775 results match your criteria Scandinavian journal of plastic and reconstructive surgery[Journal]


The effect of regional intravenous guanethidine block in acute frostbite. Case report.

Authors:
O Engkvist

Scand J Plast Reconstr Surg 1986 ;20(2):243-5

In the present report of a cold injury both feet showed symmetrical lesions. One foot was treated with medical sympathectomy by repeated regional intravenous guanethidine blocks, while the other foot served as control. No difference between the feet was observed with regard to pain, demarcating, healing or eventual loss of tissue. Read More

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January 1987
4 Reads

Closed dislocation of the scaphoid. A case report and review of the literature.

Scand J Plast Reconstr Surg 1986 ;20(2):239-42

A case of traumatic dislocation of the scaphoid bone treated by open reduction is reported. The bone remained vital, being nourished by a slender connection to the surrounding tissue. Experience from the few cases reported in the literature shows that closed reduction is often successful. Read More

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January 1987
5 Reads

An atypical case of lupus miliaris faciei simulating dermoid cyst: diagnostic and therapeutic difficulties. Case report.

Scand J Plast Reconstr Surg 1986 ;20(2):235-7

A case of solitary lupus miliaris disseminatus faciei simulating a dermoid cyst is reported in a 13-year-old boy. There were no abnormal biochemical parameters. The diagnostic and therapeutic difficulties involved are discussed. Read More

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January 1987
4 Reads

ECRL-strip platy for metacarpal base fixation after excision of the trapezium.

Authors:
L E Necking O Eiken

Scand J Plast Reconstr Surg 1986 ;20(2):229-33

Excision of the trapezium is always followed by instability and proximal migration of the first metacarpal base. In the present report, a modification of a previously suggested technique of metacarpal fixation is presented. The base is trapped between the APL- and FCR-tendons by means of a strip from the ECRL-tendon. Read More

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January 1987
3 Reads

Wrist denervation and compression of the lunate in Kienböck's disease.

Scand J Plast Reconstr Surg 1986 ;20(2):225-7

Thirteen wrists with Kienböck's disease, stage III or IV, were denervated. Three wrists were examined repeatedly over a period of 2 1/2 years prior to operation, showing the natural course of lunate compression. The remaining 10 wrists were operated on sooner after diagnosis and the lunate compression was compared with the natural compression course. Read More

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January 1987
11 Reads

Metacarpophalangeal joint replacement with osseointegrated endoprostheses.

Scand J Plast Reconstr Surg 1986 ;20(2):207-18

A new type of endoprosthesis for reconstruction of the metacarpophalangeal (MCP) joint has been tested. The novel arthroplasty consists of a joint mechanism with two screw-shaped fixtures for bone anchorage. These fixtures, of commercially pure titanium, are gently screwed into the anchoring bone on each side of the diseased joint, the aim being to achieve osseointegration, i. Read More

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January 1987
3 Reads

Facial disassembly for tumor resection.

Scand J Plast Reconstr Surg 1986 ;20(2):201-6

A standardized method of surgical dismantelling of the face for access to the periorbital area is described in detail. Its use in 11 patients with periorbital tumors is described and illustrated by selected case reports. It was concluded that many tumors in the periorbital area that previously were considered inoperable with craniofacial disassembling techniques can be adequately treated without sacrificing eyes or mutilating the face. Read More

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January 1987
7 Reads

Simple adaptation of Müller's muscle to the tarsal plate in congenital blepharoptosis. A preliminary report.

Scand J Plast Reconstr Surg 1986 ;20(2):197-200

Five patients with congenital blepharoptosis have undergone a simple adaptation of Müller's muscle to the tarsal plate. In two patients this led to a good postoperative result, in one to an over-correction, while two were not corrected enough. These results should stimulate further studies on the importance of Müller's muscle in congenital blepharoptosis. Read More

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January 1987
3 Reads

Anterior levator resection in congenital genuine blepharoptosis. A follow-up of 55 operated eyelids.

Scand J Plast Reconstr Surg 1986 ;20(2):189-95

Fifty-five eyelids operated on for congenital blepharoptosis over a 10-year period were followed up, with a mean observation time of seven years. Ptosis was on the right side in 12 patients, the left side in 20, and bilateral in 12. Ptosis was regarded as being slight in 32 eyelids, moderate in 10 and severe in 14. Read More

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January 1987
4 Reads

Effects of zinc oxide in an occlusive, adhesive dressing on granulation tissue formation.

