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    10284 results match your criteria Annals of Plastic Surgery[Journal]

    1 OF 206

    Liposomal Bupivacaine May Benefit Select Reduction Mammaplasty Patients.
    Ann Plast Surg 2017 Oct 31. Epub 2017 Oct 31.
    From the *Division of Plastic Surgery, Department of Surgery, and †School of Medicine, University of Texas Medical Branch, Galveston, TX.
    Background: Postoperative pain control can be challenging in reduction mammaplasty patients. This study compares perioperative liposomal bupivacaine (Exparel; Pacira Pharmaceuticals, Inc, San Diego, Calif) with standard local anesthetics to determine if liposomal bupivacaine decreases opioid and antiemetic use, impacting length of stay and complication rates, thus improving patient outcomes.

    Methods: A retrospective review of 170 reduction mammaplasty patients was performed. Read More

    The Effectiveness of Sternocleidomastoid Flap Versus Superficial Musculoaponeurotic System Flap for the Prevention of Frey Syndrome and Facial Depressed Deformity in Parotid Surgery for Pleomorphic Adenoma.
    Ann Plast Surg 2017 Oct 31. Epub 2017 Oct 31.
    From the *Ear nose and throat and Maxillofacial surgery Department, Istituto di Ricovero e Cura a Carattere Scientifico, Referral Cancer Center of Basilicata, Potenza; †Ear nose and throat Department, "S. Maria delle Grazie" Hospital, Azienda Sanitaria Locale Napoli 2 Nord, Pozzuoli, Italy; ‡Laboratory of Preclinical and Translational Research, Istituto di Ricovero e Cura a Carattere Scientifico, Referral Cancer Center of Basilicata, Potenza; and §Department of Anesthesia and Intensive Care, Istituto Nazionale Tumori "Fondazione Pascale," Napoli, Italy.
    The purpose of this study was to compare 2 types of reconstruction techniques: sternocleidomastoid (SCM) flap and superficial musculoaponeurotic system (SMAS) flap after partial parotidectomy (PP) for preventing Frey syndrome (FS) and concave facial depressed deformity. A total of 99 patients underwent PP for pleomorphic adenoma of the parotid gland. The patients were divided in 2 groups according to the dimension of the tumor: tumors less than 3 cm (group A, 47 patients) and tumors greater than or equal to 3 cm (group B, 52 patients). Read More

    Interposition Tendon Graft and Tension in the Repair of Closed Rupture of the Flexor Digitorum Profundus in Zone III or IV.
    Ann Plast Surg 2017 Oct 31. Epub 2017 Oct 31.
    From the *Department of Orthopedic Surgery, Busan Paik Hospital, College of Medicine, Inje University, Busan; †Department of Orthopedic Surgery, Kyung Hee University Hospital, School of Medicine, Kyung Hee University, Seoul; and ‡Department of Orthopedic Surgery, Gyeongsang National University Hospital, School of Medicine Gyeongsang National University, Jinju, Republic of Korea.
    We report the results of interposition tendon grafts using the ipsilateral palmaris longus tendon in 12 patients with closed flexor digitorum profundus tendon ruptures in zone III or IV of 14 digits between June 2006 and October 2015. Before surgery, 2 patients were diagnosed with closed tendon ruptures that occurred after nonunion of hamate hook fractures. The other 10 patients were diagnosed with spontaneous tendon ruptures of unknown cause. Read More

    Determination of Pneumatic Tourniquet Pressure of Lower Limb by Ultrasonic Doppler.
    Ann Plast Surg 2017 Oct 31. Epub 2017 Oct 31.
    From the *Surgical Operating Room, Affiliated Zhongshan Hospital of Dalian University, Dalian, Liaoning, China; and †JMS Burn and Reconstruction Center, Jackson, MS.
    Objective: The aim of this study was to investigate the clinical effect of tourniquet inflation pressure setting by ultrasonic Doppler on lower limb operation.

