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    1 OF 49

    Reconstruction of Pediatric Scalp Avulsion Injuries After Dog Bites.
    J Craniofac Surg 2017 Apr 21. Epub 2017 Apr 21.
    *Division of Plastic and Reconstructive Surgery †Department of Pediatric Surgery, Massachusetts General Hospital, Boston, MA.
    Dog bite injuries are common and the head and neck is most frequently involved in pediatric patients. In severe cases, the combination of crushing, tearing, and puncturing can result in scalp avulsion. Currently, microsurgical replantation of the avulsed scalp remains the gold standard but may not always be possible. Read More

    Noise-robust cortical tracking of attended speech in real-world acoustic scenes.
    Neuroimage 2017 Apr 13. Epub 2017 Apr 13.
    Hearing Systems Group, Department of Electrical Engineering, Technical University of Denmark, Ørsteds Plads, Building 352, 2800 Kgs. Lyngby, Denmark; Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre, Kettegaard Allé 30, 2650 Hvidovre, Denmark. Electronic address:
    Selectively attending to one speaker in a multi-speaker scenario is thought to synchronize low-frequency cortical activity to the attended speech signal. In recent studies, reconstruction of speech from single-trial electroencephalogram (EEG) data has been used to decode which talker a listener is attending to in a two-talker situation. It is currently unclear how this generalizes to more complex sound environments. Read More

    Comparing diffuse optical tomography and functional magnetic resonance imaging signals during a cognitive task: pilot study.
    Neurophotonics 2017 Jan 15;4(1):015003. Epub 2017 Mar 15.
    Universidad de La Laguna , Faculty of Health Sciences (Medicine Section), Department of Basic Medical Science (Physiology Section), Spain.
    Diffuse optical tomography (DOT) measures concentration changes in both oxy- and deoxyhemoglobin providing three-dimensional images of local brain activations. A pilot study, which compares both DOT and functional magnetic resonance imaging (fMRI) volumes through t-maps given by canonical statistical parametric mapping (SPM) processing for both data modalities, is presented. The DOT series were processed using a method that is based on a Bayesian filter application on raw DOT data to remove physiological changes and minimum description length application index to select a number of singular values, which reduce the data dimensionality during image reconstruction and adaptation of DOT volume series to normalized standard space. Read More

    Mercedes Flap With Releasing Incisions for Scalp Defects.
    Ann Plast Surg 2017 Mar 21. Epub 2017 Mar 21.
    From the Department of Dermatology, Hospital Punta de Europa. Algeciras, Cádiz, Spain.
    Introduction: The reconstruction of scalp defects is surgically challenging due to the limited distensibility in the area.

    Objectives: To describe a new variant of the Mercedes flap with releasing incisions for the reconstruction of medium-sized scalp defects.

    Materials And Methods: Pigs' feet were used as the experimental model for the design of this new variant. Read More

    Interactions between the anterior cingulate-insula network and the fronto-parietal network during perceptual decision-making.
    Neuroimage 2017 Mar 8;152:381-389. Epub 2017 Mar 8.
    Neuroscience Institute, Georgia State University, Atlanta, GA 30303, USA; Center for Behavioral Neuroscience, Center for Nano-Optics, Center for Diagnostics and Therapeutics, GSU-GaTech Center for Advanced Brain Imaging, Georgia State University, Atlanta, GA 30303, USA.
    Information processing in the human brain during cognitively demanding goal-directed tasks is thought to involve several large-scale brain networks, including the anterior cingulate-insula network (aCIN) and the fronto-parietal network (FPN). Recent functional MRI (fMRI) studies have provided clues that the aCIN initiates activity changes in the FPN. However, when and how often these networks interact remains largely unknown to date. Read More

    Aesthetic Eyebrow Reconstruction with an Expanded Scalp Island Flap Pedicled by the Superficial Temporal Artery.
    Aesthetic Plast Surg 2017 Mar 9. Epub 2017 Mar 9.
    Department of Plastic Surgery, The Third Hospital of Wuhan, Wuhan, Hubei, China.
    Purpose: This case study demonstrates a new operative method of eyebrow reconstruction, in which the hair density of the reconstructed eyebrow is controlled by the surgeon and is more similar to that of the uninjured side, resulting in a more natural facial expression and greater aesthetic value for our patients.

