1,275 results match your criteria Scar Revision


The Role of Lesser Metatarsophalangeal Joint Arthrodesis for Revision Surgery.

Clin Podiatr Med Surg 2020 Jul 11;37(3):433-445. Epub 2020 May 11.

Unitypoint Health - Iowa Methodist Medical Center, 1200 Pleasant Street, Des Moines, IA 50309, USA.

Revision hammertoe surgery can be extremely challenging for the foot and ankle surgeon given the scar tissue and available osseous and soft tissue. Although not a common procedure, lesser metatarsophalangeal joint arthrodesis is an option for the patient especially in lieu of an amputation. This article describes the current literature and the surgical technique for a lesser metatarsophalangeal joint arthrodesis. Read More

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http://dx.doi.org/10.1016/j.cpm.2020.03.006DOI Listing

The SPF-SPLF Graft: Building the Ideal Dorsum in Revision Rhinoplasty.

Plast Reconstr Surg 2020 Jun;145(6):1420-1424

Bergamo, Italy From private practice.

Achieving a natural appearing dorsum in secondary rhinoplasty remains an elusive goal. An inherent contradiction exists between the two most usually used techniques: solid rib segment and diced cartilage fascia constructs. The former will often cause edge visibility, in addition to potential warping and distortion; the latter prevents from both but may generate obtuse, ill-defined borders with poor shape control, possible contour asymmetries, and often a tubular appearance. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006865DOI Listing

Free tissue transfer for burns reconstruction: A single-site experience.

Burns 2020 Apr 24. Epub 2020 Apr 24.

Department of Plastic and Reconstructive and Burns Surgery, Salisbury NHS Foundation Trust, Odstock Road, Salisbury SP2 8BJ, United Kingdom.

This study reviews free tissue transfer (FTT) surgery for both acute wound and reconstructive scar management of burn injuries at a UK burns unit over a 10-year period. Thirty eight patients underwent 46 FTTs, or free flaps, as part of their burn injury pathway. For the cohort of patients, there was one flap failure, which occurred for a secondary scar reconstruction. Read More

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http://dx.doi.org/10.1016/j.burns.2020.04.001DOI Listing

Biplanar Technique for Breast Implant Replacement through Mastectomy Scar.

Plast Reconstr Surg Glob Open 2020 Apr 24;8(4):e2702. Epub 2020 Apr 24.

Plastic and Reconstructive Surgery Unit, Emek Medical Center, Afula, Israel.

Background: Implant-based breast reconstruction is the most commonly used modality for breast reconstruction. A 2-stage reconstruction is employed when the skin envelope is insufficient. In the first stage, a tissue expander is placed in a pocket created beneath the pectoralis major muscle and an acellular dermal matrix (ADM). Read More

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http://dx.doi.org/10.1097/GOX.0000000000002702DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209901PMC

Facial Artery Musculomucosal Flap for Nasopharyngeal and Oropharyngeal Reconstruction.

Facial Plast Surg Aesthet Med 2020 May 12. Epub 2020 May 12.

Department of Otolaryngology-Head and Neck Surgery, Eastern Virginia Medical School, Norfolk, Virginia, USA.

The facial artery musculomucosal (FAMM) flap is a well vascularized axial flap which has been described for mucosal reconstructions throughout the oral cavity. There are limited data regarding its efficacy in secondary repair of nasopharyngeal stenosis and velopharyngeal insufficiency due previous surgery and scar tissue formation. This study seeks to demonstrate the efficacy of FAMM flap procedure in patients with nasopharyngeal stenosis and velopharyngeal insufficiency. Read More

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http://dx.doi.org/10.1089/fpsam.2019.0001DOI Listing

Secondary Intention Healing After Mohs Surgical Excision as an Alternative to Surgical Repair: Evaluation of Wound Characteristics and Esthetic Outcomes.

Ann Plast Surg 2020 May 7. Epub 2020 May 7.

From the Division of Plastic and Reconstructive Surgery, Department of Surgery.

Background: A multitude of reconstructive options exist for patients after Mohs surgery of cutaneous neoplasms of the head and neck. Secondary intention healing is often overlooked and underused but has numerous advantages, including superior esthetic outcomes compared with surgical reconstruction for wounds that exhibit particular characteristics. The ability to predict cosmetic results based on wound characteristics can greatly help in the decision between surgical repair and secondary intention healing. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002330DOI Listing

Outcomes following surgical management of inguinal-related groin pain in athletes: a case series.

J Hip Preserv Surg 2020 Jan 22;7(1):103-108. Epub 2020 Jan 22.

Rush University Medical Center, Midwest Orthopaedics, 1611 W. Harrison Ave. Suite 300, Chicago, IL 60612, USA.

