25,831 results match your criteria Anatomy in Cutaneous Surgery


Scalp expansion: Surgical considerations and possible future directions.

Authors:
Edoardo Raposio

Indian J Plast Surg 2018 Jan-Apr;51(1):84-88

Department of Medicine and Surgery, University of Parma, Italy.

Introduction: Repairing large scalp defects has always been a difficult task for plastic surgeons. This is because the requirements of such procedures are two-fold: sufficient soft-tissue coverage is required, and to obtain a satisfactory aesthetic outcome, a sufficient number of covering hairs should be ideally provided.

Materials And Methods: Based on the author's experience in this repair technique over a 20-year period, this article presents some technical details of scalp expansion, surgical refinements and possible directions for further technical advancement. Read More

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Managing Complications of Submental Artery Involvement after Hyaluronic Acid Filler Injection in Chin Region.

Plast Reconstr Surg Glob Open 2018 May 25;6(5):e1789. Epub 2018 May 25.

Anticlock Clinic, Chandigarh and Department of Plastic surgery, Fortis Hospital, Mohali, India.

Hyaluronic acid dermal fillers are becoming popular all over the world, but due to the presence of many blood vessels in the face, there is always a small possibility of vascular complications. We present a case with the ischemic involvement of chin and neck skin after accidental submental artery involvement after hyaluronic acid filler injection for chin region. Impending skin necrosis on the chin and upper neck on the right side was diagnosed quickly by observing the skin changes in the immediate postfiller phase. Read More

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Bilateral Anatomic Variation of Anterolateral Thigh Flap in the Same Individual.

Plast Reconstr Surg Glob Open 2018 May 18;6(5):e1677. Epub 2018 May 18.

Marko Foundation, Buenos Aires, Argentina.

Background: Anterolateral thigh flap has gained popularity for its use as a soft-tissue flap for reconstruction of regional and distal defects. There is discrepancy between the predominant skin vessels-musculocutaneous or septocutaneous. The purpose of this study was to demonstrate anatomic variation of bilateral anterolateral thigh flap vasculature in the same individual. Read More

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The panniculus carnosus muscle: an evolutionary enigma at the intersection of distinct research fields.

J Anat 2018 Jun 12. Epub 2018 Jun 12.

Tissue Engineering Group, Bioengineering Area, Instituto Biodonostia, San Sebastian, Spain.

The panniculus carnosus is a thin striated muscular layer intimately attached to the skin and fascia of most mammals, where it provides skin twitching and contraction functions. In humans, the panniculus carnosus is conserved at sparse anatomical locations with high interindividual variability, and it is considered of no functional significance (most possibly being a remnant of evolution). Diverse research fields (such as anatomy, dermatology, myology, neuroscience, surgery, veterinary science) use this unique muscle as a model, but several unknowns and misconceptions remain in the literature. Read More

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Comparison between wait-and-see policy and elective neck dissection in clinically N0 cutaneous squamous cell carcinoma of head and neck.

Medicine (Baltimore) 2018 Jun;97(22):e10782

Department of Gastroenterology, The first Affiliated Hospital of Zhengzhou University, Zhengzhou, P.R. China.

To analyze the superiority of wait-and-see policy and elective neck dissection in treating cN0 patients with facial cutaneous cell carcinoma (cSCC).Patients with clinically negative parotid and neck metastasis disease were prospectively enrolled. Three groups were divided based on whether the patient received an operation of superficial parotidectomy or/and elective dissection, and regional control and disease-specific survival rates were compared. Read More

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June 2018
1 Read

Cutaneous and systematic metastasis of testicular choriocarcinoma: Case report and literature review.

Medicine (Baltimore) 2018 Jun;97(22):e10736

Department of Urology, the First Affiliated Hospital of GuangXi Medical University.

Rationale: Cutaneous metastasis of testicular choriocarcinoma is exceptionally uncommon. To our knowledge, only 14 cases have been reported in the past 10 years in the pubmed. We have an uncommon case of testicular choriocarcinoma who has metastasized to the adjacent skin and organ systems. Read More

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June 2018
1 Read

'Microanatomy of sensory nerves in the upper eyelid: A cadaveric anatomical study".

Plast Reconstr Surg 2018 May 16. Epub 2018 May 16.