    Materials And Methods: The operation was divided into two stages: Stage 1: Implantation of a soft tissue expander into the corresponding subgaleal position of the parietal branch of the superficial temporal artery on the injured side, followed by dilation of the expander until the density of the hair on the expanded scalp reached a suitable value and was lower than that of the uninjured eyebrow. Stage 2: Harvesting of the scalp island flap pedicled by the superficial temporal artery, the end of which was attached to the expanded scalp, followed by the downward movement of the flap to the defect site of the eyebrow via a subcutaneous tunnel, resulting in new eyebrow formation. Read More

    Reconstruction of face and scalp after dog bites in children.
    Rev Col Bras Cir 2016 Dec;43(6):452-457
    Medicine School, Superior School of Health Sciences, Brasilia, Distrito Federal, Brazil.
    Objective: to evaluate the immediate reconstruction of face and scalp after canine bites in children.

    Methods: we conducted a prospective series of cases treated at the Emergency Unit of the Asa Norte Regional Hospital, Brasília - DF, from January 1999 to December 2014. At the time of patient admission to the emergency, the primary wound closure of the face and scalp bite was performed, regardless of the time or day of the event. Read More

    Graph fractional-order total variation EEG source reconstruction.
    Conf Proc IEEE Eng Med Biol Soc 2016 Aug;2016:101-104
    EEG source imaging is able to reconstruct sources in the brain from scalp measurements with high temporal resolution. Due to the limited number of sensors, it is very challenging to locate the source accurately with high spatial resolution. Recently, several total variation (TV) based methods have been proposed to explore sparsity of the source spatial gradients, which is based on the assumption that the source is constant at each subregion. Read More

    Improving Functional and Aesthetic Outcomes in Syndromic Patients With Webbed Neck Deformity: Utilizing a Staged Endoscopic-Assisted Approach to Improve the Posterior Hairline and Decrease Scar Burden.
    J Craniofac Surg 2017 Feb 15. Epub 2017 Feb 15.
    *Division of Plastic Surgery, Albany Medical Center †Albany Medical College, Albany, NY.
    Introduction: Webbed neck deformity (WND) can have significant functional and psychosocial impact on the developing child. Surgical correction can be challenging depending on the extent of the deformity, and patients often also have low posterior hairlines requiring simultaneous correction. Current surgical techniques include various methods of single-stage radical excision that often result in visible scar burden and residual deformity. Read More

    Implantation of Thickened Artificial Bone for Reduction of Dead Space and Prevention of Infection Between Implant and Dura in Secondary Reconstruction of the Skull.
    J Craniofac Surg 2017 Feb 15. Epub 2017 Feb 15.
    Department of Plastic Surgery, Kyorin University School of Medicine, Tokyo, Japan.
    For the treatment of skull defect compensation after neurosurgery, a customized artificial bone is often employed owing to its toughness and the relative ease of producing cosmetically good result. However, implants are vulnerable to infection and removal of implant is sometimes necessary. Several other treatment options such as autologous bone graft or free flap are likely to be considered for the secondary reconstruction to avoid reinfection; however, reimplantation of artificial bone is beneficial for the patients, being not concerned with donor site morbidity. Read More

    Clinical application of scalp markers and three-dimensional sliced computer tomography reconstructions of the skull transverse-sigmoid sinus groove in the retrosigmoid approach.
    Turk Neurosurg 2017 Jan 17. Epub 2017 Jan 17.
    GuiZhou Provincial People's Hospital, Department of Neurosurgery, GuiYang, China.
    Aim: To explore the clinical value of bone flap creation and the sinus protection in the approach of retrosigmoid keyhole craniotomy with the guidance of three-dimensional (3D) sliced computer tomography (CT) reconstruction of the skull transverse sinus and sigmoid sinus groove.

