10,793 results match your criteria Annals of Plastic Surgery[Journal]


Long-term Follow-up of Intracapsular Schwannoma Excision.

Ann Plast Surg 2019 Mar;82(3):296-298

Medical University of Vienna, Vienna, Austria.

Introduction: The current criterion-standard treatment for schwannomas is intracapsular excision. This study was designed as a long-term follow-up to investigate postoperative symptoms, nervous impairment, and recurrence rate.

Methods: We performed a long-term follow-up of 18 subjects who underwent intracapsular schwannoma excision. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001812DOI Listing
March 2019
3 Reads

A Multimetric Evaluation of Online Spanish Health Resources for Lymphedema.

Ann Plast Surg 2019 Mar;82(3):255-261

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

Background: Breast cancer is a leading cause of death in US Hispanic females. This demographic is more likely to present with later-stage disease and require more extensive surgical treatment, including axillary lymph node dissection, which increases risk of lymphedema. The Spanish-speaking Hispanic population has a lower health literacy level and requires materials contoured to their unique needs. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001762DOI Listing
March 2019
2 Reads

Ensuring Sustainability for UK Burns Services: Workforce Planning for Burns Consultants.

Ann Plast Surg 2019 Mar;82(3):274-276

From the Stoke Mandeville Hospital, Aylesbury, United Kingdom.

Introduction: Workforce planning is an essential component of organizing any health service. Centralization of burns services pools expertise, although trainees can struggle to achieve adequate exposure to burns training. We aim to review current staffing levels and predict the future consultant numbers required for UK services to remain staffed with appropriately trained surgeons. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001847DOI Listing
March 2019
2 Reads

Rare Manifestation of Gout: Gouty Tophi in the Nose.

Ann Plast Surg 2019 Feb 5. Epub 2019 Feb 5.

Clinic of General and Clinical Pathology, University Hospital Saint Marina-Varna, Medical Universiry of Varna, Varna, Bulgaria.

Gout is a disease characterized by abnormal metabolism of the uric acid, leading to undesired buildup of monosodium urate crystals affecting mainly the first metatarsal-phalangeal joint of the foot and less commonly other joints or the soft tissues of the body. The prevalence of the disease increases with age, and it is statistically more observed in men than in women.We present the case of a 62-year-old male patient diagnosed as having gout 20 years ago. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001778DOI Listing
February 2019
1 Read

Lymphoscintigraphic Evaluation of Systemic Tracer Uptake in Patients With Primary Lymphedema.

Ann Plast Surg 2019 Feb 5. Epub 2019 Feb 5.

From the Department of Plastic and Oral Surgery, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, MA.

Background: Lymphoscintigraphy is used to confirm the diagnosis of lymphedema. One end point for the test is to ensure a patent thoracic duct by uptake of tracer in the organs. The purpose of this study was to evaluate transit of radiolabeled colloid to the organs to gain insight into the etiopathophysiology of primary lymphedema. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001839DOI Listing
February 2019
1 Read

Traumatic Falls in the Pediatric Population: Facial Fracture Patterns Observed in a Leading Cause of Childhood Injury.

Ann Plast Surg 2019 Feb 5. Epub 2019 Feb 5.

University of Mississippi Medical Center, Jackson, MS.

Purpose: Falls are a leading cause of nonfatal injury in the pediatric population, resulting in numerous hospitalizations. Children may not have fully developed reflexive and balancing abilities, rendering them more susceptible to traumatic falls. Here the authors present their findings regarding patterns of facial fracture and concomitant injury seen in the pediatric population secondary to falls. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001861DOI Listing
February 2019
1 Read

Cultural Insensitivity Pervasive in Spanish Online Cosmetic Surgery Resources: A Call to Action.

Ann Plast Surg 2019 Feb 5. Epub 2019 Feb 5.

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

Background: Hispanics are the second largest demographic that underwent cosmetic surgery in 2017. The popularity of cosmetic surgeries among this group has increased significantly within the past decade and is projected to continue rising. Patient-directed websites that provide educational materials addressing these procedures should include information that is accurate, comprehensible, and sensitive to the demographic's diverse cultural and ethnic needs. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001841DOI Listing
February 2019

The Presence of Scarring and Associated Morbidity in the Burn Model System National Database.

Ann Plast Surg 2019 Mar;82(3 Suppl 2):S162-S168

Spaulding Rehabilitation Hospital/Harvard Medical School, Boston, MA.

