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Plastic Surgery

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https://www.readbyqxmd.com/read/29026832/i-m-a-plastic-surgeon-how-should-i-manage-my-debt
#1
Daniel A Peters, Douglas R McKay
No abstract text is available yet for this article.
August 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29026831/oral-examination
#2
Daniel A Peters, Kirsty U Boyd, Douglas R McKay
No abstract text is available yet for this article.
August 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29026830/treatment-of-constriction-bands-of-limbs-by-fat-injection-an-additional-modality
#3
Mahendra Daya
BACKGROUND: Constriction bands in the majority of cases presents as a contour deformity. The gold standard of treatment is a single-stage constriction ring excision and serial Z-plasty. The expense is unsightly scarring. We present case reports of deformity correction by serial fat injections. METHODS AND PARTICIPANTS: Three case studies of children in whom this modality was used in limbs to correct the deformity are presented. RESULTS: Two participants showed a good correction of the deformity and in a single-case treatment failed requiring excision and serial Z-plasty for correction...
August 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29026829/aggressive-combined-medical-and-surgical-management-of-mucormycosis-results-in-disease-eradication-in-2-pediatric-patients
#4
Haley F M Augustine, Colin White, James Bain
Rhinocerebral mucormycosis is an acute, rapidly fatal, fungal infection, classically involving the nasal mucosa and paranasal sinuses. It is an aggressive, opportunistic infection that frequently progresses to involve the orbit and cerebrum. Cerebral extension in immunocompromised patients is almost universally fatal. There are limited data on mucormycosis in pediatric immunocompromised patients in the literature, with only few reports on rhinocerebral involvement. The immunocompromised patients described in this report presented with suspected periorbital and nasal cellulitis, progressing rapidly to necrotic changes in nasal tissue and oral palatal mucosa...
August 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29026828/objective-outcomes-of-minimally-invasive-temporalis-tendon-transfer-for-prolonged-complete-facial-paralysis
#5
Michal Brichacek, Babar Sultan, Kofi D Boahene, Lisa Ishii, Patrick J Byrne
OBJECTIVES: We describe an approach to reanimation of complete, prolonged facial paralysis using minimally invasive temporalis tendon transfer (MIT3) by the melolabial or transoral approach. Objective outcome measures are evaluated based on symmetry, and grading of preoperative/post-operative results and the scar at the melolabial fold. STUDY DESIGN: Retrospective cohort study. METHODS: Twenty-five patients undergoing the MIT3 technique were studied...
August 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29026827/evaluation-of-secondary-and-late-secondary-alveolar-bone-grafting-on-66-unilateral-cleft-lip-and-palate-patients
#6
Ravi Mahajan, Harish Ghildiyal, Ankit Khasgiwala, Gogulnathan Muthukrishnan, Sukhdeep Kahlon
OBJECTIVE: The aim of this retrospective study was to evaluate the outcomes of secondary alveolar bone grafting and late secondary alveolar bone grafting in 66 unilateral cleft lip and palate patients. MATERIALS AND METHODS: The total patients were 66 unilateral cleft lip and palate patients, out of which 19 patients underwent secondary alveolar bone grafting and 47 patients underwent late secondary alveolar bone grafting. Autogenous anterior iliac crest cancellous bone graft was harvested and used for grafting the alveolar clefts...
August 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29026826/the-superficial-femoral-artery-flap-a-3-dimensional-anatomical-study
#7
Hadal El-Hadi, Steven Morris, Ali Alkhawaji
BACKGROUND: The superficial femoral artery perforator (SFAP) flap offers advantages for pedicled transfer including consistent perforators and vascular territory, well-hidden donor site scar, and hairless flap skin. This article provides a historical overview of the SFAP flap and describes the vascular anatomy of the SFAP by 3-dimensional analysis and angiography. METHODS: Ten fresh cadavers were injected using the lead oxide technique through the femoral artery...
