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    10550 results match your criteria Annals of Plastic Surgery[Journal]

    1 OF 211

    Modified Treatment Algorithm for Pseudogynecomastia After Massive Weight Loss.
    Ann Plast Surg 2018 Jun 19. Epub 2018 Jun 19.
    BG Klinik Tübingen, Klinik für Hand-, Plastische, Rekonstruktive und Verbrennungschirurgie, Tübingen, Germany.
    Background: Pseudogynecomastia is the increased aggregation of fatty tissue in the area of the male breast with resultant female appearance. Two forms can appear: pseudogynecomastia after massive weight loss (pseudogynecomastia obese [PO]) and pseudogynecomastia, which is caused only by adipose tissue (pseudogynecomastia fat). For PO, only the Gusenoff classification with corresponding operative treatment options exists. Read More

    Factors That Affect Medical Students' Perception and Impression of a Plastic Surgery Program: The Role of Elective Rotations and Interviews.
    Ann Plast Surg 2018 Jun 19. Epub 2018 Jun 19.
    Objective: Securing a residency training position in plastic surgery is highly competitive each year with a limited quota of positions and numerous qualified applicants. Although previous studies have highlighted the importance of residency programs and applicants seeking a "good fit," it remains poorly understood what influences a medical student's impression and desire to train at a certain program over others. The objective of this cross-sectional study was to identify which specific potentially modifiable factors during elective rotations and program interviews were most important to Canadian medical students when ranking plastic surgery programs. Read More

    The Tuck-in Mastopexy.
    Ann Plast Surg 2018 Jun 19. Epub 2018 Jun 19.
    Plastic Reconstructive and Aesthetic Surgery Department, Izmir Katip Celebi University, Ataturk Training and Research Hospital.
    Background: Breast ptosis is an inevitable consequence of gravity and time. Every breast tends to become ptotic in different shapes and degrees. Many surgical techniques were described to solve this problematic issue. Read More

    Aesthetic Refinement in the Creation of the Clitoris, Its Preputial Hood, and Labia Minora in Male-to-Female Transsexual Patients.
    Ann Plast Surg 2018 Jun 19. Epub 2018 Jun 19.
    Hospital Clinico y Provincial de Barcelona, Barcelona, Spain.
    Background: In male-to-female genital sex reassignment surgery, the clitoris, its prepuce, and the labia minora remain among the most difficult structures to construct. We describe the authors' clitoroplasty and vulvoplasty technique.

    Methods: All patients who underwent male-to-female sex reassignment surgery at a single center, between June 2012 and June 2016, were prospectively included. Read More

    A New Technique in Management of Depressed Posttracheostomy Scars.
    Ann Plast Surg 2018 Jun 19. Epub 2018 Jun 19.
    Plastic, Reconstructive and Aesthetic Surgery Clinic, Sisli Etfal Training and Research Hospital, Istanbul, Turkey.
    Background: The goals of tracheostomy scar revision are filling of the depressed area, providing easy sliding of skin over the trachea. There are various techniques described to correct this situation. In this article, a modification of split sternocleidomastoid (SCM) muscle flap used in the correction of posttracheostomy defects is described. Read More

    A Single Surgeon's Experience With Transgender Female-to-Male Chest Surgery.
    Ann Plast Surg 2018 Jun 19. Epub 2018 Jun 19.
    Albert Einstein College of Medicine, Bronx, NY.
    Background: Chest wall recontouring is a common surgical treatment of gender dysphoria in transmen and nonbinary individuals assigned female at birth. This study reviews more than 20 years of cases to identify risk factors for postoperative complications and likelihood of preservation of nipple sensation.

    Methods: One hundred thirty-seven cases of female-to-male chest wall recontouring by a single surgeon from 1994 to 2016 were reviewed, 99 of which were included for final analysis. Read More

    Enamel Hypomineralization in Children With Clefts and the Relationship to Treatment: A Cross-sectional Retrospective Study.
    Ann Plast Surg 2018 Jun 19. Epub 2018 Jun 19.
    Department of Surgery, Indiana University School of Medicine, Indianapolis, IN.
    Objective: The aim of this study was to determine whether molar incisor hypomineralization (MIH) is greater in patients with cleft lip and palate (CLP) who underwent primary alveolar grafting (PAG) as compared with CLP waiting for secondary alveolar grafting (SAG) and with controls.

