What's new in plastic surgery

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Veröffentlicht: Philadelphia [u.a.] Saunders 1996
Schriftenreihe:Clinics in plastic surgery 23,1
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adam_text r WHAT S NEW IN PLASTIC SURGERY CONTENTS Preface xiii Mutaz B. Habal Perspectives on What s New in Plastic Surgery: The New Millennium 1 Mutaz B. Habal The next millennium will witness the most exciting advances in the field of plastic surgery. Some of these advances are already here today whereas others are just starting to surface. These include soft tissue and bone reconstruction, tissue engineering, gene therapy, microsurgery, and fetal surgery to name just a few. Petal wound healing may become a major part of intervention for correction of certain birth defects. Plastic surgery will continue to work with other specialities to solve clinical problems. Innovative techniques and other modalities will continue to rise in plastic surgery. What s New in Aesthetic Surgery 3 Tracy M. Baker, James M. Stuzin, Thomas J. Baker, and Howard L. Gordon This article describes new trends, techniques, and instrumentation in aes¬ thetic surgery. Advances in our understanding of anatomy and the changes that come about with intrinsic and extrinsic factors are discussed. Specifically, anatomic approaches to rhytidectomy, the preservation of lid shape in blepharoplasty, and CO2 facial resurfacing are highlighted. Body contouring surgical techniques, including minimal scar breast reductions, endoscopic assisted augmentation mammoplasty, and superficial liposuc tion, are reviewed. The Role of Orbital Fat Preservation in Facial Aesthetic Surgery: A New Concept 17 Sam T. Hamra Lower eyelid fat should be preserved in rejuvenation procedures of the eyelids and face. The removal of lower eyelid fat in conventional blepharo¬ plasty techniques frequently results in an operated appearance of a hol¬ lowed lower eyelid. The combination of arcus marginalis release and CLINICS IN PLASTIC SURGERY VOLUME 23 • NUMBER 1 • JANUARY 19% vii preservation of the orbital fat and repositioning the fat over the orbital rim creates a more youthful contour of the eyelid cheek complex. Lasers in Aesthetic Surgery 29 Gary J. Rosenberg and Richard O. Gregory The use of lasers in aesthetic surgery is reviewed. An in depth review of laser physics that will allow the surgeon to make better decisions in the practical use of the laser is provided. Also presented is a comprehensive analysis of the mechanics and applications of currently available medical lasers, as well as a detailed discussion of the use of lasers in tattoo removal, skin resurfacing, and blepharoplasty. Alpha Hydroxy Acids in Skin Care 49 Clifford P. Clark III Skin care with alpha hydroxy acids (AHAs) is another facet of facial rejuvenation. Photoaging, acne, and melasma are common clinical prob¬ lems that are treated successfully by AHAs when they are part of the treatment protocol. Review of the chemistry, mechanism of action, clinical strategies, and complications of AHAs provides a scientific approach to the incorporation of AHAs into clinical practice. Addressing Difficult Areas in Body Contouring with Emphasis on Combined Tumescent and Syringe Techniques 57 Joseph P. Hunstad The combined use of the tumescent and syringe techniques is a logical choice in addressing difficult areas in body contouring. Each technique complements the other. The magnification of the deformity by the tumes¬ cent technique allows for a more uniform and accurate contour correction. The syringe technique provides precision and accuracy that further con¬ tribute to body contouring refinement. The combined use of the tumescent and syringe techniques has allowed greater refinement and precision in achieving satisfactory body contouring and in minimizing complications associated with traditional techniques. The Residual Cleft Lip Nasal Deformity: An Anatomic Approach 81 William Rifley and Seth R. Thaller The cleft lip nasal deformity presents an extremely challenging problem for the reconstructive surgeon. Consistent satisfactory results have been difficult to attain. This article demonstrates that by obtaining sufficient exposure, each abnormal component can be identified and appropriately reconstructed. Bone Repair by Regeneration 93 Mutaz B. Habal New bone formation has always captured the imagination and attention of bone surgeons. First, closing a defect was studied, followed by creating a defect and closing it surgically. Regeneration of bone is scientifically sound and is achieved by distraction, stretching, or induction. Bone heal¬ ing enhancers in the form of bioactive bone substitutes that can crystallize already have been used. Bone grafts continue to be the workhorse of all skeletal repairs. viii CONTENTS Toe to Hand Transfer: Current Concepts, Techniques, and Research 103 Fu Chan Wei and Tarek Abdalla El Gammal The current status of toe to hand transfer at the Chang Gung Memorial Hospital is presented. Various combinations of toe to hand transfers have been used routinely for reconstruction of lost digits as well as parts of the digits distal to the sublimis insertion. Early, one stage reconstruction is recommended in patients with clean wounds when replantation is not feasible. The decision