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Archives of Plastic Surgery

Jaime Aron Garcia-Espinoza, Roberto Armando García-Manzano, Verónica Belem Aguilar-Aragón
No abstract text is available yet for this article.
July 2018: Archives of Plastic Surgery
Raphael Wenny, Michael S Pollhammer, Dominik Duscher, Matthias M Aitzetmueller, David J Haslhofer, Georg M Huemer, Manfred Schmidt
No abstract text is available yet for this article.
July 2018: Archives of Plastic Surgery
Isabelle Francisca Petronella Maria Kappen, Duy Thuan Nguyen, Albert Vos, Hermanus Wilhelmus Hendricus Joseph van Tits
Blepharoplasty is one of the most commonly performed aesthetic procedures. Surgical complications are rare, but can have severe consequences, such as permanent vision loss. In this report, we describe a patient who developed primary angle-closure glaucoma (ACG) with associated vision loss after a oculoplastic procedure using local anesthesia. So far, six similar cases have been described in the literature. It is believed that acute ACG is triggered by the surgical procedure in patients with predisposing risk factors such as a cataract...
July 2018: Archives of Plastic Surgery
Ahmed Youssef, Shahzad Ahmed, Ahmed Aly Ibrahim, Mulvihill Daniel, Hisham M Abdelfattah, Haitham Morsi
Septoplasty/septorhinoplasty is a common ear, nose and throat procedure offered for those patients with deviated septum who are suffering from nasal obstruction and functional or cosmetic problems. Although it is a basic and simple procedure, it could lead to catastrophic complications including major skull base injuries which result in cerebrospinal fluid (CSF) leaks. We describe two different cases of traumatic CSF leaks following septoplasty/septorhinoplasty at two different sites. The first patient suffered a CSF leak following septoplasty and presented to Alexandria University Hospital...
July 2018: Archives of Plastic Surgery
Yasunori Sashida, Munefumi Kayo, Hironobu Hachiman, Kazuki Hori, Yukihiro Kanda, Akihiro Nagoya
In this report, we present a case of successful treatment of a bowel fistula in the open abdomen by perforator flaps and an aponeurosis plug. A 70-year-old man underwent total gastrectomy and developed anastomotic leakage and dehiscence of the abdominal wound a week later. He was dependent upon extracorporeal membrane oxygenation, continuous hemodiafiltration, and a respirator. Bowel fluids contaminated the open abdomen. Two months after the gastric operation, a plastic surgery team, in consultation with general surgeons, performed perforator flaps on both sides and constructed, as it were, a bridge of skin sealing the orifice of the fistula...
July 2018: Archives of Plastic Surgery
Charles Randquist, Yong Chen Por, Vincent Yeow, Joy Maglambayan, Susan Simonyi
Background: This analysis presents patient-reported outcomes of breast augmentation procedures performed in Singapore using an inframammary fold incision and the "5 Ps" best practice principles for breast augmentation. These data are the first of their kind in Southeast Asian patients. Methods: Through a retrospective chart review, patients who underwent primary breast augmentation with anatomical form-stable silicone gel breast implants using an inframammary fold incision were followed for ≥6 months postoperatively...
July 2018: Archives of Plastic Surgery
Veena Singh, Ansarul Haq, Puja Priyadarshini, Purshottam Kumar
Background: Camptodactyly refers to permanent flexion contracture at the proximal interphalangeal joint. Most cases are limited to fifth-finger involvement. Although common, the treatment of camptodactyly is controversial. Many published studies have emphasized conservative treatment, while others have described surgical procedures. The problem with this deformity is that it presents in several forms, which means that there is no single model for effective treatment. The aim of this paper is to present the difficulties encountered with this condition and the management thereof on an individual basis...
July 2018: Archives of Plastic Surgery
Fatma Bilgen, Yakup Duman, Ömer Bulut, Mehmet Bekerecioğlu
Background: The most common complication after tendon repair is the development of adhesion, with subsequent rupture. Methods: In this study, we present a new method in which the tendon healing contact surface is increased to reduce these complications. The tendons of chickens in groups 1, 3, and 5 were transversely cut and repaired with in the traditional fashion with double-modified Kessler method and 5/0 polypropylene. In the other groups, 3 mm of the tendon was removed from the proximal half of the upper end and from the distal half of the lower end of the tendon, and they were repaired with the modified Kessler method...
July 2018: Archives of Plastic Surgery
Hyun Ho Han, Hyun Jun Cho, Seong Yeon Kim, Deuk Young Oh
Background: Mallet fracture can easily occur during sports activities or in daily life; however, the principles and methods of treatment for such fractures remain debated. Among the surgical treatments, various methods of closed reduction have been proposed. We treated patients with the extension block method (EBM) and the direct pinning method (DPM), and then compared the results. We assessed differences in range of motion and measurements of finger movement after surgery. Methods: A total of 41 patients who underwent surgery from August 2013 to September 2015 were evaluated retrospectively...
