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    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

    Error-related negativity in the skilled brain of pianists reveals motor simulation.
    Neuroscience 2017 Jan 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 Jan 31. 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 Jan 20. Epub 2017 Jan 20.
    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 Jan 12. Epub 2017 Jan 12.
    *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 2016 Dec 30. Epub 2016 Dec 30.
    *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 2016 Dec 30. 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 2016 Dec 23. Epub 2016 Dec 23.
    *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 2016 Dec 23. Epub 2016 Dec 23.
    *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 2016 Dec 17. Epub 2016 Dec 17.
    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 2016 Dec 16. Epub 2016 Dec 16.
    Department of Neurosurgery, College of Medicine, Kyung Hee University, Seoul, Korea.
    Introduction: Cranial defects following anterior cranial base surgery have been frequently reconstructed using the pericranial flap. We present a simple technique for preparing the flap using injection of saline into the subgaleal space.

    Surgical Technique: Ten minutes before skin incision, we inserted a 20-gauge needle perpendicular to 8-10 spots in the frontal area and injected 5-7 cc of saline at each spot. 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 2016 Oct 27. 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 2016 Dec 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

    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

    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

    [Indications of the expansion in pediatric surgery. Experience of 30years and literature review].
    Ann Chir Plast Esthet 2016 Oct 8;61(5):740-749. Epub 2016 Aug 8.
    Service de chirurgie plastique, esthétique et reconstructrice, hôpital Salengro, rue Émile-Laine, 59037 Lille cedex, France. Electronic address:
    The expansion of soft tissue, especially skin, is an old and physiological process to increase the skin reserve allowing excision while coveraging of the resulting loss of substance. Easy in principle, this process is subjected to constraints in children requiring precise planning and rigorous technical procedure. Between 1990 and 2016, we performed 293 expansion protocols with 411 implants in 244 children. Read More

    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 2016 Dec 3;40(6):901-907. Epub 2016 Oct 3.
    Istituto di Igiene ed Epidemiologia Clinica, Azienda Ospedaliero-Universitaria S. Maria della Misericordia, Udine, Italy.
    Background: INTEGRA(®) Dermal Regeneration Template is a well-known and widely used acellular dermal matrix. Although it helps to solve many challenging problems in reconstructive surgery, the product cost may make it an expensive alternative compared to other reconstruction procedures. This retrospective study aims at comparing INTEGRA-based treatment to flap surgery in terms of cost and benefit. Read More

    Multiple Delayed Scalp Reconstruction for Complicated Cranial Defects.
    Plast Reconstr Surg Glob Open 2016 Aug 11;4(8):e836. Epub 2016 Aug 11.
    Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Minato, Japan; and Department of Pediatric Neurosurgery, Craniofacial Unit, Necker-Enfants Malades Hospital, Paris, France.
    In cases of skull trauma, emergency surgery for cranial decompression typically involves the shortest approach, with the incision lying directly on or immediately near the bony defect. Subsequent reconstructive plastic surgery for the skull is difficult in such cases because incisions taken on the previous scar overlying the bony defect are prone to dehiscence and infection. Herein, we describe a technique for creating a well-vascularized delayed skin flap via multistaged operation before the actual skull reconstruction. Read More

    Multidisciplinary approach for reconstruction of cranial defect with polymethyl methacrylate resin reinforced with titanium mesh.
    J Indian Prosthodont Soc 2016 Jul-Sep;16(3):294-7
    Department of Oral and Maxillofacial Surgery, Bharati Vidyapeeth University Dental College and Hospital, Pune, Maharashtra, India.
    Cranial defects occur most commonly as a sequelae to trauma, the incidence being as high as 70%. The successful management of a case of trauma in an emergency situation requires quick evacuation of the hematoma, repair of the dura, and the scalp but not necessarily the integrity of the calvarial segment as an immediate measure. So the reconstruction of the calvarial defect in these cases is mostly carried out as a secondary procedure. Read More

    Scalp Tissue Expansion Above a Custom-Made Hydroxyapatite Cranial Implant to Correct Sequelar Alopecia on a Transposition Flap.
    World Neurosurg 2016 Nov 5;95:616.e1-616.e5. Epub 2016 Sep 5.
    Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital Sud, University of Rennes 1, Rennes, France; INSERM U917, University of Rennes 1, Rennes, France; SITI Laboratory, Etablissement Français du Sang Bretagne, Rennes University Hospital, Rennes, France.
    Background: Resection of cranial tumors involving both bone and scalp tissue may require the recruitment of soft tissue using a flap above the bone reconstruction. When a transposition flap has been chosen, the alopecia zone on the donor site may be difficult to treat afterward. Scalp expansion is the gold standard in these situations, but this has never been described above cranial implants. Read More

