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    10244 results match your criteria Annals of Plastic Surgery[Journal]

    1 OF 205

    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 Sep 19. Epub 2017 Sep 19.
    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 Sep 12. Epub 2017 Sep 12.
    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

    Isolated Dorsoradial Capsular Tear of the Thumb Metacarpophalangeal Joint: Missed Diagnosis and the Management of Delayed Presentation.
    Ann Plast Surg 2017 Sep 12. Epub 2017 Sep 12.
    From the *Department of Plastic Reconstructive Surgery, Birmingham Children's Hospital, Birmingham, United Kingdom; and †Department of Plastic Reconstructive Surgery, Queen Alexandra Hospital, Portsmouth, Hampshire, United Kingdom.
    Isolated dorsoradial capsule injuries of the thumb metacarpophalangeal joint are different from those associated with collateral ligament disruption. Early suspicion of this rare injury is important because, if overlooked, ulnarward subluxation of extensor pollicis longus tendon can develop. Functionally, active thumb extension becomes impaired, and over the long term, a thumb Boutonniere's deformity becomes established. Read More

    Integrated Plastic Surgery Residency Applicant Trends and Comparison With Other Surgical Specialties.
    Ann Plast Surg 2017 Sep 12. Epub 2017 Sep 12.
    From the Division of Plastic Surgery, Baylor Scott & White Healthcare, Texas A&M Health Science Center College of Medicine, Temple, TX.
    Background: There has been a relatively rapid increase in the number and size of "integrated" residency programs in plastic surgery (PS) over the past decade. The objective of this study is to evaluate trends of US senior applicants of PS compared with other surgical specialties from 2007 to 2016.

    Methods: Data were obtained from "NRMP: Main Residency Match" and from "NRMP: Charting Outcomes in the Match. Read More

    A Simple Flap Design for the Salvage of Immediate Implant-Based Breast Reconstruction.
    Ann Plast Surg 2017 Sep 12. Epub 2017 Sep 12.
    From the *Department of Plastic, Reconstructive and Aesthetic Surgery, Acibadem University School of Medicine, Acibadem Maslak Hospital; †Department of Plastic, Reconstructive and Aesthetic Surgery, Acibadem Kozyatagi Hospital; ‡Department of General Surgery, Acibadem Maslak Hospital; and §Department of General Surgery, Acibadem University School of Medicine, Acibadem Maslak Hospital, Istanbul, Turkey.
    Background: Breast reconstruction with implants is a real challenge in patients with large breast volume. Skin-reducing inverted-T mastectomy is the best solution for these patients. Delayed wound healing or necrosis at the T-junction area can be seen in this procedure, although it may also lead to severe conditions such as the exposure and loss of implant. Read More

    Evidence-Based Medicine in Plastic Surgery: Are We There Yet?
    Ann Plast Surg 2017 Sep 12. Epub 2017 Sep 12.
    From the *Division of Plastic Surgery, State University of Rio de Janeiro, Rio de Janeiro; and †Division of Plastic Surgery, Federal University of São Paulo, São Paulo, Brazil.
    Background: The practice of evidence-based medicine in plastic surgery is no longer a trend but a reality, with a growing number of studies published in recent years using evidence-based medicine as an assessment tool.

    Objective: The aim of this study was to verify whether the number of citations to articles with a high level of evidence is greater than articles with low level of evidence.

    Methods: A search was conducted in the 4 main international journals of plastic surgery. Read More

    Teledermatology: Is it Beneficial to Patients?
    Ann Plast Surg 2017 Oct;79(4):415-416
    Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, MN Division of Plastic Surgery, Department of Surgery, University of Washington, Seattle, WA Division of Plastic Surgery, Department of Surgery, University of Kentucky College of Medicine, Lexington, KY Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, MN Division of Plastic Surgery, Department of Surgery, University of California San Diego, San Diego, CA Division of Plastic Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark, NJ.