Background: Plastic surgery requires detailed knowledge of upper eyelid anatomy, but few authors have sufficiently described the specifics of upper eyelid nerve anatomy. This study aimed to provide a thorough description of sensory nerve anatomy in the upper eyelid and to propose considerations for upper eyelid surgery.

Methods: Sixteen orbits were dissected from sixteen fixed, adult human cadavers. Read More

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Effect of cilostazol in experimental model of degloving injuries in rat limbs.

Acta Cir Bras 2018 Apr;33(4):296-305

PhD, Associate Professor, Experimental Surgery Division, School of Medicine, PUC-PR, Curitiba-PR, Brazil. Scientific, intellectual, conception and design of the study; critical revision; final approval.

Purpose: To evaluate the effect of the cilostazol on the evolution of partially avulsed flaps, using experimental model of cutaneous degloving in rat limbs.

Methods: A controlled and randomized experimental study was carried out in which the blood flow and the percentage of flap necrosis were evaluated. We compared the study group, which received cilostazol, and the control group, which received enteral saline solution in the postoperative period. Read More

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Use of ultrasound-guided supraclavicular brachial plexus block as an anesthesia technique in a patient with neurofibromatosis type 1: A case report.

Agri 2018 Apr;30(2):93-96

Department of Anaesthesiology, İstanbul University Istanbul Faculty of Medicine, İstanbul, Turkey.

Neurofibromatosis type 1 is an autosomal dominant condition characterized by cutaneous and/or plexiform neurofibromas and hyperpigmented café-au-lait spots. It affects multiple endocrine and visceral organs and can be associated with several difficulties such as potential airway (ventilation/intubation) problems, abnormal spinal anatomy, and peripheral neurofibromas. Therefore, anesthesia technique selection becomes more of an issue in terms of avoiding complications and decreasing morbidity and mortality. Read More

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April 2018
1 Read

The existence of labial SMAS - Anatomical, imaging and histological study.

Ann Anat 2018 Jul 3;218:271-275. Epub 2018 May 3.

Department of Morpho-Functional Sciences I, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, Iaşi, Romania. Electronic address:

Cutaneous insertion of the facial mimic muscles concerns, at different levels, the superficial fascia of that region. A superficial musculoaponeurotic system is described at face level that facilitates skin insertion of the facial expression muscles through the superficial fascia that acquires particular functional aspects in each region of the face. The existence of a musculofascial system is seen controversial among anatomists, which is why the purpose of this study is to establish its existence at the oral region. Read More

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July 2018
1 Read

At the Root: Cutaneous Langerhans Cell Histiocytosis.

Am J Med 2018 May 2. Epub 2018 May 2.

Section of Dermatology, Department of Surgery and Translational Medicine, University of Florence, Italy.

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What do you think of an unusual axillary mass?

Pan Afr Med J 2017 13;28:309. Epub 2017 Dec 13.

Pathology Center United Nations, Rabat, Morocco.

Skin apocrine carcinoma is a rare malgnancy of epidermal adnexa, most frequent in axillary seat, where apocrine sweat gland are abundant, the neoplasm can arise in groin, anogenital, lips, eyelid, characterized by a plate or surface area of nodules hummocky. Etiology and incidence are not known. The prognosis is influenced by the risk of locoregional recurrence and metastatic evolution. Read More

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Prevalence and molecular characteristics of DNA mismatch repair protein-deficient sebaceous neoplasms and keratoacanthomas in a Japanese hospital-based population.

Jpn J Clin Oncol 2018 Jun;48(6):514-521

Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University.

Background: Muir-Torre syndrome (MTS) is currently considered as a clinical variant of Lynch syndrome (LS). The clinical significance of the screening of patients with MTS-associated cutaneous tumors for the identification of LS has not yet been established. In addition, the prevalence and molecular characteristics of mismatch repair (MMR) protein deficiency in such tumors has scarcely been investigated in the Japanese population. Read More

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June 2018
2 Reads

Efficacy and Safety of a Novel Method of Insulated Intralesional Radiofrequency Ablation for Deep Dermal and Subcutaneous Lesions: A 3-Year Institutional Experience.

Dermatol Surg 2018 May;44(5):714-720

All authors are affiliated with the Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India.

Background: Although insulated intralesional radiofrequency ablation (IL-RFA) is being increasingly used in other specialties, not much information on its safety and efficacy in dermatology is available.