To determine the outcomes of a limited surgical intervention, consisting of neurolysis, inguinal wall repair and/or adductor debridement of adhesions based on intraoperative findings. Retrospective case series. Outpatient orthopedic/general surgery clinic. Read More

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http://dx.doi.org/10.1093/jhps/hnz068DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7195923PMC
January 2020

The efficacy of dermofat grafts from the groin for correction of acquired facial deformities.

Arch Craniofac Surg 2020 Apr 20;21(2):92-98. Epub 2020 Apr 20.

Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine, Gwangju, Korea.

Background: Posttraumatic acquired facial deformities require surgical treatment, with options including scar revision, fat grafts, implant insertion, and flap coverage. However, each technique has specific advantages and disadvantages.
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http://dx.doi.org/10.7181/acfs.2020.00038DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7206454PMC

Metal hypersensitivity after spinal instrumentation: when to suspect and how to treat.

World Neurosurg 2020 Apr 24. Epub 2020 Apr 24.

Departmen of Neurosurgery, Mayo Clinic, AZ.

Background: Metal hypersensitivity is a rare complication after spinal implant placement but is related to significant clinical challenges including implant failure and poor wound healing. The incidence is likely underreported secondary to challenges with diagnosis and retreatment options.

Case: We present a case of a 41 year old woman with metal hypersensitivity 6 years status post Anterior Lumbar Interbody Fusion (ALIF) after a previously failed revision procedure who presented with low back pain and abdominal pain with food intolerance. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.04.093DOI Listing

Dual-plane epicanthoplasty in Chinese blepharoplasty.

J Cosmet Dermatol 2020 Apr 21. Epub 2020 Apr 21.

The 3rd Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Background: The ethnically characteristic upper eyelids of many Chinese individuals include medial epicanthal folds, substantial fatty tissue, a laxity of pretarsal skin, and a lack of superior palpebral folds. Different epicanthoplasty techniques have been described in the literature. However, postoperative medial canthal scarring remains a concern. Read More

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http://dx.doi.org/10.1111/jocd.13418DOI Listing

Surgical Method of a Corner Mouth Lift.

Authors:
Tae-Kwang Jeong

Plast Reconstr Surg Glob Open 2020 Feb 26;8(2):e2653. Epub 2020 Feb 26.

HB Plastic Clinic, Seoul, Korea.

Background: The mouth and perioral area play a primary role in emotional expression, and these are among the most important areas projecting youth and attractiveness. A downturned corner of the mouth presents negative feelings such as sadness, depression, and tiredness. A corner mouth lift (CML) may restore more attractive and youthful appearance, which can favorably affect first impression, self-esteem, and the quality of life in patients. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002653DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7159959PMC
February 2020

A Systematic Review of Picosecond Laser in Dermatology: Evidence and Recommendations.

Lasers Surg Med 2020 Apr 13. Epub 2020 Apr 13.

Wellman Center for Photomedicine, Massachusetts General Hospital, 50 Blossom Street, Boston, Massachusetts, 02114.

Background And Objectives: The use of picosecond laser in dermatology was originally focused on optimizing the removal of unwanted tattoos. Subsequent advances in this technology have broadened its clinical indications to include treatment of benign pigmented lesions, photodamage, melasma, and scar revision. In this systematic review, evidence-based recommendations are developed for the use of picosecond laser in dermatology. Read More

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http://dx.doi.org/10.1002/lsm.23244DOI Listing
April 2020
2.619 Impact Factor

Sciatic Nerve Palsy following Curved Periacetabular Osteotomy.

Case Rep Orthop 2020 19;2020:8569285. Epub 2020 Mar 19.

Department of Orthopedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo 650-0017, Japan.

Curved periacetabular osteotomy (CPO) is used for the treatment of dysplastic hips. Previous studies have reported satisfying outcomes and low rate of severe complications associated with this procedure; however, no case of postoperative sciatic nerve palsy has been reported. In this study, we describe a case of postoperative sciatic nerve palsy following CPO due to nerve strangulation by scar tissue without direct injury. Read More

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http://dx.doi.org/10.1155/2020/8569285DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7106866PMC

Eschar removal by bromelain based enzymatic debridement (Nexobrid®) in burns: European consensus guidelines update.

Burns 2020 Mar 30. Epub 2020 Mar 30.

BG Trauma Center, Hand-, Plastic and Reconstructive Surgery, Microsurgery, Burn Center, University of Heidelberg, Ludwigshafen, Germany.

Introduction: Bromelain-based Enzymatic Debridement has been introduced as an additional concept to the burn surgeon's armamentarium and is best indicated for mid-to deep dermal burns with mixed patterns. Increasing evidence has been published focusing on special regions and settings as well as on limitations of Enzymatic Debridement to improve patient care. To better guide Enzymatic Debridement in view of the increasing experience, there is a need to update the formerly published consensus guidelines with user-orientated recommendations, which were last produced in 2017. Read More

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http://dx.doi.org/10.1016/j.burns.2020.03.002DOI Listing
March 2020
1.836 Impact Factor

Exploring perioperative complications of anterior lumber interbody fusion in patients with a history of prior abdominal surgery: A retrospective cohort study.

