10,871 results match your criteria Annals of Plastic Surgery[Journal]


Priority Claim: First Lymphovenous Anastomosis Performed for Breast Lymphedema in 2016 and 2017.

Ann Plast Surg 2019 Apr 15. Epub 2019 Apr 15.

Department of Lymphatic Surgery AZ Sint-Maarten Mechelen, Belgium Department of Plastic and Reconstructive Surgery National Center for Global Health and Medicine Tokyo, Japan.

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http://dx.doi.org/10.1097/SAP.0000000000001862DOI Listing

Concentration of Chondrogenic Soluble Factors in Freshly Harvested Lipoaspirate.

Ann Plast Surg 2019 Apr 15. Epub 2019 Apr 15.

From the Department of Plastic Surgery, Hand Surgery-Burn Center University Hospital RWTH Aachen, Aachen, Germany.

Background: Cartilage tissue has a limited capacity for healing with the consequence that patients are often treated symptomatically until they become candidates for osteotomy or total joint replacement. Alternative biological therapies, for example, application of platelet-rich plasma and implantation of chondrocytes and mesenchymal stem cells, have emerged as a new treatment modality to repair articular cartilage. In addition, autologous fat transfer is performed for treatment of cartilage defects, example given, in osteoarthrosis, but several questions regarding basic biochemical properties of the transplant remain unanswered. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001936DOI Listing
April 2019
1 Read

Role of Active Range of Motion in Hand and Wrist Joint Photography: A Preliminary Analysis.

Ann Plast Surg 2019 Apr 15. Epub 2019 Apr 15.

From the Hand Surgery Division, Plastic, Reconstructive and Aesthetic Surgery Department, Faculty of Medicine, Selcuk University, Selcuklu, Konya, Turkey.

Introduction: Hand photography is effective and advantageous for assessing functional deficits and improvements related to surgery. In this study, it is aimed to investigate whether the correct active range of motion (ROM) is masked by the passive ROM in a wrist joint.

Method: Eleven patients who were treated for unilateral wrist fractures were included in the study. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001845DOI Listing
April 2019
1 Read

Cadaveric Bilateral Proximal Forearm Allotransplantation.

Ann Plast Surg 2019 May;82(5):574-576

From the Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India.

Until, sometime ago, microsurgery meant mainly covering a defect or replanting severed parts back to where they belong. Now, restoration of original function and aesthetic consideration is a must in planning reconstructive procedure. Hand transplant combines hand surgery and microsurgery with complex multidisciplinary care. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001829DOI Listing
May 2019
1 Read

Management of Major Burns in 37 Casualties of a Colored Powder Explosion: Experience of the Linkou Burn Center in Taiwan.

Ann Plast Surg 2019 May;82(5):512-519

From the Department of Plastic and Reconstructive Surgery, and.

Background: On June 27, 2015, a colored powder explosion occurred in Taiwan. As a result, 499 people were injured, and over 200 people were in critical condition because of severe burns. Forty-nine casualties were transported to the Chang Gung Memorial Hospital. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001928DOI Listing
May 2019
2 Reads

Poland Sequence: Retrospective Analysis of 66 Cases.

Ann Plast Surg 2019 May;82(5):499-511

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
May 2019
1 Read

The Power of Patient Norms: Postoperative Pathway Associated With Shorter Hospital Stay After Free Autologous Breast Reconstruction.

Ann Plast Surg 2019 May;82(5S Suppl 4):S320-S324

From the Division of Plastic and Reconstructive Surgery, Stanford University School of Medicine, Stanford, CA.

Introduction: Enhanced recovery after surgery pathways designed to optimize postoperative care have become increasingly popular across multiple surgical specialties with proven benefits. In this retrospective cohort study, we present a comparative evaluation of the impact of protocol-based postoperative care on free autologous breast reconstruction patients.

