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Seminars in Plastic Surgery

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https://www.readbyqxmd.com/read/29765274/review-of-eyelid-reconstruction-techniques-after-mohs-surgery
#1
REVIEW
Sagar Yatin Patel, Kamel Itani
Mohs micrographic surgery achieves high cure rates while preserving healthy tissue making it the optimal treatment for skin cancer. The goals of eyelid reconstruction after Mohs surgery include restoring eyelid structure and function while attaining acceptable aesthetic results. Given the variety of eyelid defects encountered after Mohs surgery, a thorough understanding of the complex eyelid anatomy as well as an in-depth knowledge of the numerous reconstructive techniques available are required to accomplish these reconstructive goals...
May 2018: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/29765273/scalp-and-forehead-reconstruction
#2
REVIEW
Mofiyinfolu Sokoya, Jared Inman, Yadranko Ducic
Reconstructing the scalp and forehead is a challenging endeavor frequently undertaken by facial plastic and reconstructive surgeons. There are many anatomical factors to be considered in this area, including multiple neurovascular structure present that should be identified and preserved. Hair morphology and physiology should be considered, and trichophytic techniques should be incorporated into incision planning and closure. The reconstructive ladder must be used when considering options in reconstructing scalps and forehead defects...
May 2018: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/29765272/approach-to-reconstruction-of-cheek-defects
#3
REVIEW
Berkay Başağaoğlu, Mohin Bhadkamkar, Pierce Hollier, Edward Reece
The cheek is the largest facial unit with a prominent position on the face. Trauma, burns, and the resection of skin cancers constitute common sources of injury, potentially resulting in defects that, through natural healing, produce noticeable scarring. Surgical repair focuses on the reformation of three-dimensional geometries, proper establishment of symmetry, and the minimization of color and texture discrepancies to the surrounding. Defects located in this region may extend to the orbital, nasal, or buccal units and cause unique structural and functional disturbances...
May 2018: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/29765271/approach-to-reconstruction-of-nasal-defects
#4
REVIEW
Berkay Başağaoğlu, Kausar Ali, Pierce Hollier, Renata S Maricevich
The nose is the most central and anterior projecting facial feature. Therefore, the presence of a defect is easily noticeable to the untrained eye. Return of the defect to the original form is an achievable end goal of reconstruction, necessitating appropriate reformation of three-dimensional geometry, proper establishment of symmetry, and excellent color and texture match to the adjacent structures. Regarding its physiological importance, disruption of the normal function may cause respiratory obstruction and contribute to patient distress...
May 2018: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/29765270/simplifying-lip-reconstruction-an-algorithmic-approach
#5
REVIEW
Kyle J Sanniec, Jourdan A Carboy, James F Thornton
The authors provide an overview of lip reconstruction after Mohs surgery based on the senior author's practice. Lip reconstruction offers unique challenges to preserve not only lip function but also aesthetics. Lip reconstruction must take into consideration the three anatomical layers that comprise the lip and defects that involve the mucosa, the muscle, the skin or more than one layer will help determine the modality of repair. The authors offer an algorithm based on defect location, tissue involvement, and severity of defect to simplify an often complex decision-making process...
May 2018: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/29765269/mohs-micrographic-surgery-development-technique-and-applications-in-cutaneous-malignancies
#6
REVIEW
Eillen Luisa A Chen, Divya Srivastava, Rajiv I Nijhawan
Mohs micrographic surgery (MMS) is a specialized technique for treating skin malignancies that offers the highest cure rate by allowing histological evaluation of the entire peripheral and deep margins. MMS also maximally preserves as much uninvolved, normal adjacent tissue as possible, allowing for the best cosmetic and functional outcomes. When used for appropriate indications, this technique is also more cost-effective than other treatment modalities. In this article, the authors will discuss the development of MMS, the steps involved in this procedure, and the indications for this technique...
May 2018: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/29765268/approach-to-the-post-mohs-patient
#7
REVIEW
James F Thornton, Jourdan A Carboy
This article discusses the often unique patient presentations and management challenges of the post Mohs resection surgical patient. This includes social, economic, and health issues. Anesthesia considerations and pre- and postoperative care are also discussed in this article.
May 2018: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/29765267/facial-mohs-reconstruction
#8
James F Thornton
No abstract text is available yet for this article.
May 2018: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/29765266/james-f-thornton-md
#9
Larry H Hollier
No abstract text is available yet for this article.
May 2018: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/29636654/new-and-emerging-treatments-for-lymphedema
#10
REVIEW
Mark V Schaverien, Melissa B Aldrich
Although nonoperative and operative treatments for lymphedema (LE) are well established, these procedures typically provide only partial relief from limb swelling, functional impairment, and the risk of cellulitis. The lack of a cure for LE, however, is due to an incomplete understanding of the underlying pathophysiological mechanisms, and current research efforts are focusing on elucidating these processes to provide new, targeted therapies for this prevalent disease for which there is no cure. This article reviews the current literature regarding the pathophysiological mechanisms that underlie LE, as well as new and emerging therapies for the condition...