Introduction: Postburn scarring is common, but the risk factors, natural history, and consequences of such scars are still poorly understood. This study aims to describe the frequency of scar-related morbidity for up to 2 years after injury and to analyze the impact of burn scars on long-term functional, psychosocial, and reintegration outcomes.

Methods: Analysis was conducted on data collected between January 2006 and May 2014 from 960 patients (2440 anatomic burn sites) using the Burn Model System (BMS) database. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001826DOI Listing
March 2019
1 Read

Distal Finger Reconstruction by Bilateral Lateral Hallux Osteo-onychocutaneous Free Flap.

Ann Plast Surg 2019 Mar;82(3 Suppl 2):S157-S161

JMS Burn and Reconstruction Center, Jackson, MS.

Objective: In this report, we present our experience on the use of bilateral lateral hallux osteo-onychocutaneous free flaps for reconstruction of distal finger and the aesthetic and functional results of this technique in a series of cases.

Patients And Methods: From February 2005 to May 2015, 7 patients underwent finger reconstruction distal to the distal interphalangeal joint using the bilateral lateral hallux osteo-onychocutaneous free flaps. The mean age was 29. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001822DOI Listing
March 2019
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The Role of the US Surgeon in Global Care: Melding the Reality at Home with Global Need.

Ann Plast Surg 2019 Mar;82(3 Suppl 2):S148-S156

From the Program for Global Surgery and Social Change, Harvard Medical School.

There is a great mismatch between surgeon workforce capacity in the US and other high income countries (HICs) and that in low and lower middle income countries (LMICs). Many surgeons in HICs are willing to try to be of assistance in LMICs. It is not intuitive, though, exactly how such assistance is best delivered. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001821DOI Listing
March 2019
1 Read

Practice Site Contributions to the Overall Growth of a Burn Care Network.

Ann Plast Surg 2019 Mar;82(3 Suppl 2):S146-S147

JMS Burn and Reconstruction Center, Merit Health Central Hospital, Jackson, MS.

Beginning in 2009, The Joseph M. Still Burn Center in Augusta, Georgia began to develop additional practice sites. By 2018, 6 burn centers had been established and the practice network had been organized as the Burn and Reconstructive Centers of America. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001823DOI Listing

The 11th Annual Joseph M. Still Burn Symposium.

Ann Plast Surg 2019 Mar;82(3 Suppl 2):S145

JMS Burn and Reconstruction Center, Merit Health Central Hospital, Jackson, MS.

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http://dx.doi.org/10.1097/SAP.0000000000001824DOI Listing

Poland Sequence: Retrospective Analysis of 66 Cases. Breast Implant and Fat Grafting Reconstruction: Review of the Literature.

Ann Plast Surg 2019 Feb 1. Epub 2019 Feb 1.

From the Plastic Surgery Unit, Hospital Sant Joan de Deu, Universitat de Barcelona, Esplugues, Barcelona, Spain.

Introduction And Objectives: The literature reports many variations of Poland syndrome, which is a congenital disorder and a rare condition. The associated features are extremely variable, including alterations in the ipsilateral thorax and upper extremity and other malformations. This is used to designate the condition as Poland sequence (PS) because a sequence is a primary defect with a secondary cascade of structural changes. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001772DOI Listing
February 2019
1 Read

Implementation of a Trauma Quality Improvement Program Communications Package Decreases Time-to-Operation for Facial Trauma.

Ann Plast Surg 2019 Jan 28. Epub 2019 Jan 28.

Departments of Plastic Surgery, and.

Introduction: Facial trauma is common and carries significant morbidity and cost. Suboptimal interdisciplinary communication is associated with negative health outcomes. This study evaluates the clinical impact of implementation of American College of Surgeons Trauma Quality Improvement Program (TQIP) interdisciplinary communication guidelines between facial surgery and trauma teams. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001818DOI Listing
January 2019
6 Reads

Factors Associated With Complications in Immediate Breast Reconstruction in 1 Stage With Completely Submuscular Implants.

Ann Plast Surg 2019 Jan 28. Epub 2019 Jan 28.

General Surgery, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey.

Background: Immediate breast reconstruction in 1 stage using permanent implants is gaining popularity and can be performed with or without the use of acellular dermal matrices. This study aimed to investigate the results of breast implants placed submuscularly without acellular dermal matrix and assess the factors affecting surgical complications.