Methods: With institutional review board approval, we performed a chart review of patients who underwent breast reconstruction with free autologous tissue transfer by a single surgeon from 2006 to 2017. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001767DOI Listing

Cosmetically Challenging Congenital Melanocytic Nevi.

Ann Plast Surg 2019 May;82(5S Suppl 4):S306-S309

Division of Plastic and Reconstructive Surgery, Cedar-Sinai, Los Angeles, CA.

Background: Congenital melanocytic nevi (CMN) have a 1% to 5% lifetime risk for malignant transformation, with 50% of transformations occurring before the age of 5 years.The aim of this study is to assess the risk of melanoma development in pediatric patients with facial CMN involving the eyebrows, eyelid margins, and nasal alae where a margin of CMN was not excised to preserve these structures.

Methods: A retrospective chart review of all pediatric patients with CMN from 1986 to 2014 was performed to review demographic information, diagnosis, and number of surgeries. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001766DOI Listing

A Study to Evaluate Change in Ventricular Volume Obtained by Cranial Distraction for Craniosynostosis.

Ann Plast Surg 2019 May;82(5S Suppl 4):S301-S305

From the Plastic Surgery Division, Department of Surgery, and.

Background: The aims of the current analysis were to study the change in ventricular volume (VV) obtained with cranial distraction in patients with craniosynostosis and compare it with the change in total intracranial volume (ICV) and brain volume.

Methods: After institutional review board approval, a retrospective review was performed on patients undergoing cranial distraction over a 5-year period. GE Healthcare AdW 4. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001802DOI Listing
May 2019
3 Reads

Can Head Circumference Be Used as a Proxy for Intracranial Volume in Patients With Craniosynostosis?

Ann Plast Surg 2019 May;82(5S Suppl 4):S295-S300

Department of Neurosurgery, University of California San Diego, Rady Children's Hospital, San Diego, CA.

Background: Calculation of intracranial volume from neuroimaging can be complex and time consuming. In the adult population, there is evidence suggesting that owing to its strong correlation, head circumference (HC) may be used as a surrogate for intracranial volume (ICV). We were interested in studying the correlation between HC and ICV in patients with craniosynostosis. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001803DOI Listing
May 2019
4 Reads

Alloplastic Cranioplasty Reconstruction: A Systematic Review Comparing Outcomes With Titanium Mesh, Polymethyl Methacrylate, Polyether Ether Ketone, and Norian Implants in 3591 Adult Patients.

Ann Plast Surg 2019 May;82(5S Suppl 4):S289-S294

Division of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Rochester, MN.

Background: Acquired defects of the cranium represent a reconstructive challenge in patients with calvarial bone loss due to trauma, infection, neoplasia, congenital malformations, or other etiologies. The objective of this study was to compare postoperative rates of infection, local complications, and allograft failures following cranioplasty reconstruction using titanium mesh (Ti), polymethyl methacrylate (PMMA), polyether ether ketone (PEEK), and Norian implants in adult patients.

Methods: This constitutes the first systematic review of available literature on 4 different methods of alloplastic cranioplasty reconstruction, including Ti, PMMA, PEEK, and Norian implants, using the Newcastle-Ottawa Quality Assessment Scale guidelines for article identification, screening, eligibility, and inclusion. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001801DOI Listing

A Message From the CSPS President: What a Year!

Authors:
Michael S Wong

Ann Plast Surg 2019 May;82(5S Suppl 4):S272-S284

From the California Society of Plastic Surgeons and the University of California Davis, Department of Surgery, Division of Plastic Surgery, Sacramento, CA.

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http://dx.doi.org/10.1097/SAP.0000000000001941DOI Listing
May 2019
1 Read
1.458 Impact Factor

Commentary in Response to "Discussion: Unfiltered Nanofat Injections Rejuvenate Postburn Scars of Face".

Ann Plast Surg 2019 Apr 9. Epub 2019 Apr 9.

Department of Biomedical SciencesKing Edward Medical UniversityLahore, Pakistan

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http://dx.doi.org/10.1097/SAP.0000000000001838DOI Listing

Eighth Dedicated California Society of Plastic Surgeons Annals.

