1,353 results match your criteria Scar Revision

Mechanisms of Soft Tissue Injury.

Facial Plast Surg 2021 May 14. Epub 2021 May 14.

Department of Otolaryngology, Head and Neck Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania.

Soft tissue trauma to the face is challenging to manage due to functional and aesthetic concerns. Management requires careful regional considerations to maintain function such as visual fields and oral competence in periorbital and perioral injuries, respectively. Basic wound management principles apply to facial soft tissue injuries including copious irrigation and tension-free closure. Read More

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Clinical Outcomes Following the Early Application of Multimodal Scar Programs for Facial Incisional Wounds.

Aesthetic Plast Surg 2021 May 10. Epub 2021 May 10.

Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.

Background: Even though scars are major issues for patients who undergo facial lacerations, programs for their prevention and early management are not well established. The purpose of this study was to evaluate the clinical outcomes of prophylactic scar assessments and early scar interventions in patients with lacerations.

Patients And Methods: A total of 116 patients underwent suture line and scar prevention treatment in the emergency room from 2014 to 2015. Read More

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Breast Device Surgery in Australia: Early Results from the Australian Breast Device Registry.

J Plast Reconstr Aesthet Surg 2021 Mar 28. Epub 2021 Mar 28.

School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia. Electronic address:

Background: The Australian Breast Device Registry (ABDR) is a clinical quality registry designed to monitor the performance of breast devices; and the quality and safety of breast device surgery.

Objective: To report on breast device surgery characteristics across Australia.

Methods: Participants were registered patients in the ABDR from 2012 to 2018. Read More

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Treatment results and safety assessment of the LARS system for the reconstruction of the anterior cruciate ligament.

Adv Clin Exp Med 2021 Apr;30(4):379-386

Department of Trauma and Hand Surgery, Faculty of Medicine, Wroclaw Medical University, Poland.

Background: Anterior cruciate ligament (ACL) reconstruction is the prevailing procedure in cases of ACL rupture.

Objectives: To assess the long-term safety of implementing a synthetic ligament with the Ligament Advanced Reinforcement System (LARS) in primary reconstruction of the ACL.

Material And Methods: The retrospective analysis involved 403 patients who had undergone ACL reconstruction with the same results in clinical and functional assessments. Read More

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Total nasal reconstruction with pre-laminated, super-thin anterolateral thigh flap: A case report.

Microsurgery 2021 Apr 22. Epub 2021 Apr 22.

Plastic Reconstructive and Aesthetic Surgery, Manisa Celal Bayar University, Manisa, Turkey.

Many techniques for nasal reconstruction have been described to achieve aesthetically and functionally favorable results. Local tissues, specifically the forehead flap, provide the best tissue match with the nose. However, when local tissue donor sites are limited, alternative options such as free tissue transfers should be considered. Read More

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Utilization of a Newly Designed Asymmetric Dorsal Gull Wing Flap for the Treatment of Postoperative Web Creep After Syndactyly Surgery.

Ann Plast Surg 2021 Apr 5. Epub 2021 Apr 5.

From the Department of Burns and Plastic Surgery, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders; Chongqing Key Laboratory of Pediatrics, Children's Hospital of Chongqing Medical University, Chongqing, P.R. China.

Background: Web creep is the most common long-term complication requiring revision after syndactyly surgery; however, few methods have been reported. The aim of this study was to introduce a newly designed asymmetric dorsal gull wing flap to reconstruct web for the postoperative web creep.

Methods: A retrospective analysis was performed for 20 patients from January 2016 to May 2019. Read More

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A novel local adipofascial flap for the management of recalcitrant ulnar tunnel syndrome.

Hand Surg Rehabil 2021 Apr 1. Epub 2021 Apr 1.

Hand and Microsurgery Unit of the Jewish Hospital of Rome (Ospedale Israelitico), via Fulda 14, 00148 Rome RM, Italy.