Spine J 2020 Mar 19. Epub 2020 Mar 19.

Department of Neurosurgery, Center for Spine Health, Neurological Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.

Background Context: Anterior lumbar interbody fusion (ALIF) exposes the anterior aspect of the spine through a retroperitoneal approach. Access to the anterior spine requires mobilization of intra-abdominal viscera/vasculature, which can become complicated as scarring and/or adhesions develop from prior abdominal surgical interventions, increasing risk of intraoperative complications. The literature suggests that "significant prior abdominal surgery" is a relative contraindication of ALIF surgery; however, there is no consensus within the literature as to what defines "major/significant" abdominal surgeries. Read More

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http://dx.doi.org/10.1016/j.spinee.2020.03.009DOI Listing

Subsidence induced recurrent radiculopathy after staged two-level standalone endoscopic lumbar interbody fusion with a threaded cylindrical cage: a case report.

J Spine Surg 2020 Jan;6(Suppl 1):S286-S293

Department of Neurosurgery, University of New Mexico School of Medicine, Albuquerque, NM, USA.

We report a case of subsidence induced recurrence of unilateral L5 and S1 radiculopathy six months following a successful staged two-level endoscopic standalone lumbar interbody fusion using the VARILIF-L™ device. The patient was a 64-year-old female who first underwent outpatient endoscopic fusion L4/5 for failed non-operative care of Grade I spondylolisthesis. Within 11 months from the L4/5 index procedure, she developed symptomatic adjacent segment disease stemming from the L5/S1 level. Read More

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http://dx.doi.org/10.21037/jss.2019.09.25DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063320PMC
January 2020

Prevention of symptomatic neuroma in traumatic digital amputation: A RAND/UCLA appropriateness method consensus study.

Injury 2020 Mar 9. Epub 2020 Mar 9.

Hand Surgery and Reconstructive Microsurgery Department. ASST Gaetano Pini - CTO, P.zza A. Ferrari 1, 20122 Milan, Italy. Electronic address:

Introduction: The appearance of a symptomatic neuroma following finger amputation is a devastating consequence for patient's quality of life. It could be cause of chronic neuropathic pain. The prevention of neuroma formation is a challenging effort for hand surgeons. Read More

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http://dx.doi.org/10.1016/j.injury.2020.03.018DOI Listing

Early Complication of Humeral Derotational Osteotomy Surgery for Obstetric Brachial Plexus as Salvage for a Failed Tendon Transfer. Case Report.

Maedica (Buchar) 2019 Dec;14(4):418-421

Peripheral Nerve & Brachial Plexus Surgery Program, Department of Physiotherapy, University of Buenos Aires School of Medicine, Argentina.

In brachial plexus injuries, external rotation in patients with a moderate to severe glenohumeral dysplasia is corrected with derotational humeral osteotomy surgery. The most frequent complications described for this procedure include keloid scar, loss of external rotation secondary to bone remodelling, loss of internal rotation, prominence of osteosynthesis, fracture distal to the plate transient ulnar paraesthesia and radial nerve palsy (1), and delayed union and non-union. Rarely, treating complications associated with derotational humeral osteotomy may require revision of osteosynthesis (2). Read More

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http://dx.doi.org/10.26574/maedica.2019.14.4.418DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7035438PMC
December 2019

Early cicatricial lagophthalmos release with pentagonal wedge resection of the scar, fat redistribution, and full-thickness skin grafting.

Arch Craniofac Surg 2020 Feb 20;21(1):49-52. Epub 2020 Feb 20.

Department of Plastic and Reconstructive Surgery, Hallym University Hangang Sacred Heart Hospital, Seoul, Korea.

The specialized structure of the upper eyelid ensures complete closure of the eye and eyeball sealing. An upper eyelid injury can cause various symptoms associated with eyeball trauma, not just scar formation or eyelid deformity. In this report, we describe a case of lagophthalmos observed after wound repair in a patient with a crushing injury caused by a grinder. Read More

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http://dx.doi.org/10.7181/acfs.2019.00584DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7054186PMC
February 2020

Diagnostic accuracy of CT scan-based criteria compared with surgical exploration for the analysis of cervical fusion and nonunion.

J Neurosurg Spine 2020 Mar 6:1-7. Epub 2020 Mar 6.

2Department of Neurosurgery, Klinikum rechts der Isar, Technical University Munich, Germany.