August 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29026825/the-keystone-flap-a-case-series-demonstrating-practical-design-use-and-applications
#8
Stahs Pripotnev, Colin White
INTRODUCTION: The keystone design perforator island flap is a trapezoidal-shaped random perforator island flap with many advantages over primary closure, skin grafting, and other local flaps for soft tissue reconstruction commonly encountered with cancer excisions. METHODS: This case series of 39 keystone flaps in 37 patients reviews the practical design, use, and applications of the flap while highlighting certain important considerations. Keystone flaps were designed as in the original description, with a minor modification in the lower extremity where a higher flap to defect width ratio was used...
August 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29026824/textured-breast-implants-a-closer-look-at-the-surface-debris-under-the-microscope
#9
Leland H Webb, Victoria L Aime, Annie Do, Kenneth Mossman, Raman C Mahabir
BACKGROUND: Texturing of breast implants is done to decrease the risk of associated complications. Each manufacturer utilizes unique and at times proprietary techniques to texture the surface of their implants. Little is known about the integrity of this surface structure texturing or the propensity for the surfaces to shed particulate matter. This study aimed to determine the extent of surface particulate shedding from 3 textured implants approved by the US Food and Drug Administration (FDA), which are manufactured by Allergan, Mentor, and Sientra...
August 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29026823/ivy-loop-wiring-a-useful-form-of-endotracheal-tube-stabilization-in-burn-patients
#10
Matthew W T Curran, Edward E Tredget
The stabilization of endotracheal tubes in the burn population presents many problems. Access to the face for dressings, debridements, and the use of topical antimicrobials prevent adequate stabilization of the endotracheal tube with commonly used methods. Conventional methods have an increased risk of shifting, which can lead to injury to the friable burned tissue or unplanned extubation. To prevent these complications, alternative methods using the dentition to stabilize the endotracheal tube have been described...
August 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29026822/intraoperative-nerve-stimulation-during-brachial-plexus-surgery-comparison-between-a-totally-disposable-nerve-stimulator-and-nerve-stimulator-normally-used-for-nerve-blocks
#11
Ahmed Thallaj, Wadha M Alotaibi, Tariq AlZahrani, Abdulaziz S Abaalkhail, Amel A F El-Sayed, Mohammad M Al-Qattan
BACKGROUND: Intraoperative nerve stimulation is done routinely in brachial plexus and peripheral nerve surgery as well as in selective neurectomy in spastic patients. OBJECTIVE: The current study compares the use of 2 different devices for nerve stimulation: a totally disposable nerve stimulator and a nerve stimulator used for nerve blocks by anesthetists. METHODS: A retrospective study of 60 patients who underwent brachial plexus surgery: In 30 patients, we used the totally disposable nerve stimulator (group 1) and in another 30 patients, we used the anesthesia device (group 2)...
August 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29026821/comparison-of-resorbable-mesh-poly-l-lactide-glycolic-acid-and-porous-polyethylene-in-orbital-floor-fractures-in-an-experimental-model
#12
Ali Mubin Aral, Selahattin Özmen, Safak Uygur, Basar Kaya, Neslihan Coskun, Suna Ömeroglu, Koray Kılıc
BACKGROUND: Resorbable mesh and porous polyethylene are frequently used alloplastic materials for the treatment of the orbital blowout fractures. The literature lacks reports comparing their long-term effects on experimental models. OBJECTIVE: Our aim was to radiologically and histologically evaluate the effectiveness and safety of porous polyethylene and resorbable mesh in a rabbit orbital blowout fracture model. METHODS: Twelve New Zealand white rabbits (24 orbits) were randomized to 4 groups...
August 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29026820/a-qualitative-assessment-of-the-journey-to-delayed-breast-reconstruction
#13
Ho Man Cheng, Catherine McMillan, Joan E Lipa, Laura Snell
BACKGROUND: Canada has low immediate breast reconstruction (IBR) rates compared to the United States and Europe. Breast cancer survivors live with mastectomy defects sometimes for years, and this represents an area for improvement in cancer care. PURPOSE: This study qualitatively assessed (1) information provided about breast reconstruction at the time of cancer diagnosis among women seeking delayed breast reconstruction (DBR) and (2) referral practices for plastic surgery consultation for DBR...