Methods: From November 2009 to March 2018, 138 patients underwent immediate breast reconstruction with permanent submuscular implants after concomitant skin-sparing or nipple-sparing mastectomies in a single institution. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001808DOI Listing
January 2019
1 Read

Regional Anesthetic Blocks in Plastic Surgery Using Portable Ultrasound: A Simplified Approach.

Ann Plast Surg 2019 Jan 28. Epub 2019 Jan 28.

From the Division of Plastic and Reconstructive Surgery, Tulane University, New Orleans, LA.

Background: With the introduction of latest generation ultrasound technology and its easy availability and portability, regional anesthetic blocks, which were formally in the domain of anesthesiologists, have now become available to practicing plastic surgeons. Enhanced Recovery After Surgery protocols for other specialties such as orthopedics and colorectal surgery have incorporated regional anesthetic blocks. These regional blocks have been shown to be effective in improving the patient comfort and experience and decreasing reliance on opioid medications. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001805DOI Listing
January 2019

National Surgical Quality Improvement Program Analysis of 9110 Reduction Mammaplasty Patients: Identifying Risk Factors Associated With Complications in Patients Older Than 60 Years.

Ann Plast Surg 2019 Jan 28. Epub 2019 Jan 28.

Background: The purpose of this study was to identify preoperative risk factors in patients undergoing reduction mammoplasty as well as identify any increased complication risk in patients older than 60 years undergoing reduction mammoplasty.

Methods: The American College of Surgeons National Surgical Quality Improvement Program data from years 2013-2015 was reviewed. Patients were identified using Current Procedural Terminology code 19318 specific for reduction mammoplasty. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001804DOI Listing
January 2019
2 Reads

Passot-Type Immediate Breast Reconstruction Obviates the Use of Aceullular Dermal Matrix in Grades 2 and 3 Ptosis.

Ann Plast Surg 2019 Jan 28. Epub 2019 Jan 28.

From the Department of Plastic Surgery, University of Tennessee College of Medicine, Chattanooga, TN.

Purpose: Acellular dermal matrices (ADMs) are commonly used for immediate breast reconstruction after skin-sparing mastectomy (SSM). Regnault grades 2 and 3 ptotic breasts feature significant mastectomy flap redundancy that may be incorporated into the reconstruction. This allows surgeons to use patients' de-epithelialized inferior dermal pedicle instead of ADM. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001792DOI Listing
January 2019

Prepectoral Wise-Pattern Staged Implant-Based Breast Reconstruction for Obese or Ptotic Patients.

Ann Plast Surg 2019 Jan 28. Epub 2019 Jan 28.

From the Department of Plastic Surgery, University of Virginia Health System, Charlottesville, VA.

Introduction: The obese or ptotic breast demonstrates significant difficulty in breast reconstruction after mastectomy with increased rates of perioperative complications compared with the general population, regardless of reconstruction type. Implant-based reconstruction in this patient population with the traditional horizontal elliptical skin-sparing mastectomy tends to have aesthetically displeasing qualities secondary to skin flap redundancy and blunting of the breast contour. Wise-pattern closures have been described with submuscular direct-to-implant and 2-stage reconstructions, with more favorable complication profile when staged. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001791DOI Listing
January 2019
1 Read

Reconstruction of Diabetic Foot Defects With the Proximal Lateral Leg Perforator Flap.

Ann Plast Surg 2019 Jan 28. Epub 2019 Jan 28.

Background: In patients with diabetic foot ulcers requiring flap reconstruction, the choice of local flaps is limited by the lack of adequate tissue available. Free flaps are often bulky, presenting footwear difficulty due to poor contouring. Here, we present our experience of using the proximal lateral leg perforator flap in the reconstruction of thin diabetic foot ulcers. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001745DOI Listing
January 2019
2 Reads

Aesthetic Breast Surgery Under Cold Tumescent Anesthesia: Feasibility and Safety in Outpatient Clinic.

Ann Plast Surg 2019 Jan 21. Epub 2019 Jan 21.

Clinic Michelangelo, Olbia.

