5,540 results match your criteria British journal of plastic surgery[Journal]
Br J Plast Surg 2005 Sep;58(6):780-9
Plastic Surgery Clinic, Aman Hospital, Dabgari Gardens, Peshawar 25000, Pakistan.
Hypospadias is more common than cleft lip and palate. However, in comparison to the latter, few units have dedicated any team to its correction. Hence, urologists, paediatric surgeons, plastic surgeons, general surgeons and paediatric urologists keep trying various methods of correcting this deformity. Read More
Br J Plast Surg 2005 Dec 19;58(8):1079-85. Epub 2005 Aug 19.
Department of Histology and Human Anatomy, University Miguel Hernandez School of Medicine, Crta. Nacional Alicante-Valencia, Km-332, s/n San Juan, 03550 Alicante, Spain.
Unlabelled: We present an anatomical study that describes the distribution of the cutaneous perforators (CP) of both heads of the biceps femoris muscle.
Material And Methods: In this study, we dissected 18 legs from nine cadavers. The study was centered on the biceps femoris muscle and musculocutaneous perforator arteries from both muscular heads. Read More
Br J Plast Surg 2005 Dec 15;58(8):1061-6. Epub 2005 Aug 15.
Plastic, Reconstructive and Microvascular Services, Tata Memorial Cancer Center and Hospital, Parel, Mumbai 400012, India.
The facial artery musculomucosal flap, technically a combination of the nasolabial flap and the buccal mucosal flap, has been a reliable, versatile flap, either superiorly or inferiorly based for reconstruction of a wide variety of postcancer excision intraoral mucosal defects including defects of the palate, alveolus, lips and floor of mouth. We have used it 17 times in 16 patients with no failures and one flap with terminal necrosis. Almost all flaps developed venous congestion which settled on its own by conservative management. Read More
Br J Plast Surg 2005 Dec 10;58(8):1086-9. Epub 2005 Aug 10.
Department of Plastic and Reconstructive Surgery, Charing Cross Hospital, London W6 8RF, UK.
The skin of the lower leg is nourished by a number of perforating vessels arising from the named arteries which travel in the longitudinal axis of the limb. The distribution of these perforating arteries has been elucidated using a combination of techniques but which are essentially based on cadaveric studies. Clinically, this knowledge has provided the basis for methods of local tissue transfer in the lower limb. Read More
Br J Plast Surg 2005 Sep;58(6):877-80
Burns and Plastics Unit, University Hospital Birmingham, Birmingham, UK.
We report the case of a large venous malformation of the tongue, preventing the patient from being able to contain it within the oral cavity. The extent of the malformation precluded a complete surgical excision. The immediate problems were; impending airway compromise, inability to speak, eat or drink, severe discomfort due to exposure-induced dryness and an embarrassing spectacle. Read More
Br J Plast Surg 2005 Sep;58(6):865-8
Department of Plastic Surgery, Birmingham Children's Hospital, Birmingham, UK.
Angiolymphoid hyperplasia with eosinophilia (ALHE) is an uncommon benign, idiopathic vasculoproliferative condition manifested by multiple or solitary subcutaneous nodules, usually in the head and neck region of young adults. It is very rare in the extremities especially in the hands. Although recurrence is common, surgical excision is still regarded as the treatment of choice. Read More
Br J Plast Surg 2005 Sep;58(6):862-4
Department of Plastic and Reconstructive Surgery, Booth Hall Children's Hospital, Manchester, UK.
Heterotopic brain tissue in a cleft palate is a very rare developmental anomaly. We present the eighth case reported worldwide with a review of the literature and suggestions on the management of this unusual condition. Read More
Br J Plast Surg 2005 Sep;58(6):855-8
Sandwell General Hospital, Lyndon, West Bromwich, Birmingham, UK.
Malignant melanomas commonly metastasise to skin, subcutaneous tissue and lymph nodes. Skeletal muscle metastases from malignant neoplasms are uncommon. There have been very few reports of malignant melanoma metastasising to skeletal muscle. Read More
Br J Plast Surg 2005 Sep;58(6):849-51
Department of Diagnostic Imaging, UNIFESP-Federal University of São Paulo, São Paulo, SP, Brazil.
A swelling of the abdominal wall in a 27-year-old woman after undergoing liposuction is described. Pseudocyst of Morel-Lavallée was located within the abdominal fascia and removed by surgery. MRI showed a non-homogenous mass with hyper intense fluid level and septations in T2-weighted images. Read More
Br J Plast Surg 2005 Sep;58(6):841-4
Plastic Surgery Department, 3rd Floor Lambeth Wing, St Thomas' Hospital, Lambeth Palace Road, London SE1 7EH, UK.
