Hallock Geoffrey G
Division of Plastic Surgery, Sacred Heart Campus, St. Luke's Hospital, Allentown, Pennsylvania.
Arch Plast Surg. 2023 Aug 2;50(4):331-334. doi: 10.1055/s-0043-1769619. eCollection 2023 Jul.
Historically, the approach to any reconstructive challenge, whether intentionally or intuitively, can be seen to follow distinct guidelines that could aptly be called "reconstructive metaphors." These have been intended to inform us as to the "what, "when" and "where" this attempt can best be achieved. Yet the "how" or means to accomplish this goal, usually also intuitively well understood, in a similar vein can now be expressed to be within our "reconstructive toolbox." The latter will distinctly mirror our individuality and contain not only the various hardware that we deem essential, but also the means to access whatever technology we may be comfortable with. No toolbox, even if overflowing will ever be full, as potential options and the diversity they represent surely approaches infinity. But the truly excellent reconstructive surgeon will know when their toolbox is in any way lacking, and fears not remedying that deficiency even if the talents of another colleague must be sought, so as always to ensure that the patient will obtain the best appropriate treatment!
从历史角度看，应对任何重建挑战的方法，无论是有意还是凭直觉，都可以看出遵循着一些独特的准则，这些准则可以恰当地称为“重建隐喻”。这些准则旨在告知我们在“什么”“何时”以及“何处”能够最好地实现这种尝试。然而，实现这一目标的“如何”或手段，通常凭直觉也能很好地理解，同样地，现在可以表述为在我们的“重建工具箱”之内。后者将清晰地反映我们的个性，不仅包含我们认为必不可少的各种硬件，还包含获取我们可能熟悉的任何技术的手段。没有一个工具箱会是满的，即使装满了也不会，因为潜在的选择及其所代表的多样性肯定近乎无穷。但是真正优秀的重建外科医生会知道他们的工具箱何时以任何方式存在不足，并且不怕弥补这种不足，即使必须寻求另一位同事的才能，以便始终确保患者能获得最合适的治疗！
