Search Our Scientific Publications & Authors

J Clin Med 2022 Apr 6;11(7). Epub 2022 Apr 6.

Urology Department, Marques de Valdecilla University Hospital, Institute of Research Valdecilla (IDIVAL), School of Medicine, University of Cantabria, 39011 Santander, Spain.

Comparable outcomes were published using a buccal mucosa graft (BMG) from the cheek and a lingual mucosa graft (LMG) from the sublingual area, for urethral augmentation or substitution. To date, no histological comparison between both grafts has been conducted. We histologically assessed BMG and LMG harvested during urethral surgeries, aiming to compare graft properties and vascular support. Read More

BMJ Case Rep 2022 Apr 7;15(4). Epub 2022 Apr 7.

The University of Sydney, Sydney, New South Wales, Australia

Rhabdomyosarcoma is a rare mesenchymal malignancy with four different morphological subtypes: alveolar, embryonal, pleomorphic and spindle cell/sclerosing. It is the most common soft tissue sarcoma of children and adolescents but occurs less commonly in adults. We describe a male patient in his 20s with sclerosing rhabdomyosarcoma of the left cheek who developed an isolated free flap donor site metastasis in the first instance but subsequently progressed with bilateral pulmonary metastases. Read More

Cureus 2022 Feb 26;14(2):e22621. Epub 2022 Feb 26.

Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, ISR.

Surgical defects involving multiple facial cosmetic subunits can be challenging to reconstruct. We report on a patient with a complex temporal defect following Mohs micrographic surgery (MMS) for a basal cell carcinoma (BCC). The extension of the defect across the left temple, cheek, and forehead hindered the utilization of linear closures or flaps. Read More

Int J Environ Res Public Health 2022 03 20;19(6). Epub 2022 Mar 20.

Department of Functional Diagnostics and Physical Medicine, Faculty of Health Sciences, Pomeranian Medical University, 71-210 Szczecin, Poland.

Although IR thermography is widely used in medical diagnostics, there are no reports that describe the use of IR thermography in the evaluation of post-plastic-surgery regeneration processes. The aim of the study was to evaluate the potential of thermography as a method which, among others, allows us to determine the location and extent of the inflammatory process, supporting the clinical evaluation of the patient's convalescence after a facelift surgery using the SMAS technique. During the study and in order to monitor the convalescence process, the patient had a series of face thermograms performed before surgery and up to the 6th week after it. Read More

J Craniofac Surg 2021 Oct 26. Epub 2021 Oct 26.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011.

To describe a modified anchored suture technique combined with varied flaps for the repair of paranasal skin defect secondary to melanocytic nevus excision. The feasibility and effectiveness of the technique were discussed. A total of 26 patients (10 male and 16 female) with an average age of 11. Read More

Am J Dermatopathol 2022 Apr;44(4):249-253

Division of Dermatology, Department of Medicine, University of Ottawa and The Ottawa Hospital, Ottawa, Ontario, Canada.

Background: Squamoid eccrine ductal carcinoma (SEDC) represents a subtype of eccrine carcinomas that are diagnostically challenging for both clinicians and dermatopathologists.

Objective: To provide an updated review of SEDC and examine patient outcomes with different treatment modalities.

Methods: A review of Ovid MEDLINE was performed to review the English language medical literature of SEDC. Read More

Comput Methods Programs Biomed 2022 May 3;218:106730. Epub 2022 Mar 3.

Computer Graphics Laboratory, Dept. of Computer Science, University of Wisconsin (Madison), USA.

Background And Objectives: Interactive surgical simulation using the finite element method to model human skin mechanics has been an elusive goal. Mass-spring networks, while fast, do not provide the required accuracy.

Methods: This paper presents an interactive, cognitive, facial flaps simulator based on a projective dynamics computational framework. Read More

Ann Plast Surg 2022 05;88(3 Suppl 3):S214-S218

Plastic and Reconstructive Surgery, Saint Barnabas Medical Center, Livingston, NJ.

Background: The most common reason for dissatisfaction and reoperation in lower blepharoplasty patients is persistent bulging of the lateral fat pad. This compartment contributes the most to fat herniation and yet is the most commonly overlooked. The addition of a septal window, a small opening of the septum on the most prominent part of the lateral fat compartment, helps with precise removal of lateral fat and allows for additional fat excision after septal reset without disrupting the arcuate expansion. Read More

Head Neck 2022 05 21;44(5):1267-1271. Epub 2022 Feb 21.

Thyroid, Head and Neck Cancer (THANC) Foundation, New York, New York, USA.

The palatal island flap is reliable for single-staged reconstruction of select oral defects. However, fistula formation is a disruptive potential complication. The authors employed this technique in five patients and present a representative case of a 65-year-old female with a left-sided palatal salivary neoplasm. Read More

Plast Reconstr Surg Glob Open 2022 Jan 27;10(1):e4074. Epub 2022 Jan 27.

University Hospital for Plastic, Reconstructive and Aesthetic Surgery Innsbruck, Medical University Innsbruck, Innsbruck, Austria.