    Tuberous Breast: Past, Present, and Future: Personal Classification, Treatment, and Surgical Outcomes.
    Ann Plast Surg 2017 Sep 6. Epub 2017 Sep 6.
    From the *Department of Plastic and Reconstructive Microsurgery, CTO Careggi University Hospital, Florence; †Department of Plastic and Reconstructive Surgery, University of Foggia, Foggia; and ‡Department of Surgical Oncological and Oral Sciences, University of Palermo, Palermo, Italy.
    Background: Tuberous breast (TB) is a rare congenital deformity, which may appear in different clinical forms representing various degrees of a single pathological entity. The worst cases are characterized by severe hypoplasia. Following a detailed analysis of the available relevant literature and a significant number of treated cases, in this article, the authors propose a new classification, with the aim of summarizing and simplifying a more intuitive categorization of the malformation, considering all the clinical aspects and including all types of TBs, even the minor ones, thus allowing a more immediate diagnosis and surgical planning. Read More

    Response to the letter to the editor: "Understanding the impact of preservation methods on the integrity and functionality of placental allografts".
    Ann Plast Surg 2017 Sep 1. Epub 2017 Sep 1.
    Osiris Therapeutics, Inc, Columbia, MD, Osiris Therapeutics, Inc, Columbia, MD, Amgen, San Francisco, CA Osiris Therapeutics, Inc, Columbia, MD Osiris Therapeutics, Inc, Columbia, MD, Esco Technologies, Inc, Singapore Osiris Therapeutics, Inc, Columbia, MD.

    Nonincisional Conjoint Fascial Sheath Suspension: A Novel Technique for Minimally Invasive Blepharoptosis Correction.
    Ann Plast Surg 2017 Oct;79(4):334-340
    From the *Gyalumhan Plastic Surgery, Seoul; and †Department of Plastic and Reconstructive Surgery, Chungnam National University Hospital, Daejeon, South Korea; ‡ELEE Plastic Surgery, Houston, TX; and §Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Severance Hospital, Seoul; ∥Department of Plastic and Reconstructive Surgery, Chungnam National University College of Medicine, Daejeon; and ¶Department of Medicine, Graduate School of Yonsei University, Seoul, South Korea.
    Background: Mild to moderate blepharoptosis, or ptosis, is relatively common among Asians, and it is not uncommon to offer ptosis correction at the time of double-eyelid surgery in this patient population. The traditional open approaches to ptosis correction are subject to scarring and prolonged recovery time, whereas the newer nonincisional approaches are marred by issues of incomplete correction or recurrence. This study describes a new nonincisional technique that overcomes the limitations of current methods by using conjoint fascial sheath (CFS) for suspension. Read More

    Reconstruction of Anterolateral Thigh Defects Using Perforator-Based Propeller Flaps.
    Ann Plast Surg 2017 Oct;79(4):385-389
    From the Department of Plastic and Reconstructive Surgery, The University of Tokyo, Tokyo, Japan.
    Background: Usually, anterolateral thigh (ALT) defects with width more than 8 cm cannot be closed directly. Although several methods of using local flaps exist, flap mobility of these methods is limited. We introduced a perforator-based propeller flap for such reconstruction. Read More

    Online Patient Resources for Gender Affirmation Surgery: An Analysis of Readability.
    Ann Plast Surg 2017 Oct;79(4):329-333
    From the Department of Plastic Surgery, Rhode Island Hospital and Warren Alpert Medical School of Brown University, Providence, RI.
    Background: Gender affirmation surgery is an important treatment for patient with gender dysphoria. It consists of a series of complex procedures, and well-informed patients have been shown to have better outcomes. However, there are no published data regarding the readability of currently available online patient recourses for gender affirmation surgery. Read More

    Barbed Ribbon Device for Progressive Tension Closure Reduces Seroma After Breast Reconstruction.
    Ann Plast Surg 2017 Aug 29. Epub 2017 Aug 29.
    From the Department of Plastic Surgery, University of Tennessee College of Medicine Chattanooga, Chattanooga, TN.
    Purpose: Implant-based breast reconstruction is fraught with complications related to seroma formation. Soft tissue stabilization with progressive tension closure (PTC) has been shown to decrease seroma formation after various procedures but is less suitable for mastectomy flap stabilization. We evaluate the incidence of seroma in breast reconstruction using bioabsorbable barbed ribbon devices (BRDs) as a novel approach to PTC. Read More

    Congenital Infiltrating Lipomatosis of the Face: Case Report and Literature Review.
    Ann Plast Surg 2017 Aug 24. Epub 2017 Aug 24.
    From the *Departments of Plastic Surgery, and †Pathology, Peking Union Medical College Hospital, Beijing, China.
    Rationale: Congenital infiltrating lipomatosis of the face (CILF) is a rare disorder characterized by collections of nonencapsulated mature lipocytes that infiltrate surrounding tissues. In this article, we would report a new case of CILF, which may be one of the first few cases reported in China.