    Methods: Ninety-six patients with total knee arthroplasty were selected in this study from January 2015 to December 2015. The patients were randomly divided into the study group and the control group with 48 cases in each group. Read More

    Low Versus High Vacuum Suction Drainage of the Submuscular Pocket in Primary Breast Reconstruction: A Retrospective Study.
    Ann Plast Surg 2017 Oct 31. Epub 2017 Oct 31.
    From the *Department of Plastic and Reconstructive Surgery, Catholic University of the Sacred Heart, University Hospital "A. Gemelli," Rome; †Department of Surgery, Microsurgery and Medical Sciences, Plastic Surgery Unit, University of Sassari, Sassari; and ‡ Department of Medicine and Surgery, Plastic Surgery Unit, Azienda Ospedaliera Universitaria OO.RR. San Giovanni di Dio e Ruggi d'Aragona, University of Salerno, Salerno, Italy.
    Background: Placement of suction drainage in submuscular pockets is routinely performed in breast reconstruction. Days of drain permanence (DDP) are associated with hospital stay and related health care costs. The aims of this study are to retrospectively compare data related to DDP and total drainage volume between high and low vacuum suction drainage groups and to identify correlations with patient or surgery-related factors. Read More

    Venous Thromboembolism After Surgical Treatment of Breast Cancer.
    Ann Plast Surg 2017 Oct 31. Epub 2017 Oct 31.
    From the *Division of Plastic and Reconstructive Surgery, Stanford University, Palo Alto, CA; and †Division of Plastic Surgery, University of Pennsylvania, Philadelphia, PA.
    Background: Venous thromboembolism (VTE) remains a serious complication after the surgical treatment of breast cancer. Contemporary guidelines limit VTE chemoprophylaxis to the period of hospitalization. We conducted this study to evaluate the frequency of postdischarge VTE among surgically treated breast cancer patients and identify patient level factors associated with postdischarge VTE. Read More

    Defining the Role of Free Flaps for Transoral Robotic Surgery.
    Ann Plast Surg 2017 Oct 31. Epub 2017 Oct 31.
    From the *Department of Otorhinolaryngology-Head and Neck Surgery, University of Maryland School of Medicine, Baltimore, MD; and †Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA.
    Background: Transoral surgical techniques for oropharyngeal tumors have been widely accepted, yet often results in a significant functional deficit. Current reports on the safety, feasibility, and swallowing performance after microvascular reconstruction are limited to small volume case series.

    Materials And Methods: Retrospective review of 42 consecutive patients, between December 2013 and May 2016, who underwent transoral robotic surgery oropharyngectomy followed by microvascular reconstruction. Read More

    Immediate Perineal Reconstruction After Extralevatory Abdominoperineal Excision: Buried Desepidermised Fasciocutaneous V-Y Advancement Flap.
    Ann Plast Surg 2017 Oct 31. Epub 2017 Oct 31.
    From the *Department of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, Istanbul, Turkey; †Department of General Surgery, Okmeydani Training and Research Hospital, Istanbul, Turkey.
    Background: According to National Cancer Institute, there are approximately 39,800 rectal cancer cases per year, 25% of which will need an abdominoperineal resection (APR). The key to avoid most of the complications related to pelvic defect that occurs after APR is choosing an appropriate reconstruction option for perineum. This study aims to introduce an easily applicable flap option for closure to address postoperative pelvic defect in low rectal cancer. Read More

    Immediate Enhancement of Nerve Function Using a Novel Axonal Fusion Device After Neurotmesis.
    Ann Plast Surg 2017 Dec;79(6):590-599
    From the *Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN; †Axogen Corporation, Alachua, FL; ‡Vanderbilt University Institute of Imaging Science; and §Department of Radiology and Radiological Sciences, Vanderbilt University, Nashville, TN.
    Background: The management of peripheral nerve injuries remains a large challenge for plastic surgeons. With the inability to fuse axonal endings, results after microsurgical nerve repair have been inconsistent. Our current nerve repair strategies rely upon the slow and lengthy process of axonal regeneration (~1 mm/d). Read More