Ann Plast Surg 2019 May;82(5S Suppl 4):S271

California Society of Plastic Surgeons, University of California Davis, Plastic Surgery Residency, Sacramento, CA.

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http://dx.doi.org/10.1097/SAP.0000000000001940DOI Listing

Hematoma Risks of Nonsteroidal Anti-inflammatory Drugs Used in Plastic Surgery Procedures: A Systematic Review and Meta-analysis.

Ann Plast Surg 2019 Apr 2. Epub 2019 Apr 2.

From the Departments of Plastic and Reconstructive Surgery and.

Background: The opioid crisis in America has sparked a shift toward a multimodality perioperative pain regimen. The use of nonsteroidal anti-inflammatory drugs (NSAIDs) in the perioperative period decreases opioid consumption and increases efficacy. However, many plastic surgeons avoid their use because of antiplatelet effects. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001898DOI Listing

Histological Evidence of Intrinsic Muscle Degeneration in Compression Ulnar Neuropathy.

Ann Plast Surg 2019 May;82(5):541-545

Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea.

Purpose: We investigated the histological characteristics of the tissues in the intrinsic hand muscles of patients with compressive ulnar neuropathy (CUN) to determine how the compromised nerve influences the target muscle.

Methods: In total, 83 patients underwent surgery for CUN in our institution between March 2015 and August 2017. Of these, 45 patients who met our inclusion/exclusion criteria were initially included in this study. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001853DOI Listing
May 2019
3 Reads

Flexor Tendon Reconstruction: Active Range of Motion After the First Stage of Silicone Rod Insertion.

Ann Plast Surg 2019 May;82(5):523-527

From the Division of Plastic Surgery, King Saud University; and the Division of Plastic Surgery at King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.

Purpose: In the first stage of flexor tendon reconstruction, a silicon rod is fixed distally to the remnant of the flexor tendon at the distal phalanx. The proximal end of the rod is left free (unsutured) in the distal forearm. Hence, the rod insertion is not expected to result in any active flexion of the finger. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001815DOI Listing

Surgical Site Infection Risk Factor Analysis in Postbariatric Patients Undergoing Body Contouring Surgery: A Nested Case-Control Study.

Ann Plast Surg 2019 May;82(5):493-498

From the Department of Plastic Surgery, Assaf Harofeh Medical Center, Zerifin, Affiliated to the Sackler Faculty of Medicine, and.

Background: Surgical site infections (SSIs) following body-contouring plastic surgery pose a significant burden on patients and caregivers, possibly leading to undesired surgical outcomes. Surgical site infection incidence following body-contouring plastic surgery ranges from 2% to 7%, but is estimated much higher among postbariatric massive weight loss (MWL) patients.

Objective: The aim of this study was to evaluate SSI rate, risk and protective factors among postbariatric MWL patients following body-contouring plastic surgery. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001819DOI Listing
May 2019
3 Reads

The Gold Standard: It's Time to Shun the Term.

Ann Plast Surg 2019 May;82(5):485

From the Max Institute of Reconstructive Aesthetic Cleft and Craniofacial Surgery, Max Super Specialty Hospital, Press Enclave Marg Saket, Delhi, India.

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http://dx.doi.org/10.1097/SAP.0000000000001836DOI Listing
May 2019
1 Read

A Drain-free Technique for Female-to-Male Gender Affirmation Chest Surgery Decreases Morbidity-Outcomes From 306 Consecutive Masculoplasties.

Ann Plast Surg 2019 Mar 20. Epub 2019 Mar 20.

From the Division of Plastic Surgery, Department of Surgery, Indiana University, Indianapolis, IN.

Purpose: One of the most common surgical procedures for gender affirmation surgery of the chest is mastectomy. The aims of this article are to review the outcomes of a single surgeon's experience with a drainless technique, which we named "masculoplasty" and compare morbidity in this group to previously published outcomes where drains were used.