Throughout the last decade, aesthetic breast surgery has enormously spread in the outpatient clinic setting where plastic surgeons perform the vast majority of procedures under local anesthesia as day-case operations. The "tumescent anesthesia" is defined as the injection of a dilute solution of local anesthetic combined with epinephrine and sodium bicarbonate into subcutaneous tissue until it becomes firm and tense, which is "tumescent." The "cold tumescent anesthesia" (CTA) derives from Klein's solution with the introduction of a new concept, which is the low temperature (4°C) of the injected solution. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001798DOI Listing
January 2019
2 Reads

Reconstructive Options for Inferior Alveolar and Lingual Nerve Injuries After Dental and Oral Surgery: An Evidence-Based Review.

Ann Plast Surg 2019 Jan 14. Epub 2019 Jan 14.

Department of Surgery, The George Washington University, Washington, DC.

Purpose: The investigators wanted to evaluate, analyze, and compare the current microsurgical repair modalities (primary repair, autograft, tube conduit, and allograft reconstruction) in achieving functional sensory recovery in inferior alveolar and lingual nerve reconstructions due to injury.

Methods: A literature review was undertaken to identify studies focusing on microsurgical repair of inferior alveolar and lingual nerve injuries. Included studies provided a defined sample size, the reconstruction modality, and functional sensory recovery rates. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001783DOI Listing
January 2019
17 Reads

Health Insurance Portability and Accountability Act Noncompliance in Patient Photograph Management in Plastic Surgery.

Ann Plast Surg 2019 Jan 14. Epub 2019 Jan 14.

From the Department of Surgery, School of Medicine, Louisiana State University Health Sciences Center-New Orleans, New Orleans, LA.

Background: Today, plastic surgeons have largely transitioned to digital photography. This shift has introduced new risks to daily workflows, notably data theft and Health Insurance Portability and Accountability Act (HIPAA) violations.

Methods: We performed a national survey of digital photograph management patterns among members of the American Society of Plastic Surgery and trainees in Accreditation Council for Graduate Medical Education-accredited plastic surgery programs. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001760DOI Listing
January 2019
1 Read

Health-Related Quality of Life After Ventral Hernia Repair With Biologic and Synthetic Mesh.

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

Background: Quality of life (QOL) is an important outcome measure after ventral hernia repair (VHR). The Hernia-Related QOL Survey (HerQLes) is a specific survey tool for QOL after VHR. Studies comparing QOL in patients with biologic mesh repairs (BMRs) and synthetic mesh repairs (SMRs) are lacking. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001768DOI Listing
January 2019
11 Reads

Autologous Breast Reconstruction With a Delay Procedure of the Deep Inferior Epigastric Artery Perforator Flap Because of Venous Congestion of the Flap on Pedicle: A Case Series.

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

Department of Plastic, Reconstructive & Hand Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands.

The deep inferior epigastric artery perforator (DIEP) flap is one of the most used free flaps for the reconstruction of the breast after a mastectomy. Despite careful selection of the patients and preoperative imaging, difficulties in vascularization of the flap can occur in some cases. Although multiple vascular connections (bipedicled, turbocharged, or stacked) can be made in selected cases, there can still be venous congestion before the flap is transferred. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001752DOI Listing
January 2019
1 Read

Geographic Variation in Breast Reconstruction Modality Use Among Women Undergoing Mastectomy.

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

Plastic and Reconstructive Surgery, 88th Medical Group, Wright Patterson Air Force Base, OH.

Purpose: Despite changes in legislation and an increase in public awareness, many women may not have access to the various types of breast reconstruction. The purpose of this study was to evaluate variation in reconstructive modality at the health service area (HSA) level and its relationship to the plastic surgeon workforce in the same area.

Methods: Using the Arkansas, California, Florida, Nebraska, and New York state inpatient databases, we conducted a cross-sectional study of adult women undergoing mastectomy for cancer from 2009 to 2012. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001746DOI Listing
January 2019
5 Reads

Comparison of Costs and Outcomes for In-Office and Operating Room Excision of Nonmelanoma Skin Cancer.

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

Introduction: With increasing health care expenses and limited resources, it is important to evaluate potential means of reducing cost while maintaining efficacy and safety. The purpose of our study was to compare the cost and outcomes of surgical excision of nonmelanoma skin cancer (NMSC) in the operating room versus an outpatient procedure clinic.

Methods: A retrospective review of patients undergoing excision of biopsy-confirmed NMSC at the Miami Veterans Affairs Hospital between December 1, 2015, and December 1, 2016, was completed. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001744DOI Listing
January 2019
2 Reads

Face Transplantation for Granulomatosis With Polyangiitis (Wegener Granulomatosis): Technical Considerations, Immunological Aspects, and 3-Year Posttransplant Outcome.