Objective: Computed tomography (CT) scans are accepted as the imaging standard of reference to define union after anterior cervical discectomy and fusion (ACDF). However, ideal CT criteria to diagnose union have not been identified or validated. The objective of this study was to analyze the diagnostic value of 9 CT-based criteria and identify the ideal criteria among them to assess cervical fusion after ACDF using surgical exploration as the standard of reference. Read More

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http://dx.doi.org/10.3171/2019.12.SPINE191011DOI Listing

Autologous breast reconstruction in older women: A retrospective single-centre analysis of complications and uptake of secondary reconstructive procedures.

J Plast Reconstr Aesthet Surg 2020 May 13;73(5):856-864. Epub 2019 Dec 13.

Department of Plastic Surgery, John Radcliffe Hospital, Oxford University Hospitals Foundation Trust, Oxford, United Kingdom.

Background: Women aged ≥65 years have the highest age-specific rates of breast cancer incidence in the UK. However, national audit results demonstrate that the rates of post-mastectomy breast reconstruction offered to and performed on this age group are considerably lower than in younger women (Jeevan, 2009). This discrepancy may arise from unsubstantiated concerns over greater medical and surgical risk in older patients (James, 2015). Read More

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http://dx.doi.org/10.1016/j.bjps.2019.11.039DOI Listing

Comparison of lateral surgical margins of up to two centimeters with margins of three centimeters for achieving tumor-free histologic margins following excision of grade I or II cutaneous mast cell tumors in dogs.

J Am Vet Med Assoc 2020 Mar;256(5):567-572

Objective: To determine whether conservative lateral surgical margins (equal to tumor diameter for tumors < 2 cm in diameter or 2 cm for larger tumors) were noninferior to wide (3-cm) lateral surgical margins for achieving tumor-free histologic margins following excision of grade I and II cutaneous mast cell tumors (MCTs) in dogs.

Animals: 83 grade I and II MCTs excised with a deep surgical fascial margin and requisite lateral surgical margins from 68 dogs from 2007 to 2017. Tumors representing scar revision or local recurrence were excluded. Read More

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http://dx.doi.org/10.2460/javma.256.5.567DOI Listing

Outcomes of Pediatric Syndactyly Repair Using Synthetic Dermal Substitute.

J Hand Surg Am 2020 Feb 12. Epub 2020 Feb 12.

Department of Orthopaedic Surgery, Washington University School of Medicine, Saint Louis, MO.

Purpose: Full-thickness skin grafts are classically used for areas of skin deficit in syndactyly reconstruction surgery. However, skin grafting requires additional time under anesthesia and includes donor site morbidity. Synthetic dermal substitute has produced favorable web creep and scar appearance outcomes in syndactyly reconstruction. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.12.005DOI Listing
February 2020

Development of Primary Diffuse Large B-Cell Lymphoma Around an Internal Fixation Implant After Lumbar Fusion Surgery: A Case Report and Review of the Literature.

World Neurosurg 2020 May 5;137:140-145. Epub 2020 Feb 5.

Department of Spinal Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China.

Background: Diffuse large B-cell lymphoma (DLBCL) is the most commonly diagnosed primary non-Hodgkin lymphoma of the spine and can induce spinal compression. Reports of lymphoma arising in bone adjacent to metallic prostheses are increasing. However, to our knowledge, DLBCL arising from a scar after lumbar fusion surgery has not been reported previously. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.01.227DOI Listing

CSF goes astray no matter what is in the way: occipital intradiploic pseudomeningocele and de novo syringomyelia following foramen magnum decompression for Chiari I malformation in a pediatric patient.

J Neurosurg Pediatr 2020 Feb 7:1-6. Epub 2020 Feb 7.

1Department of Pediatric Neurosurgery, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, United Kingdom; and.

Nontraumatic intradiploic pseudomeningoceles and de novo syringomyelia formation are very rare entities. The authors have previously reported the case of a 4-year-old girl who underwent foramen magnum decompression without dural closure for Chiari I malformation. Three years after the operation an intradiploic pseudomeningocele was documented, but the patient was lost to follow-up without undergoing revision surgery. Read More

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http://dx.doi.org/10.3171/2019.12.PEDS19427DOI Listing
February 2020

Four Challenges in Revision Total Knee Arthroplasty: Exposure, Safe and Effective Component Removal, Bone Deficit Management, and Fixation.

Instr Course Lect 2019 ;68:217-230

With utilization of both primary and revision total knee arthroplasty projected to increase in coming decades particularly in younger, more active patients, a determination of best surgical practices is vital to meet the burden of demand. Four challenges in surgical techniques for revision total knee arthroplasty include surgical exposure, careful removal of components, bone deficit management, and fixation options. Surgical exposure may be more complicated in patients presenting for revision who have a history of multiple prior surgeries, infection, scar tissue formation, stiffness, ligamentous deficiency, or vascular compromise. Read More

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February 2020

A Split-Scar Study Investigating the Effectiveness of Early Intervention With Electroabrasion on Improving the Cosmetic Appearance of Postsurgical Scars.