Methods: A retrospective chart review was undertaken of all patients presenting to a single surgeon for gender-affirming chest surgery. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001810DOI Listing
March 2019
3 Reads

Tip Reinforcement Flap: An Original Technique for Improving Nasal Tip Support and Definition.

Ann Plast Surg 2019 Jan 15. Epub 2019 Jan 15.

Department of Plastic and Reconstructive Surgery, Istanbul Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.

Background: Middle crura support deficiency and short middle crura can usually cause insufficient definition and projection of the tip and can sometimes result in a flat tip. The aim of this study was to investigate the effectiveness of a new technique involving a tip reinforcement flap to strengthen the middle crura and to achieve a well-projected and defined tip.

Methods: Twenty-nine patients who underwent primary open-approach rhinoplasty that included the use of tip reinforcement flaps were included in the study. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001780DOI Listing
January 2019
1 Read

Assessing the Fisher, Mohler, and Millard Techniques of Cleft Lip Repair Surgery With Eye-Tracking Technology.

Ann Plast Surg 2019 May;82(5S Suppl 4):S313-S319

Division of Plastic and Reconstructive Surgery, Stanford University, Stanford, CA.

Background: Cleft lip repair is essential to restoring physiologic function and ensuring social and psychological well-being in children with orofacial clefts. It is important to critically study various techniques to understand the elements of the lip and nasal repair that contribute to favorable results. Here, we use eye-tracking technology to evaluate how viewers analyze images of cleft lips repaired by the Fisher, Millard, or Mohler techniques. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001911DOI Listing
May 2019
5 Reads

Ossification of the Vascular Pedicle After Microsurgical Soft Tissue Transfer of the Lateral Upper Arm Free Flap.

Ann Plast Surg 2019 Mar 13. Epub 2019 Mar 13.

From the Department for Oral and Maxillofacial Surgery, and.

Reconstruction of intraoral defects is one of the main aspects of head and neck cancer treatment. Since the advent of microvascular surgery in this field, free flap tissue transfer has become a common procedure, and various flaps have been described for soft tissue reconstruction. The lateral upper arm free flap is one of the most frequently used flaps for intraoral defect coverage. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001876DOI Listing

Dorsal Block Splinting of Volar Plate Injuries at Neutral Position.

Ann Plast Surg 2019 May;82(5):520-522

Purpose: Volar plate injuries of the proximal interphalangeal joint (PIPJ) of a finger are common, often occurring in sporting or workplace incidents. Treatment of a stable dorsal dislocation entails a conservative approach, directed at preventing hyperextension and allowing the ligament to heal in position that does not negatively impact on healing. Current treatment regimens include dorsal block splinting (DBS) in 30° of flexion, which maintains the PIPJ in flexion in order to prevent any strain on the healing tissue while attempting to restore anatomical position. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001820DOI Listing
May 2019
1 Read

Postural Changes After Abdominoplasty in Morbid Obese Patients.

Ann Plast Surg 2019 Mar 13. Epub 2019 Mar 13.

Divison of Plastic and Reconstructive Surgery, University of the Study of Naples "Federico II".

Background: In the multidisciplinary treatment of obesity, the role of a plastic surgeon is to remove the excess of skin after weight loss to obtain cosmetic, functional, and psychological benefits. Obesity modifies body geometry, increases the mass of different segments, and imposes functional limitations in life activities that may predispose the obese to injury. The authors evaluated the postural conditions of obese patients, before and 12 months after surgery. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001807DOI Listing

Effect on Facial Growth of the Management of Cleft Lip and Palate.

Ann Plast Surg 2019 Mar 13. Epub 2019 Mar 13.

Department of Plastic Surgery, NYU Langone Health Hansjörg Wyss, New York, NY.

