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Journal of Plastic Surgery and Hand Surgery

Kwan-Sub Kim, Sung Chul Yu, Jung-Woo Han, Sung-Min Shim, Soohyun Kwak, Yong-Min Kim, Seong-Su Kim
PURPOSE: Nasal bone fracture reduction surgery is normally followed by nasal packing to control bleeding. Yet, patients suffer from pain and require further analgesic treatments following nasal packing and removal. This study aimed to evaluate the effect of fentanyl-soaked packing as a method of controlling pain after nasal surgeries in a prospective, randomized, double-blind controlled trial. METHODS: Sixty-five patients that have undergone closed nasal bone fracture reduction surgery were included in this study...
February 8, 2019: Journal of Plastic Surgery and Hand Surgery
Yoshihiro Sowa, Isao Yokota, Kei Fujikawa, Daiki Morita, Tetsuya Taguchi, Toshiaki Numajiri
Problems in breast reconstruction with deep inferior epigastric perforator (DIEP) flaps include postoperative fat induration and necrosis. A resulting clinical symptom is palpable indurated tissue, but it is difficult to measure the stiffness of transplanted fat tissues objectively at a deep site. The ability to perform shear-wave elastography (SWE) was recently added to some common ultrasonic echo devices, enabling objective three-dimensional measurements of tissue stiffness. In this study, we measured the stiffness of transplanted DIEP flaps using SWE to examine the effects of measurement sites, flap size and perforator patterns on stiffness...
February 8, 2019: Journal of Plastic Surgery and Hand Surgery
Furkan Certel, Mehmet Bayramicli, Merdan Serin
Flap surgery is a wide field in plastic and reconstructive surgery practice and experimental research is needed to improve surgical success. These research is often performed on rats. Rat is a loose-skinned animal and contraction of skin flaps on rats is an underestimated condition. Besides this variable contraction of survived and necrotic tissues may mislead calculations and results. In this study, contraction patterns of epigastric and dorsal island skin flaps were investigated to identify this phenomenon...
February 3, 2019: Journal of Plastic Surgery and Hand Surgery
Leonid Satanin, Ivan Teterin, Andrey Evteev, Alexander Sakharov, Lars Kölby, Natalia Lemeneva, Vitaly Roginsky
Spring-assisted cranioplasty (SAC) was recently introduced in Moscow. This study provides a detailed analysis of the results of the first 14 SAC cases in Russia. The patients underwent a computed tomography scan before surgery and prior to spring removal 3 months later. Fourteen cases (10 males and 4 females) were operated on, with a mean surgery time of 56 ± 14 min. All operations were uneventful, with a mean hospital stay of 4.2 days. Detailed craniometry of the 10 male patients and their matched controls revealed that SAC induced changes in the shape of the entire skull...
February 3, 2019: Journal of Plastic Surgery and Hand Surgery
Bilsev Ince, Pembe Oltulu, Mehmet Emin Cem Yildirim, Majid Ismayilzade, Mehmet Dadaci
We aimed to determine the effect of aspiration periods following liposuction procedure on vascular structures, fibrocollagenous tissues and viability of adipose cells at different minutes, respectively in UAL and SAL. Abdominoplasty materials were divided into two equal parts from middle following excusion during the operations. Traditional SAL was performed to the right part of the abdominoplasty materials therewithal. Each side of the material was then divided into five parts enumarated from one to five and aspiration procedure time for each area was defined according to this ranking...
February 1, 2019: Journal of Plastic Surgery and Hand Surgery
Bin Zhao, Keshav Poonit, Xijie Zhou, Chenglun Yao, Chao Sun, Hede Yan
The role of nitric oxide (NO) on the microcirculation of arterialized venous flaps (AVFs) remains controversial. We aimed to investigate the effect of hemodynamic regulation using nitric oxide synthase (NOS) inhibitor and its agonist as a chemical intervention on the survival of AVF. A 10 × 8 cm arterialized venous flap was designed symmetrically on the rabbit abdomen. Thirty-six rabbits were used and randomly divided into three groups: control group, L-arg group and L-NAME group, respectively. The L-arg group and the L-NAME group received intraperitoneal injections of L-arginine (a NOS agonist, 1 g/kg/d) and L-NAME (nitro-L-arginine-methyl ester, a NOS inhibitor, 50 mg/kg/d) respectively, whereas the control group received intraperitoneal injections of the same amount of saline...
