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Urology 2019 Feb 16. Epub 2019 Feb 16.

Dept. Of Urology, Ghent University Hospital, Ghent, Belgium.

Objectives: To explore the use of neo-vaginal advancement flaps in the treatment of distal urethral strictures with description of the techniques and preliminary results in transwomen.

Methods: Five patients were treated. A 7-flap was used in 2 patients and an inverted U-flap in 3 patients. Read More

J Hand Surg Asian Pac Vol 2019 Mar;24(1):24-29

‖ Department of Orthopaedic Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

Background: Local flaps are widely used to cover fingertip defects. Errors in design or technical execution of the flap may lead to morbidity and additional surgical procedure. The purpose of this study was to review flap related complications requiring unplanned secondary surgery to characterize preventable issues. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Feb;33(2):195-198

The First Department of Hand Surgery, Honghui Hospital Affiliated to Medical School of Xi'an Jiao Tong University, Xi'an Shaanxi, 710054,

Objective: To discuss the effectiveness of using dorsal two wing-shaped advancement flap to reconstruct finger web for treatment of congenital syndactyly.

Methods: Between August 2014 and August 2017, 30 cases of congenital syndactyly were treated, including 18 males and 12 females with an average age of 2.5 years (range, 1. Read More

SAGE Open Med Case Rep 2019 22;7:2050313X18823438. Epub 2019 Jan 22.

Division of Plastic and Reconstructive Surgery, McGill University Health Center, Montreal, QC, Canada.

The management of a mangled limb is a challenging endeavor. With the advancement in microsurgery, spare parts surgery (fillet flaps) has gained recent interest. In the context of lower extremity amputation secondary to trauma, viable spare parts can provide stump soft tissue coverage, potentially preserving critical length and obviating above-knee amputations. Read More

J Craniofac Surg 2019 Jan 19. Epub 2019 Jan 19.

Division of Plastic Surgery.

Myelomeningocele (MMC) is a type of open neural tube defect characterized by exposure of the spinal cord through a defect in the skin and posterior hindbrain herniation through the foramen magnum. Outcomes vary but common morbidities include paraplegia, hydrocephalus, neurogenic bladder, scoliosis, and tethered cord. Fetal surgery, although not a cure, has been shown to decrease the risk of associated morbidity. Read More

J Invest Surg 2019 Jan 15:1-7. Epub 2019 Jan 15.

a Department of Dermatology and Allergology , University of Szeged, Szeged, Hungary.

Aim Of The Study: During the reconstruction of alar defects involving the upper lip, reconstructive surgeons face the need for various thicknesses of tissues crucial to preserving the facial sulcus which is important for a cosmetically acceptable result. Our aim was to reconstruct the deep perialar and thinner lateral nasal alar defect in a single step procedure with a suitable flap which is reliable, has appropriate blood supply and provides an esthetically good result.

Materials And Methods: Extended alar defect was reconstructed with a combined flap in 10 cases. Read More

J Craniofac Surg 2019 Jan 10. Epub 2019 Jan 10.

Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.

Background: Defects following Mohs micrographic surgery (MMS) can range in size from small defects requiring linear closure to large defects needing flap coverage. Reconstruction is dependent on defect size and facial aesthetic unit involvement. The aim of this study was to review the types of facial reconstruction per aesthetic unit involvement and describe their outcomes. Read More

Ann Plast Surg 2019 Jan 9. Epub 2019 Jan 9.

University of Rochester School of Medicine and Dentistry, Rochester, NY.

Background: Abdominoperineal resection is the treatment for many anorectal malignancies. The laparotomy approach allows for harvest of the rectus abdominis muscle for perineal reconstruction. However, with increasing numbers of robotic abdominoperineal resections being performed, the morbidity associated with a laparotomy incision is avoided. Read More

Ann Plast Surg 2019 Mar;82(3):284-288

From the Department of Burn and Plastic Surgery, West China Hospital, Sichuan University, Chengdu, China.

