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    Triamcinolone injection for treatment of Mitrofanoff stomal stenosis: Optimizing results and reducing cost of care.
    J Pediatr Urol 2017 Jul 4. Epub 2017 Jul 4.
    Division of Pediatric Urology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
    Introduction: Stomal stenosis is the most common complication after the creation of a continent catheterizable channel (CCC), but is challenging to treat.

    Objective: To describe early experience with triamcinolone injection for the treatment of stomal stenosis.

    Materials And Methods: A retrospective review was performed of patients who had undergone a triamcinolone injection (40 mg/ml) for the treatment of stomal stenosis at the present institution. Read More

    Anterior lumbar discectomy and fusion for acute cauda equina syndrome caused by recurrent disc prolapse: report of 3 cases.
    J Neurosurg Spine 2017 Jul 14:1-5. Epub 2017 Jul 14.
    Exeter Spine Unit, Princess Elizabeth Orthopaedic Centre, Royal Devon and Exeter NHS Foundation Trust, Exeter, United Kingdom; and.
    There is a lack of information and consensus regarding the optimal treatment for recurrent disc herniation previously treated by posterior discectomy, and no reports have described an anterior approach for recurrent disc herniation causing cauda equina syndrome (CES). Revision posterior decompression, irrespective of the presence of CES, has been reported to be associated with significantly higher rates of dural tears, hematomas, and iatrogenic nerve root damage. The authors describe treatment and outcomes in 3 consecutive cases of patients who underwent anterior lumbar discectomy and fusion (ALDF) for CES caused by recurrent disc herniations that had been previously treated with posterior discectomy. Read More

    Arthroscopic Excision of Osteoid Osteoma of the Elbow.
    Arthrosc Tech 2017 Jun 8;6(3):e543-e548. Epub 2017 May 8.
    Seth GS Medical College, and King Edward VII Memorial Hospital, Mumbai, India.
    Osteoid osteoma has been reported infrequently around the elbow joint, and is usually treated with radiofrequency ablation or open excision. Elbow arthroscopy is useful for excision of accessible lesions, and the accompanying elbow stiffness can be treated concurrently. This report describes an arthroscopic excision of an osteoid osteoma located in the juxta-articular distal humeral bone. Read More

    Scar Revision and Recontouring Post-Mohs Surgery.
    Facial Plast Surg Clin North Am 2017 Aug 30;25(3):463-471. Epub 2017 May 30.
    Department of Otolaryngology-Head and Neck Surgery, College of Medicine, University of Illinois at Chicago, 1855 West Taylor Street, Chicago, IL 60611, USA.
    Following Mohs reconstruction, several options are available to improve the appearance of the resulting scars. It is critical that the patient has realistic goals before beginning any treatment because scars can be improved but never erased. The surgical and nonsurgical options aim to replace pre-existing scars with ones that are less conspicuous. Read More

    Trends and demographic characteristics of Saudi cosmetic surgery patients.
    Saudi Med J 2017 Jul;38(7):738-741
    Division of Facial Plastic Surgery, Department of Otolaryngology-Head and Neck Surgery, King Abdulaziz University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia. E-mail.
    Objectives: To  present the demographic characteristics of Saudi patients undergoing cosmetic procedures.  Methods: This prospective study survey was conducted in 3 private cosmetic surgery centers in different regions of Saudi Arabia (Riyadh and Jeddah) between January and August 2016. Validated questionnaire with modification was used and the following patient's information were provided: age group, height and weight, marital status, number of children, age of the patient's spouse, educational level, monthly income, name of the cosmetic procedure, names of any previous cosmetic procedures and their reason for cosmetic procedure. Read More

    Current and Emerging Treatments for Postsurgical Cleft Lip Scarring: Effectiveness and Mechanisms.
    J Dent Res 2017 Jun 1:22034517717261. Epub 2017 Jun 1.
    1 Center for Clinical and Translational Research, Forsyth Institute, Cambridge, MA, USA.
    Cleft lip with or without cleft palate is the most common congenital malformation of the head and the third-most common birth defect. Surgical repair of the lip is the only treatment and is usually performed during the first year of life. Hypertrophic scar (HTS) formation is a frequent postoperative complication that impairs soft tissue form, function, or movement. Read More