Dermatol Surg 2020 Feb 4. Epub 2020 Feb 4.

Dermatology, Dermatologic and Mohs Micrographic Surgery, University of California San Diego, San Diego, California.

Background: Electroabrasion, which uses an in-office electrosurgical device, is a method of surgical planning that ablates the skin to the papillary dermis. Several reports demonstrate that intraoperative ablative interventions with lasers or dermabrasion can modulate scar formation more effectively. This investigation uses electroabrasion intraoperatively to mitigate scar formation. Read More

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http://dx.doi.org/10.1097/DSS.0000000000002324DOI Listing
February 2020

Outcome, Complications, and Body Mass Index Correlation of Horizontal and Combined Horizontal and Vertical Thigh Lift: A 16-year Single-center Experience.

J Cutan Aesthet Surg 2019 Oct-Dec;12(4):231-236

Department of Plastic and Aesthetic, Reconstructive and Hand Surgery, AGAPLESION Markus Hospital Frankfurt, Frankfurt, Germany.

Background: Thigh lift is a procedure used within the aesthetic as well as the post-bariatric field of surgery as it focuses on reducing excess lipodermal tissue within the medial thigh area. Depending on the specific area of excess tissue, common thigh lifting procedures include horizontal (H) and combined horizontal and vertical (HV) tissue reduction.

Aims And Objectives: The aim of this study was the analysis of outcome of H and HV thigh lift procedures, including evaluation of comorbidities and complications. Read More

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http://dx.doi.org/10.4103/JCAS.JCAS_115_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6967163PMC
February 2020

Autologous Costal Cartilage Harvest for Rhinoplasty with Simultaneous Breast Surgery: A Safe and Efficient Technique.

Aesthet Surg J 2020 Jan 20. Epub 2020 Jan 20.

Roxbury Clinic and Surgery Center, University of Southern California, Los Angeles, CA.

Background: Autologous costal cartilage is frequently required for revision rhinoplasties and for challenging primary rhinoplasties. Patients undergoing a concomitant breast surgery can have costal cartilage harvested through their breast surgery incisions, thereby obviating an additional rib harvest scar. The safety and efficacy of this approach has yet to be described. Read More

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http://dx.doi.org/10.1093/asj/sjaa016DOI Listing
January 2020

The Free Serratus-Rib Flap for Orbital Floor Reconstruction After Oncologic Resection.

Ann Plast Surg 2020 Apr;84(4):409-412

From the Department of Plastic Surgery, Ohio State University Wexner Medical Center, Columbus, OH.

Introduction: Maxillary cancer is relatively rare but devastating for those affected with the disease. For patients who require suprastructural or total maxillectomy for oncologic resection, the resection of the orbital floor can be challenging to reconstruct. The serratus-rib flap is a well-known and useful method of head and neck reconstruction, albeit infrequently used. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002052DOI Listing

Depressed forehead scar: a case report and review of literature.

J Surg Case Rep 2019 Dec 28;2019(12):rjz368. Epub 2019 Dec 28.

Division of Burns and Plastic Surgery, Department Of Surgery, University of Calabar, Nigeria.

Depressed forehead scars are not frequently reported in the literature in the West African sub-region. Although they are not commonly reported, few cases were managed and are to be documented. We had seen a case of depressed forehead scar which was due to post frontal avulsion injury of the forehead with an intact posterior table of the frontal bone. Read More

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http://dx.doi.org/10.1093/jscr/rjz368DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6936741PMC
December 2019

Refinements of the application of paramedian forehead flap in nasal defects repair in Asian patients.

J Cosmet Dermatol 2019 Dec 27. Epub 2019 Dec 27.

Department of Plastic Surgery, Peking Union Medical College Hospital, Beijing, China.

Background: Due to the relatively higher tendency of postsurgery scars, insufficient cartilage support, and low surgical acceptability, nasal defect repair with forehead flap in Asian patients needs further study.

Objective: We aim to determine the necessity of tissue expansion, timing of pedicle division, and the importance of cartilage scaffold reinforcement and scar prevention at the donor site during nasal reconstruction in Asian patients with paramedian forehead flap.

Methods: A retrospective analysis was performed on patients who underwent nasal reconstruction with forehead flap at our hospital from January 2013 to January 2018. Read More

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http://dx.doi.org/10.1111/jocd.13273DOI Listing
December 2019

The effect of Allium sativum in experimental peritoneal adhesion model in rats.

Acta Cir Bras 2019 9;34(10):e201901002. Epub 2019 Dec 9.

