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https://www.readbyqxmd.com/read/29623151/nipple-areolar-complex-reconstruction-a-review-of-the-literature-and-introduction-of-the-rectangle-to-cube-nipple-flap
#1
Joshua T Henderson, Thomas J Lee, Andrew M Swiergosz, Andrea R Hiller, Joshua Choo, Bradon J Wilhelmi
Objective : There are many approaches to nipple-areola complex reconstruction. Tissue quality and thickness, desired nipple location and size, scar position, and surgeon preference all play a role in selecting a technique. We present the rectangle-to-cube nipple flap, a new technique for challenging nipple reconstruction. A review of published techniques is compared and contrasted with this flap design. Methods : Following bilateral total skin-sparing mastectomies, a patient with breast cancer underwent breast reconstruction with tissue expanders and subsequent nipple reconstruction with the rectangle-to-cube nipple flap...
2018: Eplasty
https://www.readbyqxmd.com/read/29609428/modified-abb%C3%A3-flap-for-reconstruction-of-cupid-s-bow-and-vermilion-tubercle-in-secondary-cleft-lip-deformity
#2
Jun Won Lee, Seong Joo Lee, In Suck Suh, Chong Kun Lee
BACKGROUND: Abbé flap technique is one of the most challenging operations to correct horizontal deficiencies in secondary cleft lip deformity. Since its first introduction, the operative method was dynamically modified from simple variation to complete conceptual change, but conventional Abbé flap has many drawbacks in esthetic and functional aspect. Our purpose was reconstructing the symmetry of Cupid's bow and central vermilion tubercle with minimal sequalae. METHODS: From 2008 to 2016, this technique was applied to 16 secondary cleft lip patients who had total or more than 60% of unilateral deficiency of Cupid's bow and central lip or tubercle pouting deficiency...
March 2018: Archives of Craniofacial Surgery
https://www.readbyqxmd.com/read/29590686/-long-term-results-after-trabeculectomy-combined-with-mitomycin-c-and-ologen-implant
#3
Sofia Fili, Sabine Seddig, Markus Kohlhaas
BACKGROUND: The Ologen implant consists of a biodegradable collagen and glycosaminoglycan and is intended to avoid postoperative bleb scarring or encapsulation. MATERIALS AND METHODS: In a retrospective clinical study, 806 patients with advanced glaucoma were treated with trabeculectomy combined with mitomycin C0.02% and Ologen implant. The follow-up time of the study was 8 years. RESULTS: A long-term reduction of the intraocular pressure below 16 mmHg was achieved in 92...
March 28, 2018: Klinische Monatsblätter Für Augenheilkunde
https://www.readbyqxmd.com/read/29577637/patient-s-perspective-on-long-term-complications-after-superficial-parotidectomy-for-benign-lesions-prospective-analysis-of-a-two-year-follow-up
#4
P Wolber, G F Volk, L Horstmann, M Finkensieper, S Shabli, C Wittekindt, J P Klussmann, O Guntinas-Lichius, D Beutner, M Grosheva
OBJECTIVE: Evaluation of patient's perspective on long-term complications after superficial parotidectomy for benign lesions. DESIGN: A prospective nonrandomized controlled multicenter study. SETTING: Three university-based tertiary referral centers (Departments of Otorhinolaryngology of Cologne, Jena and Giessen; all in Germany). PARTICIPANTS: 130 adult patients, who underwent a primary superficial parotidectomy for benign tumors of the parotid gland, were consecutively included from 09/2010 to 05/2012...
March 26, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29568501/advances-in-understanding-the-molecular-basis-of-skin-fragility
#5
REVIEW
Cristina Has
Skin fragility refers to a large group of conditions in which the ability of the skin to provide protection against trivial mechanical trauma is diminished, resulting in the formation of blisters, erosions, wounds, or scars. Acquired and physiological skin fragility is common; genetic disorders are rare but give insight into the molecular mechanisms ensuring skin stability. The paradigm is represented by inherited epidermolysis bullosa. This review is focused on recent advances in understanding the molecular basis of genetic skin fragility, including emerging concepts, controversies, unanswered questions, and opinions of the author...
2018: F1000Research
https://www.readbyqxmd.com/read/29563126/self-harm-scar-revision
#6
Nicholas Parkhouse, Isabella Joy de Vere Hunt
This report discusses in detail the case of a patient who underwent a scar revision procedure to have her characteristic self-harm scars altered. A detailed insight into the patient's perspective was gained through semistructured interviews conducted at 6 weeks and 6 months postoperatively. The interviews found that an equally if not more conspicuous scar that was distinct from those created from self-harm had a pronounced psychological benefit for the patient. This article calls for more active management of the psychological sequelae of self-harm scars, with the need to facilitate access to surgical treatment in certain cases...
