journal
https://read.qxmd.com/read/38640068/-efficacy-and-safety-of-onabotulinumtoxina-for-the-treatment-of-platysma-prominence-a-randomized-phase-2-dose-ranging-study
#1
JOURNAL ARTICLE
Rod J Rohrich, Vince Bertucci, Steven Dayan, Derek Jones, Nowell Solish, Jason K Rivers, Robert Weiss, Channy Y Muhn, Christy Harutunian, Grace S Park, Sandhya Shimoga, Elisabeth Lee, Warren Tong
BACKGROUND: With aging, repetitive contraction of the platysma leads to an increase in platysma prominence (PP) characterized by the accentuation of vertical neck bands and blunting of the jawline's contour. METHODS: This multicenter, double-blind, phase 2 study evaluated onabotulinumtoxinA (onabotA) treatment in adults with Moderate to Severe PP. Participants were randomized to receive 1 treatment of onabotA low dose (LD), onabotA high dose (HD), or placebo, and were followed for 4 months...
April 19, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38635485/thin-free-perforator-flap-as-a-viable-option-for-forefoot-reconstruction-comprehensive-evaluation-of-outcomes
#2
JOURNAL ARTICLE
Eun Song Lee, Da Eun Kim, Kyeong-Tae Lee
BACKGROUND: Reconstruction of forefoot defects often necessitates free tissue transfer due to the limited availability of local tissue. Microsurgical reconstruction of the forefoot remains challenging as it requires durable yet thin, soft tissue coverage for functional restoration. This study aimed to evaluate the efficacy of free thin perforator flaps for forefoot reconstruction, with a focus on functional outcomes. METHODS: Patients who underwent microsurgical forefoot reconstruction between March 2020 and September 2023 were reviewed...
April 18, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38635467/an-innovative-preauricular-free-flap-pedicled-with-retrograde-vascular-pffprv-for-pediatric-nasal-reconstruction
#3
JOURNAL ARTICLE
Bao-Fu Yu, Xiao-Xue Chen, Jia Liu, Jin-Guang He, Chuang-Chang Dai, Jiao Wei
SUMMARY: Nasal reconstruction in pediatric patient is very challenging and it requires consideration of later nasal development. Herein, we introduce an innovative preauricular free flap pedicled with retrograde vascular (PFFPRV) for pediatric nasal reconstruction. In this PFFPRV technique, the retrograde superficial temporal vessels were used as the flap pedicle. The lateral alar artery and angular vein were used as vessels of the nasal recipient zone. The flap vessels were anastomosed directly to the recipient area vessels without additional vessel transplantation...
April 18, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38635465/revolutionizing-plastic-surgery-education-leveraging-ai-for-an-innovative-podcast-learning-platform
#4
JOURNAL ARTICLE
Ahmad Saadya, Christopher R Davis
No abstract text is available yet for this article.
April 18, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38616323/24-hours-ex-vivo-hypothermic-acellular-perfusion-of-porcine-forelimb-a-7-day-follow-up-study
#5
JOURNAL ARTICLE
Kaj Brouwers, Anne Sophie Kruit, Dominique van Midden, Her J H Zegers, Jonne Doorduin, Erik Koers, Stefan Hummelink, Dietmar J O Ulrich
BACKGROUND: One of the limiting factors for vascularized composite allograft (VCA) storage is the short viable ischemic time (4-6 hours). Hypothermic machine perfusion (MP) enables near-physiological preservation, avoiding the deleterious effects of hypoxia and static cooling. This study aims to compare muscle injury after 24-hour acellular perfusion with static cold storage (SCS) in a porcine limb replantation model, examining outcomes for up to 7 days after reperfusion. METHODS: Sixteen procured porcine forelimbs were perfused hypothermic for 24 hours with Histidine-Tryptophan-Ketoglutarate (HTK, n=8) or preserved on ice for 4 hours (SCS, n=8) before orthotopic replantation...