MD, Department of General Surgery, Health Sciences University, Umraniye Research and Education Hospital, Istanbul, Turkey. Acquisition, analysis and interpretation of data, technical procedures, statistics analysis, manuscript writing, critical revision, final approval.

Purpose: To evaluate the effect of garlic on formation of postoperative adhesions in rats.

Methods: Twenty-four Sprague dawley rats were divided into three groups. In Group 1 (sham), laparotomy was performed and stitched up. Read More

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http://dx.doi.org/10.1590/s0102-865020190100000002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6907884PMC
February 2020

The Physician's Guide to Platelet-Rich Plasma in Dermatologic Surgery Part II: Clinical Evidence.

Dermatol Surg 2020 Apr;46(4):447-456

Carruthers & Humphrey Cosmetic Dermatology, Vancouver, British Columbia, Canada.

Background: Platelet-rich plasma (PRP) is an increasingly popular treatment modality for various dermatologic conditions, but there are limitations in both the published literature and clinician knowledge.

Objective: To create a high-yield, in-depth analysis of PRP in procedural dermatology by reviewing available data on its role in hair restoration, soft-tissue remodeling, resurfacing, and rejuvenation; identifying practice gaps and controversies; and making suggestions for future research that will establish dermatologists as pioneers of regenerative medicine.

Materials And Methods: A two-part systematic review and expert analysis of publications before October 2018. Read More

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http://dx.doi.org/10.1097/DSS.0000000000002148DOI Listing

Pedicled local flaps: a reliable reconstructive tool for partial breast defects.

Gland Surg 2019 Oct;8(5):527-536

Plastic and Reconstructive Surgery Division, Good Hope Hospital, University Hospitals Birmingham NHS Trust, Birmingham, UK.

Background: Breast conserving surgery (BCS) followed by radiotherapy has gained great popularity in the treatment of breast cancer over the past years. However, radiation therapy can lead to many unfavourable aesthetic outcomes including significant volume/skin deficiency, nipple areola complex distortion and skin contraction. We present our experience in using pedicled perforator flaps to tackle the resultant partial breast defects or deformities. Read More

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http://dx.doi.org/10.21037/gs.2019.09.06DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6842754PMC
October 2019

Revision surgery in thoracic disc herniation.

Eur Spine J 2020 Feb 16;29(Suppl 1):39-46. Epub 2019 Nov 16.

Neurochirurgische Praxis, Zeppelinstr. 24, 61352, Bad Homburg, Germany.

Purpose: Surgical treatment failures or strategies for the reoperation of residual thoracic disc herniations are sparsely discussed. We investigated factors that led to incomplete disc removal and recommend reoperation strategies.

Methods: As a referral centre for thoracic disc disease, we reviewed retrospectively the clinical records and imaging studies before and after the treatment of patients who were sent to us for revision surgery for thoracic disc herniation from 2013 to 2018. Read More

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http://dx.doi.org/10.1007/s00586-019-06212-wDOI Listing
February 2020

Long-Term Outcomes of the Minimal Skin Incision Technique for Correcting Severe Microform and Minor-Form Cleft Lip With Philtrum Reconstruction Through the Intraoral Incision.

J Craniofac Surg 2020 Jan/Feb;31(1):79-84

Department of Plastic and Reconstructive Surgery, Kyungpook National University, School of Medicine, Daegu, Republic of Korea.

Background: Because the traditional technique is known to cause visible scarring, it is challenging to yield optimal outcomes while treating a severe type of microform and minor-form cleft lip. The authors present a new refined technique with minimal skin incision and philtrum formation through an intraoral incision.

Methods: The surgical technique involves single Z-plasty or double or triple unilimb Z-plasty to restore an elevated cupid's bow peak and overlapping of an orbicularis oris muscle flap to create the philtrum through an intraoral incision. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005963DOI Listing

The Physician's Guide to Platelet-Rich Plasma in Dermatologic Surgery Part I: Definitions, Mechanisms of Action, and Technical Specifications.

Dermatol Surg 2020 Mar;46(3):348-357

Carruthers & Humphrey Cosmetic Dermatology, Vancouver, British Columbia, Canada.

Background: Platelet-rich plasma (PRP) is an increasingly popular treatment modality for various dermatologic conditions, but there are limitations in both the published literature and clinician knowledge.

Objective: To create a high-yield, in-depth analysis of PRP in procedural dermatology by reviewing available data on its role in hair restoration, soft-tissue remodeling, resurfacing, and rejuvenation; identifying practice gaps and controversies; and making suggestions for future research that will establish dermatologists as pioneers of regenerative medicine.

Materials And Methods: A 2-part systematic review and expert analysis of publications before October 2018. Read More

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http://dx.doi.org/10.1097/DSS.0000000000002147DOI Listing

The Pectoralis Major Island Flap: Short Scar Modified Muscle-Sparing Harvesting Technique Improves Aesthetic Outcome in Reconstructive Head and Neck Surgery.

