摘要:

With the advent of suction-assisted lipectomy and superficial muscular aponeurotic system procedure fox face-lift, the risk of parotid injury increases. A case of parotid salivary fistula is presented and its management discussed.

ISSN:0148-7043    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Reconstruction of the burned penile urethra has received scant attention in the surgical literature. Techniques used in repairing congenital hypospadias may not he applicable in this situation. We describe a dartos musculocutaneous island flap used to reconstruct the distal burned penile urethra in a 13-year-old boy who sustained burns to 85% of his total body surface area. Reconstruction was completed in one surgical procedure, and at two-year follow-up good results were demonstrated.

ISSN:0148-7043    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Angiosarcomas of the face and scalp are aggressive, malignant neoplasms that are associated with a pool prognosis. Radiotherapy and chemotherapy alone have failed to give satisfactory results in the treatment of this disease, so surgery continues to play the major role in its management. In this article we report on 3 patients with angiosarcoma of the face and scalp recently seen in our institution. The clinical presentation, pathophysiology, and prognosis are extensively reviewed from the recent literature. We conclude with a discussion of treatment options in the management of this disease, with emphasis on surgical management.

ISSN:0148-7043    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Diffuse neurofibroma (paraneurofibroma) is an unusual variant of neurofibroma in which the tumor cells diffusely infiltrate beyond the usual well-circumscribed boundary. Histological features of the tumor include both typical and plexiform neurofibroma. Although benign, diffuse vascularity with the possibility of life-threatening hemorrhage dictates treatment. The combination of preoperative angiography, wide surgical excision, and resurfacing the defect with well-vascularized tissue offers one-stage reconstruction and possible cure.

ISSN:0148-7043    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Long-term nipple projection remains the elusive ingredient for measuring the success of a nipple reconstruction. Augmentation of this projection without sacrifice of autogenous donor tissues may be achieved using a polyurethane-coated silicone gel implant affectionately and descriptively called the “gumdrop” nipple. Two patients who agreed to implantation with this device have each been observed over a one-year period with no loss of projection. The role of an internal nipple prosthesis, although perhaps of some value as a salvage procedure, appears to offer few advantages over other accepted methods of reconstruction that do not use any foreign body.

ISSN:0148-7043    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Scrotal reconstruction with adequate protection of the testicles remains the challenge following Fournier's gangrene. Early single-staged sensate flap coverage is ideal. This is readily accomplished using the medial thigh fasciocutaneous flap based on the longitudinal axiality of the anteromedial thigh suprafascial plexus. Only a single lower extremity need be violated, and the ipsilateral gracilis muscle may be simultaneously independently elevated for closure of larger defects. Primary donor site closure obviates the need for skin grafts.

ISSN:0148-7043    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Monofilament nylon threads are used as drains in free skin grafting; 2–0 or 3–0 nylon threads are usually applied. Nylon drains are available in any operating room, and have no detrimental effects on the grafted skin. The drainage effect of nylon threads is shown in clinical cases and in a simple experimental model. The effect may not be dramatic, but it reduces the volume of hematomas and brings good results in free skin grafting.

ISSN:0148-7043    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

When a sharp, pointed object becomes impaled, it may need exploration, especially when there is a side notch in which a blood vessel or nerve may become entangled. A simple technique of removal is described.

ISSN:0148-7043    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1990

数据来源: OVID