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Plastic Surgery

Douglas R McKay, Daniel A Peters
No abstract text is available yet for this article.
2016: Plastic Surgery
Douglas R McKay, Kirsty U Boyd, Daniel A Peters
No abstract text is available yet for this article.
2016: Plastic Surgery
Edward W Swanson, Hsu-Tang Cheng, Srinivas M Susarla, Denver M Lough, Anand R Kumar
BACKGROUND: Despite advances in surgical technique, ventral hernia repair (VHR) remains associated with significant postoperative wound complications. OBJECTIVE: A systematic review and meta-analysis was performed to identify whether the application of negative pressure wound therapy to closed incisions (iNPWT) following VHR reduces the risk of postoperative wound complications and hernia recurrence. METHODS: The PubMed/MEDLINE, EMBASE and SCOPUS databases were searched for studies published through October 2015...
2016: Plastic Surgery
Alison L Wong, Janet Martin, Michael J Wong, Michael Bezuhly, David Tang
BACKGROUND: In chronic disease management, shared medical appointments have been shown to improve clinic access, productivity and patient education. However, adoption of this model in surgical consultation is limited, and its effect on surgical patients' satisfaction, comfort and surgical risk recall is unknown. OBJECTIVE: To determine whether shared medical appointments could be applied to carpal tunnel surgery consultation while being equally effective as individual consultation for risk recall, patient comfort and satisfaction...
2016: Plastic Surgery
Matthew D Chetta, Oluseyi Aliu, Bao Anh Patrick Tran, Mariam Abdulghani, Kelly M Kidwell, Adeyiza O Momoh
BACKGROUND: Body contouring procedures following massive weight loss have become increasingly common and, unfortunately, continue to be associated with a high complication rate. OBJECTIVE: To evaluate how weight loss method affects complications following abdominally based body contouring procedures. METHODS: Patients undergoing abdominally based contouring procedures were retrospectively evaluated over an 11-year period and stratified into two groups based on method of weight loss: diet and exercise; or bariatric surgery...
2016: Plastic Surgery
Kourosh Ghanbarzadeh, Omid Reza Tabatabaie, Ebrahim Salehifar, Massoud Amanlou, Ghasemali Khorasani
BACKGROUND: A suitable pharmacological substitute for the well-established surgical delay technique for random skin flaps to increase viability has been elusive. OBJECTIVE: To evaluate the effects of nitroglycerin and botulinum toxin type A on random flap survival in a rat model. METHODS: The present controlled experimental study was performed in the four groups of rats. One week after intervention in each group, the flap was raised and kept in situ, and flap necrosis was evaluated through follow-up...
2016: Plastic Surgery
Safvet Ors, Mehmet Ozkose
BACKGROUND: There are various complications that can occur in septorhinoplasty, most of which are related to postoperative failure to achieve the desired aesthetic result. However, there are also many other complications, including postoperative bleeding, which is one of the most common nonaesthetic-related complications. OBJECTIVE: The present study was a prospective analysis involving a total of 750 septorhinoplasty patients, and included individuals who experienced massive bleeding after postoperative day 8...
2016: Plastic Surgery
Jennifer Matthews, Wendy Ng, Stuart Archibald, Carolyn Levis
BACKGROUND: The osteocutaneous radial forearm free flap (OC-RFFF) remains a useful tool in head and neck reconstruction; however, it can be challenging to harvest sufficient bone for large reconstructions. The extended OC-RFFF is a modification that involves harvest of the distal border of the radius to the tip of the styloid. This increases the length of the bone flap by 2 cm to 3 cm, and the inherent contour of the styloid can be used to reconstruct the anterior curvature of the mandible or maxilla without additional osteotomies that may reduce blood supply...
2016: Plastic Surgery
Brent R DeGeorge, Christopher A Campbell
BACKGROUND: Lateral displacement of breast implants and axillary fullness are common causes of patient dissatisfaction and reoperation following prosthetic breast reconstruction. Suture plication of the capsule and acellular dermal matrix slings have been described to address lateral implant malposition, but with unacceptably high rates of recurrence and additional cost, respectively. OBJECTIVE: To describe a novel technique using a lateral capsular flap to provide durable correction of implant malposition and, at the same time, redefinition of the lateral breast border, thereby restoring balance to the breast aesthetic subunits...
2016: Plastic Surgery
Xiaogen Hu, Haihuan Ma, Zhiqiang Xue, Huijie Qi, Bo Chen, Yang Zhou, Wengang Huang
BACKGROUND: Double-eyelid blepharoplasty is one of the most popular cosmetic surgeries in Asia. OBJECTIVE: To introduce a modified mini-incisional technique to form a double eyelid. METHODS: A total of 372 patients (325 women, 47 men) were involved in the study between July 2008 and August 2014. Their age ranged from 16 to 34 years, with a mean age of 24 years. All patients underwent the modified mini-incisional upper blepharoplasty. In the technique, four 2 mm incisions were made along the designed fold...