Treatment of cleft lip and palate ordinarily requires multiple interventions spanning the time of birth to adulthood. Restriction of facial growth, a common occurrence in affected children, is due to multiple factors. There are multiple surgical and therapeutic options, which may have influence on facial growth in these patients. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001800DOI Listing
March 2019
2 Reads

The Impact of Preoperative Negative-Pressure Wound Therapy on Pectoralis Major Muscle Flap Reconstruction for Deep Sternal Wound Infections.

Ann Plast Surg 2019 Mar 13. Epub 2019 Mar 13.

University of Milan, Reconstructive and Aesthetic Plastic Surgery School, Department of Medical Biotechnology and Translational Medicine BIOMETRA-Plastic Surgery Unit, Humanitas Research Hospital, Rozzano, Milan, Italy.

Background: Deep sternal wound infection (DSWI) represents a life-threatening complication following open-heart surgery and pectoralis major muscle flap reconstruction has led to a significant reduction in mortality and morbidity. Negative-pressure wound therapy represented a step forward in DSWI treatment, both as a single procedure or as a preparation for reconstructive surgery.In the present study, we report our 13 years' experience with sternal reconstruction in order to evaluate the impact of preoperative vacuum-assisted closure (VAC) therapy on reconstructive outcome. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001799DOI Listing

Pocket Irrigation and Technique During Reconstructive Surgery: An American Society of Plastic Surgery Survey of Current Practice.

Ann Plast Surg 2019 Mar 13. Epub 2019 Mar 13.

Departments Biology, Geology, and Environmental Science.

Background: Expander-to-implant is the most common breast reconstruction procedure in the United States. Irrigation with triple antibiotic solution (TAS), as described by Adams et al in 2006, has become standard of care to lower bacterial bioburden. However, several alternative solutions have been implemented with the literature lacking a consensus regarding use (Plast Reconstr Surg. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001790DOI Listing

Malignant Phyllodes Tumor Recurrence in the Pleural Cavity via the Deep Inferior Epigastric Perforator Flap and Internal Mammary Vessel Bundle: A Case Report.

Ann Plast Surg 2019 Mar 13. Epub 2019 Mar 13.

Division of General Surgery, Department of Surgery, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi, Taiwan.

We report a rare case that after rapid recurrence there was pathological transition from a fibroadenoma and benign phyllodes tumor to borderline and malignant phyllodes tumor. Another rare finding included tumor dissemination in the pleural cavity via reconstructed deep inferior epigastric perforator flap edge and internal mammary vessel bundle. Hence, we eliminated the use of internal mammary vessel bundle as the recipient vessel for free-flap reconstruction to avoid recurrence in the pleural cavity. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001795DOI Listing
March 2019
4 Reads

Nipple Areola Complex Reconstruction With the "Half-Dome" Technique Following Implant-Based Breast Reconstruction.

Ann Plast Surg 2019 Mar 13. Epub 2019 Mar 13.

From the Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA.

Background: No single technique for nipple areola reconstruction best fits every patient and clinical scenario. Many techniques fail to provide long-term projection. One especially challenging cohort are those patients who have undergone bilateral implant-based reconstruction. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001797DOI Listing

The Cost to Attending Surgeons of Resident Involvement in Academic Hand Surgery.

Ann Plast Surg 2019 May;82(5S Suppl 4):S285-S288

Division of Plastic Surgery, Medical University of South Carolina, Charleston, SC.

Purpose: For many types of surgical cases, there is an increase in length with the participation of a resident physician. The lost operative time productivity is not necessarily mitigated in any fashion other than to benefit the experience of the trainee. Moreover, increasing pressures to maximize productivity, coupled with diminishing reimbursements serve to disincentive resident involvement. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001873DOI Listing
May 2019
2 Reads

Early Experience With Body Contouring Procedures in Patients With End-Stage Renal Disease Awaiting Renal Transplant.

Ann Plast Surg 2019 May;82(5S Suppl 4):S339-S341

From the Division of Plastic Surgery, University of California, Davis, California.