Objective: To describe our experience with insulated IL-RFA for various dermatological conditions.

Methods: This is a retrospective review of the patients who underwent IL-RFA in the past 3 years. Read More

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May 2018
2 Reads

Use of Leukocyte Platelet (L-PRF) Rich Fibrin in Diabetic Foot Ulcer with Osteomyelitis (Three Clinical Cases Report).

Diseases 2018 Apr 24;6(2). Epub 2018 Apr 24.

Faculty of Medicine and Surgery, Vasile Goldis Western University of Arad, 310025 Arad, Romania.

In this study, the use of fibrin rich in leukocytes and platelets (L-PRF) was explored to heal osteomyelitis ulcers in a diabetic foot. The goal was to standardize the utilization of L-PRF in patients with osteomyelitis to direct it for healing. L-PRF was obtained autologously from the peripheral blood of the diabetic patients ( = 3) having osteomyelitis and skin lesions for at least six months. Read More

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April 2018
4 Reads

Posterior tibial perforators relationship with superficial nerves and veins: A cadaver study.

Microsurgery 2018 Apr 17. Epub 2018 Apr 17.

Department of Medical, Surgical and Experimental Sciences, Plastic Surgery Unit, University of Sassari, Sassari, Italy.

Background: Most authors have evaluated the location of lower leg arterial perforators, but little is still known about the relationship between the arterial network and great saphenous vein (GSV) and saphenous nerve (SN). The aim of this study is to evaluate the relationship between the arterial network of the posterior tibial artery perforators, the cutaneous nerves, and the superficial venous system in the lower one third of the leg.

Methods: Eighteen lower limbs from cadavers were used for this study. Read More

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April 2018
3 Reads

Curcumin accelerates cutaneous wound healing via multiple biological actions: The involvement of TNF-α, MMP-9, α-SMA, and collagen.

Int Wound J 2018 Apr 16. Epub 2018 Apr 16.

Department of Anatomy and Cell Biology, College of Medicine, National Taiwan University, Taipei, Taiwan.

Curcumin, a constituent of the turmeric plant, has antitumor, anti-inflammatory, and antioxidative effects, but its effects on wound healing are unclear. We created back wounds in 72 mice and treated them with or without topical curcumin (0.2 mg/mL) in Pluronic F127 gel (20%) daily for 3, 5, 7, 9, and 12 days. Read More

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April 2018
7 Reads

Unusual bilateral sensory innervation of the dorsum of hand by lateral antebrachial cutaneous nerve: a case report.

Anat Cell Biol 2018 Mar 28;51(1):66-69. Epub 2018 Mar 28.

Department of Anatomy, All India Institute of Medical Sciences, New Delhi, India.

A 68-year-old male cadaver showed bilateral variation in the sensory innervation of the dorsum of hand. On the dorsum of right hand, first digit and lateral half of second digit were supplied by lateral antebrachial cutaneous nerve (LABCN); medial side of second digit and lateral side of third digit were supplied by superficial branch of radial nerve (SBRN) and medial side of third digit, the fourth and fifth digits were supplied by dorsal cutaneous branch of ulnar nerve (DBUN). On the dorsum of the left hand, lateral side of first digit was supplied by LABCN, medial side of first digit, the second and third digits as well as the lateral side of fourth digit were supplied by SBRN; medial side of fourth digit and fifth digit were supplied by DBUN. Read More

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Cutaneous Cancers in Nigerian Albinos: A Review of 22 Cases.

Niger J Surg 2018 Jan-Jun;24(1):34-38

Department of Morbid Anatomy and Histopathology, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.

Context: Albinism is an inherited disorder of hypopigmentation involving the skin, eyes, and hair. This disorder results in the absence or reduction in melanin production. There are two main types of albinism which are ocular albinism and oculocutaneous albinism. Read More

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April 2018
1 Read

Prognostic factors for metastasis in cutaneous melanoma.

An Bras Dermatol 2018 Jan-Feb;93(1):19-26

Department of Dermatology, Hospital das Clínicas, Universidade Federal de Minas Gerais (HC-UFMG) - Belo Horizonte (MG), Brazil.

Background: Melanoma is a malignant neoplasia that shows high mortality when diagnosed in advanced stages. Early identification of high-risk patients for the development of melanoma metastases is the main strategy to reduce mortality.