We present a case of a large full thickness abdominal wall defect following excision of a huge basal cell carcinoma, uniquely reconstructed with a sandwich omental flap, vicryl/prolene (vypro II) mesh and split thickness skin graft. Read More
Br J Plast Surg 2005 Sep;58(6):838-40
Department of Plastic Surgery, St Thomas' Hospital, Lambeth Road, London, UK.
A vertical rectus abdominis myocutaneous flap was used to provide cover for a recurrent angiosarcoma in the abdominal skin. Of note, the patient had 9 years previously undergone formal abdominoplasty to allow closure following excision of the primary tumour. This flap is normally reliant on myocutaneous perforators originating from the deep epigastric system, which are divided during abdominoplasty. Read More
Br J Plast Surg 2005 Sep;58(6):795-805
Northern General Hospital, Sheffield Teaching Hospitals NHS Trust, Sheffield, UK.
For 1378 patients treated in the 11 years 1988-1998 by conventional excision of 1635 basal cell carcinomas, 1516 first index lesions were histologically completely excised. All patients having more than one BCC excised were identified from the data base from 1988 to 2003 to give minimum 5 years follow for last treated primary lesions in 1998. Measured clearance margins around the initial lesions at or near sites of presumptive recurrent lesions were noted and the lesions recorded photographically. Read More
Br J Plast Surg 2005 Sep;58(6):774-9
Department of Anatomy and Hand and Plastic Surgery, Umeå University, Umeå, Sweden.
Quantification of sensory recovery after peripheral nerve surgery is difficult and no accurate techniques are available at present. Quantification of reinnervated skin has been used experimentally, and in some clinical studies, but the lack of knowledge about the normal sensory distribution has been a problem. The purpose of this study was, therefore, to map the density of sensory end organs, nerve fibres and free nerve endings in the glabrous skin of the human hand. Read More
Br J Plast Surg 2005 Dec 8;58(8):1051-4. Epub 2005 Aug 8.
Department of Plastic Surgery, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
We present an audit of primary cleft palate surgery in our unit including rates of two important post-operative complications. Multidisciplinary audit clinics ran from March 1998 to April 2002 to follow up all local patients with a cleft lip or palate who had undergone primary palatal surgery in our unit. One hundred and forty eight patients were studied. Read More
Br J Plast Surg 2005 Oct;58(7):1037-9
Br J Plast Surg 2005 Dec 9;58(8):1043-50. Epub 2005 Aug 9.
Department of Craniofacial Surgery, Chelsea and Westminster Hospital, Chelsea, London SW10 9NH, UK.
The most common congenital midline nasal masses are nasal dermoid sinus cysts (NDSC) [Hughes GB, Sharpino G, Hunt W, Tucker HM. Management of the congenital midline nasal mass--a review. Head Neck Surg 1980;2:222-33. Read More
Br J Plast Surg 2005 Dec 2;58(8):1143-7. Epub 2005 Aug 2.
Division of Plastic and Reconstructive Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
This report documents the successful elimination of disfiguring sebaceous adenomas from the face of a 21-year-old male patient with mechanical dermabrasion. Read More
Br J Plast Surg 2005 Oct;58(7):1000-3
Department of Plastic, Reconstructive and Hand Surgery, Erasmus University Medical Centre Rotterdam, P.O. Box 2040, NL-3000 CA Rotterdam, The Netherlands.
Flap neovascularisation is generally believed to make free skin-containing flaps independent of their axial pedicle blood supply. A case of DIEP-flap failure 3 years after transfer is presented in a breast reconstruction patient in whom a lateral breast reduction for symmetry improvement was performed. Causative factors in this patient were the division of the flap pedicle during lateral breast reduction and smoking in the postoperative period. Read More
Br J Plast Surg 2005 Oct;58(7):932-3
North Thames Cleft Centre, Great Ormond Street Hospital for Children, Chelmsford, UK.
Br J Plast Surg 2005 Oct;58(7):1035-6
Br J Plast Surg 2005 Oct;58(7):1033-5
Br J Plast Surg 2005 Oct;58(7):1027-8
Plastic Surgery Department, University College Hospital, Newcastle Road, Galway, Ireland.
