2,555 results match your criteria Scalp Reconstruction


Scalp expansion: Surgical considerations and possible future directions.

Authors:
Edoardo Raposio

Indian J Plast Surg 2018 Jan-Apr;51(1):84-88

Department of Medicine and Surgery, University of Parma, Italy.

Introduction: Repairing large scalp defects has always been a difficult task for plastic surgeons. This is because the requirements of such procedures are two-fold: sufficient soft-tissue coverage is required, and to obtain a satisfactory aesthetic outcome, a sufficient number of covering hairs should be ideally provided.

Materials And Methods: Based on the author's experience in this repair technique over a 20-year period, this article presents some technical details of scalp expansion, surgical refinements and possible directions for further technical advancement. Read More

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Versatile use of dermal substitutes: A retrospective survey of 127 consecutive cases.

Indian J Plast Surg 2018 Jan-Apr;51(1):46-53

Advanced Technologies for Regenerative Medicine and Inductive Surgery Research Center, University of Pavia, Pavia, Italy.

Background: Dermal substitutes are currently largely used for the treatment of huge skin loss in patients in critical general health conditions, for the treatment of severe burns and to promote the healing process in chronic wounds.

Aims: The authors performed a retrospective assessment of their experience with bioengineered skin to possibly identify the most appropriate clinical indication and management for each substitute.

Materials And Methods: The study involved 109 patients with 127 skin defects repaired with dermal substitutes over a 9 years period, from 2007 to 2016. Read More

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Source-reconstruction of the sensorimotor network from resting-state macaque electrocorticography.

Neuroimage 2018 Jun 7. Epub 2018 Jun 7.

Center for Brain and Cognition, Computational Neuroscience Group, Department of Information and Communication Technologies, Universitat Pompeu Fabra (UPF), Spain; Instituci Catalana de la Recerca i Estudis Avanats (ICREA), Universitat Pompeu Fabra, Spain.

The discovery of hemodynamic (BOLD-fMRI) resting-state networks (RSNs) has brought about a fundamental shift in our thinking about the role of intrinsic brain activity. The electrophysiological underpinnings of RSNs remain largely elusive and it has been shown only recently that electric cortical rhythms are organized into the same RSNs as hemodynamic signals. Most electrophysiological studies into RSNs use magnetoencephalography (MEG) or scalp electroencephalography (EEG), which limits the spatial resolution with which electrophysiological RSNs can be observed. Read More

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Naturopathic Self-Treatment of an Atypical Fibroxanthoma: Lessons for Dermatologic Surgery.

J Drugs Dermatol 2018 Jun;17(6):683-685

Background: Alternative therapies are favored by some patients. In skin cancer, this may be to try to avoid surgery out of fear for the procedure and its functional or cosmetic consequences. Frequently, use of these therapies is not curative and can cause harm. Read More

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[Turban tumour with intracranial invasion].

Ugeskr Laeger 2018 Jun;180(23)

This is a case report of a 76-year-old woman, who had Brooke-Spiegler syndrome (BSS) and presented with multiple confluent tumours of the scalp. An MRI showed an intracranial invasion. Multiple excisions were made due to recurrence of the intracranial tumour, and reconstruction was achieved with free flaps and skin grafts. Read More

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June 2018
1 Read

Assessment of Frontalis Myocutaneous Transposition Flap for Forehead Reconstruction After Mohs Surgery.

JAMA Dermatol 2018 Jun;154(6):708-711

Department of Dermatology, University Clinic of Navarra, Pamplona, Spain.

Importance: Forehead reconstruction after Mohs surgery has become a challenge for dermatology surgeons, and achieving an excellent cosmetic and functional result is imperative in this location.

Objective: To highlight the utility of a frontalis myocutaneous transposition flap (FMTF) for forehead reconstruction after Mohs surgery.

Design, Setting, And Participants: Surgical technique case series including 12 patients with large forehead defects recruited between January 2010 and June 2017 at the Dermatology Department of the University Clinic of Navarra, Spain. Read More

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[Clinical research of sideburn reconstruction with expanded island scalp flap based on parietal branch of superficial temporal vessel].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Nov;31(11):1358-1362

No.11 Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical School, Beijing, 100144, P.R.China.

