10,724 results match your criteria Annals of Plastic Surgery[Journal]


Female Sexual Function and Sexual Well-being Before and After Breast Reduction: A Pilot Cross-sectional Study and Review of Literature.

Ann Plast Surg 2018 Dec 13. Epub 2018 Dec 13.

Dr Szczyt's Plastic Surgery Clinic, Warsaw, Poland.

Background: Breast reduction is one of the most frequently performed procedures in plastic surgery practice. Patients often undergo this procedure for not only aesthetic but also functional reasons because breast hypertrophy may hinder daily activities because of chronic spinal pain. Breast reduction has a documented impact on quality of life. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001742DOI Listing
December 2018

Surgical Management of Migraine Headaches: A Systematic Review and Meta-analysis.

Ann Plast Surg 2018 Dec 13. Epub 2018 Dec 13.

Department of Oral and Maxillofacial Surgery, All India Institute of Medical Sciences, New Delhi, India.

Background: The aim of the present study was to systematically review and analyze the available evidence on the role of surgery in improving outcomes in patients with migraine headaches.

Methods: An electronic search of PubMed, Scopus, CENTRAL (Cochrane Central Register of Controlled Trials), and Google Scholar databases was performed for English-language articles reporting results of peripheral nerve surgery for migraine headaches.

Results: The search strategy revealed a total of 1528 records, of which 23 studies were included in the review. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001743DOI Listing
December 2018
1 Read

Mechanical Dilation Using Nylon Monofilament Aids Multisite Lymphaticovenous Anastomosis Through Improving the Quality of Anastomosis.

Ann Plast Surg 2018 Dec 13. Epub 2018 Dec 13.

Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Lymphaticovenous anastomosis (LVA) is now a common treatment for lymphedema. It is important to create as many bypasses as possible to maximize the efficacy of LVA. We have developed a method whereby nylon monofilaments are placed inside the vessel lumen to act as dilators. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001681DOI Listing
December 2018
1 Read

Quantifying Burn Injury-Related Disability and Quality of Life in the Developing World: A Primer for Patient-Centered Resource Allocation.

Ann Plast Surg 2018 Dec 13. Epub 2018 Dec 13.

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

Background: Untreated or undertreated burns are commonly encountered by plastic surgeons on medical trips in India and represent a major cause of disability. We sought to utilize validated patient-reported outcomes instruments to identify the patient population with the greatest burn-related disability in order to appropriately allocate plastic surgery resources to those in greatest need.

Methods: The Quick Disability of the Arm, Shoulder, and Hand, RAND 36-Item Short Form Health Survey, and Burn-Specific Health Scale-Revised, Brief, and Adapted questionnaires were administered via an interpreter during a plastic surgery trip to Jharkhand, India, in January 2018. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001678DOI Listing
December 2018
1 Read

Integrative Medicine in Plastic Surgery: A Systematic Review of Our Literature.

Ann Plast Surg 2018 Dec 13. Epub 2018 Dec 13.

Division of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.

Background: Surveys have reported that as high as 80% of plastic surgery patients utilize integrative medicine approaches including natural products (NPs) and mind-body practices (MBPs). Little is known regarding the evidence of benefit of these integrative therapies specifically in a plastic surgery patient population.

Methods: We conducted a systematic review of studies in MEDLINE, PubMed, and EMBASE (inception through December 2016) evaluating integrative medicine among plastic surgery patients. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001676DOI Listing
December 2018

Origins of Gender Affirmation Surgery: The History of the First Gender Identity Clinic in the United States at Johns Hopkins.

Ann Plast Surg 2018 Dec 13. Epub 2018 Dec 13.

Office of Diversity and Inclusion, Johns Hopkins Medical Institutions, Baltimore, MD.

