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    1 OF 18

    How to optimize aesthetic outcomes in implant-based breast reconstruction.
    Arch Plast Surg 2018 Jan 10. Epub 2018 Jan 10.
    Group for Reconstructive and Therapeutic Advancements, Milan, Naples, Catania, Italy.
    The evolution of breast reconstructive surgery keeps pace with the evolution of breast oncologic surgery. The reconstructive choice should always balance the optimal local control of disease and the best cosmetic result, reflecting an informed decision that is shared with the patient, who is always at the center of the decision-making process. Implant-based breast reconstruction following mastectomy represents a complex choice. Read More

    Immediate application of vacuum assisted closure dressing over free muscle flaps in the lower extremity does not compromise flap survival and results in decreased flap thickness.
    Arch Plast Surg 2018 Jan 10. Epub 2018 Jan 10.
    Division of Plastic Surgery, University of Florida College of Medicine, Gainesville, FL, USA.
    Background: Free muscle flaps are a mainstay for reconstruction of distal third leg wounds and for large lower extremity wounds with exposed bone. However a major problem is the significant postoperative flap swelling, which may take months to resolve. We studied the efficacy and safety of immediate application of a vacuum assisted closure (VAC) dressing after a free muscle flap to the lower extremity. Read More

    Risk factors for delayed healing at the free anterolateral thigh flap donor site.
    Arch Plast Surg 2018 Jan 10. Epub 2018 Jan 10.
    Department of Plastic and Reconstructive Surgery, Tokushima University Graduate School of Medical Science, Tokushima, Japan.
    Background: The free anterolateral thigh (ALT) flap has been widely used for various kinds of reconstructions. However, delayed healing at the donor site occasionally occurs due to wound dehiscence or the partial loss of grafted skin at the donor site. The aim of the present study was to identify reliable predictive factors for delayed healing at the donor site after the harvest of a free ALT flap. Read More

    Factors Associated with a Prolonged Length of Hospital Stay in Patients with Diabetic Foot: A Single-Center Retrospective Study.
    Arch Plast Surg 2017 Nov 10;44(6):539-544. Epub 2017 Nov 10.
    Department of Plastic and Reconstructive Surgery, Konkuk University Chungju Hospital, Chungju, Korea.
    Background: We conducted this study to identify factors that may prolong the length of the hospital stay (LHS) in patients with diabetic foot (DF) in a single-institution setting.

    Methods: In this single-center retrospective study, we evaluated a total of 164 patients with DF, and conducted an intergroup comparison of their baseline demographic and clinical characteristics, including sex, age, duration of diabetes, smoking status, body mass index, underlying comorbidities (e.g. Read More

    Reconstruction of Medial Orbital Wall Fractures without Subperiosteal Dissection: The "Push-Out" Technique.
    Arch Plast Surg 2017 Nov 10;44(6):496-501. Epub 2017 Nov 10.
    Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea.
    Background: Various surgical methods for repairing medial orbital wall fractures have been introduced. The conventional technique requires total separation of the displaced orbital bones from the orbital soft tissues. However, subperiosteal dissection around the fracture can cause additional damage. Read More

    Assessment of correlation between time period and risk of fat embolism after liposuction: Animal model.
    Arch Plast Surg 2017 Oct 27. Epub 2017 Oct 27.
    Department of Pathology, Dong-A University School of Medicine, Busan, Korea.
    Background: Liposuction has become one of the most frequently performed operation among the aesthetic surgical field recently. Fat embolism syndrome after liposuction is overlooked or underestimated easily. Occasionally, fulminating fat embolism syndrome could be developed and lead to critical situation within 2-3 days after lipoplasty. Read More

    Multiple venous anastomoses decrease the need for intensive postoperative management in Tamai zone-I replantations.
    Arch Plast Surg 2017 Oct 27. Epub 2017 Oct 27.
    Department of Plastic Surgery, Gwangmyeong Seongae General Hospital, Gwangmyeong, Korea, Gwangmyeong, Korea, Korea.
    Background: Venous anastomosis is an important component of digital replantation but is not always feasible in all cases, which can require external bleeding to prevent or treat venous congested in the replanted tissue. Our study evaluates the relationship between number of vein anastomosis and survival rate for Tamai zone I replantations.