    Smartphone-Based Patient Education in Plastic Surgery.
    Ann Plast Surg 2017 Dec;79(6):529-531
    From the *Attending at the Plastic and Reconstructive Surgery Department, Saint-Joseph Hospital, Paris, France; †Department of Plastic and Reconstructive Surgery, Henri Mondor Hospital, Creteil, France; ‡ Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Saint Joseph University, Hotel Dieu de France Hospital, Beirut, Lebanon; and §Department of Dermatology, Faculty of Medicine, Saint Joseph University, Hotel Dieu de France Hospital, Beirut, Lebanon.
    Background: Internet use for health information has dramatically increased in the past decade. Mobile medical applications (MMAs) could be a useful tool to improve postoperative patient education and care. The objective of this study is to evaluate the impact of an MMA on patient care in plastic surgery. Read More

    Plastic Surgery Management of Victims of Terrorist Violence in Ankara, Turkey.
    Ann Plast Surg 2017 Dec;79(6):600-605
    From the Department of Plastic Reconstructive and Aesthetic Surgery, Ankara Numune Training and Research Hospital, Ankara, Turkey.
    Terror attacks have been progressively increasing worldwide through the present era. The management of the consequences of terrorism events is under debate in almost every scientific area. The organization and advancement of health services constitute important components of the crisis management. Read More

    A Low-Cost Simulator for Training in Endoscopic-Assisted Transaxillary Dual-Plane Breast Augmentation.
    Ann Plast Surg 2017 Dec;79(6):525-528
    From the Department of Aesthetic and Reconstructive Breast Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.
    Background: Endoscopic-assisted transaxillary dual-plane (EATD) technique is a popular procedure for breast augmentation, especially for Chinese women. However, frustration is often expressed by plastic surgeons when first attempting EATD surgery. Simulation-based teaching is beneficial for EATD training, but it is expensive. Read More

    Role of Homeodomain-Interacting Protein Kinase 2 in the Pathogenesis of Tissue Fibrosis in Keloid-Derived Keratinocytes.
    Ann Plast Surg 2017 Dec;79(6):546-551
    From the *Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; and †Department of Hand and Plastic Surgery, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China.
    Epithelial-mesenchymal transition (EMT) plays a critical role in fibrotic keloid formation, which is characterized by excessive collagen and extracellular matrix synthesis and deposition. Growing evidence suggests that the serine/threonine kinase homeodomain-interacting protein kinase 2 (HIPK2) acts upstream of several major fibrosis signaling pathways; however, the role of HIPK2 in the keloid fibrogenesis remains unknown. In the current study, we investigated the roles of HIPK2 in the pathogenesis of keloids. Read More

    Total Palatal Mobilization and Multilamellar Suturing Technique Improves Outcome for Palatal Fistula Repair.
    Ann Plast Surg 2017 Dec;79(6):566-570
    From the *University of Alabama at Birmingham Cleft and Craniofacial Center, Children's of Alabama Hospital, Birmingham, Alabama; and †Sohag Cleft and Craniofacial Unit, Plastic Surgery Department, Sohag University Hospital, Sohag, Egypt.
    Backgrounds: The success rate of the surgical repair of palatal fistula after palatoplasty is often unsatisfactory. This study is a review of 15 years of single surgeon's experience with the evolution of a reliable surgical technique with high success rate.

    Methods: This is a retrospective chart review of consecutive cleft cases undergoing repair of palatal fistula from 2000 to 2015. Read More

    Fat Graft Survival After Recipient Site Pretreatment With Fractional Carbon Dioxide Laser.
    Ann Plast Surg 2017 Dec;79(6):552-557
    From the *Jenith Plastic Surgery, Ulsan; and †Department of Plastic and Reconstructive Surgery, College of Medicine, Yeungnam University, Daegu, Korea.
    Background: Fat grafting is a commonly performed procedure not only for augmenting the soft tissue but also for regeneration in esthetic and reconstructive plastic surgery.However, unpredictable fat survival rate because of high resorption rate is remained as the main problem. The purpose of this study was to investigate the effect of pretreatment of the recipient site to the fat survival using fractional carbon dioxide (CO2) laser. Read More

    Multiple Tissue Expansion for Giant Congenital Melanocytic Nevus.
    Ann Plast Surg 2017 Dec;79(6):e37-e40
    From the *Hospital Infantil Miguel Servet, Zaragoza; and †Hospital La Paz, Madrid, Spain.
    Objective: Tissue expansion is the preferred technique for the treatment of giant congenital melanocytic nevus (GCMN) located on the face, abdomen, and legs. We believe that the use of multiple tissue expanders in the same surgery is a safe and effective technique for the treatment of GCMN.