ORL J Otorhinolaryngol Relat Spec 2019;81(5-6):327-337. Epub 2019 Nov 7.

Department of Plastic, Reconstructive, and Aesthetic Surgery, Medical University of Innsbruck, Innsbruck, Austria.

Background: Pectoralis major flap reconstruction is often associated with large unappealing scars in head-neck surgery. We recently established an alternative harvesting technique that improves aesthetic outcome.

Objectives: The objective of this study was to demonstrate a modified surgical technique that harvests the pectoralis major muscle as an island flap and focuses on minimizing incision lines and applying a muscle-sparing approach. Read More

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http://dx.doi.org/10.1159/000503008DOI Listing
November 2019

Functional Outcomes and Complications Following Pectoralis Major Tendon Allograft Reconstruction in a Military Population.

Orthop J Sports Med 2019 Oct 23;7(10):2325967119878709. Epub 2019 Oct 23.

Department of Orthopaedic Surgery, School of Medicine, Wake Forest University, Winston-Salem, North Carolina, USA.

Background: There are limited data available regarding outcomes following pectoralis major tendon (PMT) reconstruction with allograft.

Purpose: To evaluate the functional outcomes and complication profile following PMT reconstruction with allograft in a military population.

Study Design: Case series; Level of evidence, 4. Read More

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http://dx.doi.org/10.1177/2325967119878709DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6811763PMC
October 2019
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Transaxillary Endoscopic Approach to Capsular Contracture Following Previous Breast Augmentation: Operative Technique and Clinical Outcome.

Aesthetic Plast Surg 2020 02 30;44(1):28-34. Epub 2019 Oct 30.

The Dynamic Team, Beijing, 100084, China.

Background: Capsular contracture (CC) is a complication of breast augmentation that frequently requires revision surgery. The axillary approach reduces the visibility of the postoperative scar. It is unclear whether the previous incision can be used to repair the deformity caused by CC. Read More

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http://dx.doi.org/10.1007/s00266-019-01525-zDOI Listing
February 2020
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Conservative Re-excision is a Safe and Simple Alternative to Radical Resection in Revision Surgery for Dermatofibrosarcoma Protuberans.

Ann Surg Oncol 2020 Mar 29;27(3):919-923. Epub 2019 Oct 29.

Sarcoma and Melanoma Unit, Academic Surgery, The Royal Marsden Hospital, London, UK.

Background: Dermatofibrosarcoma protuberans (DFSP) is a dermal sarcoma often diagnosed by excision biopsy, and is often incompletely excised, with high recurrence rates. Traditional wide excision involves resection margins of 2-4 cm, often resulting in morbid procedures requiring surgical reconstruction. An alternative is conservative re-excision (CRE), which results in narrower margins and less-frequent reconstruction. Read More

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http://dx.doi.org/10.1245/s10434-019-08011-5DOI Listing
March 2020
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Revision after failed discectomy.

Eur Spine J 2020 Feb 29;29(Suppl 1):14-21. Epub 2019 Oct 29.

Spine Center, Schön Klinik München Harlaching, Harlachinger Strasse 51, 81547, Munich, Germany.

Purpose: Recurrent lumbar disc herniation is the most common complication after discectomy. Due to the altered anatomy with the presence of scar tissue, the surgical revision of already operated patients could be a surgical challenge.

Methods: We describe the microsurgical revision technique step by step with the evaluation of our own clinical results in comparison with primary lumbar disc surgeries. Read More

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http://dx.doi.org/10.1007/s00586-019-06194-9DOI Listing
February 2020

Lingual frenuloplasty with myofunctional therapy: Exploring safety and efficacy in 348 cases.

Laryngoscope Investig Otolaryngol 2019 Oct 26;4(5):489-496. Epub 2019 Aug 26.

Division of Sleep Surgery, Department of Otolaryngology-Head & Neck Surgery Stanford University School of Medicine Stanford California U.S.A.

Background: Ankyloglossia is a condition of altered tongue mobility due to the presence of restrictive tissue between the undersurface of the tongue and the floor of mouth. Potential implications of restricted tongue mobility (such as mouth breathing, snoring, dental clenching, and myofascial tension) remain underappreciated due to limited peer-reviewed evidence. Here, we explore the safety and efficacy of lingual frenuloplasty and myofunctional therapy for the treatment of these conditions in a large and diverse cohort of patients with restricted tongue mobility. Read More

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http://dx.doi.org/10.1002/lio2.297DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6793603PMC
October 2019
22 Reads

Can It Be Safe and Aesthetic? An Eight-year Retrospective Review of Mastopexy with Concurrent Breast Augmentation.

Plast Reconstr Surg Glob Open 2019 Jun 12;7(6):e2272. Epub 2019 Jun 12.

