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Annals of Plastic Surgery

Peter R Swiatek, Shepard P Johnson, Lu Wang, Mochuan Liu, Ting-Ting Chung, Kevin C Chung
BACKGROUND: Posthospital syndrome (PHS) is a transient condition after acute hospitalizations when patients are physiologically deconditioned. The objective of this study was to determine if having PHS at the time of abdominal contouring surgery increased the incidence of postoperative adverse medical events. METHODS: We conducted a retrospective cohort study of patients enrolled in the MarketScan Databases who underwent outpatient functional or cosmetic abdominal contouring surgery (ie, abdominoplasty, liposuction, or panniculectomy) from April 2010 to August 2015...
September 11, 2018: Annals of Plastic Surgery
Billur Sezgin, Kirdar Guney, Ismail Lazoglu, Sedat Tatar, Ehsan Layegh, Melis Ozel, Selahattin Ozmen, Reha Yavuzer
BACKGROUND: Although columellar strut grafts (CSGs) are considered among the fundamental steps for providing nasal tip support, a downward rotation of the nasal tip in patients with strut grafts can still be encountered. Patient-related factors such as nasal skin thickness can allow the plastic surgeon to anticipate certain drawbacks that can be encountered in the healing phase, but patient-based differences of nasal cartilage and the resulting impact have yet to be investigated. The purpose of this study was to evaluate the effect of the biomechanical properties of CSGs on late postoperative nasal tip position and support...
September 11, 2018: Annals of Plastic Surgery
Charles Yuen Yung Loh, R Raja Shanmugakrishnan, Metin Nizamoglu, Alethea Tan, Marco Duarte, Waseem Ullah Khan, Naguib El-Muttardi
The superficial temporal artery (STA) flap is a versatile flap for head and neck defect reconstruction. It can be based on the frontal branch of the STA and an islanded 360-degree rotation arc for various defects on the scalp, cheek, and auricular region. It provides a nonmicrosurgical option for reconstructing such defects, which is itself relatively easy to perform. However, venous congestion is a problem than often can cause worry to the clinician and hence preclude its use. In this review, we revisit this flap in head and neck reconstruction, with case examples used for reconstruction of defects on the scalp, maxilla, lip, ear, and retroauricular area...
September 11, 2018: Annals of Plastic Surgery
Sameer M Kapadia, Alexandra Reitz, Alexandra Hart, Justine Broecker, Mylin A Torres, Grant W Carlson, Toncred M Styblo, Albert Losken
BACKGROUND: Partial breast reconstruction with reduction mammaplasty is an accepted option for women with breast cancer who wish to receive breast conserving therapy. With additional surgery and potential postoperative complications, the impact this approach has on the timely initiation of adjuvant radiation therapy has been raised as a concern. The purpose of this study was to determine if any postoperative complications after oncoplastic reduction (OCR) are associated with a delay in time to radiation...
September 11, 2018: Annals of Plastic Surgery
Jonathan Kanevsky, Tyler Safran, Dino Zammit, Samuel J Lin, Mirko Gilardino
Augmented and virtual reality is an evolving technology at the forefront of medicine. It can provide physicians with hands-free, real-time access to the vast resources of the Internet and electronic medical records, allowing simultaneously recording of clinical encounters or procedures. Mixed reality platforms can be applied as a clinical tool, educational resource, or as an aid in enhancing communication in health care. This article will explore how various augmented and virtual reality platforms have enabled real-time visualization of patient information, recording of surgical cases, point-of-view photography, and intraoperative consults-all while remaining sterile in the operating room...
September 11, 2018: Annals of Plastic Surgery
Kento Hosomi, Motonao Iwasawa, Takeshi Kitazawa, Fumio Nagai
We report 2 cases showing both radial ray deficiency and thumb duplication. The common features of these cases were absence of the first metacarpus and presence of 2 tiny fingers. The features of our cases may have been due to continuous abnormality of the mesenchymal cells before limb bud formation and apical ectodermal ridge at the established limb bud. In 1 case, we created a 5-finger hand using 2 tiny floating fingers. Two fingers as vascularized bones with growth potential were useful to make 1 thumb. Two tendon transfers at 2 years of age were effective to allow gripping and pinching of objects...