Objective: To explore the feasibility and effectiveness of sideburn reconstruction using the expanded island scalp flap based on the parietal branch of the superficial temporal vessel.

Methods: Between February 2012 and April 2015, 7 patients underwent sideburn reconstruction. There were 3 males and 4 females with an average age of 15 years (range, 4-44 years). Read More

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November 2017
2 Reads

Forehead reconstruction with a custom-made threedimensional titanium implant in a Parry-Romberg syndrome patient.

Arch Craniofac Surg 2018 May 24. Epub 2018 May 24.

Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

Parry-Romberg syndrome is a rare neurocutaneous syndrome characterized by progressive shrinkage and degeneration of the tissues usually on only one side of the face. It is usually difficult to restore the facial contour due to skin tightness. In this case report, we report a forehead reconstruction with custom-made three-dimensional (3D) titanium implant of a Parry-Romberg syndrome patient who was treated with multiple fat grafts but had limited effect. Read More

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May 2018
3 Reads

Complex Scalp and Calvarium Defects After Giant Basal Cell Carcinoma Excision: Management, Challanges, Outcomes.

J Craniofac Surg 2018 May 15. Epub 2018 May 15.

Canakkale Onsekiz Mart University, Department of Plastic Reconstructive and Aesthetic Surgery, Canakkale, Turkey.

Giant basal cell carcinoma (GBCC) is defined as a tumor ≥5 cm in diameter. GBCC of scalp usually requires extended resection of soft tissues, calvarium, and dura. In this study, we present 5 patients with GBCC of head, who underwent a single-stage combined scalp, calvarium, and dural reconstruction. Read More

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May 2018
1 Read

Scalp and Forehead Reconstruction.

Semin Plast Surg 2018 May 14;32(2):90-94. Epub 2018 May 14.

Department of Facial Plastic and Reconstructive Surgery, Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas.

Reconstructing the scalp and forehead is a challenging endeavor frequently undertaken by facial plastic and reconstructive surgeons. There are many anatomical factors to be considered in this area, including multiple neurovascular structure present that should be identified and preserved. Hair morphology and physiology should be considered, and trichophytic techniques should be incorporated into incision planning and closure. Read More

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Reconstruction of Extensive Post-Electric Burn Scalp Defects With Exposed Bones: A Study of 12 Cases.

Ann Plast Surg 2018 Jul;81(1):39-44

From the Institute for Research and Rehabilitation of Hand, and Department of Plastic Surgery, Government Stanley Medical College, Chennai, Tamil Nadu, India.

The scalp is a unique part of the human body with respect to its shape and position. It is the part of the body that is usually exposed in its original form, with no covering by any means of clothing. In workplaces, especially in the electrical industry in the area of electrical substations and power transmission lines it is this part of the body that can easily come in contact with high tension electrical wires. Read More

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July 2018
5 Reads

Scalp Defect Reconstruction with Triple Rotation Flap: A Case Report.

J Cutan Aesthet Surg 2018 Jan-Mar;11(1):26-28

Department of Dermatology, BMCRI, Bangalore, Karnataka, India.

Scalp surgeries are some of the surgeries frequently performed in dermatosurgery department. These surgical procedures may leave large defects, especially when performed for malignant condition in which wide margin has to be excised. Such large defects are difficult to close primarily when reconstruction with local flap is essential. Read More

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Interdisciplinary prevention and management of wound-related complications in extracranial-to-intracranial bypass surgery.

World Neurosurg 2018 May 2. Epub 2018 May 2.

Department of Neurosurgery, Sapporo Medical University.

Extracranial-to-intracranial (EC-IC) bypass surgery may be necessary in patients with moyamoya disease and other ischemic conditions. However, there is a potential risk of wound-related complications in some cases. In this study, we report our approach to prevention of wound-related complications in EC-IC bypass, and technical consideration and pitfalls of surgery are discussed. Read More

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The Combination of Expanded Scalp Flap and 800 nm Diode Laser in the Reconstruction of Forehead Defect.

Aesthetic Plast Surg 2018 May 3. Epub 2018 May 3.

Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, 127 Changle West Road, Xi'an, 710032, People's Republic of China.

