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Archives of Plastic Surgery

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https://www.readbyqxmd.com/read/29121708/factors-associated-with-a-prolonged-length-of-hospital-stay-in-patients-with-diabetic-foot-a-single-center-retrospective-study
#1
Sang Kyu Choi, Cheol Keun Kim, Dong In Jo, Myung Chul Lee, Jee Nam Kim, Hyun Gon Choi, Dong Hyeok Shin, Soon Heum Kim
Background: We conducted this study to identify factors that may prolong the length of the hospital stay (LHS) in patients with diabetic foot (DF) in a single-institution setting. Methods: In this single-center retrospective study, we evaluated a total of 164 patients with DF, and conducted an intergroup comparison of their baseline demographic and clinical characteristics, including sex, age, duration of diabetes, smoking status, body mass index, underlying comorbidities (e...
November 10, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29121707/reconstruction-of-medial-orbital-wall-fractures-without-subperiosteal-dissection-the-push-out-technique
#2
Yong-Ha Kim, Jin Ho Lee, Youngsoo Park, Sung-Eun Kim, Kyu-Jin Chung, Jun-Ho Lee, Tae Gon Kim
Background: Various surgical methods for repairing medial orbital wall fractures have been introduced. The conventional technique requires total separation of the displaced orbital bones from the orbital soft tissues. However, subperiosteal dissection around the fracture can cause additional damage. The aim of the present study is to introduce a method of reconstructing medial orbital wall fractures without subperiosteal dissection named the "push-out" technique. Methods: Six patients with post-traumatic enophthalmos resulting from an old medial orbital wall fracture and 10 patients with an acute medial orbital wall fracture were included...
November 10, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29076320/how-to-deal-with-ethical-issues-involving-animal-experiments-and-identifiable-photographs-in-articles-published-in-archives-of-plastic-surgery
#3
Sun Huh
No abstract text is available yet for this article.
October 30, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29076330/assessment-of-correlation-between-time-period-and-risk-of-fat-embolism-after-liposuction-animal-model
#4
Kwang Ryeol Lim, Jeong-Min Cho, Chung-Min Yoon, Keun-Cheol Lee, Sang-Yun Lee, Mi-Ha Ju
Background: Liposuction has become one of the most frequently performed operation among the aesthetic surgical field recently. Fat embolism syndrome after liposuction is overlooked or underestimated easily. Occasionally, fulminating fat embolism syndrome could be developed and lead to critical situation within 2-3 days after lipoplasty. Time period changes in amount of circulating fat particle and histology of major organs are not studied yet. Methods: This study was conducted using 18 male Sprague Dawley rats aged 12weeks and weighing 500-628g (562g on average)...
October 27, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29076329/multiple-venous-anastomoses-decrease-the-need-for-intensive-postoperative-management-in-tamai-zone-i-replantations
#5
Deok Hyeon Ryu, Si Young Roh, Jin Soo Kim, Dong Chul Lee, Kyung Jin Lee
Background: Venous anastomosis is an important component of digital replantation but is not always feasible in all cases, which can require external bleeding to prevent or treat venous congested in the replanted tissue. Our study evaluates the relationship between number of vein anastomosis and survival rate for Tamai zone I replantations. Methods: A retrospective review was performed for all patients who received replantation of fingertip amputation between 2014 and 2016...
October 27, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29076328/modified-toe-pulp-fillet-flap-coverage-better-wound-healing-and-satisfactory-length-preservation
#6
Sang Oon Baek, Hyo Wan Suh, Jun Yong Lee
Background: Amputation is commonly performed for toe necrosis secondary to peripheral vascular diseases, such as diabetes mellitus. When amputating a necrotic toe, preservation of the bony structure is important for preventing the collapse of adjacent digits into the amputated space. However, in the popular terminal Syme's amputation technique, partial amputation of the distal phalanx could cause increased tension on the wound margin. Herein, we introduce a new way to resect sufficient bony structure while maintaining the normal length, based on a morphological analysis of the toes...
October 27, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29076327/autogenous-fat-grafting-for-mild-to-moderate-postoperative-temporal-hollowing-after-decompressive-craniectomy-1-year-follow-up
#7
Jaemin Choi, Hyungon Choi, Donghyeok Shin, Jeenam Kim, Myungchul Lee, Soonheum Kim, Dongin Jo, Cheolkeun Kim
>Background: Temporal hollowing is inevitable after decompressive craniectomy. This complication affects self- perception and quality of life, and various techniques and materials have therefore been used to restore patients' confidence. Autologous fat grafting in postoperative scar tissue has been considered challenging because of the hostile tissue environment. However, in this study, we demonstrate that autologous fat grafting can be a simple and safe treatment of choice, even for postoperative depressed temporal scar tissue...