    Materials And Methods: A total of 14 patients were treated between 2013 and 2016 for GCMN removal with placement in the same surgery of 3 or more tissue expanders. Read More

    Impact of Abdominal Lipectomy on Post-Sleeve Gastrectomy Surgery Weight Loss.
    Ann Plast Surg 2017 Nov;79(5):495-497
    From the *Division of Plastic, Reconstructive and Cosmetic Surgery, †Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, and ‡Department of Psychiatry, University of Illinois Hospital and Health Sciences System, Chicago, IL; and §Division of General Surgery, Department of Surgery, Mayo Clinic, Jacksonville, FL.
    Background: Abdominal lipectomy after bariatric surgery is recommended because of residual excess skin resulting in difficulty with maintaining hygiene, recurrent infections, and functional impairment, interfering with daily activities. There is a dearth of literature examining weight loss outcomes in patients undergoing abdominal lipectomy post sleeve gastrectomy (SG). The purpose of this study was to examine whether post-SG patients who received abdominal lipectomy achieved greater percent excess weight loss (%EWL) than post-SG patients who did not receive abdominal lipectomy. Read More

    Surgeon-Controlled Comparison of Direct-to-Implant and 2-Stage Tissue Expander-Implant Immediate Breast Reconstruction Outcomes.
    Ann Plast Surg 2017 Oct 3. Epub 2017 Oct 3.
    From the Plastic and Reconstructive Surgery, Summa Health System, Akron, OH.
    Background: Current literature comparing outcomes of immediate breast reconstruction using direct-to-implant (DTI) single-stage and 2-stage tissue expanders (TEs) is conflicting. This study compared overall outcomes and determined predictive patient factors associated with higher complication rates.

    Methods: After institutional review board approval, a retrospective cohort study of consecutive patients who underwent immediate breast reconstruction from 2010 to 2014 at a single hospital was performed. Read More

    Selective Scalp Nerve Block: A Useful Technique With Tissue Expansion in Postburn Pediatric Alopecia.
    Ann Plast Surg 2017 Oct 3. Epub 2017 Oct 3.
    From the *Anesthetic Department, and †Plastic Surgery Center, Faculty of Medicine, Mansoura University, Egypt.
    Background: Scalp defects can be reconstructed either with skin graft, local flaps, free flaps, or tissue expansion. Tissue expanders have been proved to be fruitful in the pediatric population. Scalp expansion has proved to be useful in the reconstruction of posttraumatic and postburn alopecic defects. Read More

    A Cross-Sectional Study of Variations in Reimbursement for Breast Reconstruction: Is A Healthcare Disparity On the Horizon?
    Ann Plast Surg 2017 Oct 3. Epub 2017 Oct 3.
    From the Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St Louis, MO.
    Background: Despite growing demand for breast reconstruction, financial disincentives to perform breast reconstruction in patients with government-sponsored insurance plans may lead to longer wait times and decreased access to care. We identify the variation in reimbursement for implant and autologous reconstruction as a step toward understanding these financial implications, to develop safeguards to minimize effects on access to care.

    Methods: Billing data were collected over a 10-year period for patients undergoing implant-based (19357) or free-flap (19364) breast reconstruction. Read More

    Long-term Outcomes After Flap Reconstruction in Pediatric Pressure Ulcers.
    Ann Plast Surg 2017 Oct 3. Epub 2017 Oct 3.
    From the *Department of Plastic and Oral Surgery, Boston Children's Hospital; and †Division of Plastic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
    Background: Pressure ulcers refractory to nonoperative management may undergo flap reconstruction. This study aims to evaluate the long-term outcomes and recurrence rates of flap reconstruction for pediatric pressure ulcers.