January 27, 2019: Journal of Plastic Surgery and Hand Surgery
Jiankun Cao, Huang Lin, Wenzhi Li, Ziying Dong, Yanyu Shi, Xiufang Zhang, Ran Xiao
BACKGROUND: It has been shown that endogenous adenosine-induced by ischemia postconditioning attenuates apoptosis in recent studies; however, they focus only on parenchymal cells. The detailed mechanism has not been clearly clarified in any research and the subtype of adenosine receptors involved remains unknown. In our study, dermal microvascular endothelial cells (DMECs) are used to explore the role of adenosine A2a receptor in the anti-apoptotic effects of ischemic postconditioning...
January 27, 2019: Journal of Plastic Surgery and Hand Surgery
Annekatrien L van de Kar, David R Koolbergen, Janne P H van Avendonk, Chantal M A M van der Horst
OBJECTIVES: The aim of this retrospective study was to compare subcuticular sutures and Steri-Strip™ S in closing median sternotomy incisions in children with regard to wound healing and scar formation. METHODS: Fifty-three children and adolescents were enrolled in this study who all underwent a median sternotomy at age 0-18 years and had their presternal cutaneous wounds closed with either a running subcuticular suture (Group 1) or Steri-Strip™ S (Group 2)...
January 27, 2019: Journal of Plastic Surgery and Hand Surgery
Miyuki Uehara, Wu Wei Min, Moriaki Satoh, Fumiaki Shimizu
The purpose of this study was to assess the utility of a fascicular turnover flap for facial nerve repair and to investigate its possible application in the field of facial nerve repair using a rat model of facial paralysis. Twenty-four Wistar rats were used in this study. A left vibrissal muscle palsy model was established via excision of the buccal and marginal branches through a periauricular incision. In Group 1, the nerve gap was not reconstructed. In Group 2, the nerve gap of the marginal mandibular branch was reconstructed using an autograft, and in Group 3, the gap was reconstructed using a fascicular turnover flap...
January 24, 2019: Journal of Plastic Surgery and Hand Surgery
Kenichi Kokubo, Nobutada Katori, Kengo Hayashi, Jun Sugawara, Seiko Kou, Akiko Fujii, Syou Kitamura, Ryunosuke Ninomiya, Jiro Maegawa
Patients often develop eyebrow drooping after blepharoplasty or ptosis repair. After aponeurosis advancement was performed in 53 patients (100 eyelids) with blepharoptosis, the eyebrow heights at the medial canthus, center of the pupil, and lateral canthus were measured using scanned photographs obtained preoperatively and 3 months postoperatively. In the 100 eyelids subjected to aponeurosis advancement, the eyebrow position was lowered at the medial canthus in 81 eyelids (81%), at the center of the pupil in 84 eyelids (84%), and at the lateral canthus in 80 eyelids (80%)...
January 24, 2019: Journal of Plastic Surgery and Hand Surgery
Mattias K Andersson, Lars Kölby, Jonas A Nilsson, Göran Stenman
Brooke-Spiegler syndrome (BSS; a.k.a. tuban tumor syndrome) is an autosomal dominant inherited skin disorder caused by germline mutations in the CYLD tumor suppressor gene. BSS is characterized by multiple skin adnexal tumors, mainly cylindromas and spiradenomas on the head and neck. The tumors are often severely disfiguring and require repeated surgical interventions. Here, we describe a four-generation BSS-family with a novel germline c.1613_1614delGC CYLD mutation that introduces a premature STOP codon predicted to result in a truncated, inactivated CYLD protein...
January 24, 2019: Journal of Plastic Surgery and Hand Surgery
Hyun Ho Han, Kyung Hyun Min
INTRODUCTION: If the pedicle is compressed after microanastomosis during free flap reconstruction, additional tissue such as skin graft or vascularized flap is needed to avoid tension. Performing a skin graft directly on the vessel might cause considerable problems. We aimed to analyze the safety of skin grafting on the anastomosis site of the free flap. PATIENTS AND METHODS: A total of 15 patients who underwent skin grafting on the anastomosis site were analyzed...
January 24, 2019: Journal of Plastic Surgery and Hand Surgery
Rosmarie Adelsberger, Richard Fakin, Sophia Mirtschink, Natasha Forster, Pietro Giovanoli, Nicole Lindenblatt
After microvascular tissue transfer, free flaps require meticulous postoperative surveillance. The purpose of this study was to evaluate the effect and applicability of indocyanine green fluorescence angiography (ICG-FA) in bedside monitoring of free flaps postoperatively, especially considering its role in correctly identifying vascular thromboses. Between February 2012 and October 2015, 210 free flaps used for defect reconstruction were analyzed. The flaps were monitored bedside for flap perfusion compromise by clinical examination and by ICG-FA in a standardized procedure in the first 3 postoperative days...