Background: Gender-affirming care, including surgery, has gained more attention recently as third-party payers increasingly recognize that care to address gender dysphoria is medically necessary. As more patients are covered by insurance, they become able to access care, and transgender cultural competence is becoming recognized as a consideration for health care providers. A growing number of academic medical institutions are beginning to offer focused gender-affirming medical and surgical care. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001684DOI Listing
December 2018
1 Read

Abnormal Presentation of Aggressive Fibromatosis After Radiotherapy for Keloids: Case Report and Brief Literature Review.

Ann Plast Surg 2018 Dec 13. Epub 2018 Dec 13.

Department of Burn and Plastic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Rationale: Keloids, dermal fibroproliferative lesions, often occur secondary to skin injury and extend beyond the margins of the original lesion. Aggressive fibromatosis (AF) is a rare condition arising from fibroblasts and is characterized clinically as a nonmetastasizing but locally invasive tumor. In this work, we present the case of a patient who developed AF in the chest 3 years after surgery and postoperative radiotherapy for keloids. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001675DOI Listing
December 2018
1 Read

The Medial Pillar Island Flap for Oncoplastic Breast Reconstruction of Upper Pole Defects.

Ann Plast Surg 2018 Dec 13. Epub 2018 Dec 13.

Surgical Oncology, Department of Surgery, University of Massachusetts Medical School, Worcester, MA.

Background: Breast deformity is common following lumpectomy. Use of ptotic lower pole tissue for restoration of volume in the upper pole is quite appealing since it allows for a concomitant lift. This study presents the medial pillar island flap technique of oncoplastic breast reconstruction of upper pole defects. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001673DOI Listing
December 2018
1 Read

Modified V-Y Fasciocutaneous Flap Reconstruction After Abdominoperineal Resection in Irradiated Patients Prevents Wound Dehiscence and Associated Complications: A Retrospective Analysis and Benchtop Confirmation.

Ann Plast Surg 2018 Dec 13. Epub 2018 Dec 13.

Division of Plastic and Reconstructive Surgery, Duke University Medical Center, Durham NC.

Background: Primary perineal closure following abdominal perineal resection (APR) is reported to have a wound complication rate as high as 66%, whereas flap reconstruction reduces wound complications to 15% to 35%. A modified de-epithelialized V-Y fasciocutaneous flap aims to further improve results in this patient population.

Methods: To study the breaking force of a simple interrupted suture in either skin or subcutaneous fat, various quantitative assessments were performed in a porcine flap model using uniaxial static tensile testing with an Instron tensiometer, with a single or triple row of 3 Vicryl sutures in both skin and fat. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001672DOI Listing
December 2018
1 Read

Long Term Follow Up of a Vascularized Osteocutaneous Free Flap for Reconstruction in Charcot Neuroarthropathy: A Case Report.

Ann Plast Surg 2018 Dec 13. Epub 2018 Dec 13.

Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD.

Vascularized osteocutaneous free flaps have seen increasing use in foot and ankle surgery for the repair of bony defects secondary to chronic nonunion, osteomyelitis, and fractures. One example is the Medial Femoral Condyle (MFC) Flap. The utility of the MFC flap for the repair of a bony defect in a diabetic patient, however, has yet to be explored. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001670DOI Listing
December 2018
2 Reads

Reconstruction of Anterior Mandible and Mouth Floor Using the Myofascial Iliac Crest Free Flap After Tumor Resection.

Ann Plast Surg 2018 Dec 13. Epub 2018 Dec 13.

The current study introduces a novel approach of anterior mandible and mouth floor reconstruction with the myofascial iliac crest free flap. A series of 4 patients who presented between May 2015 and July 2017 had benefited from this technique. The myofascial component of this flap was designed to be attached to the iliac crest, and the flap was obtained after identifying the neurovascular pedicle. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001649DOI Listing
December 2018

Anatomical Basis for Lip Reconstruction: The Role of the Modiolus.

Ann Plast Surg 2018 Dec 13. Epub 2018 Dec 13.

From the Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine, Mount Sinai Hospital, New York, NY.

Objective: The aim of this study was to establish the anatomic basis for functional upper and lower lip reconstruction with locoregional flaps.

Design, Setting, And Participants: This article is an anatomic fresh cadaver study.

