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Plastic Surgery

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By Jose Telich Plastic surgery resident in Mexico city
Jeongho Choi
No abstract text is available yet for this article.
May 2016: Archives of Plastic Surgery
Krishna S Vyas, Urian Kim, William D North, Daniel Stewart
No abstract text is available yet for this article.
2016: Eplasty
K S Houschyar, A Momeni, M N Pyles, J Y Cha, Z N Maan, D Duscher, O S Jew, F Siemers, J van Schoonhoven
Patients with peripheral nerve injuries, especially severe injury, often face poor nerve regeneration and incomplete functional recovery, even after surgical nerve repair. This review summarizes treatment options of peripheral nerve injuries with current techniques and concepts and reviews developments in research and clinical application of these therapies.
2016: Plastic Surgery International
Walter J Joseph, Sammy Sinno, Nicholas D Brownstone, Joshua Mirrer, Vishal D Thanik
BACKGROUND: The aim of this study was to perform an updated systematic review of the literature over the last 10 years, analyzing and comparing the many published techniques with the hope of providing plastic surgeons with a new standard in creating the perfect umbilicus in the setting of both abdominoplasty and abdominally based free-flap breast reconstruction. METHODS: An initial search using the PubMed online database with the keyword "umbilicoplasty" was performed...
June 2016: Aesthetic Plastic Surgery
Santiago Salazar Botero, Juan Jose Hidalgo Diaz, Anissa Benaïda, Sylvie Collon, Sybille Facca, Philippe André Liverneaux
In adults, mallet finger is a traumatic zone I lesion of the extensor tendon with either tendon rupture or bony avulsion at the base of the distal phalanx. High-energy mechanisms of injury generally occur in young men, whereas lower energy mechanisms are observed in elderly women. The mechanism of injury is an axial load applied to a straight digit tip, which is then followed by passive extreme distal interphalangeal joint (DIPJ) hyperextension or hyperflexion. Mallet finger is diagnosed clinically, but an X-ray should always be performed...
March 2016: Archives of Plastic Surgery
Dinah Wan, Rod J Rohrich
BACKGROUND: Capsular contracture is a complication of breast augmentation that frequently requires revision surgery. "Capsulectomy, site change, and implant exchange" has been referred to as the gold standard treatment of clinically significant contractures. However, the actual clinical evidence behind this algorithm remains elusive at best. A systematic review of the literature was performed to clarify the true evidence behind the surgical management of capsular contracture...
March 2016: Plastic and Reconstructive Surgery
Renee L Barry, Nicholas S Adams, Matthew D Martin
No abstract text is available yet for this article.
2016: Eplasty
Erin Kini
Patients with head and neck cancer are seeking improved surgical procedures to avoid severe defects that result from head and neck cancer resection. Free flap reconstruction provides vascularized tissue that has been transferred from a distant donor site on a patient's body to a recipient site, markedly improving wound closure and protecting structures of the head and neck. This article discusses free flap procedures for reconstruction after head and neck cancer resection, including the following procedure phases: airway protection and neck dissections, tumor resection, flap harvest, microvascular anastomosis of the flap, and reconstruction and closure...
December 2015: AORN Journal
Rodger H Brown, Daniel K Chang, Richard Siy, Jeffrey Friedman
Gynecomastia refers to the enlargement of the male breast due to a proliferation of ductal, stromal, and/or fatty tissue. Although it is a common condition affecting up to 65% of men, not all cases require surgical intervention. Contemporary surgical techniques in the treatment of gynecomastia have become increasingly less invasive with the advent of liposuction and its variants, including power-assisted and ultrasound-assisted liposuction. These techniques, however, have been largely limited in their inability to address significant skin excess and ptosis...
May 2015: Seminars in Plastic Surgery
Adel Michel Wilson
BACKGROUND: Keloids may complicate wound healing secondary to trauma, inflammation or surgical incision. Although various treatment modalities have been used with variable degrees of success, overall recurrence rates have remained unacceptably high. METHODS: The present study involved 80 patients with keloids of at least one-years' duration. Following total surgical excision of the keloid, a single dose of 5-fluorouracil was injected into the edges of the healing wound on postoperative day 9 together with botulinum toxin...
2013: Canadian Journal of Plastic Surgery, Journal Canadien de Chirurgie Plastique
Andrew R Bauder, Jonathan R Sarik, Paris D Butler, R Barrett Noone, John P Fischer, Joseph M Serletti, Suhail K Kanchwala, Stephen J Kovach, Justin P Fox
INTRODUCTION: While recent studies project a national shortage of plastic surgeons, there may currently exist areas within the United States with few plastic surgeons. We conducted this study to describe the current geographic distribution of the plastic surgery workforce across the United States. METHODS: Using the 2013 to 2014 Area Health Resource File, we estimated the number of plastic surgeons at the health service area (HSA) level in 2010 and 2012. The density of plastic surgeons was calculated as a ratio per 100,000 population...
