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Plastic and Reconstructive Surgery. Global Open

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https://www.readbyqxmd.com/read/29263977/craniofacial-reconstruction-by-a-cost-efficient-template-based-process-using-3d-printing
#1
Bilal Msallem, Fabian Beiglboeck, Philipp Honigmann, Claude Jaquiéry, Florian Thieringer
Craniofacial defects often result in aesthetic and functional deficits, which affect the patient's psyche and wellbeing. Patient-specific implants remain the optimal solution, but their use is limited or impractical due to their high costs. This article describes a fast and cost-efficient workflow of in-house manufactured patient-specific implants for craniofacial reconstruction and cranioplasty. As a proof of concept, we present a case of reconstruction of a craniofacial defect with involvement of the supraorbital rim...
November 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29263976/laparoscopic-harvest-of-the-rectus-abdominis-for-perineal-reconstruction
#2
Nneamaka Agochukwu, Alisha Bonaroti, Sandra Beck, James Liau
The rectus abdominis is a workhorse flap for perineal reconstruction, in particular after abdominoperineal resection (APR). Laparoscopic and robotic techniques for abdominoperineal surgery are becoming more common. The open harvest of the rectus abdominis negates the advantages of these minimally invasive approaches. (Sentence relating to advantages of laparoscopic rectus deleted here.) We present our early experience with laparoscopic harvest of the rectus muscle for perineal reconstruction. Three laparoscopic unilateral rectus abdominis muscle harvests were performed for perineal reconstruction following minimally invasive colorectal and urological procedures...
November 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29263975/the-boomerang-shaped-pectoralis-major-musculocutaneous-flap-for-reconstruction-of-circular-defect-of-cervical-skin
#3
Shuchi Azuma, Masaki Arikawa, Shimpei Miyamoto
We report on a patient with a recurrence of oral cancer involving a cervical lymph node. The patient's postexcision cervical skin defect was nearly circular in shape, and the size was about 12 cm in diameter. The defect was successfully reconstructed with a boomerang-shaped pectoralis major musculocutaneous flap whose skin paddle included multiple intercostal perforators of the internal mammary vessels. This flap design is effective for reconstructing an extensive neck skin defect and enables primary closure of the donor site with minimal deformity...
November 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29263974/gluteal-black-market-silicone-induced-renal-failure-a-case-report-and-literature-review
#4
Andrea Matson, Burt Faibisoff
Very few cases of successful surgical treatment for renal failure due to gluteal silicone injections have been reported in the literature. The silicone toxicity and subsequent renal failure seem to follow repetitive silicone injections and silicone injections in large quantities. This is a case of a 31-year-old woman who developed renal failure after 6 years of gluteal silicone injections who underwent radical resection of bilateral gluteal regions in an attempt to mitigate her impending complete renal failure...
November 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29263973/minimally-invasive-genioplasty-procedure
#5
Nasser Nadjmi, Sien Van Roy, Elke Van de Casteele
In this technical note, we present a new surgical approach for genioplasty in which a minimally invasive procedure is used to perform the chin osteotomy. The main goal was to reduce postoperative functional recovery time and possible complications, especially reduction of lip incompetence, chin ptosis, and muscle dysfunction, by retaining the intactness of the mentalis muscles.
November 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29263972/stratafix-for-abdominal-wall-repair-following-abdominal-flap-harvest
#6
Shoko Yasuda, Koichi Tomita, Koichiro Kiya, Ko Hosokawa
Supplemental Digital Content is available in the text.
November 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29263971/prospective-analysis-comparing-arthroplasty-with-hd-flex-versus-trapezial-resection-alone-in-basilar-joint-arthritis
#7
Meghan C McCullough, Myles J Cohen, Stuart H Kuschner, David A Kulber
No abstract text is available yet for this article.
