Aesthet Surg J 2018 Apr 7. Epub 2018 Apr 7.

Private Practice in Kalispell, MT.

Background: Fluid accumulation is a common complication after abdominoplasty procedures, and is typically managed by the placement of post-surgical drains. Progressive tension sutures (PTS) have been shown to be an effective approach to reduce the dead space by point-wise mechanical fixation, allowing for drain-free procedures. Lysine-derived urethane surgical adhesive provides an alternative approach for mechanical fixation and reduction of dead space, and may reduce surgery time compared to PTS. Read More

Arch Craniofac Surg 2018 Mar 20;19(1):13-19. Epub 2018 Mar 20.

Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.

Background: Abbé flap technique is one of the most challenging operations to correct horizontal deficiencies in secondary cleft lip deformity. Since its first introduction, the operative method was dynamically modified from simple variation to complete conceptual change, but conventional Abbé flap has many drawbacks in esthetic and functional aspect. Our purpose was reconstructing the symmetry of Cupid's bow and central vermilion tubercle with minimal sequalae. Read More

Clin Otolaryngol 2018 Mar 26. Epub 2018 Mar 26.

Medical Faculty, Department of Otorhinolaryngology, Head and Neck Surgery, University of Cologne, Cologne, Germany.

Objective: Evaluation of patients' perspective on long-term complications after superficial parotidectomy for benign lesions.

Design: A prospective nonrandomized controlled multicenter study.

Setting: Three university-based tertiary referral centers (Departments of Otorhinolaryngology of Cologne, Jena and Giessen; all in Germany). Read More

BMJ Case Rep 2018 Mar 21;2018. Epub 2018 Mar 21.

Medical Sciences Division, University of Oxford, Oxford, UK.

This report discusses in detail the case of a patient who underwent a scar revision procedure to have her characteristic self-harm scars altered. A detailed insight into the patient's perspective was gained through semistructured interviews conducted at 6 weeks and 6 months postoperatively. The interviews found that an equally if not more conspicuous scar that was distinct from those created from self-harm had a pronounced psychological benefit for the patient. Read More

Strabismus 2018 Mar 20:1-9. Epub 2018 Mar 20.

a Department of Ophthalmology , University Hospital Essen , Germany.

Background/aims: We performed a retrospective analysis to examine clinical results, establish a dose-effect coefficient and analyze the long-term efficacy of tendon elongation with bovine pericardium (Tutopatch®) for surgical correction of severe esotropia, occurring after three-wall orbital decompression for dysthyroid optic neuropathy in patients with Graves' orbitopathy (GO).

Methods: Tendon elongation of the medial rectus muscle (MR) was performed in our institution using an interponate of bovine pericardium in 60 patients (27 underwent unilateral and 33 bilateral surgery). Success-rate (total horizontal deviation of 10 prism-diopters (PD) or less and evidence of binocular single vision with or without prism glasses) and horizontal motility were examined 3 months, 1 and >4 years after surgery. Read More

Musculoskelet Surg 2018 Mar 15. Epub 2018 Mar 15.

Department of Orthopedic Surgery, St. Anna Hospital, Bogardeind 2, 5664 EH, Geldrop, The Netherlands.

Introduction: The etiology of the stiff knee after total knee arthroplasty (TKA) is largely unknown, although excessive scar tissue due to arthrofibrosis is an important reason for a limited range of motion (ROM) after this procedure. Persistent limited ROM after TKA results in poor patient-reported outcomes and is increasingly becoming a more prominent reason for TKA revision surgery.

Methods: A narrative review of current literature on manipulation under anesthesia (MUA) after TKA analyzing etiology and risk factors for stiffness after TKA, effectiveness of MUA and what is known about rehabilitation after MUA. Read More

J Stomatol Oral Maxillofac Surg 2018 Mar 9. Epub 2018 Mar 9.

Department of plastic surgery, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex, France.

Background: Preserving the integrity of the eyelid margin in eyelid reconstruction remains a challenge for plastic surgeons. In 1976, Hübner described a technique to repair full-thickness eyelid defects using a tarsomarginal graft covered with a local flap. This simple technique addresses both functional and aesthetic requirements of eyelid reconstruction by using tissue from the contralateral eyelid. Read More

J Craniofac Surg 2018 Mar 8. Epub 2018 Mar 8.

JW Plastic Surgery Center, Seoul, Korea.