    Material And Methods: The scalp tracings of the transverse sinus and sigmoid sinus groove of 108 posterior fossa lesion patients were delineated by gentian violet, which relies on the relationship between its 3D reconstruction location and scalp marker. The craniotomy was executed with the guidance of its surface tracings. Read More

    Sebaceous Carcinoma Treated With Mohs Micrographic Surgery.
    Dermatol Surg 2017 Feb;43(2):281-286
    *Department of Dermatology, Roswell Park Cancer Institute, Buffalo, New York;†Division of Dermatology, Washington University School of Medicine, St. Louis, Missouri.
    Background: Sebaceous carcinoma is a rare and potentially aggressive adnexal neoplasm with historic data indicating high rates of recurrence, metastasis, and cancer-specific mortality.

    Objective: To evaluate the incidence of local recurrence, metastasis, disease-specific mortality, and all-cause mortality and to identify work-up approaches.

    Patients And Methods/materials: Retrospective review of patients with sebaceous carcinoma treated with Mohs micrographic surgery between 2001 and 2013 at one institution. Read More

    Error-related negativity in the skilled brain of pianists reveals motor simulation.
    Neuroscience 2017 Mar 30;346:309-319. Epub 2017 Jan 30.
    Milan Center for Neuroscience, University of Milano-Bicocca, Piazza dell'Ateneo Nuovo 1, 20126 Milan, Italy.
    Evidences have been provided of a crucial role of multimodal audio-visuomotor processing in subserving the musical ability. In this paper we investigated whether musical audiovisual stimulation might trigger the activation of motor information in the brain of professional pianists, due to the presence of permanent gestures/sound associations. At this aim EEG was recorded in 24 pianists and naive participants engaged in the detection of rare targets while watching hundreds of video clips showing a pair of hands in the act of playing, along with a compatible or incompatible piano soundtrack. Read More

    Response to Letter: The Use of Integra Dermal Regeneration Template versus Flaps for Reconstruction of Full-Thickness Scalp Defects Involving the Calvaria: A Cost-Benefit Analysis.
    Aesthetic Plast Surg 2017 Apr 31;41(2):474. Epub 2017 Jan 31.
    Istituto di Igiene ed Epidemiologia Clinica, Azienda Ospedaliero-Universitaria S. Maria della Misericordia, Udine, Italy.

    Face Transplant in an Advanced Neurofibromatosis Type 1 Patient.
    Ann Transplant 2017 Jan 31;22:53-57. Epub 2017 Jan 31.
    Department of Oncological and Reconstructive Surgery, Cancer Center, Institute of Maria Skłodowska-Curie in Gliwice, Gliwice, Poland.
    BACKGROUND The human face is a one-of-a-kind structure with unique morphology, complexity, and function, in which different subunits are not even similar to other parts of the body. Therefore, extended complex deficits of the face are usually difficult to reconstruct, and autologous tissue restoration is generally not able to give a satisfactory aesthetic and functional outcome. The main goal of face allotransplantation is to restore symmetry, contour, and appearance as well as function of the face, especially control of orbicularis oculi and oris muscle physiology. Read More

    The Anterolateral Thigh Flap as the Flap of Choice for Scalp Reconstruction.
    J Craniofac Surg 2017 Mar;28(2):472-476
    Department of Plastic and Reconstructive Surgery, The Cleveland Clinic Foundation, Cleveland, OH.
    Introduction: Large scalp soft tissue defects can present difficulties with reconstruction. The ideal flap for scalp reconstruction has yet to be described although the latissimus dorsi flap is frequently referred to as the first choice in this setting.