Background: Correction of Tanzer type IIB constricted ears requires sufficient expansion of the auricular skin to cover the reconstructed cartilaginous framework. To obtain an adequately sized skin cover, skin flap transposition from periauricular donor sites has been described; however, it remains challenging to obtain enough skin to enable satisfactory reconstruction. Herein, we describe a novel method that uses 2 local flaps comprising superoauricular, retroauricular, and preauricular soft tissue to expand the skin cover and correct Tanzer type IIB deformity. Read More

Arch Craniofac Surg 2018 Dec 27;19(4):260-263. Epub 2018 Dec 27.

Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea.

Background: The alar and nasal tip are important subunits of the nose. Determining the optimal procedure for reconstructing a cutaneous defect in a nasal subunit depends on several factors including size, location, and involvement of deep underlying structures. We treated cutaneous defects after tumor ablation in the alar and nasal tip with a local flap, using an S-shaped design and a modified V-Y advancement flap with a croissant shape. Read More

Arch Craniofac Surg 2018 Dec 27;19(4):254-259. Epub 2018 Dec 27.

Department of Dermatology, Pusan National University Hospital, Busan, Korea.

Background: The esthetic and functional outcomes of periorbital defect reconstruction are very important because of the complex anatomy and specialized functions of this region. The orbicularis oculi myocutaneous (OOMC) flap is useful for the reconstruction of periorbital defects. But, according to the location and depth of the defects, the reconstruction using OMC flaps with various techniques is rare. Read More

Open Access Maced J Med Sci 2018 Dec 18;6(12):2376-2377. Epub 2018 Dec 18.

Medical Institute of Ministry of Interior (MVR), Department of Dermatology, Venereology and Dermatologic Surgery, General Skobelev Nr 79, Sofia, Bulgaria.

Background: One of the features characterising cutaneous SCC as high-risk is lymphovascular infiltration. The diffuse lymphangitic spread of carcinogenic cells is defined as the so-called lymphangitis carcinomatosa. In some cases, it is the only and first sign to alert the presence of an underlying malignancy. Read More

Chin J Traumatol 2018 Dec 5;21(6):338-351. Epub 2018 Nov 5.

Department of Plastic Reconstructive & Burns Surgery, All India Institute of Medical Sciences, New Delhi, India. Electronic address:

Purpose: Pedicled flaps are still the workhorse flaps for reconstruction of upper limb soft tissue defects in many centers across the world. They are lifeboat options for coverage in vessel deplete wounds. In spite of their popularity existing algorithms are limited to a particular region of upper limb; a general algorithm involving entire upper limb which helps in clinical decision making is lacking. Read More

Int J Pediatr Otorhinolaryngol 2019 Mar 4;118:15-20. Epub 2018 Dec 4.

Department of Otolaryngology, University of Pittsburgh Medical Center, 200 Lothrop Street Suite 500, Pittsburgh, PA, 15213, USA; Department of Pediatric Otolaryngology, Children's Hospital of Pittsburgh, 4401 Penn Avenue #3, Pittsburgh, PA, 15224, USA.

Objective: 1.) Describe demographic and clinical characteristics of pediatric nasal septal perforations (NSP), 2.) Analyze efficacy of treatment modalities in symptom management and resolution of pediatric NSP, 3. Read More

Facial Plast Surg 2019 Feb 19;35(1):78-84. Epub 2018 Dec 19.

Private Practice, Facial Plastic Surgery Associates, Houston, Texas.

There currently exists an overabundance of publications advocating different septal perforation repair methods. The objective of this article was to examine the preponderance of techniques and trends in the surgical management of septal perforations in the practices of otolaryngologists, rhinologists, and facial plastic surgeons. The study was designed as a multicenter cross-sectional survey. Read More

J Craniofac Surg 2019 Jan;30(1):e45-e49

Department of Oral and Maxillofacial Surgery, Near East University, Boulevard, Nicosia, Turkey.