Introduction: Patients with (end-stage renal disease) ESRD often have many medical comorbidities, posing a higher risk for any surgical procedure. Obese patients are asked to lose weight to become more acceptable renal transplant candidates. Unfortunately, this often results in a panniculus and excess ptotic skin with accompanying functional and aesthetic concerns. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001870DOI Listing
May 2019
2 Reads

Improved Adipocyte Viability in Autologous Fat Grafting With Ascorbic Acid-Supplemented Tumescent Solution.

Ann Plast Surg 2019 Mar 13. Epub 2019 Mar 13.

From the Department of Plastic, Reconstructive, Aesthetic and Hand Surgery.

Introduction: In reconstructive surgery, fat volume augmentation is often necessary for esthetic or functional reasons. As an alternative to synthetic and xenogeneic materials, autologous fat grafting (AFG) based on liposuction is gaining popularity, yet successful transplantation and long-term volume maintenance are difficult. Standard tumescent solution formulations neglect adipocyte and stromal vascular fraction (SVF) cell survival during extraction, as well as SVF differentiation into adipocytes thereafter, all of which are crucial for the success of AFG. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001857DOI Listing
March 2019
1 Read

Rosai-Dorfman Disease: Cutaneous and Parotid Involvement.

Ann Plast Surg 2019 Mar 13. Epub 2019 Mar 13.

From the Division of Plastic and Reconstructive Surgery, Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon.

Rosai-Dorfman disease (RDD), also known as sinus histiocytosis with massive lymphadenopathy, is a rare and benign proliferative disease that affects histiocytes. Its etiology remains unclear. Rosai-Dorfman disease primarily affects lymph nodes with many extranodal manifestations present, including cutaneous, pulmonary, ophthalmic, and gastrointestinal. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001794DOI Listing

Clinical and Molecular Study of ELMO-2-Related Massive Intraosseous Vascular Malformations: Lessons Learned From 25 Years of Follow-up.

Ann Plast Surg 2019 Mar 13. Epub 2019 Mar 13.

Department of Radiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Massive intraosseous vascular malformations, a relatively rare entity in the vascular malformation spectrum, deserves attention as involving the membranous bones of the craniofacial skeleton and may lead to severe life-threatening hemorrhages and even death. The main aim of this study was to summarize the 25 years of clinical experience with these vascular malformation osseous patients, focus on the molecular and genetic aspect of the clinical entity, and to emphasize the certain challenging conditions in the treatment of these patients. All the patients appeared to be unaffected at birth, whereas initial symptoms occasionally began with painless swelling in the mandible in early childhood. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001786DOI Listing
March 2019
1 Read

A Bibliometric Analysis of the Most Cited Articles in Global Reconstructive Surgery.

Ann Plast Surg 2019 Mar 13. Epub 2019 Mar 13.

Division of Plastic & Reconstructive Surgery, Department of Surgery, University of Toronto.

Background: A substantial global inequality exists between surgical need and the availability of safe, affordable surgical care. Low- and middle-income countries have the greatest burden of untreated surgical disease and addressing this inequity is the goal of the Global Surgery movement. Reconstructive surgery is a fundamental component of Global Surgery as it is central to the appropriate treatment of trauma, burns, wounds, and congenital malformations. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001787DOI Listing

Abdominal Contouring and Male Gender: Analysis of Complications Using the National Quality Improvement Program Database.

Ann Plast Surg 2019 Mar 13. Epub 2019 Mar 13.

From the Division of Plastic and Reconstructive Surgery, School of Medicine, University of Utah, Salt Lake City, UT.

Background: Males represent a significant portion of patients undergoing abdominal contouring. Despite this, there are few studies examining the implication of gender on complications.

Objective: The aim of this study was to examine the association between gender and early postoperative outcomes in patients undergoing abdominal contouring procedures. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001785DOI Listing
March 2019
1 Read

Number of Excised Lymph Nodes Has No Impact on Relapse and Survival in Patients With Stage III Melanoma.