of which technique to be used in certain patients is highly individualized. Technical refinements have been introduced aimed at simplifying the technique of toe harvesting and improving the function and appearance of the reconstructed digits as well as donor sites. Aggres ; sive motor rehabilitation and sensory re education are essential for optimal functional recovery. Current research projects involve evaluation of pa¬ tients using the computerized work simulator, gait analysis, and somato sensory evoked potentials. Morphometric studies of the digital nerves in the fingers and toes have been performed to determine the effect of neurotization upon the degree of sensory recovery. Microleaps in the Progression of Flaps and Grafts 117 Geoffrey G. Hallock No momentous upheavals in the past decade have altered radically the knowledge or application of flaps and grafts, but microleaps in slow and steady increments have ensured a continuum of progress. Fasciocuta neous flaps, owing to an intimate relationship with the superficial nerves, may be neurocutaneous flaps in disguise. Distal based flaps that recruit orthograde circulation may be made even more reliable for extremity coverage in lieu of complex microsurgical techniques. As success at the recipient site has now become so routine, further outcome improvement has been directed toward enhancing the appearance and residual function at the previously neglected donor site. The future of plastic surgery will continue to parallel advances in the principles of flaps, constrained only by the boundaries of imagination. Pediatric Plastic Surgery 139 A. Michael Sadove and Barry L. Eppley Pediatric plastic surgery has seen widespread advances during the past decade. These have been primarily in the biologic understanding of certain disease processes as well as in diagnostic and therapeutic technologies. These advances have contributed to a potential new array of treatment options for congenital deformities and traumatic injuries. This review identifies several of the most significant new trends and treatment con¬ cepts in pediatric plastic surgery from anesthesia to wound healing. Gene Therapy for Plastic and Reconstructive Surgery 157 Saleh M. Shenaq and Eric D. Rabinovsky Gene therapy is defined broadly as the transfer of DNA into somatic cells for therapeutic purposes. This technology will have an immense effect on plastic and reconstructive surgery in terms of wound healing, nerve repair, and vessel thrombosis. This review focuses on the factors and mechanisms involved in these processes and on the potential of using gene therapy in these areas for future applications in plastic surgery. CONTENTS ix Plastic Surgery Research 173 W. Thomas Lawrence and Albert J. Banes Significant advances have been made in the area of tissue engineering, gene transfer, cytokines, keloids, nerve repair biology, reperfusion injury, the physiologic response to silicone implants, virtual surgery, and out¬ comes, all of which will undoubtably affect plastic surgery clinical prac¬ tices in the near future. Plastic Surgery s Plastics 183 Douglas K. Ousterhout and Eric J. Stelnicki Alloplastic materials have become an essential part of reconstructing the craniofacial skeleton. This article reviews several of the more commonly used implant materials and summarizes their mechanical properties and use in reconstructive surgery. Index 191 Subscription Information Inside back cover X CONTENTS
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series2 Clinics in plastic surgery
spelling What's new in plastic surgery Mutaz B. Habal guest ed.
Philadelphia [u.a.] Saunders 1996
X, 194 S. zahlr. Ill., graph. Darst.
txt rdacontent
n rdamedia
nc rdacarrier
Clinics in plastic surgery 23,1
Chirurgie plastique
Malformations
Plastische chirurgie gtt
Abnormalities
Surgery, Plastic
Plastische Chirurgie (DE-588)4046280-8 gnd rswk-swf
(DE-588)4143413-4 Aufsatzsammlung gnd-content
Plastische Chirurgie (DE-588)4046280-8 s
DE-604
Habal, Mutaz B. Sonstige oth
Clinics in plastic surgery 23,1 (DE-604)BV000003656 23,1
HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007110119&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis
spellingShingle What's new in plastic surgery
Clinics in plastic surgery
Chirurgie plastique
Malformations
Plastische chirurgie gtt
Abnormalities
Surgery, Plastic
Plastische Chirurgie (DE-588)4046280-8 gnd
subject_GND (DE-588)4046280-8
(DE-588)4143413-4
title What's new in plastic surgery
title_auth What's new in plastic surgery
title_exact_search What's new in plastic surgery
title_full What's new in plastic surgery Mutaz B. Habal guest ed.
title_fullStr What's new in plastic surgery Mutaz B. Habal guest ed.
title_full_unstemmed What's new in plastic surgery Mutaz B. Habal guest ed.
title_short What's new in plastic surgery
title_sort what s new in plastic surgery
topic Chirurgie plastique
Malformations
Plastische chirurgie gtt
Abnormalities
Surgery, Plastic
Plastische Chirurgie (DE-588)4046280-8 gnd
topic_facet Chirurgie plastique
Malformations
Plastische chirurgie
Abnormalities
Surgery, Plastic
Plastische Chirurgie
Aufsatzsammlung
url http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007110119&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA
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