Ann Plast Surg 2019 Mar;82(3):320-329

Department of Orthopedics, University of Illinois, Chicago, IL.

Background: We report new data for a rare face transplant performed 3 years ago. Granulomatosis with polyangiitis (GPA) (Wegener) is a severe autoimmune necrotizing vasculitis and parenchymal inflammatory disease that can affect any organ including those of the craniofacial region. Skin involvement manifests as malignant pyoderma. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001735DOI Listing
March 2019
8 Reads

Repair of Sacral and Ischial Region Defects With Lateral Sacral Artery Perforator Flaps.

Ann Plast Surg 2019 Mar;82(3):304-309

Department of Plastic, Reconstructive and Aesthetic Surgery, University of Medical Science, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.

Background: Reconstructive choices for the defects of the sacral and ischial regions include various steps of the reconstructive ladder from primary closure to free flaps. This study aimed to present repair of sacral and ischial region defects with lateral sacral artery perforator (LSAP) flaps.

Methods: We enrolled a total of 18 patients with sacral and ischial region defects reconstructed with LSAP flaps in the study between September 2014 and October 2015. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001737DOI Listing
March 2019
1 Read

Analysis of Airway and Midface in Crouzon Syndromes.

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

Department of Plastic Surgery, University of São Paulo, São Paulo, Brazil.

Background: Crouzon syndrome is associated with severe respiratory impairment of the upper airway due in part to midfacial dysmorphology. We calculated the distinctive nasal diameter and pharyngeal airway volume in patients with Crouzon syndrome and compared them with age-matched control subjects.

Methods: Children with computed tomography scans in the absence of surgical intervention were included. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001740DOI Listing
January 2019
2 Reads

Lower Percentage of the Patients in Breast Reconstruction After Mastectomy Group Who Received Adjuvant Radiotherapy Might Be Associated With Higher Work Ability and Productivity: Reply.

Ann Plast Surg 2019 Mar;82(3):359

Graduate Program in Translational Surgery, Universidade Federal de São Paulo (UNIFESP) and Division of Plastic Surgery, Universidade do Vale do Sapucaí (UNIVAS), São Paulo, Brazil

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http://dx.doi.org/10.1097/SAP.0000000000001711DOI Listing
March 2019
1 Read

The Effect of Chyle Fat Injection on Human Hypertrophic Scars in an Animal Model: A New Strategy for the Treatment of Hypertrophic Scars.

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

Chinese PLA General Hospital.

Background: Chyle fat transplantation has shown positive effects on preexisting human hypertrophic scars (HSs) in a nude mouse HS graft model.

Methods: Hypertrophic scar fragments were obtained from 5 surgically treated burn patients and implanted into the backs of nude mice in 3 groups: group A, control; group B, triamcinolone; and group C, chyle fat. The specimens were implanted after the corresponding intralesional injection in each group, and the mice were observed for 4 weeks. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001784DOI Listing
January 2019
1 Read

Comparison of Outcomes of Fasciocutaneous Free Flaps and Jejunal Free Flaps in Pharyngolaryngoesophageal Reconstruction: A Systematic Review and Meta-Analysis.

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

Department of Plastic, Reconstructive & Aesthetic Surgery, Singapore General Hospital, Singapore.

Background: The literature reports a wide variety of reconstructive methods for pharyngolaryngoesophageal (PLO) defects, the most widely used being anterolateral thigh (ALT), radial forearm (RFF), and jejunal free flaps (JFF). However, there is a lack of uniform agreement among head and neck surgeons as to which technique offers the best results. With an increasing number of salvage PLO extirpations, determining the role of radiotherapy in influencing postoperative complication rates is becoming ever more important. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001776DOI Listing
January 2019
6 Reads

Clinical Utility of Postoperative Computed Tomography Imaging in Orbital Floor Fracture Management.

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

Department of Plastic Surgery, University of California, Irvine.

Background: Surgical repair of orbital floor fractures aims to improve visual function and appearance. Postoperative care often involves computed tomography (CT) imaging in addition to physical examination. It has yet to be investigated whether postoperative CT imaging influences treatment of orbital floor fractures. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001777DOI Listing
January 2019
1 Read
1.458 Impact Factor

Gluteal Flaps Revisited: Technical Modifications for Perineal Wound Reconstruction.

