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    A Review of Platelet-Rich Plasma: History, Biology, Mechanism of Action, and Classification.
    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

    [Causes prevention and treatment for cerebrospinal leak after lumbar revision surgery].
    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

    Prospective study on the outcome of the sphenoid drill out procedure.
    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

    An Unusual Complication of Bone Wax Utilization.
    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

    Prospective case-control trial evaluating silicone gel for the treatment of direct brow lift scars.
    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

    Fractional COLaser vs Fractional COwith Topical Platelet-rich Plasma in the Treatment of Acne Scars: A Split-face Comparison Trial.
    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 COlasers (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

    Autologous Fat Grafting in the Treatment of Cleft Lip Volume Asymmetry.
    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

    Reinterventions after dynamic intraligamentary stabilization in primary anterior cruciate ligament repair.
    Knee 2018 Jan 29. Epub 2018 Jan 29.
    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

    Molar pregnancy in cesarean section scar: A case report.
    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

    The challenge of nonunion after osteosynthesis of the clavicle: is it a biomechanical or infection problem?
    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

    Versatility of Modified Nasolabial Flap in Oral and Maxillofacial Surgery.
    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

    Reduction of Closed Frontal Sinus Fractures through Suprabrow Approach.
    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

    Use of a Pulsed Radiofrequency Energy Device (PEAK Plasmablade™) in Neuromodulation Implant Revisions.
    World Neurosurg 2018 Jan 9. Epub 2018 Jan 9.
    Department of Neurosurgery, King's College Hospital, London, SE5 9RS, UK.
    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

    Screw migration and oesophageal perforation after surgery for osteosarcoma of the cervical spine.
    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

    Techniques for Optimizing Surgical Scars, Part 2: Hypertrophic Scars and Keloids.
    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

    Cross-sectional Area of the Median Nerve Before Revision Carpal Tunnel Release-A Cross-sectional Study.
    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

    The anatomy of abdominal flap phalloplasty for transgender surgery.
    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

    The anatomy of forearm free flap phalloplasty for transgender surgery.
    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

    The anatomy of the musculocutaneous latissimus dorsi flap for neophalloplasty.
    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

    Thighplasty: improving aesthetics through revival of the medial, horizontal procedure: A safe and scar-saving option.
    J Plast Reconstr Aesthet Surg 2017 Oct 25. 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

    Implantable loop recorders in the real world: a study of two Canadian centers.
    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

    Abductor Digiti Minimi Flap for Vascularized Coverage in the Surgical Management of Complex Regional Pain Syndrome Following Carpal Tunnel Release.
    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

    How to eliminate bilateral cleft lip stigmata 30 year experience.
    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

    Minimal invasive lumbar spine revision surgery at distance from the dura and postsurgical scar tissue: Extraforaminal Lumbar Interbody Fusion (ELIF).
    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

    [Surgical Pathology of Adulthood Epilepsy].
    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

    Koebner phenomenon induced by failed revisional orthopedic surgery but remitted with bone union: A case report.
    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

    Long-term Complications and Surgical Failures After Ossiculoplasty.
    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

    Autologous Tissue Graft in Revision Medial Epicanthoplasty Using Subciliary Fat and Orbicularis Oculi Muscle.
    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

    Posttraumatic Laser Treatment of Soft Tissue Injury.
    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

    ACL suturing using dynamic intraligamentary stabilisation showing good clinical outcome but a high reoperation rate: a retrospective independent study.
    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

    Evaluation of the effectiveness of sodium hyaluronate, sesame oil, honey, and silver nanoparticles in preventing postoperative surgical adhesion formation. An experimental study.
    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

    Early treatment using fractional CO2 laser before skin suture during scar revision surgery in Asians.
    J Cosmet Laser Ther 2017 Sep 12. Epub 2017 Sep 12.
    d Department of General Surgery , The First Affiliated Hospital, School of Medicine, Zhejiang University , Hangzhou , PR , China.
    Fractional COlaser 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. In the present study, we described our experience with fractional COlaser intervention before skin suture during scar revision surgery in Asians, and found the treatment was safe and effective. Read More

    Application of a Modified Pedicled Adipofascial Lateral Arm Flap in the Prevention and Treatment of Radial Nerve Injuries.
    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

    Techniques for Optimizing Surgical Scars, Part 1: Wound Healing and Depressed/Atrophic Scars.
    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

    Orifice Preserving Double Opposing Z-Plasty for Partial Split Ear Lobe Repair: A Review of 25 Cases.
    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

    Safety of non-ablative fractional laser for acne scars within 1 month after treatment with oral isotretinoin: A randomized split-face controlled trial.
    Lasers Surg Med 2017 Dec 29;49(10):886-890. Epub 2017 Aug 29.
    Department of Dermatology, University of Utah School of Medicine, Salt Lake City, Utah, 84132.
    Background And Objective: Based on reports of poor wound healing and scarring, it is currently recommended that patients wait 6 months after completion of oral isotretinoin therapy before the safe initiation of laser treatment. Our aim was to evaluate the safety of non-ablative fractional laser (NAFL) treatment for acne scars within 1 month after isotretinoin therapy.

    Study Design/methods: This was a randomized split-face controlled trial involving 10 patients with acne scars who had completed isotretinoin treatment. Read More

    Lipoabdominoplasty with Progressive Traction Sutures.
    Plast Reconstr Surg Glob Open 2017 Jun 29;5(6):e1338. Epub 2017 Jun 29.
    Clinic Aesthetic Surgery Salta Argentina, Salta Argentina.
    Background: Proactively preserving Scarpa's fascia and thus its intrinsic lymphatic drainage and tensile strength for suture placement can eliminate the need for drains after lipoabdominoplasty and therefore reduce the rate of seroma development. In this article, we describe the effectiveness of a modified progressive traction suture (PTS) technique, which enables us to lessen the most common complications and avoid hospital readmission; these sutures take 3-5 minutes of additional surgery time.

    Methods: Two hundred seventy-six patients (mean age, 38 years; range, 19-67 years), with a mean body mass index of 25 were included in this study. Read More

    Triamcinolone injection for treatment of Mitrofanoff stomal stenosis: Optimizing results and reducing cost of care.
    J Pediatr Urol 2017 Aug 4;13(4):375.e1-375.e5. 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 Oct 14;27(4):352-356. 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 Nov 26;96(12):1370-1377. Epub 2017 Jun 26.
    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

    Complications after prominent ear correction: A systematic review of the literature.
    J Plast Reconstr Aesthet Surg 2017 Aug 20;70(8):1083-1090. Epub 2017 May 20.
    Warwick Medical School, The University of Warwick, Coventry CV4 7AL, United Kingdom; Department of Plastic Surgery, University Hospitals of Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry, CV2 2DX, United Kingdom. Electronic address:
    Background: There is great diversity in reported post-operative outcomes for otoplasty, with the incidence of haematoma or infection ranging from 0% to 15.6% and 0%-10%, respectively. With such variability, it is difficult to determine an overall 'average' incidence of common post-operative complications. 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

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