October 27, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29076326/orthognathic-treatment-of-facial-asymmetry-due-to-temporomandibular-joint-ankylosis
#8
Ayse Gulsen, Serhat Sibar, Selahattin Ozmen
The aim of this study was to present a case series of the orthognathic treatment of facial asymmetry due to temporomandibular joint (TMJ) ankylosis and to characterize the current treatment modalities through a literature review. Four patients who presented with facial asymmetry due to TMJ ankylosis between 2010 and 2014 were included in this study. TMJ ankylosis was surgically treated before bimaxillary surgery with advancement genioplasty in some of the cases. In 2 cases, 3-dimensional (3D) models were used for diagnosis and treatment planning, as 3D models are very important tools for planning surgical maneuvers...
October 27, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29076325/a-shark-attack-treated-in-a-tertiary-care-centre-case-report-and-review-of-the-literature
#9
Melissa Roy, Mathew Plant, Laura Snell
Although uncommon, shark attacks can lead to devastating outcomes for victims. Surgeons also face unique challenges during operative management such as exsanguination, shock, specific injury patterns and infections. This case report presents the management of a 39-year-old previously healthy female attacked by a shark while on vacation in Mexico. The patient sustained severe injuries to her left arm and her left thigh. She was transferred to a Canadian institution after ambiguous operative management in Mexico and presented with no clear antibiotic coverage and a Volkman's contracture of the left upper extremity...
October 27, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29076324/innovation-in-the-planning-of-v-y-rotation-advancement-flaps-a-template-for-flap-design
#10
Utku C Dölen, Uğur Koçer
Local flaps exhibit excellent color matching that no other type of flap can compete with. Moreover, surgery using a local flap is easier and faster than surgery using a distant or free flap. However, local flaps can be much more difficult to design. We designed 2 templates to plan a V-Y rotation advancement flap. The template for a unilateral V-Y rotation advancement flap was used on the face (n=5), anterior tibia (n=1), posterior axilla (n=1), ischium (n=1), and trochanter (n=2). The template for a bilateral flap was used on the sacrum (n=8), arm (n=1), and anterior tibia (n=1)...
October 27, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29076323/complete-coverage-of-a-tissue-expander-by-a-musculofascial-pocket-including-the-sternalis-muscle-during-breast-reconstruction
#11
Naohiro Ishii, Yusuke Shimizu, Jiro Ando, Michiko Harao, Masaru Takemae, Kazuo Kishi
No abstract text is available yet for this article.
October 27, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29076322/double-sided-folded-internal-pudendal-artery-perforator-flap-for-the-repair-of-a-recurrent-rectovaginal-fistula
#12
Sang Gun Lee, Yong Seok Lee, Seung Yong Song, Won Jae Lee, Dong Won Lee
Rectovaginal fistula (RVF) is not common, but represents a challenge to both patients and surgeons. Various surgical techniques have been introduced for repair of RVF, such as local flap rearrangement, muscle transposition, or the use of an artificial mesh. Despite these treatments, recurrence of RVF has been frequently reported. This report presents the case of a 53-year-old woman who suffered from a recurrent RVF that first developed 32 years ago, 2 years after a vaginal delivery with an episiotomy. A satisfactory good result was achieved following a method using a double-sided folded internal pudendal artery perforator flap...
October 27, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29076321/four-extremity-salvage-with-long-vein-grafts-in-buerger-s-disease
#13
Jung Soo Yoon, Soo Yeon Lim, Hee Chang Ahn
No abstract text is available yet for this article.
October 27, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29076317/salvage-of-unilateral-complete-ear-amputation-with-continuous-local-hyperbaric-oxygen-platelet-rich-plasma-and-polydeoxyribonucleotide-without-micro-revascularization
#14
Sang Keon Lee, Yoon Min Lim, Dae Hyun Lew, Seung Yong Song
In many cases of complete ear amputation, microvascular surgery is required for tissue perfusion and organ survival. However, microvascular reconstruction is not always feasible in the absence of suitable vessels. Here, we present the case of a 76-year-old man who underwent complete amputation of the left ear after a collapse at home because of cardiogenic syncope. He was treated with primary replantation and underwent a postoperative salvage course including continuous local hyperbaric oxygen therapy (HBOT), platelet-rich plasma (PRP) injections, and polydeoxyribonucleotide (PDRN) injections...
