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    An Efficient Method for Hair Containment During Head and Neck Surgery.
    J Craniofac Surg 2017 Sep 15. Epub 2017 Sep 15.
    *Department of Plastic and Reconstructive Surgery, University of Udine, Udine †Department of Reconstructive Plastic Surgery-Hand Surgery, AOU "Ospedali Riuniti," Ancona ‡Department of Plastic Surgery, IRCCS Policlinico San Donato, University of Milan, Milan, Italy.
    The authors present a simple technique for operations around hair-bearing areas such as during a rhytidectomy. Hair surrounding the surgical field is twisted into bundles and clipped with duckbill clips. The authors repeat the procedure for each strand of hair. Read More

    Reconstruction of a Complex Scalp Defect after the Failure of Free Flaps: Changing Plans and Strategy.
    Arch Craniofac Surg 2017 Jun 26;18(2):112-116. Epub 2017 Jun 26.
    Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul, Korea.
    The ideal scalp reconstruction involves closure of the defect with similar hair-bearing local tissue in a single step. Various reconstructions can be used including primary closure, secondary healing, skin grafts, local flaps, and microvascular tissue transfer. A 53-year-old female patient suffered glioblastoma, which had recurred for the second time. Read More

    Immediate Near-Total Scalp Reconstruction with Artificial Dermis on Exposed Calvarium.
    Arch Craniofac Surg 2016 Dec 23;17(4):233-236. Epub 2016 Dec 23.
    Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.
    Scalp defect management is complicated secondary to reduced laxity in the scalp and forehead area. For reconstruction of larger defects with exposed bone and loss of the periosteal layer, free flap reconstruction is one option for single-stage surgery, although the procedure is lengthy and includes the possibility of flap loss. We successfully performed a single-stage reconstruction of a large scalp defect using a combination of artificial dermis, split-thickness skin graft, and full-thickness skin graft following wide excision of a cutaneous angiosarcoma, and present our method as one option for the treatment of large oncologic surgical defects in patients who are poor candidates for free flap surgery. Read More

    Integra(®) as a single-stage dermal regeneration template in reconstruction of large defects of the scalp.
    Br J Oral Maxillofac Surg 2017 Sep 6. Epub 2017 Sep 6.
    Royal Free London NHS Foundation Trust. Electronic address:
    Dermal regeneration templates may be used in the reconstruction of large defects after the excision of cutaneous malignancies. We describe the successful use of Integra(®) (Integra Lifesciences Corporation, Plainsboro, NJ, USA) as a single-stage regeneration template after the excision of multiple lesions of the scalp with a surface area of 96.7cm(2). Read More

    Reconstructions of Small Scalp Defects with Step Flap.
    J Cutan Aesthet Surg 2017 Apr-Jun;10(2):106-108
    Medical Student, Tehran University of Medical Sciences, Tehran, Iran.
    Introduction: Defects of the scalp arise from several aetiologies including trauma, burn, injury, infection, radiation and surgical excision of tumours. Multiple options for reconstruction of scalp defects exist that included primary closure, skin grafts, local flaps, regional and distal free flaps.

    Patients And Methods: This was a prospective case-series study, which was carried out in the Department of Plastic Surgery of our Hospital. Read More

    Interdisciplinary reconstruction of oncological resections at the skull base, scalp and facial region.
    Surg Oncol 2017 Sep 30;26(3):318-323. Epub 2017 Jun 30.
    Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Germany.
    Extensive bone and soft tissue defects of the skull require unique plastic and reconstructive techniques to avoid and optimize aesthetic appearance following oncological resections. Procedures are ideally planned in an interdisciplinary board composed of neurosurgery, otorhinolaryngology, plastic and reconstructive surgery to facilitate reconstructive procedures of soft tissue and bone as early as possible in one approach. Large resections may require plastic surgery involvement from the beginning. Read More

