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Reconstructive plastic surgery

Emily D Wolodiger, Alice W Pope
OBJECTIVE: To examine the reciprocal relationships between parenting stress and psychosocial adjustment of children with congenital craniofacial anomalies (CFAs) at 2 time points: school entry and approximately 2.5 years later, after children had time to adjust to school. DESIGN: Retrospective review of medical charts of children with CFAs. SETTING: Department of reconstructive plastic surgery at an urban medical center. PARTICIPANTS: Parents of 42 children aged 3...
January 1, 2018: Cleft Palate-craniofacial Journal
Gloria R Sue, Woodrow C Covington, James Chang
BACKGROUND: A paradigm shift is underway in the world of humanitarian global surgery to address the large unmet need for reconstructive surgical services in low- and middle-income countries (LMICs). Here, we discuss the ReSurge Global Training Program (RGTP), a model for surgical training and capacity building in reconstructive surgery in the developing world. The program includes an online reconstructive surgery curriculum, visiting educator trips, expert reconstructive surgeon involvement, trainee competency tracking system, and identification of local outreach partners to provide safe reconstructive surgery to the neediest of patients in the developing world...
June 13, 2018: Annals of Plastic Surgery
Ron B Somogyi, Natalia Ziolkowski, Fahima Osman, Alexandra Ginty, Mitchell Brown
OBJECTIVE: To offer primary care providers a comprehensive summary of breast reconstruction options and complications. QUALITY OF EVIDENCE: A literature search was conducted in PubMed with no time restriction using the search terms breast reconstruction, summary, review, complications, and options. Levels of evidence range from I to III. MAIN MESSAGE: As breast cancer survival rates increase, the focus of breast cancer management must shift to include the restoration of a patient's quality of life after cancer...
June 2018: Canadian Family Physician Médecin de Famille Canadien
A Chossat, O Marco, M Chaouat, M Mimoun, D Boccara
INTRODUCTION: Basal cell carcinoma (BCC) is a pathology that evolves locally and it is common in elderly subjects whose frailty could restrict the indications for the reference treatment, which is based on surgery. The aim of this study was to investigate the morbidity and the mortality associated with surgical treatment of BCC in patients over 75 years of age, so as to identify possible prognostic factors for postoperative complications. MATERIALS AND METHODS: This was a retrospective study carried out with patients over 75 years of age who were treated surgically for one or several BCC between 2010 and 2015 in the reconstructive and cosmetic plastic surgery unit of the Saint-Louis Hospital in Paris (France)...
June 7, 2018: Annales de Chirurgie Plastique et Esthétique
Shu Pan, Stanton C Honig
Gender-affirming surgeries (GASs), previously known as gender reassignment surgeries, are surgical procedures born from plastic and reconstructive surgery, colorectal surgery, urology, and gynecology. A multidisciplinary approach is essential for the care of transgender patients. The urologist plays a vital role, both in the perioperative period and as part of continued care. This publication will review the current concepts of genital GAS as it pertains to the practicing urologist. The most utilized surgical techniques will be described along with their notable complications and management options...
June 7, 2018: Current Urology Reports
(no author information available yet)
Background: Fractures of the metacarpals and phalanges are common. Placement of Kirschner wires (K-wires) is the most common form of surgical fixation. After placement, a key decision is whether to bury the end of a K-wire or leave it protruding from the skin (exposed). A recent systematic review found no evidence to support either approach. The aim of study was to investigate current clinical practice, understand the key factors influencing clinician decision-making, and explore patient preferences to inform the design of a randomized clinical trial...
April 2018: Plastic and Reconstructive Surgery. Global Open
Anne F Klassen, Natalia Ziolkowski, Lily R Mundy, H Catherine Miller, Alison McIlvride, Allison DiLaura, Joel Fish, Andrea L Pusic
Background: Every year millions of individuals acquire scars. A literature review of patient-reported outcome (PRO) instruments identified content limitations in existing scar-specific measures. The aim of this study was to develop a new PRO instrument called SCAR-Q for children and adults with surgical, traumatic, and burn scars. Methods: We performed a secondary analysis of the qualitative datasets used in the development of PRO instruments for plastic and reconstructive surgery, that is, BREAST-Q, FACE-Q, BODY-Q, and CLEFT-Q...
April 2018: Plastic and Reconstructive Surgery. Global Open
Emily Yassaie, Matthew Kelly, Swee T Tan
No abstract text is available yet for this article.
June 2018: ANZ Journal of Surgery
Nitesh P Patel, Kristopher A Lyon, Jason H Huang
Peripheral nerve injuries (PNI) are caused by a range of etiologies and result in a broad spectrum of disability. While nerve autografts are the current gold standard for the reconstruction of extensive nerve damage, the limited supply of autologous nerve and complications associated with harvesting nerve from a second surgical site has driven groups from multiple disciplines, including biomedical engineering, neurosurgery, plastic surgery, and orthopedic surgery, to develop a suitable or superior alternative to autografting...
May 2018: Neural Regeneration Research
Min-Sik Yoon, Chin-Su Koh, Jihyeon Lee, Jaewoo Shin, Chanho Kong, Hyun Ho Jung, Jin Woo Chang
BACKGROUND: Neuropathic pain is associated with abnormal sensitivity of the central nervous system. Although the mechanism underlying the development of sensitization remains to be fully elucidated, recent studies have reported that neuroplastic changes in the pain circuitry may be involved in hypersensitivity associated with neuropathic pain. However, it is difficult to investigate such phenomena in existing animal pain model. Therefore, in this study, we developed a novel animal model-the circuit plasticity reconstruction (CPR) model-to mimic central sensitization associated with neuroplastic changes...