November 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29263970/feasibility-of-bone-perfusion-evaluation-in-cadavers-using-indocyanine-green-fluorescence-angiography
#8
Hidehiko Yoshimatsu, Johannes Steinbacher, Stefan Meng, Ulrike M Hamscha, Wolfgang J Weninger, Ines E Tinhofer, Takumi Yamamoto, Takuya Iida, Chieh-Han John Tzou
Bone perfusion evaluation methods in cadaver studies have yet to be established. The aim of this report was to introduce and validate the feasibility of indocyanine green (ICG) fluorescence angiography for evaluation of bone perfusion in the femoral medial condyle in cadavers. In 4 fresh nonembalmed cadavers (2 female), the descending genicular artery was dissected and carefully cannulated bilaterally. A 10 mL solution containing 5 mL ICG solution and 5 mL methylene blue solution was injected into the descending genicular artery...
November 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29263969/stakeholders-perspectives-on-postmastectomy-breast-reconstruction-recognizing-ways-to-improve-shared-decision-making
#9
Jessica M Hasak, Terence M Myckatyn, Victoria F Grabinski, Sydney E Philpott, Rajiv P Parikh, Mary C Politi
Background: Postmastectomy breast reconstruction (PMBR) is an elective, preference-sensitive decision made during a stressful, time-pressured period after a cancer diagnosis. Shared decision making (SDM) can improve decision quality about preference-sensitive choices. Stakeholders' perspectives on ways to support PMBR decision-making were explored. Methods: Forty semi-structured interviews with stakeholders (20 postmastectomy patients, 10 PMBR surgeons, 10 PMBR nurses) were conducted...
November 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29263968/reconstruction-of-congenital-sternal-clefts-surgical-experience-and-literature-review
#10
F Alshomer, Faris Aldaghri, Nawaf Alohaideb, Reem Aljehani, Mohamed Amir Murad, Fuad Hashem
Background: Sternal cleft is a rare anomaly with a reported incidence of 1:100,000 cases per live births. Surgical intervention represents a crucial factor altering the overall patient prognosis, since they are at high risk of impaired oxygenation, as well as multiple chest infections. Herein, we are reporting our experience of surgical management of such rare cases, alerting plastic surgeons to their possibly crucial role in the reconstructive team. Methods: A retrospective chart review of 2 cases presenting with chest wall defects...
November 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29263967/use-of-indocyanine-green-for-sentinel-lymph-node-biopsy-case-series-and-methods-comparison
#11
Andrew McGregor, Sabrina N Pavri, Cynthia Tsay, Samuel Kim, Deepak Narayan
Introduction: Sentinel lymph node biopsy is indicated for patients with biopsy-proven thickness melanoma greater than 1.0 mm. Use of lymphoscintigraphy along with vital blue dyes is the gold standard for identifying sentinel lymph nodes intraoperatively. Indocyanine green (ICG) has recently been used as a method of identifying sentinel lymph nodes. We herein describe a case series of patients who have successfully undergone ICG-assisted sentinel lymph node biopsy for melanoma. We compare 2 imaging systems that are used for ICG-assisted sentinel lymph node biopsy...
November 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29263966/non-brca1-2-breast-cancer-susceptibility-genes-a-new-frontier-with-clinical-consequences-for-plastic-surgeons
#12
Jordan D Frey, Ara A Salibian, Freya R Schnabel, Mihye Choi, Nolan S Karp
Twenty percent of breast cancer cases may be related to a genetic mutation conferring an increased risk of malignancy. The most common and prominent breast cancer susceptibility genes are BRCA1 and BRCA2, found in nearly 40% of such cases. However, continued interest and investigation of cancer genetics has led to the identification of a myriad of different breast cancer susceptibility genes. Additional genes, each with unique significance and associated characteristics, continue to be recognized. Concurrently, advanced genetic testing, while still controversial, has become more accessible and cost-effective...
November 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29263965/risk-factors-for-complications-in-expander-based-breast-reconstruction-multivariate-analysis-in-asian-patients
#13
Hirotaka Suga, Tomohiro Shiraishi, Naoko Tsuji, Akihiko Takushima
Background: There have been many studies examining risk factors for complications in expander-based breast reconstruction after mastectomy, and some patient factors have been identified as risk factors. However, most of the previous studies were based on Caucasian patients. Methods: Asian patients who had a tissue expander placed for immediate breast reconstruction between January 2006 and December 2015 (363 patients and 371 expanders) were analyzed retrospectively...
