ISSN:0148-7043    

出版商:OVID    

年代:1982

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1982

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1982

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1982

数据来源: OVID

ISSN:0148-7043    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

In 62 patients in whom modified radical mastectomy was accompanied by immediate breast reconstruction, the operative and pathologic findings are compared to the clinical results. Immediate reconstruction following modified radical mastectomy appears to offer several advantages over delayed reconstruction. The data indicate that immediate reconstruction provides excellent technical results, is associated with less expense and morbidity as compared to delayed reconstruction, and does not adversely affect the natural course of the disease within the follow-up period studied. No adverse effect of adjuvant chemotherapy on the reconstructive effort was noted in this series of 62 patients when the initiation of adjuvant chemotherapy was timed so as to avoid difficulties with hemostasis. The technical aspects of the immediate reconstruction are described.

ISSN:0148-7043    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

Hypopigmentation, fibrosis, and the risk of autotransplantation of malignant cells have resulted in diminished enthusiasm for preserving the nipple-areolar complex after mastectomy. Adequate color match for areola reconstruction can be obtained with a full-thickness medial groin graft after breast mound symmetry has been achieved. Both a single-stage and a two-stage technique are described for nipple reconstruction. These techniques use existing approaches with some modification, and provide nipple-areolar complexes that are symmetrical, have satisfactory color match, and provide good nipple projection. Most important, the contralateral nipple-areolar complex is not violated. It can be dealt with as deemed best in terms of cancer prophylaxis.

ISSN:0148-7043    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

The biological effects of a single high dose of radiation are examined. Both cellular injury and repair are reviewed during early, intermediate, and late phases. Anticipated composite tissue morbidity is detailed for therapeutic radiation doses administered to the head and neck, breast and thorax, and perineum. Patients who demonstrated excessive time-dose fractionation values were irradiated with lower x-ray energies. Those in whom there was an overlap of treatment fields presented a serious challenge to the reconstructive surgeon. Judicious selection of well-vascularized composite tissue outside the portals of irradiation, preferably with a long vascular pedicle, facilitated reconstruction. When possible, both donor and recipient vasculature should be outside the irradiated area to ensure uninterrupted blood flow to the transferred or transplanted tissue.

ISSN:0148-7043    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

The forehead-brow lift, though generally thought to achieve very little and for only a brief time, corrects ptosis of the eyebrows, redundancy of the upper eyelids, and skin wrinkles on the forehead, nasoglabellar, and lateral canthal regions. Other aesthetic improvements include restoration of the contour of the root of the nose and elevation of the nasal tip. However, careful attention to complete release of the frontalis-galea unit from the underlying orbital rims and zygomatic arches is essential for long-term success.A forehead-brow lift technique is described and the results and complications in 34 patients reviewed.

ISSN:0148-7043    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

The surgical correction of vertical maxillary excess is a relatively new technique. Vertical maxillary excess (VME) may exist alone or in combination with a horizontal mandibular deficiency with or without an anterior open bite. The facial contour is characterized by a long, tapering face with anterior and posterior maxillary overgrowth, a narrow alar base, and lip incompetence. Cephalometric analysis demonstrates steep mandibular and occlusal planes in relationship to the cranial base, an increase in facial height, and retroposition of the mandible.Evaluation of study models exhibits increased alveolar bone height, a high palatal vault, and a narrow maxillary arch. The dental relationship may be Class I, II, or III, with Class II being the most common. Orthodontic treatment before surgery consists of correct alignment of the teeth and removal of those dental compensations that preclude good dental interdigitation at surgery. Regardless of the surgical procedure, accurate preoperative planning based on careful evaluation of skeletal, dental, and soft tissue features in conjunction with correct orthodontic surgical sequencing is the key to a satisfactory result.The “downfracturing” or Le Fort I maxillary osteotomy for superior repositioning of the maxilla is the surgical procedure of choice for vertical maxillary excess. Two-, three-, or four-segment maxillary osteotomies can be done in conjunction with the Le Fort I osteotomy without jeopardizing healing capacity.

ISSN:0148-7043    

出版商:OVID    

年代:1982

数据来源: OVID