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At least 73 records · Page 4Linked to original sources
PubMed2001

New directions in plastic surgery research.

Plastic surgery research affords tremendous opportunities in a variety of affluent mode systems. Only recently have researchers applied molecular biologic techniques to common plastic surgery problems. For example, investigating the fundamental biomolecular mechanisms of normal palate and cranial suture morphogenesis will improve the understanding of the etiopathogenesis of CLP and craniosynostosis and facilitate the development of biologically-based interventions. Furthermore, as interdisciplinary collaborations improve, surgeons can expect to see remarkable progress in de novo tissue synthesis, replacement, and repair. Ultimately, they may one day find that gene-modified endogenous tissue engineering will succeed today's biocompatible scaffolds and allogeneic or zenogeneic replacement strategies. In general, plastic surgeons can look forward to the development of highly effective biomolecular treatments for clinical problems such as complex wound repair, prolific scarring, bone deficits (or surpluses), and organ system replacement or repair. Researchers believe that biologically-based strategies like these will be combined with technical advances that harness minimally invasive approaches. Together, clinicians expect these new tactics will reduce morbidity and improve the results of clinical problems treated by plastic surgeons.

Animals↗
PubMed1987

Deformities following reconstructive plastic surgery.

Reconstructive plastic surgery provides a surgical solution for congenital and acquired abnormalities. Donor site distortions may occur and recipient sites will be adversely affected as a result of contraction in the wound healing process. Some of the operations illustrated here had inadequate indications. The surgical approach was wrong and its performance poor, in that the possibility of undesired results was not fully anticipated. This article presents eight cases in which healing deformities resulted and illustrates some of the procedures used to correct them.

Adolescent↗
PubMed2002

[The plastic surgery department].

Plastic surgery associates reconstructive and aesthetic surgery, as these are complementary and cannot be dissociated. Modern techniques in reconstructive surgery include grafts and flap transfers. Our team does 4500 consultations and 750 operations per year, out of which a large proportion of complex reconstructions. In order to treat very various diseases, strong collaborations exist with several units such as orthopaedics, ENT, maxillofacial surgery, neurosurgery, ophthal-mology, gynaecology, and dermatology.

Belgium↗
PubMed1991

Reducing the need for intubation in plastic surgery.

Many plastic surgery procedures that have traditionally been performed under general endotracheal anesthesia may safely be undertaken using a ketamine-based intravenous sedation technique. General endotracheal anesthesia has many drawbacks, including lack of patient acceptance. Ketamine-based intravenous sedation technique includes the following steps: 1. The patient is placed in a dissociated state using sedative and narcotic agents accompanied by a subanesthetic dose (0.5 mg/kg) of ketamine. 2. A dilute local anesthetic solution (0.25% lidocaine with 1:2,000,000 epinephrine) is infiltrated into the involved tissues to provide anesthesia and hemostasis. 3. The patient is maintained in a tranquil state throughout the procedure by periodic titration of additional doses of sedative and narcotic agents. Advantages of the technique include reducing the need for intubation and its associated hazards, dramatically decreased blood loss due to use of dilute epinephrine solution, reduced recovery time, ability of patients to respond to commands during surgery, avoidance of positioning injuries and increased rapport between patient, surgeon and anesthetist. Disadvantages include respiratory depression and potential for hypoxia. Dissociative intravenous sedation combined with dilute local anesthetic provides a useful addition to the anesthetist's armamentarium.

Anesthesia, Endotracheal↗
PubMed2000

[Aspects of quality assurance in plastic surgery. Subjective well-being and satisfaction of 420 plastic surgery patients with preoperative counseling, surgical intervention and after-care].

The aim of quality assurance should be the improvement of medical treatment. Beside quality assurance measures, which are mainly based on clinical parameters and medical ratings, subjective opinions of patients gain more and more in importance. In the present study results of an inquiry of 420 plastic-surgical patients with preoperative consultation, plastic surgery, and postoperative consultation are shown. The priority weakness on the wards was a high dissatisfaction of the patients with the lounges, the sanitary facilities, equipment and size of the rooms. Information about treatment after discharge was often not quickly and completely passed on, besides, there was in many cases a delay in the recommended physiotherapy after discharge. As a consequence of this study, improvements based on the results shown are required.

Adolescent↗
PubMed1994

The psychology of aesthetic plastic surgery.

Aesthetic plastic surgery and psychology are closely linked, as the aesthetic plastic surgeon is dealing with people's emotional, psychological, and social needs and aspirations. This article presents an overview of the relationship between the two professional disciplines. The minority of patients with psychiatric or psychological problems is described, and their treatment is considered in relation to both disciplines. We then move on to discuss the psychological and social issues that underlie mainstream aesthetic surgery in the context of the psychological theory of stigma. The role of the psychologist within aesthetic surgery is discussed.

Adaptation, Psychological↗
PubMed1999

Functional and esthetic outcome enhancement of periodontal surgery by application of plastic surgery principles.

The closure of surgical wounds in a layer-by-layer fashion, a common principle of plastic surgery, is applied in this article to the field of periodontal surgery with the introduction of a new flap design. The suggested technique is indicated with all periodontal procedures that aim for hard and soft tissue augmentation (guided bone regeneration, mucogingival surgery, or plastic periodontal surgery) where passive, tension-free wound closure is fundamental for wound healing and a successful functional and esthetic outcome. By means of a series of incisions, buccal and lingual flaps are split several times; this results in a double-partial thickness flap and a coronally positioned palatal sliding flap, respectively. Thus, several tissue layers are obtained and the passive advancement of flaps becomes possible for the coverage of augmented areas. Wound closure with microsurgical suture material is accomplished in a multilayer approach, which ensures adaptation and closure of the outer tissue layers without any tension. Two case reports demonstrate the new plastic periodontal approach.

Esthetics, Dental↗
PubMed2001

Fires and burns during plastic surgery.

Many plastic surgery procedures are performed under local anethesia. When the procedure involves the head and neck, oxygen is perilously close to the surgical field. A thorough understanding of the fire triangle will allow the plastic surgeon to develop a routine that will avoid any risk of fire. The fire triangle consists of a heat source, a fuel, and an oxidizer. By removing one component of the fire triangle, the risk of fire is averted. An in-depth look at each component is needed because fire hazards involve some surprising sources.

Burns↗