July 2018: Archives of Plastic Surgery
Safdar Ali Shaikh, Amber Bawa, Noman Shahzad, Zara Yousufzai, Muhammad Shahab Ghani
Background: The radial forearm free flap (RFFF) has remained a leading choice of many plastic surgeons as a fasciocutaneous flap due to its versatility, pedicle length, and simple elevation technique. However, donor site morbidity has led many reconstructive surgeons to limit their use of the RFFF and to use other flaps instead. We propose that using a narrow RFFF (nRFFF) decreases the aesthetic and functional morbidity of the donor site. Methods: We report our experiences with the nRFFF from April 2012 through May 2015 at the Department of Plastic, Reconstructive, and Hand Surgery at Liaquat National Hospital, Karachi...
July 2018: Archives of Plastic Surgery
Tae Seo Park, Su Bong Nam, Jae Yeon Choi, Sung Hwan Bae, Jae Woo Lee, Hyun Yul Kim
Background: In performing extended latissimus dorsi (ELD) flap procedures, a skin paddle design on the bra line helps reduce visible scarring. This improves the patient's satisfaction with the outcome. However, such a design leads to a longer operation time and increased fatigue of the surgeon due to the narrow operative field. In this study, the authors propose a method that elongates the axillary incision line posteriorly by 1.5 cm from the lateral border of the latissimus dorsi muscle...
July 2018: Archives of Plastic Surgery
Hikaru Kono, Naohiro Ishii, Masayoshi Takayama, Masashi Takemaru, Kazuo Kishi
Background: Flap volume is an important factor for obtaining satisfactory symmetry in breast reconstruction with a transverse rectus abdominis myocutaneous (TRAM) free flap. We aimed to develop an easy and simple method to estimate flap volume. Methods: We performed a preoperative estimation of the TRAM flap volume in five patients with breast cancer who underwent 2-stage breast reconstruction following an immediate tissue expander operation after a simple mastectomy...
July 2018: Archives of Plastic Surgery
Seung Han Song, Hyeokjae Kwon, Sang-Ha Oh, Sun-Je Kim, Jaebeom Park, Su Il Kim
Background: Zygomaticomaxillary complex (ZMC) fractures mostly occur in the form of tripod fractures. The surgical field is accessed using a combination of three classic approaches. However, the subciliary incision may have unfavorable aesthetic results. Herein, the authors report the advantages of the extended transconjunctival approach (ETA) combined with T-bar screw reduction in minimizing scarring and complications for the treatment of ZMC fractures. Methods: A total of 26 patients underwent ZMC reduction through the ETA and intraoral approach...
July 2018: Archives of Plastic Surgery
Tae Gon Kim, Man Ki Choi
Perforator flaps are becoming increasingly common, and as primary thinning techniques are being developed, the need for secondary contouring of flaps is decreasing. However, many reconstructive flap procedures still incorporate secondary debulking to improve the functional and aesthetic outcomes. Direct excision, liposuction, tissue shaving with an arthroscopic cartilage shaver, and skin grafting are the four major methods used for secondary debulking. Direct excision is primarily applied in flaps where the skin is redundant, even though the volume is not excessive...
July 2018: Archives of Plastic Surgery
Bo Young Park
Perforator flaps become a reliable option for coverage of various defects and the interest is change from survival of perforator flaps to make thin flaps for better aesthetic and functional outcomes. Multiple flap thinning methods have been demonstrated but it has not been widely attempted because of concerns about compromising circulation of flap thinning. This article will demonstrate the feasibility and benefits of flap thinning technique: defatting after conventional flap elevation.
July 2018: Archives of Plastic Surgery
Hyung Hwa Jeong, Joon Pio Hong, Hyun Suk Suh
Elevating thin flaps has long been a goal of reconstructive surgeons. Thin flaps have numerous advantages in reconstruction. In this study, we present a surgical method for elevating a thin flap and demonstrate the safety of the procedure. A retrospective review was performed of the electronic medical records of patients who underwent thin flap elevation for lower extremity reconstruction from April 2016 to September 2016 at the Department of Plastic Surgery of Asan Medical Center. All flaps included in this study were elevated above the superficial fascia...
July 2018: Archives of Plastic Surgery
Seong Oh Park, Hak Chang, Nobuaki Imanishi
Flap thinning is a procedure for making a thick flap thinner. This procedure does more than simply fill in the defected area, and it is better for reconstructing the area both functionally and aesthetically. However, because flap thinning is a rather blind procedure, it may have harmful effects on flap vascularity. Therefore, the vasculature of a flap must be understood before performing flap thinning. This paper analyzes the basic anatomy underlying flap thinning based on the previous anatomic study that categorized flaps into 6 types by their vascular structures...
July 2018: Archives of Plastic Surgery
Jong-Woo Choi
No abstract text is available yet for this article.
July 2018: Archives of Plastic Surgery
Kun Hwang
No abstract text is available yet for this article.
May 2018: Archives of Plastic Surgery
Jae Hyun Park
No abstract text is available yet for this article.
May 2018: Archives of Plastic Surgery
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