Skin grafting is often the first choice for closing forehead defects. However, the aesthetics of skin grafting-reconstructed forehead defects are still not accepted by a large number of patients. With the technological advancement of laser hair removal, scalp flaps have been considered as donors for reconstruction of forehead defects. Read More

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May 2018
7 Reads

Multi-view stereo in the operating room allows prediction of healing complications in a patient-specific model of reconstructive surgery.

J Biomech 2018 Jun 22;74:202-206. Epub 2018 Apr 22.

School of Mechanical Engineering, Purdue University, West Lafayette, IN, USA; Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN, USA. Electronic address:

Excessive mechanical stress leads to wound healing complications following reconstructive surgery. However, this knowledge is not easily applicable in clinical scenarios due to the difficulty in measuring stress contours during complex tissue rearrangement procedures. Computational tools have been proposed as an alternative to address this need, but obtaining patient specific geometries with an affordable and flexible setup has remained a challenge. Read More

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June 2018
1 Read

Development of a primary melanoma in situ within a full-thickness skin graft overlying a free muscle flap: a case report.

Case Reports Plast Surg Hand Surg 2018 6;5(1):23-26. Epub 2018 Apr 6.

Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA, USA.

The development of a primary melanoma within the confines of free tissue transfer is a rare occurrence. In this report, we describe the development of a primary melanoma in situ within a full-thickness skin graft overlying a free latissimus dorsi muscle flap used to cover a scalp defect. Read More

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April 2018
3 Reads

One-stage Pelnac Reconstruction in Full-thickness Skin Defects with Bone or Tendon Exposure.

Plast Reconstr Surg Glob Open 2018 Mar 21;6(3):e1709. Epub 2018 Mar 21.

Department of Hand Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science & Technology, Hubei, PR China; and Wound Repair Section, Liyuan Hospital, Tongji Medical College, Huazhong University of Science & Technology, Hubei, PR China.

Dermal regeneration template, such as Integra and Pelnac, was originally designed for treating large area burn injury by inducing regeneration of dermis. To date, it has been widely applied in various acute and chronic wound sites. The present study demonstrated that application of artificial dermis alone induced 1-stage wound healing for wounds with bone or tendon exposure that should usually be repaired by flap surgery. Read More

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Treatment and reconstruction of a complicated infected scalp squamous cell carcinoma with CNS invasion.

BMJ Case Rep 2018 Apr 28;2018. Epub 2018 Apr 28.

Department of Plastic and Reconstructive Surgery, Odense University Hospital, Odense, Denmark.

A 60-year-old male patient with a large infected cranial apex lesion was admitted with lethargy and mental status changes. The patient underwent evaluation with imaging studies, a skin biopsy, cultures with microscopy and a diagnostic burr hole. MRI and positron emission tomography/CT scan revealed a squamous cell carcinoma with ingrowth in the midline of the brain and subdural empyema infected with and High dose intravenous antibiotic treatment was initiated and the patient subsequently underwent a surgical resection of the carcinoma with a 1 cm margin of surrounding skin and skull. Read More

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April 2018
3 Reads

Active Transcutaneous Bone Conduction Implant: Middle Fossa Placement Technique in Children With Bilateral Microtia and External Auditory Canal Atresia.

Otol Neurotol 2018 Jun;39(5):e342-e348

Hospital del Salvador, Universidad de Chile, Dr. Luis Calvo Mackenna Children's Hospital, Santiago, Chile.

Aim: The aim of this study is to present the middle fossa technique (MFT) as an alternative for patients who cannot undergo traditional surgery for active transcutaneous bone conduction implants (ATBCI) due to their altered anatomy or desire for future aesthetic reconstruction.

Design: A case series descriptive study was designed. The MFT was developed. Read More

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Progressive Tightening of Pulley Sutures for Primary Repair of Large Scalp Wounds.

Plast Reconstr Surg Glob Open 2017 Dec 12;5(12):e1592. Epub 2017 Dec 12.

Department of Dermatology, University of Texas Medical Branch, Galveston, Tex.; and Department of Surgery, University of Texas Medical Branch, Galveston, Tex.