Results: For lower lip reconstruction, the modified Bernard-Webster and Karapandzic flaps preserve the modiolus, buccinator, zygomaticus major muscle, and buccal branches of the facial nerve. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001642DOI Listing
December 2018

Quick Calculation of Breast Resection Mass Using the Schnur Scale.

Ann Plast Surg 2018 Dec 13. Epub 2018 Dec 13.

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

In 1991, Dr Paul Schnur and his colleagues published an article correlating the weight of breast tissue to be removed in a breast reduction operation with the total body surface area (BSA) of the patient. They presented a very cogent argument for selecting three groups of patients: those with medical indications for operation, those who merit review, and those whose operation could be considered cosmetic. The Schnur Sliding Scale is widely used by insurance companies in the western United States in the process of preauthorizing breast reduction operations, and its use may be spreading eastward. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001643DOI Listing
December 2018
1 Read

Sensory Restoration of the Facial Region.

Ann Plast Surg 2018 Dec 13. Epub 2018 Dec 13.

From the Department of Plastic Surgery, University of Tennessee Health Science Center, Memphis, TN.

Normal sensitivity of the face is very important for preserving its integrity and function as an efferent source of information for the brain. The trigeminal nerve, which is the largest cranial nerve, conducts most of facial sensory function through its 3 branches: the ophthalmic nerve (V1), the maxillary nerve (V2), and the mandibular nerve (V3). The trigeminal nerve may be damaged by a variety of etiologies including inflammatory disorders, brain tumor resection, trauma, iatrogenic injury, or congenital anomalies. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001635DOI Listing
December 2018
4 Reads

Optimal Result of One-Stage Secondary Debulking Procedure After Flap Reconstruction of the Ankle.

Ann Plast Surg 2018 Dec 13. Epub 2018 Dec 13.

From the Department of Plastic and Reconstructive Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.

Skin and soft tissue defect of the ankle usually mandates flap reconstruction; however, bulky flap and difficulty ambulance have been the major disadvantages after flap reconstruction of this area. We used the concept of full-thickness skin graft as a 1-stage method of secondary debulking procedure to achieve both aesthetic and functional results.

Methods: Since January of 2004 to June of 2016, 22 one-stage secondary debulking procedures were performed on 22 patients who had received reconstruction with flaps for ankle defects. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001638DOI Listing
December 2018
2 Reads

The Potential of Acellular Dermal Matrix Combined With Neural Stem Cells Induced From Human Adipose-Derived Stem Cells in Nerve Tissue Engineering.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S108-S118

Department of Biochemistry, National Defense Medical Center, Taipei, Taiwan.

Introduction: Reconstruction of segmental peripheral nerve gap is still challenging when the autografts are unavailable owing to limited availability of donor site and functional recovery. The creation of artificial conduits composed of biological or synthetic materials is still developing. Acellular dermal matrix (ADM) has been widely studied and its extension and plasticity properties may become suitable nerve conduits under different forms of nerve gaps. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001731DOI Listing
January 2019
2 Reads

Masseter Muscle Volume Changes Evaluated by 3-Dimensional Computed Tomography After Repeated Botulinum Toxin A Injections in Patients With Square Facial Morphology.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S29-S32

From the Graduate Institute of Chemical and Materials Engineering, College of Engineering, Chang Gung University, Taoyuan, Taiwan, and.

Introduction: Botulinum neurotoxin A (BoNT-A) is a minimally invasive and technically straightforward treatment of masseter muscle (MM) volume reduction and facial contouring, but the literature on its long-term effect on MM volume remains unclear.

Objective: This study aimed to assess quantitatively for progressive volume changes of lower facial contour after 3 BoNT-A injections in patients with bilateral MM hypertrophy causing square facial morphology using 3-dimensional computed tomographic scans.

Materials And Methods: Ten female patients with square facial morphology due to bilateral MM hypertrophy were recruited to, and 6 completed, this clinical study. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001705DOI Listing
January 2019

The Effectiveness of an International Cleft Mission Model in Asia: An Update.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S23-S28

Plastic and Reconstructive Surgery and Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.