    Design: A retrospective analysis of intraoral photographs of 13 CLP patients who underwent a PAG, 28 CLP prior to SAG, and 60 controls without CLP was performed. Mantel-Haenszel χ tests were used to compare the 3 groups for differences in MIH scores, and Wilcoxon rank sum tests were used to compare the groups for differences in average MIH scores. Read More

    Direct-to-Implant as a Frontline Option for Immediate Breast Reconstruction: A Comparative Study With 2-Stage Reconstruction.
    Ann Plast Surg 2018 Jun 19. Epub 2018 Jun 19.
    From the Department of Plastic Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, South Korea.
    Background: Immediate single-stage direct-to-implant breast reconstruction requires caution owing to the possibility of skin necrosis and implant failure. Nevertheless, this method has been performed widely for breast reconstruction. This study aimed to analyze the safety of single-stage implant reconstruction by comparing it with 2-stage reconstruction (TSR). Read More

    Perioperative Glucocorticoid Treatment of Soft Tissue Reconstruction in Patients on Long-term Steroid Therapy: The Experience of 6 Cases Using Reversed Posterior Interosseous Flap for Hand Neoplasm Surgery.
    Ann Plast Surg 2018 Jun 13. Epub 2018 Jun 13.
    From the Department of Plastic and Reconstruction Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
    Introduction: Long-term steroid therapy is associated with increased postoperative morbidity. Whether to use a stress dose of glucocorticoids (GCs) in surgical patients remains controversial. In the present study, we reported our experience in perioperative GC treatment of 6 patients on long-term steroid therapy for autoimmune diseases undergoing hand reconstruction using reversed interosseous flap. Read More

    Ptosis Sensitivity Threshold for the Lay Observer.
    Ann Plast Surg 2018 Jun 13. Epub 2018 Jun 13.
    Purpose: This study aims to understand the degree to which ptosis is recognizable to a layperson.

    Methods: Fifteen color drawings of a gender-neutral human face were created. Six faces exhibited right-sided ptosis (decreased margin reflex distance 1 and lengthened tarsal platform show) of 0. Read More

    Double Supercharged Jejunal Interposition for Late Salvage of Long-gap Esophageal Atresia.
    Ann Plast Surg 2018 Jun 13. Epub 2018 Jun 13.
    From the Departments of Plastic and Oral Surgery, and.
    Background: A variety of surgical techniques exist to manage long-gap esophageal atresia (LGEA), including gastric pull-up (GPU), colonic interposition (CI), jejunal interposition (JI), and distraction lengthening. Salvage reconstruction for late failure of any conduit type is a complex surgical problem fraught with technical difficulty and significant risk. Jejunal interposition can be used as a salvage procedure in the management of LGEA. Read More

    The Gracilis Free Flap Is a Viable Option for Large Extremity Wounds.
    Ann Plast Surg 2018 Jun 13. Epub 2018 Jun 13.
    Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD.
    Background: Traditionally, the gracilis free flap is used for coverage of small- to medium-sized wounds (<50 cm) or as a functional muscle transfer. The purpose of this study is to examine the use of the gracilis free flap in the reconstruction of large extremity wounds (>100 cm).

    Methods: We retrospectively reviewed records of 34 patients who underwent extremity soft-tissue reconstruction using gracilis free flaps for wounds larger than 100 cm from 1998 to 2016. Read More

    Reconstruction of Large Defects of the Lower Lip After Mohs Surgery: The Use of Combined Karapandzic and Abbe Flaps.
    Ann Plast Surg 2018 Jun 13. Epub 2018 Jun 13.
    From the Instituto Oncología Angel H. Roffo, Buenos Aires, Argentina.
    Introduction: Lower lip reconstruction should restore oral competence, speech, and cosmesis. These goals are a challenge when reparing large lower lip defects. Karapandzic flap is a reliable technique with consistent functional and esthetic outcome. Read More

