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Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS

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https://www.readbyqxmd.com/read/29908875/managing-aesthetic-referrals-in-nhs-scotland-outcomes-from-1122-patients-in-the-east-of-scotland
#1
Abdulla Ibrahim, Mahmoud K Nassar, Daniel J Jordan, Manish Sinha, Fiona J Hogg
The Adult Exceptional Aesthetic Referral Protocol (AEARP) encompasses a series of aesthetic procedures which, as they do not treat an underlying disease process, are not routinely available within the National Health Service. Provision of these services can only be provided on an exceptional basis. In this prospective study, we evaluated the referral process and outcomes of 1122 patients referred under the AEARP over a 3.5-year period. Referrals were screened by a vetting panel comprising of a plastic surgeon, clinical nurse specialist, and clinical psychologist...
May 22, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29891427/long-term-results-of-bacterial-septic-arthritis-of-the-wrist
#2
Mehran Dadras, Christian Böhm, Christoph Wallner, Johannes Maximilian Wagner, Björn Behr, Marcus Lehnhardt, Adrien Daigeler
Septic arthritis of the wrist is a serious condition, yet little is known about its long-term outcome. A retrospective analysis of 22 patients treated for bacterial septic arthritis of the wrist was conducted with subsequent follow-up of 18 patients with a median period of 44 months to assess functional results via DASH-Score and clinical examination. Arthrotomy was used to treat all patients; in 19 patients, multiple operations were needed to cure the infection. Follow-up revealed a mean DASH-score of 34 (SD 22) and a significant correlation with needed surgical radicality and number of needed operations...
May 22, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29866456/adding-scales-to-breast-q-must-follow-the-same-rigor-as-original-scales
#3
LETTER
Anne F Klassen, Manraj N Kaur, Andrea L Pusic
No abstract text is available yet for this article.
May 22, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29861392/plastic-surgeons-opinions-and-practices-regarding-compatibility-of-mri-and-breast-tissue-expanders
#4
LETTER
Brielle Weinstein, Peter W Henderson, Jessica J Means, Andrew L Weinstein, Martin R Prince, Christine H Rohde
No abstract text is available yet for this article.
May 22, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29859715/response-to-letter-commenting-on-upgrading-the-breast-q-questionnaire
#5
LETTER
Chiara Stocco, Andrea Figus, Sergio Razzano
No abstract text is available yet for this article.
May 22, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29778316/reply-to-the-impact-of-a-career-night-information-session-on-medical-students-perceptions-of-the-scope-of-practice-of-plastic-surgeons
#6
LETTER
Tyler Safran, Benjamin Beland, Alex Viezel-Mathieu, James Lee
No abstract text is available yet for this article.
May 7, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29803777/a-5-year-follow-up-study-of-633-cutaneous-scc-excisions-rates-of-local-recurrence-and-lymph-node-metastasis
#7
K Khan, R Mykula, R Kerstein, N Rabey, T Bragg, A Crick, S Heppell, P Budny, M Potter
BACKGROUND: A 5-year follow-up study of 633 cutaneous squamous cell cancer (SCC) excisions was performed by collecting data on rates of local recurrence (LR) and lymph node (LN) metastasis. METHODS: A retrospective analysis of patients was performed across four regional plastic surgery centres (Stoke Mandeville Hospital, Aylesbury; John Radcliffe Hospital, Oxford; Salisbury District Hospital, Salisbury and Queen Alexandra Hospital, Portsmouth) assessing rates of LR and LN metastasis...
May 2, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29776846/moderators-of-angiogenesis-in-muscle-flaps-a-non-randomised-animal-study
#8
Kimberley Bradshaw, Michael Wagels
INTRODUCTION: A muscle flap can survive a pedicle injury under favourable conditions. In the reconstruction of compound limb injuries, the wound milieu is variable and may affect the rate and manner of neovascularisation. Our aim is to determine the effect of some key clinical variables on neovascularisation in muscle flaps in an animal model. METHODOLOGY: The pectoralis profundus was raised in 60 rats and covered with a skin graft. Fifteen rats were allocated to each of the following groups: separation of the flap from the skin inset (S), inflammation by inoculation with Staphylococcus aureus (I), flap elevation with harmonic scalpel (H) and preservation of the motor nerve (N) as well as compared to controls (C)...