    Methods: A retrospective review was performed for all patients who received replantation of fingertip amputation between 2014 and 2016. Read More

    Modified Toe Pulp Fillet Flap Coverage: Better Wound Healing and Satisfactory Length Preservation.
    Arch Plast Surg 2017 Oct 27. Epub 2017 Oct 27.
    Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
    Background: Amputation is commonly performed for toe necrosis secondary to peripheral vascular diseases, such as diabetes mellitus. When amputating a necrotic toe, preservation of the bony structure is important for preventing the collapse of adjacent digits into the amputated space. However, in the popular terminal Syme's amputation technique, partial amputation of the distal phalanx could cause increased tension on the wound margin. Read More

    Autogenous Fat Grafting for Mild-to-Moderate Postoperative Temporal Hollowing after Decompressive Craniectomy: 1-Year Follow-Up.
    Arch Plast Surg 2017 Oct 27. Epub 2017 Oct 27.
    Plastic and Reconstructive Surgery Class, Konkuk University School of Medicine, Seoul, Korea.
    >background: Temporal hollowing is inevitable after decompressive craniectomy. This complication affects self- perception and quality of life, and various techniques and materials have therefore been used to restore patients' confidence. Autologous fat grafting in postoperative scar tissue has been considered challenging because of the hostile tissue environment. Read More

    Orthognathic Treatment of Facial Asymmetry Due to Temporomandibular Joint Ankylosis.
    Arch Plast Surg 2017 Oct 27. Epub 2017 Oct 27.
    Koc University hospital department of plastic surgery, Istanbul, Turkey.
    The aim of this study was to present a case series of the orthognathic treatment of facial asymmetry due to temporomandibular joint (TMJ) ankylosis and to characterize the current treatment modalities through a literature review. Four patients who presented with facial asymmetry due to TMJ ankylosis between 2010 and 2014 were included in this study. TMJ ankylosis was surgically treated before bimaxillary surgery with advancement genioplasty in some of the cases. Read More

    A Shark Attack Treated in a Tertiary Care Centre: Case Report and Review of the Literature.
    Arch Plast Surg 2017 Oct 27. Epub 2017 Oct 27.
    Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, Canada.
    Although uncommon, shark attacks can lead to devastating outcomes for victims. Surgeons also face unique challenges during operative management such as exsanguination, shock, specific injury patterns and infections. This case report presents the management of a 39-year-old previously healthy female attacked by a shark while on vacation in Mexico. Read More

    Innovation in the Planning of V-Y Rotation Advancement Flaps: A Template for Flap Design.
    Arch Plast Surg 2017 Oct 27. Epub 2017 Oct 27.
    Ankara Training and Research Hospital, Ankara, Turkey.
    Local flaps exhibit excellent color matching that no other type of flap can compete with. Moreover, surgery using a local flap is easier and faster than surgery using a distant or free flap. However, local flaps can be much more difficult to design. Read More

    Double-Sided Folded Internal Pudendal Artery Perforator Flap for the Repair of a Recurrent Rectovaginal Fistula.
    Arch Plast Surg 2017 Oct 27. Epub 2017 Oct 27.
    Department of plastic and reconstructive surgery, SEVERANCE hosptal, Yonsei University College of Medicine, Seoul, Korea.
    Rectovaginal fistula (RVF) is not common, but represents a challenge to both patients and surgeons. Various surgical techniques have been introduced for repair of RVF, such as local flap rearrangement, muscle transposition, or the use of an artificial mesh. Despite these treatments, recurrence of RVF has been frequently reported. Read More

    Serial Tissue Expansion at the Same Site in Pediatric Patients: Is the Subsequent Expansion Faster?
    Arch Plast Surg 2017 Nov 26;44(6):523-529. Epub 2017 Oct 26.
    Department of Plastic and Reconstructive Surgery, Institute of Human-Environment Interface Biology, Seoul National University College of Medicine, Seoul, Korea.
    Background: Serial tissue expansion is performed to remove giant congenital melanocytic nevi. However, there have been no studies comparing the expansion rate between the subsequent and preceding expansions. In this study, we analyzed the rate of expansion in accordance with the number of surgeries, expander location, expander size, and sex. Read More

    Polydeoxyribonucleotide Improves Peripheral Tissue Oxygenation and Accelerates Angiogenesis in Diabetic Foot Ulcers.
    Arch Plast Surg 2017 Nov 26;44(6):482-489. Epub 2017 Oct 26.
    Department of Pathology, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.
    Background: Polydeoxyribonucleotide (PDRN) is known to have anti-inflammatory and angiogenic effects and to accelerate wound healing. The aim of this study was to investigate whether PDRN could improve peripheral tissue oxygenation and angiogenesis in diabetic foot ulcers.

