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

    1 OF 19

    Reduction mammoplasty as a treatment for symptomatic central venous stenosis.
    Arch Plast Surg 2018 Mar 15;45(2):171-176. Epub 2018 Mar 15.
    Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore.
    Central venous stenosis is a rare cause of unilateral breast edema occurring in hemodialysis patients that needs to be differentiated from other differential diagnoses, including, but not limited to, inflammatory breast carcinoma, mastitis, lymphedema, and congestive heart failure. All reports of similar cases in the available literature have described improvement or resolution of the edema after treatment. Herein, we report and discuss the pathophysiology of breast edema formation in a patient who presented with massive left-sided breast edema 7 years after being diagnosed with central venous stenosis. Read More

    Management based on grading of animation deformity following implant-based subpectoral breast reconstruction.
    Arch Plast Surg 2018 Mar 15;45(2):185-190. Epub 2018 Mar 15.
    Department of Breast Surgery, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK.
    Subpectoral breast reconstruction using implants and meshes have been used widely in Europe, the United States and the United Kingdom. Although this technique has several advantages, animation deformity is a well-documented problem. We propose a new grading system to classify breast animation in patients undergoing subpectoral implant based breast reconstruction. Read More

    Volumetric lipoinjection of the fronto-orbital and temporal complex with adipose stem cells for the aesthetic restoration of sequelae of craniosynostosis.
    Arch Plast Surg 2018 Mar 15;45(2):128-134. Epub 2018 Mar 15.
    Plastic Surgery Service, Hospital Universitario "Dr. Jose E. Gonzalez", Universidad Autonoma de Nuevo Leon, Monterrey, Mexico.
    Background: Non-syndromic craniosynostosis causes craniofacial asymmetry and may persist after cranioplasty. These postoperative asymmetries are primarily depressions. In some cases, patients may be subjected to pranks and harassment by their peers, affecting their psychosocial development. Read More

    Lymphatic vessel mapping in the upper extremities of a healthy Korean population.
    Arch Plast Surg 2018 Mar 15;45(2):152-157. Epub 2018 Mar 15.
    Department of Plastic and Reconstructive Surgery, Korea University Ansan Hospital, Ansan, Korea.
    Background: Intraoperative indocyanine green (ICG) lymphography can effectively detect functioning lymph vessels in edematous limbs. However, it is sometimes difficult to clearly identify their course in later-stage edematous limbs. For this reason, many surgeons rely on experience when they decide where to make the skin incision to locate the lymphatic vessels. Read More

    Tarsal switch using an anterior approach to correct severe ptosis.
    Arch Plast Surg 2018 Mar 15;45(2):165-170. Epub 2018 Mar 15.
    Department of Ophthalmology, Faculdade de Medicina de Botucatu-UNESP, São Paulo, Brazil.
    Background: To present the outcomes of the tarsal switch procedure using an anterior approach to correct severe ptosis with poor levator muscle function (<4 mm) with absent or poor Bell's phenomenon.

    Methods: This retrospective case series included 11 patients with severe neurogenic or acquired myogenic palpebral ptosis. All patients underwent the tarsal switch procedure through an anterior approach from 2012 to 2015. Read More

    Case of late hematoma after breast augmentation.
    Arch Plast Surg 2018 Mar 5;45(2):177-179. Epub 2018 Mar 5.
    Division of Plastic Surgery, Department of Surgery, University of Hawaii, John A. Burns School of Medicine, Honolulu, HI, USA.
    We present a case report of a patient who experienced a late, spontaneous breast hematoma 26 years after primary breast augmentation. Late hematomas are a rare complication of breast augmentation with uncertain etiology. In this case, there was no trauma, calcifications, or implant rupture. Read More

    New techniques for wound management: A systematic review of their role in the management of chronic wounds.
    Arch Plast Surg 2018 Mar 5;45(2):102-110. Epub 2018 Mar 5.
    Department of Plastic and Reconstructive Surgery, Wound Healing and Burns Units, Lapeyronie University Hospital, Montpellier, France.
    Debridement is a crucial component of wound management. Recent technologies such as hydrosurgery (Versajet), ultrasound therapy (the MIST therapy device), or plasma-mediated bipolar radio-frequency ablation therapy (Coblation) seem to represent interesting alternatives for wound debridement. The purpose of this systematic review was to describe, evaluate, and compare these three recently developed methods for the management of chronic wounds. Read More