    Patients And Methods: Following institutional review board approval, the authors reviewed their experience in scalp reconstruction for the past 4 years. Read More

    Laparoscopic Free Omental Flap for Craniofacial Reconstruction: A Video Article Demonstrating Operative Technique and Surgical Applications.
    J Craniofac Surg 2017 Mar;28(2):311-313
    *Division of Plastic and Reconstructive Surgery, University of Mississippi Medical Center, Jackson, MS †Department of Surgery, University of South Carolina School of Medicine, Columbia, SC.
    The omental flap is a well described pedicled flap for surgical reconstruction of multiple body locations. As a laparoscopically harvested free flap, the omentum offers a minimally invasive solution to many reconstructive problems including extremity and head and neck wounds. This video article highlights the operative technique involved in flap harvest and inset for a cranial defect. Read More

    Recalcitrant Invasive Skin Cancer of the Scalp: Combined Extirpation and Microsurgical Reconstruction Without Cranioplasty.
    J Craniofac Surg 2017 Mar;28(2):325-330
    *Division of Plastic and Reconstructive Surgery, Department of Surgery †Department of Neurological Surgery, University of California San Francisco, San Francisco, CA.
    Background: Recurrent invasive skin cancer of the scalp and calvarium is a difficult problem for which universally accepted treatment protocols have not been established. The authors present their 10-year experience with treatment of this specific subset of scalp reconstruction patients and present a successful treatment algorithm that is well suited to this patient population.

    Methods: The authors retrospectively reviewed all patients of microsurgical scalp reconstruction performed from 2005 to 2015 that involved invasive cutaneous malignancies of the scalp and calvarium. Read More

    Scalp reconstruction: A 10-year retrospective study.
    J Craniomaxillofac Surg 2017 Feb 7;45(2):319-324. Epub 2016 Dec 7.
    Department of Plastic and Hand Surgery (Head: Univ. Prof. Dr. med. Dr. h.c. R. E. Horch), University Hospital of Erlangen, Friedrich-Alexander-University of Erlangen-Nürnberg (FAU), Erlangen, Germany. Electronic address:
    Scalp reconstruction is a challenging task for the reconstructive surgeon. In consideration of the anatomical and cosmetic characteristics, the defect depth and size, an armamentarium of reconstructive procedures ranging from skin grafts over local flaps to free tissue transfer has been described. In this 10-year retrospective study, 85 operative procedures for scalp reconstruction were performed at our department. Read More

    Primary cutaneous melanoma of the scalp: Patterns of recurrence.
    J Surg Oncol 2017 Mar 30;115(4):449-454. Epub 2016 Dec 30.
    Princess Alexandra Hospital, Woolloongabba, Queensland, Australia.
    Introduction: Patients with primary melanoma of the scalp have been reported to have worse disease-related outcomes compared with other anatomical regions. There are few studies in the literature specifically addressing recurrence patterns and treatment outcomes for primary scalp melanoma as a discrete anatomical sub-region. We sought to identify key features adversely influencing disease control and survival and to clarify the role of resection plane, margin, and method of reconstruction in the management of this disease process. Read More

    Treatment Options for Exposed Calvarium Due to Trauma and Burns.
    J Craniofac Surg 2017 Mar;28(2):318-324
    *Division of Plastic Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami, Miami †Tampa Bay Craniofacial Center, Tampa, FL.
    Wounds involving the calvarium secondary to trauma or burns are rare. However, they can present with challenging potential clinical sequelae. A wide variety of reconstructive options have evolved over the last century. Read More

    The Visor Flap: A Novel Design for Scalp Wound Closure.
    J Craniofac Surg 2017 Mar;28(2):e146-e148
    *University of Illinois at Chicago †Feinberg School of Medicine, Northwestern University, Chicago, IL.
    Full-thickness scalp defects pose a reconstructive problem in the setting of infection, radiation, and underlying calvarial defects. Current options include dermal matrices, skin grafts, and local fasciocutaneous flaps. Free tissue transfer is frequently required when scalp-based flaps fail or the wound is significantly large or complex. Read More

    Management of the Repeatedly Failed Cranioplasty Following Large Postdecompressive Craniectomy: Establishing the Efficacy of Staged Free Latissimus Dorsi Transfer/Tissue Expansion/Custom Polyetheretherketone Implant Reconstruction.
    J Craniofac Surg 2016 Nov;27(8):1971-1977
    *Division of Plastic Surgery, Department of Surgery, University of Washington, Seattle, WA†Walter Reed National Military Medical Center, Bethesda, MD‡Department of Neurosurgery, University of Washington, Seattle, WA.
    Background: Postdecompressive craniotomy defect management following failed prior cranioplastyis challenging. The authors describe a staged technique utilizing free muscle transfer, tissue expansion, and custom polyetheretherketone (PEEK) implants for the management of previously failed cranioplasty sites in patients with complicating local factors.

