摘要:

The complexity of the medial canthal area is discussed and the importance of complete tumor removal with microscopically controlled excision emphasized. Immediate reconstruction is recommended in most instances. Defects to be reconstructed are divided into nasal and eyelid sides of the medial canthal region and subdivided into superficial and deep defects. The reconstructive modalities used in the various defects are illustrated and the advantages and disadvantages of each explored.

ISSN:0148-7043    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

Design variations in the skin and muscle portions of the latissimus dorsi flap are presented, for use with specific mastectomy scars.

ISSN:0148-7043    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

Consistent proximal branching of the latissimus dorsi neurovascular anatomy permits surgical splitting of the myocutaneous unit into two flaps. Either or both branches of the split flap can be independently transferred. Experimental and clinical applications of this flap, which illustrate several of its uses and advantages, are presented. Applications include simultaneous provision of cover and lining flaps for head and neck reconstruction, motor transfers with split muscle branches, preservation of motor function in the flap donor site with one split muscle branch, and microvascular free tissue transfer of the branched flap or of individual branches.

ISSN:0148-7043    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

Sixty-eight histopathologically confirmed keloids were excised in 40 patients from 1970 to 1979. Surgery involved intrakeloidal excision with wound closure by direct, multilayered advancement repair or split-thickness skin grafting. All patients received x-ray therapy totalling 1,500 rads delivered in 3 equal doses, the first within several hours after surgery and the rest at two- to three-day intervals. There was a minimum of one year's follow-up in all cases, with a mean follow-up time of approximately twenty-four months. Recurrence rates of 21% per lesion and 28% per patient were obtained for the series. Earlobe keloids had recurrence rates similar to those noted for the series as a whole. Seventy-five percent of recurrences were evident within twelve months following treatment. Intrakeloidal excision combined with immediate postoperative x-ray therapy is effective in treating keloids.

ISSN:0148-7043    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

Pressure sores in paraplegic patients are a well-known problem. Such patients can develop pressure necrosis and skin breakdown in spite of preventive measures and adequate surgical management. The occurrence and recurrence of these problems is due in large part to the patient's inability to perceive pressure discomfort in the insensible sitting area.Use of the innervated tensor fascia lata flap has great value in selected patients. A series of 9 patients is presented. In all patients, postoperative sensibililty in the flap was maintained as in the preoperative state. Follow-up of these patients shows that all flaps have remained healed and functioning. The neuroanatomical features of the innervated tensor fascia lata flap make it a promising method for covering pressure sores and avoiding subsequent complications.

ISSN:0148-7043    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

The treatment of Romberg's disease has long been far from satisfactory. However, a procedure involving microsurgery and free flaps has become the method of choice in treating the disease. Two illustrative patients are presented and some technical details described.

ISSN:0148-7043    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

A versatile and dependable composite hair-bearing and non-hair-bearing flap is described that allows for immediate reconstruction in the highly visible temple and preauricular areas. A combined hair-bearing and non-hair-bearing flap is transferred from the postauricular region to the area of the temple and laterally to the orbit, Modification of the flap by harvesting additional tissue from the posterior conchal region assures greater reconstructive potential and variability.

ISSN:0148-7043    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

A simple procedure using a local, deepithelialized hinged flap to replace atrophic scar tissue over tarsal bones is presented. The operative and clinical details make it superior to free or cross-leg flaps in selected cases.

ISSN:0148-7043    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

Neurofibromas are common tumors that arise from elements in the peripheral nervous system. The vast majority occur in the trunk and are usually limited to the head and neck area. We present two cases involving the skin of the breast and nipple-areolar complex and the method of treatment.

ISSN:0148-7043    

出版商:OVID    

年代:1981

数据来源: OVID