ISSN:0148-7043    

出版商:OVID    

年代:1989

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1989

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

Adequate resident training in aesthetic surgery has been a problem and challenge for program directors in the past. In a 1982 survey of 11 former University of Toronto residents, 4 residents identified this part of their training as adequate, and 7 believed it was inadequate. To solve this problem, an Academic Aesthetic Surgery Service was established in one of the University of Toronto participating teaching hospitals (Toronto Western Hospital) in early 1986. This article outlines the organization and function of this service and reports the experience of the first year of operation. The preliminary results are encouraging; the service has been accepted by the patients, residents, and the plastic surgery community.

ISSN:0148-7043    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

A major problem for the patient with Möbius' syndrome is the inability to smile. With the development of vascularized muscle transplantation, the possibilities for improved facial animation were explored. Muscle transplantation was carried out in 7 patients; innervation was provided by the hypoglossal nerve, the motor nerve to the masseter muscle, or in 1 patient a transfacial nerve graft. In this article the technical aspects of the procedure as well as the results are described in detail.

ISSN:0148-7043    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

The cupid's bow is an important feature of the normal upper lip, and every effort should be made to reconstruct it during initial cleft lp surgery or trauma repair. However, a secondary surgical procedure is often necessary to improve the appearance and symmetry in the cupid's bow area. For this purpose, the authors present a quadrilateral type of interposition flap that can be used. in both unilateral and bilateral cupid's bow reconstruction. This procedure is applicable only when adequate vermilion is available.

ISSN:0148-7043    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

The use of tissue expansion to facilitate bun scar reconstruction is described. Twelve patients underwent burn scar reconstruction using a total of 42 expanders. Expansion was carried out at two- to three-day intervals, usually commencing as early as two to three days following insertion of the expander. In 5 of the 12 patients, previously scarred skin was expanded to facilitate excision of areas of more dense scarring and scar contractures, more conventional methods having previously failed. Two of the expanders failed to achieve adequate expansion because of exposure of the device. One of the patients in whom the expander failed refused to have it reinserted. Complications included implant exposure (9 of 42), injection port exposure (1 of 42), infection (4 of 42), and a transient facial nerve palsy in 1 patient who was having her cheeks expanded. Except for one case, implant exposure did not preclude continued expansion and ultimate reconstruction.

ISSN:0148-7043    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

Patients with Tieachez Collins syndrome were studied regarding 10 nasal, 1 orbital, and 4 facial measurements as well as 10 facial proportion indexes. Data from 15 to 24 patients were related to normal values. The most normal feature was found to be the nose, whose basic measurements were optimal. Because harmony between the nose and the face is a basic requirement of aesthetic balance in a healthy face, the nose in these patients is the key for calculating changes in the markedly damaged general framework of the face. Abnormal proportion indexes must be corrected by adjusting the abnormal measurement to its optimal level. Thus, the abnormally short bizygomatic width had to be increased by a mean of 13 to 21 mm. Both the nose and the face were usually normal-long, producing acceptable proportions in these patients. Some size disproportions were found between the root and the soft nose. Their adjustment should be part of the general plan to correct the face of a patient with Treacher Collins syndrome.

ISSN:0148-7043    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

The present study reviews the long-term results of immediate reconstruction and primary grafting in 49 complex orbital fractures. The clinical features of these injuries are defined, and methods of investigation and surgical correction are outlined. The residual postoperative abnormalities, including enophthalmos, strabismus, and telecanthus, are critically analyzed. Recent modifications in fracture fixation, in orbital cavity reconstruction, and in the use of various types of autogenous grafts are discussed in detail.

ISSN:0148-7043    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

A pedicled thoracoumbilical flap was evaluated in 5 patients for upper limb reconstruction. The flap appears to be a reliable axial flap that can be elevated safely to the midaxillary line. It has the capacity to transfer a large amount of tissue, allowing the damaged limb, during the attached period, to be elevated and to receive physiotherapy. Although the working portion of the flap uses the thin, hairless skin over the lateral ribs, the base of the flap is thick and difficult to tube in all but the thinnest of individuals. The donor scar is much more conspicuous than that of a groin flap.

ISSN:0148-7043    

出版商:OVID    

年代:1989

数据来源: OVID