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    831 results match your criteria Archives of plastic surgery[Journal]

    1 OF 17

    The Lazy S Design: A Novel Skin Closure Design in Skin-Sparing Mastectomy for Implant-Based Breast Reconstruction.
    Arch Plast Surg 2017 Jul 15;44(4):344-347. Epub 2017 Jul 15.
    Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
    Preservation of the breast skin envelope during immediate implant-based breast reconstruction is important for producing symmetrical and natural-looking breasts. We propose the lazy S design for the closure of round-shaped wounds with the hope of improving the aesthetic outcomes and reducing the tension on the wound by preserving the skin. Additionally, the direction of tension is dispersed due to the shape of this design. Read More

    Skin Necrosis with Oculomotor Nerve Palsy Due to a Hyaluronic Acid Filler Injection.
    Arch Plast Surg 2017 Jul 15;44(4):340-343. Epub 2017 Jul 15.
    Department of Plastic and Reconstructive Surgery, Busan Baik Hospital, InJe University School of Medicine, Busan, Korea.
    Performing rhinoplasty using filler injections, which improve facial wrinkles or soft tissues, is relatively inexpensive. However, intravascular filler injections can cause severe complications, such as skin necrosis and visual loss. We describe a case of blepharoptosis and skin necrosis caused by augmentation rhinoplasty and we discuss the patient's clinical progress. Read More

    Surgery Requiring Detailed Preoperative Simulation and Scar De-epithelialization to Repair Severe Postoperative Scarring from Gastroschisis.
    Arch Plast Surg 2017 Jul 15;44(4):337-339. Epub 2017 Jul 15.
    Department of Plastic and Reconstructive Surgery, Keio University, Tokyo, Japan.
    We present the case of a patient with severe postoperative scarring from surgical treatment for gastroschisis, with the intestine located immediately under the dermal scar. Although many patients are unsatisfied with the results of scar repair treatment, few reports exist regarding severe or difficult cases involving the surgical repair of postoperative scar contracture. We achieved an excellent result via simulation involving graph paper drawings that were generated using computed tomography images as a reference, followed by dermal scar deepithelialization. Read More

    Hair Diameter Variation in Different Vertical Regions of the Occipital Safe Donor Area.
    Arch Plast Surg 2017 Jul 15;44(4):332-336. Epub 2017 Jul 15.
    Department of Plastic and Reconstructive Surgery, Wonkwang University School of Medicine, Iksan, Korea.
    Background: Little is known concerning hair diameter variation within the safe donor area for hair transplantation surgery. Thicker or thinner hair may be needed, depending on the recipient area, hairline design, and the purpose of surgery.

    Methods: Twenty-seven patients (7 men and 20 women; mean age, 28 years; range, 20-47 years) were included in this study. Read More

    Liposuction in the Treatment of Lipedema: A Longitudinal Study.
    Arch Plast Surg 2017 Jul 15;44(4):324-331. Epub 2017 Jul 15.
    Department of Plastic Surgery, Klinikum Ernst von Bergmann, Potsdam, Germany.
    Background: Lipedema is a condition consisting of painful bilateral increases in subcutaneous fat and interstitial fluid in the limbs with secondary lymphedema and fibrosis during later stages. Combined decongestive therapy (CDT) is the standard of care in most countries. Since the introduction of tumescent technique, liposuction has been used as a surgical treatment option. Read More

    Reconstruction of Large Facial Defects via Excision of Skin Cancer Using Two or More Regional Flaps.
    Arch Plast Surg 2017 Jul 15;44(4):319-323. Epub 2017 Jul 15.
    Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea.
    Background: Free-flap surgery and skin grafting can be used to reconstruct large facial defects that may result after skin cancer removal by Mohs micrographic surgery (MMS). However, these two methods may produce low postsurgical patient satisfaction with aesthetics, and free-flap surgery may produce an undue burden for the majority of skin cancer patients, who are of advanced age. Hence, the authors examined outcomes of large facial defect reconstruction using multiple flaps. Read More

