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Annals of Plastic Surgery

Oscar J Manrique, Kian Adabi, Andres A Maldonado, Tony C Huang, Jorys Martinez-Jorge, Pierre Brassard, Ricardo Galan, Pedro Ciudad, Mohamed Diya Sabbagh
PURPOSE: The lack of erogenous sensitivity in the neovagina is one of the major shortcomings for patients undergoing male-to-female genital confirmation surgery. Remnant fibers of the dorsal nerve of the penis (DNP) after clitroplasty can potentially be used for a second neurovascular pedicle flap for intravaginal erogenous sensation. METHODS: An anatomic dissection of the DNP was performed in 10 male frozen pelvises to identify major trunks and their branches. Lateral branches of DNP were preserved for a sensate "O" pedicle flap for the vagina...
July 10, 2018: Annals of Plastic Surgery
Shi Zhen Lee, Ahmad Sukari Halim, Wan Azman Wan Sulaiman, Arman Zaharil Mat Saad
INTRODUCTION: The modified Meek micrografting technique has been used in the treatment of severely burned patients and a number of articles have examined the use of the modified Meek technique in adults and in mixed-age groups. However, there is a paucity of research pertaining to the outcome in the pediatric age group. The aim of this study is to present our favorable outcome in pediatric major burns using the modified Meek technique. METHODS: A retrospective review of burn cases in Hospital Universiti Sains Malaysia from 2010 to 2015 was conducted...
July 10, 2018: Annals of Plastic Surgery
Benoit Ayestaray, Theodoros Chrelias
BACKGROUND: Breast lymphedema is a common issue after breast cancer surgery but remains understudied because it is difficult to be quantified. Untreated breast lymphedema may lead to severe form of delayed breast cellulitis. Supermicrosurgical lymphaticovenular anastomosis is one option for the treatment of breast cancer-related lymphedema but has not been described for the treatment of breast lymphedema. METHODS: This report presented a rare case of male breast lymphedema secondary to axillary lymph node dissection for the treatment of a forearm melanoma...
July 10, 2018: Annals of Plastic Surgery
Kwang-Hee Park, Won-Jeong Shin, Sung-Joon Kim, Jong-Pil Kim
We aimed to inspect bowstringing after percutaneous and open release of the A1 pulley for trigger digits and its influence on hand function. Sixty-two patients with a resistant trigger digit were randomized to undergo either open release or percutaneous release of the A1 pulley. We quantified bowstringing of the digit using ultrasonography preoperatively and at 12 and 24 weeks after surgery. Pain on a visual analog scale; Disabilities of the Arm, Shoulder, and Hand questionnaire; pinch power; and grip strength were assessed...
July 10, 2018: Annals of Plastic Surgery
Luigi Troisi, Juan E Berner, Emily V West, Paul Wilson
The reconstruction of soft tissue defects on the volar aspect of the hand represents a special challenge for the hand surgeon. Even though local and regional options have been described, in some cases because of their complexity, a free flap is preferred. The medial plantar free flap offers a unique reconstructive alternative by providing glabrous skin resurfacing for the palm and digits. The aim of this article is to present a systematic literature review on the use of the medial plantar free flap for hand surgery and a case report in which this flap was used for reconstructing a thenar eminence defect after sarcoma excision...
July 10, 2018: Annals of Plastic Surgery
Wei-Liang Chen, Yan Wang, Bin Zhou, Rui Chen
OBJECTIVE: The purpose of this study was to evaluate the outcomes of reconstructing through-and-through defects of the hemimandible after debridement of advanced mandibular osteoradionecrosis (ORN) with bilobed trapezius myocutaneous flaps and scapula osteomyocutaneous flaps. METHODS: Six patients with grade III mandibular ORN were treated with debridement of lesions. Type IIb soft tissue and type H hemimandible defects after surgery were reconstructed using bilobed trapezius myocutaneous flaps and scapula osteomyocutaneous flaps including the acromion, spine, and part of the medial scapular border based on the transverse cervical vessels...
July 10, 2018: Annals of Plastic Surgery
Mads Gustaf Jørgensen, Navid Mohammadpour Toyserkani, Christian Rønn Hansen, Svend Hvidsten, Christina Baun, Eva Kildall Hejbøl, Henrik Daa Schrøder, Jens Ahm Sørensen
BACKGROUND: Lymphedema is a common and debilitating complication following cancer treatment with surgical lymph node excision and radiotherapy. Currently there are no curative treatments for lymphedema. Animal models that intended to replicate the disease have been inadequate, making a troublesome transition from experimental therapeutic studies into the clinic. It is therefore imperative to establish an experimental animal model that can reliably replicate clinical lymphedema. METHODS: To discover the optimal method of lymphedema induction, surgical lymph ablation and irradiation or silicone splint emplacement were combined in 8 experimental groups (n = 4)...
July 10, 2018: Annals of Plastic Surgery
Mark C Kendall
No abstract text is available yet for this article.
July 2, 2018: Annals of Plastic Surgery
Shana S Kalaria, Linda G Phillips
No abstract text is available yet for this article.
July 2, 2018: Annals of Plastic Surgery
Di Wang, Lin Lin, Bo Pan, Qinghua Yang, Haiyue Jiang
No abstract text is available yet for this article.