    Methods: This was a prospective randomized controlled clinical trial. Read More

    Salvage of Unilateral Complete Ear Amputation with Continuous Local Hyperbaric Oxygen, Platelet-Rich Plasma and Polydeoxyribonucleotide without Micro-Revascularization.
    Arch Plast Surg 2017 Nov 27;44(6):554-558. Epub 2017 Oct 27.
    Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
    In many cases of complete ear amputation, microvascular surgery is required for tissue perfusion and organ survival. However, microvascular reconstruction is not always feasible in the absence of suitable vessels. Here, we present the case of a 76-year-old man who underwent complete amputation of the left ear after a collapse at home because of cardiogenic syncope. Read More

    Salvage of Infected Breast Implants.
    Arch Plast Surg 2017 Nov 27;44(6):516-522. Epub 2017 Oct 27.
    Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
    Background: Implant-based breast reconstruction is being performed more frequently, and implants are associated with an increased risk of infection. We reviewed the clinical features of cases of implant infection and investigated the risk factors for breast device salvage failure.

    Methods: We retrospectively analyzed 771 patients who underwent implant-based breast reconstruction between January 2010 and December 2016. Read More

    Retromandibular Reduction of Medially Dislocated Condylar Process Fractures.
    Arch Plast Surg 2017 Oct 27. Epub 2017 Oct 27.
    Department of Plastic Surgery, DanKook University Hospital, Chungnam, Korea.
    Background: Condylar process fractures are accounting for one-third of all mandibular fractures and the distal fragment is prone to dislocate to the medial side due to the pulling of lateral pterygoid muscle. Retromandibular approaches are commonly used but the intraoperative view becomes limited in medially dislocated fracture. This study summarized the cases of retromandibular reduction for medially dislocated condylar process fractures and described our supplementary procedure to realign dislocated condylar process. Read More

    The Usefulness of Pedicled Perforator Flap in Partial Breast Reconstruction after Breast Conserving Surgery in Korean Women.
    Arch Plast Surg 2017 Oct 27. Epub 2017 Oct 27.
    Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, Korea.
    Background: The emergence of breast-conserving surgery combined with radiotherapy as the treatment of choice for early stage breast cancer has resulted in greater focus on oncoplastic breast surgery. The use of perforator flaps has particularly gained in reputation for its effectiveness in the reconstruction of partial breast defects in Korean women. Herein, we present our experience with the use of TDAP (thoracodorsal artery perforator) and LICAP (lateral intercostal artery perforator) flaps. Read More

    Selection of oncoplastic surgery in Asian breast cancer patients.
    Arch Plast Surg 2017 Oct 27. Epub 2017 Oct 27.
    Department of Plastic & Reconstructive Surgery, Severance Hospital, Yonsei University College of Medicine, , Seoul, Korea.
    Background: Oncoplastic surgery is increasingly performed in Korean women; however, unlike Westerners, Korean women usually have small- to moderate-sized breasts. To achieve better outcomes in reconstructed breasts, several factors determining the optimal surgical method should be considered.

    Methods: A total of 108 patients who underwent oncoplastic surgery from January 2013 to December 2016 were retrospectively investigated. Read More

    Internal Mammary Artery Perforator Flap for Immediate Volume Replacement Following Wide Local Excision of Breast Cancer.
    Arch Plast Surg 2017 Nov 26;44(6):502-508. Epub 2017 Oct 26.
    Department of Plastic and Reconstructive Surgery, the Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
    Background: Breast-conserving therapy is defined as a breast-conserving wide local excision (WLE) of a mammary tumour combined with postoperative radiotherapy. Immediate restoration of the mammary shape by use of breast reduction techniques (volume displacement) or tissue replacement techniques (volume replacement) is gaining popularity to prevent breast malformation.

    Methods: To date, using the internal mammary artery perforator (IMAP) flap has been suggested for immediate volume replacement after WLE, but has never been evaluated in a published study. Read More

    Facial Rejuvenation Enhancing Cheek Lift.
    Arch Plast Surg 2017 Nov 26;44(6):559-563. Epub 2017 Oct 26.
    Reconstructive and Plastic Surgery, Clinique Hartmann, Neuilly-sur-Seine, France.
    Supported by recent literature on the signs of aging of the middle and lower face, our clinical research has documented a loss of volume of the deep structural components of the central face and a progressive descent of the nasolabial fat and the jowl fat, leading to facial fragmentation. The signs that appear around the age of 45 to 50 years are well targeted by the mini-invasive technique described here. We focused on refitting the jowl fat and the nasolabial fat associated with cutaneous tightening. Read More