    Basal Cell Carcinoma Surgery: Simple Undermining Approach in Two Patients with Different Tumour Locations.
    Open Access Maced J Med Sci 2017 Jul 24;5(4):506-510. Epub 2017 Jul 24.
    Department of Pathology, University of Virginia Health System, 1215 Lee Street, Box 800214, Charlottesville, VA 22908, USA.
    Basal cell carcinoma (BCC) is the most common human malignancy, accounting for the majority of all non-melanoma skin cancers (NMSC). In the past several decades the worldwide incidence of BCC has constantly been increasing. Even though it is a slow growing tumour that, left untreated, rarely metastasizes, it has a distinctive invasive growth pattern, posing a considerable risk for local invasion and destruction of underlying tissues, such as muscle, cartilage, bone or vital structures. Read More

    Dermal Substitutes Use in Reconstructive Surgery for Skin Tumors: A Single-Center Experience.
    Int J Surg Oncol 2017 2;2017:9805980. Epub 2017 Jul 2.
    Skin Cancer Department, AC Camargo Cancer Center, São Paulo, SP, Brazil.
    Reconstructive surgery following skin tumor resection can be challenging. Treatment options after removing the tumor are skin grafting, local pedicled and axial flaps, or microsurgery for complex and extensive wounds correction. Recently, the use of dermal substitutes has been extended to reconstructive surgery in cutaneous oncology. Read More

    Reconstruction of Large Postburn Facial-Scalp Scars by Expanded Pedicled Deltopectoral Flap and Random Scalp Flap: Technique Improvements to Enlarge the Reconstructive Territory.
    J Craniofac Surg 2017 Sep;28(6):1526-1530
    Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
    The scars of face and scalp caused by burning often show as 1 large facial-scalp scar. The deltopectoral flap was recognized as one of the first choices for the facial scar reconstruction. However, this flap cannot cross the level of zygomatic arch traditionally when it was transferred with pedicle. Read More

    Versatility of the Latissimus Dorsi Free Flap during the Treatment of Complex Postcraniotomy Surgical Site Infections.
    Plast Reconstr Surg Glob Open 2017 Jun 13;5(6):e1355. Epub 2017 Jun 13.
    Department of Craniofacial Surgery and Plastic Surgery, Tominaga Hospital, Osaka, Japan.
    Background: Some intractable cases of postcraniotomy infection, which can involve compromised skin, an open frontal air sinus, and residual epidural dead space, have been reported. In such cases, reconstructing the scalp and skull is challenging.

    Methods: Between 2009 and 2016, the author treated 12 patients with recalcitrant postcraniotomy surgical site infections with latissimus dorsi (LD) free flaps. Read More

    Vacuum-assisted closure therapy after resection of giant basal cell carcinoma of the scalp.
    J Surg Case Rep 2017 Jul 4;2017(7):rjx122. Epub 2017 Jul 4.
    General Surgery Service (Extradigestive Unit), Department of Surgery, Santo António Hospital-Oporto Hospital Centre, Oporto, Portugal.
    Management of complicated wounds is a challenge in head and neck reconstruction. Although the negative pressure wound therapy or wound vacuum-assisted closure has been widely used in complicated wounds and shows promising results, its application in the head and neck region after reconstruction for the head and neck cancer is rarely presented. A 77-year-old woman underwent a radical resection of an extensive basal cell carcinoma of the scalp and forehead involving the periosteum, where classic reconstruction was difficult, but successfully treated with negative pressure wound therapy. Read More

    A realistic multimodal modeling approach for the evaluation of distributed source analysis: application to sLORETA.
    J Neural Eng 2017 Oct 5;14(5):056008. Epub 2017 Jul 5.
    Bernstein Center, University of Freiburg, Hansastr. 9a, 79104 Freiburg, Germany.
    Objective: Electrical source localization (ESL) deriving from scalp EEG and, in recent years, from intracranial EEG (iEEG), is an established method in epilepsy surgery workup. We aimed to validate the distributed ESL derived from scalp EEG and iEEG, particularly regarding the spatial extent of the source, using a realistic epileptic spike activity simulator.