Scand J Plast Reconstr Surg 1986 ;20(2):165-72

The role of zinc in an occlusive, adhesive dressing (Zn-tape) was investigated in two experiments in the rat. In the first one Zn-tape was compared with a similar tape without zinc components and also with an inert plastic coated fabric with regard to the wound inflammatory reaction in excisional wounds. In the second experiment we attempted to assess possible systemic effects of zinc absorbed from Zn-tape-treated excisional wounds by studying the granulation tissue formation in subcutaneously implanted Ivalon sponges. Read More

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January 1987
5 Reads

Effects of acetylsalicylic acid and naproxen on the mechanical and biochemical properties of intact skin in rats.

Scand J Plast Reconstr Surg 1986 ;20(2):161-3

Acetylsalicylic acid, ASA (150 mg/kg/12 h), and naproxen (20 mg/kg/12 h) were administered to young male rats for 9 and 18 days. The doses were set to provide serum concentrations comparable with anti-inflammatory steady state levels in humans. Mechanical tests were performed on skin from the back of the rats. Read More

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January 1987
3 Reads

Breast reconstruction according to pTNM: our experience.

Scand J Plast Reconstr Surg 1986 ;20(1):97-9

Reconstruction of the breast after radical mastectomy has become an integral part of the treatment and rehabilitation of the patient with breast cancer. Any variants of radical mastectomy are the mainstay of the treatment of the majority of patients with breast cancer. We prefer modified radical mastectomy according to the Madden-Auchincloss technique, because the breast reconstruction after this procedure is easier from the anatomic point of view. Read More

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December 1986
4 Reads

Anterior transposition of the latissimus dorsi muscle through minimal incisions.

Scand J Plast Reconstr Surg 1986 ;20(1):89-92

Latissimus dorsi transposition is a useful procedure for the correction of various congenital and acquired thoracic deformities. The authors describe a surgical technique which allows anterior transposition of the whole muscle through minimal incisions. The technique has been used in 33 patients with post-mastectomy or post-subcutaneous mastectomy deformities, Poland's syndrome, deep radionecrosis, quadrantectomy, or breast underdevelopment following burns. Read More

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December 1986
6 Reads

A subscapular-pubic fascio-cutaneous flap for reconstruction of the chest wall following excision to the extent of near inoperability.

Scand J Plast Reconstr Surg 1986 ;20(1):85-7

The use of an extensive fascio-cutaneous flap with skin from the thorax and abdomen, starting from the lateral and subscapular area behind the posterior axillary line and going down to the homolateral pubic and inguinal area, is described. This type of flap is used for repair of very extensive skin loss on the thorax when free grafts, the only alternative, are unsuitable because of the need for more effective and definite covering. Read More

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December 1986
2 Reads

Reconstructing chest walls with vertical abdominal fasciocutaneous flaps.

Scand J Plast Reconstr Surg 1986 ;20(1):79-83

Our experience with the vertical fasciocutaneous flap in the reconstruction of chest wall defects is described. The vascular supply of this vertical abdominal fasciocutaneous flap comes from perforating vessels stemming from superior epigastric vessels. The flap can be elevated in the same way as a standard fasciocutaneous or vascular island flap with a small part of the rectus muscle and superior epigastric vessels attached. Read More

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December 1986
6 Reads

Secondary rhinoplasty of the nasal tip and columella. The choice of cartilage grafts.

Authors:
F V Nicolle

Scand J Plast Reconstr Surg 1986 ;20(1):67-73

Aesthetic improvement of the nasal tip requires both surgical skill and artistic judgement, and is the area where post-surgical stigma may most frequently be apparent. Important aesthetic guidelines are described, and techniques which the author considers unsatisfactory are listed. A simple basic technique is recommended for routine procedures, which may then be varied according to special needs. Read More

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December 1986
12 Reads

Routine reinsertion of the hump in rhinoplasty.