October 27, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29076316/salvage-of-infected-breast-implants
#15
Joon Ho Song, Young Seok Kim, Bok Ki Jung, Dong Won Lee, Seung Yong Song, Tai Suk Roh, Dae Hyun Lew
Background: Implant-based breast reconstruction is being performed more frequently, and implants are associated with an increased risk of infection. We reviewed the clinical features of cases of implant infection and investigated the risk factors for breast device salvage failure. Methods: We retrospectively analyzed 771 patients who underwent implant-based breast reconstruction between January 2010 and December 2016. Age, body mass index, chemotherapy history, radiation exposure, and smoking history were assessed as potential risk factors for postoperative infection...
October 27, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29076315/retromandibular-reduction-of-medially-dislocated-condylar-process-fractures
#16
Gyu Hyeong Lee, Dong Hee Kang, Sang Ah Oh
Background: Condylar process fractures are accounting for one-third of all mandibular fractures and the distal fragment is prone to dislocate to the medial side due to the pulling of lateral pterygoid muscle. Retromandibular approaches are commonly used but the intraoperative view becomes limited in medially dislocated fracture. This study summarized the cases of retromandibular reduction for medially dislocated condylar process fractures and described our supplementary procedure to realign dislocated condylar process...
October 27, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29076314/the-usefulness-of-pedicled-perforator-flap-in-partial-breast-reconstruction-after-breast-conserving-surgery-in-korean-women
#17
Jae Bong Kim, Dong Kyu Kim, Jeong Woo Lee, Kang Young Choi, Ho Yun Chung, Byung Chae Cho, Ho Yong Park, Jee Yeon Lee, Jung Dug Yang
Background: The emergence of breast-conserving surgery combined with radiotherapy as the treatment of choice for early stage breast cancer has resulted in greater focus on oncoplastic breast surgery. The use of perforator flaps has particularly gained in reputation for its effectiveness in the reconstruction of partial breast defects in Korean women. Herein, we present our experience with the use of TDAP (thoracodorsal artery perforator) and LICAP (lateral intercostal artery perforator) flaps...
October 27, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29076313/selection-of-oncoplastic-surgery-in-asian-breast-cancer-patients
#18
Eui Sun Shin, Hyo In Kim, Seung Yong Song, Dae Hyun Lew, Dong Won Lee
Background: Oncoplastic surgery is increasingly performed in Korean women; however, unlike Westerners, Korean women usually have small- to moderate-sized breasts. To achieve better outcomes in reconstructed breasts, several factors determining the optimal surgical method should be considered. Methods: A total of 108 patients who underwent oncoplastic surgery from January 2013 to December 2016 were retrospectively investigated. We used various methods, including glandular tissue reshaping, latissimus dorsi (LD) flap transposition, and reduction oncoplasty to restore the breast volume and symmetry...
October 27, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29076319/serial-tissue-expansion-at-the-same-site-in-pediatric-patients-is-the-subsequent-expansion-faster
#19
Moon Ki Lee, Seong Oh Park, Tae Hyun Choi
Background: Serial tissue expansion is performed to remove giant congenital melanocytic nevi. However, there have been no studies comparing the expansion rate between the subsequent and preceding expansions. In this study, we analyzed the rate of expansion in accordance with the number of surgeries, expander location, expander size, and sex. Methods: A retrospective analysis was performed in pediatric patients who underwent tissue expansion for giant congenital melanocytic nevi...
October 26, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29076318/polydeoxyribonucleotide-improves-peripheral-tissue-oxygenation-and-accelerates-angiogenesis-in-diabetic-foot-ulcers
#20
Seoyoung Kim, Jun Hyung Kim, Jaehoon Choi, Woonhyeok Jeong, Sunyoung Kwon
Background: Polydeoxyribonucleotide (PDRN) is known to have anti-inflammatory and angiogenic effects and to accelerate wound healing. The aim of this study was to investigate whether PDRN could improve peripheral tissue oxygenation and angiogenesis in diabetic foot ulcers. Methods: This was a prospective randomized controlled clinical trial. Twenty patients with a non-healing diabetic foot ulcer were randomly distributed into a control group (n=10) and a PDRN group (n=10)...
October 26, 2017: Archives of Plastic Surgery
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