    The Effect of the Histone Deacetylase Inhibitor Suberoylanilide Hydroxamic Acid and Paclitaxel Treatment on Full-Thickness Wound Healing in Mice.
    Ann Plast Surg 2018 Jun 13. Epub 2018 Jun 13.
    Hematology and Oncology, Cooper University Hospital, Camden, NJ.
    Introduction: Neoadjuvant chemotherapy prior to lumpectomy or mastectomy for breast cancer challenges wound healing. Suberoylanilide hydroxamic acid (SAHA), a histone deacetylase inhibitor, has been shown to work synergistically with paclitaxel in vitro and in preclinical studies. In addition, our laboratory has demonstrated that SAHA treatment decreases paclitaxel-associated stem cell toxicity, modulates inflammatory response, and promotes wound healing in injured fibroblast cells. Read More

    Polyglycolic Acid Felt for Prevention of Frey Syndrome After Parotidectomy.
    Ann Plast Surg 2018 Jun 13. Epub 2018 Jun 13.
    From the Department of Plastic and Reconstructive Surgery, National Defense Medical College, Saitama, Japan.
    Background: Frey syndrome is one of the important complications of parotid surgery. Placing a barrier between the parotid gland and the skin flap is considered to be effective for preventing this syndrome by blocking misdirected regeneration of nerve fibers. Neoveil is nonwoven polyglycolic acid (PGA) felt that is used as absorbable reinforcing material. Read More

    The ReSurge Global Training Program: A Model for Surgical Training and Capacity Building in Global Reconstructive Surgery.
    Ann Plast Surg 2018 Jun 13. Epub 2018 Jun 13.
    ReSurge International, Sunnyvale, CA.
    Background: A paradigm shift is underway in the world of humanitarian global surgery to address the large unmet need for reconstructive surgical services in low- and middle-income countries (LMICs). Here, we discuss the ReSurge Global Training Program (RGTP), a model for surgical training and capacity building in reconstructive surgery in the developing world. The program includes an online reconstructive surgery curriculum, visiting educator trips, expert reconstructive surgeon involvement, trainee competency tracking system, and identification of local outreach partners to provide safe reconstructive surgery to the neediest of patients in the developing world. Read More

    Treacher Collins Syndrome and Tracheostomy: Decannulation Using Mandibular Distraction Osteogenesis.
    Ann Plast Surg 2018 Jun 13. Epub 2018 Jun 13.
    From the Hansjörg Wyss Department of Plastic Surgery, NYU Langone Medical Center, New York, NY.
    Introduction: Treacher Collins syndrome (TC) and Pierre Robin sequence (RS) are associated with hypoplastic mandible, glossoptosis, and consequent airway obstruction. Although TC and RS are often grouped together, airway outcomes of bilateral mandibular distraction osteogenesis (MDO) have not been specifically studied in TC. The purpose of this study is to report on the clinical outcomes of MDO in the TC patient population. Read More

    Primary Closure of Wide Fasciotomy and Surgical Wounds Using Rubber Band-Assisted External Tissue Expansion: A Simple, Safe, and Cost-effective Technique.
    Ann Plast Surg 2018 Jun 13. Epub 2018 Jun 13.
    From the Department of Plastic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.
    Background: Although decompressive fasciotomy is a limb-saving procedure in the setting of acute compartment syndrome, it leaves a large wound defect with tissue edema and skin retraction that can preclude primary closure. Numerous techniques have been described to address the challenge of closing fasciotomy wounds. This study reports our experience with fasciotomy closure using rubber bands (RBs) for external tissue expansion. Read More

    Clinical Application of 3-Dimensional Continuous Suturing Technique for Triangular Wounds.
    Ann Plast Surg 2018 May 30. Epub 2018 May 30.
    Department of Plastic Surgery, Hangzhou Plastic Surgery Hospital, Hangzhou, Zhejiang Province, PR China.
    Background: Although there are numerous skin closure methods, there is no special method for suturing triangular skin wounds. The authors have summarized and modified their experience with a 3-dimensional (3D) continuous suturing technique for triangular wounds.