September 11, 2018: Annals of Plastic Surgery
Shih-Heng Chen, An-Ta Ko, Hung-Chi Chen, Tyng-Luen Roan, Yueh-Bih Tang
BACKGROUND: Significant defects at the fronto-naso-orbital area always present with severe facial disfigurement for the afflicted individuals. It may occur after tumor ablations, compound comminuted fractures, or craniofacial surgeries at this area. PATIENTS AND METHODS: Reconstructions of 11 patients with this problem had been performed by the authors, with follow-up for 3 to 25 years. The modes of reconstruction involved carved cartilage block with fascia grafts in 3 patients, split calvarial bone grafting covered with fascia grafts in 2 patients, drilled bone chips harvested from outer table of calvarial bone encased with fascia for smaller defects in 2 patients, 3-dimensional computed tomographic reconstruction and reformation of replica to replace the destroyed framework in 4 patients...
August 29, 2018: Annals of Plastic Surgery
Juan Rodolfo Mella, Lifei Guo, Virginia Hung
Dupuytren's contracture, a benign condition characterized by fibrosis of the palmar and digital fascia, may be a debilitating condition that limits daily function. Several techniques exist for managing symptomatic contractures of the hand related to Dupuytren's. These techniques include the more invasive open fasciotomy or fasciectomy. More recently, less invasive techniques including administration of collagenase Clostridium histolyticum (CCH) or percutaneous needle aponeurotomy (PNA) have become part of the treatment armamentarium...
August 29, 2018: Annals of Plastic Surgery
Wei F Chen
Recent advancements in microsurgery and supermicrosurgery have made effective lymphedema treatment a surgical reality. When comparing the 2 currently available procedures, lymphaticovenular anastomosis (LVA) and vascularized lymph node transfer, vascularized lymph node transfer is more frequently performed owing to technical unfamiliarity with supermicrosurgery and uncertainty in patient selection, technical execution, and procedural outcome. To date, the author has performed more than 250 cases of supermicrosurgical LVAs...
August 29, 2018: Annals of Plastic Surgery
Alessandro Innocenti, Serena Ghezzi, Marco Innocenti
No abstract text is available yet for this article.
August 29, 2018: Annals of Plastic Surgery
Juan Enrique Berner, Ioannis Kyriazidis
Dermoscopy is a physical examination technique that combines the use of illumination and magnification, provided by a handheld device, to scrutinize skin lesions. Its use increases the diagnostic accuracy for the trained operator, providing more information for making better decisions for the management of skin cancer. The "International Dermoscopy Course for Plastic Surgeons" aims to train plastic surgery trainees and consultants in the use of this technique. This 1-day, lecture-based course is held 4 times a year in the city of Oxford, United Kingdom, at a cost of £250 (US $340)...
August 29, 2018: Annals of Plastic Surgery
Mohsen Bahmani Kashkouli, Parya Abdolalizadeh, Anahita Amirsardari, Yasaman Hadi, Maria Sharepour, Houri Esmaeilkhanian
PURPOSES: The purposes of this study were to compare lash ptosis (LP) with contralateral eyelid in patients with unilateral myogenic (MP) and aponeurotic (AP) ptosis before and after the ptosis repair and to assess the correlation between postoperative eyelid height and LP symmetry. METHODS: Patients older than 5 years were included from June 2015 to April 2017. Eyelid examination, LP grading (0-3), and photography were performed before and at least 6 months after ptosis repair...
August 29, 2018: Annals of Plastic Surgery
Keshav Poonit, Bin Zhao, Zeyuan Jin, Kaizong Yuan, Tokai B Cooper, Hede Yan
BACKGROUND: The purposes of this article were to present an exemplary case of bilateral locked metacarpophalangeal (MCP) joint of the second metacarpal and to review the literature for a more comprehensive understanding of this condition. METHODS: For the literature review, PubMed and Google Scholar research were performed using the term "metacarpophalangeal joint (MCP joint) locking or locked metacarpophalangeal joint (MCP Joint)" with a set of inclusion and exclusion criteria...