The aim of this study was to compare the clinical outcomes of buccal advancement flap surgery to platelet-rich fibrin (PRF) application for the closure of acute oroantral communications (AOACs). In 36 patients, following the extractions of posterior maxillary teeth, AOACs which were larger than 3 mm diameter were detected. In group A, PRF clots were used in 21 patients and group B, classic buccal advancement flap was used in 15 patients. Read More

Hand Clin 2019 Feb;35(1):97-102

Department of Hand Surgery, The Hand Surgery Research Center, Affiliated Hospital of Nantong University, 20 West Temple Road, Nantong 226001, Jiangsu, China.

The authors' experience demonstrates that wide-awake flap surgery in the hand is safe. The authors used this approach in 4 commonly used flaps in the hand in 27 patients: the extended Segmuller flap, the homo-digital reverse digital artery flap, the dorsal metacarpal artery perforator flap, and the Atasoy advancement flap. Wide-awake flap surgery works very well and safely achieved excellent anesthetic and vasoconstrictive effects in the authors' cases. Read More

Facial Plast Surg Clin North Am 2019 Feb;27(1):55-66

Department of Otolaryngology, University of Colorado School of Medicine, 12631 East 17th Avenue, B205, Aurora, CO 80045-2527, USA. Electronic address:

The goal of cheek reconstruction is to restore an illusion of "normal." Attention must be directed toward the contralateral cheek skin color, texture, thickness, and contour, because this serves a template for reconstruction. The cheek is a peripheral facial subunit and largely frames the more central subunits (eyelids, nose, lips). Read More

J Craniofac Surg 2019 Jan;30(1):19-22

Department of Plastic and Reconstructive Surgery, Osaka City General Hospital, Osaka, Japan.

Reports of median cleft lip with nasal anomalies are few, and descriptions of concomitant surgical repair of a median cleft lip and bifid nose deformity are similarly rare. These surgical repair techniques mainly involve the use of normal neighboring structures. Reconstruction of the columella and nasal base is especially important. Read More

Curr Treat Options Oncol 2018 Nov 9;19(12):73. Epub 2018 Nov 9.

Department of Surgical Oncology, Institut Claudius Regaud-Institut Universitaire du Cancer de Toulouse (IUCT)-Oncopole, 1 avenue Irène Joliot-Curie, 31059, Toulouse Cedex 9, France.

Opinion Statement: The main advancement in the surgical treatment of early cervical cancer has been a de-escalation in the radical surgical approach of early stage disease. Similarly, sentinel lymph node detection with cervical tracer injection can be performed alone in microscopic tumors (stage IA) while additional lymphadenectomy is still performed in macroscopic tumors (IB1 and IIA). Parametrial resection has been progressively reduced in tumors less than 2 cm, and simple procedures, conservative (trachelectomy) or not (simple hysterectomy), are currently being evaluated in several phase III trials. Read More

Eur Arch Otorhinolaryngol 2019 Jan 7;276(1):101-106. Epub 2018 Nov 7.

ENT and Cervicofacial Surgery Department, Fundación Jiménez Díaz University Hospital, Madrid, Spain.

Background: Septal perforations consist in an anatomic defect of the mucosal, cartilaginous and/or bone tissues of the nasal septum. A huge variety of approaches and techniques for nasal perforation repair have been reported.

Methodology/principal: Between January 2008 and January 2017, 38 patients were treated for nasal septal perforation in Department of Otorhinolaryngology Head and Neck Surgery, Fundación Jiménez Díaz University Hospital, Madrid, Spain. Read More

Ann Plast Surg 2019 Mar;82(3):299-303

Department of Plastic and Reconstructive Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea.

Introduction: The reconstruction of extensive soft tissue defects from pressure ulcers is a great challenge. Resurfacing such defects with like tissues and minimizing morbidities are important. Here we present our surgical experience using a novel modified keystone flap for pressure ulcer patients. Read More

Eur J Orthop Surg Traumatol 2019 Feb 26;29(2):357-366. Epub 2018 Oct 26.