March 21, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29557700/tendon-elongation-with-bovine-pericardium-in-patients-with-severe-esotropia-after-decompression-in-graves-orbitopathy-efficacy-and-long-term-stability
#7
Michael Oeverhaus, Margarethe Fischer, Herbert Hirche, Anke Schlüter, Joachim Esser, Anja K Eckstein
BACKGROUND/AIMS: We performed a retrospective analysis to examine clinical results, establish a dose-effect coefficient and analyze the long-term efficacy of tendon elongation with bovine pericardium (Tutopatch®) for surgical correction of severe esotropia, occurring after three-wall orbital decompression for dysthyroid optic neuropathy in patients with Graves' orbitopathy (GO). METHODS: Tendon elongation of the medial rectus muscle (MR) was performed in our institution using an interponate of bovine pericardium in 60 patients (27 underwent unilateral and 33 bilateral surgery)...
March 20, 2018: Strabismus
https://www.readbyqxmd.com/read/29553979/does-previous-breast-reduction-affect-the-outcome-of-gender-affirming-subcutaneous-mastectomy
#8
Ali Salim, Erica Metz, James S Constant, Anandev Gurjala, Karen Yokoo, Winnie M Y Tong
INTRODUCTION: Despite the rising popularity of subcutaneous mastectomy (top surgery) in patients born female and identifying as male or nonbinary, there are limited studies on how prior breast surgeries affect subcutaneous mastectomy. This study evaluates if previous breast reduction affected subcutaneous mastectomy in this patient population. METHODS: The case series consists of 5 patients who, having had prior breast reductions, elected to have subcutaneous mastectomy...
March 16, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29546693/manipulation-under-anesthesia-following-total-knee-arthroplasty-a-comprehensive-review-of-literature
#9
REVIEW
A Kornuijt, D Das, T Sijbesma, L de Vries, W van der Weegen
INTRODUCTION: The etiology of the stiff knee after total knee arthroplasty (TKA) is largely unknown, although excessive scar tissue due to arthrofibrosis is an important reason for a limited range of motion (ROM) after this procedure. Persistent limited ROM after TKA results in poor patient-reported outcomes and is increasingly becoming a more prominent reason for TKA revision surgery. METHODS: A narrative review of current literature on manipulation under anesthesia (MUA) after TKA analyzing etiology and risk factors for stiffness after TKA, effectiveness of MUA and what is known about rehabilitation after MUA...
March 15, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29530736/h%C3%A3-bner-s-tarsomarginal-grafts-in-eyelid-reconstruction-94-cases
#10
T Vimont, Arnaud, A Rouffet, J-P Giot, A S Florczak, P Rousseau
BACKGROUND: Preserving the integrity of the eyelid margin in eyelid reconstruction remains a challenge for plastic surgeons. In 1976, Hübner described a technique to repair full-thickness eyelid defects using a tarsomarginal graft covered with a local flap. This simple technique addresses both functional and aesthetic requirements of eyelid reconstruction by using tissue from the contralateral eyelid. The aim of this study was to determine the appropriate role of this uncommon technique in eyelid reconstruction...
March 9, 2018: Journal of Stomatology, Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29528026/aesthetic-surgery-in-transplant-patients-a-single-center-experience
#11
Burak Özkan, Abbas Albayati, Atilla Adnan Eyüboğlu, Ahmet Çağrı Uysal, Nilgun Markal Ertaş, Mehmet Haberal
OBJECTIVES: Transplant patients, like the nontransplant population, can have surgical interventions for body shape disorders. Studies on aesthetic surgeries in transplant patients are scarce. Our aim was to share our experiences with various aesthetic procedures in solid-organ transplant recipients. MATERIALS AND METHODS: Six (5 female, 1 male) transplant patients who received surgical corrections of the aging face, ptosis and lipodystrophy of the breast, and abdomen at the Baskent University Plastic Reconstructive and Aesthetic Surgery Department between 2010 and 2017 were included...
March 2018: Experimental and Clinical Transplantation
https://www.readbyqxmd.com/read/29521744/use-of-irradiated-homologous-costal-cartilage-in-rhinoplasty-complications-in-relation-to-graft-location
#12
Man Koon Suh, Seung Jong Lee, Yeon-Jun Kim
BACKGROUND: Nasal septal cartilage and conchal cartilages are preferred sources of grafts in augmentation rhinoplasty. Rib cartilage can also be used, but it may evoke a patient's concerns about a scar and an extensive surgery. In such cases, irradiated homologous costal cartilage (IHCC) can be a useful alternative. However, controversy still exists in many literatures regarding complications with use of IHCC. Therefore, the authors reviewed our experiences with IHCC in rhinoplasty and analyzed the complications in relation to graft location...
March 8, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29517401/revision-edcr-using-a-superior-pedicled-mucosal-flap
#13
Sarina K Mueller, Suzanne K Freitag, Daniel R Lefebvre, Nahyoung G Lee, Benjamin S Bleier
BACKGROUND: Endoscopic dacryocystorhinostomies (eDCRs) show patency rates between 81% and 94%. However, dacryocystorhinostomy (DCR) failure and the need for revision remain a significant challenge. One of the principal challenges in revision eDCR is the need to surgically identify the correct osteotomy site and maintain long-term patency in the setting of previously instrumented and potentially scarred tissue. At the same time, the surgeon must assume that the blood supply to the commonly described anterior and posteriorly pedicled flaps has been compromised...