Objective: To assess the influence of eight epidemiological and histopathologic features on the development of metastases in patients diagnosed with primary cutaneous melanoma. Read More

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April 2018
2 Reads

Pan Afr Med J 2018 2;29. Epub 2018 Jan 2.

Service de Dermatologie, Hôpital Militaire Mohamed V, Rabat, Maroc.

We here report the case of a16-year old patient, with no particular past medical history, presenting, with skin swelling at the level of the forefoot evolving for 02 years, at the Department of Dermatology. Clinical examination showed hard budding cutaneous mass painless on palpation covering the 2, the 3 and the 4, right toes, measuring 4 cm in large diameter. The remainder of the clinical examination was normal, without adenopathies. Read More

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May 2018
1 Read

A case illustrating successful eradication of recurrent, aggressive basal cell carcinoma located in a scar with vismodegib.

Dermatol Online J 2018 Feb 15;24(2). Epub 2018 Feb 15.

Departments of Dermatology, Oregon Health & Sciences University, Portland, Oregon.

Vismodegib is a small molecule inhibitor of the Hedgehog signaling pathway that has shown efficacy in the control of locally advanced or metastatic basal cell carcinoma, although proof of its effectiveness in the elimination of aggressive tumors is lacking. We report a case and provide complete histological evidence of a 69-year-old gentleman who presented with a recurrent, infiltrative, and sclerosing (morpheiform) basal cell carcinoma on his left upper lip that was entirely eradicated with a three-month course of vismodegib 150 mg daily. Complete histologic clearance of a tumor in a recurrent, infiltrative, and sclerosing basal cell carcinoma with vismodegib is uncommon. Read More

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February 2018
2 Reads

Anatomy of the Pudendal Nerve and Other Neural Structures Around the Proximal Hamstring Origin in Males.

Arthroscopy 2018 Mar 29. Epub 2018 Mar 29.

Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.

Purpose: To define the anatomy of the pudendal nerve in relationship to the proximal hamstring and other nearby neurological structures during proximal hamstring repair.

Methods: Six fresh-frozen human cadaveric hemi-pelvises from male patients ages 64.0 ± 4. Read More

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March 2018
8 Reads

[Malignant transformation of chronic osteomyelitis: a case report].

Pan Afr Med J 2017 31;28:188. Epub 2017 Oct 31.

Laboratoire d'Anatomie et de Cytologie Pathologiques, Hôpital Habib Bourguiba - Médenine, Médenine, Tunisie.

Malignant transformation of chronic osteomyelitis is a rare and late complication which mainly occurs at the level of the edges of a fistulous tract with extension and infiltration to the surrounding soft tissues and more rarely to bones. We here report the case of Mr N.J. Read More

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April 2018
3 Reads

Surgical Approach to Injuries of the Cervical Plexus and Its Peripheral Nerve Branches.

Plast Reconstr Surg 2018 Apr;141(4):1021-1025

Ann Arbor, Mich.; and Balitmore, Md. From the Section of Plastic Surgery, University of Michigan Medical School; and The Johns Hopkins Medical School.

Background: Located in the neck beneath the sternocleidomastoid muscle, the cervical plexus comprises a coalition of nerves originating from C1 through C4, which provide input to four cutaneous, seven motor, and three cranial nerves and the sympathetic trunk. Sporadic instances of injury to these superficial nerves have been reported. Nevertheless, this specific anatomical cause of neurogenic pain remains incompletely described and underrecognized. Read More

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April 2018
1 Read

Perineural Spread of Nonmelanoma Skin Cancer to the Brachial Plexus: Identifying Anatomic Pathway(s).

World Neurosurg 2018 Jun 20;114:e818-e823. Epub 2018 Mar 20.

Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA. Electronic address:

Background: Perineural spread leading to brachial plexopathy has recently been described in cases of melanoma. The occurrence and mechanism for nonmelanoma skin cancer spread to the brachial plexus is poorly understood.

Methods: A retrospective chart review of the Mayo Clinic database was conducted to identify patients with nonmelanoma skin cancer and brachial plexopathy between 2000 and 2017. Read More

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Biodynamic excisional skin tension lines for surgical excisions: untangling the science.

Authors:
S P Paul

Ann R Coll Surg Engl 2018 Apr 15;100(4):330-337. Epub 2018 Mar 15.