Background: Cleft lip/palate is a congenital craniofacial anomaly affecting patients physically and psychosocially and has contributed to the global burden of surgical disease, especially in underprivileged areas. For 20 years, Noordhoff Craniofacial Foundation (NCF) and the Chang Gung Craniofacial Center (CGCFC) have carried out missions to these areas. Rather than implementing short-term missions that lack proper follow-up care, the team has provided an effective, long-term, and multidisciplinary approach for the treatment of patients with cleft lip/palate. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001730DOI Listing
January 2019
2 Reads
1.458 Impact Factor

Suppression of Oxygen Radicals Protects Diabetic Endothelium Damage and Tissue Perfusion in a Streptozotocin-Induced Diabetes Rodent Model.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S18-S22

Background: Oxygen free radicals play a central role in diabetic angiopathy. This study investigated whether suppression of oxygen radicals could decrease endothelial damage and increase peripheral tissue circulation in a diabetic rodent model.

Methods: Sprague-Dawley rats were treated using streptozotocin to induce diabetes. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001723DOI Listing
January 2019
2 Reads

Correlation Between IL-20 and De Quervain's Disease Severity.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S6-S12

Department of Orthopedics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

De Quervain's disease is a stenosing tenosynovitis of the first dorsal compartment of the wrist. Histopathological studies have reported that the thickening of the first dorsal retinaculum is characterized by degeneration rather than inflammation. However, significant infiltration of mast cells and macrophages was noted in a torn tendon study, which suggested that innate immune pathways are part of the mechanism that mediates early tendinopathy. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001701DOI Listing
January 2019
2 Reads
1.458 Impact Factor

An Effective Simulator for Intraoral Facial Skeletal Contour Surgeries.

Ann Plast Surg 2019 Jan;82(1):99-103

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

Background: In East Asia, intraoral facial skeletal contour surgeries (intraoral FSCSs), including reduction gonioplasty, reduction malarplasty, and genioplasty, have become increasingly popular. Nonetheless, intraoral FSCSs are technically difficult and have a steep learning curve. An effective simulator could be beneficial for intraoral FSCS training. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001641DOI Listing
January 2019

Two-Team Surgical Approach to Improve Retroperitoneal Nerve Identification in the Treatment of Groin Pain.

Ann Plast Surg 2019 Jan;82(1):82-84

Greater Baltimore Medical Center, Towson, Maryland.

Background: An estimated 700,000 groin hernia repairs are performed in the United States each year. Studies have shown that up to 50% of patients who undergo groin hernia repair are affected by persistent pain beyond the first few days after surgery. At 2 to 5 years after either open or laparoscopic, mesh or without mesh, 10% to 12% of these patients will have persistent and disabling pain. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001662DOI Listing
January 2019
1 Read

The Meaning of Plastic Surgery.

Ann Plast Surg 2019 Jan;82(1)

From the Division of Plastic Surgery, Mayo Clinic, Jacksonville, FL.

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http://dx.doi.org/10.1097/SAP.0000000000001712DOI Listing
January 2019

Surgical Algorithmic Approach to Facilitate Primary Closure of the Anterolateral Thigh Flap Donor Site in Head and Neck Reconstruction.

Ann Plast Surg 2018 Dec 6. Epub 2018 Dec 6.

Department of Plastic and Reconstructive Surgery, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi City, Taiwan.

Background: Use of the anterolateral thigh (ALT) flap has gained popularity in head and neck reconstruction. However, donor sites that cannot achieve primary closure are reported to have poorer functional and aesthetic outcomes. Therefore, we propose an algorithm to facilitate primary closure of the donor site. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001729DOI Listing
December 2018
1 Read

Treatment With Topical Deferoxamine Improves Cutaneous Vascularity and Tissue Pliability in an Irradiated Animal Model of Tissue Expander-Based Breast Reconstruction.