Background: Nasal septal cartilage and conchal cartilages are preferred sources of grafts in augmentation rhinoplasty. Rib cartilage can also be used, but it may evoke a patient's concerns about a scar and an extensive surgery. In such cases, irradiated homologous costal cartilage (IHCC) can be a useful alternative. Read More

Asian Spine J 2018 Feb 7;12(1):140-146. Epub 2018 Feb 7.

Department of Spinal Disorders Center, Fujieda Heisei Memorial Hospital, Fujieda, Shizuoka, Japan.

Study Design: A retrospective study.

Purpose: Our objectives were to determine the association between the pathological changes of disc herniation and the interval between primary and revision surgeries and to investigate the frequency and site of the dural laceration in the primary and revision surgeries.

Overview Of Literature: Among 382 patients who underwent microsurgical lumbar discectomy, we investigated 29 who underwent revision surgery to analyze recurrent herniation pathologies and complications to determine the manner in which lumbar disc herniation can be more efficiently managed. Read More

Asian Spine J 2018 Feb 7;12(1):52-58. Epub 2018 Feb 7.

Department of Orthopaedics, Bombay Hospital and Medical Research Centre, Mumbai, India.

Study Design: Retrospective case series.

Purpose: To compare minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) outcomes in primary and revision surgeries.

Overview Of Literature: Revision spinal fusion is often associated with an increased risk of approach-related complications. Read More

Open Access Maced J Med Sci 2018 Jan 9;6(1):82-84. Epub 2018 Jan 9.

University G. Marconi of Rome - Dermatology and Venereology, Rome, Italy.

Abdominoplasty is listed among five most common esthetic surgical procedures in the Western World. Despite all efforts, abdominoplasty bears a high risk of complications. We observed a 39-year-old-woman with previous classical abdominoplasty performed elsewhere three years ago. Read More

Eur Arch Otorhinolaryngol 2018 May 26;275(5):1219-1225. Epub 2018 Feb 26.

Clinic of Otolaryngology, Head and Neck Surgery and Department of Head Medicine and Oral Health, University Hospital Leipzig, Liebigstr. 12, 04103, Leipzig, Germany.

Background: The use of the radial forearm-free flap is a well-established and reliable reconstruction method in head and neck surgery. Usually, the defect of the donor site is covered with full or split-thickness skin grafts. Since 09/2013, a direct closure of the radial forearm donor site has been performed at the ENT University Hospital Leipzig to avoid secondary donor site morbidity. Read More

Indian J Ophthalmol 2018 Mar;66(3):440-444

Department of Ophthalmic Plastic Surgery Services, L. V. Prasad Eye Institute, Bhubaneswar, Odisha, India.

Purpose: To report endoscope-assisted fascia lata harvest (EAFH) as a minimally-invasive technique for correction of severe blepharoptosis.

Methods: This was a retrospective case series between January 2013 and April 2017. Medical records of all consecutive patients who underwent frontalis suspension by EAFH in the study period were reviewed and outcome was analyzed. Read More

Skin Appendage Disord 2018 Jan 6;4(1):18-24. Epub 2017 Jul 6.

Department of Dermatology, Universitat International Catalunya, Barcelona, Spain.

Platelet-rich plasma (PRP) is currently used in different medical fields. The interest in the application of PRP in dermatology has recently increased. It is being used in several different applications as in tissue regeneration, wound healing, scar revision, skin rejuvenating effects, and alopecia. Read More

Zhongguo Gu Shang 2017 Sep;30(9):853-856

Department of Spinal Surgery, the Red Cross Hospital Affiliated to College of Medicine of Xi'an Jiaotong University, Xi'an 710054, Shaanxi, China;

Objective: To analyze the causes and explore the measures of prevention and treatment of the cerebrospinal leak after lumbar revision surgery.

Methods: The clinical data of 24 patients(17.78%) with cerebrospinal leak among 135 cases after lumbar revision surgery from January 2011 to January 2016 was retrospectively studied. Read More

Rhinology 2018 Feb 15. Epub 2018 Feb 15.

Department of Otorhinolaryngology, Ghent University Hospital, Ghent, Belgium.

Background: Chronic sphenoid sinusitis refractory to both medical therapy and sphenoidotomy requires a more extended intervention based on the principles of salvage surgery. Our aim is to describe the sphenoid drill out technique as a sphenoid salvage intervention and to outline its implications on clinical outcome and quality of life.

