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Plastic and Reconstructive Surgery

Tony Chieh-Ting Huang, M Diya Sabbagh, Kian Adabi, Steven L Moran, Chun-Kuan Lu, Si-Gyun Roh, Hsu-Tang Cheng, Chieh-Cheng Randy Huang, Oscar J Manrique
No abstract text is available yet for this article.
September 10, 2018: Plastic and Reconstructive Surgery
Sadek Mowakket, Marta Karpinski, Lucas Gallo, Matteo Gallo, Laura Banfield, Jessica Murphy, Daniel Waltho, Andrea Copeland, Syena Moltaji, Achilleas Thoma
BACKGROUND: Current guidelines for randomized controlled trial (RCT) reporting do not require authors to justify their choice of time horizon. This is concerning, as the time horizon when an outcome is assessed has important implications for the interpretation of study results, and resources allocated to an investigation. Therefore, this study seeks to examine the standards of time horizon reporting in the plastic surgery literature. METHODS: This is a systematic review of plastic surgery RCTs published within the last 4 years...
September 10, 2018: Plastic and Reconstructive Surgery
Hazim Sadideen, Navid Jallali
No abstract text is available yet for this article.
September 10, 2018: Plastic and Reconstructive Surgery
Paul A Mittermiller, Harleen Sethi, Roshan P Morbia, Dana Johns, Joseph Baylan, H Peter Lorenz, Rohit K Khosla
No abstract text is available yet for this article.
September 1, 2018: Plastic and Reconstructive Surgery
Michael G Brandel, Cecilia L Dalle Ore, Chris M Reid, William Zhu, Samuel Lance, Hal Meltzer, Amanda A Gosman
No abstract text is available yet for this article.
September 1, 2018: Plastic and Reconstructive Surgery
Todd H Alter, William J Warrender, Frederic E Liss, Asif M Ilyas
BACKGROUND: Hand surgery under local anesthesia only has been utilized more frequently in recent years. The purpose of this study was to compare perioperative time and cost for carpal tunnel release (CTR) performed under local anesthesia (WALANT) only to those performed under intravenous sedation (MAC). METHODS: A retrospective comparison of intra-operative (OR) surgical time and post-operative (PACU) time for consecutive CTR procedures performed under both MAC and WALANT was undertaken...
September 1, 2018: Plastic and Reconstructive Surgery
Patrick Rhodius, Anthony Haddad, Hajime Matsumine, Dharaniya Sakthivel, Maximilian Ackermann, Indranil Sinha, Dennis P Orgill, Giorgio Giatsidis
BACKGROUND: Advances in reconstructive surgery are leading to an increased number of flaps at risk for ischemic necrosis, either due to intrinsic (e.g., larger flap size) or extrinsic (e.g., diabetes) factors. Yet, methods to pre-operatively improve flap vascularity and limit post-operative ischemia are lacking. Non-invasive suction, using either a macro-deformational silicone-cup interface (External Volume Expansion, EVE) or a micro-deformational polyurethane-foam interface (F-EVE), has shown to induce angiogenesis in tissues...
September 1, 2018: Plastic and Reconstructive Surgery
Jiriys G Ginini, Gila Maor, Omri Emodi, Dekel Shilo, Yankel Gabet, Dror Aizenbud, Adi Rachmiel
BACKGROUND: Distraction osteogenesis (DO) has widespread clinical use in the treatment of congenital and acquired craniofacial deformities. Nonetheless, during the prolonged consolidation period, the newly regenerated bone carries the risk of complications. One of the proposed methods to enhance bone healing and shorten the consolidation period is extracorporeal shock wave therapy (ESWT). In the field of orthopedics, ESWT has been shown to induce neovascularization and promote tissue regeneration...