Ann Plast Surg 2019 Mar 13. Epub 2019 Mar 13.

From the Department of Medical Oncology, Institute of Oncology, University of Istanbul, Istanbul, Turkey.

Background: Even though both the involvement of regional lymph nodes and the number of metastatic lymph nodes are regarded as major determinants of survival in cutaneous melanoma, the extent of node dissection has been analyzed as an independent prognostic indicator in only a few studies. This study aims to determine how the extent of lymph node excision (EN) might predict the disease relapse and survival in melanoma.

Methods: A total of 317 patients with stage III melanoma were included in the study and reviewed retrospectively. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001788DOI Listing

Intraoperatively Detected But Previously Indocyanine Green-Negative Lymphatic Vessels May Have Misprized Potentials and Should Not Be Neglected in Lymphaticovenous Bypass Surgery.

Ann Plast Surg 2019 Mar 13. Epub 2019 Mar 13.

Joseph M. Still Burn and Reconstructive Center, Jackson, MS.

Introduction: Identification of patent lymphatic vessels without fibrosis and with high flow is difficult but crucial in the preoperative planning of lymphaticovenous anastomosis (LVA). Lymphatic vessels on the operating field cannot always be visualized preoperatively because of the anatomical and physiological characteristics of lymphedema tissue. The purposes of this study were to demonstrate our clinical experience in identifying indocyanine green (ICG)-negative lymphatics intraoperatively and to emphasize the therapeutic potential of performing anastomoses with ICG-negative lymphatics. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001781DOI Listing
March 2019
3 Reads

Helical Rim Reconstruction With Chondrocutaneous Hatchet Flap-Z Plasty.

Ann Plast Surg 2019 May;82(5):533-536

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

Background: Helical rim reconstruction is relatively difficult because of the unique anatomical structure of the ear. The aesthetic and functional characteristics of the ear make such reconstruction even more important. This article presents the newly defined chondrocutaneous hatchet flap-Z plasty (HFZP) method in helical rim defects and evaluates the results. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001774DOI Listing
May 2019
1 Read

Microsurgical Reconstruction of the Smile: A Critical Analysis of Outcomes.

Ann Plast Surg 2019 May;82(5S Suppl 4):S310-S312

From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA.

Background: Facial paralysis is a significant problem with functional, psychological, and esthetic consequences. Free muscle transfer for reanimation of the smile has been established as the preferred reconstructive method. However, little has been reported on the complications after this procedure. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001869DOI Listing
May 2019
1 Read

Effects of Perioperative Venous Thromboembolism on Outcomes in Soft Tissue Reconstruction of Traumatic Lower Extremity Injuries.

Ann Plast Surg 2019 May;82(5S Suppl 4):S345-S349

From the Division of Plastic and Reconstructive Surgery, Keck School of Medicine of USC, Los Angeles, CA.

Background: Venous thromboembolism (VTE), including deep vein thrombosis and pulmonary embolism, represents a significant perioperative complication. However, the outcomes of lower extremity salvage in the setting of perioperative VTE are not well reported.

Methods: A retrospective review of lower extremity trauma patients requiring soft tissue reconstruction between July 2007 and December 2015 at an urban trauma center was performed. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001871DOI Listing

The Utility of Google Trends Data for Analyzing Public Interest in Breast Procedures.

Ann Plast Surg 2019 May;82(5S Suppl 4):S325-S331

Division of Plastic Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA.

Background: Google Trends (GT) is a free, open-source tool that permits customizable analysis of search term volumes entered into the Google search engine. Google Trends data may offer useful and actionable insight to plastic surgeons pertaining to worldwide, national, and regional evolution of patient interest for breast procedures and other common surgeries.

Methods: Search terms were generated using the "related queries" feature of GT. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001806DOI Listing
May 2019
6 Reads

Digital Pulley Reconstruction Using Pulley Allografts: A Comparison With Traditional Tendon-Based Techniques.

Ann Plast Surg 2019 Mar 12. Epub 2019 Mar 12.