Clinical Hospital of Rehabilitation Cluj Napoca, University of Medicine Iuliu Hatieganu Cluj Napoca, Str. Viilor Nr. 46-50, 400347, Cluj Napoca, Cluj, Romania.

After a long history in flaps' surgery, the perforator flaps became the most used flaps nowadays. From the beginning, their use as free flaps diminished substantially the donor site morbidity. In the attempt to not only diminish the donor site morbidity, but also to achieve more similar reconstructions, a new concept appeared 20 years ago: local perforator flaps. Read More

Gastroenterol Hepatol (N Y) 2018 Sep;14(9):521-528

Dr Gold is an internal medicine resident in the Department of Medicine at NewYork-Presbyterian/Weill Cornell Medical Center in New York, New York.

The treatment of perianal fistulas remains a clinical challenge despite the significant advances that have been made in the management of luminal inflammatory bowel disease. In combination with medical therapies, surgical management of perianal fistulas is important for both infection control and definitive repair. Older surgical techniques include the placement of draining and cutting setons and endorectal advancement flaps. Read More

Plast Reconstr Surg Glob Open 2018 Sep 5;6(9):e1938. Epub 2018 Sep 5.

Division of Plastic Surgery, Brigham and Women's Hospital and Dana Farber Cancer Institute, Boston, Mass.

Background: Radiation-associated angiosarcoma (RAAS) of the breast is a rare complication following breast irradiation with high rates of recurrence and death. To improve survival, we have advocated for an extra-radical resection where the entire irradiated skin and subcutaneous tissue is excised. This results in very large chest defects for which we describe our reconstructive experience. Read More

J Craniofac Surg 2018 Nov;29(8):2182-2185

Division of Plastic Surgery, University of Miami Hospital, Miami, FL.

Composite frontal scalp defects involving the frontal bone and full thickness scalp can pose a reconstructive challenge. Often, they necessitate the use of microsurgical free tissue transfer, which can be physiologically demanding in high-risk patients with multiple comorbidities, with exposure to prolonged general anesthesia time and increased surgical morbidity. The experience of a single surgeon was reviewed with reconstruction of composite frontal scalp wounds in 4 patients with structural framework and a bipedicled scalp advancement (ie, "bucket handle") flap, thus obviating the need for free tissue transfer. Read More

Foot Ankle Spec 2018 Oct 17:1938640018803745. Epub 2018 Oct 17.

Division of Podiatric Medicine and Surgery, Department of Orthopaedics, University of Texas Health San Antonio, San Antonio, Texas.

"A systematic review was undertaken to assess the outcomes of local random flaps in diabetic foot wound closure. The review was conducted using the following databases: Cumulative Index of Nursing and Allied Health Literature, Cochrane Library, Excerpta Medica dataBASE, Google Scholar, MEDLINE, Ovid, and PubMed. Search terms were local random flap, diabetes, foot, wound, ulceration, neuropathy, tissue transfer, V-Y, bilobed, monolobed, rotational, advancement, transpositional, rhomboid, and Limberg. Read More

Int Wound J 2019 Feb 10;16(1):96-102. Epub 2018 Oct 10.

Plastic Surgery Service, Ospedale Santa Maria della Misericordia, Udine, Italy.

Many post-vulvectomy vulvar reconstruction solutions, using local fasciocutaneous flaps where possible, have been proposed. We report the use of V-Y advancement flaps from the gluteal fold in medium to large vulvar reconstructions and a simple modification we made to the technique in order to minimise wound-related complications. Between 2006 and 2016, 30 vulvar reconstructions were performed via a total of 59 flaps, 24 of which were raised using the proposed modification to the plasty design. Read More

Arch Plast Surg 2018 Sep 15;45(5):466-469. Epub 2018 Sep 15.

Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

The highly contoured nature of the nose and the abundant free margin makes it especially difficult to reconstruct. In this report, we describe the use of a new helical rim free flap technique for the reconstruction of full-thickness nasal alar defects via supermicrosurgery. Briefly, after a wide excision with a margin of 0. Read More

Gynecol Minim Invasive Ther 2017 Oct-Dec;6(4):173-177. Epub 2017 Jul 1.

Healthy Aging Korean Medical Research Center, Pusan National University, Busan, Republic of Korea.

Objectives: This study is aimed to introduce a simple neovaginoplasty procedure without significant complications using the spontaneous regenerative ability of labial and vestibular advancement flaps in patients with Müllerian agenesis.

Materials And Methods: Prospectively collected data of 5 patients with vaginal agenesis due to Müllerian duct abnormality who underwent neovaginoplasty using labial and vestibular advancement flaps were retrospectively reviewed. Operative details, perioperative outcome, complications, length and width of the neovagina, and the postoperative sexual activity were evaluated. Read More

Int J Surg Case Rep 2018 12;51:277-281. Epub 2018 Sep 12.

Department of Plastic and Reconstructive Surgery, University Hospital of Foggia, Foggia, Italy.

Introduction: The authors present a "four-step" integrated surgical protocol to treat a rare case of multiple giant eccrine spiradenoma (ES) of the head and neck in a young patient.

Presentation Of Case: An 18-year-old female patient presented with multiple swellings in the head and neck regions. The patient had a severe psychological trauma with a negative impact on her social life. Read More

J Wound Care 2018 Sep;27(9):564-572

Department of Burns, Plastic and Reconstructive Surgery, JN Medical College, Aligarh Muslim University, Aligarh, UP-202002, India.

Objective: To evaluate the various methods and outcomes of post-traumatic partial auricle wound reconstruction, and to review the benefit to the patient's quality of life and their psychological improvement after the operation.

Methods: The prospective study included patients who suffered from post-traumatic partial auricular wounds. The defects were repaired using various techniques including simple local cutaneous advancement flaps, tube flaps, cartilage framework using conchal and costal cartilage with local skin flap cover. Read More

World Neurosurg 2018 Dec 7;120:185-189. Epub 2018 Sep 7.

Department of Neurosurgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon-si, Gyeonggi-do, Republic of Korea. Electronic address:

Background: Combined revascularization is the preferred surgical management of adult Moyamoya disease. However, postoperative flap necrosis of the scalp is not an uncommon complication. We investigated the role of scalp incision design on the basis of the course of the superficial temporal artery (STA) to prevent postoperative scalp necrosis. Read More

Ann Chir Plast Esthet 2018 Nov 7;63(5-6):437-446. Epub 2018 Sep 7.

Service de chirurgie plastique, reconstructrice et esthétique, université Claude-Bernard Lyon 1, centre hospitalier universitaire de la Croix-Rousse, hospices civils de Lyon, 103, grande rue de la Croix-Rousse, 69004 Lyon, France.

The Latissimus Dorsi flap (or LD flap) was first described by the Tansini in 1896 and published in 1906. It concerned a case of chest wall reconstruction after breast amputation. The use of the LD flap in all its variants is very frequent in breast reconstruction. Read More

Ann Chir Plast Esthet 2018 Nov 7;63(5-6):381-401. Epub 2018 Sep 7.

Centre du sein, 18, rue Pierre-et-Marie-Curie, 75005 Paris, France. Electronic address:

Breast reconstruction by prosthesis remains the most used in the world and even tends to increase again at the expense of musculo-cutaneous flaps since the systematic use, in recent years, of adipocytes grafts (lipofilling) before and/or after in place of the implant. This simpler technique is often preferred by patients who want to avoid scars and pain away from the chest area. The use of different implant forms, fat injection, abdominal advancement flaps, biological or synthetic matrices can significantly improve the results of these reconstructions in secondary or immediate. Read More

Int J Colorectal Dis 2018 Dec 5;33(12):1723-1731. Epub 2018 Sep 5.