    Superficial temporal artery flap for reconstruction of complex facial defects: A new algorithm.
    Arch Plast Surg 2018 Mar 5;45(2):118-127. Epub 2018 Mar 5.
    Department of Plastic and Burn Surgery, Al-Azhar University, Cairo, Egypt.
    Background: A variety of island flaps can be based on the superficial temporal artery with variable tissue composition. They can be used for defect reconstruction, cavity resurfacing, facial hair restoration, or contracture release.

    Methods: Seventy-two patients underwent facial reconstruction using a superficial temporal artery island flap from October 2010 to October 2014. Read More

    Cranially-based nasolabial flaps for the reconstruction of nasal surgical defects.
    Arch Plast Surg 2018 Mar 5;45(2):140-145. Epub 2018 Mar 5.
    Department of Plastic and Reconstructive Surgery, Celal Bayar University Faculty of Medicine, Manisa, Turkey.
    Background: Cranially-based nasolabial flaps are a good alternative for the reconstruction of nasal defects.

    Methods: A cranially-based nasolabial flap was used in 18 patients to reconstruct defects of the nose from 2010 to 2016, and the long-term results are presented in this report.

    Results: Fifteen of the flaps completely survived. Read More

    A rare approach? Microsurgical breast reconstruction after severe burns.
    Arch Plast Surg 2018 Mar 5;45(2):180-184. Epub 2018 Mar 5.
    Department of Hand, Breast, and Reconstructive Microsurgery, Marienhospital Stuttgart, Stuttgart, Germany.
    Breast deformity, in post-burn patients, is a common problem leading to lower self-esteem and reclusive behavior that impairs quality of life. The authors present the course of treatment of an 18-year-old immigrant girl who suffered second- to third-degree burns over approximately 20% of her total body surface area in her early childhood. The second- to third-degree burns were located on her right trunk and abdomen, as well as her right shoulder, neck, and right groin area. Read More

    The vertical orbicularis oculi muscle turn-over procedure for the correction of paralytic ectropion of the lower eyelid.
    Arch Plast Surg 2018 Mar 5;45(2):135-139. Epub 2018 Mar 5.
    Department of Plastic Surgery, National Defense Medical College, Tokorozawa, Japan.
    Background: Static reconstruction surgery that tightens the tension of the inferior tarsus, thereby raising the lax lower eyelid, is a common treatment for paralytic ectropion of the lower eyelid. We present one such operative procedure, in which an orbicularis oculi muscle flap was used.

    Methods: The surgical technique involves partial resection of the tarsus and the skin, as well as a superior-based orbicularis oculi muscle flap that is sutured to the firm tissue present on the Whitnall tubercle. Read More

    Safety of long-term subcutaneous free flap skin banking after skin-sparing mastectomy.
    Arch Plast Surg 2018 Mar 5;45(2):146-151. Epub 2018 Mar 5.
    Department of Plastic, Reconstructive and Aesthetic Surgery, Innsbruck Medical University, Innsbruck, Austria.
    Background: A persistent problem in autologous breast reconstruction in skin-sparing mastectomies is skin restoration after skin necrosis or secondary oncological resection. As a solution to facilitate reconstruction, skin banking of free-flap skin has been proposed in cases where the overlying skin envelope must be resected, as this technique spares the patient an additional donor site. Herein, we present the largest series to date in which this method was used. Read More

    tracking of adipose tissue grafts with cadmium-telluride quantum dots.
    Arch Plast Surg 2018 Mar 5;45(2):111-117. Epub 2018 Mar 5.
    Center for NanoScience (CeNS), LMU Munich, Munich, Germany.
    Background: Fat grafting, or lipofilling, represent frequent clinically used entities. The fate of these transplants is still not predictable, whereas only few animal models are available for further research. Quantum dots (QDs) are semiconductor nanocrystals which can be conveniently tracked due to photoluminescence. Read More