    Non-Melanocytic Skin Cancers of the Head and Neck: A Clinical Study in Jeju Province.
    Arch Plast Surg 2017 Jul 15;44(4):313-318. Epub 2017 Jul 15.
    Department of Plastic and Reconstructive Surgery, Jeju National University School of Medicine, Jeju, Korea.
    Background: Jeju Island is geographically and socioeconomically distinct from the mainland of South Korea. Thus, the presentation and management of non-melanocytic skin cancers (NMSC) of the head and neck may differ from those in other regions of the country. We compared the clinical characteristics and treatment modalities of NMSC on Jeju Island with the findings of similar regional studies. Read More

    The Role of Negative-Pressure Wound Therapy in Latissimus Dorsi Flap Donor Site Seroma Prevention: A Cohort Study.
    Arch Plast Surg 2017 Jul 15;44(4):308-312. Epub 2017 Jul 15.
    Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
    Background: Donor site seroma is the most common complication after latissimus dorsi (LD) flap harvest. This study aimed to evaluate the efficacy of negative-pressure wound therapy (NPWT) in preventing donor site seroma formation after the harvest of an LD flap for breast reconstruction.

    Methods: In this prospective matched-pair study, 40 patients in whom an LD flap was harvested for breast reconstruction were enrolled. Read More

    The Usefulness of Surgical Treatment in Slow-Flow Vascular Malformation Patients.
    Arch Plast Surg 2017 Jul 15;44(4):301-307. Epub 2017 Jul 15.
    Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea.
    Background: Many difficulties exist in establishing a treatment plan for slow-flow vascular malformation (SFVM). In particular, little research has been conducted on the surgical treatment of SFVMs. Thus, we investigated what proportion of SFVM patients were candidates for surgical treatment in clinical practice and how useful surgical treatment was in those patients. Read More

    The Chicken Thigh Adductor Profundus Free Muscle Flap: A Novel Validated Non-Living Microsurgery Simulation Training Model.
    Arch Plast Surg 2017 Jul 15;44(4):293-300. Epub 2017 Jul 15.
    Academic Plastic Surgery, The Royal London Hospital, Barts Health NHS Trust, Queen Mary University of London, London, UK.
    Background: Simulation training is becoming an increasingly important component of skills acquisition in surgical specialties, including Plastic Surgery. Non-living simulation models have an established place in Plastic Surgical microsurgery training, and support the principles of replacement, reduction and refinement of animal use. A more sophisticated version of the basic chicken thigh microsurgery model has been developed to include dissection of a type 1-muscle flap and is described and validated here. Read More

    Analysis of the Legal Effect of Settlement Agreements Prepared in Medical Litigation Following Plastic Surgery in Korea.
    Arch Plast Surg 2017 Jul 15;44(4):283-292. Epub 2017 Jul 15.
    Department of Plastic and Reconstructive Surgery, Ewha Womans University Mokdong Hospital, Seoul, Korea.
    Background: Settlements between doctors and patients provide a solution to complicated disputes. However, some disputes may be renewed as a result of negligence by both parties. The purpose of this study was to review the legal issues that may potentially arise during the preparation of settlement agreements and to propose a list of requirements for ensuring the effectiveness of these settlement agreements. Read More

    Perioperative Hypertension Management during Facelift under Local Anesthesia with Intravenous Hypnotics.
    Arch Plast Surg 2017 Jul 15;44(4):276-282. Epub 2017 Jul 15.
    IDEA Plastic Surgery Clinic, Seoul, Korea.
    Perioperative hypertension is a phenomenon in which a surgical patient's blood pressure temporarily increases throughout the preoperative and postoperative periods and remains high until the patient's condition stabilizes. This phenomenon requires immediate treatment not only because it is observed in a majority of patients who are not diagnosed with high blood pressure, but also because occurs in patients with underlying essential hypertension who show a sharp increase in their blood pressure. The most common complication following facelift surgery is hematoma, and the most critical risk factor that causes hematoma is elevated systolic blood pressure. Read More

