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Archives of Plastic Surgery

Evi M Morandi, Ralph Verstappen, Julia Metzler, Peter Kronberger, Gerhard Pierer, Gabriel Djedovic
No abstract text is available yet for this article.
September 2018: Archives of Plastic Surgery
Naohiro Ishii, Jiro Ando, Yusuke Shimizu, Kazuo Kishi
Large and ptotic breast reconstruction in patients who are not candidates for a transverse rectus abdominalis myocutaneous flap and revision surgery for the contralateral breast remains challenging. We developed a novel breast reconstruction technique using a latissimus dorsi myocutaneous (LD m-c) flap set at the posterior aspect of the reconstructed breast, combined with an anatomical silicone breast implant (SBI), following tissue expander surgery. We performed the proposed technique in four patients, in whom the weight of the resected tissue during mastectomy was >500 g and the depth of the inframammary fold (IMF) was >3 cm...
September 2018: Archives of Plastic Surgery
Jeongseok Oh, Hee Chang Ahn, Kwang Hyun Lee
Malignant peripheral nerve sheath tumor (MPNST) is a very rare type of sarcoma, with an incidence of 0.001%. MPNST has a 5-year survival rate near 80%, so successful reconstruction techniques are important to ensure the patient's quality of life. Sarcoma of the forearm is known for its poor prognosis, which leads to wider excision, making reconstruction even more challenging due to the unique anatomical structure and delicate function of the forearm. A 44-year-old male presented with a large mass that had two aspects, measuring 9×6 cm and 7×5 cm, on the dorsal aspect of the right forearm...
September 2018: Archives of Plastic Surgery
Rochelle Castillo, Khushboo Sheth, Alan Babigian, Christopher Scola
While the success or failure of carpal tunnel release ultimately depends on the interplay of a wide array of factors, a broad understanding of the normal anatomy of the carpal tunnel accompanied by awareness of the possible variations of the individual structures that make up its contents is crucial to optimizing surgical outcomes. While anatomic variants such as extension of the flexor digitorum muscle bellies have been described as a cause of primary carpal tunnel syndrome (CTS), there have been no reports depicting its association with recurrent CTS following initially successful carpal tunnel release, a finding with potentially significant prognostic implications that can aid in operative planning...
September 2018: Archives of Plastic Surgery
Matthias Michael Aitzetmüller, David Johannes Haslhofer, Raphael Wenny, Manfred Schmidt, Dominik Duscher, Georg Michael Huemer
Although breast implants have been in clinical use for almost 6 decades and have undergone considerable development during this time, implant rupture is still a dreaded long-term complication. Some obvious external factors, such as trauma, can lead to implant rupture, but many studies have reported a high rate of "spontaneous" implant rupture. Herein, we present two cases with the aim of raising awareness of a new possible cause of "spontaneous" implant rupture: mechanical irritation by bony protrusions...
September 2018: Archives of Plastic Surgery
Hyung Hwa Jeong, Dong Hoon Choi, Joon Pio Hong, Hyun Suk Suh
The highly contoured nature of the nose and the abundant free margin makes it especially difficult to reconstruct. In this report, we describe the use of a new helical rim free flap technique for the reconstruction of full-thickness nasal alar defects via supermicrosurgery. Briefly, after a wide excision with a margin of 0.7 cm, an alar defect with a size of 1×1×0.5cm was obtained, which included the full thickness of the skin, mucosa, and lower lateral cartilage. Vessel dissection was performed in a straightforward manner, starting from the incision margin for flap harvest, without any further dissection for reach the greater trunk of the superficial temporal artery...
September 2018: Archives of Plastic Surgery
Yong Woo Kim, Si Young Roh, Jin Soo Kim, Dong Chul Lee, Kyung Jin Lee
BACKGROUND: Volar plate avulsion fracture of the proximal interphalangeal (PIP) joint is one of the most common hand injuries. In this study, we divided patients into two groups: patients with pure volar plate avulsion fracture, and patients with volar plate avulsion fracture concomitant with collateral ligament rupture. The purpose of this study was to compare long-term surgical outcomes between the two groups. As a secondary measure, the Mitek bone anchoring and polydioxanone (PDS) bone suturing techniques were compared...
September 2018: Archives of Plastic Surgery
Hsien Pin Chang, Jong Won Hong, Won Jai Lee, Young Seok Kim, Yoon Woo Koh, Se-Heon Kim, Dae Hyun Lew, Tae Suk Roh
BACKGROUND: Although previous studies have focused on determining prognostic and causative variables associated with fistula-related complications after head and neck reconstructive surgery, only a few studies have addressed preventive measures. Noting that pooled saliva complicates wound healing and precipitates fistula-related complications, we devised a continuous suction system to remove saliva during early postoperative recovery. METHODS: A continuous suction system was implemented in 20 patients after head and neck reconstructive surgery between January 2012 and October 2017...