    Patient Concerns: An 8-year-old boy presented with a hyperplasia of subcutaneous tissue of his left face, which had been gradually progressing since birth, resulting in a marked facial asymmetry. Read More

    Double Composite Tissue Z-plasty Technique for Anatomical Restoration of Severe Nasal Deformity in Secondary Unilateral Cleft Lip.
    Ann Plast Surg 2017 Oct;79(4):359-364
    From the *Department of Plastic and Reconstructive Surgery, Shanghai Jiaotong University Medical School, Ninth People's Hospital, Shanghai, China; and †Plastic and Reconstructive Surgery and Burn Center, Trauma Center Murnau, Murnau, Germany.
    Background: Patients with secondary unilateral cleft lip are regularly affected by serious nasal deformities especially of the alar and nasal floor. A large number of techniques for correction have been published, but symmetrical restoration of severe nasal deformation is difficult to achieve. We propose an innovative approach for anatomical restoration for this entity of nasal deformities to achieve long-term symmetrical appearance and muscular function. Read More

    Comparison of Negative Pressure Wound Therapy and Conventional Therapy for Cranial Bone-exposed Wounds in Rabbits.
    Ann Plast Surg 2017 Oct;79(4):397-403
    From the *Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an; †Department of Burns and Plastic Surgery, No.25 Hospital of Chinese People's Liberation Army; and ‡Department of Plastic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
    Background: Bone-exposed wounds with intact or defected periosteum are difficult to heal. To provide relevant experimental evidence for guidance of clinical therapy, we established a rabbit model to compare the efficacies of negative pressure wound therapy (NPWT) and conventional guaze dressing therapy on the healing of cranial bone-exposed wounds.

    Methods: Full-thickness excisional circular wounds of 2. Read More

    Comment to "Orange Peel Excision of Gland: A Novel Surgical Technique for Treatment of Gynecomastia".
    Ann Plast Surg 2017 Sep;79(3):326
    Department of Plastic and Reconstructive Microsurgery, Careggi Universital Hospital, Florence, Italy. Department of Plastic and Reconstructive Surgery, University of Bari, Foggia, Italy Department of Plastic and Reconstructive Microsurgery, Careggi Universital Hospital, Florence, Italy.

    Electrophoto-Biomodulation in Aesthetic Treatment of Postburn Hypopigmentation: Clinical Response in Relation to Histopathological Changes.
    Ann Plast Surg 2017 Sep;79(3):264-269
    From the *Department of Plastic Surgery, Faculty of Medicine, Menoufia University, Menoufia; and †Department of Plastic Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt.
    Background: Hypopigmentation is a troublesome often-permanent sequelae after burn injury, particularly in dark races. A number of methods have been described to treat this phenomenon. In this work, we are going to study the effect of E light (intensive pulsed light+radiofrequency+cooling) in repigmentation of partial thickness and full thickness burn wounds in adult patients and light microscopic changes of biopsy material at various stages of repigmentation. Read More

    Component Separation Technique for Repair of Massive Abdominal Wall Defects at a Pediatric Hospital.
    Ann Plast Surg 2016 Nov;77(5):555-559
    From the *Department of Plastic Surgery, University of Kansas Medical Center, Kansas City, KS; and †Department of Plastic Surgery, The Ohio State University Wexner Medical Center, Columbus, OH.
    Background: Massive defects of the abdominal wall are commonly repaired with the component separation technique (CST) when insufficient tissue exists to close the defect primarily. Although the utility of CST has been documented in cases of large ventral hernias in adults, its application to congenital and acquired defects in pediatric patients has been largely unreported. This study is a retrospective case series discussing the success of CST at a large pediatric hospital. Read More

    Glabrous Flow-Through Flaps for Simultaneous Resurfacing, Revascularization, and Reinnervation of Digits.
    Ann Plast Surg 2016 Nov;77(5):547-554
    From the *Anatomical Institute of Minimally Invasive Surgery, Southern Medical University, Guangzhou; and †Hand and Foot Surgery Department, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China.
    Introduction: Composite injuries of the volar surfaces of fingers are frequently associated with digital vessel and nerve damage. Flow-through glabrous flaps can provide esthetic tissue coverage as well as revascularization, and using a neurovascular flap, allows primary reconstruction of the digital nerve.