August 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29026819/the-role-of-dynamic-ultrasound-in-the-immediate-conservative-treatment-of-volar-plate-injuries-of-the-pip-joint-a-series-of-78-patients
#14
Franck Marie Leclère, Lukas Mathys, Bettina Juon, Esther Vögelin
INTRODUCTION: The management of volar plate avulsion fractures in the context of a stable joint and a bony fragment of less than 30% has traditionally been conservative. This study was performed to assess volar plate healing with high-resolution ultrasound in order to provide early full mobilization. MATERIAL AND METHODS: Between January 2012 and December 2013, 78 patients with volar plate injuries of the proximal interphalangeal (PIP) joints (42 distortions and 36 dislocations) were treated conservatively in our department for volar plate avulsion fracture associated with stable joint and bony fragment inferior to 30% of the intra-articular surface assessed both by radiography and ultrasound...
August 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29026818/variations-in-the-anatomical-structures-of-the-guyon-canal
#15
Zahir T Fadel, Osama A Samargandi, David T Tang
BACKGROUND: Compression neuropathy of the ulnar nerve at the Guyon canal is commonly seen by hand surgeons. Different anatomical variations of structures related to the Guyon canal have been reported in the literature. A thorough knowledge of the normal contents and possible variations is essential during surgery and exploration. OBJECTIVES: To review the recognized anatomical variations within and around the Guyon canal. METHODS: This study is a narrative review in which relevant papers, clinical studies, and anatomical studies were selected by searching electronic databases (PubMed and EMBASE)...
May 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29026817/comparing-the-use-of-3d-photogrammetry-and-computed-tomography-in-assessing-the-severity-of-single-suture-nonsyndromic-craniosynostosis
#16
Olivia A Ho, Nikoo Saber, Derek Stephens, April Clausen, James Drake, Christopher Forrest, John Phillips
PURPOSE: Single-suture nonsyndromic craniosynostosis is diagnosed using clinical assessment and computed tomography (CT). With increasing awareness of the associated risks of radiation exposure, the use of CT is particularly concerning in patients with craniosynostosis since they are exposed at a younger age and more frequently than the average child. Three-dimensional (3D) photogrammetry is advantageous-it involves no radiation, is conveniently obtainable within clinic, and does not require general anaesthesia...
May 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29026816/aesthetic-refinements-in-forehead-flap-reconstruction-of-the-asian-nose
#17
Yen-Chang Hsiao, Chun-Shin Chang, Jonathan Zelken
BACKGROUND: Traditional paramedian forehead flap reconstruction exploits the aesthetic subunit principle. Refinements and outcomes of forehead flap nasal reconstruction largely reflect Western experience. Differences in ethnic Asian anatomy and wound healing may foster suboptimal outcomes. We modified methods to address Asian features by extending subunit and flap boundaries, minimizing flap thinning, and overbuilding the nasal framework to combat contraction and suboptimal scarring. METHODS: Between November 2010 and September 2015, 40 Asians were treated for nasal reconstruction with a modified forehead flap technique...
May 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29026815/the-midas-touch-gold-and-its-role-in-the-global-economy
#18
REVIEW
Douglas R McKay, Daniel A Peters
No abstract text is available yet for this article.
February 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29026814/oral-examination
#19
REVIEW
Kirsty U Boyd, Douglas R McKay, Daniel A Peters
No abstract text is available yet for this article.
February 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29026813/immediate-nerve-transfer-for-the-treatment-of-peroneal-nerve-palsy-secondary-to-an-intraneural-ganglion-case-report-and-review
#20
I Ratanshi, T A Clark, Jennifer L Giuffre
Intraneural ganglion cysts that occur within the common peroneal nerve are a rare cause of foot drop. The current standard of treatment for intraneural ganglion cysts involving the common peroneal nerve involves (1) cyst decompression and (2) ligation of the articular nerve branch to prevent recurrence. Nerve transfers are a time-dependent strategy for recovering ankle dorsiflexion in cases of high peroneal nerve palsy; however, this modality has not been performed for intraneural ganglion cysts involving the common peroneal nerve...
February 2017: Plastic Surgery
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