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European Journal of Plastic Surgery

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
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
Hiroshi Sakaida, Tomotaka Miyamura, Yasunori Matsuda, Kazuhiko Takeuchi
No abstract text is available yet for this article.
2016: European Journal of Plastic Surgery
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
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
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
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
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
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
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
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
M Nizamoglu, K S Alexander, U Anwar, S Bhandari
No abstract text is available yet for this article.
2014: European Journal of Plastic Surgery
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
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
Gudjon Leifur Gunnarsson, Ian Thomas Jackson, Jorn Bo Thomsen
BACKGROUND: Perforators are a constant anatomical finding in the facial area and any known flap can in theory be based on the first perforator located at the flap rotation axis. METHODS: A case series of single stage reconstruction of moderate sized facial defects using 21 perforator based local flaps in 19 patients from 2008-2013. RESULTS: A sufficient perforator was located in every case and the flap rotated along its axis (76 %) or advanced (24 %)...
2014: European Journal of Plastic Surgery
Riaz Ahmed Agha, Christian F Camm, Emre Doganay, Eric Edison, Muhammed R S Siddiqui, Dennis P Orgill
BACKGROUND: We recently conducted a systematic review of the methodological quality of randomised controlled trials (RCTs) in plastic surgery. In accordance with convention, we are here separately reporting a systematic review of the reporting quality of the same RCTs. METHODS: MEDLINE® and the Cochrane Database of Systematic Reviews were searched by an information specialist from 1 January 2009 to 30 June 2011 for the MESH heading 'Surgery, Plastic'. Limitations were entered for English language, human studies and randomised controlled trials...
2014: European Journal of Plastic Surgery
Michael Rose, Jonas Manjer, Anita Ringberg, Henry Svensson
BACKGROUND: Oncoplastic breast surgery is an evolving discipline in the surgical treatment of breast cancer aimed to improve the outcome. METHODS: Oncoplastic breast surgery was performed between January 2008 and December 2010 on 72 women with 74 breast cancers selected from a population of 1,018 primary breast cancer patients. Careful preoperative planning revealed the possibility of partial breast reconstruction with volume reduction, volume displacement or volume replacement depending on breast size as well as tumour size and location...
2014: European Journal of Plastic Surgery
Anna Wirthmann, Juliane C Finke, Pietro Giovanoli, Nicole Lindenblatt
BACKGROUND: The radial forearm flap (RFF) is known for its excellent and reliable results regarding defect coverage though donor site morbidity represents a persisting problem. Integra is widely used in reconstructive surgery. This study aims to assess long-term outcomes regarding functionality and cosmesis after donor site coverage with respect to esthetic appearance, scar quality, and wrist function as well as ability to work after donor site coverage with Integra and split-thickness skin...
2014: European Journal of Plastic Surgery
Fabio Fantozzi
BACKGROUND: Brachioplasty often involves removing excess skin. Many traditional approaches to this form of surgery are prone to complications and imperfect healing of the incisions. Traditional techniques usually take little or no account of the force vectors that are subsequently applied to the incision after the operation. This contributes towards scarring and other complications. METHOD: The proposed technique involves the explicit application of three balanced force vectors that greatly reduce scar-related complications...
2014: European Journal of Plastic Surgery
Marc Divaris, Guillermo Blugerman, Malcolm D Paul
BACKGROUND: Aging can lead to changes in facial expressions, transforming the positive youth expression of happiness to negative expressions as sadness, tiredness, and disgust. Local skin distension is another consequence of aging, which can be difficult to treat with rejuvenation procedures. The "face expressive lifting" (FEL) is an original concept in facial rejuvenation surgery. On the one hand, FEL integrates established convergent surgical techniques aiming to correct the age-related negative facial expressions...
2014: European Journal of Plastic Surgery
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