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Annals of Plastic Surgery

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https://www.readbyqxmd.com/read/29095194/liposomal-bupivacaine-may-benefit-select-reduction-mammaplasty-patients
#1
Shana S Kalaria, Stefanos Boukovalas, Pablo L Padilla, Jacquelynn P Tran, Ramon T Li, Linda G Phillips
BACKGROUND: Postoperative pain control can be challenging in reduction mammaplasty patients. This study compares perioperative liposomal bupivacaine (Exparel; Pacira Pharmaceuticals, Inc, San Diego, Calif) with standard local anesthetics to determine if liposomal bupivacaine decreases opioid and antiemetic use, impacting length of stay and complication rates, thus improving patient outcomes. METHODS: A retrospective review of 170 reduction mammaplasty patients was performed...
October 31, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29095193/the-effectiveness-of-sternocleidomastoid-flap-versus-superficial-musculoaponeurotic-system-flap-for-the-prevention-of-frey-syndrome-and-facial-depressed-deformity-in-parotid-surgery-for-pleomorphic-adenoma
#2
Marco Manola, Luca Moscillo, Vittorio Simeon, Elena De Luca, Americo Mastella
The purpose of this study was to compare 2 types of reconstruction techniques: sternocleidomastoid (SCM) flap and superficial musculoaponeurotic system (SMAS) flap after partial parotidectomy (PP) for preventing Frey syndrome (FS) and concave facial depressed deformity. A total of 99 patients underwent PP for pleomorphic adenoma of the parotid gland. The patients were divided in 2 groups according to the dimension of the tumor: tumors less than 3 cm (group A, 47 patients) and tumors greater than or equal to 3 cm (group B, 52 patients)...
October 31, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29095192/interposition-tendon-graft-and-tension-in-the-repair-of-closed-rupture-of-the-flexor-digitorum-profundus-in-zone-iii-or-iv
#3
Young Jun Kim, Jong Hun Baek, Jin Sung Park, Jae Hoon Lee
We report the results of interposition tendon grafts using the ipsilateral palmaris longus tendon in 12 patients with closed flexor digitorum profundus tendon ruptures in zone III or IV of 14 digits between June 2006 and October 2015. Before surgery, 2 patients were diagnosed with closed tendon ruptures that occurred after nonunion of hamate hook fractures. The other 10 patients were diagnosed with spontaneous tendon ruptures of unknown cause. In 2 of the 10 patients with spontaneous tendon rupture, the cause of the rupture was not found...
October 31, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29095191/determination-of-pneumatic-tourniquet-pressure-of-lower-limb-by-ultrasonic-doppler
#4
Jinyan Mu, Dan Liu, Daihong Ji, Borui Li, Zhigang Li, Feng Zhang, William C Lineaweaver
OBJECTIVE: The aim of this study was to investigate the clinical effect of tourniquet inflation pressure setting by ultrasonic Doppler on lower limb operation. METHODS: Ninety-six patients with total knee arthroplasty were selected in this study from January 2015 to December 2015. The patients were randomly divided into the study group and the control group with 48 cases in each group. In the control group, the tourniquet pressure is determined by the doctor's request for the patient's condition, but all the tourniquet pressure values should be 80 KPa or less...
October 31, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29095190/low-versus-high-vacuum-suction-drainage-of-the-submuscular-pocket-in-primary-breast-reconstruction-a-retrospective-study
#5
Domenico Pagliara, Sara Maxia, Mario Faenza, Lidia Dessena, GianVittorio Campus, Corrado Rubino
BACKGROUND: Placement of suction drainage in submuscular pockets is routinely performed in breast reconstruction. Days of drain permanence (DDP) are associated with hospital stay and related health care costs. The aims of this study are to retrospectively compare data related to DDP and total drainage volume between high and low vacuum suction drainage groups and to identify correlations with patient or surgery-related factors. METHODS: We retrospectively analyzed data of 100 patients undergoing immediate or delayed breast reconstruction with expanders and implants...
October 31, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29095189/venous-thromboembolism-after-surgical-treatment-of-breast-cancer
#6
Arash Momeni, Justin P Fox
BACKGROUND: Venous thromboembolism (VTE) remains a serious complication after the surgical treatment of breast cancer. Contemporary guidelines limit VTE chemoprophylaxis to the period of hospitalization. We conducted this study to evaluate the frequency of postdischarge VTE among surgically treated breast cancer patients and identify patient level factors associated with postdischarge VTE. METHODS: Using Arkansas, Florida, Nebraska, and New York state inpatient databases, we conducted a retrospective cohort study of adult women who underwent surgical treatment for breast cancer between October 1, 2008, and September 30, 2013...