Colorectal and Pelvic Floor Diseases Center, Department of General Surgery, "S. Maria dei Battuti" Hospital, Via Brigata Bisagno 4, 31015, Conegliano, TV, Italy.

Background: Rectal advancement flap is the standard surgical treatment for complex cryptoglandular anal fistulas, while Permacol™ collagen paste is considered an innovative treatment option for anorectal fistulas. This study aimed to compare the clinical outcomes of patients with complex cryptoglandular fistulas treated by endorectal advancement flap versus Permacol™ paste.

Methods: This study was a retrospective analysis of patients with complex cryptoglandular anal fistulas. Read More

Gynecol Oncol Rep 2018 Nov 24;26:24-28. Epub 2018 Aug 24.

Department of Obstetrics and Gynecology, Thomas Jefferson University Hospital, 833 Chestnut Street, 1st Floor, Philadelphia, PA, United States.

Objectives: We aimed to analyze the outcomes of patients who underwent vulvectomy with subsequent V-Y fasciocutaneous flap reconstruction.

Methods: All medical records of all patients who underwent vulvectomies with V-Y fasciocutaneous flap reconstruction from January 2007 to June 2016 were retrospectively reviewed. Patient clinical and surgical data, demographics, and outcomes were abstracted. Read More

Ann Chir Plast Esthet 2018 Nov 28;63(5-6):422-436. Epub 2018 Aug 28.

Département de chirurgie plastique, centre Léon-Bérard, 28, rue Laennec, 69008 Lyon, France.

Amongst various techniques of breast reconstruction, Autologous Latissimus Dorsi (ALD) flap without breast implant is the newest technique that took advantage of recent improvement during the last decade. Surgical procedure is well standardized, and allows to harvest various fat areas attached to the muscle, to obtain an autologous reconstruction. Thoracodorsal pedicle is steady and makes ALD the most reliable flap that can be used in several indications, especially when DIEP or TRAM flap are inappropriate. Read More

BMC Ophthalmol 2018 Aug 31;18(1):226. Epub 2018 Aug 31.

FEBO, Dunyagoz Hospital, Istanbul, Turkey.

Background: To describe a new technique and present its long-term outcome for prevention of Ahmed glaucoma valve (AGV) tube exposure in patients with refractory glaucoma.

Methods: Twenty-seven eyes of 24 patients (mean age, 50 years; age range, 16-78 years; 8 females, 16 males) with refractory glaucoma who had the AGV implant were retrospectively reviewed. For AGV implantation, a long scleral flap combined with Tenon advancement and duplication was used. Read More

An Bras Dermatol 2018 Sep-Oct;93(5):719-722

Dermatology Unit, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba (PR), Brasil.

Advancement flaps are important reconstructive options after skin cancer removal on the nose. Donor areas vary according to defect location and size. The objective of this article is to illustrate the versatility of advancement flaps in nasal reconstruction. Read More

Plast Reconstr Surg 2018 09;142(3 Suppl):58S-63S

Charlotte, N.C. From the Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center.

Ventral hernias with loss of domain pose a significant challenge to the hernia surgeon. Techniques such as advancement flaps, component separation, progressive pneumoperitoneum, and preoperative injection of botulinum toxin A (BTA) aim to alter the abdominal wall length or form to achieve tension-free primary fascial repair in abdominal wall reconstruction (AWR). Here, we review the current literature on BTA injection as an adjunct to AWR. Read More

J Pediatr Urol 2018 Dec 24;14(6):555.e1-555.e6. Epub 2018 Jul 24.

