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Plastic and Reconstructive Surgery

Thomas D Dobbs, John A G Gibson, Sarah Hughes, Arron Thind, Benjamin Patel, Hayley A Hutchings, Iain Whitaker
BACKGROUND: A patient's health-related quality of life (HRQoL) can be significantly impacted by facial scarring and disfigurement. Facial soft tissue reconstruction should aim to improve HRQoL, with outcomes measured from the patient's perspective using patient-reported outcome measures (PROMs). This systematic review identifies PROMs for soft tissue facial reconstruction and appraises their methodological and psychometric properties using up-to-date methods. METHODS: A systematic search of MEDLINE, EMBASE, PsychINFO and Cochrane was performed in line with the PRISMA guidelines...
October 15, 2018: Plastic and Reconstructive Surgery
Natalie M Plana, William J Rifkin, Rami S Kantar, Joshua A David, Samantha G Maliha, Scott J Farber, David A Staffenberg, Barry H Grayson, J Rodrigo Diaz-Siso, Roberto L Flores
BACKGROUND: Simulation is progressively being integrated into surgical training, yet its utility in plastic surgery has not been well described. We present a prospective, randomized, blinded trial comparing digital simulation to a surgical textbook for conceptualization of cleft-lip repair. METHODS: Thirty-five medical students were randomized to learning cleft repair using a simulator or textbook. Participants outlined markings for a standard cleft-lip repair before (pre-intervention) and after (post-intervention) 20 minutes of studying their respective resource...
October 12, 2018: Plastic and Reconstructive Surgery
Kyeong-Tae Lee, Young Jae Lee, Ara Kim, Goo-Hyun Mun
BACKGROUND: Single-stage latissimus dorsi (LD) neuromuscular transfer has been a valuable option for dynamic smile reanimation. However, there is a paucity of studies evaluating the potential donor morbidity in such cases. The present study aimed to comprehensively analyze the donor morbidity following functional LD muscle transfer. METHODS: Patients who underwent single-stage functional LD muscle transfer for smile reanimation between 2002 and 2016 were reviewed...
October 12, 2018: Plastic and Reconstructive Surgery
S Alex Rottgers, Hasan R Syed, Diana S Jodeh, Yasser Jeelani, Edward Yang, John G Meara, Mark R Proctor
BACKGROUND: Endoscopic suturectomy and helmeting represents a successful first-line surgical treatment for bilateral coronal craniosynostosis. Its effect on cranial morphology has not been previously described. METHODS: Patients were identified who had bilateral coronal craniosynostosis treated with endoscopic suturectomy and postoperative helmeting at Boston Children's Hospital between 2005 and 2013 and who received pre- and post-operative CT scans. Two normative patient populations were identified from our trauma registry with CT scans completed at the same age as our pre- and post-treatment scans...
October 10, 2018: Plastic and Reconstructive Surgery
Shuyi Wei, Wenyue Liu, Buket Gundogan, Andrea V Moscoso, Dennis P Orgill, Giorgio Giatsidis
BACKGROUND: External volume expansion (EVE) improves the survival of adipose tissue grafts by pre-operatively conditioning ('pre-conditioning') tissues that will receive the graft. EVE's mechanisms of action (induction of angiogenesis and of adipogenesis) could improve graft survival also when applied post-operatively (post-conditioning). We tested this hypothesis and optimized the parameters of post-operative application of EVE in a murine model. METHODS: Fifty-six 8-week-old athymic (nu/nu) mice received dorsal subcutaneous grafts of human lipoaspirate (0...
October 10, 2018: Plastic and Reconstructive Surgery
Mineyuki Zukawa, Ryusuke Osada, Hiroto Makino, Tomoatsu Kimura
BACKGROUND: The purpose of this study was to investigate the clinical outcome of the wide-awake tendon reconstruction for chronic rupture of the flexor pollicis longus (FPL) tendon with evaluation of the voluntary active contraction distance (ACD) of the ruptured musculotendinous unit. METHODS: Eleven consecutive patients underwent tendon reconstruction under wide-awake surgery for chronic tendon rupture of the FPL. If the total of the passive distraction distance (PDD) and the ACD of the ruptured FPL musculotendinous unit was greater than 30 mm, tendon grafting was performed...