Ann Plast Surg 2019 Jan;82(1):104-109

Division of Plastic Surgery, University of Kentucky, Lexington, KY.

Purpose: Postmastectomy radiation therapy is an important component of the multimodality approach to later-stage breast cancers. Unfortunately, despite its proven survival benefits, postmastectomy radiation therapy is deleterious to the skin and soft tissue, causing increased complications and worse aesthetic outcomes after breast reconstruction.There is currently no effective pharmaceutical agent to mitigate the soft tissue fibrosis and hypovascularity associated with soft tissue radiation. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001655DOI Listing
January 2019

Reconstruction of Large Soft Tissue Defects of the Extremities in Children Using the Kiss Deep Inferior Epigastric Artery Perforator Flap to Achieve Primary Closure of Donor Site.

Ann Plast Surg 2019 Jan;82(1):64-70

From the Department of Hand and Microsurgery, Xiangya Hospital, Central South University, Changsha, China.

Background: The closure of massive skin defects remains challenging, particularly in children. In this report, we describe a technique to achieve primary donor site closure using the kiss deep inferior epigastric perforator (DIEP) flap for the reconstruction of large soft tissue defects located in the extremities of children.

Methods: From May 2011 to May 2016, a retrospective analysis was conducted on 10 pediatric patients with extensive soft tissue defects and reconstruction with double-skin paddle DIEP flap. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001659DOI Listing
January 2019

The Use of Microplates for Internal Fixation of Comminuted Mandibular Fractures.

Ann Plast Surg 2019 Jan;82(1):55-61

Department of Plastic Surgery, Kyung Hee University Medical Center.

Background: Although clinical trials have successfully applied microplates for the internal fixation of single or double isolated mandibular fractures, the use of microplate systems in comminuted mandibular fractures is not widely accepted. This study aimed to evaluate the use of microplates for internal fixation of comminuted mandible fractures and to discuss their applicability.

Methods: Fourteen patients with comminuted mandibular fractures (10 at a single region, 3 at 2 regions, and 1 at 4 regions) were treated with open reduction and internal fixation using 0. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001623DOI Listing
January 2019

Preface for the 2019 Taiwan Society of Plastic Surgery Supplement Articles.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S1

Department of Plastic and Reconstruction Surgery, Chang Gung Memorial Hospital at Keelung, Chang Gung University, College of Medicine, Craniofacial Research Center, Taoyuan, Taiwan.

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http://dx.doi.org/10.1097/SAP.0000000000001753DOI Listing
January 2019
1 Read

Prognosis of Traumatic Ulnar Nerve Injuries: A Systematic Review.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S45-S52

Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, KY.

Ulnar nerve injury (UNI) is not uncommon and often results in incomplete motor recovery after the initial nerve repair and requires secondary functional reconstruction. To clarify the prognosis and predicting factor of UNI, and if it is reasonable to wait after the initial repair, a systematic literature review from PubMed computerized literature database and Google scholar was performed. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) checklist and guidelines were followed to develop the search protocol for this literature review. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001727DOI Listing
January 2019
2 Reads

Perception of Lip Cant as a Sign of Facial Deformity: Assessment by Laypersons and Professionals on Composite Face Photographs.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S140-S143

Plastic and Reconstructive Surgery and Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.

Objective: Lip cant is a feature of facial deformity and commonly seen in patients with facial asymmetry. Because of its importance in aesthetic assessment, it is necessary to define the perceptions of lip cant and investigate differences in perception between laypersons and professionals. These data were insufficient in the literature. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001724DOI Listing
January 2019
2 Reads

Using a Sternocleidomastoid Muscle Flap to Close an Iatrogenic Tracheoesophageal Fistula in a Patient With Advanced Laryngeal Cancer: A Case Report and Literature Review.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S126-S129

From the Department of Plastic Surgery, Mackay Memorial Hospital, Taipei, Taiwan.

Background: An iatrogenic tracheoesophageal (TE) fistula is one possible complication after total laryngectomy with flap reconstruction. We used sternocleidomastoid (SCM) rotation flap to close a TE fistula.