October 31, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29095188/noordhoff-craniofacial-foundation-online-operative-syllabus-and-video-review
#7
Lee Seng Khoo
No abstract text is available yet for this article.
October 31, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29095187/defining-the-role-of-free-flaps-for-transoral-robotic-surgery
#8
Kyle M Hatten, Robert M Brody, Gregory S Weinstein, Jason G Newman, Andres M Bur, Ara A Chalian, Bert W OʼMalley, Christopher H Rassekh, Steven B Cannady
BACKGROUND: Transoral surgical techniques for oropharyngeal tumors have been widely accepted, yet often results in a significant functional deficit. Current reports on the safety, feasibility, and swallowing performance after microvascular reconstruction are limited to small volume case series. MATERIALS AND METHODS: Retrospective review of 42 consecutive patients, between December 2013 and May 2016, who underwent transoral robotic surgery oropharyngectomy followed by microvascular reconstruction...
October 31, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29095186/nerve-repair-manual-a-practical-approach-to-injuries-and-repair-in-the-brachial-plexus-and-upper-extremity
#9
Brian D Rinker
No abstract text is available yet for this article.
October 31, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29095185/immediate-perineal-reconstruction-after-extralevatory-abdominoperineal-excision-buried-desepidermised-fasciocutaneous-v-y-advancement-flap
#10
Özay Özkaya, Ayça Ergan Şahin, İlker Üsçetin, Hakan Güven, Fazil Sağlam
BACKGROUND: According to National Cancer Institute, there are approximately 39,800 rectal cancer cases per year, 25% of which will need an abdominoperineal resection (APR). The key to avoid most of the complications related to pelvic defect that occurs after APR is choosing an appropriate reconstruction option for perineum. This study aims to introduce an easily applicable flap option for closure to address postoperative pelvic defect in low rectal cancer. METHODS: This is a retrospective evaluation of 9 patients who have undergone perineal reconstruction for pelvic defects after extralevatory abdominoperineal excision with rectal cancer between 2014 and 2016...
October 31, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28984661/surgeon-controlled-comparison-of-direct-to-implant-and-2-stage-tissue-expander-implant-immediate-breast-reconstruction-outcomes
#11
Vitali Azouz, Stephen Lopez, Douglas S Wagner
BACKGROUND: Current literature comparing outcomes of immediate breast reconstruction using direct-to-implant (DTI) single-stage and 2-stage tissue expanders (TEs) is conflicting. This study compared overall outcomes and determined predictive patient factors associated with higher complication rates. METHODS: After institutional review board approval, a retrospective cohort study of consecutive patients who underwent immediate breast reconstruction from 2010 to 2014 at a single hospital was performed...
October 3, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28984660/selective-scalp-nerve-block-a-useful-technique-with-tissue-expansion-in-postburn-pediatric-alopecia
#12
Maha Ahmed Abo-Zeid, Alaa Eldin Adel Elmaddawy, Mohamed Hassan El-Fahar, Ahmed Hassan El-Sabbagh
BACKGROUND: Scalp defects can be reconstructed either with skin graft, local flaps, free flaps, or tissue expansion. Tissue expanders have been proved to be fruitful in the pediatric population. Scalp expansion has proved to be useful in the reconstruction of posttraumatic and postburn alopecic defects. Selective nerve block can be added for attenuation of sympathetic stimulation and decrease surgical stress in cranial surgeries. In this study, a comparison was done between using selective nerve block and without selective nerve block in both stages of tissue expansion procedure...
October 3, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28984659/a-cross-sectional-study-of-variations-in-reimbursement-for-breast-reconstruction-is-a-healthcare-disparity-on-the-horizon
#13
Elizabeth B Odom, Alexandra C Schmidt, Terence M Myckatyn, Donald W Buck
BACKGROUND: Despite growing demand for breast reconstruction, financial disincentives to perform breast reconstruction in patients with government-sponsored insurance plans may lead to longer wait times and decreased access to care. We identify the variation in reimbursement for implant and autologous reconstruction as a step toward understanding these financial implications, to develop safeguards to minimize effects on access to care. METHODS: Billing data were collected over a 10-year period for patients undergoing implant-based (19357) or free-flap (19364) breast reconstruction...
October 3, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28984658/long-term-outcomes-after-flap-reconstruction-in-pediatric-pressure-ulcers
#14
Joseph M Firriolo, Ingrid M Ganske, Carolyn M Pike, Catherine Caillouette, Heather R Faulkner, Joseph Upton, Brian I Labow
BACKGROUND: Pressure ulcers refractory to nonoperative management may undergo flap reconstruction. This study aims to evaluate the long-term outcomes and recurrence rates of flap reconstruction for pediatric pressure ulcers. METHODS: We reviewed the records of patients who underwent flap reconstruction for pressure ulcer(s) from 1995 to 2013. RESULTS: Twenty-four patients with 30 pressure ulcers, requiring 52 flaps were included. Ulcers were stages III and IV and mostly involved either the ischia (15/30) or sacrum (8/30)...