Scand J Plast Reconstr Surg 1986 ;20(1):55-9

Reinsertion of the hump as a free graft, a technique based on the rhinoplasty described by Skoog, has been performed for more than 10 years in severely deviated noses to hide residual deformities of the septum after rhinoplasty. The results have been so encouraging that this technique is now routinely used in all rhinoplasties requiring a reduction of the profile. Grafting the hump after remodelling gives a natural aspect to the dorsum, especially in patients with thin skin where irregularities of sharp edges of the cut nasal bones are otherwise often seen. Read More

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December 1986
6 Reads

The Abbe flap converted to an island flap.

Authors:
H Holmström

Scand J Plast Reconstr Surg 1986 ;20(1):51-4

A modification of the Abbe flap is described. The pedicle is cut all around the vermilion leaving only a muscle cuff with the nutrient labial vessels. This increases the flexibility of the Abbe flap without reducing its viability. Read More

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December 1986
6 Reads

Cleft palate in diastrophic dysplasia. Morphology, results of treatment and complications.

Scand J Plast Reconstr Surg 1986 ;20(1):45-9

Forty-one of 95 Finnish patients (43%) with diastrophic dysplasia had open cleft palate (CP). Submucous CP or its microforms were observed in an additional 30 patients (32%). Even though most of the patients have micrognathia, the high frequency of submucous clefts speaks against the role of the interposed tongue in the pathogenesis of CP in the Pierre Robin sequence. Read More

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December 1986
6 Reads

Reconstruction of cleft maxilla with periosteoplasty.

Authors:
A Massei

Scand J Plast Reconstr Surg 1986 ;20(1):41-4

The principle of gnatoplasty using local periosteal flaps according to Skoog is employed, but an essential modification in reconstructing the cleft maxilla is suggested. The periosteum of the anterior aspect of the maxilla is transferred as an island flap instead of using it as a precarious pedicle flap. The island flap is based on the cheek tissues lying over the periosteum, thereby including the insertions of the mimic muscles. Read More

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December 1986
3 Reads

Hereditary congenital facial paralysis.

Scand J Plast Reconstr Surg 1986 ;20(1):37-9

Hereditary congenital facial paralysis is rare. This paper presents a pedigree of four generations of a family of about 100 members, nine of whom suffer from congenital facial paresis, three with impaired hearing, and three with both facial paresis and impaired hearing. Heredity is dominant with reduced penetrance. Read More

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December 1986
3 Reads

Three dimensional imaging in medicine. A critique by surgeons.

Authors:
P Tessier D Hemmy

Scand J Plast Reconstr Surg 1986 ;20(1):3-11

Three dimensional reconstruction of CT scan data is available to surgeons. The authors discuss the relative merits and disadvantages of this new method of presentation of anatomical data. Recommendations are made for future development and implementation. Read More

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December 1986
3 Reads

Thermographic assessment of perforating arteries. A preoperative screening method for fasciocutaneous and musculocutaneous flaps.

Scand J Plast Reconstr Surg 1986 ;20(1):25-9

Pre-operative localization of the involved perforating arteries in the planning of musculocutaneous or fasciocutaneous flaps may lead to a higher survival rate of the whole skin island. This in particular will be of importance in donor areas with changed haemodynamics. A noninvasive method is described for the accurate preoperative localization of the perforating arteries of the trunk and extremities; a method which causes minimal discomfort to the patient, but which will help in preparing for a successful operation. Read More

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December 1986
2 Reads

Summary of carbon dioxide laser usage in plastic surgery.

Authors:
D B Apfelberg

Scand J Plast Reconstr Surg 1986 ;20(1):19-24

Pathophysiology and clinical usage of the carbon dioxide laser is reviewed. The unique light is capable of relatively bloodless excision when finely focused or vaporization and cautery when defocused. Malignant and infectious lesions can be resected and sterilized by the laser's heat. Read More

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December 1986
4 Reads

Reconstruction of the thenar muscles by microsurgery.

Authors:
A Berger

Scand J Plast Reconstr Surg 1986 ;20(1):153-5

During the last four years 16 toe transfers have been performed at our Plastic and Reconstructive Surgical Clinic in Hannover. In three cases of complete loss of the thenar muscles and the thumb, additional muscle reconstruction for opposition and adduction was considered. The method used in these cases will be described. Read More

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December 1986
3 Reads

Trends in conservative clitoroplasty.