    Review of the Nomenclature of the Retaining Ligaments of the Cheek: Frequently Confused Terminology.
    Arch Plast Surg 2017 Jul 15;44(4):266-275. Epub 2017 Jul 15.
    Area88 Plastic Surgery Clinic, Seoul, Korea.
    Since the time of its inception within facial anatomy, wide variability in the terminology as well as the location and extent of retaining ligaments has resulted in confusion over nomenclature. Confusion over nomenclature also arises with regard to the subcutaneous ligamentous attachments, and in the anatomic location and extent described, particularly for zygomatic and masseteric ligaments. Certain historical terms-McGregor's patch, the platysma auricular ligament, parotid cutaneous ligament, platysma auricular fascia, temporoparotid fasica (Lore's fascia), anterior platysma-cutaneous ligament, and platysma cutaneous ligament-delineate retaining ligaments of related anatomic structures that have been conceptualized in various ways. Read More

    Temple and Postauricular Dissection in Face and Neck Lift Surgery.
    Arch Plast Surg 2017 Jul 15;44(4):261-265. Epub 2017 Jul 15.
    The Chula Soft Cadaver Surgical Training Center and Department of Anatomy, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
    Periauricular paresthesia may afflict patients for a significant amount of time after facelift surgery. When performing face and neck lift surgery, temple and posterior auricular flap dissection is undertaken directly over the auriculotemporal, great auricular, and lesser occipital nerve territory, leading to potential damage to the nerve. The auriculotemporal nerve remains under the thin outer superficial fascia just below the subfollicular level in the prehelical area. Read More

    Using a Thermal Imaging Camera to Locate Perforators on the Lower Limb.
    Arch Plast Surg 2017 May 22;44(3):243-247. Epub 2017 May 22.
    School of Medicine, University of Queensland, Brisbane, New Zealand.
    Reconstruction of the lower limb presents a complex problem after skin cancer surgery, as proximity of skin and bone present vascular and technical challenges. Studies on vascular anatomy have confirmed that the vascular plane on the lower limb lies deep to the deep fascia. Yet, many flaps are routinely raised superficial to this plane and therefore flap failure rates in the lower limb are high. Read More

    Vascular Augmentation in Renal Transplantation: Supercharging and Turbocharging.
    Arch Plast Surg 2017 May 22;44(3):238-242. Epub 2017 May 22.
    Plastic and Reconstructive Surgery, Dongguk University Medical Center, Dongguk University College of Medicine, Ilsan, Korea.
    The most common anatomic variant seen in donor kidneys for renal transplantation is the presence of multiple renal arteries, which can cause an increased risk of complications. Accessory renal arteries should be anastomosed to the proper source arteries to improve renal perfusion via the appropriate vascular reconstruction techniques. In microsurgery, 2 kinds of vascular augmentation methods, known as 'supercharging' and 'turbocharging,' have been introduced to ensure vascular perfusion in the transferred flap. Read More

    Acellular Dermal Matrices and Paraffinoma: A Modern Tool for a Nearly Obsolete Disease.
    Arch Plast Surg 2017 May 22;44(3):234-237. Epub 2017 May 22.
    Department of Plastic and Reconstructive Surgery, Marche Polytechnic Medical School, Ancona, Italy.
    Paraffinoma is a destructive complication of paraffin oil injection, usually associated with massive tissue destruction, thus requiring radical surgery and subsequent complex reconstruction. Although breast and penile paraffinomas have been widely described and their management is quite standardized, paraffinomas of the knee are still rare and only few case reports or small case series are available in the current literature. We describe the case of a 77-year-old man with a large paraffinoma of the right knee that occurred after self-injection of paraffin oil, 58 years before. Read More