Tanta Faculty of Medicine, Egypt. Electronic address:

Background: Though pediatric urethral stricture is an uncommon urological problem, it is a challenging urological one. The causative factors are iatrogenic, traumatic, and inflammatory. In the current study, the authors report their experience of the treatment of pediatric long anterior urethral stricture using penile circular fasciocutaneous flap. Read More

Ann Plast Surg 2019 Jan;82(1):46-52

From the Division of Plastic Surgery, Mayo Clinic.

Background: Reconstruction of the lower eyelid represents a unique challenge to the reconstructive surgeon. Studies evaluating the utility of the nasolabial V-Y advancement flap in lower eyelid reconstruction are limited and techniques to optimize outcomes following eyelid reconstruction with this technique are not well described. We seek to evaluate our experience and outcomes with lower eyelid reconstruction using the nasolabial perforator-based V-Y advancement flap. Read More

J Surg Orthop Adv Summer 2018;27(2):102-108

Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina; Novant Health Orthopaedics … Sports Medicine, Winston-Salem, North Carolina.

Split-thickness skin graft (STSG) for soft tissue defects is often required following tumor resections. There is often a step-off with subcutaneous adipose tissue along the defect margins. This review of 20 years of experience was performed to determine the success of marginal skin flap advancement, a simple surgical technique addressing this issue. Read More

Semin Pediatr Surg 2018 Jun 27;27(3):200-206. Epub 2018 May 27.

Pediatric Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street 17.6053, External Mail: Unit 1484, Houston, TX 77030, United States of America. Electronic address:

Pediatric chest wall tumors are rare. Malignancies predominate of which sarcomas are the most common. Their resection and the subsequent reconstruction of the chest wall has been a surgical challenge since Dr. Read More

J Craniofac Surg 2018 Oct;29(7):1956-1959

Oxford Craniofacial Unit.

This article reports the surgical management of a 3-month-old girl with Saethre-Chotzen syndrome, who presented with bicoronal synostosis and a large midline sinus pericranii with abnormal cerebral venous drainage via scalp veins. Raised intracranial pressure was demonstrated on monitoring, indicating the need for calvarial expansion necessitating a coronal access incision. A 2-staged delayed raising of the coronal flap was performed to reduce the potential risk of cerebral venous infarction. Read More

Burns 2018 Nov 26;44(7):1851-1857. Epub 2018 Jul 26.

Plastic, Reconstructive and Cosmetic Unit, Burn Care Center, Hôpital Saint Louis, Paris, France.

Introduction: Skin expansion in the lower limb is a difficult procedure with a significant rate of complications. We propose, in this retrospective mono centric study, a systematic review of our skin expansion procedures on the lower limb in burn sequelae with a 30-years follow-up. The objective was to evaluate the overall result of our procedure and present its technical specificities. Read More

Adv Simul (Lond) 2018 18;3:14. Epub 2018 Jul 18.

2Simulation and Modelling in Medicine and Surgery, Centre for Engagement and Simulation Science, Imperial College London, London, England.

Background: Learning the skills required for open surgery is essential for trainee progression towards more advanced technical procedures. Simulation supports skill enhancement at a time when exposure to actual surgical procedures and traditional apprentice-based teaching has declined. The proliferation of smartphone and tablet devices with rich, touch sensitive displays and increasing processing power makes a compelling argument for expanding accessibility further by development of mobile virtual simulations for training on demand in any setting, at any time. Read More

Arch Craniofac Surg 2018 Jun 30;19(2):148-151. Epub 2018 Jun 30.

Division of Plastic and Reconstructive Surgery, Soroka University Medical Center, Ben- Gurion University of the Negev, Beer-Sheva, Israel.

The nose is an important landmark of the face and its shape and beauty is of significant concern. The columella is the subunit between the two nostrils that provides support and projection to the nasal tip and has functional role in nostrils, as well as aesthetic. Ethiology for columellar absence or deficiency is diverse, and it is one of the most complex nasal subunits to reconstruct because of its narrow horizontal dimension, its tenuous vascularity and limited availability of adjacent tissue. Read More