April 23, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29724622/improved-outcomes-of-scar-revision-with-the-use-of-polydioxanone-suture-in-comparison-to-polyglactin-910-a-randomized-controlled-trial
#9
Deepti Gupta, Upendra Sharma, Shashank Chauhan, Shamendra Anand Sahu
Scars have multiple cosmetic and functional sequelae, and revision surgeries are an attempt to ameliorate these effects. Reduction of spread of the revised scar is one of the main objectives of revision procedures. Provision of prolonged dermal support to wound can theoretically reduce spread of the scar. We carried out a randomized controlled trial and objectively evaluated the impact of two commonly used absorbable sutures, Polyglactin 910 and Polydioxanone, on scar spread and quality. Sixty patients with post-traumatic scars of 1 year in duration were enrolled in the study and randomly divided into two groups of 30 each...
April 16, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29709430/evaluation-of-anatomical-and-round-breast-implant-aesthetics-and-preferences-in-dutch-young-lay-and-plastic-surgeon-cohort
#10
Patrick P Bletsis, Lesley R Bouwer, Klaas H Ultee, Michel Cromheecke, Berend van der Lei
BACKGROUND: Literature remains inconclusive on the attractiveness and natural aspect of anatomical breast implants, and thus far, studies have failed to demonstrate the visible difference in implants that are in practice compared to those that are round. This study was undertaken to evaluate (1) whether lay and professional participants can distinguish between breasts augmented with either round or anatomical breast implants and (2) their opinion with regard to naturalness and attractiveness of these augmented breasts...
April 16, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29705399/mollie-lentaigne-the-nurse-who-drew-mcindoe-s-guinea-pigs-exploring-the-role-of-a-medical-artist-at-the-queen-victoria-hospital-1940-1945
#11
Alexander J Baldwin
Mollie Lentaigne was a medical artist who worked at the Queen Victoria Hospital in East Grinstead during the Second World War alongside Archibald McIndoe and his dedicated team. She drew hundreds of medical illustrations for McIndoe and his fellow surgeons during the years between 1940 and 1945. Her illustrations depict the plastic surgery that was carried out in that hospital on the badly burnt RAF servicemen injured during the war that took place in the skies over Europe, which included many aircrew injured during the Battle of Britain...
April 16, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29699849/masseter-to-facial-nerve-transfer-technique-and-outcomes-utilizing-a-fibrin-sealant-for-coaptation
#12
LETTER
Enrique Salmerón-González, Eduardo Simón-Sanz, Elena García-Vilariño, Alberto Ruiz-Cases
No abstract text is available yet for this article.
April 16, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29759950/wrist-to-forearm-ratio-as-a-median-nerve-shear-wave-elastography-test-in-carpal-tunnel-syndrome-diagnosis
#13
LETTER
Łukasz Paluch, Piotr Pietruski, Jerzy Walecki, Bartłomiej Henryk Noszczyk
No abstract text is available yet for this article.
April 13, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29724621/shoulder-related-donor-site-morbidity-and-patient-reported-satisfaction-after-delayed-breast-reconstruction-with-pedicled-flaps-from-the-back-a-comparative-analysis
#14
Mikkel Børsen Rindom, Gudjon L Gunnarsson, Marianne D Lautrup, René D Christensen, Jens A Sørensen, Jørn B Thomsen
BACKGROUND: We report a study evaluating and comparing shoulder-related morbidity associated with delayed breast reconstruction using either the conventional latissimus dorsi (LD) flap or the thoracodorsal artery perforator (TAP) flap. MATERIAL & METHODS: We conducted a retrospective cohort study of women over 18 years of age who had a unilateral, delayed breast reconstruction by either an LD or TAP flap at one center over a 56-month period. Shoulder function was assessed using the Constant Shoulder Score (CSS), which evaluated pain, activity of daily life (ADL), range of motion (ROM), and strength...