April 15, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38616321/tracking-fat-grafts-by-magnetic-resonance-imaging-a-comparative-study-of-adolescent-and-adult-patients-with-stable-localized-scleroderma
#6
JOURNAL ARTICLE
Xuda Ma, Liquan Wang, Tianhao Li, Ziming Li, Yu Chen, Tianjiao Wang, Xiao Long, Jiuzuo Huang, Xiaojun Wang
BACKGROUND: The optimal timing of reconstruction for patients with facial localized scleroderma is uncertain. The purpose of this study was to compare the outcomes of autologous fat transplantation in adolescent and adult patients with stable localized scleroderma. METHODS: Adolescent (age 10-19 years) and adult (age >19 years) patients with no previous surgery were enrolled (n = 10, each group). Preoperative magnetic resonance imaging (MRI), blood tests and dermatological assessments were used for disease activity assessment...
April 15, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38616315/effects-of-cutting-planes-on-costal-cartilage-warping
#7
JOURNAL ARTICLE
Sanathorn Ratanapoompinyo, Kidakorn Kiranantawat
BACKGROUND: Autogenous costal cartilage becomes a favorable choice for nasal reconstruction and complicated aesthetic rhinoplasty, due to its ample supply, sufficient for most patients. However, a notable drawback is the potential for warping. Our study aims to identify cutting planes that minimize warping. MATERIALS AND METHODS: Two hundred and seven costal cartilage grafts were obtained by slicing the extracted costal cartilages from 10 fresh cadavers, along three main planes: cephalocaudal, anteroposterior, and parallel to the synchondrosis plane...
April 15, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38589998/reoperation-following-primary-greater-occipital-nerve-decompression-surgery-incidence-risk-factors-and-outcomes
#8
JOURNAL ARTICLE
Katya Remy, Merel H Hazewinkel, Connor Mullen, Robert R Hagan, William G Austen, Lisa Gfrerer
BACKGROUND: Although nerve decompression surgery is an effective treatment for refractory occipital neuralgia (ON), a proportion of patients experience recurrence of pain and undergo reoperation. This study analyzes the incidence, risk factors, and outcomes of reoperation following primary greater occipital nerve (GON) decompression. METHODS: 215 patients who underwent 399 primary GON decompressions were prospectively enrolled. Data included patient demographics, past medical and surgical history, reoperation rates, intraoperative findings, surgical technique, and postoperative outcomes in terms of pain frequency (days/month), duration (hours/day), intensity (scale 0-10), and migraine headache index (MHI)...
April 9, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38589997/orthognathic-considerations-of-maxillary-and-mandibular-asymmetry-at-skeletal-maturity-in-patients-with-cleft-lip-and-palate
#9
JOURNAL ARTICLE
Lauren K Salinero, Leigh Friedman, Jared M Shulkin, Carlos E Barrero, Connor S Wagner, Matthew E Pontell, Jordan W Swanson, Scott P Bartlett, Hyun-Duck Nah, Jesse A Taylor
BACKGROUND: Improving occlusion and aesthetics is the primary objective of orthognathic surgery for patients with cleft lip and palate (CLP). However, these patients often suffer from horizontal, vertical, and rotational asymmetry in addition to maxillary retrusion. This study aims to describe maxillary and mandibular asymmetry in patients with CLP undergoing orthognathic surgery and analyze its anatomic basis. METHODS: Patients with isolated CLP undergoing CT imaging prior to orthognathic surgery were retrospectively reviewed...
April 9, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38589995/thirty-year-experience-treating-syndromic-craniosynostosis-long-term-outcomes-following-cranial-expansions
#10
JOURNAL ARTICLE
Jeffrey A Fearon, Kanlaya Ditthakasem, Lucas Harrison, Morley Herbert
INTRODUCTION: Children with syndromic craniosynostosis require multiple cranial expansion procedures. The purpose of this study was to determine how many expansions are typically performed through maturity, to assess complication rates, and to identify trends that might reduce the burden of care. METHODS: A retrospective chart review was performed of all consecutive patients undergoing cranial vault enlargement procedures for syndromic craniosynostosis by a single surgeon...