University of Queensland, School of Medicine , Brisbane, Queensland , Australia.

Objective There remains confusion between Langer's lines and wrinkle lines with respect to the optimal orientation of elliptical excisions on the trunk. This study sought to determine the directions of wound closure that would result in least wound tension after skin lesion excisions. Materials and methods Some 1181 consecutive skin lesion excisions were investigated (age range 13-95 years, median 64 years) using a tensiometer to determine directions of least wound tension. Read More

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April 2018
7 Reads

[Chronic ulceration of the hand in a mechanic: epidermoid carcinoma should be suspected].

Pan Afr Med J 2017 14;28:141. Epub 2017 Oct 14.

Service de Dermatologie et Vénérologie, Centre Hospitalier Universitaire IBN Sina, Faculté de Médecine et de Pharmacie, Université Mohammed V, Rabat, Maroc.

Cutaneous squamous cell carcinoma is a malignant tumor developed from the epidermis or the squamous mucosa. It may occur de novo or, most often, on precancerous lesions, including actinic keratoses. This tumor can sometimes be secondary to physical or chemical hazardous conditions encountered during the professional activity. Read More

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March 2018
4 Reads

Residual Squamous Cell Carcinoma After Shave Biopsy in Solid Organ Transplant Recipients.

Dermatol Surg 2018 Mar;44(3):370-374

All authors are affiliated with the Department of Dermatology, Mayo Clinic, Scottsdale, Arizona.

Background: After histopathological confirmation of a biopsy sample, cutaneous squamous cell carcinoma (cSCC) is often treated surgically; yet, residual tumor within the excision sample is not always found. The prevalence of residual cSCC after shave biopsy in solid organ transplant recipients (SOTRs) is unknown.

Objective: Determine the prevalence of residual cSCC after shave biopsy in SOTRs. Read More

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March 2018
2 Reads

Intraoperative Immunostaining for Cytokeratin-7 During Mohs Micrographic Surgery Demonstrates Low Local Recurrence Rates in Extramammary Paget's Disease.

Dermatol Surg 2018 Mar;44(3):354-364

Ali Hendi MD PC, Chevy Chase, Maryland.

Background: Extramammary Paget's disease (EMPD) is a rare intraepithelial malignancy with high recurrence rates following standard surgical treatments, ranging from 22% to 60% in large retrospective reviews.

Objective: To evaluate the local recurrence rate of Mohs micrographic surgery (MMS) supplemented with intraoperative immunohistochemistry for cytokeratin-7 (MMS + CK-7) for primary and recurrent EMPD.

Materials And Methods: Retrospective, multi-center, cross-sectional study of patients treated using MMS + CK-7. Read More

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March 2018
4 Reads

[Unusual macrocystic lymphatic malformation in an adult patient].

Pan Afr Med J 2017 10;28:128. Epub 2017 Oct 10.

Service de Dermatologie-Vénéréologie, CHU Ibn Rochd, Université Hassan II, Casablanca, Maroc.

Macrocystic lymphatic malformations (MLMs) constitute a circumscribed variation in deep lymphangiomas. They are characterized by a rare occurrence in adults, by their rapid expansion and by their frequent occurrence at the level of the cervicofacial region (75%) and axillary region (20%). They rarely occur in lower limbs. Read More

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Modified Composite-Flap Facelift Combined With Finger-Assisted Malar Elevation (FAME): A Cadaver Study.

Aesthet Surg J 2018 Mar 2. Epub 2018 Mar 2.

Department of Otolaryngology, Head and Neck Surgery, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.

Background: Inadequate release of retaining ligaments during facelift surgery may lead to an unnatural appearance. However, most facelift surgeons are hesitant in transecting these ligaments to avoid possible injury to facial subbranches.

Objectives: In our surgical practice for modified composite flap rhytidectomy we use the finger-assisted malar elevation (FAME) technique in order to enable safe release of the zygomatic cutaneous ligaments through the prezygomatic space under direct vision. Read More

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March 2018
2 Reads

Repair of deep tissue defects in the posterior talocrural region using a superficial temporal fascia free flap plus thin split-skin grafting in extensively burned patients: A retrospective case series.

Medicine (Baltimore) 2018 Jan;97(3):e9250

From the Department of Burns and Cutaneous Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.