November 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29263964/negative-pressure-wound-therapy-for-ludwig-s-angina-a-case-series
#14
Nainika Nanda, Habib G Zalzal, Gregory L Borah
Negative-pressure wound therapy (NPWT) is a well-established therapeutic approach for various complex wound classes. There is currently limited information on the use of NPWT for the scope of head and neck wounds. However, NPWT has been used successfully in some cases, including malignancy, infection, and trauma. In West Virginia, the incidence of dental-related infections leading to Ludwig's Angina is high due to lack of access to dental care. Our case series describes the application of vacuum-based therapy in conjunction with antibiotic therapy for quick, effective closure of deep tissue infections before definitive complex wound repair via graft and flap reconstructions...
November 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29263963/liposomal-bupivacaine-in-implant-based-breast-reconstruction
#15
Saba Motakef, Wendy W Wong, Michael J Ingargiola, David Nguyen, Izabela A Galdyn, Hahns Y Kim, Subhas C Gupta
Purpose: This study evaluates the role of liposomal bupivacaine in implant-based breast reconstruction. Methods: A prospective, randomized, single-blind trial of liposomal bupivacaine in implant-based breast reconstruction was performed. Patients in the control arm were treated with 20 mL 0.25% bupivacaine with epinephrine 1:200,000 to each breast pocket. Patients in the experimental arm were treated with 10 mL 1.3% liposomal bupivacaine delivered to each breast pocket...
November 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29263962/vaginoplasty-and-perineoplasty
#16
Heather J Furnas, Francisco L Canales
Supplemental Digital Content is available in the text.
November 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29263961/the-fine-wire-technique-for-flexor-tenolysis
#17
Matthew K Rosenblum, Pablo A Baltodano, Maxene H Weinberg, Lauren A Whipple, Amanda L Gemmiti, Richard E Whipple
Background: Flexor tenolysis surgery for flexor digitorum profundus and superficialis adhesions is a common procedure performed by hand surgeons. Releasing these adhered tendons can greatly improve hand function and improve quality of life. Recent evidence, however, has shown that the outcomes of tenolysis surgeries are often suboptimal and can result in relapsing adhesions or even tendon ruptures. Methods: This article describes a new technique with potential for reduced complication rates: The Fine Wire Technique for Flexor Tenolysis (FWT)...
November 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29263960/make-surgeons-position-more-comfortable
#18
Shu-Yi Wei, Chuan-De Zhou, Qiang Li
No abstract text is available yet for this article.
November 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29263959/superficial-soft-tissue-sarcomas-rarely-require-advanced-soft-tissue-reconstruction-following-resection
#19
William C Eward, Alexander L Lazarides, Anthony M Griffin, Patrick W O'Donnell, Amir Sternheim, Anne O'Neill, Stefan O Hofer, Peter C Ferguson, Jay S Wunder
Objective: Soft-tissue sarcomas are most frequently located deep within myofascial compartments. Superficial soft-tissue sarcomas (S-STS) are relatively less common and may be managed differently than deep sarcomas because generous resection margins are often possible without sacrificing critical structures. We sought to investigate the frequency and types of soft-tissue reconstructive procedures that are required following excision of S-STS. Methods: We reviewed 457 consecutively treated patients with S-STS with a minimum 2-year follow-up from our prospectively maintained database between 1989 and 2009...
November 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29263958/lower-face-rejuvenation-with-injections-botox-juvederm-and-kybella-for-marionette-lines-and-jowls
#20
Sarah Ann Mess
A 55-year-old woman requesting noninvasive rejuvenation of the lower face received multimodal injections in a single office visit to rejuvenate the jowls. The patient experienced no adverse events other than self-limiting bruising at the hyaluronic acid injection site and minimal edema. The outcomes were evaluated as follows: (1) by the patient using the self-rated Face-Q assessment and (2) by 5 plastic surgeons (none of whom were the author of this study) based on the WAS scale and before and after photographs to evaluate the corners of the mouth and the marionette lines...
November 2017: Plastic and Reconstructive Surgery. Global Open
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