April 9, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38589990/merit-based-incentive-payment-system-how-are-plastic-surgeons-performing
#11
JOURNAL ARTICLE
Sofia Perez Otero, Allison L Diaz, Kshipra Hemal, Carter J Boyd, Wen-Yu Lee, Nolan S Karp
PURPOSE: Merit-based incentive payment system (MIPS) is a payment model implemented to promote high-value care through performance-based adjustments of Medicare reimbursements. Higher scores indicate superior performance in healthcare quality, efficiency, and interoperability, which can result in financial advantages. Given the paucity of literature, we aimed to characterize plastic surgery performance in MIPS. METHOD: The Centers for Medicare and Medicaid Services (CMS) online data repository was queried for data on MIPS performance of plastic surgeons from 2019-2021...
April 9, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38589989/an-algorithm-for-control-of-excessive-perioperative-bleeding-and-ecchymosis-in-rhinoplasty-patients-based-on-4-decades-of-experience
#12
JOURNAL ARTICLE
Bahman Guyuron, Cagri Cakmakoglu, Vardhan Avasarala
BACKGROUND: Persistent intraoperative bleeding, excessive post-operative ecchymosis, epistaxis, or blood collection in the supratip area increases the complexity of rhinoplasty, causing suboptimal outcomes. We present an intraoperative bleeding management algorithm developed by the senior author (B.G.) based on 43 years of experience and assess its efficacy in achieving hemostatic control through 103 consecutive cases. METHODS: A retrospective chart review was conducted on 103 consecutive patients who had undergone septorhinoplasty by a single surgeon...
April 9, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38589988/surgical-education-integrating-visual-thinking-strategies-into-plastic-surgery-training
#13
JOURNAL ARTICLE
Isra Abdulwadood, Megan Anderson, Katherine Kough, Anna Akridge, Shelley Noland
No abstract text is available yet for this article.
April 9, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38563562/medical-weight-management-considerations-in-plastic-surgery
#14
JOURNAL ARTICLE
Alisha B Paranzino, Brittany Vieira, Caroline M Apovian, Shailesh Agarwal
Obesity is one of the largest public health concerns in the US and has reached an epidemic scope over the last few decades. Plastic surgery in patients with obesity has been linked to higher complications both before and after weight loss. This article aims to discuss the evolution and current landscape of anti-obesity medications (AOMs) as they apply to the plastic surgeon. Although bariatric surgery has been effective in long-term treatment, new pharmacologic advances in GLP-1 agonists such as semaglutide have demonstrated promising effectiveness...
April 2, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38563557/-reinnervated-serratus-free-flap-for-a-functional-outcome-in-tongue-reconstruction-a-surgical-technique-video
#15
JOURNAL ARTICLE
Bertrand Baujat, Nicolas Broustaut, Etienne Dauzier, Marc Tassart, Isabelle Wagner, Sarah Atallah, Alix Marhic
The current benchmark for tongue reconstruction following the excision of locally advanced tumors involves the utilization of free skin or fasciocutaneous flaps, such as anterolateral thigh flap or forearm free flap. They facilitate the volumetric reconstruction of the tongue, leveraging passive mobility from the remaining native tongue tissue. The challenge in tongue reconstruction surgery persists in achieving functional restoration through adequate volume and optimized mobility, using tissue that is both adapted and comparable to native tissue...