Scalp defects greater than 2 cm in diameter are not usually amenable to primary closure and require local tissue rearrangement, grafting, tissue expansion, or prolonged second intention healing. Scalp flap reconstruction is a significant undertaking that requires elevation of a total flap surface area that is 3-6 times the size of the defect, often involves profuse bleeding, and can be challenging to perform without conscious sedation or general anesthesia. Anticoagulated and medically complex patients pose additional challenges and limit options for treatment. Read More

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December 2017

Flat Incision Technique for Reconstructive Brow Surgery: A Wound Healing Model and Clinical Evaluation.

Plast Reconstr Surg Glob Open 2018 Feb 26;6(2):e1684. Epub 2018 Feb 26.

Institute of Plastic, Reconstructive and Aesthetic Surgery, Zürich-Zollikon, Switzerland; Clinic of Plastic and Reconstructive Surgery, University Hospital Basel, Switzerland; Department of Cranio-Maxillofacial Plastic Surgery, University of Regensburg, Regensburg, Germany; Adult Aesthetic and Reconstructive Surgery of the Face at Aneasthesia Center at UKE, Hamburg, Germany; and Pediatric Facial Plastic Surgery and Craniofacial Anomalies at the Catholic Childrens Hospital Wilhelmstift, Hamburg, Germany.

Background: Skin incision is considered to be placed at 90° in reference to the skin to get perfect wound edge adaptation. The incision on hair-bearing tissues, as the scalp, is considered to be bevelled at 45° to promote hair growth through the scar. There is no consensus about the preferred incision angle on the brow. Read More

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February 2018
2 Reads

Recurrent Dermatofibrosarcoma Protuberans of Scalp in a Distant Location 10 Years after Primary Excision.

Ann Dermatol 2018 Apr 21;30(2):226-228. Epub 2018 Feb 21.

Department of Dermatology, Korea University Ansan Hospital, Ansan, Korea.

Dermatofibrosarcoma protuberans (DFSP) is a slow growing low-grade cutaneous sarcoma. Local recurrence after excision is common due to the poorly defined periphery that renders histological control of surgical margin difficult, Mohs micrographic surgery is the optimal method for treatment. A 41 years old male patient, who had a previous history of DFSP, came to our dermatology clinic for evaluation of an asymptomatic firm flesh-colored nodule on the forehead. Read More

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April 2018
1 Read

A Novel Small-Animal Model of Irradiated, Implant-Based Breast Reconstruction.

Plast Reconstr Surg 2018 Jun;141(6):1416-1425

Charlottesville, Va.; and Lexington, Ky. From the Department of Plastic and Reconstructive Surgery, University of Virginia; and Division of Plastic Surgery, University of Kentucky College of Medicine.

Background: There is currently a need for a clinically relevant small-animal model for irradiated, implant-based breast reconstruction. Present models are inadequate in terms of suboptimal location of expander placement and mode of radiation delivery, correlating poorly with the human clinical scenario. The authors hypothesized that by delivering fractionated radiation and placing an expander under the scalp of the animal, they would achieve soft-tissue changes histologically analogous to those seen in human irradiated, implant-based breast reconstruction. Read More

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June 2018
6 Reads

Three-stage post-oncological reconstruction of the scalp using a dermal-assisted skin graft, adipose tissue graft and follicular graft: A clinical case.

Ann Chir Plast Esthet 2018 Mar 19. Epub 2018 Mar 19.

Microsurgery Department, Plastic Reconstructive and Aesthetic Surgery, Hôpital Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France. Electronic address:

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March 2018
1 Read

Reconstruction of the Major Defects of the Tissue Scalp.

Indian J Surg Oncol 2018 Mar 28;9(1):65-67. Epub 2017 Aug 28.

Department of Reconstructive, plastic and aesthetic microsurgery, A. Syzganov's National Scientific Center of Surgery, Zheltoksan 62, Almaty, Kazakhstan 05004.

The problem of treating tissue defects of the scalp to date remains one of the actual problems of modern medicine. Low elasticity, stiffness, and the presence of hair follicles and skin deficit dictate the need for new treatments, cosmetic relevant requirements of this zone. The use of expander dermotension in recent years has found its wide distribution in the treatment of defects and deformities of covering tissue anywhere on the body. Read More

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March 2018
2 Reads

The Role of the Visor Flap in Scalp Reconstruction: A Case Series of 21 Patients.

