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Plastic and Reconstructive Surgery. Global Open

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https://read.qxmd.com/read/30656130/versatility-of-the-extensor-digitorum-brevis-muscle-flap-in-lower-limb-reconstruction
#1
Islam Abdelrahman, Moustafa Elmasry, Ingrid Steinvall, Pia Olofsson, Hans Nettelblad, Johann Zdolsek
Background: Reconstruction of complex defects in the lower leg is a challenge. Although microvascular free tissue transfer is a popular technique, experience and available resources limit its use. Furthermore, free tissue transfer is not always required in the reconstruction of small lower leg defects, as many of them can be reconstructed with local alternatives such as an extensor digitorum brevis flap (EDB). Our aim was to describe our experience of the last 20 years with the EDB as a local muscle flap to cover small complex lower leg defects to establish its clinical feasibility and to document its associated complications...
December 2018: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/30656129/two-mechanisms-of-rejuvenation-using-thread-lifting
#2
Mototsugu Fukaya
No abstract text is available yet for this article.
December 2018: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/30656128/beyond-30-days-a-risk-calculator-for-longer-term-outcomes-of-prosthetic-breast-reconstruction
#3
Jordan T Blough, Michael M Vu, Cecil S Qiu, Alexei S Mlodinow, Nima Khavanin, Neil A Fine, John Y S Kim
Background: Despite growing use of surgical risk calculators, many are limited to 30-day outcomes due to the constraints of their underlying datasets. Because complications of breast reconstruction can occur well beyond 30 days after surgery, we endeavored to expand the Breast Reconstruction Risk Assessment (BRA) Score to prediction of 1-year complications after primary prosthetic breast reconstruction. Methods: We examined our prospective intrainstitutional database of prosthetic breast reconstructions from 2004 to 2015...
December 2018: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/30656127/complication-management-following-rejuvenation-procedures-with-hyaluronic-acid-fillers-an-algorithm-based-approach
#4
Philippe Snozzi, Jani A J van Loghem
Background: Hyaluronic acid is an ideal facial filler, however, although established as both safe and effective, complications do occur. Treatment recommendations that combine both expert opinions and clinical trial data are currently lacking, partly due to difficulties with diagnoses, nonspecific diagnostic investigations, and certain disorders presenting with similar symptoms, thereby confounding diagnosis and treatment. Methods: The purpose of this article was to provide the aesthetic clinician with practical recommendations regarding complication diagnosis arising as a consequence of hyaluronic acid filler rejuvenation treatment...
December 2018: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/30656126/mammary-analogue-secretory-carcinoma-arising-in-the-parotid-gland-of-child
#5
Rie Shigeta, Doruk Orgun, Hiroshi Mizuno, Ayato Hayashi
Mammary analogue secretory carcinoma (MASC) of salivary glands is a newly recognized tumor entity. We report a child who was initially diagnosed with lymphangioma and referred to our institute for sclerotherapy, only to find out that the tumor was in fact MASC after excision. This case of MASC is in a 7-year-old boy, the youngest case so far reported. He referred to his primary care physician with a infra-auricular swelling, and it was diagnosed as lymphatic malformation he was referred to our institution for sclerotherapy...
December 2018: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/30656125/outcomes-of-vascularized-lymph-node-transfer-and-lymphovenous-anastomosis-for-treatment-of-primary-lymphedema
#6
Ming-Huei Cheng, Charles Yuen Yung Loh, Chia-Yu Lin
Background: Primary lymphedema is a debilitating disease. This study was to investigate the outcomes between vascularized lymph node transfer (VLNT) and lymphovenous anastomosis (LVA) for treating primary lymphedema. Methods: Between January 2010 and December 2016, 17 patients with mean age of 31.5 ± 15.5 (ranged, 2-57) years diagnosed with 19 primary limb lymphedema were recruited. Patients with patent lymphatic ducts on indocyanine green lymphography were indicated for LVA, whereas those without patent lymphatic ducts were indicated for VLNT...