Methodology: 12 patients with chronic sphenoiditis undergoing a sphenoid drill out procedure were examined by nasal endoscopy preoperatively and postoperatively for one year. Read More

J Craniofac Surg 2018 Feb 12. Epub 2018 Feb 12.

Division of Plastic and Maxillofacial Surgery, Children's Hospital Los Angeles.

Bone wax is a commonly used hemostatic agent with minimal complications. Some of the known complications include inflammation, granuloma formation, infection, and impaired osteogenesis. Several clinical reports of bone wax migration have also been reported. Read More

Can J Ophthalmol 2018 Feb;53(1):29-33

Maisonneuve-Rosemont Hospital, Montreal, Que.

Objective: To evaluate the effectiveness of a topical silicone gel on scars in patients who had undergone bilateral direct brow lift surgery.

Design: A randomized double-blind clinical trial with a placebo applied to one scar and topical silicone gel (Dermatix Ultra; Valeant Pharmaceuticals, Laval, Que.) used on the other scar for 2 months. Read More

J Cutan Aesthet Surg 2017 Jul-Sep;10(3):136-144

Department of DVL, Institute of Medical Sciences and SUM Hospital, Siksha 'O' Anusandhan University, Bhubaneswar, Odisha, India.

Background: It is a challenge to treat acne scars and a multimodal combination approach is necessary. While fractional CO lasers (FCLs) are an established treatment option, the role of platelet-rich plasma (PRP) in the treatment of acne scars is not established though it is being used extensively in other fields of medicine owing to its healing properties. We combined the two methods to assess the proposed synergistic action on acne scars. Read More

Ann Plast Surg 2018 Feb 2. Epub 2018 Feb 2.

Background: The goal of cleft lip repair is a symmetrical balanced lip with minimal scar. Fat grafting is an established procedure in cosmetic and reconstructive surgery for restoration or correction of contour deformity, volume loss, and improved tissue characteristics. In this study, we evaluated the use of fat grafting in correction of cleft lip volume asymmetry. Read More

Knee 2018 Mar 1;25(2):271-278. Epub 2018 Feb 1.

Sonnenhof Orthopaedic Centre, Buchserstrasse 30, 3006 Bern, Switzerland.

Background: The goal of this study was to perform an in-depth analysis of the frequency and cause of secondary interventions subsequent to primary anterior cruciate ligament (ACL) repair with dynamic intraligamentary stabilization (DIS).

Methods: Between July 2009 and June 2014, 455 patients underwent DIS treatment. The minimum follow-up was 21months (mean 28months, range 21-64months). Read More

Turk J Obstet Gynecol 2017 Dec 30;14(4):249-251. Epub 2017 Dec 30.

TOBB University of Economics and Technology Faculty of Medicine, Department of Obstetrics and Gynecology, Division of Women's Health, Ankara, Turkey.

Cesarean scar ectopic pregnancies and molar pregnancies are two very rare obstetric pathologies. In both cases, serious morbidities are involved that require careful management. The coexistence of the two clinical conditions is far less common and there are a limited number of cases in the literature. Read More

Clin Cases Miner Bone Metab 2017 Sep-Dec;14(3):372-378. Epub 2017 Dec 27.

UOC Orthopedics and Traumatology, "Vito Fazzi" Hospital, Lecce, Italy.

Introduction: The nonunion rate has been reported between 0.1% and 15%. There are also several predisposing factors for the onset of complications: general factors connected with the patient and specific factors related to the fracture site. Read More

Arch Craniofac Surg 2017 Dec 23;18(4):243-248. Epub 2017 Dec 23.

Department of Oral & Maxillofacial Surgery, Sri Aurobindo College of Dentistry, Indore, India.

Background: To evaluate the versatility and reach of modified nasolabial flap used in reconstruction of defects created in and around the oral cavity.

Methods: A total number of 20 cases were selected. Out of which 13 were males and 7 females. Read More

Arch Craniofac Surg 2017 Dec 23;18(4):230-237. Epub 2017 Dec 23.

Department of Plastic and Reconstructive Surgery, Ajou University School of Medicine, Suwon, Korea.

Background: The traditional approach for reduction of frontal sinus fractures is coronal incision. Inherent complications of the coronal approach include long scar, hair loss, and long operation time. We describe a simple approach for the reduction of frontal sinus anterior wall fractures using a suprabrow incision that is commonly used for brow lift. Read More

World Neurosurg 2018 Apr 9;112:31-36. Epub 2018 Jan 9.