    Methods: We reviewed the records of patients who underwent flap reconstruction for pressure ulcer(s) from 1995 to 2013. Read More

    Osseointegrated Prosthetic Ear Reconstruction in Cases of Skin Malignancy: Technique, Outcomes, and Patient Satisfaction.
    Ann Plast Surg 2017 Oct 3. Epub 2017 Oct 3.
    From the *Division of Plastic Surgery, University of Utah, Salt Lake City, UT; †Division of Plastic and Reconstructive Surgery, Stanford Hospital and Clinics, Stanford, CA; ‡Huntsman Cancer Institute; and §Division of General Surgery, University of Utah, Salt Lake City, UT.
    Background: Ear reconstruction with osseointegrated prosthetic implants is a well-established method of reconstruction after resection of skin malignancies on the external ear. There is limited literature reporting technique, outcomes, and patient satisfaction.

    Methods: We evaluated our outcomes over a 5-year period looking at osseointegrated prosthetic reconstruction after auriculectomy for external ear skin malignancies. Read More

    The Distally Based Peroneus Brevis Flap: The 5-Step Technique.
    Ann Plast Surg 2017 Oct 3. Epub 2017 Oct 3.
    From the *Plastic Surgery Department, Southmead Hospital, North Bristol NHS Trust, Westbury-on-Trym, Bristol, United Kingdom; and †Department of Plastic and Reconstructive Surgery, "Sapienza" University, Policlinico Umberto I, Rome, Italy.
    The peroneus brevis flap was first described as proximally based by Mathes et al (Surg Clin North Am. 1974;54:1337-1354) and later by Jackson and Scheker (Injury. 1982;13:324-330). Read More

    Mixed Versus Pure Variants of Desmoplastic Melanoma: The Cleveland Clinic Experience.
    Ann Plast Surg 2017 Oct 3. Epub 2017 Oct 3.
    From the *Department of Dermatology, Case Western Reserve University; Departments of †Dermatology and Plastic Surgery, ‡Dermatopathology, Cleveland Clinic, Cleveland, OH; and §Department of Dermatology, University of California, Irvine, CA.
    Background: Desmoplastic melanoma (DM) is a subvariant of spindle cell melanoma, accounting for less than 4% of all cutaneous melanomas. It occurs later in life and is associated with chronic sun exposure. Desmoplastic melanoma prognosis is considered more favorable than other variants, with lower rates of metastasis and higher survival. Read More

    Joint Denervation in the Digits: Technique and Patient Satisfaction.
    Ann Plast Surg 2017 Oct 3. Epub 2017 Oct 3.
    From the *Department of Surgery, †Division of Plastic & Reconstructive Surgery, ‡Oregon Health & Science University, Portland, OR.
    Background: Traditional approaches to treating painful osteoarthritis of the fingers include arthrodesis and arthroplasty. Although highly effective for pain control, arthrodesis sacrifices joint motion and can be complicated by nonunion, malunion, and infection.Implant arthroplasty preserves motion but is likewise subject to complications-particularly at the level of the proximal interphalangeal joint. Read More

    Comparative Outcomes of Inferior Pedicle and Superomedial Pedicle Technique With Wise Pattern Reduction in Gigantomastic Patients.
    Ann Plast Surg 2017 Oct 3. Epub 2017 Oct 3.
    From the Department of Plastic, Reconstructive and Aesthetic Surgery, Erciyes University, Kayseri, Turkey.
    Introduction: Although multiple pedicle and skin excision techniques exist for gigantomastic breast reduction, no consensus exists as to which method is most effective in providing an aesthetically pleasing breast, especially in the long-term period. This study aimed to compare the aesthetic and surgical outcomes between inferior pedicle and superomedial pedicle reductions, which both use Wise pattern skin excision in gigantomastic patients.

    Methods: A prospective study was planned, and the number of patients was determined before the beginning of the study. Read More

    An Outcomes Study on the Effects of the Singapore General Hospital Burns Protocol.
    Ann Plast Surg 2017 Oct 3. Epub 2017 Oct 3.
    From the Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital 1 Outram Road, Singapore.
    Introduction: The Singapore General Hospital Burns Protocol was implemented in May 2014 to standardize treatment for all burns patients, incorporate new techniques and materials, and streamline the processes and workflow of burns management. This study aims to analyze the effects of the Burns Protocol 2 years after its implementation.