December 2018: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/30656124/inframammary-flap-excision-method-in-breast-augmentation-improving-symmetry-of-nac-and-imf
#7
Ju Young Go, Dae Kyun Jeong, Daniel Seungyoul Han, Seong Hwan Bae
Background: When we perform a breast augmentation through the inframammary fold (IMF) approach, incision placement at the new IMF is a key element of the planning process. In the majority of the previously published methods, the new IMF was planned based on the nipple-areola complex (NAC) position. However, these methods can lead to asymmetry in the IMF if the NAC is not symmetrical. Methods: We present the IMF flap excision method for correction of asymmetries of NAC and IMF...
December 2018: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/30656123/expanded-utilization-of-the-digital-atasoy-flap
#8
Enrique J Viciana, Anne-Sophie Lessard
Background: The Atasoy, or Kleinert flap, is well-known to hand surgeons. This triangular volar V-Y flap is frequently used for reconstruction of fingertip amputations with exposed bone. It is indicated in transverse amputations or in dorsal oblique amputations, providing replacement of an area of skin and subcutaneous tissues with sensibility. Originally, this flap was not recommended for use in volar oblique amputations (greater volar tissue loss). With the described modifications and recommendations, modest volar oblique amputations can be closed in a single stage, obviating a 2-stage procedure...
December 2018: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/30656122/upper-extremity-friction-burns-in-the-pediatric-patient-a-10-year-review
#9
Rachel Marchalik, Erin M Rada, Frank P Albino, Tina M Sauerhammer, Michael J Boyajian, Gary F Rogers, Albert K Oh
Background: Upper extremity friction burn due to powered home equipment is a growing problem in the pediatric population. The purpose of this study was to review the etiology, presentation, characteristics, and treatment of this particular type of pediatric mechanism of injury. Methods: A retrospective chart review using International Classification of Diseases, version 9, codes for patients treated at a large tertiary care, free-standing children's hospital was performed to identify all patients presenting with an upper extremity friction burn from 2003 to 2012...
December 2018: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/30656121/managing-postoperative-infection-following-breast-reconstruction-with-the-sientra-allox2-tissue-expander
#10
Arash Momeni
Background: Implant-based breast reconstruction is the most common reconstructive modality in the United States. Significant advances in surgical technique and technology have resulted in improvement of clinical outcomes. A recent innovation has been the introduction of a tissue expander with an integral drain that permits access to the periprosthetic space. A new use for this drain port is presented in patients with postoperative surgical-site infection. Methods: Patients who underwent staged implant-based breast reconstruction with the Sientra AlloX2 tissue expander and experienced postoperative infection that warranted inpatient management with intravenous antibiotics were included in the study...
December 2018: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/30656120/a-discussion-of-conflicts-of-interest-in-plastic-surgery-and-possible-remedies
#11
EDITORIAL
Eric Swanson, Tim Brown
No abstract text is available yet for this article.
December 2018: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/30656119/how-educational-theory-can-inform-the-training-and-practice-of-plastic-surgeons
#12
Hazim Sadideen, Agata Plonczak, Munir Saadeddin, Roger Kneebone
It is important to optimize our current learning and teaching models, particularly in a climate of decreased clinical exposure. With technical advancements and clinical care now more accountable, traditional methods of skill acquisition need to be revisited. The past decade has seen changes in plastic surgery curricula. There has also been a shift toward competency-based training programs reflecting the growing emphasis on outcomes-based surgical education. This review explores the role of educational theory in promoting effective learning in practical skills teaching...
December 2018: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/30656118/virtual-surgical-planning-decreases-operative-time-for-isolated-single-suture-and-multi-suture-craniosynostosis-repair
#13
Tom W Andrew, Joseph Baylan, Paul A Mittermiller, Homan Cheng, Dana N Johns, Michael S B Edwards, Sam H Cheshier, Gerald A Grant, H Peter Lorenz
Background: Cranial vault reconstruction is a complex procedure due to the need for precise 3-dimensional outcomes. Traditionally, the process involves manual bending of calvarial bone and plates. With the advent of virtual surgical planning (VSP), this procedure can be streamlined. Despite the advantages documented in the literature, there have been no case-control studies comparing VSP to traditional open cranial vault reconstruction. Methods: Data were retrospectively collected on patients who underwent craniosynostosis repair during a 7-year period...