August 29, 2018: Annals of Plastic Surgery
Kiran K Nakarmi, Danielle H Rochlin, Surendra J Basnet, Pramila Shakya, Bishal Karki, Mangal G Magar, Krishna K Nagarkoti, Pradeep K Rajbhandari, Devendra Maharjan, Susan S Prajapati, Shankar M Rai
BACKGROUND: Free tissue transfer is one of the most important and essential techniques in reconstructive surgery. The underlying complexity, steep learning curve, high cost, and fear of failure make it very difficult to establish as a regular service in developing countries such as Nepal. METHODS: A retrospective cohort study design was used to analyze the challenges with and opportunities for reconstructive surgery in Nepal. Medical records were reviewed for patient demographics, indications, types of free flaps, hospital stay, complications, and involvement of a microsurgery teaching workshop...
August 29, 2018: Annals of Plastic Surgery
Alicia E Snider, Jeremy V Lynn, Kevin M Urlaub, Alexis Donneys, Yekaterina Polyatskaya, Noah S Nelson, Russell E Ettinger, Geoffrey C Gurtner, Mark M Banaszak Holl, Steven R Buchman
BACKGROUND: Breast cancer is most commonly managed with a combination of tumor ablation, radiation, and/or chemotherapy. Despite the oncologic benefit of these treatments, the detrimental effect of radiation on surrounding tissue challenges the attainment of ideal breast reconstruction outcomes. The purpose of this study was to determine the ability of topical deferoxamine (DFO) to reduce cutaneous ulceration and collagen disorganization following radiotherapy in a murine model of expander-based breast reconstruction...
August 16, 2018: Annals of Plastic Surgery
Yair Shachar, Allan Billig, Alexander Margulis, Neta Adler
No abstract text is available yet for this article.
August 16, 2018: Annals of Plastic Surgery
Panxi Yu, Xiaonan Yang, Zuoliang Qi
No abstract text is available yet for this article.
August 16, 2018: Annals of Plastic Surgery
Waleed Gibreel, Jamison Anne Harvey, James Garrity, Uldis Bite
BACKGROUND: Reconstruction of the lower eyelid represents a unique challenge to the reconstructive surgeon. Studies evaluating the utility of the nasolabial V-Y advancement flap in lower eyelid reconstruction are limited and techniques to optimize outcomes following eyelid reconstruction with this technique are not well described. We seek to evaluate our experience and outcomes with lower eyelid reconstruction using the nasolabial perforator-based V-Y advancement flap. METHODS: After institutional review board approval, medical charts of all patients who underwent lower eyelid reconstruction using the nasolabial perforator-based V-Y advancement flap between February 2013 and October 2017 were reviewed...
August 16, 2018: Annals of Plastic Surgery
Umberto Cortinovis, Laura Sala, Stefano Bonomi, Gianfrancesco Gallino, Filiberto Belli, Antonino Ditto, Fabio Martinelli, Giorgio Bogani, Umberto Leone Roberti Maggiore, Francesco Raspagliesi
BACKGROUND: Several techniques for vaginal reconstruction after pelvic exenteration such as myocutaneous and myoperitoneal flaps are available. However, the use of a myofascial flap has not been previously described. Thus, the objective of this article is to present our experience of vaginal reconstruction with rectus abdominis myofascial (RAMF) flap. METHODS: Between May 2008 and March 2017, 16 patients underwent anterior, posterior, or total pelvic exenteration with RAMF flap vaginal reconstruction...
August 16, 2018: Annals of Plastic Surgery
Bao Ngoc N Tran, Arthur R Celestin, Bernard T Lee, Jonathan Critchlow, Leo Tsai, Beau Toskich, Dhruv Singhal
Quantifying lymph nodes in vascularized lymph node transfer (VLNT) has been performed using preoperative percutaneous ultrasound. The higher resolution and accuracy of intraoperative ultrasound (IOUS) over transcutaneous ultrasound has been demonstrated in the radiology literature for the identification and characterization of finer structures including hepatic lesions, pancreatic lesions, and biliary or pancreatic ducts. We hypothesize that IOUS during VLNT would be a superior method to quantify and map lymph nodes in our flaps...
August 16, 2018: Annals of Plastic Surgery
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