Methods And Results: A 69-year-old man with laryngeal cancer underwent total laryngectomy with radial forearm free flap reconstruction. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001718DOI Listing
January 2019
1 Read

Maxillofacial Fractures Associated With Laryngeal Injury: A Craniofacial Surgeon Should be Alert.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S72-S76

From the Departments of Plastic and Reconstructive Surgery and.

Objective: Maxillofacial fractures with concomitant laryngeal injuries put both the quality and maintenance of life in jeopardy. Because of its low incidence, it is often overlooked in the clinical setting. The purpose of this study is to review the incidence, clinical presentations, managements, and outcomes of these patients. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001720DOI Listing
January 2019
1 Read

Melanocyte Differentiation From Induced Pluripotent Stem Cells Derived From Human Adipose-Derived Stem Cells.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S119-S125

Division of Plastic and Reconstructive Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center.

The pigment melanin is produced by melanocytes, is primarily responsible for skin color, and protects it against ultraviolet rays that can cause the destruction of genetic material within the keratinocytes. To elucidate the mechanisms of many diseases associated with melanocytes, such as melanoma and albinism, or burns with uneven pigment distribution, the disease model needs to be established first. In this study, we aimed to construct the melanocyte model from patients in a short period. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001698DOI Listing
January 2019
2 Reads

Functional and Aesthetic Outcome of Extensive Orbital Floor and Medial Wall Fracture via Navigation and Endoscope-assisted Reconstruction.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S77-S85

Background And Purpose: Extensive orbital floor and medial wall fractures compared with isolated orbital wall fractures are more likely to require surgical correction because of a higher possibility of complications like diplopia, enophthalmos, or numbness. The unique and complex contours of the orbital anatomy limit the intraoperative view of the intraorbital anatomy, and complex orbital fractures involving the buttress of the transition zone area all make orbital reconstruction surgery more challenging. The aim of this study was to describe our experience with surgical approaches using navigation- and endoscope-assisted guidance for extensive orbital floor and medial wall fracture reconstruction. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001700DOI Listing
January 2019

Influence of Recipient Site on the Function and Survival of Fat Grafts.

Ann Plast Surg 2019 Jan;82(1):110-115

Department of Pediatric Surgery, the Memorial Hospital of Sun Yat-Sen University, Guangzhou, PR China.

Background: Autologous fat grafting has become an increasingly common procedure for soft tissue augmentation throughout the body. However, the long-term outcome is always unpredictable because of inconsistent graft survival. Based on the "law of use and disuse," we speculate that the volume loss of fat grafts will occur when transferred into a site where there is less fat. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001683DOI Listing
January 2019

A Systematic Review and Meta-analysis of Functional Shoulder Impairment After Latissimus Dorsi Breast Reconstruction.

Ann Plast Surg 2019 Jan;82(1):116-127

From the Department of Plastic and Reconstructive Surgery, Aarhus University Hospital, Aarhus, Denmark.

Purpose: The latissimus dorsi flap (LDF) is a very reliable flap and may be used for a multitude of reconstructive purposes. It is widely used for breast reconstruction when performed. It has few complications, except for a possible impact on shoulder function. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001691DOI Listing
January 2019
1 Read

Linea Arcuate Hernia Following Transversus Abdominis Release Incisional Hernia Repair.

Ann Plast Surg 2019 Jan;82(1):85-88

Divisions of Plastic, Reconstructive, and Hand Surgery, Department of Surgery, West Virginia University School of Medicine, Morgantown, WV.

Open abdominal surgery continues to be most commonly complicated by postoperative herniation at the incision line. In 2012, Novitsky et al described a novel hernia repair technique that utilized a transversus abdominis release coupled with a posterior (retrorectus) component separation (TAR-PCS) of the ventral abdominal wall. Early reports attest to the versatility and low recurrence rate of this technique, particularly when repairing large and complex defects. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001671DOI Listing
January 2019
1 Read

Utilization of Anterolateral Thigh Flap and Transverse Cervical Recipient Vessels for Head and Neck Cancer Patients With Former Neck Dissection and Irradiation: A Case Series Study.