September 2018: Archives of Plastic Surgery
Jae-Won Kim, Jun-Ho Lee, Tae-Gon Kim, Yong-Ha Kim, Kyu Jin Chung
BACKGROUND: Previously, surveys have been used to investigate breast reconstruction statistics. Since 2015, breast reconstruction surgery after mastectomy has been covered by the National Health Insurance Service in Korea, and data from breast reconstruction patients are now available from the Health Insurance Review and Assessment Service (HIRA). We investigated statistics in breast reconstruction in Korea through statistics provided by the HIRA Big Data Hub. METHODS: We investigated the number of cases in mastectomy and breast reconstruction methods from April 1, 2015 to December 31, 2016...
September 2018: Archives of Plastic Surgery
Jung Youl Park, Jae-Ho Chung, Hyung Chul Lee, Byung-Il Lee, Seung-Ha Park, Eul-Sik Yoon
BACKGROUND: Adjuvant therapy after breast surgery, including tamoxifen or aromatase inhibitors, improves the postoperative outcomes and long-term survival of breast cancer patients. The aim of this study was to determine whether volume changes occurred in the contralateral breast during hormonal or other adjuvant therapies. METHODS: This study reviewed 90 patients who underwent unilateral breast reconstruction between September 2012 and April 2018 using tissue expanders and a permanent implant after the surgical removal of breast cancer...
September 2018: Archives of Plastic Surgery
Sangho Oh, Hyojin Jeon, Daegu Son
BACKGROUND: The umbilicus makes an important contribution to the natural appearance of the abdomen. To date, studies on its position in Korean women are lacking, and no standards have been established. The purpose of this study was to investigate the position of umbilicus in Korean women and to review changes in its position after ipsilateral pedicled rectus abdominis musculocutaneous (IP-RAM) flap. METHODS: This research consisted of two studies. In first study, 100 females who visited the emergency department with gastroenteritis between 2007 and 2011 were included...
September 2018: Archives of Plastic Surgery
Bao Ngoc N Tran, Austin D Chen, Parisa Kamali, Dhruv Singhal, Bernard T Lee, Eugene Y Fukudome
BACKGROUND: Complication rates after flap coverage for pressure ulcers have been high historically. These patients have multiple risk factors associated with poor wound healing and complications including marginal nutritional status, prolonged immobilization, and a high comorbidities index. This study utilizes the National Surgical Quality Improvement Program (NSQIP) to examine perioperative outcomes of flap coverage for pressure ulcers. METHODS: Data from the NSQIP database (2005-2015) for patient undergoing flap coverage for pressure ulcers was identified...
September 2018: Archives of Plastic Surgery
Jungil Hwang, Jaeyoung Cho, Jin Sik Burm
BACKGROUND: Accessory auricles (AAs) are common congenital anomalies. We present a new classification according to location and shape, and propose a system for coding the classifications. METHODS: This study was conducted by reviewing the records of 502 patients who underwent surgery for AA. AAs were classified into three anatomical types: intraauricular, preauricular, and buccal. Intraauricular AAs were divided into three subtypes: intracrural, intratragal, and intralobal...
September 2018: Archives of Plastic Surgery
Hsien Pin Chang, Jae Ho Cho, Won Jai Lee, Hyun Roh, Dong Won Lee
BACKGROUND: Radiation-induced skin injury is a dose-limiting complication of radiotherapy. To investigate this problem and to develop a framework for making decisions on treatment and dose prescription, a murine model of radiation-induced skin injury was developed. METHODS: The dorsal skin of the mice was isolated, and irradiation was applied at single doses of 15, 30, and 50 Gy. The mice were followed for 12 weeks with serial photography and laser Doppler analysis...
September 2018: Archives of Plastic Surgery
Jennifer E Thomson, Grace Poudrier, John T Stranix, Catherine C Motosko, Alexes Hazen
Increased emphasis on competency-based learning modules and widespread departure from traditional models of Halstedian apprenticeship have made surgical simulation an increasingly appealing component of medical education. Surgical simulators are available in numerous modalities, including virtual, synthetic, animal, and non-living models. The ideal surgical simulator would facilitate the acquisition and refinement of surgical skills prior to clinical application, by mimicking the size, color, texture, recoil, and environment of the operating room...
September 2018: Archives of Plastic Surgery
Yong-Ha Kim
No abstract text is available yet for this article.
September 2018: 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
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