    Turk Neurosurg 2016 Apr 20. Epub 2016 Apr 20.
    University of Belgrade.
    Method of choice for reconstruction of large acquired scalp defects depends on numerous factors. The aim of our study was to analyze reconstructions of large acquired scalp defects performed on 135 patients in the period of 10 years. We have monitored factors having impact on reconstruction method, complications, and the content of achieved results. Read More

    On the Potential of a New Generation of Magnetometers for MEG: A Beamformer Simulation Study.
    PLoS One 2016 26;11(8):e0157655. Epub 2016 Aug 26.
    Sir Peter Mansfield Imaging Centre, School of Physics and Astronomy, University of Nottingham, University Park, NG7 2RD, Nottingham, United Kingdom.
    Magnetoencephalography (MEG) is a sophisticated tool which yields rich information on the spatial, spectral and temporal signatures of human brain function. Despite unique potential, MEG is limited by a low signal-to-noise ratio (SNR) which is caused by both the inherently small magnetic fields generated by the brain, and the scalp-to-sensor distance. The latter is limited in current systems due to a requirement for pickup coils to be cryogenically cooled. Read More

    Simplified Calvarial Reconstruction: Coverage of Bare Skull With GammaGraft Promotes Granulation and Facilitates Skin Grafting.
    J Craniofac Surg 2016 Oct;27(7):1808-1809
    *Department of Plastic Surgery, University of Pittsburgh †VA Pittsburgh Healthcare System ‡McGowan Institute for Regenerative Medicine, Pittsburgh, PA.
    Repair of scalp defects with exposed calvaria remains a difficult clinical problem. Herein, we present a simple alternative method of scalp reconstruction. Coverage of bare skull with GammaGraft (Promethean LifeSciences, Inc, Pittsburgh, PA) promotes the evolution of granulation tissue and permits subsequent skin grafting without need for burring, drilling, or other manipulation of the outer table of the calvaria. Read More

    Scalp Reconstruction With Free Latissimus Dorsi Flap in a Patient With Giant Cutis Verticis Gyrata.
    J Craniofac Surg 2016 Sep;27(6):e553-4
    Plastic, Reconstructive and Aesthetic Surgery Clinic, Okmeydani Training and Research Hospital, Istanbul, Turkey.
    Introduction: Cutis verticis gyrata is a rare skin disorder characterized by formation of thick skin folds and grooves. Because of the risk of malignant transformation, these lesions must be surgically excised. In this study, the authors aimed to present a successful reconstruction of scalp with free latissimus dorsi musculocutaneous flap after total excision of giant cerebriform intradermal nevus that causes cutis verticis gyrata. Read More

    [Effects of Scalp Acupuncture on Serum NSE and S-100β Concentrations and Postoperative Cogni- tive Function of Elderly Patients Undergoing Hip Replacement].
    Zhongguo Zhong Xi Yi Jie He Za Zhi 2016 Jun;36(6):654-8
    Objective: To explore the effect of Scalp acupuncture on serum neuron specific enolase (NSE) and S-100β concentrations, and incidence rates of postoperative delirium (POD) and postoperative cognitive function (POCD) of elderly patients undergoing hip replacement.

    Methods: Eighty-four patients undergoing scheduled hip replacement under combined spinal-epidural anesthesia (CSEA) were assigned to the control group (group C) and the scalp acupuncture group (group S) according to random digit table, 42 cases in each group. In group S, scalp acupuncture was additionally performed according to International Standardized Scheme for Scalp Acupuncture. Read More

    Facial Skin Cancer Reconstruction.
    Semin Plast Surg 2016 Aug;30(3):108-21
    Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.
    Nonmelanoma skin cancers are the most common skin cancers in the United States and the most common malignancies afflicting the head and neck region. Reconstruction of resulting defects has significant aesthetic and functional implications, and plastic surgeons are frequently consulted for reconstruction. Reconstruction can be accomplished via a multitude of approaches spanning the reconstructive ladder, and the approach should be individualized based upon both patient-related and defect-related factors. Read More

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