Oper Neurosurg (Hagerstown) 2018 Mar 14. Epub 2018 Mar 14.

University of Illinois at Chicago, Chicago, Illinois.

Background: Full-thickness scalp defects pose a reconstructive problem, especially in the setting of infection, chemotherapy/radiation, and underlying cranial defects. Current options include dermal matrices, skin grafts, and local flaps. Local flaps often fail, requiring subsequent microvascular free flap reconstruction. Read More

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Repair of Large Full-Thickness Scalp Defects Using Biomaterial and Skin Grafting.

J Craniofac Surg 2018 Jun;29(4):e426-e429

Department of Plastic Surgery and Reconstructive Surgery, Zhejiang Provincial People's Hospital of Hangzhou Medical College, Hangzhou, China.

The reconstruction of large full-thickness scalp defects remains a surgical challenge, especially when the skull is exposed completely without periosteum. Surgical technique options for wound coverage have included tissue expansion, skin grafting, local or regional flaps, and microvascular free tissue transfer. In recent years, some authors have reported to use biological material as an alternative for repairing complex wounds. Read More

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Biodynamic excisional skin tension lines for surgical excisions: untangling the science.

Authors:
S P Paul

Ann R Coll Surg Engl 2018 Apr 15;100(4):330-337. Epub 2018 Mar 15.

University of Queensland, School of Medicine , Brisbane, Queensland , Australia.

Objective There remains confusion between Langer's lines and wrinkle lines with respect to the optimal orientation of elliptical excisions on the trunk. This study sought to determine the directions of wound closure that would result in least wound tension after skin lesion excisions. Materials and methods Some 1181 consecutive skin lesion excisions were investigated (age range 13-95 years, median 64 years) using a tensiometer to determine directions of least wound tension. Read More

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April 2018
7 Reads

Primary normocephalic pancraniosynostosis detected incidentally after an accidental head injury: a case report and review of the literature.

Authors:
Ai Peng Tan

Childs Nerv Syst 2018 Jul 13;34(7):1427-1431. Epub 2018 Mar 13.

Department of Diagnostic Imaging, National University Health System, 1E Kent Ridge Rd, Singapore, 119228, Singapore.

Objective: Majority of multi-suture craniosynostosis are related to single-gene disorders or chromosomal abnormalities. Children with craniosynostosis usually present at an early age due to the presence of an abnormal head shape, with the exception of a unique entity termed primary normocephalic pancraniosynostosis. The objective of this article is to describe an unusual case of primary normocephalic pancraniosynostosis, detected incidentally following an accidental head injury. Read More

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July 2018
5 Reads

Successful Craniotomy for Advanced Basal Cell Carcinomas with Cranial Bone Invasion and Dura Mater Infiltration - Unique Presentation in a Bulgarian Patient.

Open Access Maced J Med Sci 2018 Feb 14;6(2):372-375. Epub 2018 Feb 14.

Medical Institute of Ministry of Interior (MVR), Department of Dermatology, Venereology and Dermatologic Surgery, General Skobelev Nr 79, Sofia, Bulgaria.

Background: Basal cell carcinomas (BCC) located in the sun-exposed regions are a serious therapeutic challenge. Therefore early diagnosis and adequate therapy should be of a high priority for every dermatologic surgeon.

Case Presentation: We are presenting a patient with multiple BCCs, located on the area of the scalp, who had been treated several years ago with electrocautery and curettage after histopathological verification. Read More

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February 2018
6 Reads

Successful Strategies for Dealing With Infected, Custom-Made Hydroxyapatite Cranioplasty.

J Craniofac Surg 2018 Mar 1. Epub 2018 Mar 1.

Department of Plastic and Reconstructive Surgery, University of Udine, Udine.