    Approach: ESL was applied to the averaged scalp EEG and iEEG spikes of two patients with drug-resistant structural epilepsy. Read More

    Scalp and Forehead Defects in the Post-Mohs Surgery Patient.
    Facial Plast Surg Clin North Am 2017 Aug 23;25(3):365-375. Epub 2017 May 23.
    Otolaryngology, Mayo Clinic, 200 1st Street Southwest, Rochester, MN 55905, USA.
    Scalp and forehead reconstruction after Mohs micrographic surgery can encompass subcentimeter defects to entire scalp reconstruction. Knowledge of anatomy, flap design, and execution will prepare surgeons who operate in the head and neck area to confidently approach a variety of reconstructive challenges in this area. Read More

    Reconstruction Techniques of Choice for the Facial Cosmetic Units.
    Actas Dermosifiliogr 2017 Jun 27. Epub 2017 Jun 27.
    Servicio de Dermatología, Hospital Infanta Sofía, San Sebastián de los Reyes, Madrid, España.
    Background And Objectives: A broad range of skin flaps can be used to repair facial surgical defects after the excision of a tumor. The aim of our study was to develop a practical guideline covering the most useful skin grafts for each of the distinct facial cosmetic units.

    Material And Methods: This was a multicenter study in which 10 dermatologists with extensive experience in reconstructive surgery chose their preferred technique for each cosmetic unit. Read More

    Reconstruction of a Marjolin Ulcer Defect of the Scalp Invading Brain and Causing Brain Abscess Formation Using Free Latissimus Dorsi Flap.
    J Craniofac Surg 2017 Jul;28(5):e510-e512
    *Department of Plastic, Reconstructive & Aesthetic Surgery †Department of Neurosurgery, Mersin University Hospital, Mersin, Turkey..
    Marjolin ulcers are known as aggressive malignant tumors that mostly arise over chronic wounds and cutaneous scars. Brain abscess is a serious medical condition that requires surgical drainage along with antibiotic treatment. Here, we report a case with a Marjolin ulcer located over the right parietal bone with intracranial abscess formation along with tumor invasion into brain parenchyma. Read More

    Indications, technique, and safety profile of insular stereoelectroencephalography electrode implantation in medically intractable epilepsy.
    J Neurosurg 2017 Jun 16:1-11. Epub 2017 Jun 16.
    Epilepsy Center, Neurological Institute, Cleveland Clinic, Cleveland, Ohio; and.
    OBJECTIVE Insular epilepsy is relatively rare; however, exploring the insular cortex when preoperative workup raises the suspicion of insular epilepsy is of paramount importance for accurate localization of the epileptogenic zone and achievement of seizure freedom. The authors review their clinical experience with stereoelectroencephalography (SEEG) electrode implantation in patients with medically intractable epilepsy and suspected insular involvement. METHODS A total of 198 consecutive cases in which patients underwent SEEG implantation with a total of 1556 electrodes between June 2009 and April 2013 were reviewed. Read More

    On optimal spatial filtering for the detection of phase coupling in multivariate neural recordings.
    Neuroimage 2017 Aug 13;157:331-340. Epub 2017 Jun 13.
    Neurophysics Group, Dept. of Neurology, Charité-University Medicine Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12200 Berlin, Germany; Max-Planck-Institute for Human Cognitive and Brain Sciences, Stephanstraße 1a, 04103 Leipzig, Germany; Centre for Cognition & Decision Making, National Research University Higher School of Economics, 46B Volgogradskiy Prospekt, Moscow, Russian Federation.
    Introduction: Neuronal oscillations synchronize processing in the brain over large spatiotemporal scales and thereby facilitate integration of individual functional modules. Up to now, the relation between the phases of neuronal oscillations and behavior or perception has mainly been analyzed in sensor space of multivariate EEG/MEG recordings. However, sensor-space analysis distorts the topographies of the underlying neuronal sources and suffers from low signal-to-noise ratio. Read More

