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Plastic AND Surgery

Samad Rezaee Khiabanloo, Roghieh Jebreili, Ezatollah Aalipour, Nazi Saljoughi, Arian Shahidi
INTRODUCTION: Increased demand for rejuvenation of the aging face has led to the evolution of various plastic surgery techniques. This study was conducted to evaluate the surgical efficacy and outcomes of the absorbable suture suspension system related to eyebrow, midface, mandibular, and neck lifting. MATERIALS AND METHODS: In this prospective review chart clinical study, a total of 193 patients were included in the study from January 2016 to May 2017. All participants underwent thread lifting using the Proma Happy Lift double needle and Silhouette Soft threads...
August 13, 2018: Journal of Cosmetic Dermatology
C Vahldieck, M Lindig, C Nau, M Hüppe
BACKGROUND: The intensity of postoperative pain is characterized by large interindividual variability. Furthermore, strong postoperative pain is known to influence physical recovery after surgery. High (preoperative) pain expectation and pre-existing pain, which are associated with pain-related disability (impairing pain) are risk factors for strong postoperative pain. They can be determined with the Lübeck Pain Risk Questionnaire used for the first time in this study. The aim of this study was to explore the hypothesis that patients with a combination of the characteristics (1) preoperative impairing pain and (2) high pain expectation are more likely to have strong postoperative pain...
August 13, 2018: Der Anaesthesist
Andrew T Timberlake, Derek M Steinbacher
A growing number of patients seeking plastic surgical procedures in our practice are first-degree relatives of our previous surgical patients. Three possibilities exist as to the coalescence of procedures within a family unit: 1) the morphologic and anatomical patterns are conserved and passed on within relatives; 2) a captive "audience" (family members) appreciates firsthand the surgical result and positive difference, be it functional or aesthetic for their relative, or 3) the rapport established between surgeon and patient lead that patient to recommend his or her surgeon to others...
August 10, 2018: Plastic and Reconstructive Surgery
Mony Chenda Morisse, Stephanie Jouannet, Margarita Dominguez-Villar, Marc Sanson, Ahmed Idbaih
Glioblastoma (GBM) is the deadliest primary malignant central nervous system tumor with a median overall survival of 15 months despite a very intensive therapeutic regimen including maximal safe surgery, radiotherapy and chemotherapy. Therefore, GBM treatment still raises major biological and therapeutic challenges. Areas covered: One of the hallmarks of the GBM is its tumor microenvironment including tumor-associated macrophages (TAM). TAM, accounting for approximately 30% of the GBM bulk cell population, may explain, at least in part, the immunosuppressive features of GBMs...
August 13, 2018: Expert Review of Neurotherapeutics
David L Penn, Kyle C Wu, Kayla R Presswood, Coleman P Riordan, R Michael Scott, Edward R Smith
Children with arteriovenous malformations (AVMs) are at cumulative, life-long risk of debilitating and fatal intracranial hemorrhage, especially with syndromes such as hereditary hemorrhagic telangiectasia. Cerebral angiography is the gold standard for diagnosis and allows simultaneous adjunctive embolization limiting radiation and contrast exposure and intraoperative blood loss, important in pediatric patients with low blood volume. Microsurgical resection of low-grade AVMs offers cure with minimal morbidity...
August 7, 2018: Operative Neurosurgery (Hagerstown, Md.)
Sung Il Kang, Heung-Kwon Oh, Min Hyun Kim, Myung Jo Kim, Duck-Woo Kim, Hyung Jin Kim, Sung-Bum Kang
BACKGROUND: Surgical site infections are a common postoperative complication after abdominal surgery. Although impervious plastic wound protectors have been used in surgery to reduce surgical site infection rates, the effectiveness of impervious plastic wound protectors for reduction of surgical site infections remains unclear. This study aimed to determine the clinical effectiveness of impervious plastic wound protectors in reducing surgical site infection rates after abdominal surgery...
August 8, 2018: Surgery
K Zaoui, P K Plinkert, P A Federspil
OBJECTIVE: The treatment strategy of squamous cell carcinoma of the nasal vestibule (SCCNV) is controversial. The objective of this study is to investigate the role of surgery, which is the preferred treatment option at our institution. DESIGN: This was a monocentric prospective study of patients that were diagnosed with SCCNV between 2005 and 2013. MATERIAL AND METHODS: Twenty-six patients were included. Tumors were staged using the UICC (7th edition) TNM classification of nasal cavity cancer and the classification proposed by Wang...