    Axillary Reconstruction for Hidradenitis Suppurativa with an Inner-Arm Transposition Flap Creating a Brachioplasty Effect.
    Arch Plast Surg 2017 May 22;44(3):228-233. Epub 2017 May 22.
    Department of Plastic and Reconstructive Surgery, St George's Healthcare NHS Trust, London, UK.
    Background: Hidradenitis suppurativa (HS) is a chronic skin condition that can affect any area with apocrine sweat glands and has the potential to involve multiple sites concurrently. Commonly affected sites include the axilla, groin, perineum and perianal areas. In this study we performed a literature review on the surgical methods for HS and describe an innovative technique for reconstructing axilla HS using an inner-arm transposition flap. Read More

    Validation of a Cognitive Task Simulation and Rehearsal Tool for Open Carpal Tunnel Release.
    Arch Plast Surg 2017 May 22;44(3):223-227. Epub 2017 May 22.
    Division of Plastic and Reconstructive Surgery, Stanford Hospital and Clinics, CA, USA.
    Background: Carpal tunnel release is one of the most common surgical procedures performed by hand surgeons. The authors created a surgical simulation of open carpal tunnel release utilizing a mobile and rehearsal platform app. This study was performed in order to validate the simulator as an effective training platform for carpal tunnel release. Read More

    Mucoperiosteal Flap Necrosis after Primary Palatoplasty in Patients with Cleft Palate.
    Arch Plast Surg 2017 May 22;44(3):217-222. Epub 2017 May 22.
    San Bartolome Mother and Children Hospital, Lima, Peru.
    Background: The prevalence of flap necrosis after palatoplasty in patients with cleft palate. The prevalence of mucoperiosteal flap necrosis after palatoplasty remains unknown, and this complication is rare. This event is highly undesirable for both the patient and the surgeon. Read More

    Correction of Minor-Form and Microform Cleft Lip Using Modified Muscle Overlapping with a Minimal Skin Incision.
    Arch Plast Surg 2017 May 22;44(3):210-216. Epub 2017 May 22.
    Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, Korea.
    Background: In treating minor-form or microform cleft lip, obtaining an optimal result is a challenge because of the visible scarring caused by traditional surgery. We present a refined method using muscle overlapping with a minimal skin incision in patients younger than 3 years, a group characterized by thin muscle.

    Methods: The surgical technique involves restoration of the notched vermillion using Z-plasty, formation of the philtral column using overlapping of an orbicularis oris muscle flap through an intraoral incision, and correction of the cleft lip nasal deformity using a reverse-U incision and V-Y plasty. Read More

    Long-Term Follow-Up Study of Young Adults Treated for Unilateral Complete Cleft Lip, Alveolus, and Palate by a Treatment Protocol Including Two-Stage Palatoplasty: Speech Outcomes.
    Arch Plast Surg 2017 May 22;44(3):202-209. Epub 2017 May 22.
    Department of Plastic Surgery, University of Utrecht, Utrecht, The Netherlands.
    Background: No consensus exists on the optimal treatment protocol for orofacial clefts or the optimal timing of cleft palate closure. This study investigated factors influencing speech outcomes after two-stage palate repair in adults with a non-syndromal complete unilateral cleft lip and palate (UCLP).

    Methods: This was a retrospective analysis of adult patients with a UCLP who underwent two-stage palate closure and were treated at our tertiary cleft centre. Read More

    Hydrogel and Platelet-Rich Plasma Combined Treatment to Accelerate Wound Healing in a Nude Mouse Model.
    Arch Plast Surg 2017 May 22;44(3):194-201. Epub 2017 May 22.
    Department of Plastic and Reconstructive Surgery, Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.
    Background: Platelet-rich plasma (PRP) contains high concentrations of growth factors involved in wound healing. Hydrogel is a 3-dimensional, hydrophilic, high-molecular, reticular substance generally used as a dressing formulation to accelerate wound healing, and also used as a bio-applicable scaffold or vehicle. This study aimed to investigate the effects of PRP and hydrogel on wound healing, in combination and separately, in an animal wound model. Read More