Scand J Plast Reconstr Surg 1986 ;20(1):147-52

The authors present their trends in conservative clitoroplasty on the basis of 27 cases from January 1980 to August 1985. The technique described preserves as much of clitoral tissue as possible, and gives safe and very satisfying morpho-functional results regardless of the virilization degree. Preserved skin of clitoral shaft and of the foreskin is used to reconstruct labia minora. Read More

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December 1986
8 Reads

A microsurgical method for reconstruction of interrupted lymphatic pathways: autologous lymph-vessel transplantation for treatment of lymphedemas.

Scand J Plast Reconstr Surg 1986 ;20(1):141-6

Refinements in microsurgery have made it possible to perform causal therapy on lymphedemas due to a local blockade of lymphatic pathways through transplantation of the patient's lymph collectors. End-to-end anastomoses with lymphatics before and after the blockade or crossing to the opposite side are performed under 40-fold magnification. Between July 1980 and February 1985 32 patients received this treatment. Read More

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December 1986
7 Reads

Soft tissue reconstruction of the anterior surface of the lower leg in burn patients using a free latissimus dorsi muscle flap.

Scand J Plast Reconstr Surg 1986 ;20(1):137-40

The primary treatment of extensive, deep 3 degrees burn injuries of the lower leg can lead to adhesion of the split-thickness graft with the anterior tibial shaft. Chronic recurring defects with correlative soft-tissue infection can be the consequences, which complicate the patient's rehabilitation. In most cases large defects are involved, so that the secondary reconstructive measures must be planned on accordingly generous scale. Read More

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December 1986
2 Reads

The distal pedicle fascia flap of the leg.

Scand J Plast Reconstr Surg 1986 ;20(1):133-6

An anatomical study was undertaken in order to obtain data on the vascularity of the posterior fascia of the leg. Injection studies revealed there to be three "distal" pedicles; one between the peroneal and soleus muscles, emerging 10-15 cm above the lateral malleolus and two other, smaller ones, 5 cm above the medial and lateral malleolus. Clinical experience included seven cases: five with trauma and two with varicose ulcers. Read More

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December 1986
5 Reads

The need for skin and muscle saving techniques in the repair of decubitus ulcers. A consecutive series of 72 patients and 100 ulcers over 5 years (1979/1984). A case report.

Authors:
C Kauer G Sonsino

Scand J Plast Reconstr Surg 1986 ;20(1):129-31

The authors report on a consecutive series of 72 patients during the period 1979-1984 presenting 100 important decubitus ulcers with a follow-up of at least one year. The repair of decubitus ulcers in paraplegic patients often requires a prolonged stay in hospital and multiple operations, since the lesions are frequently multiple. Local and general conditions make it imperative for the surgeon to choose a safe technique, with minimal tissue damage and above all leaving enough healthy skin and muscle for possible future repairs, especially in paraplegic patients. Read More

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December 1986
4 Reads

Surgical treatment of pressure sores in paraplegics and possible prevention of their recurrence.

Authors:
H Reichert

Scand J Plast Reconstr Surg 1986 ;20(1):125-7

The surgical treatment of pressure sores in paraplegics was, and still is, a very difficult and not at all solved problem, since these necrotic ulcers are not caused by any disease of the local tissue, but by lack of sensibility due to interruption of the spinal cord at a much higher level. For this reason all our efforts must be aimed at attaining two goals. First, we must replace the pressure sore by a supple, well-nourished cushion of soft tissue, which can support the weight of the body for a limited period of time. Read More

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December 1986
2 Reads

Giant incisional hernias closed with polypropylene mesh.

Scand J Plast Reconstr Surg 1986 ;20(1):119-21

Giant incisional hernias are treated in many different ways involving risks and various degrees of mutilation. We prefer the use of polypropylene mesh (PPM) which is manufactured as Prolene or Marlex mesh. It is easy to handle, has great tensile strength and produces minimum tissue reaction. Read More

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December 1986
4 Reads

Dermal-fat flaps in the treatment of large post-incisional hernias ("cross-over flap" technique).

Scand J Plast Reconstr Surg 1986 ;20(1):115-7

The use of dermal fat flaps or "cross-over" flap offers unquestionable advantages, even when compared with free dermal grafts. An excellent aesthetic appearance is achieved, dut to the very low incisional line. Nor does this technique leave scars in other parts of the body. Read More

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December 1986
3 Reads

A prospective study of psychiatric and psychosocial sequelae of bilateral subcutaneous mastectomy.