September 1, 2018: Plastic and Reconstructive Surgery
Steven M Koehler, Andrew P Matson, David S Ruch, Suhail K Mithani
BACKGROUND: In the setting of the rapid advancement of integumentary vascular knowledge, we hypothesized that the extrinsic blood supply to the major peripheral nerves of the upper extremity could be categorized into discrete neural "perforasomes". METHODS: Total limb perfusion of the arterial system was performed with gelatin-red lead oxide in cadaveric upper limbs. The perforating vessels to the radial, median and ulnar nerves were identified, confirmed with fluoroscopy and dissected...
September 1, 2018: Plastic and Reconstructive Surgery
Rajendra Sawh-Martinez, Alex M Lin, Christopher R DeSesa, Robin T Wu, Cyril S Gary, Derek M Steinbacher
INTRODUCTION: Le Fort I maxillary advancements are reported to affect nasal proportions. However, there is a no significant data on the three-dimensional nasal changes that occur with differential lateral plane adjustment (clockwise (CW) and counterclockwise (CCW) movements) during Le Fort I maxillary advancements. The purpose of this study was to analyze and compare nasolabial soft tissue changes after Le Fort I CW and CCW repositioning. METHODS: Single-piece Le Fort I advancements were included in this morphometric study...
September 1, 2018: Plastic and Reconstructive Surgery
Washington Lima, Alessandra Grassi Salles, Jose Carlos Marques de Faria, André C Nepomuceno, Raquel Salomone, Patricia Krunn, Rolf Gemperli
BACKGROUND: There is clinical and experimental evidence that botulinum toxin applied to the healthy side of patients with facial paralysis positively affects functional recovery of the paralyzed side. We created an experimental model to study the effects of botulinum toxin injection in the gastrocnemius muscle contralateral to the side of tibial nerve lesion/repair in rats. METHODS: Fifty rats were allocated into five groups: I: control; II: tibial nerve section; III: tibial nerve section, immediate neurorrhaphy; IV: tibial nerve section, immediate neurorrhaphy and botulinum toxin injected into the contralateral gastrocnemius muscle; V: botulinum toxin injected into the gastrocnemius muscle, no surgery...
September 1, 2018: Plastic and Reconstructive Surgery
Danielle M Minteer, Beth R Gusenoff, Jeffrey A Gusenoff
BACKGROUND: By age 60, 30% of Americans suffer from fat pad atrophy of the foot. Forefoot fat pad atrophy results from long-term aggressive activity, genetics dictating foot type, multiple forefoot steroid injections, surgery and foot trauma. METHODS: We present data from a two-year, prospective, randomized cross-over study performed to assess pain and disability indexes, fat pad thickness, forces and pressures of stance and gait. Group 1 underwent fat grafting with two years of follow-up, while Group 2 underwent conservative management for 1 year, then received fat grafting with 1 year of follow-up...
August 31, 2018: Plastic and Reconstructive Surgery
Anne F Klassen, Manraj Kaur, Lotte Poulsen, Craig Fielding, Daan Geerards, Tim C van de Grift, Maarten Hoogbergen, Claus Bogh Juhl, Mike Mikkelsen Lorenzen, Giancarlo McEvenue, Hugh McLean, Clayton Moliver, Margriet G Mullender, Vivek Panchapakesan, Jussi P Repo, Michael Rose, Jens Ahm Sørensen, René Klinkby Støving, Andrea L Pusic
BACKGROUND: Plastic surgery to improve chest appearance is becoming increasingly popular. The BODY-Q is a patient-reported outcome (PRO) instrument designed for weight loss and/or body contouring. In this paper, we describe the development of a new module for masculinizing chest contouring surgery. METHODS: Qualitative methods were used to develop and refine the content of the BODY-Q Chest Module, which was subsequently field-tested in Canada, USA, Netherlands and Denmark between June 2016 and June 2017...
August 31, 2018: Plastic and Reconstructive Surgery
Wendy Chen, Isaac B James, Jeffrey A Gusenoff, J Peter Rubin
BACKGROUND: Demand for post-passive weight loss (MWL) brachioplasty in the United States has seen a dramatic increase, from 338 procedures in 2000 to 17,099 in 2015. New challenges are emerging, some without clear solutions. Here we describe our series of arm band deformities not yet been described in the literature. METHODS: This is a retrospective review of MWL patients undergoing brachioplasty at our institution (2000-2016). Pre- and post-operative photographs were reviewed to identify the defect...