The aim of this study was to describe the scheme, surgical procedures, and clinical outcomes for the early repair of deep wounds of the posterior talocrural region in extensively burned patients with a method combining a superficial temporal fascia free flap with thin split-skin grafting.From January 2013 to February 2016, 9 extensively burned patients with deep tissue defects of the posterior talocrural region were treated in our department (2 patients had bilateral deep tissue defects of the posterior talocrural region). All 11 wounds were repaired using a superficial temporal fascia free flap and thin split-skin grafting. Read More

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January 2018

Superiorly-based turnover skin flap: Pediatric tracheocutaneous fistula closure.

Int J Pediatr Otorhinolaryngol 2018 Apr 31;107:21-24. Epub 2018 Jan 31.

Wake Forest University School of Medicine, Winston-Salem, NC, 27157, USA. Electronic address:

Objective: To present a novel superiorly-based turnover skin flap for the primary repair of pediatric tracheocutaneous fistula closure, and to determine the efficacy and safety of this tracheocutaneous fistula turnover flap primary closure technique.

Subject And Methods: This retrospective review analyzed one surgeon's (DJK) pediatric tracheostomy decannulation methods and results, specifically relating to the development of tracheocutaneous fistulas, over a fourteen-year period, from October 2002 through June 2016. The review furthermore examined a turnover flap technique for the primary closure of tracheocutaneous fistulas described herein. Read More

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April 2018
1 Read

Radiation Therapy for Angiosarcoma of the Scalp: Total Scalp Irradiation and Local Irradiation.

Authors:
Masaharu Hata

Anticancer Res 2018 03;38(3):1247-1253

Division of Radiation Oncology, Department of Oncology, Yokohama City University Graduate School of Medicine, Yokohama, Japan

Angiosarcoma, a rare cutaneous malignancy, frequently arises in the scalp of older individuals. Because it characteristically initially mimics benign disease, such as a bruise, definitive diagnosis in the early stages is difficult. Angiosarcoma of the scalp is highly malignant and often accompanied by lung metastases that cause hemopneumothorax. Read More

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Nasolabial propeller perforator flap: Anatomical study and case series.

J Surg Oncol 2018 Apr 26;117(5):1100-1106. Epub 2018 Feb 26.

Universidad de Antioquia, Medellín, Colombia.

Purpose: The previous cadaveric studies of facial artery perforators have frequently reported high variability, and those results remain to be validated in the Colombian population. Thus, we aimed to describe the vascular anatomy of the lateral nasal artery cutaneous branches and their clinical applications using Colombian cadavers.

Materials And Methods: Nine hemifaces from six fresh cadavers were included in the study. Read More

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April 2018
2 Reads

The Nuchal Lines as Anatomic Landmarks to Dissect the Muscles in the Far Lateral Approach.

World Neurosurg 2018 May 23;113:188-194. Epub 2018 Feb 23.

Department of Neurological Surgery, Hospital Italiano, Buenos Aires, Argentina.

Background: A critical step in the far lateral approach (FLA) is exposure of the V3 segment of the vertebral artery, located deep in the suboccipital triangle (SOT). Safe exposure of the SOT is achieved by means of a plane-by-plane dissection, which carries the risk of devascularization. A suitable alternative is to lift a cutaneous muscle flap including the 3 first muscle planes and leave the deepest plane (SOT) attached to the skull base. Read More

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May 2018
1 Read

A novel association of pseudoainhum and epidermolytic ichthyosis, successfully treated with full thickness skin graft after failed z-plasty repair.

Dermatol Online J 2018 Jan 15;24(1). Epub 2018 Jan 15.

5New York University School of Medicine, Department of Internal Medicine, New York. daren.

Pseudoainhum is a rare constriction band variant thatmay progress to spontaneous digital strangulationand auto-amputation. Although its association withpalmoplantar keratodermas is well established, ithas not been reported in conjunction with classicepidermolytic ichthyosis. We describe the first suchcase in a 25-year-old woman who presented witha painful constricting band of the fifth toe. Read More

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January 2018
2 Reads

Optimal surgical approach for the treatment of Quervains disease: A surgical-anatomical study.

World J Orthop 2018 Feb 18;9(2):7-13. Epub 2018 Feb 18.

Department of Plastic Surgery, Radboud UMC, Gelderland, Nijmegen 6500 HB, Netherlands.

