ABSTRACT
Important advances have been made in the reconstruction of myelomeningocele during the last few years. Techniques of closure that use diverse tissues available in the back range from very simple to very complex. Most of them have become essential to the plastic surgeon. To facilitate a more efficient interdisciplinary approach, recent advances in knowledge of the vascular anatomy of the skin and specific clinical surgical considerations concerning skin grafts, cutaneous flaps, and musculocutaneous flaps are reviewed. A topographical division of the lesion that will permit a methodologically adequate treatment plan for congenital defects in the back, specifically in the thoracic, thoracolumbar, and lumbosacral regions is suggested.
Subject(s)
Meningomyelocele/surgery , Humans , Lumbar Vertebrae , Meningomyelocele/classification , Meningomyelocele/pathology , Muscle, Skeletal/transplantation , Patient Care Planning , Plastic Surgery Procedures , Sacrum , Skin/blood supply , Skin Transplantation , Surgical Flaps , Thoracic VertebraeABSTRACT
The plastic surgeon must frequently deal with the aesthetic repair of cleft earlobe deformities. Many techniques have been described, each claiming to achieve the best results. In this review of the literature, we discuss the various operations for the treatment of this condition. A classification of the traumatic earlobe clefts is proposed, and some basic principles for surgical treatment are suggested.
Subject(s)
Ear Deformities, Acquired/surgery , Ear, External/surgery , Ear Deformities, Acquired/etiology , Humans , MethodsABSTRACT
The Daguerreotype is an integral part of modern history as artifact and witness to great events and forms the basis on which the first surgical photograph of an amputation was taken in North America, during the Mexican-American War between 1846 and 1847; however, its photographer remains unknown.