Plastic and reconstructive surgery
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Plast. Reconstr. Surg. · Apr 1977
Comparative StudyComparison 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 morbidity and cost are less. Increased experience will enhance the survival statistics for free flaps, making their use the method of choice for the reconstruction of defects in the distal part of the lower extremity.
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Plast. Reconstr. Surg. · Sep 1976
Comparative StudyLong-term results of the island flap palatal pushback.
We analyzed all 104 island flap pushback palatal repairs done through our Facial Rehabilitation Clinic in the period from 1965 to 1971. The results were compared to those in a group of 109 standard pushback repairs. The island flap group had a higher incidence of operative complications, of velopharyngeal insufficiency, and of secondary procedures to correct the latter. (The differences between the two groups were not statistically significant, however.) In this group of patients the island flap repair offered no particular advantage over the V-Y or the Dorrance pushback; in fact, it may have been deleterious. A hypothetical explanation for these results is offered, based on possible continuing osteogenesis by the transplanted mucoperiosteum, to produce an inflexible and poorly functioning velum.
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Plast. Reconstr. Surg. · Feb 1976
Comparative StudyThe use of healed superficial burns as a donor site for split-skin grafts.
We compared 30 skin grafts obtained from healed burn areas to 30 skin grafts obtained from normal uninjured skin. The rates and characteristics of healing were studied and compared, both clinically and histologically; in general they were quite similar.
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Plast. Reconstr. Surg. · Jan 1976
The blister and the second degree burn in guinea pigs: the effect of exposure.
A reproducible partial-thickness burn was inflicted on 100 albino guinea pigs. With the blister intact, the evaporative water loss from the burn surface was essentially the same as from normal unburned skin. When the blister was removed, the rate of water loss was initially more than 100 times normal, and it remained 20 to 50 times the normal rate throughout the first week. ⋯ Microscopic examination showed that previously viable dermis was incorporated in this crust. The depth of dermal loss was negligible when the blister was left intact, and improved healing resulted. We believe it is important to leave burn blisters intact, whenever possible.
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Plast. Reconstr. Surg. · Jun 1975
Arteriovenous malformations of the mandible. Graduated surgical management.
Two cases of arteriovenous malformation in the mandible are described, in which muscle embolization was used. The success in one patient and the failure in the second correlate with the caliber of the vessels in the two malformations. A scheme of graduated surgical management for mandibular arteriovenous malformations is proposed.