Department of Neurosurgery, King's College Hospital, London, United Kingdom.

Background: Battery replacement or revision surgery for neuromodulation implants is conventionally performed using sharp dissection. Meticulous dissection within thick scar tissue is vital to avoid damage to surrounding lead(s), which could result in more extensive revision surgery. Traditional electrosurgery devices are contraindicated as the emitted energy can be transferred to the hardware, resulting in implant or tissue damage with severe consequent complications. Read More

Ophthalmologe 2018 Apr;115(4):264-265

Augenklinik, Asklepios Klinik Barmbek, Rübenkamp 220, 22291, Hamburg, Deutschland.

BMC Musculoskelet Disord 2017 12 29;18(1):552. Epub 2017 Dec 29.

Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, 00128 Trigoria, Rome, Italy.

Background: Even though internal fixation has expanded the indications for cervical spine surgery, it carries the risks of fracture or migration, with associated potential life threatening complications. Removal of metal work from the cervical spine is required in case of failure of internal fixation, but it can become challenging, especially when a great amount of scar tissue is present because of previous surgery and radiotherapy.

Case Presentation: We report a 16 year old competitive basketball athlete who underwent a combined anterior and posterior approach for resection of an osteosarcoma of the sixth cervical vertebra. Read More

Skinmed 2017 1;15(6):451-456. Epub 2017 Dec 1.

Refresh Dermatology, Houston, TX;

Surgical management of benign or malignant cutaneous tumors may result in noticeable scars that are of great concern to patients, regardless of sex, age, or ethnicity. Techniques to optimize surgical scars are discussed in this three-part review. Part 2 focuses on scar revision for hypertrophic and keloids scars. Read More

Oper Neurosurg (Hagerstown) 2018 Jan;14(1):20-25

Center for Peripheral Neurosurgery, Dossenheim-Heidelberg, Germany.

Background: High-resolution ultrasound can be used for diagnosis of carpal tunnel syndrome with an equal accuracy to electrodiagnostic studies. Up to date there has been no investigation published that examined the median nerve in a large patient cohort with recurrent or persistent symptoms. Reference and cutoff values are lacking. Read More

Facial Plast Surg 2017 Dec 1;33(6):621-626. Epub 2017 Dec 1.

Department of Otolaryngology, Indiana University School of Medicine, Indianapolis, Indiana.

Clin Anat 2018 Mar 28;31(2):181-186. Epub 2017 Dec 28.

Pediatric Urology, University of Pittsburgh Medical Center, Hamot Hospital, Erie, PA.

Abdominal flap phalloplasty is surgical construction of a neophallus using a pedicled abdominal flap for patients transitioning female to male, for males whose penis is congenitally absent, or lost from trauma. It is an option for trans men whose goals do not require urethroplasty or vaginectomy but would like a phallus suitable for male gender appearance. A prosthesis can be placed for penetrative sexual capability. Read More

Clin Anat 2018 Mar 18;31(2):145-151. Epub 2017 Dec 18.

Pediatric Urology, University of Pittsburgh Hamot Medical Center, Erie, Pennsylvania, 16503.

Transgender surgeries are becoming more frequent and visual interpretation of anatomy is essential for both surgeons and patients. Since the forearm free flap phalloplasty was introduced in 1984, it has been known to provide reliable cosmetic and functional results for transitioning men compared with phalloplasty by different flaps. Surgical text descriptions were enhanced by the creation of new anatomic illustrations. Read More

Clin Anat 2018 Mar 28;31(2):152-159. Epub 2017 Dec 28.

Pediatric Urology, University of Pittsburgh Medical Center - Hamot Hospital, Erie, Pennsylvania.

In transgender surgery, the ideal neophallus is one that: (a) is constructed using a reproducible procedure, (b) possesses tactile and erogenous sensation, (c) is large and rigid enough (naturally, or using a prosthesis) to permit penetrative intercourse, (d) leaves acceptable donor site morbidity, (e) results in esthetically satisfactory appearance, and (f) allows for voiding while standing. The musculocutaneous latissimus dorsi (MLD) flap has favorable results in the area of neophalloplasty. Among its advantages are acceptable donor site appearance, stiffness sufficient for intercourse, and esthetically satisfactory genital appearance. Read More

J Plast Reconstr Aesthet Surg 2018 Apr 25;71(4):585-589. Epub 2017 Oct 25.

