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Ear Nose Throat J 2019 Apr 8:145561319839869. Epub 2019 Apr 8.

1 Department of Otorhinolaryngology Head and Neck Surgery, Fondation Ophtalmologique Adolphe de Rothschild, Paris, France.

We report 2 cases of stapes surgery failure due to the depth marker groove of the piston of a Big Easy titanium prosthesis getting caught at the edge of the stapedotomy hole. In the first case, the stapedotomy failure, detected peroperatively, was corrected by modifying the angulation of the shaft of the prosthesis. In the second case, the failure occurred after a delay during which scar tissue developed around the depth marker groove, hampering the movement of the prosthesis. Read More

Hip Int 2019 Apr 4:1120700019839698. Epub 2019 Apr 4.

2 Arthro Surgery Group, Karol Wojtyla Hospital, Rome, Italy.

Background:: There is a trend for using jumbo cups/oblong devices for acetabular reconstruction as alternative to biological solutions. We report about a spectrum of reconstruction methods and their mid-term results.

Methods:: Inclusion of 214 consecutive patients undergoing total hip arthroplasty revision surgery. Read More

Otolaryngol Clin North Am 2019 Mar 21. Epub 2019 Mar 21.

Department of Ophthalmology and Visual Sciences, University of Michigan Medical School, 714 Kellogg Eye Center, Ann Arbor, MI 48109, USA.

Facial reconstruction may be effectively performed in an office setting using a variety of techniques. Careful patient selection is paramount for achieving successful outcomes in this setting. The most common reconstructive techniques used in the office setting include local flaps and skin grafts. Read More

Burns Trauma 2019 1;7. Epub 2019 Mar 1.

Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, 1-1-5 Sendagi Bunkyo-ku, Tokyo, 113-8603 Japan.

Scars are the final result of the four processes that constitute cutaneous wound healing, namely, coagulation, inflammation, proliferation, and remodeling. Permanent scars are produced if the wounds reach the reticular dermis. The nature of these scars depends on the four wound healing processes. Read More

Ann Plast Surg 2019 May;82(5):528-532

Woori Plastic Surgery Clinic, Seoul, Korea.

Background: Recently, skin-redraping medial epicanthoplasty has emerged as an extremely effective way to minimize the resultant scar. We found that the novel skin-redraping medial epicanthoplasty technique, which has been applied to aesthetic surgery, could also be suitable for the correction of congenital epicanthus and telecanthus.

Methods: We retrospectively identified patients who had an epicanthoplasty from December 2007 to August 2017. Read More

Plast Reconstr Surg 2019 03;143(3):581e-591e

Toronto and Ottawa, Ontario, Canada From the Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children; the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto; and the Faculty of Medicine, University of Ottawa.

Background: Möbius syndrome is a complex congenital disorder of unclear cause involving multiple cranial nerves and typically presenting with bilateral facial and abducens nerves palsies. At The Hospital for Sick Children, Toronto, Ontario, Canada, microneurovascular transfer of free-muscle transplant is the procedure of choice for midfacial animation. The primary aim of this study was to investigate surgical outcomes of the procedure in terms of complications, secondary revisions, and smile excursion gains. Read More

Otol Neurotol 2019 Mar;40(3):335-343

Department of Otorhinolaryngology, Donders Center for Neurosciences, Radboud university medical centre, Nijmegen, The Netherlands.

Objectives: To evaluate the three-year clinical and audiological outcomes of soft-tissue preservation compared to soft-tissue reduction in linear incision surgery for percutaneous implant for bone conduction (BC) devices.

Methods: Twenty-five patients (25 implants) were enrolled in a prospective cohort for implant surgery with linear incision and tissue preservation. The control group consisted of 25 patients (25 implants) from a previous randomized controlled trial in which a linear incision with soft-tissue reduction was applied. Read More

Aesthetic Plast Surg 2019 Feb 7. Epub 2019 Feb 7.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Shanghai, 200011, China.