When a cranioplasty implant becomes infected, standard operating procedure dictates its removal and the initiation of a long course of antibiotic therapy. However, removing such a prosthesis can have a series of adverse consequences, including delayed cognitive and motor recovery, lack of brain tissue protection, unsightly deformity, and the need for two additional surgical procedures, not to mention the additional costs involved. To maintain the advantages of cranioplasty, we opted for a conservative approach (levofloxacin and rifampicin every 24 hours for 8 weeks) in a 68-year-old woman whose custom-made porous hydroxyapatite implant, fitted following aneurysm clipping, had become infected. Read More

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March 2018
2 Reads

Spatial resolution for EEG source reconstruction-A simulation study on SEPs.

J Neurosci Methods 2018 May 27;301:9-17. Epub 2018 Feb 27.

Amsterdam Movement Sciences & Institute for Brain and Behavior Amsterdam, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, The Netherlands. Electronic address:

Background: The accuracy of source reconstruction depends on the spatial configuration of the neural sources underlying encephalographic signals, the temporal distance of the source activity, the level and structure of noise in the recordings, and - of course - on the employed inverse method. This plenitude of factors renders a definition of 'spatial resolution' of the electro-encephalogram (EEG) a challenge.

New Method: A proper definition of spatial resolution requires a ground truth. Read More

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May 2018
2 Reads

Adult Cranioplasty Reconstruction With Customized Cranial Implants: Preferred Technique, Timing, and Biomaterials.

J Craniofac Surg 2018 Jun;29(4):887-894

Department of Plastic-Reconstructive Surgery.

Introduction: Complex cranial defects requiring delayed reconstruction present numerous challenges. Delayed cranioplasties accompany frequent complications approaching an incidence of 35 to 40%. Therefore, the authors sought to collate their experience in hopes of sharing their perspective on several topics including technique, timing, and preferred biomaterials. Read More

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June 2018
3 Reads

Chronic Scalp Ulcer 35 Years after Skull Trepanation Surgery and Radiotherapy for Oligodendroglioma: A Further Example of Immunocompromised Cutaneous Districts.

Open Access Maced J Med Sci 2018 Jan 31;6(1):55-57. Epub 2017 Dec 31.

Università Degli Studi "G. Marconi", Rome, Italy, Facoltà di Medicina e Chirurgia - Chair of Dermatology, University of Rome, Rome, Italy.

Background: Chronic ulcers of the scalp have a variety of underlying pathologies. In case of cancer patients, a second malignancy must be excluded.

Case Report: A 78-year-old female patient presented to our department with a large soft tissue defect on the frontotemporal left side. Read More

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January 2018

Modified Unilateral Pedicled V-Y Advancement Flap for Scalp Defect Repair.

J Craniofac Surg 2018 May;29(3):608-613

Department of Orthopaedics, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.

Reconstruction of scalp defects caused by tumor resection or trauma is very challenging. A majority of the surgeons prefer to use local flap rather than skin graft or free flap for scalp defects repair. The aim of this study is to investigate the technique of modified unilateral pedicled V-Y advancement flap for the reconstruction of scalp defect. Read More

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May 2018
4 Reads

Facial Artery as a Recipient Vessel for Extensive Scalp Reconstruction With Free Omental Flap Without Vein Graft.

J Craniofac Surg 2018 May;29(3):e271-e273

Department of Plastic and Reconstructive Surgery, College of Medicine, Chung-Ang University, Seoul, Korea.

Most patients with reconstruction for extensive scalp defects require the use of a free flap. The suitability of the recipient vessel has a major impact on the surgery and postoperative outcome. Flaps that can be used to reconstruct the total scalp with a single flap include the latissimus dorsi (LD) and omental flaps; the LD flap is generally preferred since the omental flap results in relatively larger donor site morbidity. Read More

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May 2018
1 Read

Multimodal, noninvasive seizure network mapping software: A novel tool for preoperative epilepsy evaluation.

Epilepsy Behav 2018 Apr 22;81:25-32. Epub 2018 Feb 22.

Department of Neurosurgery and Brain Repair, University of South Florida, Tampa, FL, USA. Electronic address:

Background: Despite rigorous preoperative evaluation, epilepsy surgery achieves seizure freedom in only two-thirds of cases. Current preoperative evaluation does not include a detailed network analysis despite the association of network-level changes with epilepsy.