Regional silicone gel migration from a ruptured breast implant has been reported at different locations including the upper extremity, chest wall muscles, axilla and back. We report a patient who presented with an axillary mass that mimicked a regional recurrence 5 years after breast cancer reconstruction with a latissimus dorsi musculocutaneous flap and silicon gel expander-prosthesis. Surgical exploration revealed that the mass contained silicone gel around the port of the breast expander that had ruptured. Read More
Br J Plast Surg 2005 Dec 1;58(8):1073-8. Epub 2005 Aug 1.
Division of Plastic and Reconstructive Surgery, Department of Surgery, National Defense Medical Center, Tri-Service General Hospital, No. 325, Section 2, Taipei 100, Taiwan, ROC.
Venous malformations of the face and neck involve multiple anatomical spaces and encase critical neuromuscular structures, making surgical treatment difficult; high recurrence rates and high morbidity are well documented. Various methods of treatment of uncertain value and risk of complications have been advocated. We present our experience in treating five patients with venous malformation in the face and neck by using direct percutaneous ethanol sclerotherapy. Read More
Br J Plast Surg 2005 Dec 1;58(8):1055-60. Epub 2005 Aug 1.
The Bhatia General Hospital, Tardeo, Mumbai 400 007, India.
Long standing oral submucous fibrosis is associated with involvement of the oral submucosa and the muscles of mastication leading to difficulty in mouth opening. Various surgical modalities are mentioned for release but each has its own limitations. This article introduces a new technique of release of submucous fibrosis and reconstruction using superficial temporal fascia flap and split skin graft. Read More
Br J Plast Surg 2005 Dec 1;58(8):1158. Epub 2005 Aug 1.
Br J Plast Surg 2005 Dec 28;58(8):1136-42. Epub 2005 Jul 28.
Department of Plastic-Reconstructive and Aesthetic Surgery, Ankara Education and Research Hospital, Cebeci, Ankara, Turkey.
The aim of this study is to grade the intraoperative findings seen in carpal tunnel syndrome (CTS) based on severity, and compare it with clinical and electrodiagnostic severity. Thirty-one hands surgically treated for CTS were graded according to the severity of clinical signs, and electrodiagnostic tests. Oedema, vascularisation, and fibrosis were graded on a scale of 1-3. Read More
Br J Plast Surg 2005 Dec 25;58(8):1124-30. Epub 2005 Jul 25.
Department of Plastic and Reconstructive Surgery, Saitama Medical School, 38 Morohongo, Moroyama, Iruma-gun, Saitama 350-0495, Japan.
Objectives: This study aims to investigate the effect of collagen matrix impregnated with bone marrow on wound healing angiogenesis in an effective microcirculatory model and to describe our clinical experience.
Methods: We used a skinfold chamber of original design which visualises microcirculation following wound creation on the dorsal skin of the mouse to establish an in vivo experimental model to estimate angiogenesis. Animals were divided into two groups: a bone marrow group (n = 6) in which bone marrow-impregnated collagen matrix was applied to the wound; and a control group (n = 7), in which collagen immersed in saline was applied, and functional capillary density was quantified during the repair process. Read More
Br J Plast Surg 2005 Oct;58(7):968-80
Department of Plastic Surgery, Laser Centre of the South West, Frenchay Hospital, Frenchay, Bristol BS16 1LE, UK.
The pulsed dye laser has been the treatment of choice for port wine stains over the past 20 years. In the past 5 years there has been increasing discussion of the role of other light treatments, such as the intense pulsed light system in the treatment of port wine stains. These systems use high-energy lamps, which emit noncoherent broad-spectrum light. Read More
Br J Plast Surg 2005 Oct;58(7):940-3
Department of Plastic Surgery, Centre Hospitalo-Universitaire de Poitiers, Rue de la Milétrie, BP 577, 86021 Poitiers Cedex, France.
Blasius designed the first orbitonasolabial flap in 1842, which has since, been reshaped by many other surgeons. Three years ago, we were confronted with a difficult reconstructive case where ipsilateral local flaps were insufficient to cover a huge defect of the periorbital region. We performed 11 cadaver dissections to determine the type of vascularisation of the orbitonasolabial flap and to define its arc of rotation prior to contralateral use. Read More
Br J Plast Surg 2005 Oct;58(7):1007-10
Plastic Surgery Department and Burn Centre, Piazzale Stefani 1, Ospedale Civile Maggiore, Borgo Trento, 37100 Verona, Italy.
