129809001552%2Fabstract%3Frss%3Dyes This article discusses the general principles and the surgical details of septorhinoplasty. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3343784 Tue, 09 Mar 2010 14:02:04 +0100 3343784 http://www.medworm.com/index.php?rid=3343783&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129809001503%2Fabstract%3Frss%3Dyes The most challenging and instrumental step in achieving harmonious form and function during rhinoplasty is the successful completion of osteotomies. Osteotomies are performed to correct deformities of the bony nasal vault. Successful treatment of deformity of the bony vault is achieved through organized thinking, comprehensive knowledge of nasal anatomy, and thorough preoperative and intraoperative planning. In this review the authors discuss the pertinent anatomy, technical considerations, and complications that rhinoplasty surgeons should be aware of to optimize the correction of deformities of the nasal bony vault. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3343783 Tue, 09 Mar 2010 14:02:04 +0100 3343783 http://www.medworm.com/index.php?rid=3343782&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129809001631%2Fabstract%3Frss%3Dyes This article reviews the author's different approaches to dorsal grafts using fascia and diced cartilage, either separately or in combination. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3343782 Tue, 09 Mar 2010 14:02:04 +0100 3343782 http://www.medworm.com/index.php?rid=3343781&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129809001588%2Fabstract%3Frss%3Dyes In a primary rhinoplasty that requires a humpectomy, the dorsal aspect of the upper lateral cartilages is commonly discarded. Many of these patients need spreader grafts to reconstruct the middle third of the nose. However, it is possible to reconstruct the upper lateral cartilages into “spreader flaps” that act much like spreader grafts. In the process of making spreader flaps, an incremental humpectomy is performed on the dorsal septum and bony hump. This humpectomy procedure is more accurate than the conventional humpectomy that involves resection of the bone, and septum as a single unit. The open and closed approaches of this technique are discussed in this article. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3343781 Tue, 09 Mar 2010 14:02:04 +0100 3343781 http://www.medworm.com/index.php?rid=3343780&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129809001539%2Fabstract%3Frss%3Dyes Successful outcomes in rhinoplasty depend more on diagnosis than on approach or technique. When the needs of each patient are assessed on multiple occasions, operative performance improves and revision rates decline. The evolutionary track from an endonasal and excisional operation to the more commonly preferred external and restructuring technique is outlined in this article. The senior author's rationale and preference for the endonasal approach and the repositioning of cartilage in the tip using vertical dome division techniques is emphasized. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3343780 Tue, 09 Mar 2010 14:02:04 +0100 3343780 http://www.medworm.com/index.php?rid=3343779&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS009412980900159X%2Fabstract%3Frss%3Dyes The alar cartilages provide the contour and structural support of the nasal tip. Current rhinoplasty concepts support preservation of alar structure with suture techniques or judicious cephalic trim indicated for tip deformities. In many primary cases and some revisions, adequate alar structure exists to achieve the desired aesthetic and functional results with conservative surgical methods. In some primary and most revision cases, however, the existing tip structure is inadequate to create a structurally sound and aesthetically pleasing nasal tip without adding structure. In these cases, alar cartilage grafting techniques are indicated to recapitulate nasal tip contour and structure. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3343779 Tue, 09 Mar 2010 14:02:04 +0100 3343779 http://www.medworm.com/index.php?rid=3343778&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129809001564%2Fabstract%3Frss%3Dyes This article simplifies the recognition of common alar base disharmonies. The classification system is intended to facilitate choosing the best surgical technique to correct the alar base flaws. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3343778 Tue, 09 Mar 2010 14:02:04 +0100 3343778 http://www.medworm.com/index.php?rid=3343777&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129809001643%2Fabstract%3Frss%3Dyes Suture techniques are an indispensable means to biologically sculpt the cartilage of the nose. Here the authors review their use in tip-plasty and present a 4-suture algorithm that allows for simple, complete control in sculpting the shape of all nasal tips in primary rhinoplasty. After a standard cephalic trim of the lateral crus leaving it 6 mm wide, one or more of the four suture techniques are applied. One of the newest techniques that has yielded excellent results is the hemi-transdomal suture, a variation of the conventional transdomal suture. This technique narrows the dome but also everts the lateral crus slightly to avoid concavities of the nostril rim. The 4-suture algorithm is useful in both the open and closed approaches. A more general use of sutures is described and referred ... Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3343777 Tue, 09 Mar 2010 14:02:04 +0100 3343777 http://www.medworm.com/index.php?rid=3343776&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129809001618%2Fabstract%3Frss%3Dyes Recognition of alar rim deformities is an important component of the preoperative analysis of the nose. Correction of these deformities improves the esthetic balance of the nose and has an added benefit of improving the function of the external nasal valve. Classification systems have been proposed to enable surgeons to more accurately diagnose alar deformities. These classification systems help guide surgeons as to the appropriate surgical procedure to correct a problem. The purpose of this article is to review the proposed classification systems for alar rim deformities and review the specific surgical techniques that have been proposed for each of the deformities. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3343776 Tue, 09 Mar 2010 14:02:04 +0100 3343776 http://www.medworm.com/index.php?rid=3343775&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129809001576%2Fabstract%3Frss%3Dyes This article reviews the basic principles of photography and discusses their application to facial plastic surgery practice, and rhinoplasty in particular. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3343775 Tue, 09 Mar 2010 14:02:03 +0100 3343775 http://www.medworm.com/index.php?rid=3343774&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129809001655%2Fabstract%3Frss%3Dyes This article describes the nasal anatomy, careful study of which makes for a more confident, prepared practitioner. (Source: Clinics in Plastic Surgery) Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3343774 Tue, 09 Mar 2010 14:02:03 +0100 3343774 http://www.medworm.com/index.php?rid=3343773&cid=s_33215_9_f&fid=33215&url=http%3A%2F%2Fwww.plasticsurgery.theclinics.com%2Farticle%2FPIIS0094129809001606%2Fabstract%3Frss%3Dyes Rhinoplasty remains one of the most challenging aesthetic procedures to master. Astute surgeons must consider a continually evolving societal perception of beauty with their own sense of aesthetic proportion when planning surgical intervention. Optimal results are achieved when the outcome is anticipated and satisfying to patient and surgeon. This requires a careful, thoughtful, systematic approach to preoperative analysis. Patients should leave with a clear understanding of the surgeon's perspective of their nose, aesthetically and anatomically. Understanding the interplay of surface deformities and their underlying anatomic counterpart is critical, involving a systematic analysis to create a surgical plan that avoids landmines leading to a suboptimal result. (Source: Clinics in Plastic S... Clinics in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3343773 Tue, 09 Mar 2010 14:02:03 +0100 3343773