April 2, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38563527/perioperative-estrogen-hormonal-therapy-does-not-increase-venous-thromboembolism-risk-in-facial-feminization-surgery
#16
JOURNAL ARTICLE
Alexander Y Li, Matthew J Park, Jennifer Fick, Douglas K Ousterhout, Jordan C Deschamps-Braly
BACKGROUND: Conflicting data exist regarding increased perioperative VTE risk while on feminizing hormone therapy. The effect has been poorly studied within the transgender population. Acute perioperative cessation of feminizing hormone therapy often leads to unpleasant side effects and exacerbates gender dysphoria in the perioperative period. We seek to identify the VTE incidence in patients undergoing facial feminization while continuing HRT throughout the time of surgery. METHODS: A 38-year retrospective cohort study within a two-surgeon practice (D...
April 2, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38563524/injury-and-biological-factors-impact-shoulder-function-following-autogenous-grafting-of-spinal-nerves-for-pan-brachial-plexus-reconstruction
#17
JOURNAL ARTICLE
Neill Y Li, Kitty Y Wu, Michelle F Loosbrock, Allen T Bishop, Robert J Spinner, Alexander Y Shin
BACKGROUND: Shoulder function following spinal nerve grafting in pan-brachial plexus injuries(Pan-BPI) is not well described. The purpose of this study was twofold: 1)to evaluate shoulder abduction(ABD) and external rotation(ER) after grafting of viable spinal nerves to the suprascapular nerve(SSN), axillary nerve(AxN), or posterior division of the upper trunk(PDUT); and 2)to determine patient characteristics, injury severity/characteristics, and nerve graft factors that influenced outcomes...
April 2, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38563522/-severe-blepharoptosis-correction-with-the-fixation-of-levator-complex-and-conjoint-fascial-sheath-12-years-of-experience-in-a-single-center
#18
JOURNAL ARTICLE
Haipeng Liu, Tenghai Li, Shimeng Wang, Wei Zhang, Tian Li, Bingzhang Liu, Jiaqi Zhang, Ying Shao, Duo Zhang
BACKGROUND: The correction of severe blepharoptosis is one of the most challenging surgeries in plastic surgery. This study introduces a novel self-reinforced fixation technique combining the levator complex with conjoint fascial sheath for the correction of severe blepharoptosis and reviews the postoperative results over the preceding 12 years. METHODS: This retrospective review included all patients who underwent self-reinforced fixation with or without conjoint fascial sheath at the authors' center between 2010 and 2022...
April 2, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38551458/the-rhinoplasty-rosetta-stone-using-rasch-analysis-to-create-and-validate-crosswalks-between-the-nose-and-schnos-functional-subscale
#19
JOURNAL ARTICLE
Floris Vwj van Zijl, Frank Declau, Dimitris Rizopoulos, Frank R Datema
BACKGROUND: The NOSE and SCHNOS functional subscale are widely used PROMs to measure functional outcomes of rhinoplasty. However, as different instruments produce scores on different metrics, results of these instruments cannot be linked directly. This hinders comparing and aggregating rhinoplasty outcome data from practices using either instrument. The aim of this study was to develop and validate crosswalks between the NOSE and SCHNOS-O. METHODS: In a sample of 552 rhinoplasty patients who completed both instruments, the NOSE and SCHNOS-O scales were co-calibrated onto a common interval-scaled metric using Rasch analysis...
March 29, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38548710/frequency-and-reporting-of-complications-after-dupuytren-s-contracture-interventions-a-systematic-review-and-meta-analysis
#20
JOURNAL ARTICLE
P Raval, K Kulkarni, N Johnson, P Divall, C Nevill, A Sutton, J Dias
INTRODUCTION: Numerous complications are reported following interventions for Dupuytren's contracture; however, their incidence, management, and outcomes remain poorly reported. The aims of this review were to report the proportions of complications, compare likelihood of complications between interventions, and evaluate reporting of complications, including assessment, grading, management, and subsequent reporting of their impact on patient outcomes. METHODS: Extracted data included patient demographics, intervention details, complications, their management, and final outcomes...
March 29, 2024: Plastic and Reconstructive Surgery
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