    Reconstruction of the Foot Using a Superficial Inferior Epigastric Artery Free Flap.
    Arch Plast Surg 2017 Nov 26;44(6):545-549. Epub 2017 Oct 26.
    Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
    When foot reconstruction is performed in the pretibial area, the ankle, or the dorsum of the foot, the need for a reliable flap remains a challenge. We found that the superficial inferior epigastric artery (SIEA) free flap can be used as an alternative tool for this purpose, as it helps to solve the problems associated with other flaps. We describe 2 cases in which we reconstructed the foot using an SIEA free flap, which was pliable enough to fit the contours of the area. Read More

    Instrumentation in Maxillofacial Surgery: Few Practical Tips.
    Arch Plast Surg 2017 Nov 26;44(6):573-574. Epub 2017 Oct 26.
    Department of Plastic Surgery, Seth GSMC and KEM Hospital, Mumbai, India.
    When a newly inducted plastic surgery resident embarks on maxillofacial surgery, with drills, screws, plates and burrs, it seems like a new domain altogether. As a new resident, it is truly fascinating as to how such wide variety of bony work is done without scarring over the face. Here we discuss a few practical tips which the author has learned during his surgical sojourn in residency. Read More

    The Surgical Impact of E-Cigarettes: A Case Report and Review of the Current Literature.
    Arch Plast Surg 2017 Nov 26;44(6):477-481. Epub 2017 Oct 26.
    Division of Plastic Surgery, Northwestern Memorial Hospital, Chicago, USA.
    We report a case of a 51 years old female with a 25 pack year smoking history who underwent bilateral mastectomy and immediate tissue expander reconstruction for newly diagnosed right breast cancer. The patient reported herself as a non-smoker despite significant e-cigarette use, with resulting significant mastectomy skin flap necrosis and breast reconstruction failure. Little is known about the physiologic effect of e-cigarettes on wound healing and tissue perfusion. Read More

    The Effect of Low-Dose Nitroglycerin Ointment on Skin Flap Necrosis in Breast Reconstruction after Skin-Sparing or Nipple-Sparing Mastectomy.
    Arch Plast Surg 2017 Nov 26;44(6):509-515. Epub 2017 Oct 26.
    Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.
    Background: Skin flap necrosis is a common complication after mastectomy and breast reconstruction. It has been proven that nitroglycerin ointment, as a topical vasodilator, can decrease the rate of skin flap necrosis after mastectomy and breast reconstruction. However, nitroglycerin can cause several side effects, including headache, dizziness, and hypotension. Read More

    Is Robot-Assisted Surgery Really Scarless Surgery? Immediate Reconstruction with a Jejunal Free Flap for Esophageal Rupture after Robot-Assisted Thyroidectomy.
    Arch Plast Surg 2017 Nov 26;44(6):550-553. Epub 2017 Oct 26.
    Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, Seoul, Korea.
    Esophageal perforation is a rare but potentially fatal complication of robot-assisted thyroidectomy (RAT). Herein, we report the long-term outcome of an esophageal reconstruction with a jejunal free flap for esophageal rupture after RAT. A 33-year-old woman developed subcutaneous emphysema and hoarseness on postoperative day1 following RAT. Read More

    Cleft Lip and Palate Repair Using a Surgical Microscope.
    Arch Plast Surg 2017 Nov 26;44(6):490-495. Epub 2017 Oct 26.
    Department of Plastic and Reconstructive Surgery, The University of Tokyo, Tokyo, Japan.
    Background: Cleft lip and palate repair requires a deep and small surgical field and is usually performed by surgeons wearing surgical loupes. Surgeons with loupes can obtain a wider surgical view, although headlights are required for the deepest procedures. Surgical microscopes offer comfort and a clear and magnification-adjustable surgical site that can be shared with the whole team, including observers, and easily recorded to further the education of junior surgeons. Read More

    Risk Factors of and Treatments for Pharyngocutaneous Fistula Occurring after Oropharynx and Hypopharynx Reconstruction.
    Arch Plast Surg 2017 Nov 26;44(6):530-538. Epub 2017 Oct 26.
    Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University College of Medicine, Seoul, Korea.
    Background: A pharyngocutaneous fistula is a common and difficult-to-manage complication after head and neck reconstruction. It can lead to serious complications such as flap failure, carotid artery rupture, and pharyngeal stricture, and may require additional surgery. Previous radiotherapy, a low serum albumin level, and a higher T stage have been proposed as contributing factors. Read More