    Methods: Between June 2010 and August 2014, we prospectively studied the use of Microsurgical flow-through glabrous flaps to achieve simultaneously digital revascularization and soft tissue coverage in 13 fingers of 12 patients who experienced volar injuries, comprising 6 great toe fibular flaps, 3 medial plantar flaps, 1 pedis medialis flap, and 3 hypothenar flaps. Read More

    Influences of Macrohemodynamic Conditions on Systemic Microhemodynamic Changes in Burns.
    Ann Plast Surg 2016 Nov;77(5):523-528
    From the Department of Hand, Plastic and Reconstructive Surgery Burn Center, BG Trauma Center Ludwigshafen, Hand and Plastic Surgery, University of Heidelberg, Heidelberg, Germany.
    Purpose: The clinical course after major burns is characterized by microcirculatory changes and consecutive capillary leakage. However, current clinical monitoring does not properly assess microcirculation, whereas macrohemodynamic changes are continuously evaluated. Here, we assess if macrohemodynamic and microhemodynamic parameters after burn trauma are correlated in a rat model. Read More

    The Psychosexual Impact of Postmastectomy Breast Reconstruction.
    Ann Plast Surg 2016 Nov;77(5):517-522
    From the Division of Plastic Surgery, Emory University, Atlanta, GA.
    Background: The surgical management of breast cancer with mastectomy and breast reconstruction (BR) has been shown to increase the quality of life of cancer survivors. Yet the impact of surgery on sexuality, femininity, and condition of intimate relationships as a measure for sexual health has not been fully evaluated.

    Methods: Ninety-six women who underwent mastectomy and immediate BR participated in the series. Read More

    The "Sandwich Therapy": A Microsurgical Integrated Approach for Presternal Keloid Treatment.
    Ann Plast Surg 2017 Sep;79(3):280-285
    From the Department of Plastic and Reconstructive Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China.
    Background: Keloid therapy remains a great challenge for plastic surgeons, especially when the defect cannot be closed primarily, necessitating tissue transplantation. Here, we introduce a new treatment modality, called the sandwich therapy, for presternal keloids; the sandwich therapy incorporates preradiotherapy, superficial circumflex iliac artery perforator (SCIP) flap transplantation, and postradiotherapy.

    Methods: From December 2012 to October 2013, 12 patients received the "sandwich therapy. Read More

    Rare Diseases on the Plastic Surgery In-Service Training Examination.
    Ann Plast Surg 2017 Sep;79(3):229-234
    From the *Section of Plastic Surgery, Department of Surgery, University of Michigan Health System; †Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN; ‡Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD; §American Surgical Arts, Vineland, NJ.

    Localized Leg Volume Index: A New Method for Body Type-Corrected Evaluation of Localized Leg Lymphedematous Volume Change.
    Ann Plast Surg 2017 Jul 22. Epub 2017 Jul 22.
    From the *Department of Plastic Surgery, Tokyo Metropolitan Bokutoh Hospital, Tokyo; †Department of Plastic and Reconstructive Surgery, St Marianna University School of Medicine, Kawasaki, Kanagawa; and ‡Department of Plastic and Reconstructive Surgery, the University of Tokyo, Tokyo, Japan.
    Background: Volume measurement is one of the most common evaluations for lower-extremity lymphedema. However, volume comparison between different patients with different physique may be inappropriate, and it is difficult to evaluate localized limb volume change using leg volume evaluation.

    Methods: Localized leg volumes (Vk, k = 1-5) and localized leg volume indices (LEVIk) at 5 points (1, thigh; 2, knee; 3, lower leg; 4, ankle; 5, foot) of 106 legs of 53 examinees with no leg edema were calculated based on physical measurements, leg circumferences and lengths, and body mass index (BMI). Read More

    Reverse Distal Transverse Palmar Arch in Distal Digital Replantation.
    Ann Plast Surg 2017 Jul 22. Epub 2017 Jul 22.
    From the *Department of Plastic Surgery, Cheng Ching General Hospital, Taichung, Taiwan; †Department of Plastic Surgery, Quiron Hospital, San Sebastian; ‡Department of Orthopaedic Surgery and Traumatology, Clínica Universidad de Navarra, Pamplona, Navarra, Spain; and §University of Toronto, Faculty of Medicine, Toronto, Ontario, Canada.
    Background: Refinements in microsurgery have made distal finger replantation an established technique with high success rates and good functional and aesthetic outcomes. However, it still represents a technically demanding procedure due to the small vessel caliber and frequent lack of vessel length, requiring the use of interpositional venous grafts in some instances. We describe a new technique for anastomosis in fingertip replantation, whereby the need for venous grafts is eliminated. Read More