    Evaluation of surgical treatment for neuropathic pain from neuroma in patients with injured peripheral nerves.
    J Neurosurg 2017 Jun 16:1-6. Epub 2017 Jun 16.
    Department of Plastic and Hand Surgery, University Hospital of Lausanne, Switzerland.
    OBJECTIVE Chronic neuropathic pain after peripheral nerve injury is a major clinical problem. Its management is difficult, and therapeutic approaches vary and include oral medication, neurostimulation, and surgery. The aim of this study was to assess the adequacy of surgical nerve revision in a large series of patients with long-term follow-up. Read More

    Contralateral Augmentation with a Transmidline Scarless Technique During Unilateral Breast Reconstruction Using Implants.
    Plast Reconstr Surg Glob Open 2017 May 19;5(5):e1298. Epub 2017 May 19.
    Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan; and Center of Tissue Engineering, Chang Gung Memorial Hospital, Linkou, Taiwan.
    Background: Unilateral breast reconstruction can be a challenge when attempting to achieve an aesthetically pleasing and symmetrical breast mound on the contralateral side. This study investigates the outcomes of using a contralateral augmentation transmidline scarless (CATS) technique to simultaneously augment the contralateral breast using implants.

    Methods: Between January 2004 and July 2016, patients undergoing unilateral implant-based breast reconstruction and simultaneous contralateral implant augmentation using a transmidline access were studied. Read More

    Cubital Tunnel Syndrome.
    Instr Course Lect 2017 Feb;66:91-101
    Hand and Upper Extremity Surgery, Orthopaedic Surgery, Wilmington Health Associates, Wilmington, North Carolina.
    Cubital tunnel syndrome is the most common cause of symptomatic ulnar neuropathy. The unique anatomic course of the ulnar nerve around the elbow makes it particularly vulnerable at a location far from its terminal destination. The natural progression of cubital tunnel syndrome allows patients who have mild symptoms to be adequately treated nonsurgically. Read More

    The clinical efficacy of early intervention for infected preauricular sinus.
    Int J Pediatr Otorhinolaryngol 2017 Apr 4;95:45-50. Epub 2017 Feb 4.
    Department of Otolaryngology, Ajou University School of Medicine, 164, World cup-ro, Yeongtong-gu, Suwon, Gyeonggi-do, 443-380, Republic of Korea; Bk21 Plus Research Center for Biomedical Sciences, Ajou University Graduate School of Medicine, Suwon, Republic of Korea. Electronic address:
    Objective: The study was designed to evaluate the outcomes of early surgical intervention, and to suggest the accurate operation time and surgical strategies.

    Methods: A total of 190 cases (144 patients) of PAS excision were classified into 2 groups according to their time of surgery; early intervention group (n = 53), and non-early intervention group (n = 137). Early intervention was defined as excision performed within 3 weeks from their first hospital visit, and after acute infection control, surgical removal was followed regardless of their infection status. Read More

    Female-to-Male Chest Reconstruction: A Review of Technique and Outcomes.
    Ann Plast Surg 2017 Jun 1. Epub 2017 Jun 1.
    From the Division of Plastic Surgery, University of Utah, Salt Lake City, UT.
    Purpose: Female-to-male transgender individuals frequently seek out chest wall masculinization as part of their gender transition and to aid with treating gender dysphoria. Critical evaluation of techniques, complications, and outcomes is important particularly as the surgery becomes more commonly performed.

    Methods: A retrospective review was performed of all patients undergoing female-to-male chest wall reconstruction by the senior author from 2008 to 2015. Read More

    A Review of 101 Consecutive Subcutaneous Mastectomies and Male Chest Contouring Using the Concentric Circular and Free Nipple Graft Techniques in Female-to-Male Transgender Patients.
    Plast Reconstr Surg 2017 Jun;139(6):1260e-1272e
    Vancouver, British Columbia, Canada; and Chicago, Ill. From the Division of Plastic Surgery and the Department of Internal Medicine, Faculty of Medicine, University of British Columbia; Vancouver General Hospital; and the Department of Medical Education, University of Illinois at Chicago.
    Background: Many techniques exist for subcutaneous mastectomy in female-to-male transgender patients. The authors review outcomes for two techniques and present an algorithm to aid surgeons in technique selection.