February 2018: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/29636653/liposuction-treatment-of-lymphedema
#11
REVIEW
Mark V Schaverien, D Alex Munnoch, Håkan Brorson
In the Western world, lymphedema most commonly occurs following treatment of cancer. Limb reductions have been reported utilizing various conservative therapies including manual lymph and pressure therapy, as well as by microsurgical reconstruction involving lymphovenous shunts and transplantation of lymph vessels or nodes. Failure of these conservative and surgical treatments to provide complete reduction in patients with long-standing pronounced lymphedema is due to the persistence of excess newly formed subcutaneous adipose tissue in response to slow or absent lymph flow, which is not removed in patients with chronic non-pitting lymphedema...
February 2018: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/29636652/combining-autologous-breast-reconstruction-and-vascularized-lymph-node-transfer
#12
REVIEW
Edward I Chang, Jaume Masià, Mark L Smith
Breast cancer patients are at risk for developing postmastectomy lymphedema syndrome of the ipsilateral upper extremity following treatment for breast cancer in the setting of an axillary dissection, postoperative radiation, and chemotherapy. For patients suffering from lymphedema who are also seeking breast reconstruction, combining an autologous abdominal free flap with a vascularized inguinal lymph node transfer provides patients the opportunity to have an aesthetic breast reconstruction as well as the potential to improve their lymphedema in a single operation...
February 2018: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/29636651/vascularized-lymph-node-transfer-for-lymphedema
#13
REVIEW
Mark V Schaverien, Ido Badash, Ketan M Patel, Jesse C Selber, Ming-Huei Cheng
Advances in our understanding of the lymphatic system and the pathogenesis of lymphedema have resulted in the development of effective surgical treatments. Vascularized lymph node transfer (VLNT) involves the microvascular transplantation of functional lymph nodes into an extremity to restore physiological lymphatic function. It is most commonly performed by transferring combined deep inferior epigastric artery perforator and superficial inguinal lymph node flaps for postmastectomy breast reconstruction. For patients who do not require or are unable to undergo free abdominal breast reconstruction or have lymphedema affecting the lower extremity, several other VLNT options are available...
February 2018: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/29636650/lymphovenous-anastomosis-bypass-surgery
#14
REVIEW
Edward I Chang, Roman J Skoracki, David W Chang
The field of lymphedema surgery has witnessed tremendous advancements over the years and has been coupled to the rapid growth of supermicrosurgical techniques. A lymphovenous bypass or lymphaticovenular anastomosis is a new technique that requires identification of patent, residual lymphatic channels and performing an anastomosis to a recipient venule, thereby allowing outflow of lymphatic fluid and improvement in a patient's lymphedema. This article provides a summary of the maturation of the technique, as well as the technical aspects of the approach and the current outcomes in the treatment of postmastectomy lymphedema...
February 2018: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/29636649/nonoperative-treatment-of-lymphedema
#15
REVIEW
Mark V Schaverien, Julie A Moeller, Sarah D Cleveland
Complex decongestive therapy is the mainstay of lymphedema (LE) therapy. It consists of two phases: an intensive volume reduction phase, principally involving low-stretch bandages and manual lymph drainage (MLD), followed by compression garment use to maintain the reduction achieved. Adjunctive treatments include the use of a sequential gradient pump, LE-specific exercises, skin and nail care, as well as risk-reduction precautions. Herein the techniques are described and the evidence for their effectiveness is reviewed...
February 2018: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/29636648/diagnosis-and-staging-of-lymphedema
#16
REVIEW
Arin K Greene, Jeremy A Goss
Lymphedema often is confused with other causes of extremity edema and enlargement. Understanding the risk factors and physical examination signs of lymphedema can enable the health care practitioner to accurately diagnose patients ∼90% of the time. Confirmatory diagnosis of the disease is made using lymphoscintigraphy. It is important to correctly diagnose patients with lymphedema so that they can be managed appropriately.
February 2018: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/29636647/anatomy-of-the-lymphatic-system-and-the-lymphosome-concept-with-reference-to-lymphedema
#17
REVIEW
Hiroo Suami, Mario F Scaglioni
Precise knowledge of the lymphatic system normal anatomy is essential for understanding what structural changes occur in patients with lymphedema. In this article, the authors first review previous anatomical studies and summarize the general anatomy of the lymphatic system and lymphatic pathways in the upper and lower extremities. Second, they introduce their new anatomical concept, the "lymphosome," which describes how the lymphatic vessels in a particular region connect to the same subgroup of regional lymph nodes...
February 2018: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/29636646/lymphedema-management
#18
Edward I Chang, Mark V Schaverien, Jesse C Selber
No abstract text is available yet for this article.
February 2018: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/29636645/edward-i-chang-md-facs-mark-v-schaverien-mbchb-md-msc-med-frcs-plast-jesse-c-selber-md-mph-facs
#19
Larry H Hollier
No abstract text is available yet for this article.
February 2018: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/29075162/complications-of-skull-base-surgery
#20
REVIEW
Mofiyinfolu Sokoya, Moustafa Mourad, Yadranko Ducic
Approaches to surgical management of skull base pathology and reconstruction of skull base defects have evolved over the past several decades. The goal, however, remains the same-to effectively address the pathology with minimal complications. In this article, the authors try to explore multiple complications of skull base surgery, discussing their incidence, natural course, and prevention. This will prove beneficial in optimal management of patients with a myriad of skull base disorders.
November 2017: Seminars in Plastic Surgery
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