Department of Plastic, Aesthetic and Reconstructive Surgery, Hospital Barmherzige Brüder Salzburg, Paracelsus Medical University, Kajetanerplatz 1, Salzburg 5020, Austria.

Introduction: Thighplasty is a common bodycontouring procedure, but also associated with a high complication rate. The purpose of this study was to access the outcome of the medial horizontal thigh lift as it is a common surgical technique regarding thigh deformity correction performed at the authors' department. Surgical keysteps, clinical applications, advantages and disadvantages of the procedure are shown. Read More

J Interv Card Electrophysiol 2017 Nov 2;50(2):179-185. Epub 2017 Nov 2.

Department of Cardiology, Kingston General Hospital, Queen's University, Kingston, Ontario, Canada.

Purpose: Implantable loop recorders (ILRs) are increasingly being used for ambulatory electrocardiography. We sought to evaluate ILR indications, diagnostic yield, ILR-guided interventions, and complications in two Canadian centers.

Methods: This was a retrospective study using electronic medical records to identify ILR implants at Queen's University and the University of Manitoba. Read More

Hand (N Y) 2017 Nov 29;12(6):546-550. Epub 2016 Nov 29.

1 Massachusetts General Hospital, Boston, MA, USA.

Background: The development of Complex Regional Pain Syndrome (CRPS) represents a potentially devastating complication following carpal tunnel release. In the presence of a suspected incomplete release of the transverse carpal ligament or direct injury to the median nerve, neurolysis as well as nerve coverage to prevent recurrent scar has been shown to be effective.

Methods: Retrospective chart review and telephone interview was conducted for patients who underwent abductor digiti minimi flap coverage and neurolysis of the median nerve for CRPS following carpal tunnel release. Read More

Ann Ital Chir 2017 ;88:282-287

Purpose: To report a surgical algorithm for the treatment of bilateral cleft lip stigmata.

Methods: The investigators designs a retrospective study composed of patients with bilateral cleft lip stigmata. The surgical approach is on the basis of the severity of the deformity and of course the age of the patient. Read More

J Clin Neurosci 2018 Jan 16;47:332-336. Epub 2017 Oct 16.

Neurochirurgie, Groupe Hospitalier du Havre, BP 24, F-76083 Le Havre, France.

Lumbar spine revision surgery is considered as challenging and related to longer operation time and complications because of the loss of anatomical landmarks and the formation of postoperative epidural fibrosis. Minimal invasive lumbar spinal surgery techniques have been refined over the last 5 years but the reexposure of the dura, the formation of postsurgical scar tissue and related dural tears remain a source of complications. For lumbar spinal revision surgery we advocate the minimal invasive Extraforaminal Lumbar Interbody Fusion (ELIF) technique. Read More

Brain Nerve 2017 Oct;69(10):1091-1104

Research Institute for Brain and Blood Vessels - AKITA.

Epilepsy may be the consequence of a wide range of disorders affecting the brain, including tumors and non-neoplastic lesions. A broad spectrum of structural brain lesions can be observed in epileptogenic brain tissue specimens surgically resected from patients with drug-resistant focal epilepsies. These include hippocampal sclerosis (HS), low-grade epilepsy-associated neuroepithelial tumors (LEAT), malformations of cortical development (MCD), vascular malformations, dual pathology, glial scar, and encephalitis, as well as no lesion. Read More

Medicine (Baltimore) 2017 Oct;96(41):e8138

aDepartment of Orthopedics bResearch Assistant Center, Show-Chwan Memorial Hospital, Changhua cInstitute of Biomedical Informatics, National Yang-Ming University, Taipei dDepartment of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan.

Rationale: Trauma or surgical incision might cause Koebner phenomenon (KP) in patients with cutaneous diseases, but seldom studies reported KP induced by repeated orthopedic surgery.

Patient Concerns: The 22-year-old man did not have any prior histories of cutaneous diseases. Two months after the revision surgery for nonunion of the left femoral shaft fracture, KP was noted by psoriasis presented at the surgical scar, left thigh, scalp, and trunk. Read More

Otol Neurotol 2017 Dec;38(10):1450-1455

*Division of Otology and Neurotology, Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas †Southend University Hospital, Southend-on-Sea, UK.

Objective: To study long-term complications after ossiculoplasty.

Study Design: Case series with chart review.

Setting: Tertiary care referral center otology practice. Read More

J Craniofac Surg 2017 Nov;28(8):1972-1975

*Department of Plastic Surgery, Konkuk University School of Medicine †Laree Plastic Surgery Clinic, Seoul, Korea.