Giant basal cell carcinoma is a rare skin tumour with aggressive biological behaviour, and deep invasion and metastasis have been reported. The authors describe a giant basal cell carcinoma involving the anterior chest wall. The lesion infiltrated the mediastinum, occluding the left brachiocephalic vein. Read More
Br J Plast Surg 2005 Oct;58(7):902-7
Breast Reconstruction Service, Department of Plastic Surgery, Nottingham City Hospital, UK.
This is a descriptive analysis of 50 consecutive cases of therapeutic mammaplasty, the use of reduction mammaplasty and radiotherapy to treat breast tumours. Breast cancers may lie within the normal excision site of a recognised mammaplasty method (scenario A) or outside of the expected excision sites (scenario B), then requiring a modified mammaplasty. A third group are central tumours requiring removal of the nipple. Read More
Br J Plast Surg 2005 Oct;58(7):1011-3
The Cliveden Hill Private Hospital, 29 Simpson St, East Melbourne, Vic. 3002, Australia.
A vascularised bone graft from the medial femoral condyle was used to correct a recurrent failed arthrodesis of the index finger distal interphalangeal joint. The flap was based upon the articular branch of the descending genicular artery. Union was confirmed 3 months after surgery. Read More
Br J Plast Surg 2005 Dec 25;58(8):1095-103. Epub 2005 Jul 25.
Department of Plastic, Reconstructive and Hand Surgery, Erasmus University Medical Center Rotterdam, 3000 CA Rotterdam, The Netherlands.
Myocutaneous (MC) free flaps are useful for many reconstructive indications. Perforator flaps have become standard of care. The anterolateral thigh flap (ALT) donor site is popular. Read More
Br J Plast Surg 2005 Oct;58(7):889-901
Breast Reconstruction Service, Department of Plastic Surgery, Nottingham City Hospital, UK.
Therapeutic mammaplasty, the use of reduction mammaplasty and radiotherapy to surgically treat breast cancer, is an established technique for selected breast cancers and can extend the role of breast conserving surgery. Most frequently described is the use of a wise pattern reduction for tumours that lie within the expected mammaplasty excision. However, mammaplasty techniques can be safely adapted to treat patients with cancers in all areas of the breast. Read More
Br J Plast Surg 2005 Dec 25;58(8):1104-14. Epub 2005 Jul 25.
Bernard O'Brien Institute of Microsurgery and University of Melbourne, Department of Surgery at St Vincent's Hospital, Melbourne, Fitzroy, Vic. 3065, Australia.
Unlabelled: The distribution of hypoxic cells in an in vivo tissue engineering chamber was investigated up to 28 days post-implantation.
Methods: Arteriovenous loops were constructed and placed into bi-valved polycarbonate chambers containing 2 x 10(6) rat fibroblasts in basement membrane gel (BM gel). Chambers were inserted subcutaneously in the groin of male rats and harvested at 3 (n = 6), 7 (n = 6), 14 (n = 4) or 28 (n = 4) days. Read More
Br J Plast Surg 2005 Oct;58(7):934-9
Apollo's National Institute for Reconstructive Hand Surgery, Micro Surgery and Plastic Surgery, Apollo First Med Hospital, 154, P.H. Road, Chennai 600 010, India.
Reconstruction of the vagina has always been a formidable surgical challenge. A variety of procedures with varying degrees of success have been described, but none has proved to be the ideal method. We have done 15 vaginal reconstructions using labia minora flaps. Read More
Br J Plast Surg 2005 Oct;58(7):1029-32
Centre for Craniofacial Care and Research, Hospital for Sick Children, 555 University Avenue, Toronto, Ont., Canada M5G 1X8.
Lateral canthopexy is a commonly performed procedure in craniofacial and cosmetic surgery. In craniofacial surgery, lateral canthal fixation is performed in conjunction with a wide range of transcranial or subcranial procedures during the process of soft tissue re-suspension. A number of fixation materials have gained popular use. Read More
Br J Plast Surg 2005 Oct;58(7):908-13
Department of Plastic and Reconstructive Surgery, University of the Witwatersrand, Johannesburg, South Africa.
Moving a misplaced nipple-areola complex (NAC) without causing additional scarring has proved to be difficult, especially if it is to be moved medially, laterally or inferiorly. This study investigated the possibility of migrating the NAC without leaving additional scarring by using the technique of serial excision. Two adult female pigs were used. Read More
Br J Plast Surg 2005 Oct;58(7):1025-6
Division of Plastic Surgery, King Faisal Specialist Hospital, P.O. Box 18097, Riyadh 11415, Saudi Arabia.