    Managing Complications in Abdominoplasty: A Literature Review.
    Arch Plast Surg 2017 Sep 15;44(5):457-468. Epub 2017 Sep 15.
    Pastic Surgery Department, BGU Klinik Ludwigshafen, Ludwigshafen, Germany.
    Background: Abdominoplasty, with or without liposuction, is among the most frequently performed aesthetic procedures. Its main objective is to improve the body contour by means of excising redundant skin and fat tissue. Although abdominoplasty is considered a safe procedure with high satisfaction rates, intraoperative and postoperative complications can become a challenge for the surgical team. Read More

    The Rolling Earlobe Flap for Dilated Ear Holes Following Ear Gauging: A Novel Approach to Aesthetically Preserving Earlobe Soft Tissue Volume.
    Arch Plast Surg 2017 Sep 15;44(5):453-456. Epub 2017 Sep 15.
    Plastic, Reconstructive and Aesthetic Surgery Section, Department of General Surgery, Tan Tock Seng Hospital, Singapore.
    Patients are increasingly seeking repair of their earlobes following ear gauging. Research has shown that current repair techniques either excessively reduce the lobular volume or leave an obvious scar along the free edge of the earlobe. In our case series, we describe the use of a novel technique for repairing earlobes following ear gauging using a rolling earlobe flap that preserves the lobular volume and avoids leaving a scar on the free edge of the lobule. Read More

    Two-Blade Guillotine Technique for Nipple Graft Harvest.
    Arch Plast Surg 2017 Sep 15;44(5):449-452. Epub 2017 Sep 15.
    Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore.
    The nipple-sharing technique for nipple reconstruction offers excellent tissue matching. The method used for nipple graft harvesting determines the quality of the graft and hence, the success of nipple sharing. Here, we described a guillotine technique wherein the nipple is first transfixed with 2 straight needles to stabilise it. Read More

    Acute Osteomyelitis in the Hand Due to Dog Bite Injury: A Report of 3 Cases.
    Arch Plast Surg 2017 Sep 15;44(5):444-448. Epub 2017 Sep 15.
    Department of Plastic and Reconstructive Surgery, Bundang Jesaeng General Hospital, Seongnam, Korea.
    As many people keep small dogs as pets, dog bites are common injuries, accounting for approximately 80%-90% of all animal bite injuries. These injuries usually occur on the upper extremities, most commonly on the fingers. Most of these injuries appear as simple lacerations or abrasions of the skin. Read More

    A Rare Case of Kimura Disease with Bilateral Parotid Involvement.
    Arch Plast Surg 2017 Sep 15;44(5):439-443. Epub 2017 Sep 15.
    Department of Pathology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.
    Kimura disease is a rare idiopathic chronic inflammatory disorder. It typically presents in the head and neck area, whereas bilateral involvement is unusual. Its diagnosis requires it to be differentiated from other inflammatory diseases and from head and neck tumors. Read More

    Management of a Dentigerous Cyst in a Child with Robin Sequence.
    Arch Plast Surg 2017 Sep 15;44(5):434-438. Epub 2017 Sep 15.
    Northeastern Ohio Medical University, Rootstown, OH, USA.
    This is a brief clinical report describing an 18-month-old female with Robin sequence found to have an incidental mandibular cystic lesion on a head computed tomography scan in the preoperative workup before performing mandibular distraction. She underwent enucleation of the tumor, which was found to be a dentigerous cyst. One year following cyst enucleation, mandibular distraction was performed in order to alleviate her tongue-based obstruction. Read More

    Hand Surgery Fellowship Selection Criteria: A National Fellowship Director Survey.
    Arch Plast Surg 2017 Sep 15;44(5):428-433. Epub 2017 Sep 15.
    Department of Plastic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
    Background: Candidate characteristics for hand surgery fellowship training remains unknown, as very little data is available in the literature. This study aims to provide information on the criteria that are employed to select candidates for the hand surgery fellowship match.

    Methods: A 38-question survey was sent in April 2015 to all Accreditation Council for Graduate Medical Education recognized hand surgery fellowship program directors (n=81) involved in the U. Read More

    The Anconeus Muscle Free Flap: Clinical Application to Lesions on the Hand.
    Arch Plast Surg 2017 Sep 15;44(5):420-427. Epub 2017 Sep 15.
    Department of Plastic Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, Korea.
    Background: It can be difficult to select an appropriate flap for various defects on the hand. Although defects of the hand usually must be covered with a skin flap, some defects require a flap with rich blood supply and adequate additive soft tissue volume. The authors present their experience with the anconeus muscle free flap in the reconstruction of various defects and the release of scar contractures of the hand. Read More

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