August 31, 2018: Plastic and Reconstructive Surgery
Jop Beugels, Julie V Vasile, Stefania M H Tuinder, Stephen J Delatte, Hugo St-Hilaire, Robert J Allen, Joshua L Levine
BACKGROUND: Options for bilateral autologous breast reconstruction in thin women are limited. The aim of this study was to introduce a novel approach to increase abdominal flap volume with the stacked hemi-abdominal extended perforator (SHAEP) flap. We described the surgical technique and analyzed our results. METHODS: A prospective study was conducted of all SHAEP flap breast reconstructions performed since February 2014. Patient demographics, operative details, complications and flap re-explorations were recorded...
August 30, 2018: Plastic and Reconstructive Surgery
Sebastian Cotofana, Robert H Gotkin, Sergey P Morozov, Stanislav Y Kim, Victor A Gombolevsky, Albina S Laipan, Ilya A Pyatintsky, Tigran V Movsisyan, Konstantin Frank
OBJECTIVE: Changes in midfacial skeletal angles and widths have been identified to contribute to the appearance of the aging face. However, information on the onset and gender differences of these changes, as well as a complete understanding of the theory behind this clockwise rotation, remain elusive. MATERIAL AND METHODS: 157 Caucasian individuals (10 males and 10 females of each: 20 - 29yrs, 30 - 39yrs, 40 - 49yrs, 50 - 59yrs, 60 - 69yrs, 70 - 79yrs, 80 - 89yrs & 8 males and 9 females 90 - 98 years) were investigated...
August 30, 2018: Plastic and Reconstructive Surgery
Jacob S Nasser, Helen E Huetteman, Ting-Ting Chung, Kevin C Chung
BACKGROUND: Unplanned emergency department (ED) visits are often overlooked as an indicator of care quality. Our objectives were to (1) determine the rate of 30-day ED visits following mastectomy with or without immediate reconstruction, (2) perform a risk analysis of potential factors associated with ED return, and (3) assess for potentially preventable visits with a focus on returns for pain. METHODS: Using the Healthcare Cost and Utilization Project data, we identified adult women who underwent mastectomy with or without reconstruction...
August 30, 2018: Plastic and Reconstructive Surgery
Jordan D Frey, Ara A Salibian, Jamie P Levine, Nolan S Karp, Mihye Choi
BACKGROUND: Nipple-sparing mastectomy (NSM) allows for preservation of the entire nipple-areola complex utilizing various incision patterns. Reconstructive trends and overall risk associated with these diverse NSM incisions have yet to be fully elucidated. METHODS: All NSMs from 2006 to 2017 were identified; outcomes were stratified by type of mastectomy incision: lateral or vertical radial, inframammary fold, Wise pattern, previous, and periareolar. RESULTS: A total of 1212 NSMs were performed with 1207 NSMs included for final analysis...
August 30, 2018: Plastic and Reconstructive Surgery
Rajiv P Parikh, Gabriella Brown, Ketan Sharma, Yan Yan, Terence M Myckatyn
BACKGROUND: Sterile, ready-to-use acellular dermal matrix (RTU ADM), introduced as an alternative to aseptic, freeze-dried acellular dermal matrix (FD ADM) for implant-based breast reconstruction (IBR), has been investigated in a limited number of studies. The purpose of this study was to compare outcomes in IBR with RTU ADM and FD ADM. METHODS: We analyzed patients undergoing IBR with either FD ADM or RTU ADM, including demographics, clinical variables, and outcomes...
August 30, 2018: Plastic and Reconstructive Surgery
Joris A van Dongen, Joep C N Willemsen, Maroesjka Spiekman, Karin M Vermeulen, Martin C Harmsen, Hieronymus P Stevens, Berend van der Lei
No abstract text is available yet for this article.
August 29, 2018: Plastic and Reconstructive Surgery
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