    Methods: One hundred one consecutive female-to-male transgender patients undergoing subcutaneous mastectomy using the concentric circular or free nipple graft technique were retrospectively reviewed. Read More

    Complications in facial Mohs defect reconstruction.
    Curr Opin Otolaryngol Head Neck Surg 2017 Aug;25(4):258-264
    aDepartment of Otolaryngology-Head and Neck Surgery, University of Washington bClinical Research Division, Fred Hutchinson Cancer Research Center cDepartment of Veterans Affairs Medical Center, Surgery Service dLarrabee Center for Facial Plastic Surgery, Seattle, Washington, USA.
    Purpose Of Review: To review the recent literature in regards to complications after reconstruction of Mohs defects, outline common pitfalls and to discuss the literature on avoiding complications as outlined per aesthetic subunit.

    Recent Findings: Complications in facial Mohs reconstruction commonly consist of infection, wound necrosis and dehiscence, hematoma and suboptimal scarring. However, site-specific complications such as hairline or eyebrow distortion, eyelid retraction or ectropion, nasal contour abnormality, alar retraction, nasal valve compromise, significant facial asymmetry or even oral incompetence must also be considered. Read More

    Dealing with the Stiff Ankle: Preoperative and Late Occurrence.
    Foot Ankle Clin 2017 Jun 30;22(2):425-453. Epub 2017 Mar 30.
    Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA.
    In patients with a stiff ankle replacement, appropriate resection of scarred capsular structures, hypertrophic bone debridement, and careful release of tendons should be performed to achieve good outcomes. Appropriately sized and correctly implanted components are required to restore ankle function to as normal as possible. Although not proven, the better a total ankle replacement is balanced, the less likely scar and heterotopic bone formation will occur. Read More

    Spectrum of mucocutaneous, ocular and facial features and delineation of novel presentations in 62 classical Ehlers-Danlos syndrome patients.
    Clin Genet 2017 May 9. Epub 2017 May 9.
    Division of Biology and Genetics, Department of Molecular and Translational Medicine, School of Medicine, University of Brescia, Brescia, Italy.
    Classical Ehlers-Danlos syndrome (cEDS) is characterized by marked cutaneous involvement that is defined by many criteria of the Villefranche nosology and the 2017 revision. However, the diagnostic flow-chart that prompts molecular testing is still based on experts' opinion rather than systematic published data. Here we report on 62 molecularly characterized cEDS patients with focus on skin, mucosae, face, and joint hypermobility. Read More

    The effects of the stem cell on ciliary regeneration of injured rabbit sinonasal epithelium.
    Eur Arch Otorhinolaryngol 2017 Aug 2;274(8):3057-3064. Epub 2017 May 2.
    Department of Otolaryngology and Head and Neck Surgery, Faculty of Medicine, Yıldırım Beyazıt University, Ankara, Turkey.
    Defects in mucosal healing after sinonasal surgery cause infection, scar formation causing obstruction, relapse of the disease within a shorter period and revision surgery. The present study aimed to create a functional ciliated epithelium using a stem cell and stem cell sheet of adipose tissue origin and to show such regeneration ultra-structurally on experimentally injured rabbit nasal epithelium. This was an experimental animal study and basic research. Read More

    Combination laser treatment for immediate post-surgical scars: a retrospective analysis of 33 immature scars.
    Lasers Med Sci 2017 Jul 2;32(5):1111-1119. Epub 2017 May 2.
    WYNE Dermatology and Plastic Surgery Clinic, Cheongju, Chungbuk, South Korea.
    The application of laser treatments beginning on the day of stitch removal has been demonstrated to improve scar quality. However, there are few guidelines for the treatment of immature scars (ISs), which are defined as "scars whose features are not yet expressed." The purpose of this study was to extract information about early combination laser treatment (CLT) beyond what is currently known by analyzing 33 pairs of pre-treatment and post-treatment photographs of ISs. Read More

    Wound Healing and Glaucoma Surgery: Modulating the Scarring Process with Conventional Antimetabolites and New Molecules.
    Dev Ophthalmol 2017 25;59:80-89. Epub 2017 Apr 25.
    Department of Ophthalmology, Semmelweis University, Budapest, Hungary.
    Subconjunctival absorption of aqueous humor is an essential part of glaucoma filtration surgery. Mitomycin C (MMC) and 5-fluorouracil have been used to reduce postoperative episcleral fibrosis and scar formation in the filtering bleb area for more than 2 decades. Both antimetabolites have also been frequently injected before needling revision of failing filtering blebs. 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