    Methods: Using a REDCap electronic database, all burns patients admitted from May 2013 to April 2016 were included in the study. Read More

    Use of Fat Grafts in Facial Reconstruction on the Wounded Soldiers From the First World War (WWI) by Hippolyte Morestin (1869-1919).
    Ann Plast Surg 2017 Nov;79(5):420-422
    From the *Section of Medical and Forensic Anthropology (UVSQ/EA 4569 Paris Descartes University), UFR of Health Sciences, Montigny-Le-Bretonneux; †Department of Otolaryngology, Head and Neck Surgery, University of Rouen, Medical Faculty, Rouen, France; ‡Department of Otolaryngology, Head and Neck Surgery, University of Cologne, Medical Faculty, Cologne, Germany; and §CASH & IPES, Nanterre, France.
    Introduction: During the Great War of 1914 to 1918, spectacular progress was made in the field of facial reconstruction. The sheer number and severity of facial lesions inflicted during the fighting obliged French and German surgeons to take a close interest in the treatment of patients wounded in such a manner. As head surgeon of the fifth division "blessés de la face" at the hospital of Val-de-Grace, Hippolyte Morestin was responsible for one of the largest surgical departments specializing in facial surgery and reconstruction during the war. Read More

    Lymphatic Reconstitution and Regeneration After Face Transplantation.
    Ann Plast Surg 2017 Nov;79(5):505-508
    From the *Hansjörg Wyss Department of Plastic Surgery, NYU Langone Medical Center, New York, NY; †Division of Plastic and Reconstructive Surgery, Louisiana State University Health Sciences Center School of Medicine, New Orleans, LA; and ‡Department of Pathology, University of Maryland Medical Center, Baltimore, MD.
    Background: The purpose of this study was to investigate whether lymphatic reconstitution and regeneration occurs after clinical facial transplantation using indocyanine green lymphography and immunohistochemical markers.

    Methods: Allograft skin biopsies at multiple posttransplant time points were stained with Lyve1 lymphatic antibody and other endothelial antibodies. Staining intensity was interpreted on a scale of none, mild, moderate, and strong by 2 investigators and consolidated by a third party for final interpretation. Read More

    An Evaluation of Different Bridging Techniques for Short Nerve Gaps.
    Ann Plast Surg 2017 Nov;79(5):482-485
    From the Department of Plastic and Reconstructive, Surgery, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
    Background: In this study, we investigated sensory and motor outcomes for different bridging techniques for short nerve gaps.

    Material And Methods: This study was conducted in the Postdoctoral Department of Burns, Plastic, and Reconstructive Surgery of our institution from August 2014 to May 2017. All patients with posttraumatic short nerve gaps of 3 cm or less of median, ulnar, and/or both in forearm and wrists were included in the study. Read More

    The Use of Bilayered Fascia Lata With an Interpositional Omental Flap for Autologous Repair of Contaminated Abdominal Fascial Defects.
    Ann Plast Surg 2017 Nov;79(5):486-489
    From the Department of Plastic, Reconstructive, and Aesthetic Surgery, Singapore General Hospital, Singapore.
    Introduction: Contaminated abdominal fascial defects, such as those seen in enterocutaneous fistula, or wound dehiscence with mesh exposure, are a significant source of morbidity and present unique reconstructive challenges. We present our technique of using the fascia lata, augmented with an interpositional omental flap, for complete autologous reconstruction of contaminated fascial defects, and the postoperative results of 3 cases.

    Methods: Three patients with contaminated abdominal defects underwent wound debridement/fistula resection and immediate reconstruction with fascia lata and omentum flap. Read More

    Squamosal Craniosynostosis: Defining the Phenotype and Indications for Surgical Management.
    Ann Plast Surg 2017 Nov;79(5):458-466
    From the *Division of Plastic Surgery, Saint Louis University School of Medicine; and †SSM Health Cardinal Glennon Children's Hospital at SLU, St. Louis, MO.
    Background: Squamosal craniosynostosis is seldom reported in the craniofacial literature. Given that this is an uncommon diagnosis, phenotype and management remain unclear. The authors present a case series and review the literature to define the phenotype and management of these patients. Read More