Aim: To determine which of the common used incision techniques has the lowest chance of iatrogenic damage to the nerves which at risk are the superficial branch of the radial nerve (SBRN) and the Lateral Antebrachial Cutaneous Nerve (LABCN).

Methods: Twenty embalmed arms were dissected and the course of the SBRN and the LABCN in each individual arm was marked and the distance between the two branches of the SBRN at the location of the First Extensor Compartment (FEC) was measured. This data was used as input in a visualization tool called Computer Assisted Anatomy Mapping (CASAM) to map the course of the nerves in each individual arm. Read More

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February 2018
1 Read

Reexploring the Anatomy of the Distal Humerus for its Role in Providing Vascularized Bone.

Plast Reconstr Surg Glob Open 2018 Jan 12;6(1):e1636. Epub 2018 Jan 12.

Division of Plastic Surgery, Department of Surgery, Pennsylvania State University, College of Medicine, Hershey, Pa.

Background: The lateral arm flap is used for composite defects in need of vascularized soft tissue, skin, and bone. From its original description, the distal humeral metaphysis can be included with the flap, supplied by the periosteal extensions of the posterior branch of the radial collateral artery. We sought to reexplore the anatomy of the lateral arm to determine its utility as a donor site for vascularized bone. Read More

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January 2018

Correction to: Clinicopathological predictors of recurrence in nodular and superficial spreading cutaneous melanoma: a multivariate analysis of 214 cases.

J Transl Med 2018 Feb 20;16(1):33. Epub 2018 Feb 20.

Unit of Cancer Genetics, Institute of Biomolecular Chemistry (ICB), National Research Council (CNR), Sassari, Italy.

In the original version of this article [1], published on 7 November 2017, affiliation 18 has been incorrectly assigned to the authors Serena Magi and Laura Mazzoni. They are only affiliated to the Skin Cancer Unit, Istituto Tumori Romagna (IRST), Meldola, Italy (affiliation 5). Read More

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February 2018
2 Reads

Feasibility of a novel tacking method of securing mesh in transabdominal preperitoneal inguinal hernia repair: Secure tacking against recurrence.

Asian J Endosc Surg 2018 Feb 19. Epub 2018 Feb 19.

Department of Surgery, Kurashiki Central Hospital, Okayama, Japan.

Introduction: Postoperative chronic pain is an important outcome of hernia surgery. In laparoscopic hernia surgery, either fixation outside the trapezoid of disaster or no fixation is recommended to avoid postoperative pain. To avoid recurrence are transabdominal preperitoneal (TAPP) hernia repair, the myopectineal orifice must be covered with mesh during TAPP, but lifting or shrinking of the mesh can lead to recurrence. Read More

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February 2018

3-Piece Inflatable Penile Prosthesis Placement Following Radical Cystoprostatectomy and Urinary Diversion: Technique and Outcomes.

J Sex Med 2018 Jun 13;15(6):907-913. Epub 2018 Feb 13.

USC Institute of Urology, USC/Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Background: After radical cystoprostatectomy (RC), postoperative erectile dysfunction (ED) is a common consequence with multiple contributing etiologies. The inflatable penile prosthesis (IPP) offers patients a definitive treatment option when ED is refractory to medical therapies. Because of the hostile postoperative anatomy of these patients, a careful surgical approach is necessary for successful outcomes and to avoid adjacent organ injury. Read More

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June 2018
6 Reads

Central xanthoma of the mandible associated with hyperlipidemia: A rare presentation.

Int J Pediatr Otorhinolaryngol 2018 Feb 5;105:75-78. Epub 2017 Dec 5.

Department of Oncology and Diagnostic Sciences, University of Maryland School of Dentistry, Baltimore, MD, United States; Molecular and Structural Biology Branch, The Marlene and Stewart Greenebaum Center, Baltimore, MD, United States. Electronic address:

Xanthoma is a common, self-limiting cutaneous lesion of non-Langerhans cell, lipid-laden foamy histiocytes that is often concomitant with hyperlipidemia. The intraosseous counterpart is rarely encountered and typically presents as a painless, expansile osteolytic process in the context of hyperlipidemia or normolipidemia. Only a scant number of gnathic xanthomas have been reported in the otolaryngologic literature. Read More

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February 2018
2 Reads

A patient case highlighting the myriad of cutaneous adverse effects of prolonged use of hydroxyurea.