    Endoscopic transaxillary prepectoral conversion for submuscular breast implants.
    Arch Plast Surg 2018 Mar 5;45(2):158-164. Epub 2018 Mar 5.
    Department of Plastic and Reconstructive Surgery, Soonchunhyang University Hospital, Seoul, Korea.
    Background: During breast augmentation, the transaxillary approach provides the advantage of allowing the mammary prosthesis to be placed through incisions that are remote from the breast itself, thereby reducing the visibility of postoperative scars. For patients experiencing capsular contracture who do not want additional scars, the previous transaxillary scar can be used for site change and implant exchange.

    Methods: This study analyzed 17 patients (34 breasts) with submuscular breast implants with grade III-IV capsular contracture who received treatment from 2010 to 2015. Read More

    How to optimize aesthetic outcomes in implant-based breast reconstruction.
    Arch Plast Surg 2018 Jan 10;45(1):4-13. 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;45(1):45-50. 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;45(1):51-57. 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

    Correlation between the time elapsed after liposuction and the risk of fat embolism: An animal model.
    Arch Plast Surg 2018 Jan 27;45(1):14-22. 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 procedures in the field of aesthetic surgery. Fat embolism syndrome after liposuction can easily be overlooked or underestimated; however, occasionally, fulminating fat embolism syndrome can develop and lead to a critical situation within 2-3 days after lipoplasty. Changes over time in the amount of circulating fat particles and the histology of major organs have not yet been studied. Read More

    Multiple venous anastomoses decrease the need for intensive postoperative management in tamai zone I replantations.
    Arch Plast Surg 2018 Jan 27;45(1):58-61. Epub 2017 Oct 27.
    Department of Plastic Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, Korea.
    Background: Venous anastomosis is an important component of digital replantation, but is not always feasible, as some cases require external bleeding to treat venous congestion in the replanted tissue. In the present study, we evaluated the relationship between the number of vein anastomoses and the survival rate of Tamai zone I replantations.

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

    Modified toe pulp fillet flap coverage: Better wound healing and satisfactory length preservation.
    Arch Plast Surg 2018 Jan 27;45(1):62-68. Epub 2017 Oct 27.
    Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of 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: One-year follow-up.
    Arch Plast Surg 2018 Jan 27;45(1):69-73. Epub 2017 Oct 27.
    Department of Plastic and Reconstructive Surgery, Konkuk University Choongju Hospital, Konkuk University School of Medicine, Choongju, 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 2018 Jan 27;45(1):74-79. Epub 2017 Oct 27.
    Department of Plastic, Reconstructive, and Aesthetic Surgery, Koc University Hospital, 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 2018 Jan 27;45(1):80-84. Epub 2017 Oct 27.
    Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, ON, 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 2018 Jan 27;45(1):85-88. Epub 2017 Oct 27.
    Department of Plastic Surgery, 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

    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 2018 Jan 27;45(1):23-28. Epub 2017 Oct 27.
    Department of Plastic and Reconstructive Surgery, Dankook University College of Medicine, Cheonan, Korea.
    Background: Condylar process fractures account for one-third of all mandibular fractures, and the distal fragment is prone to dislocate to the medial side due to the pulling of the lateral pterygoid muscle. Retromandibular approaches are commonly used, but the intraoperative view becomes limited in medially dislocated fractures. This study summarized a series of cases of retromandibular reduction for medially dislocated condylar process fractures and described our supplementary procedure to realign the 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 2018 Jan 27;45(1):29-36. Epub 2017 Oct 27.
    Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, 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 thoracodorsal artery perforator (TDAP) and lateral intercostal artery perforator (LICAP) flaps. Read More

    Selection of oncoplastic surgical technique in Asian breast cancer patients.
    Arch Plast Surg 2018 Jan 27;45(1):37-44. Epub 2017 Oct 27.
    Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
    Background: Oncoplastic surgery is being 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 should be considered to determine the optimal surgical method.

    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

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