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European Journal of Plastic Surgery

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https://www.readbyqxmd.com/read/28615800/question-mark-ear-deformity-revisited
#1
Mohammad M Al-Qattan, Noha M Al-Qattan
We report on two unusual cases of Cosman (question mark) ear; both required modifications of the standard techniques for surgical correction. The first patient presented with a unilateral question mark ear and concurrent ear prominence and bulging of the cartilage of the anti-helix. Simultaneous correction was done using a combination of cartilage suturing/scoring (for the prominence and the cartilage bulge) as well as Al-Qattan's "v-y skin flap-cartilage graft-z-plasty" technique (for the correction of the ear cleft deformity)...
2017: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/28603387/an-unusual-pre-ligamentous-thenar-motor-branch-of-the-median-nerve
#2
Mohammad M Al-Qattan, Khalid Al-Zahrani
The pre-ligamentous variant of the thenar motor branch (TMB) of the median nerve is extremely rare. In all previously reported cases, the branch arose from the radial or antero-radial aspect of the median nerve in the distal forearm and then pierced the antebrachial fascia to reach the thenar muscles. We report on a case in which the pre-ligamentous TMB not only arose from the ulnar side of the median nerve but it also remained deep to both the antebrachial fascia and the transverse carpal ligament until it reached the thenar muscles...
2017: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/28603386/quality-of-life-improves-early-after-gender-reassignment-surgery-in-transgender-women
#3
Ebba K Lindqvist, Hannes Sigurjonsson, Caroline Möllermark, Johan Rinder, Filip Farnebo, T Kalle Lundgren
BACKGROUND: Few studies have examined the long-term quality of life (QoL) of individuals with gender dysphoria, or how it is affected by treatment. Our aim was to examine the QoL of transgender women undergoing gender reassignment surgery (GRS). METHODS: We performed a prospective cohort study on 190 patients undergoing male-to-female GRS at Karolinska University Hospital between 2003 and 2015. We used the Swedish version of the Short Form-36 Health Survey (SF-36), which measures QoL across eight domains...
2017: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/28603385/predictability-of-anthropomorphic-measurements-in-implant-selection-for-breast-reconstruction-a-retrospective-cohort-study
#4
Egidio Riggio, Ilaria Ardoino, Caroline E Richardson, Elia Biganzoli
BACKGROUND: Preoperative implant planning for breast reconstruction is often at risk of being changed perioperatively. This study examined which factors are associated with a change of implant selection. METHODS: Women who had unilateral two-stage breast reconstruction between 2002 and 2007 were studied. Inclusion criteria were photographic evidence of preoperative skin markings indicating breast dimensions and a selected implant model. Multivariable logistic regression was used to identify variables associated with a changed selection...
2017: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/28179749/danish-translation-and-linguistic-validation-of-the-body-q-a-description-of-the-process
#5
Lotte Poulsen, Michael Rose, Anne Klassen, Kirsten K Roessler, Jens Ahm Sørensen
BACKGROUND: Patient-reported outcome (PRO) instruments are increasingly being included in research and clinical practice to assess the patient point of view. Bariatric and body contouring surgery has the potential to improve or restore a patient's body image and health-related quality of life (HR-QOL). A new PRO instrument, called the BODY-Q, has recently been developed specifically for this patient group. The aim of the current study was to translate and perform a linguistic validation of the BODY-Q for use in Danish bariatric and body contouring patients...
2017: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/27932856/three-dimensional-soft-tissue-analysis-of-the-hand-a-novel-method-to-investigate-effects-of-acromegaly
#6
Inge A Hoevenaren, M A E M Wagenmakers, S H P P Roerink, R T Netea-Maier, D J O Ulrich, Thomas J J Maal
BACKGROUND: Acral overgrowth is a highly common clinical sign in patients with active acromegaly. To what extent this overgrowth persists after long-term remission of acromegaly is largely unknown. Using the new imaging technique of three-dimensional (3D) stereophotogrammetry, it is possible to accurately investigate soft tissue changes of the hand. The aim of the recent study was to compare the 3D soft tissue characteristics of the hands of patients in long-term remission of acromegaly to those of a healthy pair matched control group...