The reconstruction of medial canthal defects is often challenging in achieving continuity of color and texture, obtaining adequate tissue for large defects, and the reproduction of natural external appearance with inconspicuous scars. We describe a technique for reconstruction of the medial canthal area, using a modified rhomboid flap.

Methods: The technique is based on the use of a modified rhomboid flap for medial canthal defects-superiorly based on the root of the nose for defects mostly above the medial canthal tendon, inferiorly based on the cheek for defects mostly below the medial canthal tendon, and in cases of large defects, using a combination of the two flaps. Read More

Cutis 2022 Jan;109(1):46-48

Drs. Lin, Hazan, Dubin, and Khorasani and Ms. Younessi are from the Division of Dermatologic Surgery, Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York, New York. Dr. John is from the Division of Dermatologic Surgery, Department of Dermatology, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.

There is now a growing trend for buccal fat pad reduction in patients who desire a decrease in midface and lower face volume, refinement, sculpting, or enhancement of facial features. The buccal fat pad is connected to the temporal fat, and therefore buccal fat pad reduction can result in volume depletion of the temporal fossae. In addition, most patients undergoing this procedure already have pre-existing temporal volume depletion due to aging. Read More

Plast Reconstr Surg 2022 Apr;149(4):646e-654e

From the Department of Cleft Lip and Palate, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College.

Background: The literature presents the tear trough and lid-cheek junction's controversial anatomical explanations. In this study, the authors explored the anatomical characterization of the tear trough deformity and lid-cheek junction.

Methods: Twelve human cadaver specimens were obtained from the authors' anatomy department. Read More

Facial Plast Surg 2022 Feb 3. Epub 2022 Feb 3.

Department of Plastic and Reconstructive Surgery, St George Hospital, Sydney, New South Wales, Australia.

The tear trough and lower eyelid are sentinel sites of facial aging and are increasingly the target of non-surgical aesthetic procedures. This article will review the advances that have led to our current understanding of tear trough anatomy. We propose a new functional classification of the lid-cheek junction for soft tissue filler treatment, and suggest simpler stratification of patients seeking lower eyelid treatment based on the etiology of their tear trough depression. Read More

Dermatol Surg 2022 May 26;48(5):527-531. Epub 2022 Jan 26.

Seoul National University College of Medicine, Department of Dermatology, Seoul National University Bundang Hospital, Gyeonggi, Korea.

Background: Knowledge of the topographic thickness of the skin and soft tissues is necessary when performing a high-intensity focused ultrasound (HIFU) procedure. Thermal tissue injury to the superficial musculoaponeurotic system (SMAS) or deeper can injure the facial nerve and its branches.

Objective: To demonstrate the topographic thickness of the lower facial skin, superficial fat, and SMAS. Read More

Ann Plast Surg 2022 Feb;88(2):173-179

From the Department of Plastic and Reconstructive Surgery, Tokushima University Graduate School of Medical Science, Tokushima, Japan.

Background: Nasal reconstruction is challenging because of the difficulty in balancing superior aesthetic outcomes and less invasive surgery. The use of the lateral nasal artery (LNA) perforator flap has been reported for nasal reconstruction. However, few reports have described appropriate applications of nasal reconstruction and assessments of nasal deformity. Read More

Arch Craniofac Surg 2022 Feb 10;23(1):17-22. Epub 2022 Jan 10.

Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea.

Background: Reconstruction of large facial defects is challenging as both functional and cosmetic results must be considered. Reconstruction with forehead flaps on the face is advantageous; nonetheless, reconstruction of large defects with forehead flaps alone results in extensive scarring on the donor site. In our study, the results of reconstruction using a combination of forehead flaps and other techniques for large facial defects were evaluated. Read More

Int J Pediatr Otorhinolaryngol 2022 Feb 28;153:111016. Epub 2021 Dec 28.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Shanghai, 200011, China.

Object: For congenital microtia patients with a depressed mastoid area, it is unclear whether autologous fat grafting to fill the depressed area of the cheek will affect the survival of the subsequent grafted costal cartilage stent. An animal model was used for in vivo research to provide guidance for clinical applications.

Methods: Autologous costal cartilage was implanted in nude mice. Read More

Int J Surg Case Rep 2022 Jan 27;90:106693. Epub 2021 Dec 27.

Department of Plastic Reconstructive and Aesthetic Surgery, Bach Mai Hospital, No.78 Giai Phong Street, Hanoi, Viet Nam. Electronic address:

Introduction And Importance: Massive facial defects remain a reconstructive challenge because of the region's unique character and the limitation of a well-matched donor site. Pre-expanded free anterolateral thigh (ALT) flap provides a good alternative for reconstructing massive skin and soft tissue defects.

Case Presentation: A 21-year-old male patient presented to our department with a massive right facial degloving wound caused by a sharp edged-weapon attack. Read More

J Craniofac Surg 2021 Dec 29. Epub 2021 Dec 29.

Department of Plastic Surgery, University of Tennessee Health Science Center, Department of Ophthalmology, University of Tennessee Health Science Center, Memphis, TN.

