\ncZXdad\^X 9 Advances in Facial Aesthetic Surgery: New Approaches to Old Problems and Current Approaches to New Problems James E.. VcY di]Zg hjg\^XVa hjWheZX^Vai^Zh# KVh" XdcZolVhi]ZÑgh
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Figure 8-2 Clamping the femoral artery is
as effective at preconditioning the flap as a noninvasive tourniquet applied to the rat hind limb followed by 30 minutes limb reperfusion 27 Average flap necrosis was 68.2% (q18.1%) in the control group (CG),
11 q 8.38% in the preclamping group (PG), 12.5 q 5.83% in the femoral ischemic group (FG), and 24 q 11.75% in the tourniquet group (TG) All preconditioned animals had
a significantly smaller area of flap necrosis than did the control animals (*p < 0.001 vs CG) The differences between PG, FG and TG groups were not significant.
0
10
20
30
40
50
60
70
80
90
100
*p<0.001 vs CG
Figure 8-3 Both classic and remote acute
ischemic preconditioning improve microcir-culation of muscle flaps after ischemia in a rat model 47 Capillary flow results; capillary flow was significantly higher in the groups with classic ischemic preconditioning (cIP) and remote ischemic preconditioning (rIP) than in the control group (p < 0.02) The difference within the groups cIP and rIP was not significant.
0
1
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3
4
5
6
7
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*p<0.02 vs CG
Trang 2Remote Ischemic Preconditioning of Flaps: Current Concepts 97
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both the preconditioned groups cIP and rIP,
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References
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9
Advances in Facial Aesthetic Surgery: New Approaches to Old Problems and Current Approaches to New Problems
James E Zins and Andrea Moreira-Gonzalez
101
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Figure 9-1 a) Preoperative view of 43-year-old woman with eyebrow ptosis treated by endoscopic subperiosteal browlift using the cortical tunnel technique for
fixation,a cheeklift,and submental liposuction.b) The patient 1 year later.
Trang 8Advances in Facial Aesthetic Surgery: New Approaches to Old Problems and Current Approaches to New Problems 103
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Figure 9-2 a) Preoperative view of a 52-year-old woman who underwent an endoscopically assisted cheeklift, with a combined intraoral incision and spanning sutures
from the intraoral soft tissues to the temporalis fascia proper b) The patient 1 year later.
Trang 10Advances in Facial Aesthetic Surgery: New Approaches to Old Problems and Current Approaches to New Problems 105
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Figure 9-3 The gull-wing excision at the
base of the nose to shorten the upper lip and
lip-lift procedure by direct excision of skin
above the vermilion-cutaneous junction
(Reprinted from Plastic Surgery 2/e, Mathes
SJ, chapter: Face Lift (Lower Face): Current
Techniques by Fardo D, Zins JE, Nahai F,
©2005 Elsevier Inc With permission from
Elsevier.)
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