    All Seasons Vertical Augmentation Mastopexy: A Simple Algorithm, Clinical Experience, and Patient-reported Outcomes.
    Plast Reconstr Surg Glob Open 2016 Dec 27;4(12):e1170. Epub 2016 Dec 27.
    Swanson Center, Leawood, Kans.
    Background: The safety of augmentation mastopexy has been questioned. Staging has been recommended for women deemed to be at higher risk, such as women with greater degrees of ptosis. Most existing studies evaluate women treated with multiple methods, including the traditional Wise pattern. Read More

    Arthrofibrosis Associated With Total Knee Arthroplasty.
    J Arthroplasty 2017 Aug 14;32(8):2604-2611. Epub 2017 Feb 14.
    Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora, Colorado; Geriatric Research, Education and Clinical Center, Veterans Affairs Medical Center, Denver, Colorado.
    Background: Arthrofibrosis is a debilitating postoperative complication of total knee arthroplasty (TKA). It is one of the leading causes of hospital readmission and a predominant reason for TKA failure. The prevalence of arthrofibrosis will increase as the annual incidence of TKA in the United States rises into the millions. Read More

    Invisible scar medial epicanthoplasty: A novel approach.
    J Plast Reconstr Aesthet Surg 2017 Jul 16;70(7):952-958. Epub 2017 Feb 16.
    Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University, School of Medicine, China. Electronic address:
    Background: Presently, many techniques have been described to make the epicanthal fold less prominent. However, visible scarring remains a major concern in most techniques. The aim of this study was to develop a novel design using concealed incisions with minimal tension. Read More

    A minimally invasive approach for cubital tunnel release and ulnar nerve transposition.
    Phys Sportsmed 2017 May 22;45(2):110-113. Epub 2017 Feb 22.
    a Department of Hand Surgery , Third Hospital of Hebei Medical University , Shijiazhuang , China.
    Objectives: The aim of the study is to introduce a new minimally invasive technique for ulnar nerve release and transposition.

    Methods: From January 2010 to May 2011, 51 patients with cubital tunnel syndrome were treated through a 1.5 to 2 cm incision. Read More

    Complication Rate in Minimally Invasive Revision Lumbar Discectomy: A Case Series and Technical Note.
    Clin Spine Surg 2017 Mar 6. Epub 2017 Mar 6.
    *Department of Neurosurgery, MedStar Georgetown University Hospital †Georgetown University School of Medicine, Washington, DC.
    Revision lumbar discectomy, given the disruption of anatomic planes, can be a more technically complicated operation. Historically, it may have higher complication rates than first-time microdiscectomy. Recently, minimally invasive tubular discectomy (MITD) has been reported as an equivalent treatment to traditional approaches and may have better utility for revision surgery. Read More

    Timing of Presentation of Pediatric Compartment Syndrome and Its Microsurgical Implication: A Retrospective Review.
    Plast Reconstr Surg 2017 Mar;139(3):663-670
    Toronto and London, Ontario, Canada From the Division of Plastic and Reconstructive Surgery, University of Toronto; the Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children; and Western University.
    Background: Pediatric forearm compartment syndrome can lead to severe functional disability. Although it is known that earlier presentation with decompression leads to better outcomes, it is not known when presentation after injury leads to significant loss of function requiring microsurgical intervention. The authors describe the rate of microsurgical reconstruction after pediatric forearm compartment syndrome as related to timing of presentation. Read More

    Principles of Nasal Reconstruction.
    Facial Plast Surg 2017 Feb 22;33(1):9-16. Epub 2017 Feb 22.
    Department of Otolaryngology-Head and Neck Surgery, Washington University in Saint Louis School of Medicine, Saint Louis, Missouri.
    The rise in cutaneous malignancies over the past 20 years has led to significant advances in reconstructing the nose from an aesthetic and functional standpoint. The principles of nasal reconstruction center on application of the nasal subunit principle, three-layered reconstruction, nasal skin characteristics, and patient factors. Reconstructive planning starts with proper defect analysis, followed by application of the reconstructive ladder for soft-tissue repair, adequate structural support, and repair of nasal lining deficits. Read More

    The aplication of cyanoacrilate surgical glue on skin suture in rats.
    Acta Cir Bras 2017 Jan;32(1):56-64
    PhD, Associate Professor, Department of Surgery, UFMS, Campo Grande-MS, Brazil. Critical revision, supervision all phases of the study.
    Purpose:: To compare the use of a new cyanoacrylate-based surgical glue and suture with sepa-rate points in skin wounds closure.