    Methods: From December 2015 to September 2017, the 3D continuous suturing technique for triangular wounds has been used in 32 cleft lip repairs (48 surgical triangular incisions) and 11 cases of facial trauma (15 traumatic triangular wounds). Read More

    Preoperative Implant Size Is Strongly Associated With Alternations of Implant Size During Secondary Breast Augmentation.
    Ann Plast Surg 2018 May 30. Epub 2018 May 30.
    From the Department of Plastic Surgery, Assaf Harofeh Medical Center, Affiliated With the Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
    Background: Breast augmentation is one of the most popular cosmetic surgeries performed worldwide. In turn, there has been an increasing number of secondary breast augmentation procedures in recent years. Implant selection at secondary breast augmentation can be a challenge and is affected by a number of factors. Read More

    Disparities in Postmastectomy Breast Reconstruction: A Systematic Review of the Literature and Modified Framework for Advancing Research Toward Intervention.
    Ann Plast Surg 2018 May 30. Epub 2018 May 30.
    From the Hansjörg Wyss Department of Plastic Surgery, New York University School of Medicine, New York, NY.
    Background: As the United States' population diversifies, eliminating disparities in health and healthcare has become increasingly important across all disciplines of medicine, including plastic and reconstructive surgery. This is evidenced by the growing body of literature in recent years focusing on disparities in postmastectomy breast reconstruction. No study to date has evaluated whether this research is progressing appropriately to promote tangible evidence-based interventions to reduce these disparities. Read More

    Resorbable Implants for Orbital Fractures: A Systematic Review.
    Ann Plast Surg 2018 May 30. Epub 2018 May 30.
    University of Miami Miller School of Medicine, Miami, FL.
    Background: Orbital fractures are one of the most common sequelae of facial trauma.

    Objective: The objective of this study was to summarize published data for resorbable implants in orbital reconstruction, including polymer composition, degradation characteristics, osteoconductivity, and complications such as enophthalmos, diplopia, and peri-implant inflammation. A literature search of the National Library of Medicine was performed via PubMed using the keyword resorbable orbital implant. Read More

    Low-Temperature Burn on Replanted Fingers and Free Flaps in Hand.
    Ann Plast Surg 2018 May 30. Epub 2018 May 30.
    Background: Patients who have undergone microsurgery for reconstruction with a free flap or finger replantation are vulnerable to heat injury. Moreover, some of these injuries can occur at low temperatures. Although the temperature does not reach the threshold to cause burns in the adjacent normal tissues, burns can occur in the areas that underwent microsurgery. Read More

    A Systematic Review of Zosteriform Rash in Breast Cancer Patients: An Objective Proof of Flap Reinnervation and a Management Algorithm.
    Ann Plast Surg 2018 May 30. Epub 2018 May 30.
    Department of Obstetrics and Gynecology, Lebanese American University Medical Center, Beirut, Lebanon.
    Background: Zosteriform rash in cancer patients provides objective clues to the process of reinnervation of the reconstructed breast. This rash should also raise suspicion for metastasis, which can be confused with herpes zoster.

    Objectives: The aims of this study were to explain the reconstruction flap sensory reinnervation mechanism based on the clinical findings and provide a diagnostic and management algorithm of zosteriform rash in breast cancer patients. Read More

    The Role of Platelet Concentrates in Facial Fat Grafting.
    Ann Plast Surg 2018 May 30. Epub 2018 May 30.
    From the Department of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.
    Autologous fat grafting is increasingly being used as a method for the repair of facial soft tissue defects and facial rejuvenation, given its low risk of adverse effects and high efficacy. However, the unpredictability of graft retention is a limitation of this procedure. In addition, there is no standard procedure to date for autologous fat grafting. Read More

    The Predictive Factors Associated With Comorbidities for Treatment Response in Outpatients With King Classification III Diabetes Foot Ulcers.
    Ann Plast Surg 2018 May 30. Epub 2018 May 30.
    Graduate Institute of Nursing, Chang Gung University of Science and Technology, Chiayi Campus, Taiwan.
    Objective: The aim of this study is to investigate the preexisting predictive factors associated with comorbidities for diabetic foot ulcer (DFU) in King classification III at an outpatient clinic.

    Method: This prospective study included 100 patients with DFU in King classification III treated at outpatient clinics in Chiayi Chang Gung Memorial Hospital from January 2011 to December 2011. The least follow-up time was 1 year. Read More

    Impact of Acellular Dermal Matrix on Postsurgical Wound Fluid Biomarkers in Prosthetic Breast Reconstruction.
    Ann Plast Surg 2018 May 30. Epub 2018 May 30.
    Department of Molecular Biology, Princeton University, Princeton, NJ.
    Background: Despite the widespread practice of using biologic scaffolds for soft tissue reinforcement over prosthetic implants, the impact of acellular dermal matrix (ADM) on surgical wound fluid biomarkers over the initial postoperative period after prosthetic breast reconstruction remains poorly understood.