    Dynamic Cleft Maxillary Orthopedics and Periosteoplasty: 25 Patients-25 Years.
    Ann Plast Surg 2017 Jul 22. Epub 2017 Jul 22.
    From the *Division of Plastic & Reconstructive Surgery, and †Division of Dental Medicine, Northwell Health System, Hofstra Northwell-School of Medicine, New York, NY.
    In 1985 this cleft team, dissatisfied with the treatment and results from cleft lip and palate repair, began a longitudinal long-term study using dynamic maxillary orthopedics and periosteoplasty as was originally described by Drs Millard and Latham. All cases were carefully documented through adolescence, including clinical assessments, orthodontic, radiographic, and cephalometric analyses. In 1998, in this journal, we published our data on 35 complete unilateral and 10 complete bilateral cleft patients. Read More

    A Cadaver Study to Assess the Feasibility of a Cross-Nerve Transfer of the Infraorbital Nerve for Patients With Peripheral Infraorbital Nerve Injury.
    Ann Plast Surg 2017 Jul 22. Epub 2017 Jul 22.
    From the *Department of Plastic and Reconstructive Surgery, Cancer Institute Hospital; and †Unit of Clinical Anatomy, Tokyo Medical and Dental University, Tokyo, Japan.
    Background: Patients with facial fracture or head and neck surgery sometimes suffer from infraorbital nerve injury. This injury results in severe hemilateral numbness in the midfacial area. The infraorbital nerve ends with two major branches; the infra nasal branch (INB) and superior labial branch (SLB). Read More

    Influence of Large-Volume Liposuction on Metabolic and Cardiovascular Health: A Systematic Review.
    Ann Plast Surg 2017 Jul 22. Epub 2017 Jul 22.
    From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai Medical Center, New York, NY.
    Background: Evidence suggesting that adipose tissue is a metabolically active tissue has generated debate on the effects of large-volume liposuction (LVL) on metabolic and cardiovascular health. Given the inconsistency in the literature, the authors performed a systematic review to identify available evidence in order to elucidate the potential impact of LVL on metabolic markers and cardiovascular risk factors.

    Methods: A PubMed search using relevant keywords was conducted. Read More

    Complex Reconstruction After Sarcoma Resection and the Role of the Plastic Surgeon: A Case Series of 298 Patients Treated at a Single Center.
    Ann Plast Surg 2017 Jul 22. Epub 2017 Jul 22.
    From the *Department of Plastic and Reconstructive Surgery, The Royal Free Foundation Trust, London; and †The Royal National Orthopaedic Hospital, Stanmore, United Kingdom.
    Background: More than 1000 new patients present to the London Sarcoma Unit each year and between 5% and 10% require plastic surgery intervention. Advancements in radiotherapy and chemotherapy protocols combined with higher expectations for limb preservation has led to increased reconstructive challenges. Frequently, primary closure is achievable; however, larger tumors often require specialist reconstruction. Read More

    Upper Extremity Patterns of Injury and Management at a Plastic and Reconstructive Surgery Referral Center in Mexico City.
    Ann Plast Surg 2017 Jul 22. Epub 2017 Jul 22.
    From the *Plastic and Reconstructive Surgery Division, Hospital General "Dr Manuel Gea Gonzalez," Postgraduate Division of the Medical School, Universidad Nacional Autonoma de Mexico; and †Department of Surgery, Section of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Médicas y Nutricion "Salvador Zubirán," Mexico City, Mexico.
    Background: Acute upper extremity injuries remain one of the most common consultations in the emergency departments for plastic surgery services. These injuries can affect a person's quality of life and negatively affect work-related or social interactions if not properly managed. We aim to evaluate our experience and management in a specialized referral center in Mexico City. Read More