    Methods:: Thirty-six rats were subjected to a 4cm dorsal longitudinal incision. Twelve were sub-jected to simple suture with polyamide 6-0, 12 rats underwent wall synthesis using Dermabond(r) and 12 was performed cutaneous synthesis with N-2-Butyl-Cyanoacrylate. Read More

    [Exceptional pacemaker complication in Still's disease].
    Herzschrittmacherther Elektrophysiol 2017 Jun 21;28(2):236-238. Epub 2017 Feb 21.
    Medizinische Klinik II Kardiologie, St. Josef Hospital, Universitätsklinikum der Ruhr-Universität Bochum, Gudrunstr. 56, 44791, Bochum, Deutschland.
    Case Report: A 49-year-old man with Still's disease presented with a rash above his pacemaker scar. In 2012, there was a replacement of the generator in which the position was changed from subpectoral to subcutaneous. A revision operation was performed after the local finding became worse, turning from a granuloma to a macula. Read More

    Ophthalmic Manifestations of Facial Dog Bites in Children.
    Ophthal Plast Reconstr Surg 2017 Feb 17. Epub 2017 Feb 17.
    *TOC Eye and Face, Austin, Texas; †Department of Ophthalmology, University of Colorado, Aurora, Colorado; ‡Ophthalmic Associates of the Southern Tier, Johnson City, New York; and §Department of Ophthalmology, San Antonio Military Medical Center, San Antonio, Texas, U.S.A.
    Purpose: To characterize ophthalmic manifestations and periocular injuries of pediatric facial dog bites.

    Methods: A retrospective review of all children younger than 18 years who sought medical attention after a dog bite to the face between January 1, 2003 and May 22, 2014 was performed at a large tertiary pediatric hospital. Data on type and location of injury, surgical intervention, and complications were collected. Read More

    The Subunit Principle in Scar Face Revision.
    J Craniofac Surg 2017 Jun;28(4):1027-1029
    Department of Plastic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
    Facial scaring is considered one of the most difficult cosmetic problems for any plastic surgeon to solve. The condition is more difficult if the direction of the scar is not parallel to relaxed skin tension lines. Attempts to manage this difficult situation included revisions using geometric designs, Z plasties or W plasties to camouflage the straight line visible scaring. Read More

    Masculine Chest-Wall Contouring in FtM Transgender: a Personal Approach.
    Aesthetic Plast Surg 2017 Apr 7;41(2):369-374. Epub 2017 Feb 7.
    Department Plastic and Reconstructive Microsurgery, Careggi Universital Hospital, Florence, Italy.
    Background: Chest-wall contouring surgery is one of the first steps in sexual reassignment in female-to-male (FtM) transsexuals that contributes to strengthening of the self-image and facilitates living in the new gender role. The main goal is to masculinize the chest by removing the female contour. Chest contour, scar placement, scar shape, scar length, nipple-areola position, nipple size and the areola size are the key points. Read More

    [Treatment of recurrent Dupuytren's disease].
    Orthopade 2017 Apr;46(4):342-352
    Klinik für Handchirurgie, Salzburger Leite 1, 97616, Bad Neustadt an der Saale, Deutschland.
    Background: The tendency of recurrence or progression is a frequent problem in Dupuytren's disease. The management of recurrence is adapted to the individual situation and the patient's needs. In mild cases a non-operative approach is recommended. Read More

    Evaluation of a Minimally Disruptive Treatment Protocol for Frontal Sinus Fractures.
    JAMA Facial Plast Surg 2017 May;19(3):225-231
    Department of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle.
    Importance: Despite common goals of frontal sinus fracture treatment (restoring forehead contour and creating a safe sinus), there remains significant variability in evaluation and treatment.

    Objective: To describe our experience with a minimally disruptive treatment protocol for the treatment of frontal sinus fractures.