October 10, 2018: Plastic and Reconstructive Surgery
Joshua A Gillis, Joseph S Khouri, Michelle F Faupel, Robert J Spinner, Allen T Bishop, Alexander Y Shin
BACKGROUND: There is controversy regarding the effectiveness of brachial plexus (BP) reconstruction for elbow function in older patients as reported outcomes are generally poor. The purpose of this study is to evaluate elbow function outcomes in patients over 50. METHODS: Fifty-eight patients over the age of 50 underwent nerve grafting, transfers or free functioning muscle transfer (FFMT) to improve elbow function after traumatic BP injury. Patients were evaluated pre- and post-operatively for elbow flexion strength and range of motion (ROM), Disability of the Arm, Shoulder, and Hand (DASH) scores, pain, delay from injury to operation, concomitant trauma, severity of trauma, and type of reconstruction...
October 10, 2018: Plastic and Reconstructive Surgery
Yoon Gi Hong, Sung Chan Kim, Kyung S Koh
BACKGROUND: Improving flap survival is essential for successful soft-tissue reconstruction. Although many methods have been attempted to increase the survival of the distal flap portion, there has been no widely adopted procedure. We evaluated the effect of flap preconditioning with two different modes (continuous and cyclic) of external volume expansion (pressure-controlled cupping) in a rat dorsal flap model. METHODS: Thirty rats were randomly assigned to the control group and two experimental groups (n=10/group)...
October 10, 2018: Plastic and Reconstructive Surgery
Gianfranco Frojo, Kashyap K Tadisina, Sumesh Kaswan, Aaron Doston, Alexander Y Lin
No abstract text is available yet for this article.
October 9, 2018: Plastic and Reconstructive Surgery
Tyler Safran, J D Luck, Mary H McGrath, David L Larson
No abstract text is available yet for this article.
October 9, 2018: Plastic and Reconstructive Surgery
Li-Yao Cong, You-Jin Choi, Kyung-Seok Hu, Tanvaa Tansatit, Hee-Jin Kim
BACKGROUND: During periorbital noninvasive and surgical procedures there is the risk of iatrogenic injury to the emerging point of the ophthalmic artery. This study aimed to determine the three-dimensional location of the emerging point of the ophthalmic artery and to provide clinicians with anatomic information that would help them to avoid associated complications. METHODS: Seventeen hemifaces of the emerging point of the ophthalmic artery from 10 Korean and 7 Thai cadavers were dissected and scanned by a three-dimensional scanner...
October 9, 2018: Plastic and Reconstructive Surgery
D Casella, G Di Taranto, M Marcasciano, S Sordi, A Kothari, T Kovacs, F Lo Torto, E Cigna, C Calabrese, D Ribuffo
BACKGROUND: Breast reconstruction is rapidly evolving, owing to the changing face of cancer surgery and the growing acceptance of acellular dermal matrices (ADM) and synthetic meshes. Although some early reports showed encouraging results after prepectoral breast reconstruction, there is a paucity of data on long term outcomes. METHODS: Between January 2012 and March 2015, 179 patients undergoing mastectomy were enrolled at our institution. Patients underwent mastectomy and immediate prepectoral breast reconstruction with the definitive implant entirely wrapped in a titanium-coated polypropylene mesh (TiLoop®)...
October 9, 2018: Plastic and Reconstructive Surgery
Zhenmin Jiang, Xiucun Li, Miao Chen, Laijin Lu, Xu Gong
BACKGROUND: Experimental evidence suggests that endogenous vascular endothelial growth factor (VEGF) may play a major role in the surgical delay phenomenon. The purpose of this study was to investigate the effect of the endogenous vascular endothelial growth factor on flap surgical delay. METHODS: A total of 82 adult male Sprague-Dawley rats with an average weight of 330g were used for these experiments. These experiments were then conducted in two parts. In part 1, thirty-two rats were used to assess the effectiveness of VEGF inhibitor through western blot assay and ELISA...