    Methods: Patients undergoing prosthetic breast reconstruction surgery where ADM was likely to be used were consented to have fluid samples collected from surgical drains after surgery. Sample collections occurred at an "Early" time point at 24 to 48 hours after surgery and then a "Late" time point approximately 1 to 2 weeks after surgery. Read More

    Treatment of Head and Neck Arteriovenous Malformations Involving the Facial Nerve: A Tailored Algorithm.
    Ann Plast Surg 2018 May 30. Epub 2018 May 30.
    Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Basel, Switzerland.
    Background: Head and neck arteriovenous malformations (AVMs) involving branches of the facial nerve often cause tremendous cosmetic, functional, and psychological problems that are challenging to treat. We proposed an algorithm to obtain the optimal treatment and esthetic outcome.

    Methods: Medical records of 24 patients were reviewed between 2002 and 2015. Read More

    Vertical Inset of the Latissimus Dorsi Flap Improves Reconstruction Aesthetics by Reducing Scar Burden in the "Social Breast".
    Ann Plast Surg 2018 Jun;80(6S Suppl 6):S365-S371
    Department of Surgery, University of Tennessee College of Medicine Chattanooga.
    Purpose: The skin paddle of the latissimus dorsi flap is typically inset horizontally (HILD) in breast reconstruction. We describe our experience with the vertical inset of the latissimus dorsi (VILD) and its aesthetic benefit.

    Methods: We performed a case-control study comparing the most recent cases of both VILD and HILD. Read More

    Cadaveric Nerve Allograft: Single Center's Experience in a Variety of Peripheral Nerve Injuries.
    Ann Plast Surg 2018 Jun;80(6S Suppl 6):S328-S332
    From the Department of Plastic Surgery, University of Tennessee Health Sciences Center, Memphis, TN.
    The purpose of this study is to report a single center's experience with cadaveric nerve allograft (CNA) for functional restoration after traumatic nerve injuries including the head and neck region. Sixteen patients were included in the current study. Ages ranged from 5 to 62 years, with a mean age of 35 years. Read More

    A Cyst Compressing the Ulnar Nerve Motor Branch: Ultrasonographic Diagnosis of a Tricking Neuropathy.
    Ann Plast Surg 2018 Jul;81(1):124-125
    Don Carlo Gnocchi Onlus Foundation, Milan, Italy Rehabilitation Units, Policlinico Universitario Agostino, Gemelli Foundation, Rome, Italy; Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy; Hospital das Clinicas da Universidade da Sao Paulo, Brazil; Don Carlo Gnocchi Onlus Foundation, Milan, Italy; Don Carlo Gnocchi Onlus Foundation, Milan, Italy and Department of Geriatrics, Neurosciences and Orthopaedics, Università Cattolica del Sacro Cuore, Rome, Italy.

    Evaluating the Impact of Resident Participation and the July Effect on Outcomes in Autologous Breast Reconstruction.
    Ann Plast Surg 2018 May 24. Epub 2018 May 24.
    Department of Plastic, Reconstructive and Hand Surgery, Radboud University Medical Centre, Nijmegen, the Netherlands.
    Objective: Although resident involvement in surgical procedures is critical for training, it may be associated with increased morbidity, particularly early in the academic year-a concept dubbed the "July effect." Assessments of such phenomena within the field of plastic surgery have been both limited and inconclusive. We sought to investigate the impact of resident participation and academic quarter on outcomes for autologous breast reconstruction. Read More

    Relational Anatomy of the Mimetic Muscles and Its Implications on Free Functional Muscle Inset in Facial Reanimation.
    Ann Plast Surg 2018 May 24. Epub 2018 May 24.
    Department of Plastic and Reconstructive Surgery, University of Texas Southwestern Medical Center, Dallas, TX.
    Background: The human smile is a complex coordinated activity of mimetic muscles predominantly recognizable by a superolateral pull at the commissure and elevation of the upper lip. The aim of this study was to revisit the muscles of facial expression responsible for these motions, evaluate their relational anatomy and orientation, and relate this to optimal positioning of free muscle transfer in smile reanimation.