August 11, 2018: Rhinology
Qiang Li, Xu Zhou, Yue Wang, Jin Qian, Qingguo Zhang
BACKGROUND: Total auricular reconstruction is currently one of the most challenging plastic surgery procedures. Herein, we present our 10-year experience with 1350 cases of ear reconstruction by using Nagata method with necessary improvement. METHODS: Factors related to ear reconstruction, namely, remnant ear, mastoid skin, adjacent scalp, rib cartilages, normal ear, and mastoid process, were carefully evaluated before operation. An individualized design and precise framework fabrication were performed for each patient...
June 19, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Jin-Tian Hu, Qi Chen, Hui-Ying Song, Yi-Lin Cao, Yong-Biao Zhang, Xu Zhou, Tun Liu, Qing-Guo Zhang
BACKGROUND: Seasonality of congenital birth defect could help to identify environmental risk factors. Data concerning the seasonality of the prevalence of microtia are little. This article aims to determine whether births of microtia follow a certain pattern. METHODS: Data were obtained from 2669 patients with microtia who were admitted to Second Ear Reconstruction Center of Plastic Surgery Hospital, Chinese Academy of Medical Science from January 2007 to December 2013...
August 7, 2018: Journal of Craniofacial Surgery
Wei Cai, Li-Dong Yu, Xiaowei Tang, Gan Shen
BACKGROUND AND OBJECTIVES: With the continued application of fat grafting in plastic surgery, many studies have focused on various factors to improve maintenance of the fat graft volume, such as platelet-rich plasma, adipose-derived stromal/stem cells, and the stromal vascular fraction (SVF). In addition, many review articles have investigated the functions of platelet-rich plasma and adipose-derived stromal/stem cells in fat grafting, although the usefulness of the SVF remains unclear...
September 2018: Annals of Plastic Surgery
Cristina Mondelo García, José María Gutiérrez Urbón, Cristina Pérez Sanz, María Isabel Martín Herranz
BACKGROUND: There is extensive evidence of the efficacy of anti-microbial drugs in preventing infections from surgical efforts. Our objective was to describe the results obtained in our annual surgical antibiotic prophylaxis (SAP) audit in the years 2013-2017. METHODS: This was a retrospective observational study of SAP in surgical procedures carried out between 2013 and 2017 in a tertiary-level hospital. We examined the results from the services of general surgery, vascular surgery, neurosurgery, the breast unit, otolaryngology, maxillofacial surgery, traumatology, urology, pediatric surgery, gynecology, and plastic surgery...
August 10, 2018: Surgical Infections
Jennifer C Fuller, Natalie S Justicz, Jennifer Kim, Mack Cheney, Rodrigo Castrillon, Tessa Hadlock
OBJECTIVE: To introduce 3 novel intensive facial plastic and reconstructive surgery teaching modules for surgical capacity building using simulation in a low-middle income country. DESIGN: Prospective cohort study. SETTING: University-based medical center in Quito, Ecuador. PARTICIPANTS: First- and second-year otolaryngology residents in Quito, Ecuador. RESULTS: Residents participated in an intensive 3-day teaching program focused on microtia, nasoseptal abnormalities, and facial paralysis that included didactic lectures, simulation workshops, and live surgery...
August 6, 2018: Journal of Surgical Education
P M Vogt
No abstract text is available yet for this article.
August 2018: Operative Orthopädie und Traumatologie
Renjin Lin, Jinti Lin, Shihen Li, Jian Ding, Hongqiang Wu, Guangheng Xiang, Shi Li, Yijia Huang, Dingsheng Lin, Weiyang Gao, Jianzhong Kong, Huazi Xu, Kailiang Zhou
Background: Random skin flaps are routinely placed during plastic and reconstructive surgery, but the distal areas often develop ischemia and necrosis. Baicalein, a major flavonoid extracted from the traditional Chinese herbal medicine huangqin, Scutellaria baicalensis Georgi, may improve flap viability. Materials and methods: Rats were randomly divided into baicalein and control groups and they underwent placement of modified McFarlane flaps after intraperitoneal administration of baicalein or vehicle...