January 24, 2019: Journal of Plastic Surgery and Hand Surgery
Joseph R Spaniol, Patrick J Buchanan, Richard J Greco
Reduction mammaplasty is one of the most common plastic surgical procedures performed in the United States. Occasionally patients will require a second reduction to address persistent or recurrent symptomatic macromastia. When the vascular pedicle of a primary breast reduction is unknown, there is uncertainty regarding how best to proceed with a secondary reduction. When the pedicle is known, we include at least the primary pedicle in our operative plan. When unknown, we performed a modified central mound (MCM) reduction technique...
January 18, 2019: Journal of Plastic Surgery and Hand Surgery
Alexander E J Trevatt, David R Thomson, Robert Miller, Matthew Colquhoun, Akinyemi I Idowu, Shakeel Rahman
Academic output is just one aspect of a successful career as a plastic surgeon. However, for those with a strong interest in academia, the academic output of a department will likely be a key factor when deciding how to rank jobs. The aim of this study was to quantify and rank the academic output of plastic surgery units across the UK and Ireland. The Institute for Scientific Information (ISI) Web of Science Bibliometric analysis tool was used to collate cumulative (1950-2016), 10 year (2006-2016) and 3 years (2013-2015) research output data for plastic surgery units in the UK and Ireland...
January 18, 2019: Journal of Plastic Surgery and Hand Surgery
Berit Kristine Skraastad, Cathrine Knudsen, Catherine Jackson, Tor Paaske Utheim, Are Hugo Pripp, Kim Alexander Tønseth
Autologous breast reconstruction (BR) aims to restore body image and improve health-related quality of life in women undergoing mastectomy due to breast cancer. We wanted to explore patient-reported cosmetic results and satisfaction 10 or more years post BR surgery, using deep inferior epigastric perforator flap (DIEP). This is a follow-up study based on the same patient population of 34 patients undergoing delayed DIEP-flap procedure during 2001-2004 at Oslo University Hospital investigated by our group and published in 2008; Four patients died during the 10 years' follow-up time and four patients with total or partial flap failure were excluded...
January 18, 2019: Journal of Plastic Surgery and Hand Surgery
Burak Sercan Ercin, Ahmet Bicer, Gurkan Yigitturk, Celal Cinar, Turker Cavusoglu, Yigit Uyanikgil, Tahir Gurler
An ideal anastomosis method will obtain the highest post-anastomotic vessel patency and will repair the vessel anatomically with minimal thrombosis in an easier, faster and cheaper fashion. To achieve these goals an anastomosis model using an amniotic membrane is introduced. The study was performed on the femoral arteries of 22 Wistar Albino rats (11 control group, 11 experimental group). In the experiment group, the microvascular anastomosis was completed with three sutures and a patch of amniotic membrane which was wrapped around the anastomotic site...
January 18, 2019: Journal of Plastic Surgery and Hand Surgery
Anna Lindegren, Inkeri Schultz, Marie Wickman
BACKGROUND: Autologous fat transplantation (AFT) is being increasingly used to improve the results after breast-conserving surgery and breast reconstruction. However, studies on patient-reported outcomes (PROs) and health-related quality of life (HRQoL) after AFT are scarce. The aim of this prospective longitudinal case-series study was to assess PRO in women who had undergone AFT after surgery for breast cancer or risk-reducing mastectomy. METHODS: Fifty women, who had undergone breast-conserving surgery or breast reconstruction, needing corrective surgery, were consecutively included between 2008 and 2013...
January 17, 2019: Journal of Plastic Surgery and Hand Surgery
Akito Nakanishi, Kenji Kawamura, Shohei Omokawa, Takamasa Shimizu, Yasuaki Nakanishi, Akio Iida, Kanit Sananpanich, Pasuk Mahakkanukrauh, Yasuhito Tanaka
A few treatment options for radial neck non-union have been reported, including radial head excision, radial head replacement, and internal fixation with a bone graft. We describe a new treatment for radial neck non-union using a reverse vascularized bone graft of the lateral distal humerus. In the anatomical study, the posterior radial collateral artery (PRCA) was dissected in eight fresh-frozen cadaver arms. The number of branches from the PRCA to the humerus was determined, and the distances from these branches to the lateral epicondyle of the humerus were measured...
January 12, 2019: Journal of Plastic Surgery and Hand Surgery
Emma Hansson, Christian Jepsen, Håkan Hallberg
A dermal sling (DS) is used to cover the implant with two layers of tissue when immediate breast reconstruction is performed in women with large and ptotic breasts. It works as an autologous acellular dermal matrix/mesh that can be used to control the implant pocket and inframammary fold, without inferring an extra foreign material and higher costs. There is relatively little published about the DS technique. The primary aim of this study was to systematically review published surgical modifications to the dermal sling (DS)...
December 17, 2018: Journal of Plastic Surgery and Hand Surgery
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