July 2, 2018: Annals of Plastic Surgery
Soo Min Cha, Hyun Dae Shin, Young Cheol Park
PURPOSE: We surgically treated subungual masses that were suspected glomus tumors, although definitive clinical and radiological findings were lacking. We report the outcomes of a retrospective case series. METHODS: Of 42 patients treated by surgical resection between March 1996 and December 2015, 7 who met our inclusion/exclusion criteria were evaluated. At least 1 symptom of the typical triad (temperature sensitivity, severe pain, and localized tenderness) was absent, and computed tomography (CT) and magnetic resonance imaging (MRI) findings were normal...
July 2, 2018: Annals of Plastic Surgery
Lee W T Alkureishi, Chad A Purnell, Patricia Park, Bruce S Bauer, Neil A Fine, Mark Sisco
INTRODUCTION: Whereas free tissue transfer has evolved to minimize morbidity in adults, less is known about outcomes after free flaps in children. This study sought to assess short- and long-term outcomes after microvascular reconstruction in the pediatric population. METHODS: Short- and long-term outcomes of free tissue transfer were assessed using chart-review and quality-of-life surveys. The Pediatric Outcomes Data Collection Instrument was used to evaluate overall health, pain, and ability to participate in normal daily and more vigorous activities...
July 2, 2018: Annals of Plastic Surgery
Maelee K Yang, Joseph M Meyerson, Gregory D Pearson
BACKGROUND: Attrition in plastic surgery is poorly characterized in the literature with previous data indicating that independent residents may have a higher rate of voluntary attrition with integrated residents having a higher rate of involuntary attrition. The aim of this study is to identify risk factors, note differences between pathways, and provide insight into resident attrition from plastic surgery residencies. METHODS: An institutional review board-approved anonymous, multiple-choice and short answer, online survey regarding resident attrition was sent to all plastic surgery program directors (PDs) in the United States focusing from 2003 to 2013...
July 2, 2018: Annals of Plastic Surgery
Edward A Luce
No abstract text is available yet for this article.
June 26, 2018: Annals of Plastic Surgery
Johnny Ionut Efanov, Julien Shine, Nebras Ghazawi, Marc-Antoine Ricard, Daniel Evan Borsuk
BACKGROUND: Areas of surgical care in which, traditionally, plastic surgeons were exclusively involved are now routinely offered by other surgical specialists. Whether this shift in clinical responsibilities influenced publication rates of plastic surgeons remains unknown. The current article investigates the proportion of contributions in plastic surgery journals originating from authors with a plastic surgery background as well as publication rates and author demographics. METHODS: A cross-sectional sample study of every publication originating from Annals of Plastic Surgery, Journal of Plastic, Reconstructive and Aesthetic Surgery, and Plastic and Reconstructive Surgery was performed for 2006 and 2016...
June 26, 2018: Annals of Plastic Surgery
Jeong Hyun Ha, Seong Oh Park, Hak Chang, Ung Sik Jin
INTRODUCTION: In extensive radionecrosis following radiotherapy for breast cancer (BC) treatment, the defect after excision can be reconstructed with a transverse rectus abdominis myocutaneous (TRAM) flap. In this study, we report outcome of free TRAM flap using contralateral internal mammary artery (IMA) as a recipient in comparison with pedicled TRAM. METHODS: We reviewed cases of chest wall radionecrosis following BC treatment during the past 8 years. Radionecrosis involving full-thickness soft tissue with defect sizes greater than 10 × 10 cm were included...
June 26, 2018: Annals of Plastic Surgery
Adam S Levy, Anant Dinesh, Leaque Ahmed, Norman Morrison, Ryan Engdahl
PURPOSE: An increase in bariatric surgery has led to a rise in postbariatric contouring procedures. Despite a comprehensive preoperative assessment, body habitus in these patients may significantly limit the abdominal exam. Abdominal contouring procedures typically elevate large portions of the skin and fat off the abdominal wall, and unexpected hernia may be discovered intraoperatively. No study to date has characterized such hernia discovery at the time of body contouring surgery. We reviewed our experience of management of incidental hernia found during abdominoplasty or panniculectomy after laparoscopic bariatric surgery...
June 26, 2018: Annals of Plastic Surgery
Tian Li, Duo Zhang, Bing Li, Ying Shao
BACKGROUND: Preventing the recurrence of eyebrow ptosis after brow lift surgery is challenging. We developed a novel technique to maintain elevation of the eyebrow after brow lift surgery. METHODS: A consecutive sample of patients who underwent brow lift surgery between June 2014 and June 2016 was divided into 2 groups. Group A underwent resection of excess skin during brow lift surgery; group B underwent the new eyebrow lift technique, which involved resecting skin and the lateral part of the orbital orbicularis oculi muscle, elevating the lower margin of the orbital orbicularis oculi muscle, and suturing it to the orbital periosteum...
June 26, 2018: Annals of Plastic Surgery
Rami S Kantar, William J Rifkin, Michael J Cammarata, Samantha G Maliha, J Rodrigo Diaz-Siso, Scott J Farber, Roberto L Flores
BACKGROUND: Single-stage cleft lip and palate repair is a debated surgical approach. While some studies have described favorable outcomes, concerns include the effect on craniomaxillofacial growth and increased risk of complications. To this date, there has not been a comprehensive appraisal of available data following combined cleft lip and palate repair. METHODS: An extensive literature review was performed to identify all relevant articles. The level of evidence of these articles was graded according to the Oxford Centre for Evidence-Based Medicine Levels of Evidence Scale...
June 26, 2018: Annals of Plastic Surgery
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