    Methods: Consecutive patients with previously failed cranioplasties following large decompressive craniectomies underwent reconstruction of skull and soft tissue defects with staged free latissimus muscle transfer, tissue expansion, and placement of custom computer-aided design and modeling PEEK implants with a 'temporalis-plus' modification to minimize temporal hollowing. Read More

    Reconstruction with soft tissue free flaps for large defects after the resection of giant facial neurofibroma.
    Int J Oral Maxillofac Surg 2017 Apr 18;46(4):440-446. Epub 2016 Dec 18.
    Department of Oral & Maxillofacial - Head & Neck Oncology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. Electronic address:
    Giant facial neurofibroma leads to disfigurement and functional and neurological deficits. Surgical resection is the mainstay of treatment and poses a great challenge to the surgeon with regard to the restoration of the defects arising from tumour resection. The cases of three male and three female patients diagnosed with giant facial neurofibroma, who underwent radical resection and reconstruction with soft tissue free flaps between 2008 and 2015, were analyzed retrospectively. Read More

    A Technically Simple and Safe Method for Preparing an Anterior Pericranial Flap Using Saline Injection into the Subgaleal Space: A Technical Note.
    World Neurosurg 2017 Mar 18;99:336-339. Epub 2016 Dec 18.
    Department of Neurosurgery, College of Medicine, Kyung Hee University, Seoul, Korea.
    Background: Cranial defects following anterior cranial base surgery have been frequently reconstructed using the pericranial flap.

    Methods: We present a simple technique for preparing the flap using injection of saline into the subgaleal space.

    Results: We inserted a 20-gauge needle perpendicular to 8-10 spots in the frontal area and injected 5-7 mL of saline at each spot 10 minutes before skin incision. Read More

    Application of extended bi-pedicle anterolateral thigh free flaps for reconstruction of large defects: A case series.
    Microsurgery 2016 Dec 19. Epub 2016 Dec 19.
    Department of Plastic Surgery, China Medical University Hospital, Taichung, 40447, Taiwan.
    Background: The anterolateral thigh flap is a workforce flap in reconstructive surgery, however, variations in it is vascular anatomy are not uncommon. These variations may affect flap design and survival, especially when large flaps are required. In some anatomical variants the anterolateral thigh flap is supplied by two separate dominant pedicles, and in these cases a bi-pedicle modification may be necessary to ensure complete flap viability. Read More

    Heterotopic Intracranial Skin Presenting as Chronic Draining Sinus After Remote Craniotomy.
    World Neurosurg 2017 Feb 27;98:882.e9-882.e14. Epub 2016 Oct 27.
    Division of Plastic Surgery, Department of Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA. Electronic address:
    Background: Craniotomies for trauma are associated with a significant risk of wound complications. We report a case in which a chronic nonhealing draining sinus was caused by an ectopic epidermal lining deep to the craniotomy bone flap, adherent to the underlying dura.

    Case Description: A 61-year-old man was examined for a 3-year-old, nonhealing scalp wound resulting after a traumatic brain injury. Read More

    Spatio-temporal reconstruction of brain dynamics from EEG with a Markov prior.
    Neuroimage 2017 Mar 13;148:274-283. Epub 2016 Dec 13.
    Cognitive Systems, Department of Applied Mathematics and Computer Science, Technical University of Denmark, Richard Petersens Plads, Building 324, DK-2800 Kgs. Lyngby, Denmark. Electronic address:
    Electroencephalography (EEG) can capture brain dynamics in high temporal resolution. By projecting the scalp EEG signal back to its origin in the brain also high spatial resolution can be achieved. Source localized EEG therefore has potential to be a very powerful tool for understanding the functional dynamics of the brain. Read More