December 2018: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/30656117/a-novel-technique-of-breast-reconstruction-inflation-of-breast-tissue-expander-with-air
#14
Matthew Green, Habib Tafazal, Raghavan Vidya
No abstract text is available yet for this article.
December 2018: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/30656116/preventive-effect-on-seroma-of-use-of-peak-plasmablade-after-latissimus-dorsi-breast-reconstruction
#15
Yoshihiro Sowa, Naoki Inafuku, Takuya Kodama, Daiki Morita, Toshiaki Numajiri
Postoperative seroma is still the main complication after a latissimus dorsi (LD) flap procedure. The etiology of seroma is currently thought to comprise tissue fluids resulting from inflammatory reactions in affected tissue caused by the use of monopolar electrocautery (EC). It is possible that seroma formation can be reduced by using alternative devices such as the PEAK PlasmaBlade (PPB), which provides atraumatic scalpel-like cutting precision while the blade temperature remains close to body temperature...
December 2018: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/30656115/minimizing-breast-implant-contamination-in-breast-reconstruction-procedures-introducing-the-12-breast-reconstruction-points
#16
Barbara Cagli, Rosa Salzillo, Adriano Santorelli, Stefania Tenna, Paolo Persichetti
No abstract text is available yet for this article.
December 2018: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/30656114/direct-to-implant-breast-reconstruction-with-autoderm
#17
Eoin M McFadden, Beatriz Lopez-Obregon, Jill P Stone, Carmen E Webb, Claire F Temple-Oberle
Background: Traditional transverse mastectomies yield suboptimal results in women with higher body mass index, wide breast footprint, and ptotic breasts. An option for this patient population is a reduction-pattern style mastectomy, and recruiting an inferiorly based dermal flap using the lower mastectomy flap. This is analogous to a vascularized dermal matrix supporting the lower pole of the implant, termed "Autoderm" breast reconstruction. This allows for aesthetically appealing skin reduction mastectomies with the added safety of a vascularized dermal flap to facilitate an immediate direct-to-implant breast reconstruction...
December 2018: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/30656113/surgical-treatment-of-iatrogenic-steroid-injection-induced-myelomalacia
#18
Matthew R Kaufman, Eric I Chang, Kristie Rossi, Zuhaib Ibrahim, Andrew I Elkwood
No abstract text is available yet for this article.
December 2018: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/30656112/polydactyly-mas-classification
#19
Adil Nasir Althobaity, Saud Abdullah Alkabbaa, Sarah S Aljaied, Mohammed M AlKahtani
Background: Polydactyly is considered to be one of the common congenital hand anomalies. Classification of congenital hand anomalies by Swanson groups similar forms of deficits affected by specific embryological failures. Each type of polydactyly has its separate classification. This case series suggested classification that could include the radial and ulnar variants of polydactyly in one classification and direct the management in algorithmic approach. Methods: Case series of 11 cases, who were diagnosed with polydactyly of the hand consecutively at King Abdulaziz Medical City in Jeddah, Saudi Arabia...
December 2018: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/30656111/preoperative-computed-tomography-angiography-in-autologous-breast-reconstruction-incidence-and-impact-of-incidentalomas
#20
Ruth Tevlin, Mimi R Borrelli, Dung Nguyen, Arash Momeni
Background: Incidentalomas are lesions found coincidentally during examination, imaging, or surgical procedures. Preoperative computed tomography angiography (CTA) before abdominal flap harvest for breast reconstruction can lead to identification of incidentalomas leading to the need for further investigations. The aim of this study was to examine the prevalence of incidental findings on preoperative CTA and to determine their impact on management. Methods: A retrospective chart review was performed at a single tertiary institution...
December 2018: Plastic and Reconstructive Surgery. Global Open
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