Division of Plastic Surgery, the University of Kentucky.

Background: The safety and feasibility of sterile, acellular pulley allografts in reconstruction has been previously demonstrated. Comparisons with tendon-based techniques for pulley reconstruction have not been reported. We hypothesized that the use of allograft pulleys would result in reduced procedural time and equivalent clinical outcomes as compared with traditional tendon-based reconstructive techniques. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001793DOI Listing

Recurrent Breast Cerebrospinal Fluid Pseudocyst: A Complication of Ventriculoperitoneal Shunt Placement.

Ann Plast Surg 2019 Mar 12. Epub 2019 Mar 12.

From the Division of Plastic Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.

Ventriculoperitoneal (VP) shunt complications involving the breast are rare, with the majority involving the formation of a cerebrospinal fluid pseudocyst. We present the case of a 22-year-old woman with recurrent cerebrospinal fluid pseudocyst secondary to fracture of a VP shunt at the time of breast surgery for breast asymmetry. We review the literature on this topic and present our case that highlights the need of the breast surgeon to take into account the position of VP shunts placed at birth. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001769DOI Listing
March 2019
4 Reads

What Do Plastic Surgery Patients Think of Financial Conflicts of Interest and the Sunshine Act?

Ann Plast Surg 2019 Mar 12. Epub 2019 Mar 12.

Division of Plastic & Reconstructive Surgery, Massachusetts General Hospital, Boston, MA.

Background: The purpose of this study was to evaluate patients' views of conflicts of interest (COI) and their comprehension of recent legislation known as the Physician Payments Sunshine Act. This report constitutes the first evaluation of plastic surgery patients' views on COI and the government-mandated Sunshine Act.

Methods: This cross-sectional study invited patients at an academic, general plastic surgery outpatient clinic to complete an anonymous survey. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001756DOI Listing
March 2019
4 Reads

Correction of Congenital Telecanthus by Extended Medial Epicanthoplasty With Skin Redraping Method.

Ann Plast Surg 2019 May;82(5):528-532

Woori Plastic Surgery Clinic, Seoul, Korea.

Background: Recently, skin-redraping medial epicanthoplasty has emerged as an extremely effective way to minimize the resultant scar. We found that the novel skin-redraping medial epicanthoplasty technique, which has been applied to aesthetic surgery, could also be suitable for the correction of congenital epicanthus and telecanthus.

Methods: We retrospectively identified patients who had an epicanthoplasty from December 2007 to August 2017. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001758DOI Listing

Response to Dr. Gips' Letter to the Editor.

Ann Plast Surg 2019 May;82(5):591

Keck School of Medicine, University of Southern California, Los Angeles, CA

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http://dx.doi.org/10.1097/SAP.0000000000001755DOI Listing
May 2019
2 Reads

Letter to the Editor per Vartarian et al.

Authors:
Moshe Gips

Ann Plast Surg 2019 May;82(5):591

Assuta Medical Center, Tel-Aviv, Israel

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http://dx.doi.org/10.1097/SAP.0000000000001754DOI Listing

Posterior Tibial Artery Perforator Flaps Carrying Partial Gastrocnemius Muscle for Repair of Soft Tissue Defects With Dead Space in the Ankle and Foot.

Ann Plast Surg 2019 May;82(5):552-559

From the Burn Plastic Surgery, The First Affiliated Hospital of Soochow University, Soochow University, Suzhou, China.

Background: Soft tissue defects with dead space in the ankle and foot remain a challenge for surgeons. The aim of the study was to evaluate the surgical technique and clinical significance of posterior tibial artery perforator flaps carrying partial gastrocnemius muscle for patients with soft tissue defects with dead space in the ankle area.

Methods: Between August 2015 and August 2017, 14 patients (2 women and 12 men) between 20 and 58 years old (median age, 42 years) were hospitalized in The First Affiliated Hospital of Soochow University. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001748DOI Listing
May 2019
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