Dermatol Online J 2017 Nov 15;23(11). Epub 2017 Nov 15.

Division of Dermatology, University of Kansas Medical Center, Kansas City, Kansas.

Background: Hydroxyurea is an antimetabolite primarily used to treat myeloproliferative disorders, and chronic treatment is associated with many cutaneous adverse effects ranging in severity from ichthyosis to aggressive nonmelanoma skin cancer.

Case Presentation: We report a 67-year-oldman with a history of polycythemia vera who was referred for management of progressively worsening dorsal hand lesions. The patient presented withhyperpigmentation, ichthyosis, plantar keratoderma, dermatomyositis-like eruptions, two squamous cell carcinomas, and actinic keratoses. Read More

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November 2017
2 Reads

The dermal arteries in the cutaneous angiosome of the descending genicular artery.

J Anat 2018 Jun 14;232(6):979-986. Epub 2018 Feb 14.

Division of Anatomy, Centre for Anatomy and Cell Biology, Medical University of Vienna, Vienna, Austria.

Studies examining thick skin of the thumb pad have challenged the existence of an arterial plexus in the papillary dermis. Instead of a plexus, discrete arterial units, interconnected by arterio-arterial anastomoses, were identified. We hypothesise that the dermal arteries of thin skin are arranged likewise and that there are fewer arterio-arterial anastomoses in the centre of an angiosome than in zones where neighbouring angiosomes overlap. Read More

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Surgical reconstruction of the fascia lata and posterior tibial artery perforator flap to treat children with simultaneous injury to the Achilles tendon and heel skin.

Medicine (Baltimore) 2018 Feb;97(6):e9834

Department of Orthopaedic Surgery, The First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong, China.

Children with simultaneous injury to the Achilles tendon and heel skin remain a challenge for clinicians. The purpose of this study is to evaluate a combined surgical procedure involving use of the fascia lata to reconstruct the Achilles tendon, and the posterior tibial artery perforator flap to cover the accompanying heel skin injury.Between February 2010 and February 2013, 8 children (3 females and 5 males) between 3 and 12 years of age, with a median age of 7. Read More

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February 2018
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Novel Demonstration of the Anterior Femoral Cutaneous Nerves using Ultrasound.

Ultraschall Med 2018 Feb 7. Epub 2018 Feb 7.

Department of Biomedical Imaging and Image-guided Therapy, Medical University Vienna, Austria.

Purpose:  Neuropathy of the intermediate (IFCN) and medial femoral cutaneous nerve (MFCN) is a potential iatrogenic complication of thigh surgery and its diagnosis is limited. This study aimed to evaluate the possibility of the visualization and diagnostic assessment of the IFCN and MFCN with high-resolution ultrasound (HRUS).

Materials And Methods:  In this study, HRUS with high-frequency probes (15 - 22MHz) was used to locate the IFCN and the MFCN in 16 fresh cadaveric lower limbs. Read More

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February 2018
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The anatomy of the perineal branch of the sciatic nerve.

Clin Anat 2018 Apr 20;31(3):357-363. Epub 2018 Feb 20.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.

A "perineal" branch of the sciatic nerve has been visualized during surgery, but there is currently no description of this nerve branch in the literature. Our study investigates the presence and frequency of occurrence of perineal innervation by the sciatic nerve and characterizes its anatomy in the posterior thigh. Fifteen cadavers were obtained for dissection. Read More

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April 2018
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Electrochemotherapy as treatment option for hepatocellular carcinoma, a prospective pilot study.

Eur J Surg Oncol 2018 05 2;44(5):651-657. Epub 2018 Feb 2.

University Medical Centre Ljubljana, Department of Abdominal Surgery, Zaloska 7, SI-1000 Ljubljana, Slovenia. Electronic address:

Background And Objectives: Electrochemotherapy provides non-thermal ablation of cutaneous as well as deep seated tumors. Based on positive results of the treatment of colorectal liver metastases, we conducted a prospective pilot study on hepatocellular carcinomas with the aim of testing the feasibility, safety and effectiveness of electrochemotherapy.

Patients And Methods: Electrochemotherapy with bleomycin was performed on 17 hepatocellular carcinomas in 10 patients using a previously established protocol. Read More

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May 2018
4 Reads