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

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http://dx.doi.org/10.1097/SAP.0000000000001771DOI Listing
January 2019
4 Reads

Graciloplasty for Anal Incontinence-Is Electrical Stimulation Necessary?

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

Department of General Surgery, Christian Medical College, Vellore, Tamilnadu, India.

Introduction: Anal incontinence brings lot of social embarrassment, mental distress, dignity loss, anxiety, low confidence, and eventually a low self-esteem with a restricted social life to the affected person. Surgical repair is the mainstay of treatment for anal incontinence. However, some patients need additional procedures such as gluteoplasty, graciloplasty (adynamic and dynamic), artificial bowel sphincter, and sacral nerve stimulation, which help to reinforce or augment the anal sphincter. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001770DOI Listing
January 2019
6 Reads

Validation of the American College of Surgeons National Surgical Quality Improvement Program Risk Model for Patients Undergoing Panniculectomy.

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

Division of Plastic, Maxillofacial, and Oral Surgery, Department of Surgery, and.

Panniculectomy procedures have been reported to significantly improve quality of life, increase mobility, and improve hygiene in patients with a significant pannus formation. The primary aims of this study were to determine which preoperative risk factors may be used to differentiate postoperative complication rate among patient cohorts and to validate utilization of the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) risk calculator in patients undergoing panniculectomies.

Methods: This retrospective study included all patients who underwent a panniculectomy procedure at our institution from 2005 to 2016. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001759DOI Listing
January 2019
7 Reads

Acute Breast Implant Periprosthetic Cerebrospinal Fluid Collection After Ventriculoperitoneal Shunt Migration: A Case Report and Review of Literature.

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

From the Department of Plastic and Reconstructive Surgery, College of Medicine, University of Illinois at Chicago, Chicago IL.

Ventriculoperitoneal shunt (VPS) placement is a common neurosurgical procedure with a high rate of distal catheter malfunction. Rarely, the catheter may migrate to other tissues in the body including the breast pockets. There are increasing odds that a patient may undergo both breast augmentation and VPS placement, because breast augmentation is the most common aesthetic surgical procedure. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001757DOI Listing
January 2019
1 Read

Referrals of Plastic Surgery Patients to Integrative Medicine Centers: A Review of Resource Utility.

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

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

Background: Integrative medicine (IM) centers are becoming more established nationwide and provide an expansive range of therapeutic services. Given the high prevalence of IM usage among plastic surgery patients, we sought to define referrals rates to IM centers by plastic surgeons to investigate (1) the role of IM in the continuous care process of plastic surgery patients and (2) whether IM centers are being effectively utilized.

Methods: Institutions with plastic surgery residency programs were identified using the American Medical Association's Fellowship and Residency Electronic Interactive Database Access System in January 2017. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001761DOI Listing
January 2019
1 Read

Correction of Tanzer Type IIB Constricted Ears via Z-shaped Double V-Y Advancement Flaps.

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

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http://dx.doi.org/10.1097/SAP.0000000000001750DOI Listing
March 2019
2 Reads

Molar-Incisor Hypomineralization and Cleft Lip and Palate.

Ann Plast Surg 2019 Feb;82(2):252

Departments of Oral Biology and Pediatric Dentistry School of Dental Medicine and Department of Human Genetics Graduate School of Public Health Clinical and Translational Sciences Institute University of Pittsburgh Pittsburgh, PA

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http://Insights.ovid.com/crossref?an=00000637-201902000-0002
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http://dx.doi.org/10.1097/SAP.0000000000001604DOI Listing
February 2019
3 Reads

Single Versus Simultaneous Double Free Flaps for Head and Neck Reconstruction: Comparison of Flap Outcomes and Donor-Site Morbidity.

Ann Plast Surg 2019 Feb;82(2):184-189

Department of Otolaryngology, Tulane University School of Medicine, New Orleans, LA.

Introduction: Ablative procedures of the head and neck often result in substantial defects that require large-volume tissue transfer for restoration of form and function. Multiple simultaneous free flaps may be required for complex defects, but these procedures are often avoided because of the perception of an increase in associated surgical complications and morbidity. We present our experience with the use of simultaneous multiple free flaps as compared with single free flaps (SFFs) for head and neck reconstruction. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001713DOI Listing
February 2019
1 Read
1.458 Impact Factor

Risk of Ischemic Stroke After a Facial Bone Fracture in Elderly Patients.