February 2016: Annals of Plastic Surgery
Benjamin B Massenburg, Paymon Sanati-Mehrizy, Michael J Ingargiola, Jonatan Hernandez Rosa, Peter J Taub
PURPOSE: There are many options for breast reconstruction following a mastectomy, and data on outcomes are greatly needed for both the patient and the care provider. This study aims to identify the prevalence and predictors of adverse outcomes in autologous breast reconstruction in order to better inform patients and surgeons when choosing a surgical technique. METHODS: This study retrospectively reviewed the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) and identified each autologous breast reconstruction performed between 2005 and 2012...
December 2015: Aesthetic Plastic Surgery
Julian Winocour, Varun Gupta, J Roberto Ramirez, R Bruce Shack, James C Grotting, K Kye Higdon
BACKGROUND: Among aesthetic surgery procedures, abdominoplasty is associated with a higher complication rate, but previous studies are limited by small sample sizes or single-institution experience. METHODS: A cohort of patients who underwent abdominoplasty between 2008 and 2013 was identified from the CosmetAssure database. Major complications were recorded. Univariate and multivariate analysis was performed evaluating risk factors, including age, smoking, body mass index, sex, diabetes, type of surgical facility, and combined procedures...
November 2015: Plastic and Reconstructive Surgery
Alan Matarasso, Dana Moore Matarasso, Emma James Matarasso
Examination of abdominal contour surgery candidates permits categorization of patients (the abdominolipoplasty system of classification and treatment) according to their treatable soft tissue layers of skin, fat, and muscle into the appropriate treatment level. Typically, postpartum abdominal wall changes are most thoroughly addressed by abdominoplasty. The indications and goals for abdominoplasty with liposuction (lipoadminoplasty) or without liposuction are presented. Surgical markings, technique, pain management, and postoperative care are described...
October 2014: Clinics in Plastic Surgery
Alan Matarasso, Steven M Levine
LEARNING OBJECTIVES: After reading this article, the participant should be able to: 1. Perform preoperative assessment and patient selection for liposuction surgeries. 2. Explain the differences among the various types of anesthesia and wetting solutions used in liposuction. 3. Identify the available literature about skin-tightening procedures. 4. Convey to patients the complication profile for various modalities of liposuction. 5. Recall important ASPS consensus guidelines when discussing liposuction...
December 2013: Plastic and Reconstructive Surgery
Jason Wasiak, Heather Cleland
INTRODUCTION: Burns are classified according to depth. This overview concerns the treatments for partial-thickness burns, which can be expected or have the potential to heal spontaneously (superficial partial-thickness and mid-dermal partial-thickness burns). Injuries that involve the deeper part of the dermis and require surgical treatments to achieve healing are not the focus of this overview. METHODS AND OUTCOMES: We conducted a systematic overview and aimed to answer the following clinical question: What are the effects of treatments for partial-thickness burns? We searched: Medline, Embase, The Cochrane Library, and other important databases up to January 2014 (Clinical Evidence overviews are updated periodically; please check our website for the most up-to-date version of this review)...
July 14, 2015: Clinical Evidence
Jacobo Felemovicius, Jesse A Taylor
OBJECTIVE: To present a classification and treatment protocol for cleft lip and palate patients with midface hypoplasia. DESIGN: Retrospective case series. SETTING: Craniofacial center. PATIENTS: The study included 133 patients with cleft lip and palate and maxillary hypoplasia treated with Le Fort I osteotomy between January 2000 and July 2006. INTERVENTIONS: Modified Le Fort I osteotomy. Patients were divided into three groups based on the number of free-standing bony maxillary segments, and treatment was tailored to their deformity...
November 2009: Cleft Palate-craniofacial Journal
Peter W Henderson, David Nash, Marta Laskowski, Robert T Grant
UNLABELLED: Breast implants are frequently used for both cosmetic breast augmentation and breast reconstruction after mastectomy. Three companies currently offer FDA-approved breast implants (Allergan, Mentor, and Sientra), but their product offerings-including permanent breast implants, breast tissue expanders, sizers, and post-operative warranty-can be difficult to compare because of brand names and company-specific jargon. The ability to have a brand-agnostic understanding of all available options is important for both the surgical trainee as well as the surgeon in clinical practice...
October 2015: Aesthetic Plastic Surgery
Hyunsuk Song, Ji Hyun Kim, Myong Chul Park, Dong Ha Park, KiYoung Lee, Il Jae Lee
BACKGROUND: Free microvascular head and neck reconstruction requires minimal complication and safety. However, clinical observation of the wound in head and neck area is very difficult because of its narrow and inaccessible anatomy. Serum C-reactive protein (CRP) level is commonly used as a marker of acute inflammatory response and quantitative test that shows predictable kinetics. Therefore, awareness of natural CRP trend of free microvascular head and neck reconstruction may help in the early diagnosis of postoperative complications...
July 2014: Journal of Craniofacial Surgery
Amy L Strong, Paul S Cederna, J Peter Rubin, Sydney R Coleman, Benjamin Levi
BACKGROUND: Interest in and acceptance of autologous fat grafting for use in contour abnormalities, breast reconstruction, and cosmetic procedures have increased. However, there are many procedural variations that alter the effectiveness of the procedure and may account for the unpredictable resorption rates observed. METHODS: The authors highlighted studies investigating the effects of harvesting procedures, processing techniques, and reinjection methods on the survival of fat grafts...
October 2015: Plastic and Reconstructive Surgery
2015-07-31 12:23:34
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