    Use of anteromedial thigh perforator flap and immunological implications of Gorlin-Goltz syndrome: a case study.
    J Wound Care 2016 Dec;25(12):763-767
    Department of Plastic and Reconstructive Surgery, Politechnical University of Marche, Italy.
    Gorlin-Goltz syndrome is mainly characterised by the development of numerous multicentric and relapsing cutaneous basal cell carcinomas (BCCs). A major problem for patients with Gorlin-Goltz syndrome is the large amount of BCCs that can invade the deep underlying structures, especially the face. Here, we describe the case of a 23-year-old male affected by Gorlin-Goltz syndrome. Read More

    Influence of backscatter radiation on cranial reconstruction implants.
    Br J Radiol 2017 Feb 3;90(1070):20150537. Epub 2017 Jan 3.
    1 Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, Japan.
    Objective: We aimed to evaluate backscatter dose variations in different cranial bone implant materials in an experimental model designed to simulate post-operative radiotherapy.

    Methods: We assessed the radiation backscatter doses associated with sheet- and mesh-type titanium plates and hydroxyapatite (HAP) samples (porosity: 35%, 50% and 85%). The samples were irradiated with 6- and 10-MV photon beams from a linear accelerator. Read More

    Invasive Squamous Cell Carcinoma of the Scalp and Calvarium: A Multidisciplinary Approach.
    Eplasty 2016 8;16:e29. Epub 2016 Nov 8.
    Department of Plastic and Reconstructive Surgery, St. Joseph's Regional Medical Center, Paterson, NJ.
    Objective: The correlation between immunosuppression-associated skin cancer and lymphoma has been well established. This includes squamous cell carcinoma and chronic lymphocytic leukemia. When a lesion requires excision, reconstruction can be challenging based on the depth and size of the tumor. Read More

    Comparison of Resorbable Plating Systems: Complications During Degradation.
    J Craniofac Surg 2017 Jan;28(1):88-92
    Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, St Louis, MO.
    Introduction: Several bioresorbable plating systems have become standard in pediatric craniosynostosis reconstruction. A comparison of these systems is needed to aid surgeons in the preoperative planning process. The authors aim to evaluate 1 institution's experience using Resorb-X by KLS Martin and Delta Resorbable Fixation System by Stryker (Stryker Craniomaxillofacial, Kalamazoo, MI). Read More

    The Trapezius Muscle Flap: A Viable Alternative for Posterior Scalp and Neck Reconstruction.
    Arch Plast Surg 2016 Nov 18;43(6):529-535. Epub 2016 Nov 18.
    Department of Plastic and Reconstructive Surgery, Gachon University Gil Medical Center, Gachon University School of Medicine, Incheon, Korea.
    Background: The trapezius muscle flap is not usually the first reconstructive option for skin and soft tissue defects in the posterior neck and scalp due to surgeons' unfamiliarity with the surgical anatomy and developments in free tissue transfer techniques. The goals of this study were to describe the clinical use of trapezius flaps in posterior neck and scalp reconstruction, and to investigate the vascular anatomy of trapezius flaps in Asians in order to obtain information facilitating the safe design and elevation of flaps in which most of the muscle is preserved.

    Methods: A retrospective chart review was performed of 10 patients who underwent trapezius muscle flap for posterior neck and scalp defects. Read More

    Treatment of Scalp Scars.
    Facial Plast Surg Clin North Am 2017 Feb;25(1):83-88
    Kaiser Permanente, SC, USA; 10800 Magnolia Avenue, Riverside, CA 92505, USA. Electronic address:
    The scalp presents many challenges to the reconstructive surgeon given its visible nature and the various considerations that must be given for optimal reconstruction. In this article, we review the anatomy of the scalp, the various options for reconstruction, and important considerations for improving the chances of optimal reconstruction of scalp defects. Read More

    Aplasia Cutis Congenita of the Scalp with a Familial Pattern: A Case Report.
    World J Plast Surg 2016 Sep;5(3):298-302
    Department of Plastic and Reconstructive Surgery, King Fahd Medical City, Riyadh, Saudi Arabia.
    Aplasia Cutis Conginita (ACC) is a condition characterized by congenital absence of skin, usually on the scalp. ACC can occur as an isolated condition or in the presence of other congenital anomalies. Here we describe a case of a 16 days old baby girl with an isolated ACC of the scalp. Read More