Ann Plast Surg 2019 Feb;82(2):169-173

Dentistry (Oral & Maxillofacial Surgery), Keimyung University School of Medicine, Daegu, Korea.

Background: Ischemic stroke is a major disease in our aging society, and the incidence of facial bone fractures among the elderly has increased. However, there have been few studies evaluating stroke after facial bone fractures. The purpose of this study was to investigate the frequency and risk of stroke after facial bone fractures. Read More

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http://Insights.ovid.com/crossref?an=00000637-201902000-0001
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http://dx.doi.org/10.1097/SAP.0000000000001687DOI Listing
February 2019
7 Reads

Immunomodulation in Vascularized Composite Allotransplantation: What Is the Role for Adipose-Derived Stem Cells?

Ann Plast Surg 2019 Feb;82(2):245-251

From the Plastic and Reconstructive Surgery and.

Hand and face transplants are becoming increasingly common, recording progressively more penile, uterus, abdominal wall, and allotransplantation cases reported worldwide. Despite current protocols allow long-term survival of the allografts, the ultimate goal of donor-specific tolerance has not been achieved yet. In fact, the harmful adverse effects related to the lifelong administration of immunosuppressive agents are the main drawbacks for vascularized composite allotransplantations. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001763DOI Listing
February 2019
6 Reads

Transplantation of Adipose-Derived Stem Cells Before Flap Expansion and After Expanded Flap Elevation Result in Different Effects.

Ann Plast Surg 2019 Feb;82(2):237-244

Columbia University Mailman School of Public Health, New York, NY.

Background: Studies of using mesenchymal stem cells to assist skin and soft tissue expansion have shown that stem cells can improve expansion efficiency through promoting tissue regeneration. However, the issue that whether the flap viability is also improved is unknown.

Methods: Sixteen pigs were equally divided into 2 groups. Read More

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http://Insights.ovid.com/crossref?an=00000637-201902000-0002
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http://dx.doi.org/10.1097/SAP.0000000000001736DOI Listing
February 2019
3 Reads

Anatomic Targets for Breast Reconstruction Neurotization: Past Results and Future Possibilities.

Ann Plast Surg 2019 Feb;82(2):207-212

Department of Plastic Surgery, Cleveland Clinic Foundation, Cleveland, OH.

The concept of providing neurotized autologous breast reconstruction is not novel, but the introduction of cadaveric nerve grafts has allowed for the development of new techniques and a resurgence in academic interest. There has been a surge in the number of publications regarding neurotized autologous breast reconstruction. However, recent articles and reviews have focused mainly on autologous, abdominal-based reconstruction. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001733DOI Listing
February 2019
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Treatment of Abdominal Surgical Wound Dehiscence With Bowel Exposure and Infection: Using Intrawound Continuous Negative Pressure, Irrigation, and Application of Artificial Dermis.

Ann Plast Surg 2019 Feb;82(2):213-217

From the Department of Plastic & Reconstructive Surgery and Maxillofacial Surgery, Kurume University Hospital, Fukuoka, Japan.

Abdominal surgical wound dehiscence with bowel exposure and infection carries a risk of intestinal fistula, making it extremely difficult to treat. The objective at this time is to heal such wounds safely and absolutely with using intrawound continuous negative pressure and irrigation treatment and artificial dermis. The subjects were 18 patients with abdominal wall dehiscence wounds with bowel exposure. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001739DOI Listing
February 2019
8 Reads

Pediatric Breast Fibroadenomas: A Systematic Review and Algorithm for Treatment.

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

Columbia University Vagelos College of Physicians and Surgeons, New York, NY.

Background: Pediatric breast masses cause concern for both the patient and their family, although malignancy represents less than 1% of lesions in this population. No studies have systematically described resection and reconstructive methods for different sizes and locations of pediatric breast fibroadenomas. The aim of this study was to perform a recent systematic review of the literature regarding the surgical resection of pediatric breast fibroadenomas and to propose an algorithm for safe and effective treatment that maximizes both therapeutic and aesthetic goals while acknowledging possible future need for nipple-sparing mastectomy. Read More

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http://Insights.ovid.com/crossref?an=00000637-900000000-9711
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http://dx.doi.org/10.1097/SAP.0000000000001717DOI Listing
January 2019
3 Reads