    Methods: Nineteen hemifaces from fresh cadaveric specimens were dissected. Read More

    Calcimycin Suppresses S100A4 Expression and Inhibits the Stimulatory Effect of Transforming Growth Factor β1 on Keloid Fibroblasts.
    Ann Plast Surg 2018 May 24. Epub 2018 May 24.
    From the Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China.
    Recent researches have indicated that S100A4 participates in tissue fibrosis, whereas calcimycin inhibits this process as a novel S100A4 transcription inhibitor. However, the relationship and mechanisms between calcimycin and S100A4 in keloid fibroblasts (KFs) remain unknown. The present research was aimed to evaluate the effect of calcimycin on S100A4 expression and pathogenesis in KFs. Read More

    The Soleus Muscle Flap: An Overview of Its Clinical Applications for Lower Extremity Reconstruction.
    Ann Plast Surg 2018 May 24. Epub 2018 May 24.
    From the Division of Plastic Surgery, Department of Surgery, University of California Davis Medical Center, Sacramento, CA.
    Lower extremity reconstruction often poses several challenges for the reconstructive surgeon. Because of limited local tissue options, patients who sustain extensive middle to distal third tibia fractures used to be at higher risk of limb loss without adequate soft tissue coverage. The traditional principle of reconstructing middle and distal third leg wounds with free tissue transfer is being challenged by advances in understanding of local muscle flap anatomy and surgical techniques to improve the efficacy of local flaps. Read More

    Is the SMARTLock Hybrid Maxillomandibular Fixation System Comparable to Intermaxillary Fixation Screws in Closed Reduction of Condylar Fractures?
    Ann Plast Surg 2018 May 24. Epub 2018 May 24.
    From the Lahey Hospital & Medical Center and Tufts University School of Medicine.
    Condylar fractures account for one third of all mandibular fractures. Despite being highly prevalent, treatment of these fractures remains controversial because of the sequelae of inadequate closed reduction and the risks associated with open repair. Multiple studies attempt to compare closed reduction with maxillomandibular fixation (MMF), open reduction with internal fixation, and endoscopic reduction with internal fixation. Read More

    Asian Facelift Technique Refinement With High Patient Satisfaction: FACE-Q Report.
    Ann Plast Surg 2018 May 24. Epub 2018 May 24.
    From the Department of Plastic Surgery, Wuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, People's Republic of China.
    Background: Facial aging is a complex process influencing every layer of the facial structure. Most accepted surgical techniques for facial rejuvenation involve certain manipulation of the superficial musculoaponeurotic system (SMAS). Out of these SMAS-based techniques, SMAS plication or suspension provides excellent outcomes with shorter convalescence and fewer potential complications. Read More

    Severe Delayed Hemorrhage After Cosmetic Rhinoplasty in the Setting of Maxillary Vascular Malformation.
    Ann Plast Surg 2018 May 24. Epub 2018 May 24.
    From the Long Island Plastic Surgical Group, Garden City, NY.
    Late epistaxis after rhinoplasty is a rare but potentially life-threatening occurrence. This case report concerns a 20-year-old woman who had severe epistaxis 5 and 10 days after a closed rhinoplasty with internal osteotomies and who ultimately required transcatheter arterial embolization for definitive control of the hemorrhagic source. Arterial hypervascularity, with signs of arteriovenous malformation, of the midface at the level of the piriform aperture and maxilla was seen on angiography. Read More

    Massive Localized Lymphedema: Analysis of Intraoperative Care.
    Ann Plast Surg 2018 Jul;81(1):75-79
    From the Division of Plastic Surgery, University of Kentucky, Lexington, KY.
    Massive localized lymphedema (MLL) is rare, but as the prevalence of obesity in adults rises, it can be foreseen that cases will increase in prevalence. These patients are unable to ambulate and have uncontrollable rash and skin breakdown. Operative management for MLL is offered when nonsurgical measures are ineffective. Read More

    An Evaluation of Reporting Guidelines and Clinical Trial Registry Requirements Among Plastic Surgery Journals.
    Ann Plast Surg 2018 May 23. Epub 2018 May 23.
    Department of Surgery, Oklahoma State University Medical Center, Tulsa, OK.
    Background: Ensuring that published studies are of the highest methodological quality is a critical step in plastic surgery's transition to a more evidence-based field. Reporting guidelines and reporting of clinical trial registration may serve as promising avenues of increasing the methodological quality in plastic surgery trials.

