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A new hyaluronic acid polymer in the augmentation and restoration of labia majora.
Aesthetic surgery of female external genitalia has gained increasing popularity over the past decade, with reduction of the labia minora (labiaplasty) being the procedure most commonly requested and performed. Female external genitalia lose…
- Of medicine and the breast.
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The orticochea pharyngoplasty and primary palatoplasty: an evaluation.
A primary Orticochea pharyngoplasty with a primary palatoplasty was studied in 15 children with cleft palates. Although all children demonstrated velopharyngeal competence, radiographic, endoscopic, and oral examinations suggested that 54% …
- Breast reconstruction following mastectomy.
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A rationale for modifying the site of insertion of the orticochea pharyngoplasty.
A modification of the insertion level of Orticochea flaps is proposed. The purpose of the modification is to place the pharyngoplasty at a higher site, in the area of attempted velopharyngeal contact. The site of velopharyngeal contact can …
- Reconstruction of the lower extremity. Microsurgical composite tissue transplantation.
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Nipple-areola reconstruction after mastectomy.
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 obta…
- Subcutaneous mastectomy: an evolution of concept and technique.
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The free scapular flap.
We present our early experience with a flap that should become important to the microsurgeon. The scapular flap is based on the circumflex scapular branch of the subscapular artery and is a versatile, hardy, easily dissected flap. We have u…
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Microsurgical composite tissue transplantation: indications and technical considerations in breast reconstruction following mastectomy.
Twenty-six patients are presented who underwent reconstruction of the breast and thorax following mastectomy. A successful result ensued in 96 percent of the patients. Indications for the use of microsurgical composite tissue transplantatio…
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Use of skin staples in plastic surgery.
Skin closure with stainless steel staples can be done economically, simply, quickly, and accurately. Stapling is indicated in a wide range of surgical procedures. Scarring is minimal and patient acceptance is excellent.…
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Vascularized rib-periosteal and osteocutaneous reconstruction of the maxilla and mandible: an assessment.
Three approaches to provide rib-periosteal or osteocutaneous composite tissue in maxillary or mandibular reconstruction are presented. All methods appear to be useful in replacing viable osteocytes and improving vascularity of maxillary or …
- Plastic surgery.
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Is there a reduction mammaplasty for "all seasons?".
No technique will serve the needs of all patients requiring a reduction mammaplasty and mastopexy. However, the modified, inferiorly-based dermal flap technique appears to us to offer the most advantages and the greatest latitude for a pred…
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Microsurgical composite tissue transplantation.
Since 1974, 69 patients with extensive defects have undergone reconstruction by microsurgical composite tissue transplantation. Using this method, donor composite tissue is isolated on its blood supply, removed to a distant recipient site, …
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Transfer of free flaps to provide well-vascularized, thick cover for breast reconstructions after radical mastectomy.
The use of a free flap to bring in well-vascularized cover for a breast reconstruction (following radical mastectomy) is presented. Eleven of 12 such transfers were successful. (One free groin glap failed, and that reconstruction was abando…
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Comparison of free flaps with pedicled flaps for coverage of defects of the leg or foot.
The use of free flaps to repair defects of the leg or foot is a viable alternative to cross-leg flaps because (1) the total time of immobilization and hospitalization is less, (2) the total number of general anesthetics is less, and (3) the…
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A rib-containing free flap to reconstruct mandibular defects.
A composite free flap based on intercostal vessels may be used to reconstruct in one stage defects around the mandible in which skin, soft tissue and bone are missing. A delay procedure is recommended one week prior to transfer.…
- Microsurgical composite tissue transplantation: a new horizon in plastic and reconstructive surgery.
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Microsurgical composite tissue transplantation: a method of immediate reconstruction of the head and neck.
A new approach utilizing microsurgical composite tissue transplantation is advocated for the management of difficult reconstructive problems in the region of the head and neck. This method is especially useful when local flap coverage may b…