Background: Over the years, many techniques have been described to correct tear trough deformity (TTD). Fat-repositioning lower blepharoplasty via a transconjunctival approach is increasingly applied due to its satisfactory rejuvenating effect. However, those methods have disadvantages such as a complicated surgical approach, residual scar, and long recovery time. Read More

J Craniofac Surg 2019 Jan 10. Epub 2019 Jan 10.

Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.

Background: Defects following Mohs micrographic surgery (MMS) can range in size from small defects requiring linear closure to large defects needing flap coverage. Reconstruction is dependent on defect size and facial aesthetic unit involvement. The aim of this study was to review the types of facial reconstruction per aesthetic unit involvement and describe their outcomes. Read More

Musculoskelet Surg 2019 Jan 1. Epub 2019 Jan 1.

Grant Govt Medical College and Sir J.J Group of Hospital, Mumbai, India.

Introduction: De Quervain described tenosynovitis of first dorsal compartment more than 120 years ago. Women, particularly of 4th-5th decades, are at more risk of developing disease. Steroid injection has been described as first line of management over many decades, but it is associated with some significant complications like depigmentation of skin, atrophy of subcutaneous tissue, suppurative tenosynovitis and even tendon rupture. Read More

Acta Cir Bras 2018 Nov;33(11):1027-1036

PhD, Associate Professor, Translational Surgery Post Graduate Program, Universidade Federal de São Paulo (UNIFESP), and Professional Masters in Sciences Applied to Health, UNIVÁS, Pouso Alegre-MG, Brazil. Interpretation and analysis of data, critical revision.

Purpose: To compare two suture threads, poliglecaprone 25 and nylon, used as intradermal suture for skin closure in women undergoing their first cesarean section.

Methods: This is a randomized clinical trial. A total of 60 women undergoing their first cesarean section were enrolled and prospectively assessed. Read More

J Oral Maxillofac Surg 2019 Feb 27;77(2):411.e1-411.e8. Epub 2018 Oct 27.

Lecturer, Department of Oral & Maxillofacial Surgery, MGM Dental College & Hospital, Navi Mumbai, India.

Purpose: The purpose was to evaluate the clinical outcomes of laser skin resurfacing using an ultra-pulse carbon dioxide (CO) laser and manual dermabrasion with a medium-grit drywall sand screen for scar revision in adults with Fitzpatrick skin type III to V.

Materials And Methods: A total of 20 postsurgical and post-traumatic scars in individuals with Fitzpatrick skin type III to V were included in this study. Preoperative evaluation of the scars was performed by 3 blinded observers using the Manchester scar rating scale. Read More

Plast Surg (Oakv) 2018 Nov 9;26(4):238-243. Epub 2018 Jan 9.

University of Massachusetts Medical School, Worcester, MA, USA.

Background: Prior studies have examined the relationship between obesity and adverse outcomes after reduction mammaplasty, suggesting a correlation between increasing body mass index (BMI) and postoperative complications. However, there is little data published regarding such correlation with respect to short-scar technique.

Methods: A total of 236 patients underwent short-scar mammaplasty with a superomedial pedicle from 2008 to 2014. Read More

Aesthetic Plast Surg 2019 Feb 9;43(1):267-277. Epub 2018 Nov 9.

Department of Plastic and Reconstructive Surgery, Chungbuk National University College of Medicine, 1, Chungdae-Ro, Seowon-gu, Cheongju, Chungbuk, 28644, Korea.

Background: The pinch and turn-over technique was developed to minimize the incision in the manual subdermal excision of apocrine glands in axillary osmidrosis for the best cure and fewest complications.

Methods: Through a 2-cm-long incision, peripheral subdermal tissue was excised by the technique under direct vision using intravenous anesthesia and tumescent technique. Ninety-nine axillae in 50 patients including seven secondary cases were operated on from 2009 to 2018. Read More

Cochrane Database Syst Rev 2018 11 8;11:CD011988. Epub 2018 Nov 8.

Department of Otolaryngology - Head and Neck Surgery, Rabin Medical Center, Petah Tikva, Israel.