Ann Plast Surg 2018 Dec 3. Epub 2018 Dec 3.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Asia University Hospital, Asia University College of Medical and Health Science, Taichung, Taiwan.

Purpose: Free flap reconstruction in head and neck cancer patients with prior tumor resection, neck dissection, and irradiation is clinically challenging. The purpose of this study was to investigate the reliability and outcome of using the anterolateral thigh (ALT) flap and transverse cervical recipient vessels for microvascular reconstruction in patients with depleted vessels in the head and neck region caused by previous surgery and irradiation.

Methods: Between January 2015 and December 2017, microsurgical head and neck reconstruction was performed using the ALT flap and transverse cervical artery (TCA) as the recipient vessel in 15 patients who had undergone previous neck dissections and irradiation for cancer treatment. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001647DOI Listing
December 2018
1 Read
1.458 Impact Factor

Adjuvant Radiotherapy After Keloid Excision: Preliminary Experience in Taiwan.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S39-S44

Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School Hospital, Tokyo, Japan.

Background: Surgical excision with adjuvant radiotherapy has gained attention as an effective treatment of keloid. The Asian population is challenged with a high incidence of keloid occurrence with a specific genetic predominance. The annual reported incidence of new keloid cases in Taiwan is around 30,000, but the disease control rate and effectiveness by means of surgical excision with adjuvant radiotherapy is not yet clear. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001728DOI Listing
January 2019

Endovenous Photocoagulation Using a Diode Laser for Complicated Varicose Veins Related to Stasis Ulcers.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S103-S107

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University.

Background: The objective of this study was to assess the efficacy and safety of endovenous laser photocoagulation (EVLP) at a wavelength of 810 nm for treating complicated venous insufficiency associated with venous ulcers.

Materials And Methods: A retrospective review of 110 patients with 180 legs having chronic venous insufficiencies associated with varicose veins treated over an 8-year period was conducted. Patients ranged from 16 to 80 years of age and included 85 women and 25 men. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001726DOI Listing
January 2019
1 Read

Madelung Disease: Analysis of Clinicopathological Experience in Taipei Veterans General Hospital.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S66-S71

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

Background: The main feature of Madelung disease (MD), a rare condition, is the growth of adipose tissue without a capsule. Usually, this disease is known for its prominent features with fat deposition around the neck, shoulder, back, or chest wall. Clinically, the patient is likely to exhibit alcohol, neuropathy, and metabolic disorders; however, no clear cause has been confirmed. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001719DOI Listing
January 2019
4 Reads

Transposition of Duplicated Thumb for Reconstruction of Asymmetric Radial Polydactyly.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S13-S17

From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan, Republic of China.

Background: In this study, we present the long-term functional and aesthetic outcomes in patients with complicated asymmetric radial polydactyly treated with this surgical technique involving the transposition of a duplicated thumb.

Methods: We evaluated 6 thumbs in 6 patients who underwent radial polydactyly reconstruction using the transposition of duplicated thumb procedure between 2001 and 2017. The procedure was used when one of the thumbs was not obviously dominant over the other, with one having a better proximal portion and the other having a better distal portion. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001722DOI Listing
January 2019
6 Reads

Application of Computer-Assisted Navigation System in Acute Zygomatic Fractures.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S53-S58

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital at Keelung, College of Medicine, Chang Gung University, Craniofacial Research Center, Taoyuan.

Objective: To compare the surgical results of early treatment of zygomatic fractures with and without the use of the computer-assisted navigation system.

Methods: All patients with unilateral traumatic zygomatic fractures treated within 30 days after the injury at a single center between June 2012 and May 2017 were studied retrospectively. Primary outcome was defined by the displacement at 5 junctional sutures of zygomatic bone, the change at each point before and after the reconstruction, and the patient's subjective scoring of their appearance. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001721DOI Listing
January 2019
3 Reads

Lateral Toe Pulp Flap Used in Reconstruction of Distal Dorsal Toe Defect: Case Report and Review of the Literature.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S136-S139

From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Buddhist Tzu-Chi General Hospital, School of Medicine, Tzu-Chi University, Hualien, Taiwan.