    Design, Setting, And Participants: Analysis of prospectively collected data from 2010 through 2015 at a level 1 trauma center. Read More

    "Meniscal" scar as a landmark for the joint line in revision total knee replacement.
    World J Orthop 2017 Jan 18;8(1):57-61. Epub 2017 Jan 18.
    Wasim Sardar Khan, Jagmeet Bhamra, Rhodri Williams, Rhidian Morgan-Jones, Cardiff and Vale Orthopaedic Centre, Llandough University Hospital, Cardiff and Vale NHS Trust, Cardiff CF5 2LD, United Kingdom.
    Aim: To determine whether tissue identified at the joint line was actually remnant "meniscal" scar tissue or not.

    Methods: Nine patients undergoing revision knee surgery following informed consent had meniscal scar tissue sent to the histology department for analyses. All revisions were performed where joint line had been raised or lowered at earlier surgery. Read More

    Ulna Rotation Osteotomy in Complete Dislocation of the Distal Radioulnar Joint.
    J Wrist Surg 2017 Feb 15;6(1):74-79. Epub 2016 Jan 15.
    Division of Hand Surgery, Department of Trauma Surgery, Medical University Innsbruck, Innsbruck, Austria.
    Background Complete dislocation of the distal radioulnar joint (DRUJ) is a rare injury. Dislocation can present as uni- or multidirectional, acute or chronic, reducible or irreducible. It can occur due to isolated loss of ligamentous restraints or more frequent in Galeazzi - or Essex-Lopresti-type fractures. Read More

    The versatility of the Karapandzic flap: A review of 65 cases with patient-reported outcomes.
    J Craniomaxillofac Surg 2017 Feb 14;45(2):325-329. Epub 2016 Dec 14.
    Oral and Maxillofacial Surgery Department, York Teaching Hospitals NHS Foundation Trust, The York Hospital, Wigginton Road, York, YO31 8HE, United Kingdom.
    Objective: The Karapandzic flap is an established technique for reconstruction of large lip defects and in our experience is particularly valuable in repair of the upper lateral lip and the commissures as well. We present our experience in a case series of 65 patients under one consultant.

    Method: This is a retrospective study of patients who underwent Karapandzic flap repair for lip defects following cancer resection from 2007 to 2014 in North Yorkshire. Read More

    [Treatment and outcome of polypropylene mesh or tape related pain after reconstructive pelvic surgery].
    Zhonghua Fu Chan Ke Za Zhi 2016 Dec;51(12):901-908
    Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing 100044, China.
    Objective: To investigate clinical treatment and outcome of mesh-related pain after pelvic floor reconstruction. Methods: Twelve patients were referred to Peking University People's Hospital for post-operation pain related to polypropylene mesh or tape used in pelvic floor reconstruction and received reoperation from January 2007 to December 2014. The demographic characteristics, clinical manifestation, operation method and follow-up outcome were retrospectively analyzed, and current literature was also reviewed. Read More

    Reconstruction of patellar tendon following implantation of proximal tibia megaprosthesis for the treatment of post-traumatic septic bone defects.
    Injury 2016 Dec;47 Suppl 6:S77-S82
    Reparative Orthopaedic Surgery Department - ASST Pini-CTO, University of Milan, Italy. Electronic address:
    Introduction: Latest advances made in joint replacement implants allows reconstruction of entire limbs. These special prostheses or megaprostheses were originally designed for the treatment of severe oncological bone loss. Nowadays, however, the indications and applications of these devices are expanding to other orthopaedic and trauma clinical conditions. Read More

    Unusual Surprises in Glaucoma Filtering Surgeries: Lessons Learned and Review of Literature.
    Semin Ophthalmol 2016 Dec 8:1-11. Epub 2016 Dec 8.
    b Glaucoma Services , LV Prasad Eye Institute , Hyderabad , India.
    Purpose: To describe an unusual series of complications after glaucoma filtering surgeries with their clinical findings and outcome after tailored non-conventional modes of therapy.

    Patients And Methods: Eighteen patients who underwent re-interventions (medical or surgical) after glaucoma filtering surgeries during the period at two tertiary centers, excluding those that required conventional modes of treatment (medical control or re-trabeculectomy, simple wound closure for traumatic wound dehiscence, bleb revision or needling, laser iridotomy), were included. Relevant clinical details with intraoperative videos, intraoperative or postoperative problems, and images with course after re-intervention were retrieved from the hospital database. Read More

    Complete vaginal outlet stenosis in a patient with Sheehan's syndrome.
    Obstet Gynecol Sci 2016 Nov 15;59(6):559-561. Epub 2016 Nov 15.
    Department of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea.
    We present a case of complete vaginal stenosis in a woman diagnosed with Sheehan's syndrome. The patient delivered at full-term 5 months prior, and experienced massive postpartum bleeding at that time. During evaluation of persistent amenorrhea, we found that her vaginal orifice was completely adhesive and obstructed. Read More