March 8, 2018: Orbit
https://www.readbyqxmd.com/read/29503694/analysis-of-revision-surgery-of-microsurgical-lumbar-discectomy
#14
Taku Inada, Sei Nishida, Taigo Kawaoka, Toshiyuki Takahashi, Junya Hanakita
Study Design: A retrospective study. Purpose: Our objectives were to determine the association between the pathological changes of disc herniation and the interval between primary and revision surgeries and to investigate the frequency and site of the dural laceration in the primary and revision surgeries. Overview of Literature: Among 382 patients who underwent microsurgical lumbar discectomy, we investigated 29 who underwent revision surgery to analyze recurrent herniation pathologies and complications to determine the manner in which lumbar disc herniation can be more efficiently managed...
February 2018: Asian Spine Journal
https://www.readbyqxmd.com/read/29483991/chronic-encapsulated-seroma-persisting-for-three-years-after-abdominoplasty-and-a-successful-surgical-solution
#15
Alberto Goldman, Uwe Wollina, Katlein França, Georgi Tchernev, Torello Lotti
Abdominoplasty is listed among five most common esthetic surgical procedures in the Western World. Despite all efforts, abdominoplasty bears a high risk of complications. We observed a 39-year-old-woman with previous classical abdominoplasty performed elsewhere three years ago. Clinical examination demonstrated a swollen and tense abdominal mass. Laboratory findings were normal. Clinical examination was completed by abdominal ultrasonography which demonstrated both, a significant fluid volume in this area and a dense fibrous "capsule"...
January 25, 2018: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29480362/functional-and-cosmetic-donor-site-morbidity-of-the-radial-forearm-free-flap-comparison-of-two-different-coverage-techniques
#16
Markus Pirlich, Iris-Susanne Horn, Christian Mozet, Mandy Pirlich, Andreas Dietz, Miloš Fischer
BACKGROUND: The use of the radial forearm-free flap is a well-established and reliable reconstruction method in head and neck surgery. Usually, the defect of the donor site is covered with full or split-thickness skin grafts. Since 09/2013, a direct closure of the radial forearm donor site has been performed at the ENT University Hospital Leipzig to avoid secondary donor site morbidity. However, few data are available in the literature on long-term cosmetic and functional results compared to the established indirect donor site defect coverage...
February 26, 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29480260/endoscope-assisted-harvest-of-autogenous-fascia-lata-in-frontalis-suspension-surgery-a-minimally-invasive-approach-revisited
#17
Abhijit Naik, Anamika Patel, Nandini Bothra, Lapam Panda, Milind N Naik, Suryasnata Rath
Purpose: To report endoscope-assisted fascia lata harvest (EAFH) as a minimally-invasive technique for correction of severe blepharoptosis. Methods: This was a retrospective case series between January 2013 and April 2017. Medical records of all consecutive patients who underwent frontalis suspension by EAFH in the study period were reviewed and outcome was analyzed. Results: Fourteen patients (10 males) were included in the study. Mean age of the group was 18...
March 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29464160/earfold-implantable-clip-system-for-correction-of-prominent-ears-analysis-of-safety-in-403-patients
#18
Norbert V Kang, Nilesh Sojitra, Sinisa Glumicic, Jacobus A Vlok, Greg O'Toole, S Alam Hannan, Walid Sabbagh
Background: The Earfold system, a new treatment for the correction of prominent ears, consists of 3 components: the Earfold implant, the Earfold introducer, and the Prefold positioner. Methods: This is an interim report based on an ongoing analysis of safety in a series of patients treated for prominent ears with the Earfold implant between February 2013 and September 2014. Safety was assessed based on adverse event reports and the need for implant revision; follow-up is ongoing...
January 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29457008/a-review-of-platelet-rich-plasma-history-biology-mechanism-of-action-and-classification
#19
REVIEW
Rubina Alves, Ramon Grimalt
Platelet-rich plasma (PRP) is currently used in different medical fields. The interest in the application of PRP in dermatology has recently increased. It is being used in several different applications as in tissue regeneration, wound healing, scar revision, skin rejuvenating effects, and alopecia. PRP is a biological product defined as a portion of the plasma fraction of autologous blood with a platelet concentration above the baseline. It is obtained from the blood of patients collected before centrifugation...
January 2018: Skin Appendage Disorders
https://www.readbyqxmd.com/read/29456067/revision-hip-arthroscopy-after-labral-reconstruction-using-iliotibial-band-autograft-surgical-findings-and-comparison-of-outcomes-with-labral-reconstructions-not-requiring-revision
#20
Renato Locks, Ioanna K Bolia, Hajime Utsunomiya, Karen K Briggs, Marc J Philippon
PURPOSE: To determine the causes of revision hip arthroscopy in patients who underwent labral reconstruction and to compare outcomes of these patients with patients who did not require a revision following reconstruction. METHODS: Patients who underwent revision hip arthroscopy after previous labral reconstruction from 2006 to 2014 were included. Patients with less than 2-year follow-up, preoperative joint space of ≤2 mm, or who underwent other reconstructive procedures at the time of labral reconstruction were excluded...
February 15, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
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