Objective: We sought to create a software algorithm to map individualized epilepsy networks by combining noninvasive electroencephalography (EEG) source localization and nonconcurrent resting state functional magnetic resonance imaging (rsfMRI). Read More

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April 2018
6 Reads

Eccrine sweat glands associate with the human hair follicle within a defined compartment of dermal white adipose tissue.

Br J Dermatol 2018 May 30;178(5):1163-1172. Epub 2018 Mar 30.

Centre for Dermatology Research, University of Manchester, Manchester Academic Health Science Centre & NIHR Manchester Biomedical Research Centre, Manchester, U.K.

Background: Eccrine sweat glands (ESGs) are critical for thermoregulation and are involved in wound healing. ESGs have traditionally been considered as separate skin appendages without connection to the pilosebaceous unit (PSU). However, recent preliminary evidence has encouraged the hypothesis that the PSU and ESG are more interconnected than previously thought. Read More

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May 2018
1 Read

The ongoing emergence of robotics in plastic and reconstructive surgery.

Ann Chir Plast Esthet 2018 Apr 3;63(2):105-112. Epub 2018 Feb 3.

Department of plastic surgery, Gustave-Roussy, 94800 Villejuif, France.

Robot-assisted surgery is more and more widely used in urology, general surgery and gynecological surgery. The interest of robotics in plastic and reconstructive surgery, a discipline that operates primarily on surfaces, has yet to be conclusively proved. However, the initial applications of robotic surgery in plastic and reconstructive surgery have been emerging in a number of fields including transoral reconstruction of posterior oropharyngeal defects, nipple-sparing mastectomy with immediate breast reconstruction, microsurgery, muscle harvesting for pelvic reconstruction and coverage of the scalp or the extremities. Read More

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April 2018
2 Reads

Management of exposed ventriculoperitoneal shunt on the scalp in pediatric patients.

Authors:
Osman Akdag

Childs Nerv Syst 2018 Jun 2;34(6):1229-1233. Epub 2018 Feb 2.

Department of Plastic Reconstructive and Aesthetic Surgery, Selcuk University, Konya, Turkey.

Purpose: The exposure of a ventriculoperitoneal shunt on the scalp is a serious complication. There are limited studies evaluating this complication's management in the literature. The aim of this study is to define the management of shunt salvage and the reconstruction of the scalp. Read More

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June 2018
1 Read

Temporary ectopic implantation for salvaging amputated parts: A systematic review.

J Trauma Acute Care Surg 2018 Jun;84(6):985-993

From the Department of Orthopedics (Y.T., F.Z.), Zhongshan Hospital, Fudan University, Shanghai, China; Joseph M. Still Burn and Reconstructive Center (Y.T., W.C.L., D.M.C., G.H.B., F.Z.), Jackson, Mississippi; and Joseph M. Still Burn and Reconstructive Center (K.J.J.), Augusta, Georgia.

Background: Temporary ectopic implantation is an option when handling severe crushing injuries to the distal extremities or other body parts. The surgical techniques applied in those cases, and the patient outcomes have not been previously analyzed.

Methods: Extensive literature search was performed using PubMed, EMBASE, and Google Scholar to collect articles reporting outcomes of temporary ectopic implantation for salvaging amputated extremities or other body parts. Read More

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June 2018
3 Reads

Alopecia and platelet-derived therapies.

Stem Cell Investig 2017 14;4:88. Epub 2017 Nov 14.

Plastic and Reconstructive Surgery Department, University of Rome Tor Vergata, Rome, Italy.

Background: Platelet rich plasma (PRP) injections have emerged as a promising regenerative therapy for androgenetic alopecia (AGA). To date, injections of both autologous native and activated PRP have been administered to hair loss patients, and positive results have been observed. However, little to no work has yet to be seen wherein PRP treatments are combined with hair restoration surgeries. Read More

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November 2017
2 Reads

Surgical Management of Deep Brain Stimulator Scalp Erosion without Hardware Removal.

Stereotact Funct Neurosurg 2017 13;95(6):385-391. Epub 2017 Dec 13.

Department of Neurosurgery, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, USA.