    Non-melanoma skin cancer: United Kingdom National Multidisciplinary Guidelines.
    J Laryngol Otol 2016 May;130(S2):S125-S132
    Department of Otolaryngology-Head and Neck Surgery,Manchester Royal Infirmary,Oxford Road,Manchester,UK.
    This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. This paper provides consensus recommendations on the management of cutaneous basal cell carcinoma and squamous cell carcinoma in the head and neck region on the basis of current evidence. Recommendations • Royal College of Pathologists minimum datasets for NMSC should be adhered to in order to improve patient care and help work-force planning in pathology departments. Read More

    Two-Stage Cranioplasty: Tissue Expansion Directly over the Craniectomy Defect Prior to Cranioplasty.
    Craniomaxillofac Trauma Reconstr 2016 Nov 30;9(4):355-360. Epub 2015 Mar 30.
    Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center, Sophia's Children's Hospital Rotterdam, Rotterdam, the Netherlands.
    Performing a skull reconstruction for a long-term existing large cranium defect usually needs either skin enhancement or skin flaps and cranioplasty. This procedure can be accompanied with aesthetic and functional complications. The presented case describes a 27-year-old man in need of a cranial reconstruction following decompressive craniectomy as treatment for severe traumatic brain injury. Read More

    Study of frontal hairline patterns for natural design and restoration.
    Surg Radiol Anat 2016 Nov 10. Epub 2016 Nov 10.
    Department of Anatomy, Faculty of Medicine, Ege University, Izmir, Turkey.
    Objective: Hair loss is one of the most noticeable esthetic problems of the mankind. Hair transplantation has been a highly effective technique in reducing wide foreheads and recontouring the hairline. Creating a natural hairline is one of the most important elements of a successful hair transplant. Read More

    Integra-based Reconstruction of Large Scalp Wounds: A Case Report and Systematic Review of the Literature.
    Plast Reconstr Surg Glob Open 2016 Oct 24;4(10):e1074. Epub 2016 Oct 24.
    Division of Plastic and Reconstructive Surgery, Department of Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, Calif.
    Background: Large complex scalp wounds that have traditionally required free vascularized tissue transfer have been successfully reconstructed with skin substitutes such as Integra. Although there are multiple reports of Integra-based reconstructions of scalp wounds, there has not been a comprehensive assessment of this body of literature that critically examines this method. Our goal was to conduct a systematic review to determine the effectiveness of Integra-based reconstructions of scalp wounds, with emphasis on large defects. Read More

    Management of skin defect following resection of Stage IV scalp melanoma: A case report.
    Int J Surg Case Rep 2016 17;29:8-10. Epub 2016 Oct 17.
    Texas Tech University Health Sciences Center, Lubbock, TX, United States.
    Introduction: Surgical defect left following excision of a large and neglected scalp melanoma of can pose a significant challenge for the surgeon. Scalp reconstruction encompasses options such as skin flaps, grafts, and various mechanical techniques. In scalp excision that involves dissection beyond the galea, skin grafts and flaps may not take well and not enough tissue may be available for a skin flap. Read More

    The inverse problem in electroencephalography using the bidomain model of electrical activity.
    J Neurosci Methods 2016 Dec 11;274:94-105. Epub 2016 Oct 11.
    RIKEN BSI-TOYOTA Collaboration Center, 2271-130 Anagahora, Shimoshidami, Moriyama-ku, Nagoya, Aichi 463-0003, Japan. Electronic address:
    Background: Acquiring information about the distribution of electrical sources in the brain from electroencephalography (EEG) data remains a significant challenge. An accurate solution would provide an understanding of the inner mechanisms of the electrical activity in the brain and information about damaged tissue.