Department of Plastic Surgery, Louisiana State University, New Orleans, La.

Background: The safety of concurrently performing mastopexy and breast augmentation is controversial, due to the risk of breast tissue and nipple neurovascular compromise and overall potential high complications rates. This article describes a concurrent procedure of augmentation with implants and a "Tailor-Tack" mastopexy that consistently achieves an aesthetically pleasing breast with acceptable complication rates.

Methods: This is a retrospective chart review of all consecutive breast augmentations performed concurrently with mastopexy using the "Tailor-Tack" technique by the 2 senior authors (M. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002272DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6635184PMC
June 2019
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Laser Therapy of Traumatic and Surgical Scars and an Algorithm for Their Treatment.

Lasers Surg Med 2020 Feb 17;52(2):125-136. Epub 2019 Oct 17.

Department of Dermatology, University of Texas MD Anderson Cancer Center, University of Texas, McGovern Medical School, 6655 Travis St. #700, Houston, Texas, 77030.

Background And Objectives: This paper describes the laser techniques available for the treatment of surgical and trauma scars and develops recommendations for an algorithmic-based treatment approach based on extensive clinical experience and published data.

Study Design/materials And Methods: We reviewed the literature regarding laser treatment of surgical and traumatic scars and incorporated the clinical experience of the authors to develop an algorithm for the treatment of surgical and trauma scars.

Results: In order to develop treatment recommendations, scars were differentiated based on their clinical characteristics. Read More

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http://dx.doi.org/10.1002/lsm.23171DOI Listing
February 2020
2 Reads

Demineralized Bone Matrix and Resorbable Mesh Bilaminate Cranioplasty Is Ineffective for Secondary Reconstruction of Large Pediatric Cranial Defects.

Plast Reconstr Surg 2020 01;145(1):137e-141e

Pittsburgh and Philadelphia Pa.; and Baystate, Mass. From the Department of Plastic Surgery, University of Pittsburgh, Children's Hospital of Pittsburgh of the University of Pittsburgh Medical Center; the University of Massachusetts-Baystate, Baystate Medical Center; and the Drexel University College of Medicine.

Replacement of the autologous bone flap after decompressive craniectomy can be complicated by significant osteolysis or infection with large defects over scarred dura. Demineralized bone matrix is an alternative to autologous reconstruction, effective when reconstructing large defects using a resorbable mesh bilaminate technique in primary cranioplasty, but this technique has not been studied for revision cranioplasty and the setting of scarred dura. Retrospective review was performed of patients receiving demineralized bone matrix and resorbable mesh bilaminate cranioplasty for postdecompressive craniectomy defects. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006386DOI Listing
January 2020

Multilevel Breast Reduction: A Retrospective Study of 338 Breast Reduction Surgeries.

Plast Reconstr Surg Glob Open 2019 Aug 30;7(8):e2427. Epub 2019 Aug 30.

Borenstein Plastic Surgery Clinic, Tel-Aviv, Israel.

Aesthetic breast reduction is a common plastic surgery procedure with the potential for considerable improvement of the patient's quality of life in addition to its aesthetic value. Many different approaches have been described for breast reduction to improve upon previous techniques in terms of scarring, nipple position, amount of breast tissue excised, shape, and longevity of the results. However, medium size resections in ptotic and wide breasts are difficult to treat using both the most common inferior pedicle wise procedure and the various vertical scar techniques. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002427DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6756655PMC

Neck Deformities in Plastic Surgery.

Facial Plast Surg Clin North Am 2019 Nov;27(4):529-555

Department of Plastic Surgery, University of Louisville, 132 Chenoweth Lane, Louisville, KY 40207, USA.

This article provides facial plastic surgeons with the insight to avoid and address common pitfalls in neck procedures. Many aesthetic issues are created from overtreatment or undertreatment of components of the neck. Using the platysma muscle as the divide, ease of access to superficial anatomy leads to overtreatment problems, whereas difficulty of access to deeper structures leads to undertreatment problems and to overall imbalances. Read More

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http://dx.doi.org/10.1016/j.fsc.2019.07.009DOI Listing
November 2019
8 Reads

Management of Surgical Scars.

Facial Plast Surg Clin North Am 2019 Nov;27(4):513-517

Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, University of Illinois at Chicago-College of Medicine, 1855 West Taylor Street, Suite 2.42 (MC 648), Chicago, IL 60612, USA.

An ideal scar is flat, thin, and color matched to the surrounding skin. Incision planning, skin closure, and postoperative care are vital to create an inconspicuous scar. Depressed, hypertrophic, and keloid scars each pose unique challenges to the facial plastic surgeon. Read More

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http://dx.doi.org/10.1016/j.fsc.2019.07.013DOI Listing
November 2019
1 Read