April 13, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29706553/keeping-the-fat-on-the-right-spot-prevents-contour-deformity-in-temporalis-muscle-transposition
#15
Martinus M van Veen, Steven F S Korteweg, Pieter U Dijkstra, Paul M N Werker
The temporalis muscle transposition is a reliable, one-stage reanimation technique for longstanding facial paralysis. In the variation described by Rubin, the muscle is released from the temporal bone and folded over the zygomatic arch towards the modiolus. This results in unsightly temporal hollowing and zygomatic bulging. We present a modification of this technique, which preserves the temporal fat pad in its anatomical location as well as conceals temporal hollowing and prevents zygomatic bulging. The data of 23 patients treated with this modification were analysed...
April 13, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29681445/buffered-local-anesthetics-reduce-injection-pain-and-provide-anesthesia-for-up-to-5-hours
#16
LETTER
Josefine Bunke, Rafi Sheikh, Jenny Hult, Malin Malmsjö
No abstract text is available yet for this article.
April 13, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29801767/treatment-of-dopplerable-nummular-headache-with-minimally-invasive-arterectomy-under-local-anesthesia
#17
Bahman Guyuron, James Gatherwright, Deborah Reed, Hossein Ansari, Rebecca Knackstedt
OBJECTIVE: The objective of the current study is to elucidate the potential role of surgery in the treatment of nummular headache (NH). BACKGROUND: NH is a disorder in which pain is localized to a specific area. Treatment has traditionally been medical, with the recent addition of nerve blocks and botox injection with equivocal results. DESIGN: Forty-nine patients were identified using the International Classification of Headache Disorders, third edition, beta version...
April 12, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29773411/evolution-of-an-evidence-based-supermicrosurgery-simulation-training-curriculum-a-systematic-review
#18
REVIEW
Georgios Pafitanis, Mitsunaga Narushima, Takumi Yamamoto, Maria Raveendran, Damjan Veljanoski, Ali M Ghanem, Simon Myers, Isao Koshima
BACKGROUND: Supermicrosurgery (SM) involves operating on vessels with calibers from 0.3-0.8 mm. SM requires skills beyond those of conventional microsurgery. Current microsurgery courses do not prepare a junior surgeon for such a challenge. Several models have been developed to assist in the early learning curve, but their true purpose, benefit, and validation have not been addressed. This systematic literature review summarizes the existing SM simulation models, and their likely impact on microsurgery training for small-caliber vessel-based procedures is assessed...
April 12, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29748072/nicorandil-reduces-burn-wound-progression-by-enhancing-skin-blood-flow
#19
Jaehoon Choi, Ryeolwoo Kim, Junhyung Kim, Woonhyeok Jeong, Sang Woo Park, Hyoun Wook Lee, Ho Yun Chung
We assessed whether nicorandil, an adenosine triphosphate-sensitive K + channel opener, reduces burn wound progression in a rat comb burn model. A total of 24 rats were used. Following thermal injury, one dose of nicorandil (10 or 30 mg/kg) was administered intragastrically twice daily for 3 days. At days 1 and 3 after injury, skin was harvested for histopathological examination and protein isolation. Rats treated with the 10-mg/kg and 30-mg/kg doses of nicorandil exhibited significantly increased tissue survival in the zone of stasis at days 1 and 3 after injury...
April 12, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29706552/flap-choice-does-not-affect-complication-rates-or-functional-outcomes-following-extremity-soft-tissue-sarcoma-reconstruction
#20
Jelena Slump, Stefan O P Hofer, Peter C Ferguson, Jay S Wunder, Anthony M Griffin, Harald J Hoekstra, Esther Bastiaannet, Anne C O'Neill
BACKGROUND: Flap reconstruction plays an essential role in facilitating limb preservation in patients with extremity soft tissue sarcoma (ESTS). However, the effect of flap choice on the rates of postoperative complications and functional outcomes has not been clearly established. This study directly compares the outcomes of free and pedicled flap reconstructions in patients with ESTS. METHODS: Two hundred sixty-six patients who underwent flap reconstruction following ESTS resection were included...
April 12, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
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