2016: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/27729715/surgical-stabilization-for-symptomatic-carpometacarpal-hypermobility-a-randomized-comparison-of-a-dorsal-and-a-volar-technique-and-a-cohort-of-the-volar-technique
#7
Kim Robin Spekreijse, Guus Maarten Vermeulen, Thybout M Moojen, Harm P Slijper, Steven E R Hovius, Ruud W Selles, Reinier Feitz
BACKGROUND: Hypermobility of the first carpometacarpal joint is mostly surgically treated with a volar approached stabilization by Eaton, but recent studies indicate the importance of the dorsoradial and intermetacarpal ligaments (DRL and IML) for carpometacarpal joint stability. The aim of this study was to compare a dorsal and volar technique for primary carpometacarpal hypermobility regarding pain and functional outcome. METHODS: Patients with non-degenerative, painful carpometacarpal hypermobility were included and were randomly assigned to either the volar technique using the FCR, or a dorsal technique using the ECRL...
2016: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/27512293/negative-pressure-wound-therapy-induces-early-wound-healing-by-increased-and-accelerated-expression-of-vascular-endothelial-growth-factor-receptors
#8
Tsuruhito Tanaka, Nirmal Panthee, Yoshifumi Itoda, Naoko Yamauchi, Masashi Fukayama, Minoru Ono
BACKGROUND: Negative pressure wound therapy (NPWT) is commonly used to accelerate wound healing, especially following thoracic surgery; however, the mechanism remains elusive. Given the important role of vasculogenesis in wound healing, we evaluated whether NPWT might accelerate vasculogenesis in the wound area. Toward this end, we investigated the temporal expression of vascular endothelial growth factor receptors (VEGFRs) in an NPWT-wound healing rabbit model. METHODS: Rabbits were divided into an NPWT group and a non-NPWT control group, and tissue samples were collected around wounds made in the skin of each rabbit at five time points: 0, 7, 14, 21, and 28 days after wound creation...
2016: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/27069313/dual-incision-approach-for-excision-of-postauricular-sinus
#9
Hiroshi Sakaida, Tomotaka Miyamura, Yasunori Matsuda, Kazuhiko Takeuchi
No abstract text is available yet for this article.
2016: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/27069312/diep-flap-salvage-by-cannula-venesection-of-the-superficial-inferior-epigastric-vein
#10
Puttan Wongtriratanachai, Abbe Michelle Martin, Kongkrit Chaiyasate
The deep inferior epigastric perforator (DIEP) flap is a technique of autologous breast reconstruction that is gaining popularity. The main advantage of the DIEP flap over the traditional transverse rectus abdominis myocutaneous (TRAM) flap is that there is a lower incidence of abdominal wall donor-site morbidity with the DIEP flap. However, venous congestion is the most dreaded complication of DIEP flap surgery which requires prompt intervention. In this case report, we present a simple but effective procedure to salvage the congested DIEP flap...
2016: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/27069311/a-rare-case-of-eccrine-spiradenoma-treatment-and-management
#11
Subha Dhua, D R Sekhar
A young male patient presented with multiple swellings on his chest and the nape of his neck. Physical examination revealed multiple small papulonodular swellings measuring 0.5 × 0.5 cm to 2 × 2 cm, that were soft without discharge with no surrounding skin changes or induration. Skin biopsy samples were diagnosed as benign adnexal neoplasm consistent with eccrine spiradenoma, trichoepithelioma, and cylindroma, i.e., Brooke-Spiegler syndrome. Having confirmed this to be a case of eccrine spiradenoma, surgical excision was performed and the raw area was covered with a split thickness skin graft taken from the right thigh and sutured over the raw area...
2016: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/26848210/extended-distally-based-dmca-flap-in-combination-with-autologous-amputate-skin-transplantation-as-a-salvage-procedure-for-ring-avulsion-injury
#12
Till Wagner, Nicholas Slater, Dietmar Ulrich
A 23-year-old male student presented to our clinic with a traumatic complex ring avulsion of his right dominant index finger. Clinical evaluation revealed a complete distal amputation of the DIP joint with a laceration of the soft tissue at the middle phalanx and a rupture of the FDP-2-tendon far proximally. We hereby present the patient's clinical outcome after reconstruction with a distally based extended DMCA-II flap. To our own knowledge, this is the first report of an extended distally based DMCA flap for coverage of a class IVd ring avulsion injury in combination with autologous amputate skin transplantation...
2016: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/26635446/porcine-acellular-dermis-based-breast-reconstruction-complications-and-outcomes-following-adjuvant-radiotherapy
#13
Cho Ee Ng, Andrew Pieri, Tarannum Fasih
BACKGROUND: Acellular dermal matrices (ADM) such as Strattice(TM) are increasingly used in UK during implant-based reconstruction. However, there are mixed opinions regarding the compatibility of radiotherapy treatment in pre- and post-reconstructed breasts. The aims of this study are to audit the rates of radiation induced complications in patients who underwent breast reconstruction using Strattice(TM) and establish whether there is an association between timing of radiotherapy and complication rates...