    Human and Autologous Adipose-derived Stromal Cells Increase Flap Survival in Rats Independently of Host Immune Response.
    Ann Plast Surg 2017 Jul 22. Epub 2017 Jul 22.
    From the *Department of Plastic Surgery and †The Danish Centre for Regenerative Medicine, Odense University Hospital; ‡Clinical Institute, University of Southern Denmark; §Laboratory of Molecular and Cellular Cardiology, Department of Clinical Biochemistry and Pharmacology, Odense University Hospital; and ∥Institute of Molecular Medicine, University of Southern Denmark, Odense, Denmark.
    Introduction: There is a rising interest in adipose-derived stromal cells for clinical use; however, it is unknown whether freshly isolated stromal cells (SVF) or culture-expanded cells (ASCs) are more efficacious. We therefore aimed to compare the 2 cellular therapies in an in vivo model of angiogenesis, the ischemic flap in rats, which induces acute ischemia. We also aimed to determine the importance of cell presence and the host immune response. Read More

    Application of Epineural Sheath as a Novel Approach for Fat Volume Maintenance.
    Ann Plast Surg 2017 Jul 22. Epub 2017 Jul 22.
    From the *Department of Orthopaedics, College of Medicine, University of Illinois at Chicago, Chicago, IL; and †Department of Plastic Surgery, Cleveland Clinic, Cleveland, OH.
    Introduction: Various methods have been suggested to improve fat graft survival and decrease graft loss. The exact mechanism of fat graft survival is still unclear, and new strategies are needed to further investigate it.

    Materials And Methods: The efficacy of epineural sheath in fat volume maintenance was tested in rat model. Read More

    L-Shaped Septal Extension Spreader Graft for Improvement of Tip Symmetry in Unilateral Cleft Lip Nose Deformities.
    Ann Plast Surg 2017 Jul 22. Epub 2017 Jul 22.
    From the *Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital CHUV, Lausanne, Switzerland; †Department of Otorhinolaryngology, Head and Neck Surgery, University of Heidelberg, Heidelberg, Germany; and ‡Department of Paediatric Surgery, University Hospital CHUV, Lausanne, Switzerland.
    Introduction: The unilateral cleft lip nose is characterized by numerous complex and interdependent deformities. Secondary rhinoplasty techniques aim to correct cleft lip nose deformities by using multiple maneuvers combining septum and nasal spine medialization and alar cartilage, as well as soft tissue mobilization and repositioning. Moreover, cartilage grafting is frequently used to restore adequate tip projection and nasal symmetry. Read More

    Standardized Protocol for Virtual Surgical Plan and 3-Dimensional Surgical Template-Assisted Single-Stage Mandible Contour Surgery.
    Ann Plast Surg 2017 Sep;79(3):236-242
    From the *The Craniofacial Center One, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China; and †Plastic and Reconstructive Surgery, Stanford, Palo Alto, CA.
    Background: Mandible contour surgery, including reduction gonioplasty and genioplasty, has become increasingly popular in East Asia. However, it is technically challenging and, hence, leads to a long learning curve and high complication rates and often needs secondary revisions. The increasing use of 3-dimensional (3D) technology makes accurate single-stage mandible contour surgery with minimum complication rates possible with a virtual surgical plan (VSP) and 3-D surgical templates. Read More

    Complications After Body Contouring Surgery in Postbariatric Patients.
    Ann Plast Surg 2017 Sep;79(3):293-297
    From the *Department of Plastic Surgery, †Fundación Universitaria de Ciencias de la Salud, Hospital de San José, Bogotá, Colombia.
    Introduction: Over recent years, body contouring procedures in postbariatric patients have been in exponentially growing demand resulting in high complication rates rendering a variety of ciphers in the literature.

    Objective: The purpose of this study is to determine the complication rate in patients who have undergone body contouring surgery after bariatric surgery between June 2012 and March 2015 at Hospital de San José.

    Methods: A cohort study including 153 individuals who underwent a total of 198 body contouring procedures after massive weight loss following bariatric surgery was conducted. Read More

    Reply to the Comment on: Management of Gynecomastia in Patients With Different Body Types: Considerations on 312 Consecutive Treated Cases.
    Ann Plast Surg 2017 Aug;79(2):226-227
    Plastic and Reconstructive Microsurgery, Careggi University Hospital, Florence, Italy. Department of Plastic and Reconstructive Surgery, University of Bari, Foggia, Italy; Plastic and Reconstructive Microsurgery, Careggi University Hospital, Florence, Italy.

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