Background: Endoscopic sinus surgery (ESS) is often recommended for symptomatic patients with recurrent acute or chronic rhinosinusitis who have failed conservative treatment. Postoperative care has been felt to be critical for both maintaining the surgical patency of the operated sinuses and improving patient symptoms. Debridement of the sinonasal cavities is one such postoperative care measure that has frequently been studied in the literature, often with conflicting conclusions. Read More

Arthrosc Tech 2018 Oct 24;7(10):e1045-e1056. Epub 2018 Sep 24.

Gelenkpunkt-Sports and Joint Surgery, Innsbruck, Austria.

Many surgeons use quadriceps tendon (QT) graft for anterior cruciate ligament (ACL) revision surgery; however, despite excellent clinical results, the QT has not achieved universal acceptance for primary ACL reconstruction. One of the reasons for this may be that the QT is technically demanding to harvest and the scar from open harvesting techniques is less cosmetically favorable than that from hamstring tendon techniques. Recent evidence has suggested that broad flat QT grafts may more closely mimic native ACL "ribbon-like" morphology than hamstring tendon grafts. Read More

Plast Reconstr Surg Glob Open 2018 Sep 6;6(9):e1861. Epub 2018 Sep 6.

Mercy Health Research, Washington, Mo.

Background: Connective tissue growth factor (CTGF) is a matricellular protein that plays a key role in wound healing and scar formation. Inhibition of CTGF by a specific antisense oligonucleotide significantly reduced scarring and fibrosis in animal models. This study examined whether an antisense oligonucleotide that inhibits human CTGF expression could reduce the severity of hypertrophic scar formation in patients following surgical revision of preexisting breast scars. Read More

Acta Cir Bras 2018 Sep;33(9):824-833

Graduate student, UFMG, Belo Horizonte-MG, Brazil. Manuscript preparation.

Purpose: To evaluate the effects of hyperbaric oxygenation on prevention of adhesions in the abdominal cavity after laparotomy.

Methods: Fifty four rats underwent laparotomy; stitches were made in the four quadrant parietal peritoneum and abdominal cavity closure. Animals were divided into three groups: 1 - control; 2 - subjected to high pressures and oxygenation; 3 - subjected to 100% hyperbaric oxygenation. Read More

Acta Cir Bras 2018 Sep;33(9):792-798

Surgeon Oncologist, Hospital Angelina Caron, Campina Grande do Sul-PR, Brazil. Technical procedures.

Purpose: To evaluate the fibrosis induced by four different meshes: Marlex®, Parietex Composite®, Vicryl® and Ultrapro®.

Methods: Histological cutouts of abdominal wall were analyzed with polarized light 28 days after the meshes implants and colorized by picrosirius to identify the intensity of collagen types I and III, and their maturation index.

Results: When the four groups were compared, the total collagen area analyzed was bigger in groups A and D, with no difference between them. Read More

Plast Reconstr Surg Glob Open 2018 Aug 8;6(8):e1888. Epub 2018 Aug 8.

Department of Dermatology, Cosmetic Dermatology & Dermato-Surgery & Director, The Esthetic Clinics, Mumbai, India.

Background: Wounds of the face are known to heal poorly with conspicuous scarring. Hence, it is crucial to address the distracting effect of muscle pull on immature collagen, which often leads to worsening of scars.

Study Design: Prospective clinical study. Read More

Facial Plast Surg 2018 Oct 8;34(5):448-457. Epub 2018 Oct 8.

Department of Otolaryngology-Head and Neck Surgery, University of Utah Hospital, Salt Lake City, Utah.

Scars are a natural part of dermal healing following lacerations, incisions, or tissue loss. The ideal scar is narrow, flat, level with surrounding tissue, and difficult for the untrained eye to see due to color match and placement parallel to relaxed skin tension lines; however, scarring that is dyspigmented, hypertrophied, widened, contracted, or atrophic can be aesthetically displeasing or causing functional limitations. When the scar has unfavorable characteristics, scar revision is often indicated and the cosmetic surgeon must be knowledgeable of the minimally invasive as well as surgical techniques to improve aesthetics, reduced reoccurrence, or correct functional limitations. Read More

Int J Spine Surg 2018 Jan 30;12(1):76-84. Epub 2018 Mar 30.