2015: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/26412942/medial-sural-artery-perforator-flap-a-challenging-free-flap
#14
Navid Mohamadpour Toyserkani, Jens Ahm Sørensen
BACKGROUND: Oral and extremity defect reconstruction can often require a flap that is thin, and traditionally, the radial forearm free flap has been used, however, this has significant donor site morbidity. Over the last decade, the medial sural artery perforator (MSAP) flap has emerged as a possible alternative with lower donor site morbidity. We present our experiences and review the literature regarding this promising but challenging flap. METHODS: The study was a retrospective case series in a university hospital setting...
2015: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/26412941/a-blinking-periorbital-prosthesis-using-surface-electromyographic-signals-of-the-orbicularis-oculi-muscle
#15
Tadashi Akamatsu, Norimichi Kawashima, Takeshi Tsunekuni, Kotaro Imagawa, Muneo Miyasaka
BACKGROUND: Recent advances in human-machine interface technology have enabled the development of multifunctional, primarily orthopedic myoelectric prostheses. We developed a noninvasive blinking periorbital prosthesis that can synchronize with blinking of the intact eyelid by using surface electromyographic signals of the orbicularis oculi muscle. METHODS: Myoelectric potentials of the orbicularis oculi muscle while blinking were measured with surface electrodes on the eyelid in four healthy adults...
2015: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/26412940/free-spreader-grafts-in-rhinoplasty
#16
Yves Goffart, Sarah Karelle, Jacques Daele
BACKGROUND: Spreader grafts (SPG) are widely used for different purposes in rhinoplasty procedures. However, selection of the size of the grafts, trimming and fixation often proved time consuming and difficult. We used an original method of placement of "free" SPG to improve both ease of placement and fine trimming of the grafts. To assess pertinence of this approach, we evaluated retrospectively our rate of correction of the middle third of the nose. METHODS: We used a personal method for securing SPG after suturing upper lateral cartilages (ULC)...
2015: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/25642101/the-freestyle-pedicle-perforator-flap-a-new-favorite-for-the-reconstruction-of-moderate-sized-defects-of-the-torso-and-extremities
#17
Gudjon Leifur Gunnarsson, Ian T Jackson, Tormod S Westvik, Jorn Bo Thomsen
BACKGROUND: Perforating vessels are a consistent anatomical finding and well described in the current literature. Any skin flap can be raised on a subcutaneous pedicle as long as it contains at least one supplying perforator. Perforator flaps have been interlinked with microsurgery and generally not widely performed by the general plastic surgeons. The aim of this paper is to present the simplicity of pedicled perforator flap reconstruction of moderate-sized defects of the extremities and torso...
2015: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/25400329/isolated-aptt-prolongation-not-always-a-bleeding-risk-in-acute-paediatric-burns-surgery
#18
M Nizamoglu, K S Alexander, U Anwar, S Bhandari
No abstract text is available yet for this article.
2014: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/25339795/tiloop%C3%A2-bra-mesh-used-for-immediate-breast-reconstruction-comparison-of-retropectoral-and-subcutaneous-implant-placement-in-a-prospective-single-institution-series
#19
Donato Casella, Marco Bernini, Lapo Bencini, Jenny Roselli, Maria Teresa Lacaria, Jacopo Martellucci, Roberto Banfi, Claudio Calabrese, Lorenzo Orzalesi
BACKGROUND: Immediate implant reconstruction after a conservative mastectomy is an attractive option made easier by prosthetic devices. Titanized polypropylene meshes are used as a hammock to cover the lower lateral implant pole. We conducted a prospective nonrandomized single-institution study of reconstructions using titanium-coated meshes either in a standard muscular mesh pocket or in a complete subcutaneous approach. The complete subcutaneous approach means to wrap an implant with titanized mesh in order to position the implant subcutaneously and spare muscles...
2014: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/25221385/dermacell-a-novel-and-biocompatible-acellular-dermal-matrix-in-tissue-expander-and-implant-based-breast-reconstruction
#20
Jamal M Bullocks
BACKGROUND: Acellular dermal matrices present a new alternative to supporting expanders and implants for breast reconstruction in breast cancer patients following mastectomy. However, some studies have suggested that acellular dermal matrix may increase the complication rates in certain clinical settings. DermACELL acellular dermal matrix offers advanced processing in order to attempt to decrease bio-intolerance and complications. METHODS: Ten consecutive patients that presented for breast reconstruction and were candidates for tissue expanders underwent the procedure with the use of an acellular dermal matrix...
2014: European Journal of Plastic Surgery
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