    New Method: In this paper, we present a methodology for reconstructing brain electrical activity from EEG data by using the bidomain formulation. Read More

    Mycobacterium fortuitum infection of the scalp after a skin graft.
    BMJ Case Rep 2016 Oct 19;2016. Epub 2016 Oct 19.
    Department of Internal Medicine, University of Texas, McGovern School of Medicine, Houston, Texas, USA.
    Mycobacterium fortuitum is a non-tuberculous mycobacterium found in the soil and water of most regions of the world, and it can cause disease in immunocompetent and immunocompromised hosts. We present a 52-year-old man who developed a scalp abscess under a free flap for cranium coverage after a motor vehicle accident. Culture of material drained from the abscess grew M. Read More

    Reconstruction of a large calvarial traumatic defect using a custom-made porous hydroxyapatite implant covered by a free latissimus dorsi muscle flap in an 11-year-old patient.
    J Neurosurg Pediatr 2017 Jan 28;19(1):51-55. Epub 2016 Oct 28.
    Department of Neurosurgery, Necker Hospital, Université Paris Descartes, Sorbonne Paris Cité, Paris, France.
    Reconstruction of complex skull defects requires collaboration between neurosurgeons and plastic surgeons to choose the most appropriate procedure, especially in growing children. The authors describe herein the reconstruction of an extensive traumatic bone and soft tissue defect of the cranial vault in an 11-year-old boy. The size of the defect, quality of the tissues, and patient's initial condition required a 2-stage approach. Read More

    Scalp Closures With Pulley Sutures Reduce Time and Cost Compared to Traditional Layered Technique-A Prospective, Randomized, Observer-Blinded Study.
    Dermatol Surg 2016 Nov;42(11):1248-1255
    *Department of Dermatology, Henry Ford Hospital, Detroit, Michigan; †Division of Dermatology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
    Background: Reconstruction of postsurgical scalp defects can be difficult and time-consuming using a conventional bilayered technique. A specialized closure using a pulley suture can assist in closing wounds under high tension and can decrease time and cost for the surgeon.

    Objective: To determine if closing scalp defects with a single-layered closure using pulley sutures would result in decreased time but equivalent scar cosmesis compared to bilayered closures. Read More

    Osteocutaneous bone flap - a useful variant of the osteoplastic flap in pediatric patients.
    Br J Neurosurg 2017 Apr 26;31(2):234-236. Epub 2016 Oct 26.
    b Department of Neurosurgery , Global Heath City , Chennai, India.
    Traditional teaching describes two types of bone flaps in craniotomies - 'free bone flap' and osteoplastic craniotomies. While in the former, the entire bone flap devoid of soft tissue attachments is removed, in the latter the bone flap that is turned is hinged on a pedicle of temporalis muscle with the aim of retaining its vascular supply. We describe a variant of the latter in 13 pediatric patients in whom the lower margin of the craniotomy was above the attachment of the temporalis muscle and where the bone flap was lifted with all the layers of the scalp including the skin and galea, highlighting the thought process behind its performance and the advantages of the same. Read More

    Syringocystadenoma Papilliferum of the Scalp Arising from a Nevus Sebaceous.
    J Cutan Aesthet Surg 2016 Jul-Sep;9(3):204-206
    Department of General Surgery, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
    Syringocystadenoma papilliferum (SCAP) is a rare, benign tumour with varied presentations that arises from the apocrine glands and at times can lead to a diagnostic dilemma. A 53-year-old male presented with a 40-year history of a scalp nodule and a recent 2-year change in its character, and a sanguinopurulent discharge. Examination revealed a 4 cm × 2 cm firm nodule upon left side of the scalp vertex, actively discharging pus and blood. Read More

    [Features of skin graft in pediatric plastic surgery].
    Ann Chir Plast Esthet 2016 Oct 18;61(5):722-731. Epub 2016 Aug 18.
    Service de chirurgie plastique, esthétique et reconstructrice, hôpital Salengro, rue Émile-Laine, 59037 Lille cedex, France.
    Skin graft is a skin tissue fragment transferred from a donor site to a receiving site with a spontaneous revascularization. Basic process of plastic surgery, skin graft known in children, specific, warnings and refinements. It finds its indication in many pediatric cases: integumental diseases (neavus, hamartoma), acute burns and scars, traumatic loss of substance or surgically induced, congenital malformations of the hands and feet, etc. Read More

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