Atlanta Medical Center, Atlanta, Georgia.

Background: When conservative treatments fail to alleviate the discomfort of abnormal motion, spinal fusion has been shown to provide symptomatic treatment for spinal instability, stenosis, spondylolisthesis, and symptomatic degenerative disc disease. The trend and rates of fusion over the past few years have been dramatic in the United States. Accompanying that higher incidence has been the shifting from traditional open surgery to minimally invasive techniques to reduce scar tissue formation, extent of muscle stripping, and muscle retraction which all have been shown to adversely affect outcomes. Read More

Interact Cardiovasc Thorac Surg 2019 Mar;28(3):441-446

Department of Cardiology, St Antonius Hospital, Nieuwegein, Netherlands.

Objectives: Adverse remodelling of the left ventricle (LV) after myocardial infarction (MI) results in a pathological increase in LV volume and reduction in LV ejection fraction (EF). We describe the preliminary results of a novel, multicentre, combined transcatheter and minimally invasive technique to reconstruct the remodelled LV by plication and exclusion of the scar, and to reduce the excess volume, resulting in decreased wall stress and increased EF.

Methods: A novel hybrid transcatheter technique that relies on microanchoring technology (Revivent TC™ System, BioVentrix Inc. Read More

Medicine (Baltimore) 2018 Sep;97(38):e12252

Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea.

Rationale: Trichoepithelioma (TE) is a rare benign skin tumor that originates from the hair follicle epithelium. Although skin lesions arising from scar tissues are mostly malignant, the development of a benign tumor such as TE is a rare event.

Patient Concerns: A 28-year-old male patient who had a scar on the left cheek which arose 10 years ago because of a chemical burn visited our hospital. Read More

Aesthetic Plast Surg 2018 Dec 17;42(6):1591-1599. Epub 2018 Sep 17.

A-Plast Estetik, Akasya AVM, A1 Kule, D:117Acıbadem, Istanbul, Turkey.

Introduction: Combined and/or multistage operations often are needed in postbariatric surgery.

Aim: With this retrospective study of a series of 55 cases, we aim to determine the effectiveness and safety of one-stage combined postbariatric surgery.

Materials And Methods: A total of 248 postbariatric procedures were performed in one session (except one-staged gynecomastia case) in 55 patients. Read More

Dermatol Surg 2019 02;45(2):274-279

All authors are affiliated with the Department of Plastic, Reconstructive and Aesthetic Surgery, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey.

Background: Although many different diseases have been reported with vitamin D deficiency, the authors failed to find any studies on the association of hypertrophic scarring (HS) in the literature.

Objective: The authors aimed to determine the relationship between vitamin D deficiency and HS and investigate the effect of replacement therapy on HS development in patients with vitamin D deficiency.

Patients And Methods: Patients who presented to the authors' outpatient clinic with HS between 2013 and 2016 were included in the study. Read More

Aesthetic Plast Surg 2018 Dec 6;42(6):1582-1590. Epub 2018 Sep 6.

Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, No. 33 Ba-Da-Chu Road, Shi-Jing-Shan District, Beijing, 100144, China.

Background: Incisional double-eyelid blepharoplasty is widely applied because of its extensive indications and robust results. The orbicularis-levator fixation method is an incisional approach that provides stronger adhesion than traditional techniques. However, there remains the risk of postoperative relapse or suture spitting out. Read More

Aesthetic Plast Surg 2018 Dec 6;42(6):1689-1698. Epub 2018 Sep 6.

Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University, 1, Singil-ro, Yeongdeungpo-gu, Seoul, 07441, Korea.