Background: When the distal dorsal part of the great toe is injured, especially with exposure of a tendon, bone, or joint, applying a free or local flap is difficult because of the lack of locally available tissue for reconstruction. Management of the distal dorsal part of a great toe soft tissue defect can be challenging for plastic surgeons.

Patient And Method: An 18-year-old woman presented with an injury to the dorsal aspect of her right great toe caused by a cobra bite. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001703DOI Listing
January 2019
4 Reads

Aesthetic Durable Forehead Contouring in Asians With Fat Grafting and Botulinum Toxin.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S59-S65

Craniofacial Research Center, Craniofacial Surgery, Department of Plastic & Reconstructive Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan.

Background: Augmentative forehead contouring to create a full rounded smooth forehead is increasingly popular worldwide especially in East Asia where a flat and/or concave irregular forehead is considered unaesthetic. We present our outcomes performing fat transfer to the forehead in combination with botulinum toxin (Botox) corrugator-frontalis injection where indicated in East Asians.

Methods: From 2013 to 2017, 62 consecutive patients with flat and/or concave irregular unaesthetic foreheads underwent forehead fat transfer using a microautologous fat transplantation gun. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001704DOI Listing
January 2019
3 Reads

Nipple-sparing Mastectomy and Immediate Breast Reconstruction After Recurrence From Previous Breast Conservation Therapy.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S95-S102

Purpose: Breast conservation therapy (BCT) is widely accepted for breast cancer treatment. Nipple-sparing mastectomy has been newly developed to preserve the nipple-areolar complex and enhance aesthetic results. The purpose of this study was to evaluate the oncological safety and results of nipple-sparing mastectomy (NSM) after previous BCT. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001696DOI Listing
January 2019

Locked Thumb Metacarpophalangeal Joint Caused by Entrapment of the Sesamoid Bone: A Report of 2 Cases.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S130-S135

From the Division of Plastic and Reconstructive Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, and.

Locked thumb metacarpophalangeal joint caused by entrapment of the sesamoid bone is an uncommon entity. The intact volar plate, strong ligamentous attachment between the sesamoid bone and the joint, and altered axis of inserted muscle all contribute to failure of closed reduction. The patient's history, clinical presentation, and plain radiographic findings are all important clues to diagnosing this rare disease. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001702DOI Listing
January 2019
9 Reads

Extended Use of Chimeric Medial Sural Artery Perforator Flap for 3-Dimensional Defect Reconstruction.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S86-S94

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chiayi Branch, Taiwan.

Background: The medial sural artery perforator (MSAP) flap has become increasingly popular because it is thin and pliable for small to moderate defect soft tissue reconstruction. Furthermore, chimeric MSAP flap, which includes a skin paddle and a separated piece of medial gastrocnemius muscle, allowed more freedom for flap insetting, especially in 3-dimensional defect reconstruction. Here we describe our experience regarding this clinical application. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001697DOI Listing
January 2019
6 Reads

Determinants of Free Fasciocutaneous Flap Outcomes in Partial Hypopharyngeal Defects.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S2-S5

School of Medicine, Griffith University, Gold Coast, Queensland, Australia.

Background: Most of the patients with hypopharyngeal cancer are still diagnosed with advanced stage, and total or partial pharyngectomy with free flap reconstruction is the mainstay of treatment. The aim of this study was to find out the possible risk factors related to surgical complications after free fasciocutaneous flap reconstruction for partial pharyngeal defect and its sequelae in the follow-up.

Patients And Methods: We retrospectively reviewed the charts of patients with advanced hypopharyngeal cancer who received free fasciocutaneous flaps for partial pharyngeal defects reconstruction. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001699DOI Listing
January 2019
5 Reads