Abstract: Eyelid reconstruction is a complex topic. This review looks at articles from 1990 to 2018 on eyelid reconstruction that had at least 10 patients and a mean 6 month follow-up. The authors present the results of our findings and propose an algorithm to guide the surgeon in choosing the best technique based on location, size, and lamella. Read More

Plast Reconstr Surg 2022 Jan;149(1):197-201

From Plastic and Cleft-Craniofacial Surgery, A&D DermePlastique; and Department of Plastic and Reconstructive Surgery, the Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University.

Summary: Encouraging results have been described for the use of pedicled buccal fat pad flap in primary cleft palate repair. This retrospective study describes the surgical technique and early results of a technical innovation utilizing the split buccal fat flaps in modified Furlow palatoplasty with small double-opposing Z-plasty. This technique introduces buccal fat tissue for coverage of lateral denuded palate surfaces to reduce the bone exposure and scar formation to potentially attenuate maxillary growth interference and for reinforcement of the palatal areas of high tension or with incomplete closure to decrease the risk of postoperative dehiscence and oronasal fistula formation. Read More

Dermatol Surg 2021 Dec 21. Epub 2021 Dec 21.

Division of Dermatology, Department of Medicine, University of Vermont, Burlington, Vermont.

Eur Urol Open Sci 2022 Jan 25;35:21-28. Epub 2021 Nov 25.

Kulkarni Reconstructive Urology Center, Pune, India.

Background: Graft plus flap urethroplasty is gaining momentum in patients with nearly or completely obliterated urethral strictures, in whom staged procedures or perineal urethrostomy is the only possible alternative. However, graft plus flap urethroplasty is mainly adopted for strictures involving the penile urethra.

Objective: To report our experience on graft plus flap urethroplasty for bulbar and penobulbar reconstruction. Read More

Plast Reconstr Surg 2021 Dec;148(6):1350-1356

From the Department of Plastic and Reconstructive Surgery and Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University; Plastic and Cleft-Craniofacial Surgery, A&D DermePlastique; Department of Plastic Surgery, Royal Devon & Exeter Hospital; and Department of Plastic Surgery, Xiamen Chang Gung Hospital.

Summary: Patients with maxillomandibular disharmony may present with a flat to concave midface. The effects of orthognathic surgery concomitant with midface fat grafting on facial appearance and midface volumetric and positional change have not formally been assessed to date. The authors' approach for synchronous orthognathic surgery and fat grafting is described and evaluated. Read More

Dermatol Surg 2021 12;47(12):1648-1650

Department of Dermatology, Baylor Scott & White Health, Temple, Texas.

Oral Surg Oral Med Oral Pathol Oral Radiol 2022 Jun 5;133(6):e163-e169. Epub 2021 Sep 5.

Operative Unit of Maxillo-Facial Surgery, Otolaryngology and Dentistry, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy.

Objective: Buccal myomucosal local flaps in oral cavity reconstruction are a valid option for small-to-moderate defects. Nevertheless, few articles report about functional recovery. The purpose of the present analysis is to evaluate the impact of these flaps on function and quality of life. Read More

Dermatol Surg 2022 Jan;48(1):61-66

Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, Texas.

Background: The infraorbital cheek is a common location for cutaneous malignancy and thus surgical defects. Reconstruction in this region must maintain nearby free margins to ensure optimal cosmetic and functional outcomes. Large defects may require a flap using lateral or inferior tissue reservoirs. Read More

Plast Reconstr Surg Glob Open 2021 Nov 2;9(11):e3891. Epub 2021 Nov 2.

Advocate Illinois Masonic Medical Center Professional Building, Chicago, Ill.

Postoperative candida infection is a rarely reported complication in cutaneous surgery, although it may develop more often in particular clinical settings. We present a 59-year-old woman with a well-controlled human immunodeficiency virus infection. She developed a bright red eruption with satellite pustules 2 weeks after excision of recurrent lentigo maligna melanoma of the left lower eyelid and periocular region. Read More

Dermatol Ther 2022 01 17;35(1):e15186. Epub 2021 Nov 17.

Department of Cosmetology and Aesthetic Dermatology, Faculty of Pharmacy, Medical University of Lodz, Lodz, Poland.

Seborrhea and the associated oily skin are undoubtedly the problem of women and men around the world. The pathogenesis of acne vulgaris involves excessive activity of sebaceous glands, as well as disturbances in the composition of sebum. The aim of the study was to assess the severity of seborrhea in a group of acne vulgaris patients and to determine the effect of a 20% azelaic acid solution on the activity of sebaceous glands. Read More

Int J Surg Case Rep 2021 Nov 18;88:106522. Epub 2021 Oct 18.

Head of Department of Cranio-Maxillofacial Surgery, Nasser Institute for Research and Treatment, Cairo, Egypt.

Introduction And Importance: The impact of Covid-19 pandemic on the incidence and pattern of Mucormycosis (the black fungus), has increased sharply and is featured as an epidemic within a pandemic. The majority of cases were detected at late stages, which decreases the chances of survival.

Case Presentation: The authors present a case of an immunocompetent male patient diagnosed with left orbital apex syndrome post covid-19 infection, which necessitated orbital exenteration. Read More