October 9, 2018: Plastic and Reconstructive Surgery
Louis H Poppler, Minh-Bao Mundschenk, Andrew Linkugel, Ema Zubovic, Utku C Dolen, Terence M Myckatyn
BACKGROUND: Implant based breast reconstruction is the most common method of breast reconstruction in the United States but the outcomes of subsequent implant based reconstruction after a tissue expander (TE) complication are rarely studied. The purpose of this study is to determine the long term incidence of implant loss in patents with a previous TE complication. METHODS: This is a retrospective review of the long term outcomes of all patients with TE complications at a large academic medical center from 2003-2013...
October 9, 2018: Plastic and Reconstructive Surgery
Rawaa M Almukhtar, Sabrina G Fabi
BACKGROUND: Masseter muscle hypertrophy manifests itself as enlargement of masseter muscle. It can be associated with square shaped lower face, pain, dental attrition, maxillary and mandibular bone resorption, and accelerated aging process of the lower face. OBJECTIVE: Is to assess efficacy and safety of botulinum toxin type A in contouring the masseter and its impact on quality of life, the aging process of the lower face, and it's role in full face rejuvenation...
October 9, 2018: Plastic and Reconstructive Surgery
Alexander D Morzycki, Alexandra S Hudson, Osama A Samargandi, Michael Bezuhly, Jason G Williams
BACKGROUND: Accurate knowledge of adverse events is critical for evaluation of the safety and efficacy of interventions. Historically, adverse events in surgical trials have been poorly reported. The objective of this study was to systematically evaluate the reporting of adverse events in randomized controlled trials (RCTs) in the plastic surgery literature. METHODS: Two independent reviewers conducted a systematic search using MEDLINE, EMBASE, and SCOPUS of the top seven plastic surgery journals with the highest impact factors...
October 1, 2018: Plastic and Reconstructive Surgery
Grace Poudrier, Ian T Nolan, Tiffany E Cook, Whitney Saia, Catherine C Motosko, John T Stranix, Jennifer E Thomson, M David Gothard, Alexes Hazen
BACKGROUND: Masculinizing top surgery (bilateral mastectomy with chest wall reconstruction) is an important gender-affirming procedure sought by many transmasculine and non-binary individuals. Current literature is primarily focused on details of surgical technique and complication rates, with limited data available on how top surgery affects subjective quality of life measures. METHODS: An anonymous online survey was distributed to 81 of the senior author's former top surgery patients...
October 1, 2018: Plastic and Reconstructive Surgery
Adriana C Panayi, Dennis P Orgill
Properly designed biodegradable scaffolds facilitate repair or regeneration of stromal tissues. Over the last 50 years, a variety of synthetic, semi-synthetic and decellularized scaffolds have been developed that provide surgeons with tools to reconstruct a wide array of structural defects.We reviewed the literature of biological degradable scaffolds in current clinical use in the US and highlight their design principles as well as products in common use.Host tissues populate scaffolds with inflammatory cells, fibroblasts, blood vessels, nerves and lymphatics...
October 1, 2018: Plastic and Reconstructive Surgery
Young Chul Suh, Beatriz Hatse Kushida-Contreras, Hyun Suk, Peter Suh, Ho Seung Lee, Woo Je Lee, Seung Hwan Lee, Joon Pio Hong
BACKGROUND: The benefits of total transmetatarsal amputation (TMA) over higher level amputation are well known. However, there are no studies evaluating the effects of first or the first two ray sparing transmetatarsal amputation with flap coverage. We evaluated this approach in regards to functional outcome and to identify long-term complications. MATERIAL AND METHOD: Retrospective data of 59 patients were evaluated according to their surgical method. Complete TMA with free flap reconstruction was designated as group TMA with 27 patients and first or first two rays preserving TMA with free flap reconstruction was designated as group Ray with 32 patients...
October 1, 2018: Plastic and Reconstructive Surgery
Raghavan Vidya, Matthew Green
No abstract text is available yet for this article.
October 1, 2018: Plastic and Reconstructive Surgery
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