    Acute-Onset Quadriplegia With Recovery After High-Voltage Electrical Injury.
    Ann Plast Surg 2017 Nov;79(5):e33-e36
    From the *Michigan State University College of Human Medicine; †Plastic and Reconstructive Surgery Residency, Grand Rapids Medical Education Partners; and ‡Spectrum Health Regional Burn Center, Grand Rapids, MI.
    Although uncommon, electrical injuries are associated with significant morbidity and mortality. There have been several reports of neurological sequelae secondary to electrical injury; however, the neurophysiology is still not completely understood. These neurological complications pose the greatest risk for permanent disability. Read More

    Long-Term Outcomes With Porous Polyethylene Implant Reconstruction of Large Craniofacial Defects.
    Ann Plast Surg 2017 Nov;79(5):467-472
    From the *Department of Plastic Surgery, and †College of Medicine, University of Tennessee Health Science Center, Memphis, TN.
    Background: Porous polyethylene (PP) has been used in craniofacial reconstruction but has been primarily relegated to small and moderate size defects. This series evaluates the long-term outcomes after alloplastic reconstruction of cranial defects larger than 5 cm using PP implants.

    Methods: Eighteen patients who had reconstruction of large cranial defects, owing to tumor resection or trauma, using PP implants, with at least 2 years of postoperative follow-up, were included in the study. Read More

    Retrospective Analysis of the Effect of Hering Law on Outcomes of Surgical Correction of Ptosis.
    Ann Plast Surg 2017 Sep 19. Epub 2017 Sep 19.
    From the *Guangzhou Eye-Nose-Face Aesthetic Plastic Surgery Hospital; and †Department of Plastic Surgery, General Hospital of Guangzhou Military Command of PLA, Guangzhou 510010, China.
    Introduction: Several factors may influence aesthetic outcomes of ptosis surgery, especially in patients with asymmetrical ptosis. We retrospectively assessed the effect of Hering law on surgical outcomes of patients with asymmetrical ptosis.

    Methods: Patients with mild to moderate asymmetrical ptosis (N = 300) who underwent advancement or plication of upper eyelid aponeurosis between January 2014 and July 2016 were enrolled. Read More

    Determining the False-Negative Rate Using Fluorescence Image-Assisted Sentinel Lymph Node Biopsy in Cutaneous Melanoma.
    Ann Plast Surg 2017 Sep 19. Epub 2017 Sep 19.
    From the Department of Plastic and Reconstructive Surgery, Cleveland Clinic, Cleveland, OH.
    Introduction: Despite the advances in cutaneous melanoma management, the false-negative rates (FNRs) of sentinel lymph node biopsy (SLNB) are still high. These rates are dependent not only on the technique but also on definitional terms and percentage of head/neck melanoma (highest false-negative SLNB). Fluorescence imaging technology is well acquainted in plastic surgery and other specialties. Read More

    Is Article Methodological Quality Associated With Conflicts of Interest?: An Analysis of the Plastic Surgery Literature.
    Ann Plast Surg 2017 Dec;79(6):613-617
    From the *Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Baltimore MD; †Columbia University College of Physicians and Surgeons, New York, NY; ‡Department of Biostatistics, Boston University School of Public Health; §Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA.
    Purpose: Conflicts of interest (COI) are an emerging area of discussion within the field of plastic surgery. Recently, several reports have found that research studies that disclose COI are associated with publication of positive outcomes. We hypothesize that this association is driven by higher-quality studies receiving industry funding. Read More

    Splinting After Ear Reconstruction: A Stepwise and Inexpensive Workflow Protocol.
    Ann Plast Surg 2017 Sep 19. Epub 2017 Sep 19.
    From the *Department of Plastic Surgery and †Maxillofacial and Dental Department, Great Ormond Street Hospital for Children, Great Ormond Street, London, United Kingdom.
    Background: Long-term postoperative splinting plays a role in the prevention of contracture of the grafted skin after a second-stage ear reconstruction. The scar retraction could lead to an unfavorable aesthetic outcome. Splinting could play a role to overcome or prevent the loss of projection and the obliteration of the sulcus. Read More