Authors:
L Meyer A Ringberg

Scand J Plast Reconstr Surg 1986 ;20(1):101-7

Short- and long-term adaptation (two months and one year respectively) to bilateral subcutaneous mastectomy was studied in twenty-five consecutive patients operated upon at the Department of Plastic and Reconstructive Surgery, Malmö, Sweden. The results were related to preoperative personality and psychosocial profiles. Postoperative difficulties in accepting the surgical result, sexual dysfunctions and mental reactions with depression and anxiety were observed. Read More

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December 1986
3 Reads

Multiple craniofacial surgical interventions during 25 years of follow-up in a case of giant fibrous dysplasia. Case report.

Scand J Plast Reconstr Surg 1986 ;20(3):327-30

Fibrous dysplasia may affect the jaws as a monostotic lesion which most often ceases to be active at the end of normal bone growth. In some cases there is no stabilization on completion of normal skeletal growth. This may lead to severe malformation and functional disturbance to the face. Read More

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June 1987
2 Reads

Acral lentiginous malignant melanoma. Case report.

Scand J Plast Reconstr Surg 1986 ;20(3):323-6

We present a case of a regressing acral lentiginous malignant melanoma of the sole with metastases en route and to regional lymph nodes. The histological findings at the primary site were classed as Clark's level I, stressing the difficulty in diagnosing this type of tumours early enough for effective treatment. Read More

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June 1987
3 Reads

Microsurgical replantation of a total scalp avulsion. Case report.

Authors:
I Fogdestam J Lilja

Scand J Plast Reconstr Surg 1986 ;20(3):319-22

In June 1982, a 9-year-old girl sustained a total scalp avulsion including the entire right eyebrow, the upper third of the skin of the dorsum of the nose and the medial half of the left eyebrow. On both sides the temporal skin was included and in the neck a border of just 1 cm of hairbearing area was left intact. The scalp was successfully replanted. Read More

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June 1987
8 Reads

Reconstruction of shoulder and arm defects using the latissimus dorsi myocutaneous flap. A report of five cases.

Scand J Plast Reconstr Surg 1986 ;20(3):307-11

Five patients with extensive traumatic shoulder and arm defects in whom successful repair with the latissimus dorsi island myocutaneous flap are presented. The ease and speed of elevation of the flap, its wide skin surface, large size, and long pedicle make it an ideal flap for reconstruction of such defects. Read More

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June 1987
4 Reads

Reduction mammoplasty: results of preoperative mammography and patient inquiry.

Scand J Plast Reconstr Surg 1986 ;20(3):303-5

Reduction mammoplasty was performed on 273 patients for cosmetic or psychological reasons, or owing to inconvenience, such as back pain. In 159 patients both a preoperative mammography and a morphological examination of the specimen was performed and the results compared. Three patients with cancer were found. Read More

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June 1987
3 Reads

Thumb replantation or not?

Scand J Plast Reconstr Surg 1986 ;20(3):293-5

Over a three-year period 14 consecutive cases of amputated thumbs, 10 complete and 4 incomplete, were replanted/revascularized. Eight thumbs (57%) survived. These cases were compared with a control group, in which replantation had failed or had not been attempted. Read More

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June 1987
5 Reads

Non-union of the scaphoid treated with styloidectomy and compression screw fixation.

Scand J Plast Reconstr Surg 1986 ;20(3):289-91

17 patients were re-examined 13 to 19 years (mean 16 years) after operation for non-union of the scaphoid. A standardized method including styloidectomy and compression screw fixation according to McLaughlin was used. The mean interval between trauma and operation was 34 months. Read More

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June 1987
4 Reads

Flap coverage for post-traumatic nerve pain in the arm.

Scand J Plast Reconstr Surg 1986 ;20(3):285-8

14 patients with painful neuroma, skin hyperesthesia or neuralgic rest pain were followed up (mean 20 months) after excision of skin and scar, neurolysis and coverage with pedicled or free flaps. Painful neuroma had improved in 3 of 7 patients. Skin hyperesthesia had been eliminated in 8 of 11 patients, and had improved in 3. Read More

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June 1987
3 Reads

Blood supply of transected rabbit peripheral nerve after end-to-end suture or autogenous grafting. A microangiographic study.

