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12건 · 최신순-
Aesthetic outcomes of acellular dermal matrix in tissue expander/implant-based breast reconstruction.
[INTRODUCTION] Tissue expander and implant-based breast reconstruction after mastectomy is the most common method of breast reconstruction. Modifications of the traditional total submuscular reconstruction (TSR) have been made using acellul…
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Outcomes analysis of a resident cosmetic clinic: safety and feasibility after 7 years.
Cosmetic patients have many options when seeking out their surgeons. In midsize and larger cities, these options span not only different specialties but also different levels of experience. Because surgical experience can best be gained fir…
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Fibroblast-mediated contraction in actinically exposed and actinically protected aging skin.
The changes in skin morphology over time are a consequence of both chronologic aging and the accumulation of environmental exposure. Through observation, we know that actinic radiation intensifies the apparent aging of skin. We have investi…
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Early experience with high thoracic epidural anesthesia in outpatient submuscular breast augmentation.
High thoracic epidural anesthesia was administered by anesthetists in 20 patients undergoing submuscular breast augmentation. An average of 12 ml of 2% lidocaine was instilled after sedation with midazolam, 2-6 mg. The augmentation procedur…
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Studies on the endogenous flora of the human breast.
Identification of the endogenous microbiological flora of the human breast and its role in breast infections following subglandular augmentation or reduction mammaplasty was undertaken. A total of 231 cultures were performed on 59 breasts i…
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Rapid expansion: experimental and clinical experience.
One of the drawbacks of clinical expansion is delay of the final reconstruction and patient inconvenience. The authors have explored the physiologic response to rapid expansion in an animal model and present initial clinical experiences wit…
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Expanded myocutaneous flaps: their clinical use.
In particularly large defects the best available flap may not provide sufficient tissue for satisfactory correction. Pre-expansion of an overlying musculocutaneous flap allows transposition of a larger flap to reconstruct such defects. The …
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Burn management: the role of tissue expansion.
Tissue expansion has facilitated reconstruction in selected burn patients. For the past 5 years the authors have used this modality in 45 patients, reconstructing the head and neck, trunk, and extremities.…
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Advances in tissue expansion.
Tissue expansion offers a versatile new technique in the reconstruction of many areas of the body. The authors discuss laboratory studies that provide insight into the mechanism of the technique and present examples from clinical experience…
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Silicone implant correction of pectus excavatum: indications and refinement in technique.
Pectus excavatum is the most common deformity of the chest wall. The overwhelming majority of patients with pectus excavatum have no physiologic compromise. Adolescents beyond their growth spurt and adults who are asymptomatic are best serv…
- The use of soft tissue expansion in reconstructive surgery.
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Selective use of serial expansion in breast reconstruction.
The advent of serial expansion adds a new dimension to the armamentarium of the plastic surgeon. While latissimus dorsi and rectus abdominis flaps remain invaluable in patients with severe tissue deficiency, they are unnecessary in most pat…