ISSN:0148-7043    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

Thirty-seven mandibular fractures were treated in 25 patients between January 1984 and January 1988. The patients' ages ranged from 4 months to 16 years (6.9 ± 4.6 years [mean ± standard deviation]). Nineteen of the patients were male and 6 were female, indicating a significant gender predilection (p<0.05). A treatment approach based on the patients' dental maturity and fracture location has evolved that stresses rapid restoration of osseous continuity and preoperative occlusion while striving to minimize risk to unerupted dentition.

ISSN:0148-7043    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

Of 33 patients who underwent 49 breast implantations for reconstructive surgery, 8 (24%) patients developed implant infections. All 8 of these patients were among a subgroup of 15 having immediate breast reconstructions with tissue expander implants after simple or modified radical mastectomy (a 53% infection rate). The infection rate increased substantially when bilateral procedures involving implants were performed as opposed to unilateral implants. Nine implants were removed (an overall implant loss rate of 18%). Patients who underwent other breast reconstruction techniques (i.e., including immediate reconstruction with permanent implants or delayed reconstruction with or without tissue expanders) did not develop infection unless they had had simultaneous immediate reconstruction with a tissue expander in the contralateral breast. The most frequently isolated organism was the coagulase-negative staphylococcus. The study concludes that neither the tissue expander nor immediate reconstruction is a risk factor, but the combination may lead to an unacceptable infection rate, especially in the face of bilateral breast procedures.

ISSN:0148-7043    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

Extensive wounds of the knee region have previously mandated utilization of a local muscle or free flap to achieve healing. The recent successes of fasciocutaneous flaps in the lower leg region have been extrapolated for use of local, randomly oriented anteromedial or anterolateral knee flaps in addition to previously described posterior calf flaps; results have been equally acceptable as the standard established by muscle flaps for knee coverage. For small- or moderate-sized noncontaminated parapatellar wounds, less morbidity has been observed using instead these simple local knee fasciocutaneous flaps.

ISSN:0148-7043    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

The tensor fascia lata (TFL) musculocutaneous flap has been used to cover raw areas resulting after block dissection of fungating cancerous glands in the groin. Postoperative lymphorrhea, a frequent serious problem after groin block dissection, was not seen. It was inferred that the TFL musculocutaneous flap absorbed lymph. This observation was used in treating patients with lymphedema of the lower extremity and genitalia. Groin block dissection was performed in 12 patients with tubercular and filarial lymphedema. By performing a groin block dissection, lymph was allowed to escape in the area of dissection and the TFL musculocutaneous flap absorbed the lymph. As a result a consistent reduction in the size and edema of the affected areas was noted. Wrinkling and suppleness of skin was seen in each patient within the first week.In 1 patient with congenital lymphedema, edema was restricted to the leg and foot. In this patient, groin block dissection was not performed. One end of the TFL musculocutaneous flap was transferred to the calf, and in second stage the proximal end with the whole flap was transferred to the back of the thigh and popliteal fossa. The TFL musculocutaneous flap here acted as a bridge between the area of congenital lymphedema (leg) and the area with normal lymphatic drainage (thigh).

ISSN:0148-7043    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

The calcium channel blocker nimodipine has been used successfully in neurological patients for the treatment of vasospasm after subarachnoid hemorrhage and stroke. In this study of experimental random pattern skin flaps in rats, an increase of nearly 50% in the survival rate to 94.33% (±7.3% standard deviation) under nimodipine treatment versus 66.00% (±16.5% standard deviation) in the controls could be demonstrated (p<0.001). Vital dye injections in a separate experiment indicated that the increased flap survival is mainly due to improved microcirculation. The distance traveled by the dye was 8.01 ± 1.21 cm in the experimental versus 6.61 ± 1.25 cm in the control group (p<0.05).

ISSN:0148-7043    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

The present study documents the treatment and follow-up of 25 patients treated for four different types of superficial facial vascular lesions with the continuous wave, mechanically pulsed, yellow (577-nm wavelength) tunable dye laser using a 100-µ spot diameter handpiece and pulse durations of 0.05 to 0.10 s. When absorbed, this wavelength generates heat specifically within superficial blood vessels and, if delivered in a brief, intense pulse to a small, focused spot, can cause selective damage without destruction of the adjacent epidermis or surrounding dermis. The results indicate that the physician can attain an excellent clinical outcome while significantly reducing potential adverse side effects seen in treating these lesions with more conventional laser systems.

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:

An interesting case of reduction mammaplasty in a male-to-female transsexual is presented using a combination of conventional resection and implant change surgery. The associated changes of advanced silicone mastitis provided some unique physical characteristics and technical challenge. This case report illustrates key breast surgery principles and documents the first reduction mammaplasty in a male.

ISSN:0148-7043    

出版商:OVID    

年代:1989

数据来源: OVID