Background: Recent research on stromal vascular fraction (SVF) has demonstrated the presence of numerous growth factors that aid in tissue regeneration and suggest the potential for scar treatment. This study was conducted to clinically show that adding stem cells can improve the surgical outcomes of scar formation.

Methods: Between March 2014 and February 2016, 17 patients underwent injections of fat and highly condensed SVF simultaneously with scar reduction surgeries and 15 patients received scar revision with or without simultaneous application of highly condensed SVF (4. Read More

J Craniofac Surg 2018 Oct;29(7):1960-1962

Department of Otorhinolaryngology, Head and Neck Surgery, University of Health Sciences Izmir Bozyaka Research and Training Hospital, Izmir, Turkey.

Objective of this study is to determine the etiology of patients applied with revision endoscopic dacryocystorhinostomy (DCR) and to evaluate the operation results.The patients were retrospectively evaluated in respect of demographic data, the time from primary to revision surgery, revision etiology, the use of bicanalicular silicone nasolacrimal tube (BNLT), the time to postoperative removal of the silicone tube, and the success of the revision surgery.The study included 27 patients applied with revision endoscopic DCR between January 2013 and January 2016. Read More

J Pediatr Urol 2018 Dec 24;14(6):554.e1-554.e6. Epub 2018 Jul 24.

Texas Children's Hospital, Houston, TX, 77030, USA; Scott Department of Urology, Baylor College of Medicine, Houston, TX, 77030, USA. Electronic address:

Introduction: Non-refluxing ureteral reimplantation is favored in pediatric renal transplantation to prevent complications, such as vesicoureteral reflux (VUR) in the transplant ureter. VUR resulting in febrile urinary tract infections remains a problem in this population, leading to repeated hospitalizations and increased morbidity. Revision of the vesicoureteral anastomosis can be a surgical challenge due to scar tissue and tenuous vascularity of the transplant ureter. Read More

Dermatol Surg 2018 Sep;44(9):1231-1233

Division of Pediatric and Adolescent Dermatology, Rady Children's Hospital, San Diego, California Department of Dermatology, University of California, Irvine Irvine, California Department of Medicine, University of California, San Diego, California DermOne, LLC, West Conshohocken, Pennsylvania.

Chirurg 2018 Oct;89(10):793-797

Adipositas- und metabolische Chirurgie Klinik für Allgemein‑, Viszeral und Thoraxchirurgie Klinikum Nürnberg, Paracelsus Medizinische Privatuniversität, Prof.-Ernst-Nathanstr. 1, 90419, Nürnberg, Deutschland.

Background: The introduction of robot-assisted surgery in the treatment of morbidly obese patients has enlarged the armamentarium for surgeons involved in bariatric surgery. This article describes the experiences with a conversion surgery from a complicated open Mason gastroplasty to a Roux en Y gastric bypass using the da Vinci Xi robotic system.

Case: A 29-year-old female patient underwent a Mason reduction gastroplasty by laparotomy in 1995 (body mass index BMI 53. Read More

Dermatol Surg 2019 01;45(1):90-98

Both authors are affiliated with the Department of Dermatology, Byramjee Jeejeebhoy Government Medical College, Pune, India.

Background: Acne has a prevalence of 90% among adolescents. Facial scarring affects 75% of patients. Autologous platelet-rich plasma (PRP) is a novel treatment option for acne scar management and can be used as an adjuvant to acne scar revision procedures. Read More

Fertil Steril 2018 08;110(3):555-556

Department of Obstetrics and Gynecology Mount Sinai Hospital & Women's College Hospital; and Department of Obstetrics & Gynecology, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Objective: To demonstrate an approach to the hysteroscopic repair of cesarean scar isthmocele and discuss its association with secondary infertility.

Design: A step-by-step explanation of the procedure with surgical video footage.

Setting: Academic medical center. Read More

Open Access Maced J Med Sci 2018 Jul 22;6(7):1231-1234. Epub 2018 Jun 22.

Al Azhar University, Cairo, Egypt.