    Recurrence case of rare scalp dermatofibrosarcoma protuberans: Two case reports of a wide radical excision, craniectomy bone involvement followed by cranioplasty and reconstruction.
    Surg Neurol Int 2017 26;8:82. Epub 2017 May 26.
    Department of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran-Dr. Hasan Sadikin Hospital, Bandung, West Java, Indonesia.
    Background: Dermatofibrosarcoma protuberans (DFSP) is a rare low-grade sarcoma of the fibroblast originating from the dermal layer of the skin, characterized by a locally aggressive growth and high rate of local recurrence.

    Case Description: Two patients underwent a wide radical excision of recurrent scalp DFSP which was reconstructed with translational skin flap and split-thickness skin graft. We described above cases several years ago with a local excision of the tumor; recently, they developed local recurrence of DFSP with calvarial involvement. Read More

    Free Vastus Intermedius Muscle Flap: A Successful Alternative for Complex Reconstruction of the Neurocranium in Preoperated Patients.
    J Craniofac Surg 2017 Jul;28(5):1308-1310
    *Department of Oral and Cranio-Maxillofacial Surgery, Heidelberg University Hospital †Department of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.
    The reconstruction of large cranial and scalp defects is a surgical and esthetic challenge. Single autologous tissue transfer can be insufficient due to the defect size and the anatomic complexity of the recipient site. Alloplastic patient-specific preformed implants can be used to recover hard tissue defects of the neurocranium. Read More

    Negative Pressure Wound Therapy to the Dura.
    J Burn Care Res 2017 May 19. Epub 2017 May 19.
    From the *University of Birmingham Medical School, United Kingdom; †FY2 MOD, Burns and Plastic Surgery, Queen Elizabeth Hospital Birmingham, United Kingdom; and ‡Consultant Burns and Plastic Surgeon, Queen Elizabeth Hospital Birmingham, United Kingdom.
    Negative-pressure wound therapy is historically contraindicated in patients with osteomyelitis or exposed dura. The authors present a case of a complex reconstruction of an infected full thickness scalp burn, where negative-pressure wound therapy was successfully used over the dura. Read More

    Infantile cranial fasciitis: case-based review and operative technique.
    Childs Nerv Syst 2017 Jun 27;33(6):899-908. Epub 2017 Apr 27.
    Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa city, IA, 52242, USA.
    Background: Cranial fasciitis (CF) is an uncommon benign primary lesion of the skull that typically affects the pediatric age group. Due to the rarity of CF, no prospective studies exist. Earliest description of this condition dates to 1980. Read More

    Surgical Techniques for Closure of a Scalp Defect After Resection of Skin Malignancy.
    Dermatol Surg 2017 Apr 12. Epub 2017 Apr 12.
    *All authors are affiliated with the Department of Head and Neck Cancer, Maria Skłodowska Curie Memorial Cancer Centre and Institute of Oncology, Warsaw, Poland.
    Background: Surgery for scalp malignancies is aimed at the complete resection and a good aesthetic outcome. The goal was to develop an algorithm for scalp reconstruction based on the authors' surgical experience.

    Methods: This is a retrospective analysis of 123 procedures of scalp malignancies in 105 patients. Read More

    Surgical Techniques for Closure of a Scalp Defect After Resection of Skin Malignancy.
    Dermatol Surg 2017 May;43(5):715-723
    *All authors are affiliated with the Department of Head and Neck Cancer, Maria Skłodowska Curie Memorial Cancer Centre and Institute of Oncology, Warsaw, Poland.
    Background: Surgery for scalp malignancies is aimed at the complete resection and a good aesthetic outcome. The goal was to develop an algorithm for scalp reconstruction based on the authors' surgical experience.