    Current Methods for the Treatment of Alveolar Cleft.
    Arch Plast Surg 2017 May 22;44(3):188-193. Epub 2017 May 22.
    Department of Plastic and Reconstructive Surgery, Chungnam National University School of Medicine, Daejeon, Korea.
    Alveolar cleft is a tornado-shaped bone defect in the maxillary arch. The treatment goals for alveolar cleft are stabilization and provision of bone continuity to the maxillary arch, permitting support for tooth eruption, eliminating oronasal fistulas, providing an improved esthetic result, and improving speech. Treatment protocols vary in terms of the operative time, surgical techniques, and graft materials. Read More

    Virtual Reality and Augmented Reality in Plastic Surgery: A Review.
    Arch Plast Surg 2017 May 22;44(3):179-187. Epub 2017 May 22.
    Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea.
    Recently, virtual reality (VR) and augmented reality (AR) have received increasing attention, with the development of VR/AR devices such as head-mounted displays, haptic devices, and AR glasses. Medicine is considered to be one of the most effective applications of VR/AR. In this article, we describe a systematic literature review conducted to investigate the state-of-the-art VR/AR technology relevant to plastic surgery. Read More

    An Innovative Scalp-Dyeing Technique with Gentian Violet Solution During Follicular Unit Extraction for White-Haired Follicular Units.
    Arch Plast Surg 2017 Mar 15;44(2):170-172. Epub 2017 Mar 15.
    Department of Plastic Surgery, JP Plastic Surgery Clinic, Seoul, Korea.
    There exist some restrictions and difficulties in performing follicular unit extraction (FUE) in white-haired patients, for several reasons. In this paper, we introduce a novel technique for visualizing white hair during the punching procedure and graft preparation in FUE for white-haired patients. In white-haired older male patients, we dyed the surrounding scalp skin purple with a gentian violet solution-stained toothpick. Read More

    A New Technique for Conchal Cartilage Harvest.
    Arch Plast Surg 2017 Mar 15;44(2):166-169. Epub 2017 Mar 15.
    Doctorsmi Aesthetic Plastic Surgical Clinic, Daejeon, Korea.
    The goal of auricular cartilage harvest is to obtain a sufficient amount for reconstruction and to minimize the change in ear shape. The cartilage can be harvested by a posterior or anterior approach, and each method has advantages and disadvantages. The posterior approach presents the advantage of scar concealment, but there are limits to the amount of cymba cartilage that may be harvested. Read More

    Autologous Fat Grafting as a Last Resort for Unsustainable Pain in a Woman with Multiple Osteochondromas.
    Arch Plast Surg 2017 Mar 15;44(2):162-165. Epub 2017 Mar 15.
    MO-Expertise Center, Department of Orthopaedic Surgery, Onze Lieve Vrouwe Gasthuis Oost, Amsterdam, The Netherlands.
    Multiple osteochondromas (MO) is characterized by the formation of osteochondromas throughout the entire body. Although the evidence regarding its pathogenesis is well understood, no curative treatment for the disorder is available. Patients can be treated symptomatically by surgical removal of painful osteochondromas. Read More

    Photo Epilation with Intense Pulsed Light for Thinning of Anterior Hairline after Hairline Correction Surgery in East Asians.
    Arch Plast Surg 2017 Mar 15;44(2):157-161. Epub 2017 Mar 15.
    Dana Plastic Surgery Clinic, Seoul, Korea.
    Background: Thin hairs are critical to achieve natural result in female hairline correction surgery. However, there are few studies on the usefulness of hair thinning by intense pulsed light (IPL) after hairline correction surgery in East Asian females.

    Methods: Hair thinning using IPL was performed in 54 women who had complained about thick hairs along the frontal hairline after hairline correction surgery. Read More

    Osseointegrated Finger Prostheses Using a Tripod Titanium Mini-Plate.
    Arch Plast Surg 2017 Mar 15;44(2):150-156. Epub 2017 Mar 15.
    Departamento De Cirugía Plástica y Reconstructiva, Hospital Militar Central, Universidad Militar "Nueva Granada", Bogotá, Colombia.
    Background: Digital amputation is a common upper extremity injury and can cause significant impairment in hand function, as well as psychosocial stigma. Currently, the gold standard for the reconstruction of such injuries involves autologous reconstruction. However, when this or other autologous options are not available, prosthetic reconstruction can provide a functionally and aesthetically viable alternative. Read More

    Analysis of Pediatric Tendon Injuries in the Hand in Comparison with Adults.
    Arch Plast Surg 2017 Mar 15;44(2):144-149. Epub 2017 Mar 15.
    Department of Plastic and Reconstructive Surgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.
    Background: The purpose of this study was to identify the epidemiologic characteristics of hand tendon injuries in children and to compare these with those of adults.