Background: Postoperative scarring is a common cause of patients dissatisfaction. Several modalities have been developed to overcome such a problem following surgical repair. Despite precise surgical technique, still, some scars would remain over the time, mostly due to the weak formation or inadequately replaced collagen fibres in the underneath dermis especially those following unilateral or bilateral cleft lip repair surgery. Read More

Oper Orthop Traumatol 2018 Oct 27;30(5):309-320. Epub 2018 Jul 27.

Klinik für Unfallchirurgie, Orthopädie und Plastische Chirurgie, Universitätsmedizin Göttingen, Robert-Koch-Straße 40, 37075, Göttingen, Deutschland.

Objective: Reduction of pathogens in the knee joint by removal of infected periprosthetic soft tissue, irrigation and modular implant exchange of the total knee arthroplasty (TKA) to eliminate the infection and long-term preservation of the TKA.

Indications: Early infection of TKA (<4 weeks postoperatively); acute hematogenous TKA infection (symptom duration <3 weeks).

Contraindications: Delayed (>4 weeks postoperatively) or chronic TKA infection; TKA loosening; difficult-to-treat pathogens; critical soft tissue with draining sinus tract. Read More

Plast Reconstr Surg 2018 08;142(2):192e-201e

Carlsbad and La Jolla, Calif.; Lenexa, Kan.; Eugene and Tualatin, Ore.; Chicago, Ill.; and St. Louis, Mo. From Excaliard Pharmaceuticals; PRA International-KCI; the Jewell Plastic Surgery Center; Connall Cosmetic Surgery; Miller Cosmetic Surgery at Scripps Hospital; the Division of Plastic Surgery, Northwestern University; and Body Aesthetic Plastic Surgery.

Background: Connective tissue growth factor (CTGF) levels are up-regulated in wounded skin and are thought to play a major role in scar formation. An antisense oligonucleotide targeting CTGF was evaluated in adult patients undergoing hypertrophic scar revision surgery, to determine effects on reducing the severity of subsequent scars.

Methods: In a randomized, double-blind, within-subject, placebo-controlled study, 23 female subjects (aged 28 to 55 years) with bilateral, symmetric, hypertrophic surgical scars of the breast underwent scar revision surgery. Read More

Indian J Dermatol Venereol Leprol 2019 Jan-Feb;85(1):18-23

Department of Dermatologist, Inlaks and Budhrani Hospital, Pune, Maharashtra, India.

Several early reports suggested that performance of dermatosurgical procedures in patients on oral isotretinoin is associated with abnormal skin healing, keloid or hypertrophic scar formation. However, this association has been recently questioned in some studies. This review examines this issue, analyzes the studies published and concludes that the recommendation made earlier about the need to avoid dermatosurgical procedures in patients on isotretinoin is based on inadequate and insufficient evidence and hence needs revision. Read More

World Neurosurg 2018 Sep 30;117:377-381. Epub 2018 Jun 30.

Section of Neurological Surgery, Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon.

Background: Vagal nerve stimulators (VNs) have been in use in the United States since the 1990s as a palliative treatment option for drug-resistant epilepsy. Over time, the electrode coils wrapped around the vagus nerve become encapsulated by extensive scar tissue, making complete electrode removal challenging. We present a case series of lead revision surgeries with a unique way to remove the scar tissue around the vagus nerve, demonstrating a technique for complete electrode removal. Read More

Bone Joint J 2018 07;100-B(7):853-861

Orthopedic Department, Schulthess Clinic, Zurich, Switzerland.

Aims: The classical longitudinal incision used for the direct anterior approach (DAA) to the hip does not follow the tension lines of the skin and can lead to impaired wound healing and poor cosmesis. The purpose of this retrospective study was to determine the satisfaction with the scar, and functional and radiographic outcomes comparing the classic longitudinal incision with a modified skin crease 'bikini' when the DAA is used for total hip arthroplasty (THA).