    Inhibition of Lymphatic Drainage With a Self-Designed Surgical Approach Prolongs the Vascularized Skin Allograft Survival in Rats.
    Ann Plast Surg 2017 Sep 19. Epub 2017 Sep 19.
    From the Department of Plastic and Reconstructive Surgery, Xijing Hospital of Fourth Military Medical University, Xi'an, Shaanxi Province, China.
    Vascularized composite allotransplantation (VCA) is an emerging treatment for significant tissue defects. However, VCAs usually consist of multiple highly antigenic skin tissues. Previous studies have shown that the lymphatic system in skin plays important roles in the initiation of immune responses during acute rejection, by transporting T cells and antigen-presenting dendritic cells to regional lymph nodes. Read More

    Radioprotection With Amifostine Enhances Bone Strength and Regeneration and Bony Union in a Rat Model of Mandibular Distraction Osteogenesis.
    Ann Plast Surg 2017 Sep 19. Epub 2017 Sep 19.
    From the *Department of Dermatology, University of California Davis, Sacramento, CA; †Craniofacial Research Laboratory, Section of Plastic Surgery, University of Michigan, Ann Arbor, MI; ‡Division of Plastic and Reconstructive Surgery, St Louis University School of Medicine, St Louis, MO; §Division of Plastic & Reconstructive Surgery, Baylor College of Medicine, Houston, TX; ∥Podiatry Section, Department of Surgery, VA Northern California Health Care Systems, Mather, CA; ¶Orthopedic Research Laboratory, Department of Orthopedic Surgery, University of Michigan; and #Pediatric Plastic Surgery Section, University of Michigan Medical School, Ann Arbor, MI.
    Background: Using distraction osteogenesis (DO) to regenerate robust endogenous bone could greatly enhance postoncologic reconstruction of head and neck cancer. However, radiation (XRT) corrosive effects still preclude DO's immense potential. We posit that adjunctive pretreatment with the radioprotectant amifostine (AMF) can optimize wound healing and allow for successful DO with quantifiable enhancements in bony union and strength despite previous surgical bed irradiation. Read More

    Endoscopic Delayed Breast Reconstruction With Expanders and Implants via the Axillary Incision Made for Sentinel Lymph Node Biopsy or Lymphadenectomy.
    Ann Plast Surg 2017 Sep 19. Epub 2017 Sep 19.
    From the *Aesthetic, Plastic, and Reconstructive Surgery Department, Hospital Quirón Barcelona, Universitat Internacional de Catalunya, Barcelona, Spain; and †Plastic and Reconstructive Surgery Department, Policlinic University Federico II, Naples, Italy.
    Background: Classic techniques of delayed prosthetic breast reconstruction use the mastectomy scar as an access route. As a result, the filling of the expander must be postponed until the wounds have healed. This creates an asymmetry between the breasts with the volume changes caused by the filling of the expander, which may occur over several weeks and cause considerable discomfort. Read More

    Chemotherapy Extravasation Management: 21-Year Experience.
    Ann Plast Surg 2017 Nov;79(5):450-457
    From the Department of Surgery "P. Valdoni," Policlinico Umberto I, Rome, Italy.
    Chemotherapy extravasation may result in serious damage to patients, with irreversible local injures and disability. Evidence-based standardization on extravasation management is lacking and many institutions do not practice adequate procedures to prevent the severer damages. Our aim was to explore the prevention and treatment of extravasation injuries, proposing a standard therapeutic protocol together with a review of the literature. Read More

    A Comparative Study of Lateral Extension Versus Conventional Deltopectoral Flap in Head and Neck Reconstruction After Surgical Extirpation of Tumor.
    Ann Plast Surg 2017 Sep 12. Epub 2017 Sep 12.
    From the Department of Plastic and Reconstructive Surgery, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
    Background: We investigated outcomes for nondelayed conventional deltopectoral (CDP) flaps and lateral extension deltopectoral (LEDP) flaps.

    Material And Methods: Fifteen CDP flaps and 17 LEDP flaps were raised in 32 patients. All flaps were nondelayed. Read More

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