    Timing of Presentation of Pediatric Compartment Syndrome and its Microsurgical Implication: A Retrospective Review.
    Plast Reconstr Surg 2016 Nov 21. Epub 2016 Nov 21.
    1 - Division of Plastic and Reconstructive Surgery, University of Toronto, Toronto, Canada 2 - Western University, London, Canada 3, 4 - Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, Canada.
    Background: Forearm compartment syndrome in the pediatric population can lead to severe functional disability. Although it is known that earlier presentation with decompression leads to better outcomes, it is not known when presentation post-injury leads to significant loss of function requiring microsurgical intervention.

    Aim: To describe the rate of microsurgical reconstruction after forearm compartment syndrome in pediatric patients as related to timing of presentation. Read More

    Treating Scars of the Chin and Perioral Region.
    Facial Plast Surg Clin North Am 2017 Feb;25(1):55-71
    Facial Plastic and Reconstructive Surgery, Penn State Hershey Medical Center, 500 University Drive H091, Hershey, PA 17033, USA; Fedok Plastic Surgery, 113 East Fern Avenue, Foley, AL 36535, USA; Department of Surgery, USA Medical Center, The University of South Alabama, 2451 Fillingim Street, Mobile, AL 36617, USA. Electronic address:
    Lip and chin scarring occurs owing to reconstruction of congenital, cancer resection, or traumatic defects. Knowledge of lip anatomy and function is critical to optimize results. Realistic expectations should be established before intervention. Read More

    Unique Clinical Aspects of Nasal Scarring.
    Facial Plast Surg Clin North Am 2017 Feb;25(1):45-54
    UC Irvine Department of Head & Neck Surgery, 101 The City Drive South, Orange, CA 92868, USA. Electronic address:
    Various methods are available for refining scars of the external nose and optimal scar revision frequently requires the utilization of multiple techniques. Differing anatomy of nasal subunits and their underlying structural framework limit surgical options in nasal scar revision compared with other areas of the face. An understanding of a variety of laser technologies and their specific applications can vastly aid in fine, controlled scar revision. Read More

    Treating Scars of the Cheek Region.
    Facial Plast Surg Clin North Am 2017 Feb;25(1):37-43
    Department of Otorhinolaryngology - Head and Neck Surgery, University of Texas Health Sciences Center at Houston, 6400 Fannin Street, Houston, TX 77030, USA.
    Scars of the cheek resulting from all causes can extol significant psychological toll. The cheek is the largest facial subunit and visually and aesthetically prominent making scars in this region difficult to ignore. An approach to scar management that targets specific characteristics of a scar using a combination of surgical and nonsurgical modalities can significantly improve the appearance of most scars. Read More

    Soft Tissue Principles to Minimize Scarring: An Overview.
    Facial Plast Surg Clin North Am 2017 Feb;25(1):1-13
    Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, University of Cincinnati College of Medicine, PO Box 670528, 231 Albert Sabin Way, Cincinnati, OH 45267-0528, USA; Department of Dermatology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, PO Box 670528, 231 Albert Sabin Way, Cincinnati, OH 45267-0528, USA. Electronic address:
    This article is a broad overview of measures and techniques that can be used to minimize soft tissue scarring. Read More

    Acellular Dermal Matrix: New Applications For Free Flap Pedicle Coverage A Prospective Study in 10 Patients.
    J Cosmet Laser Ther 2016 Oct 25:1-12. Epub 2016 Oct 25.
    b Department of Anatomy University of Bordeaux, Centre François-Xavier-Michelet, Groupe hospitalier Pellegrin, Place Amélie-Raba-Léon , F-33076 Bordeaux , France.
    Introduction: The goal of lower extremity reconstruction after trauma is the coverage of defects to give patients a healed wound and to let them resume their life, ambulate, and return to work while preventing amputation. In this article we describe an innovative use of Integra® for free flap pedicle coverage in lower extremity reconstruction.

    Materials And Methods: Between January 2011 and December 2015, ten patients, 4 women and 6 men, underwent a lower limb reconstruction with an association of free flap and integra® to cover the flap pedicle. Read More

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