Patients And Methods: A total of 964 patients (51% female; 59% longitudinal, 41% 'bikini') completed a follow-up questionnaire between two and four years postoperatively, including the Oxford Hip Score (OHS), the University of North Carolina '4P' scar scale (UNC4P) and two items for assessing the aesthetic appearance of the scar and symptoms of numbness. Read More

Ann Plast Surg 2018 Sep;81(3):311-315

Plastic, Reconstructive and Aesthetic Surgery Clinic, Sisli Etfal Training and Research Hospital, Istanbul, Turkey.

Background: The goals of tracheostomy scar revision are filling of the depressed area, providing easy sliding of skin over the trachea. There are various techniques described to correct this situation. In this article, a modification of split sternocleidomastoid (SCM) muscle flap used in the correction of posttracheostomy defects is described. Read More

Skinmed 2018 1;16(2):113-117. Epub 2018 Apr 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 3 focuses on scar revision for erythema, hyperpigmentation, and hypopigmentation. Read More

Vet Med Sci 2018 Jun 7. Epub 2018 Jun 7.

Department of Veterinary Clinical Medicine, College of Veterinary Medicine Urbana-Champaign, University of Illinois, Urbana, Illinois.

For canine mast cell tumour (MCT), histopathology reports are one of the main factors considered in the decision-making process regarding need and type of adjunctive therapy. However, considerable variation exists in types of information reported, especially relating to surgical margins. The purpose of this study was to describe and evaluate how information is presented within canine MCT histopathology reports across the United States. Read More

Eur J Radiol 2018 Jul 27;104:71-78. Epub 2018 Apr 27.

Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse, 3010 Bern, Switzerland.

Objectives: To evaluate the appearance and distribution of intra-articular adhesions on direct MR arthrograms (MRA) in symptomatic patients after surgical hip dislocation (SHD) for the treatment of femoroacetabular impingement (FAI).

Methods: All 18 patients (19 hips) who underwent arthroscopic debridement for treatment of symptomatic adhesions after open surgery of FAI between 2003 and 2012 and that had a complete set of pre- and postoperative direct MRA were evaluated. On radial PD-w images, pre- and postoperative osseous alpha angles were measured. Read More

Facial Plast Surg 2018 Jun 1;34(3):290-297. Epub 2018 Jun 1.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, UC Davis Medical Center, Sacramento, California.

Rhinoplasty, as a surgical procedure to improve the appearance of the nose while preserving or improving function, is complicated and difficult to master. Revision cleft rhinoplasty offers another tier of challenge. The symmetry, proportions, and definition of the nose are affected by the native cleft deformity but also previous surgical scars, cartilage grafts, and skin excisions. Read More

Facial Plast Surg 2018 Jun 1;34(3):278-286. Epub 2018 Jun 1.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.

Dissatisfaction with the appearance of the nasal tip is a common compliant in patients seeking revision surgery after rhinoplasty. Revision rhinoplasty is more technically difficult and unpredictable given the frequent presence of scar contracture, impaired skin envelope quality, and missing alar cartilage. This article describes some of the more common causes for tip revision surgery and techniques to address these abnormalities. Read More

JAMA Dermatol 2018 Jun;154(6):708-711

Department of Dermatology, University Clinic of Navarra, Pamplona, Spain.

Importance: Forehead reconstruction after Mohs surgery has become a challenge for dermatology surgeons, and achieving an excellent cosmetic and functional result is imperative in this location.

Objective: To highlight the utility of a frontalis myocutaneous transposition flap (FMTF) for forehead reconstruction after Mohs surgery.

Design, Setting, And Participants: Surgical technique case series including 12 patients with large forehead defects recruited between January 2010 and June 2017 at the Dermatology Department of the University Clinic of Navarra, Spain. Read More

Plast Reconstr Surg 2018 08;142(2):331-336

New York, N.Y. From the Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health.

Background: A primary goal in chest wall reconstruction ("top surgery") for trans men is achieving a symmetric, aesthetically pleasing position of the reconstructed male nipple-areola complex.

Methods: The senior author's (A.H. Read More