October 3, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28984657/osseointegrated-prosthetic-ear-reconstruction-in-cases-of-skin-malignancy-technique-outcomes-and-patient-satisfaction
#15
Cori A Agarwal, Dana Johns, Paul B Tanner, Robert H I Andtbacka
BACKGROUND: Ear reconstruction with osseointegrated prosthetic implants is a well-established method of reconstruction after resection of skin malignancies on the external ear. There is limited literature reporting technique, outcomes, and patient satisfaction. METHODS: We evaluated our outcomes over a 5-year period looking at osseointegrated prosthetic reconstruction after auriculectomy for external ear skin malignancies. We report demographics, disease characteristics, technique, and complications...
October 3, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28984656/the-distally-based-peroneus-brevis-flap-the-5-step-technique
#16
Luigi Troisi, Thomas Wright, Umraz Khan, Ahmed T Emam, Thomas W L Chapman
The peroneus brevis flap was first described as proximally based by Mathes et al (Surg Clin North Am. 1974;54:1337-1354) and later by Jackson and Scheker (Injury. 1982;13:324-330). A distally based version of this flap by Mathes and Nahai (Reconstructive Surgery: Principles, Anatomy and Technique. 1997:1437e46) was subsequently described in 1997. The first case series of distally based flaps was published by Eren et al (Plast Reconstr Surg. 2001;107:1443-1448).In our experience, the distally based flap is a useful muscle flap to reconstruct small defects in the lateral distal third of the leg...
October 3, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28984655/mixed-versus-pure-variants-of-desmoplastic-melanoma-the-cleveland-clinic-experience
#17
Ruzica Z Conic, Jennifer Ko, Sherihan H Allam, Natasha Atanaskova-Mesinkovska, Ivanka Kovalyshyn, Wilma Bergfeld, Brian R Gastman
BACKGROUND: Desmoplastic melanoma (DM) is a subvariant of spindle cell melanoma, accounting for less than 4% of all cutaneous melanomas. It occurs later in life and is associated with chronic sun exposure. Desmoplastic melanoma prognosis is considered more favorable than other variants, with lower rates of metastasis and higher survival. Recently, DM has been further subclassified into pure and mixed, calling into question surgical management and patient outcomes as well as viability of current nationwide databases without this distinction...
October 3, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28984654/joint-denervation-in-the-digits-technique-and-patient-satisfaction
#18
Russell J Madsen, Lindsay A Stone, Jeremiah B Knapp, Joel S Solomon
BACKGROUND: Traditional approaches to treating painful osteoarthritis of the fingers include arthrodesis and arthroplasty. Although highly effective for pain control, arthrodesis sacrifices joint motion and can be complicated by nonunion, malunion, and infection.Implant arthroplasty preserves motion but is likewise subject to complications-particularly at the level of the proximal interphalangeal joint. In contrast, finger joint denervation is a simple outpatient procedure that maintains joint motion...
October 3, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28984653/comparative-outcomes-of-inferior-pedicle-and-superomedial-pedicle-technique-with-wise-pattern-reduction-in-gigantomastic-patients
#19
Cemal Alper Kemaloğlu, Hakan Özocak
INTRODUCTION: Although multiple pedicle and skin excision techniques exist for gigantomastic breast reduction, no consensus exists as to which method is most effective in providing an aesthetically pleasing breast, especially in the long-term period. This study aimed to compare the aesthetic and surgical outcomes between inferior pedicle and superomedial pedicle reductions, which both use Wise pattern skin excision in gigantomastic patients. METHODS: A prospective study was planned, and the number of patients was determined before the beginning of the study...
October 3, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28984652/an-outcomes-study-on-the-effects-of-the-singapore-general-hospital-burns-protocol
#20
Weihao Liang, Yee Onn Kok, Bien Keem Tan, Si Jack Chong
INTRODUCTION: The Singapore General Hospital Burns Protocol was implemented in May 2014 to standardize treatment for all burns patients, incorporate new techniques and materials, and streamline the processes and workflow of burns management. This study aims to analyze the effects of the Burns Protocol 2 years after its implementation. METHODS: Using a REDCap electronic database, all burns patients admitted from May 2013 to April 2016 were included in the study. The historical preimplementation control group composed of patients admitted from May 2013 to April 2014 (n = 96)...
October 3, 2017: Annals of Plastic Surgery
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