    Methods: This retrospective study was conducted on acute traumatic tendon injuries of the hand treated at our institution from 2005 to 2013, based on medical records and X-ray findings. Age, sex, hand injured, mechanism of injury, tendons and zones injured, number of affected digits, and comorbidities and complications were analyzed. Read More

    Peroneal Flap: Clinical Application and Cadaveric Study.
    Arch Plast Surg 2017 Mar 15;44(2):136-143. Epub 2017 Mar 15.
    Department of Plastic and Reconstructive Surgery, Chungnam National University, Daejeon, Korea.; Brain Research Institute, Chungnam National University School of Medicine, Daejeon, Korea.
    Background: The goal of this study was to investigate the anatomy of the peroneal artery and its perforators, and to report the clinical results of reconstruction with peroneal artery perforator flaps.

    Methods: The authors dissected 4 cadaver legs and investigated the distribution, course, origin, number, type, and length of the perforators. Peroneal artery perforator flap surgery was performed on 29 patients. Read More

    Systematic Review and Comparative Meta-Analysis of Outcomes Following Pedicled Muscle versus Fasciocutaneous Flap Coverage for Complex Periprosthetic Wounds in Patients with Total Knee Arthroplasty.
    Arch Plast Surg 2017 Mar 15;44(2):124-135. Epub 2017 Mar 15.
    Department of Plastic Surgery, Georgetown University Hospital, Washington, DC, USA.
    Background: In cases of total knee arthroplasty (TKA) threatened by potential hardware exposure, flap-based reconstruction is indicated to provide durable coverage. Historically, muscle flaps were favored as they provide vascular tissue to an infected wound bed. However, data comparing the performance of muscle versus fasciocutaneous flaps are limited and reflect a lack of consensus regarding the optimal management of these wounds. Read More

    Soft Tissue Reconstruction of Complete Circumferential Defects of the Upper Extremity.
    Arch Plast Surg 2017 Mar 15;44(2):117-123. Epub 2017 Mar 15.
    Division of Plastic Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
    Background: Upper extremity soft tissue defects with complete circumferential involvement are not common. Coupled with the unique anatomy of the upper extremity, the underlying etiology of such circumferential soft tissue defects represent additional reconstructive challenges that require treatment to be tailored to both the patient and the wound. The aim of this study is to review the various options for soft tissue reconstruction of complete circumferential defects in the upper extremity. Read More

    Assessment of Tissue Perfusion Following Conventional Liposuction of Perforator-Based Abdominal Flaps.
    Arch Plast Surg 2017 Mar 15;44(2):109-116. Epub 2017 Mar 15.
    Department of Plastic, Reconstructive and Aesthetic Surgery, Marmara University School of Medicine, Istanbul, Turkey.
    Background: The effect of liposuction on the perforators of the lower abdominal wall has been investigated in several studies. There are controversial results in the literature that have primarily demonstrated the number and patency of the perforators. The aim of this study was to determine the effect of liposuction on the perfusion of perforator-based abdominal flaps using a combined laser-Doppler spectrophotometer (O2C, Oxygen to See, LEA Medizintechnik). Read More

    A New Septum in the Female Breast.
    Arch Plast Surg 2017 Mar 15;44(2):101-108. Epub 2017 Mar 15.
    Department of Radiodiagnosis, Ain Shams University, Cairo, Egypt.
    Background: Understanding the female breast fascial system is of paramount importance in breast surgery. Little was written about breast ligaments. Most articles refer to Cooper's work without further anatomical studies. Read More

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