Background: Scalp erosion in patients with deep brain stimulation (DBS) hardware is an uncommon complication that lacks a clearly defined management strategy. Previous studies have described various therapies including conservative treatment with antibiotics and surgical debridement with or without hardware removal.

Objectives: The aim of this study was to review the efficacy of a hardware-sparing management strategy for the treatment of scalp erosion. Read More

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December 2017
2 Reads

Aplasia cutis congenita: Two case reports and discussion of the literature.

Surg Neurol Int 2017 9;8:273. Epub 2017 Nov 9.

Department of Neurosurgery, Children's Hospital "Agia Sofia", Athens, Greece.

Background: Aplasia cutis congenita (ACC) is a part of a heterogeneous group of conditions characterized by the congenital absence of epidermis, dermis, and in some cases, subcutaneous tissues or bone usually involving the scalp vertex. There is an estimated incidence of 3 in 10,000 births resulting in a total number of 500 reported cases to date. The lesions may occur on every body surface although localized scalp lesions form the most frequent pattern (70%). Read More

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November 2017
3 Reads

Endoscopic Corneal Neurotization: Technique and Initial Experience.

Ophthalmic Plast Reconstr Surg 2018 Jan/Feb;34(1):82-85

Division of Oculofacial Plastic and Reconstructive Surgery, Department of Ophthalmology, Duke University Hospital, Durham, North Carolina, U.S.A.

Purpose: The authors describe a minimally invasive surgical technique to re-establish corneal sensibility in a patient with neurotrophic keratopathy with the supraorbital nerve harvested endoscopically.

Methods: Pedicled contralateral supraorbital nerve was harvested endoscopically through small eyelid crease and scalp incisions and transferred to the affected eye.

Results: Endoscopic corneal neurotization was successfully performed with restoration of corneal sensibility and corneal epithelial integrity. Read More

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February 2018
2 Reads

The anterolateral thigh flap with kiss technique for microsurgical reconstruction of oncological scalp defects.

J Plast Reconstr Aesthet Surg 2018 02 7;71(2):273-276. Epub 2017 Nov 7.

Department of Hand, Plastic and Reconstructive Surgery, Burn Center, BG Trauma Center Ludwigshafen, University of Heidelberg, Ludwigshafen 67071, Germany.

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February 2018
2 Reads

Reconstruction of preauricular soft tissue defects using a superiorly based rotation advancement scalp flap - A novel approach to the surgical treatment of preauricular sinuses.

Am J Otolaryngol 2018 Mar - Apr;39(2):204-207. Epub 2017 Nov 10.

Department of Otolaryngology, Changi General Hospital, Singapore.

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November 2017
16 Reads
1.08 Impact Factor

Deferoxamine Preconditioning of Irradiated Tissue Improves Perfusion and Fat Graft Retention.

Plast Reconstr Surg 2018 Mar;141(3):655-665

Stanford, Calif. From the Hagey Laboratory for Pediatric Regenerative Medicine and the Institute for Stem Cell Biology and Regenerative Medicine, Stanford University Medical Center.

Background: Radiation therapy is a mainstay in the treatment of many malignancies, but collateral damage to surrounding tissue, with resultant hypovascularity, fibrosis, and atrophy, can be difficult to reconstruct. Fat grafting has been shown to improve the quality of irradiated skin, but volume retention of the graft is significantly decreased. Deferoxamine is a U. Read More

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March 2018
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Reconstruction of cranioplasty using medpor porouspolyethylene implant.

Neurochirurgie 2017 Dec 7;63(6):468-472. Epub 2017 Nov 7.

Service de neurochirurgie, CHU Reims, 45, rue Cognacq-Jay, 51100 Reims, France. Electronic address:

Introduction: We describe our experience of cranioplasty after a calvarial defect, following an external decompressive craniectomy, with the Medpor (Stryker) porous polyethylene implant for cosmetic cranioplasty and reconstruction.

Methods: A retrospective chart review was performed on 23 consecutive patients who underwent cranioplasty at a single institution between January 2013 and January 2016: 9 patients after head injury and 14 patients after vascular event (ruptured aneurysm, intraprenchymal haematoma, malignant cerebrovascular accident). All patients with cranioplasties after oncological resection or infection were excluded. Read More

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December 2017
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