The medial epicanthal fold is one of the racial anatomic characteristics of Asians. As medial epicanthoplasty has become one of the most common cosmetic surgeries among Asians, the need for revision of overcorrected medial epicanthus also increased. In revision medial epicanthoplasty, an autologous tissue graft to the subcutaneous plane is used to reduce postoperative scar. Read More

Facial Plast Surg Clin North Am 2017 Nov;25(4):617-628

Beckman Laser Institute and Medical Clinic, University of California Irvine, 1002 Health Sciences Road East, Irvine, CA 92612, USA; Division of Facial Plastic Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California Irvine, 101 The City Drive South, Building 56, Suite 500, Orange, CA 92868, USA; Department of Biomedical Engineering, Henry Samueli School of Engineering, University of California, Irvine, 3120 Natural Sciences II, Irvine, CA 92697-2715, USA. Electronic address:

Laser treatment for posttraumatic injury offers the clinician the unique opportunity for early intervention in mediating early scar formation, or for reducing the appearance of scars after maturation. In this review, the authors focus on the mechanisms by which lasers exert their therapeutic effects, highlighting several popular lasers and dosimetry used, and underscoring the power of combined surgical scar revision in managing posttraumatic facial scars. Read More

Knee Surg Sports Traumatol Arthrosc 2018 Feb 22;26(2):655-659. Epub 2017 Sep 22.

Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), 4101, Bruderholz, Switzerland.

Purpose: Most of the clinical outcome studies dealing with ACL repair are from the developer's perspective. It is a fact that these developer-initiated studies tend to interpret the results rather in favour than against their developed technique or product. Hence, it was the purpose of the present independent investigator-initiated study to investigate the clinical and radiological outcomes as well as failure rate of patients who underwent an ACL suture using dynamic intraligamentary stabilisation device in a specialised independent knee clinic. Read More

Acta Cir Bras 2017 Aug;32(8):626-632

Assistant Professor, Department of Surgery, Medical Sciences, Hamadan University, Iran. Critical revision, final approval.

Purpose:: To evaluate the effectiveness of sodium hyaluronate, sesame oil, honey, and silver nanoparticles in preventing of postoperative surgical adhesion formation.

Methods:: Forty male Wistar rats were randomly assigned into five groups with eight rats in each group including control, hyaluronate, sesame, honey and silver groups. After two weeks the animals underwent laparotomy and were evaluated by two different blinded surgeons for severity of adhesions based on the two different classification scoring systems including Nair classification and cumulative adhesion scoring scale. Read More

J Cosmet Laser Ther 2018 Apr 27;20(2):102-105. Epub 2018 Feb 27.

c Department of General Surgery , The First Affiliated Hospital, School of Medicine, Zhejiang University , Hangzhou , P. R . China.

Fractional CO laser is one of the most effective treatment options used to resurface scars. However, most previous studies have been performed on mature scars at least 2 months after surgery. Recent studies have emphasized the importance of early treatment to reduce scar formation. Read More

Tech Hand Up Extrem Surg 2017 Dec;21(4):155-160

Department of Orthopaedic Surgery, Division of Hand and Upper Extremity, Duke University, Durham, NC.

The fasciocutaneous lateral arm flap is a workhorse flap in upper extremity reconstruction. However, its adipofascial variant is not widely used. The technique can be used in various clinical scenarios. Read More

Skinmed 2017 1;15(4):271-276. Epub 2017 Aug 1.

Refresh Dermatology, Houston, TX;

Surgical management of benign or malignant cutaneous tumors may result in noticeable scars that are of great concern to patients, regardless of sex, age, or ethnicity. Techniques to optimize surgical scars are discussed in this three-part review. In part 1, an overview of the importance of preoperative planning, intraoperative technique, and pathophysiology of wound healing is followed by a discussion of scar revision options for depressed/atrophic scars. Read More

Dermatol Surg 2018 Feb;44(2):270-274

All authors are affiliated with the Department of Burns, Plastic and Maxillofacial Surgery, Vardhaman Mahavir Medical College, Safdarjung Hospital, New Delhi, India.

Background: Surgeons often come across split earlobe (SEL) deformities in their clinical practice which usually result from wearing heavy earrings for a long duration. It is of utmost importance to achieve a satisfactory repair with increased strength in one go.

Objective: To describe a strong repair for partial SEL with preservation of the orifice. Read More