2016: Plastic Surgery
Alisa Timashpolsky, Alexander B Dagum, Syed M Sayeed, Jamie L Romeiser, Elisheva A Rosenfeld, Nicole Conkling
BACKGROUND: There are >150,000 patient visits per year to emergency rooms for facial trauma. The reliability of a computed tomography (CT) scan has made it the primary modality for diagnosing facial skeletal injury, with the physical examination playing more a cursory role. Knowing the predictive value of physical findings in facial skeletal injuries may enable more appropriate use of imaging and health care resources. OBJECTIVE: A blinded prospective study was undertaken to assess the predictive value of physical examination findings in detecting maxillofacial fracture in trauma patients, and in determining whether a patient will require surgical intervention...
2016: Plastic Surgery
Victor M Menchaca-Tapia, Elizabeth M Rodríguez, Irazú Contreras-Yáñez, Martin Iglesias-Morales, Virginia Pascual-Ramos
BACKGROUND: Up to 70% of patients with long-standing rheumatoid arthritis (RA) may present with rheumatic hand disease and benefit from hand surgical procedures (HSPs). OBJECTIVE: Through retrospective review, the present study aimed to report HSPs in RA patients at a tertiary care centre to identify patient adverse outcomes (AOs) and their predictors. METHODS: From 1989 to 2013, 96 patients who underwent ≥1 HSP(s) were identified from two local registries; their clinical records were independently reviewed by two trained physicians (surgeon and clinical) who used a standardized format...
2016: Plastic Surgery
Daniel A Peters, Douglas R McKay
No abstract text is available yet for this article.
2016: Plastic Surgery
Daniel A Peters, Kirsty U Boyd
No abstract text is available yet for this article.
2016: Plastic Surgery
Ali Rastegarpour, Michael Cheung, Madhurima Vardhan, Mohamed M Ibrahim, Charles E Butler, Howard Levinson
Surgical mesh has become an indispensable tool in hernia repair to improve outcomes and reduce costs; however, efforts are constantly being undertaken in mesh development to overcome postoperative complications. Common complications include infection, pain, adhesions, mesh extrusion and hernia recurrence. Reducing the complications of mesh implantation is of utmost importance given that hernias occur in hundreds of thousands of patients per year in the United States. In the present review, the authors present the different types of hernia meshes, discuss the key properties of mesh design, and demonstrate how each design element affects performance and complications...
2016: Plastic Surgery
Franck Marie Leclère, Justo M Alcolea, Peter M Vogt, Javier Moreno-Moraga, Vincent Casoli, Serge Mordon, Mario A Trelles
BACKGROUND: Upper arm deformities secondary to weight loss or senile elastosis have led to an increased demand for aesthetic contouring procedures. OBJECTIVE: To objectively assess whether, in Teimourian high-grade upper arm remodelling, laser-assisted lypolysis (LAL) alone could result in patient satisfaction. METHODS: Between 2012 and 2013, 22 patients were treated for excessive upper arm fat (Teimourian grade III and IV) solely with LAL...
2016: Plastic Surgery
Natalie Chan, Jacob Charette, Danielle O Dumestre, Frankie Og Fraulin
BACKGROUND: Within the field of plastic surgery, clinical photography is an essential tool. 'Smart phones' are increasingly being used for photography in medical settings. OBJECTIVE: To determine the prevalence of smart phone use for clinical photography among plastic surgeons and plastic surgery residents in Canada. METHODS: In 2014, a survey was distributed to all members of the Canadian Society of Plastic Surgeons. The questions encompassed four main categories: smart phone use for clinical photos; storage of photos; consent process; and privacy issues...
2016: Plastic Surgery
Sophie Ricketts, Eran Regev, Oleh M Antonyshyn, Alex Kiss, Jeffrey A Fialkov
BACKGROUND: Secondary rhinoplasty, one of the final procedures in addressing the stigma of the cleft lip and palate (CLP), has both functional and aesthetic objectives. The way in which physicians evaluate outcomes in surgery concerning aesthetics is changing. Well-designed patient-reported outcome measures to assess health-related quality of life improvements attributable to surgery are increasingly being used. The Derriford Appearance Scale 59 (DAS-59) is currently the only available validated patient-reported outcome measure that assesses concern about physical appearance...
2016: Plastic Surgery
Louisa Tam, Yin-Yin Chung
BACKGROUND: Night extension splinting has been used to treat patients with Dupuytren contracture to improve active range of motion (AROM) of the hand. A published case study demonstrated the benefit of splinting following needle aponeurotomy; however, no larger studies have evaluated the impact of postoperative splinting. OBJECTIVES: To compare the impact of night extension splinting on AROM, specifically extension, following needle aponeurotomy for Dupuytren contracture...
2016: Plastic Surgery
Kevin C Cahill, Christoph Theopold, Michael O'Shaughnessy
BACKGROUND: Proximal interphalangeal joint (PIPJ) contracture is a difficult problem to treat regardless of etiology. Although numerous interventions have been recommended, published results are mediocre at best. OBJECTIVE: The authors describe their experience and results of using a modification of pins and rubber band traction (PRBT) - applying a dynamic extension apparatus to a contracted PIPJ using the constant traction force in a stretched rubber (elastic) band...
2016: Plastic Surgery
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