ISSN:0148-7043    

出版商:OVID    

年代:1985

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

Seven patients with either homemade or professional decorative tattoos have been treated with both the argon and CO2lasers and studied clinically as well as histologically. The argon laser is absorbed by dermal pigment and vaporizes this pigment out of the skin. The CO2laser vaporizes tissue layer by layer and must be accompanied by mechanical debridement. Results and complications of treatment with the two lasers were markedly similar, as were histological studies.

ISSN:0148-7043    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

Five patients are presented who were fitted with an axillary plexus catheter for postoperative sympathetic blockade: 1 finger replantation, 3 toe-finger transfers, and 1 finger-finger transfer. This catheter caused spasmolysis and an increase in the circulation and in the acral systolic blood pressure. Simultaneously an adequate analgesic effect was achieved through the administration of local anesthetic. The muscle relaxation helped immobilize the extremity. The improved circulation, the analgesic effect, and the suppression of muscular activity through continuous plexus anesthesia help healing in replanted or transferred digits.

ISSN:0148-7043    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

Island skin flaps based on the latissimus dorsi muscle were raised in domestic pigs. Flap circulation, maintained only by the vascular pedicle, was monitored by laser Doppler flowmetry, laser photometry, and transcutaneously measured carbon dioxide tension. Both arterial and venous occlusion were accompanied by very low laser Doppler flow values. In laser photometry, the backscattered intensity of light remained unchanged or was slightly increased during arterial occlusion. In response to venous occlusion, however, the light intensity decreased markedly. Transcutaneous carbon dioxide tension increased in both venous and arterial occlusion. When venous outflow pressure was raised incrementally, both the laser Doppler flow value and the total backscattered light intensity fell proportionately. Laser Doppler flowmetry might thus be useful clinically to detect decreased blood flow in transferred flaps, and laser photometry may determine if the decreased flow is related to the arterial or venous side.

ISSN:0148-7043    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

A new method consisting of conversion of the retroauricular skin into an axial flap is described. During the first stage the superficial temporal vessels are transposed under the skin of the retroauricular region. The second operative step consists of elevation of the retroauricular-mastoid skin on the dissected axial pedicle. The secondary island flaps proved to be efficient in the repair of small and medium-sized defects of the facial region.

ISSN:0148-7043    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

The conventional postoperative care of patients undergoing pressure ulcer operations is complicated and unsatisfactory. In an effort to improve this care, we used the Clinitron therapy unit, which provides a true flotation environment for the patient. The surface pressure on the skin constantly remains below the capillary closure pressure of 32 mm Hg, and therefore no change in the patient's position is required as with the other beds currently used. Its special design creates a bactericidal fluid medium in which the temperature can be controlled. Our experience with 16 patients using the Clinitron in the immediate postoperative period has been encouraging. Comments from the patients and the nursing and medical staff, as well as advantages and disadvantages of this modality are discussed.

ISSN:0148-7043    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

In children with congenital facial anomalies, body image and emotional indicators correlated with the timing and number of operations, rather than with the severity of the deformity. These data suggest that surgery should be performed at the earliest age possible and in the fewest number of stages.

ISSN:0148-7043    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

An evaluation of 220 cases of frontocranial remodeling for craniosynostosis is reported. The follow-up period was 10 years for children, 7 years for infants.The principles of the craniofacial techniques described in 1974 [4] and 1978 [3] were not modified; only variations were added. The floating forehead [5] concept has also remained basically unchanged. Intracranial pressure recordings have been used continually to help evaluate borderline indications and to assess results [9]. Our results show that 14% of cases of craniosynostosis affecting only one suture, usually considered as merely aesthetic problems, in fact were accompanied by increased intracranial pressure. The postoperative recordings have shown a return to normal pressures.Growth has not deteriorated the initially satisfactory results at the level of the forehead. At the midface level, improvement has been observed after surgery, especially for plagiocephalics. Their orbitonasal asymmetry has nearly completely disappeared.Patients with bilateral faciocraniosynostosis show an improvement of midface development compared with nonoperated patients, but in severe cases an inverted bite still develops and further facial osteotomies remain necessary. The Apert's patients remain the most difficult to improve.

ISSN:0148-7043    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

The use of a cervical musculocutaneous flap is described which is easily transferable to the oral cavity to cover an osseous and soft tissue operative defect, eliminating the need for a more distant and extensive musculocutaneous flap.

ISSN:0148-7043    

出版商:OVID    

年代:1985

数据来源: OVID