Showing papers in "British Journal of Plastic Surgery in 1991"

TL;DR: A method of elevating and rotating a flap, like a propeller, for the release of scar contractures in the cubital and axillary regions and this flap may be applied to the flexor side in other regions, for example the groin, popliteal fossa and fingers where burn contractures are common.

TL;DR: The anterolateral thigh flap is one of the septocutaneous flaps in the thigh and the surgical anatomy of the flap and clinical experience are presented.

TL;DR: Adverse capsular contracture (Baker grades 3 and 4) was found in 28 breasts augmented with smooth surface implants and in 4 breasts in the textured surface implant group, which indicates a reduction in adverse contracture usingtextured surface implants.

TL;DR: Preoperative non-surgical over-correction for cleft lip nasal deformity of incomplete and complete cleft lips with a Simonart's band is performed.

TL;DR: Evidence is presented which suggests that proteins associated with hyaluronan may be more critical determinants of tissue remodelling in development, growth and wound healing.

TL;DR: Six cases of complicated dorsal skin defects of hands and two in fingers were successfully resurfaced with local adipofascial turn-over flaps and the width of the attached base was 1.0 to 1.5cm in hands and 0.5 cm in fingers.

TL;DR: A 6-year retrospective series of 133 abdominoplasties was studied and type and incidence of complications are presented and subjective patient satisfaction was nearly 90%.

TL;DR: 43 microvascular procedures were performed in 38 children, (age limit 15 years) over a three year period, and the overall vascular success rate was 93%, confirming previous reports.

TL;DR: It is found that mechanical stress accelerates wound healing by producing stronger and more organised scars, however, at the expense of scar stretching.

TL;DR: Local adipofascial turn-over flaps with skin grafts were successfully used to reconstruct complicated skin defects over the dorsum of the foot in 7 patients and a new concept of base-to-flap area ratio is proposed to predict the survival of the turn- over flaps in addition to the conventional base- to-length ratio.

TL;DR: A series of 55 second toe to long finger transfers in 42 patients are reviewed, finding the mobility is influenced by dominance, amputation score, ischaemic time, number of arteries, level of amputation and compensation injury.

TL;DR: The rates of epithelialisation, the discomfort experienced by the patients and the convenience of the dressings in clinical use were compared, and the rapid healing associated with the hydrocolloid dressing was thought to be of greatest benefit to inpatients.

TL;DR: The application of angiogenic factors may improve the survival of the random portion of skin flaps and to accelerate the process of staged flap transfer in Sprague-Dawley rats.

TL;DR: This paper describes and discusses some of the clinical applications of the posterior interosseous forearm flap in hand reconstruction, including the fact that larger areas of skin than previously reported can be used safely.

TL;DR: The results show that local anaesthetic solution injected at body temperature produces significantly less pain than local anaesthetics injected at room temperature.

TL;DR: This surgical procedure provides a good cortico-cancellous bony segment and a separate skin flap and considers segmental reconstruction of the mandibular body to be one of the best indications for the flap.

TL;DR: In the authors' experience, this technique offers certain advantages and has fewer complications than subperiosteal lifting, allowing natural and harmonious rejuvenation of the upper two-thirds of the face, leaving no sequelae other than the coronal scar which is concealed in the scalp.

TL;DR: Reconstructions with autologous tissue are currently replacing latissimus dorsi flap reconstructions unless local or general conditions contraindicate such major surgery or when the patient lacks motivation.

TL;DR: A series of 106 microvascular transplants performed in paediatric patients between 1973 and 1989 were reported in this paper, where 80% of these flaps were successful and only two failed flaps (1.9%) were lost because of small vessel size.

TL;DR: It is demonstrated that hypertrophic scarring occurs in areas of high tension with "pull" in many directions, but that a stretched scar results from increased tension in one axis only.

TL;DR: Normal skin extensibility in the living body of 94 healthy male subjects ranging in age from 3 months to 73 years was determined quantitatively with the Bio-Skin Tension Meter, and correlation by age was noted at the extremities.

TL;DR: A 30-year-old farmer with Nezelof's syndrome developed a giant orf on his hand that defied repeated excisions, and various medical therapies including idoxuridine, interferon and transfer factor.

TL;DR: The technical refinement consists in designing the skin flap more proximally on the lateral aspect of the leg, and mobilising it on its vascular fascio-subcutaneous pedicle for covering more distal skin defects of the lower extremity.

TL;DR: This flap has a larger skin territory than those previously reported and the incorporation of bone into such a flap has not been reported before.

TL;DR: Based on the concept that an arterio-venous shunt results in sufficient neovascularisation to support a free flap, a rabbit model was used to investigate the characteristics of these flaps, and angiograms showed a very rich neov vascularisation within the prefabricated flap.

TL;DR: A modification of the scapular free flap has been developed using the medial ridge of theScapula, providing abundant hairless skin and soft tissue, adequate bone for mandibular reconstruction, and a primarily closed asymptomatic and inconspicuous donor site.

TL;DR: Pulse oximeters provide an improved photoplethysmographic monitoring technique which is easily performed using completely standard operating theatre equipment and can be used for monitoring free muscle transfers.

TL;DR: Scarlet red was shown to be significantly better than Kaltostat in the healing of split thickness skin graft donor sites when assessed at 10 days (p less than 0.04).

TL;DR: On the basis of these anatomical findings, a functionally satisfactory reconstructive procedure was designed to close skin defects of the forehead of up to 6 cm in diameter, by raising innervated musculocutaneous local flaps.

TL;DR: It appears from electromyographic studies that continuing innervation and activity can occur in these grafts for many years postoperatively, and some lessons learned from this experience are discussed.