June 4, 2018: European Journal of Pain: EJP
Emily S Charlson, Lester Tsai, Marc A Yonkers, Jeremiah P Tao
PURPOSE: To assess the epidemiology of women and underrepresented minorities (URMs; Hispanic, African American, and Native American) in the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS). METHODS: An observational retrospective study of living ASOPRS members was identified through the ASOPRS member directory, search engine-driven informatics, and direct communication. Members were profiled for gender, race, geographic location, and academic rank (or not)...
May 18, 2018: Ophthalmic Plastic and Reconstructive Surgery
David A Daar, Salma A Abdou, Isabel S Robinson, Jamie P Levine, Vishal Thanik
BACKGROUND: As the United States' population diversifies, eliminating disparities in health and healthcare has become increasingly important across all disciplines of medicine, including plastic and reconstructive surgery. This is evidenced by the growing body of literature in recent years focusing on disparities in postmastectomy breast reconstruction. No study to date has evaluated whether this research is progressing appropriately to promote tangible evidence-based interventions to reduce these disparities...
May 30, 2018: Annals of Plastic Surgery
Ramón Gómez-Meda, Carlos Torres-Sanchez, Santiago Mareque-Bueno, Juan Zufía-González, Daniel Torres-Lagares, José-Luis Gutierrez-Pérez
Purpose: Connective tissue grafts are widely documented as a predictable technique for treating Miller Class I and II recessions, as well as procedures in which soft tissue augmentation is required for aesthetic reasons. This article aims to explore the resolution of a clinical case with this type of problema. Clinical case: This case describes a technique for reconstructing a pontic area and adjacent papilla by means of two consecutive connective tissue grafts...
May 2018: Journal of Clinical and Experimental Dentistry
Braun Graham
No abstract text is available yet for this article.
June 2018: Annals of Plastic Surgery
Winona W Wu, Caroline Medin, Alexandra Bucknor, Parisa Kamali, Bernard T Lee, Samuel J Lin
OBJECTIVE: Although resident involvement in surgical procedures is critical for training, it may be associated with increased morbidity, particularly early in the academic year-a concept dubbed the "July effect." Assessments of such phenomena within the field of plastic surgery have been both limited and inconclusive. We sought to investigate the impact of resident participation and academic quarter on outcomes for autologous breast reconstruction. METHODS: All autologous breast reconstruction cases after mastectomy were gathered from the 2005-2012 American College of Surgeons National Surgical Quality Improvement Program database...
May 24, 2018: Annals of Plastic Surgery
Suhani Ghai, Yogesh Sharma, Neha Jain, Mrinal Satpathy, Ajay Kumar Pillai
Three-dimensional (3-D) printing is a method of manufacturing in which materials like plastic or metal are deposited onto one another in layers to produce a 3-D object. Because of the complex anatomy of craniomaxillofacial structures, full recovery of craniomaxillofacial tissues from trauma, surgeries, or congenital malformations is extremely challenging. 3-D printing of scaffolds, tissue analogs, and organs has been proposed as an exciting alternative to address some of these key challenges in craniomaxillofacial surgery...
May 25, 2018: Oral and Maxillofacial Surgery
Stav Brown, Amy Yao, Peter J Taub
BACKGROUND: Prevention of blood loss is a chief consideration in plastic and reconstructive surgery. The antifibrinolytic drugs tranexamic acid and ε-aminocaproic acid have emerged as promising agents to reduce both perioperative blood loss and transfusion requirements. However, published reports in the plastic surgery literature are lacking. The authors sought to summarize the current knowledge of the use of antifibrinolytics in plastic surgery by reviewing the existing literature for clinical outcomes and recommendations...
June 2018: Plastic and Reconstructive Surgery
Ara A Salibian, Jordan D Frey, Mihye Choi, Nolan S Karp
Growing public awareness of hereditary breast cancers, notably BRCA1 and BRCA2, and increasing popularity of personalized medicine have led to a greater number of young adult patients presenting for risk-reduction mastectomies and breast reconstruction. Plastic surgeons must be familiar with treatment guidelines, necessary referral patterns, and particular needs of these patients to appropriately manage their care. Genetic testing for BRCA1 and BRCA2 is most often reserved for patients older than the age of consent, and can be performed in the young adult population (aged 18 to 25 years) with the appropriate preemptive genetic counseling...
June 2018: Plastic and Reconstructive Surgery
Sagit Meshulam-Derazon, Tal Kaufman, Ahuva Grubstein, Dean Ad-El
OBJECTIVE: The objective of this study is to introduce a single and reproducible tissue-rearrangement oncoplastic technique that is applicable for all quadrants partial-mastectomy defects in small- to medium-sized breasts, using grounds drawn from cosmetic surgery. METHODS: Eleven small- to medium-sized breast cancer patients with tumor involvement of more than a quarter of the breast were operated on using the chest wall-based flap technique. The procedure is described in detail, and the results are analyzed in terms of both cosmetic and oncological results...
May 23, 2018: Annals of Plastic Surgery
Seo Hyung Lee, Yu Jin Kim
BACKGROUND: Skin grafting is a commonly performed operation in plastic and reconstructive surgery. The tie-over dressing is an effective technique to secure the grafted skin by delivering persistent downward pressure. However, if an additional dressing is required due to incomplete graft healing, the process of re-implementing the tie-over dressing may be frustrating for both patients and surgeons. Therefore, we introduce the double tie-over dressing, which readily allows for an additional tie-over dressing after the first dressing, and we present a comparison of its effectiveness with that of the simpler bolster dressing...
May 2018: Archives of Plastic Surgery
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