The technique of lengthening of the pedicles of the rectus abdominus and latissimus dorsi free flaps are described in five patients. Lengthening of these pedicles allowed scalp reconstruction using the external carotid artery and internal jugular vein as the recipient vessels without the need for interpositional vein grafts or arterio-venous loops. Post-operative recovery was uneventful in all cases. Read More
Br J Plast Surg 2005 Oct;58(7):944-56
St Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, UK.
Neurofibromatosis of the orbitopalpebral complex is a debilitating disease. The development of safe craniofacial surgical technique has greatly improved outcome in the surgical palliation of this progressive condition, and various centres have reported their experience. Extensive upper eyelid neurofibroma creates a functional and aesthetic problem, which is inadequately addressed in the literature. Read More
Br J Plast Surg 2005 Oct;58(7):914-21
Centre for Integrated Genomic Medical Research, University of Manchester, Stopford Building, Oxford Road, Manchester M13 9PT, UK.
Keloid disease (KD) is a fibroproliferative dermal tumour of unknown aetiology. The increased familial clustering in KD, its increased prevalence in certain races and its presence in identical twins suggest a strong genetic predisposition to keloid formation. Transforming growth factor beta isoforms (TGFbeta) play a central role in wound healing and fibrosis and have been implicated in KD pathogenesis. Read More
Br J Plast Surg 2005 Oct;58(7):988-96
Department of Plastic and Reconstructive Surgery, Gülhane Military Medical Academy, Ankara, Turkey.
In this study, we aimed to investigate the efficacy of cell based dressing with living allogenic keratinocytes in diabetic foot patients. To address this issue, the cultured keratinocytes were attached to the microcarriers produced from polyethylene and silica. The microcarriers were then applied to the wounds at 3-day intervals. Read More
Br J Plast Surg 2005 Oct;58(7):997-9
Plastic and Reconstructive Surgery Department, Pinderfields General Hospital, Aberford Road, Wakefield WF1 4DG, UK.
Vascular access in intravenous drug abusers may become compromised by the repeated injection of toxic substances. In such circumstances abusers are driven by their addiction to seek alternative routes of drug delivery. We report a series of individuals with chronic ulcers, which were cultivated and maintained for the administration of heroin. Read More
Br J Plast Surg 2005 Sep;58(6):881-2
Br J Plast Surg 2005 Sep;58(6):882-4
Br J Plast Surg 2005 Sep;58(6):759-64
Department of Plastic Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, U.P., India.
Br J Plast Surg 2005 Sep;58(6):765-73
Department of Surgical and Perioperative Science, Section for Hand and Plastic Surgery, University Hospital, Umeå, Sweden.
Motor recovery after proximal nerve injury remains extremely poor, despite advances in surgical care. Several neurobiological hurdles are implicated, the most fundamental being extensive cell death within the motorneuron pool. N-acetyl-cysteine almost completely protects sensory neurons after peripheral axotomy, hence its efficacy in protecting motorneurons after ventral root avulsion/rhizotomy was investigated. Read More
Br J Plast Surg 2005 Sep;58(6):790-4
Canniesburn Plastic Surgery Unit, Royal Infirmary, Glasgow, UK.
Sentinel node biopsy is emerging as a successful means of identifying subclinical lymph node disease in mucosal head and neck cancer. Sentinel node studies in melanoma and breast cancer have identified sentinel nodes at unusual sites and the technique is redefining our understanding of dynamic lymphatic flow. In this study, the sentinel nodes in mucosal head and neck malignancies were mapped according to their site within the neck and this was correlated with tumour site within the oral cavity. Read More
Br J Plast Surg 2005 Oct;58(7):957-67
Department of Plastic Surgery, The Royal Hospital Haslar, Gosport, Hampshire PO12 2AA, UK.
Following endorsement of serial halving by the Faculty of Pre-Hospital Care of the Royal College of Surgeons of Edinburgh this study aimed to determine whether the technique was comparable to the rule of nines in making initial assessments of body surface area burned. Ten 'casualties' were made up to represent burn victims (range 6-61%). An external panel of six consultants and one specialist registrar in plastic surgery were invited to assess the simulated casualties. Read More
Br J Plast Surg 2005 Oct;58(7):1004-6
Department of Plastic and Reconstructive Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.
We describe a case of chondrosarcoma of the sternum requiring wide full thickness chest wall excision thereby creating a difficult defect for reconstruction. A mesh was used for support and two extended deep inferior epigastric artery fasciocutaneous flaps were mobilised medially into the defect. Read More