Authors:
A J Radek

Scand J Plast Reconstr Surg 1986 ;20(3):273-7

The blood supply to the reconstructed peripheral nerve is one of the most significant factors for adequate regeneration and functional recovery. Experiments were performed to compare the revascularization of the tibial nerve of the rabbit following classical end-to-end anastomosis and autogenous nerve grafting. The animals were divided into two groups and from each animal a 1. Read More

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June 1987
2 Reads

Experimental laryngeal reconstruction with preformed composite graft.

Authors:
L Ohlsén U Nordin

Scand J Plast Reconstr Surg 1986 ;20(3):259-71

The use of perichondrial grafts for reconstruction of the thyroid cartilage of the larynx was studied in two series of rabbits. In the first pilot study the thyroid cartilage was replaced by a cartilage performed by the neochondrogenic effect of an auricular perichondrial graft set into the defect on a subcutaneous flap. When this transplantation technique proved successful, another series was performed where a laryngeal defect of the thyroid cartilage and the underlying mucosa were replaced by a preformed composite graft. Read More

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June 1987
3 Reads

The free scapular flap. An alternative to conventional flaps on the upper extremity.

Authors:
J Holmberg L Ekerot

Scand J Plast Reconstr Surg 1986 ;20(2):219-23

The free scapular flap was used as an alternative to a conventional pedicle flap in resurfacing scarred areas and padding major nerve trunks on the upper extremities in a series of 8 patients. The free flap proved to be rather reliable (one failure), convenient to the patients and cheaper for the Health Service than a conventional flap. Read More

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January 1987
3 Reads

The regeneration of adrenergic nerves in a free microvascular groin flap in the rat.

Authors:
T Lähteenmäki

Scand J Plast Reconstr Surg 1986 ;20(2):183-8

The regeneration of adrenergic nerves in free microvascular groin flaps in the rat was investigated. The adrenergic nerves were revealed with glyoxylic acid-induced fluorescence and with formaldehyde-induced fluorescence methods. In the control specimens taken from the contralateral groin, adrenergic nerves were seen in the erector pili muscles and as networks around arteries and arterioles. Read More

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January 1987
6 Reads

Clinical experience and complications with fasciocutaneous flaps.

Authors:
D E Tolhurst

Scand J Plast Reconstr Surg 1986 ;20(1):75-8

Our experience over the last 5 years with fasciocutaneous flaps in various areas of the body is described. Flap complications and special variations of the fasciocutaneous principle are discussed. Observations on our imperfect knowledge of the blood supply of the skin and deep fascia have been made and relevant experimental work briefly outlined. Read More

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December 1986
6 Reads

The subcutaneous tissue flap and the misconception of fasciocutaneous flaps.

Scand J Plast Reconstr Surg 1986 ;20(1):61-5

The authors report an anatomical study on the vascularisation of the subcutaneous tissue, which is an anatomical entity with a very rich vascular network. This leads to the concept of an original flap and suggests a modification of the concept of the fasciocutaneous flap. Read More

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December 1986
8 Reads

Quantification of texture match of the skin graft: function and morphology of the stratum corneum.

Authors:
K Inoue K Matsumoto

Scand J Plast Reconstr Surg 1986 ;20(1):31-5

In an attempt to analyze the "texture match" of grafted skin, functional and morphological aspects of the stratum corneum were studied using the Skin Surface Hydrometer (IBS Inc.) and the scanning electron microscope. The results showed that hygroscopicity and water holding capacity of the stratum corneum played a crucial role in making the skin surface soft and smooth. Read More

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December 1986
2 Reads

Bacteriological investigation of secretory otitis media in children with cleft palate.

Scand J Plast Reconstr Surg 1986 ;20(3):297-302

Altogether 92 middle ear effusion samples from 89 children with cleft (lip) palate and secretory otitis media aged from two months to 15 years were cultured and analyzed bacteriologically. Known middle ear pathogens were isolated from 49 (53%), these accounted for 68% of all positive cultures. The frequency of occurrence of middle ear pathogens was significantly higher in the age group younger than 36 months. Read More

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June 1987
3 Reads