    Methods: This is a retrospective analysis of 123 procedures of scalp malignancies in 105 patients. Read More

    Reconstruction of Pediatric Scalp Avulsion Injuries After Dog Bites.
    J Craniofac Surg 2017 Jul;28(5):1282-1285
    *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 Aug 13;156:435-444. 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 Aug;79(2):149-155
    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 May 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 Jun 9;41(3):563-567. 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

    Outcomes of Melanoma In Situ Treated With Mohs Micrographic Surgery Compared With Wide Local Excision.
    JAMA Dermatol 2017 May;153(5):436-441
    Department of Dermatology, University of California, San Francisco2Dermatology Service, Veterans Affairs Medical Center, San Francisco, California.
    Importance: Melanoma in situ (MIS) is increasing in incidence, and expert consensus opinion recommends surgical excision for therapeutic management. Currently, wide local excision (WLE) is the standard of care. However, Mohs micrographic surgery (MMS) is now used to treat a growing subset of individuals with MIS. Read More

    Quantitative difference of acute intraoperative expansion in various body regions.
    Eur Rev Med Pharmacol Sci 2017 Feb;21(3):454-459
    Department of Surgical Sciences, Plastic Surgery Division, University of Parma, Parma, Italy; Cutaneous, Mini-invasive, Regenerative and Plastic Surgery Unit, Parma University Hospital, Parma, Italy.
    Objective: To investigate the efficacy of intraoperative sustained limited expansion (ISLE) by examining the ex vivo biomechanical properties of acutely expanded skin flaps.

    Materials And Methods: Fourteen fresh male cadavers were tested. On both sides of each cadaver, a 4 × 10 cm, the laterally based flap was raised at the external auditory canal of the scalp and a 15 × 8 cm, the proximately based flap was raised at the lateral arm, anterior thorax, and lateral thigh. 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 Jun;28(4):995-997
    *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 Jun;28(4):888-891
    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

    Current Evidence for Clinical Efficacy of Platelet Rich Plasma in Aesthetic Surgery: A Systematic Review.
    Aesthet Surg J 2017 03;37(3):353-362
    Facial Surgery Section Editor for Aesthetic Surgery Journal.
    Background: Platelet rich plasma (PRP) has attracted attention in a number of surgical fields due to a wide variety of potential clinical benefits. Yet PRP has not gained wide popularity in aesthetic surgery as a result of uncertainty surrounding objective clinical evidence.

    Objectives: We aim to describe the current applications, define preparation and activation, explore effectiveness, and propose a classification system to facilitate comparisons across studies. 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

    The Tissue Expander Effect in Early Surgical Management of Select Focal Infantile Hemangiomas.
    JAMA Facial Plast Surg 2017 Jul;19(4):282-286
    Vascular Birthmark Institute of New York, New York3Department of Otolaryngology, Manhattan Eye, Ear and Throat Hospitals, New York, New York4Department of Otolaryngology, Lenox Hill Hospital, New York, New York.
    Importance: The current standard of treatment for infantile hemangiomas (IHs) involves initial observation for regression throughout infancy and childhood, with or without medical management with β-blocker medications. Approximately 50% of the lesions respond almost completely to this regimen. However, the remaining 50% of the lesions, especially established focal IHs of the lip, nose, eyelids, forehead, cheek, and scalp, do not regress completely with this regimen or do so leaving a deformity; among these lesions, early surgical management may result in a superior aesthetic and functional outcome. 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 04 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

    Broader Practice Indications for Mohs Surgical Defect Healing by Secondary Intention: A Survey Study.
    Dermatol Surg 2017 Mar;43(3):415-423
    *Ronald O. Perelman Department of Dermatology, NYU Langone Medical Center, New York, New York; †Eisenhower Medical Center, Rancho Mirage, California; ‡Laser and Skin Surgery Center of New York, New York, New York.
    Background: Recent reports have indicated secondary intention (SI) healing utilization for Mohs surgical defects beyond conventionally accepted indications.

    Objective: To characterize potentially more expansive guidelines for when SI healing is indicated or appropriate in dermatologic surgery.

    Methods: A survey study was e-mailed to the American College of Mohs Surgery in 2015. 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

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