    Objective: The objective of this study is to evaluate the rate at which plastic surgery journals require reporting guidelines, as well as the effect these policies have on adherence to reporting guidelines. Read More

    Availability and Safety of Osteotomy in Esthetic Rhinoplasty of East Asian Patients.
    Ann Plast Surg 2018 May 23. Epub 2018 May 23.
    Department of Plastic and Reconstructive Surgery, Brain Research Institute, College of Medicine, Chungnam National University, Daejeon.
    Objective: East Asians usually have short and flat noses and broad nasal bones. Therefore, rhinoplasty with dorsal augmentation and nasal osteotomy is often required. However, many surgeons are wary of performing nasal osteotomy in conjunction with augmentation with silicone. Read More

    Three-dimensional Photogrammetric Analysis of Facial Soft-to-Hard Tissue Ratios After Bimaxillary Surgery in Facial Asymmetry Patients With and Without Sturge-Weber Syndrome.
    Ann Plast Surg 2018 May 23. Epub 2018 May 23.
    Eastman Dental Clinic, Seoul, Korea.
    Sturge-Weber syndrome (SWS) is a rare neurocutaneous syndrome characterized by facial port-wine stains. Most patients with facial asymmetry due to SWS have soft and/or hard tissue hypertrophy and require both soft tissue correction and bone surgery. In our experience, because SWS patients are more likely than non-SWS patients to be dissatisfied after bone surgery because of limited soft tissue change, we compared soft tissue changes after bimaxillary surgery between facial asymmetry patients with and without SWS. Read More

    Medial Plantar Venous Flap: Classic Donor Site Modification for Hand Defects.
    Ann Plast Surg 2018 May 23. Epub 2018 May 23.
    From the Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Yishan Rd 600, Shanghai 200233, PR China.
    Background: Destruction of digits from trauma results in a much more significant influence on patients' mental state and quality of life than do injuries to other parts. The purpose of this study was to describe a novel modification of medial plantar venous flap for soft tissue defects in the hands and digits.

    Methods: Nine patients received medial plantar venous flap to resurface soft tissue defects in the hands or digits between January 2015 and February 2017. Read More

    Merkel Cell Carcinoma of the Wrist: A Case Report.
    Ann Plast Surg 2018 May 23. Epub 2018 May 23.
    From the Department of Plastic and Reconstructive Surgery, Gachon University Gil Medical Center, Incheon, Korea.
    Purpose: Merkel cell carcinomas are a rare type of neuroendocrine tumors of the head, neck, and extremities commonly found in older patients. Merkel cell carcinomas present as red-to-purple and nontender nodules with or without surface ulceration, usually measuring 2 cm in diameter.

    Case Presentations: An 83-year-old woman with a skin-colored nodule on the dorsal aspect of her right wrist was referred to our department for treatment. Read More

    Use of a Vertical Muscle-Sparing Latissimus Dorsi Flap in Implant-Based Breast Reconstruction Without Position Change: A Preliminary Report.
    Ann Plast Surg 2018 May 23. Epub 2018 May 23.
    Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea.
    Background: The use of various latissimus dorsi (LD) flap types in combination with implants is a safe and reliable 1-stage breast reconstruction method. However, 1 or more positional changes are generally required during the procedure. We designed a vertical skin paddle that was centered along the midaxillary line and harvested the required LD muscle amount based on the thoracodorsal artery descending branch, thereby completing flap elevation, inset, and donor-site closure in the supine position following skin-sparing mastectomy. Read More

    Chest Wall-Based Flap for Repairing Partial Mastectomy Defects: A Multipurpose Flap.
    Ann Plast Surg 2018 May 23. Epub 2018 May 23.
    Objective: The objective of this study is to introduce a single and reproducible tissue-rearrangement oncoplastic technique that is applicable for all quadrants partial-mastectomy defects in small- to medium-sized breasts, using grounds drawn from cosmetic surgery.

    Methods: Eleven small- to medium-sized breast cancer patients with tumor involvement of more than a quarter of the breast were operated on using the chest wall-based flap technique. The procedure is described in detail, and the results are analyzed in terms of both cosmetic and oncological results. Read More

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