共查询到20条相似文献,搜索用时 15 毫秒
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K Matsuo T Hirose N Takahashi M Iwasawa R Satoh 《Plastic and reconstructive surgery》1987,80(4):547-552
A conchal cartilage graft without skin or mucosa was used as a posterior lining for lower eyelid reconstruction in seven patients. The raw surface of the graft was smooth enough to cause no corneal irritation and was epithelialized from the surrounding mucosa about 3 to 4 weeks after the operation. The lower eyelid reconstructed in this method produced a stable lid margin. 相似文献
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A simple technique for reconstruction of the umbilicus, using a conchal cartilage composite graft 总被引:1,自引:0,他引:1
A simple technique to reconstruct the umbilicus is reported in which a conchal cartilage composite graft, such as that used in tragus construction in the treatment of microtia, was employed with a very satisfactory result. 相似文献
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Sharma RK Makkar S Parashar A Tuli P 《Plastic and reconstructive surgery》2008,121(5):1855; author reply 1855-1855; author reply 1857
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Use of the pedicled contralateral latissimus dorsi musculocutaneous flap is a safe and valuable option in delayed breast reconstruction. This flap also can create an anterior axillary fold by including fat from the lumbosacral fascia. 相似文献
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Reconstruction of the entire upper eyelid area with a subcutaneous pedicle flap based on the orbicularis oculi muscle 总被引:9,自引:0,他引:9
Lagophthalmos caused by trauma or inflammation may damage the cornea and, if not adequately treated, may result in loss of eyesight. Hence surgical intervention is required at the earliest possible stage. We have developed a subcutaneous pedicle flap elevated from the temporozygomatic area and rotated 180 degrees around a small pedicle base that contains the orbicularis oculi muscle. With this flap, the entire upper eyelid can be reconstructed as an aesthetic unit in one stage so that the result is satisfactory not only functionally, but also cosmetically. The operative procedure is presented along with case reports. 相似文献
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A simple technique for closure of a palatal fistula using a conchal cartilage graft. 总被引:1,自引:0,他引:1
A simple technique for closure of a palatal fistula using a conchal cartilage graft as a substitute for nasal lining flaps is reported. This graft simplifies the repair of the palatal fistula and protects the suture line of the oral covering flaps from recurrence. 相似文献
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I Koshima S Soeda Y Nakayama M Ishii S Harada M Kaneko 《Plastic and reconstructive surgery》1991,88(3):492-6;discussion 497-8
Although a free vascularized iliac bone graft has been successfully used for the reconstruction of large bone defects, there is a serious problem of how to repair in one stage patients having a large bone defect with a very wide skin defect. A free combined rectus abdominis musculocutaneous flap and vascularized iliac bone graft with double vascular pedicles seems to be one of the most suitable methods for patients having large defects of both bone and skin. Based on our patient, the main advantage of this flap is the extreme width of the skin territory. The pedicle vessels are large and long, and the donor scar can be made in an unexposed area. This flap should be considered for use in one-stage reconstructions of large defects of both bone and skin in the leg region. 相似文献
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The functional pectoralis major musculocutaneous island flap in head and neck reconstruction 总被引:3,自引:0,他引:3
We describe our experience with the true island pectoralis major musculocutaneous flap in patients with high-volume defects for whom free-tissue transfer is unsuitable. Our operative technique is presented. We have modified the method of making a true island of the pectoralis major musculocutaneous flap on a muscle-free pedicle as first described by Wei et al. in 1984. This maintains maximal donor-site muscle function and facilitates closure of the donor-site defect. We present our results in 24 patients, in whom the flap has proved to be robust and reliable. The flap's advantages in terms of increased pedicle length, wider arc of rotation, decreased pedicle bulk, and improved cosmesis of the reconstruction are discussed. 相似文献
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Deylamipour M Azarhoshangh A Karimi H 《Plastic and reconstructive surgery》2005,116(3):712-20; discussion 721-2
The internal nasal valve is the narrowest point in the nasal airway and thus is the controlling point that regulates inspiration flow. The cross-sectional area of the internal nasal valve is approximately 40 to 55 mm, and 40 to 50 percent of inspiratory resistance is attributable to internal nasal valve function. Collapse of one or both internal nasal valves can be a consequence of previous surgery, trauma, aging, or primary weakness of the upper lateral cartilage. In this study, autologous conchal cartilage was used as a splay graft for opening and reconstructing the internal nasal valve. Over 3.5 years, 31 patients (18 female patients and 13 male patients) were operated on using the splay graft. Inclusion criteria were positive Cottle sign and modified Cottle sign. Cause of collapse was previous surgery in 12 patients (38.7 percent), primary weakness in 10 patients (32.3 percent), and nasal trauma in nine patients (29 percent). After 10 to 42 months of follow-up, 80.6 percent of patients had good to excellent (stable) subjective respiratory function. There was no major morbidity or complication after surgery. Six patients complained of broadening in the middle nasal vault. 相似文献