2018: Drug Design, Development and Therapy
Jean-Marc Dumonceau, Andrea Tringali, Ioannis S Papanikolaou, Daniel Blero, Benedetto Mangiavillano, Arthur Schmidt, Geoffroy Vanbiervliet, Guido Costamagna, Jacques Devière, Jesús García-Cano, Tibor Gyökeres, Cesare Hassan, Frédéric Prat, Peter D Siersema, Jeanin E van Hooft
ESGE recommends against routine preoperative biliary drainage in patients with malignant extrahepatic biliary obstruction; preoperative biliary drainage should be reserved for patients with cholangitis, severe symptomatic jaundice (e. g., intense pruritus), or delayed surgery, or for before neoadjuvant chemotherapy in jaundiced patients. Strong recommendation, moderate quality evidence. ESGE recommends the endoscopic placement of a 10-mm diameter self-expandable metal stent (SEMS) for preoperative biliary drainage of malignant extrahepatic biliary obstruction...
August 7, 2018: Endoscopy
Kirtie Ramdas, Charlotte van Lee, Samuel Beck, Patrick Bindels, Vincent Noordhoek Hegt, Luba Pardo, Sarah Versnel, Tamar Nijsten, Renate van den Bos
BACKGROUND: Due to the increasing incidence of basal cell carcinoma (BCC) and rising health care costs, health care insurance companies seek ways to shift skin surgery for BCC from secondary to primary care. OBJECTIVES: To study the differences in complete excision of BCC by general practitioners (GPs), dermatologists, and plastic surgeons. METHODS: A retrospective cross-sectional study of pathology records of 2,986 standard excisions of primary BCCs performed by a GP, dermatologist, or plastic surgeon in the area of Southwest Netherlands between 2008 and 2014...
August 7, 2018: Dermatology: International Journal for Clinical and Investigative Dermatology
Tian Li, Yan Liu, Weihong Zhang
BACKGROUND: Breast prosthesis implants have been safely and efficiently used in the plastic surgery department. With the increasing demand for aesthetics, these silicon implants were not only used in breast augmentation surgery but also in breast reconstruction after mastectomy. Nevertheless, breast prosthesis implantation brings a lot of complications, such as: postoperative chronic pain, capsule contracture, prosthesis displacement and prosthesis rupture and infection in severe cases...
August 6, 2018: Aesthetic Plastic Surgery
Saulius Vikšraitis, Ernest Zacharevskij, Gytis Baranauskas, Rytis Rimdeika
Breast augmentation with implants is one of the most commonly performed plastic surgery procedures. The goal of the operation is to increase the size, shape or fullness of the breast. It is accomplished by placing silicone, saline or alternative composite breast implants under the chest muscles, fascia or the mammary gland. This type of operation is no exception concerning the occurrence of complications. The most common early complications include an infectious process, a seroma, and a hematoma, and the late ones are capsular contracture, reoperation, implant removal, breast asymmetry, and rupture or deflation of the implant...
May 2018: World Journal of Plastic Surgery
Varun Singh Chauhan, Mohd Altaf Mir
BACKGROUND: The thermal burn is accidental and also is the hidden and worst complication of medical plaster application. This study evaluated clinical and aetiological profile and severity of plaster burns. METHODS: In Department of Burns, Plastic and Reconstructive Surgery from 1st August 2014 to 31st December 2015, six patients with plaster burn were assessed for total body surface area and depth of burn. The wounds were cultured and dressed with moist dressings daily till the surgical procedure and satisfactory healing...
May 2018: World Journal of Plastic Surgery
Sajjad Hattami, Behzad Khalatbari, Mona Karimi
BACKGROUND: One of the weaknesses of recovering the skin defects by tissue expander device is that it needs relatively long time and it has complications. Since verapamil gel reduces the production of these capsules around silicone prosthesis and reduces the formation of collagen in the capsule areas. The aim of this study was to examine the effect of verapamil gel on efficiency of tissue expander device. METHODS: Twenty patients were allocated equally into control and case groups based on age, sex, and location of the device...
May 2018: World Journal of Plastic Surgery
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