Ulnar tunnel syndrome is the second most common upper-limb peripheral nerve compression syndrome. Recurrence or persistence of symptoms after primary surgery is found in 9.9%-21% of cases. Read More

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The Effectiveness of Early Combined CO2 Ablative Fractional Laser and 595-nm Pulsed Dye Laser Treatment After Scar Revision.

J Craniofac Surg 2021 Mar-Apr 01;32(2):629-631

TwoM Aesthetic Plastic Surgery Clinics, Seoul, Republic of Korea.

Abstract: Scars are significant complications of wound healing and associated with negative physical, psychological, and cosmetic effects. Scar revision and laser treatment have been used over the past century to improve many different types of scars. Here, we evaluated the effectiveness of early combined carbon dioxide ablative fractional laser (AFL) and pulsed dye laser (PDL) treatment after scar revision. Read More

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A Meta-Analysis of Complications Associated with Autogenous Dice Cartilage Wrapped in Fascia Used in Nasal Dorsum Augmentation.

Aesthet Surg J 2021 Mar 8. Epub 2021 Mar 8.

Department of Oral and Maxillofacial Surgery, University of Manchester, UK.

Background: Nasal dorsum augmentation is a highly challenging rhinoplastic procedure. Problems encountered in this surgery such as residual humps, irregularities, and asymmetry account for a significant number of revision rhinoplasties.

Objectives: The aim of this meta-analysis is to assess complication rates and graft harvesting site morbidity and revision rates. Read More

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Outcomes of chronic distal biceps reconstruction with tendon grafting: a matched comparison with primary repair.

JSES Int 2021 Mar 19;5(2):302-306. Epub 2020 Dec 19.

The Rothman Institute of Orthopaedics at Thomas Jefferson University Hospitals, Philadelphia, PA, USA.

Background: The purpose of this analysis was to analyze outcomes of distal biceps reconstruction with soft tissue allograft in the setting of chronic, irreparable distal biceps ruptures. The outcomes of these cases were then compared with a matched cohort of distal biceps ruptures that were able to be repaired primarily.

Methods: Retrospective review of an institutional elbow surgery database was conducted. Read More

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Evaluation of scar revision after inadequate primary excision of cutaneous mast cell tumors in 85 dogs (2000-2013).

Vet Surg 2021 May 5;50(4):807-815. Epub 2021 Mar 5.

Department of Clinical Sciences and Advanced Medicine, University of Pennsylvania School of Veterinary Medicine, Philadelphia, Pennsylvania, USA.

Objective: To determine the frequency of residual tumor, and factors associated with local recurrence and disease progression in dogs with incompletely excised mast cell tumors (MCT) following scar revision surgery.

Study Design: Retrospective study.

Animals: Eighty-five dogs. Read More

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Electrochemical Therapy of In Vivo Rabbit Cutaneous Tissue.

Laryngoscope 2021 Mar 5. Epub 2021 Mar 5.

Beckman Laser Institute & Medical Clinic, University of California, Irvine, California, U.S.A.

Objectives: To examine the acid-base and histological changes in in vivo rabbit cutaneous tissue after electrochemical therapy.

Study Design: In vivo rabbit tissue study.

Methods: The shaved skin on the backs of female Oryctolagus cuniculi were assigned to treatments with or without tumescence with normal saline. Read More

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Muscle-Splitting Transaxillary Revision Breast Augmentation-A Single Surgeon's Experience.

Aesthetic Plast Surg 2021 Mar 2. Epub 2021 Mar 2.

Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.

Background: Well discussed in a previous article published by the senior author, primary transaxillary breast augmentation drawbacks include the need to correct complications arising from reuse of the axillary incision which the literature is sparse on. We here discuss a technique in patients who underwent a secondary transaxillary breast augmentation procedure.

Objectives: This study aims to present a technique for transaxillary revision breast augmentation with conversion to a muscle-splitting plane which has the advantage of good upper and medial pole coverage and adequate lower pole expansion. Read More

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Experience of Comprehensive Three Dimensional Epicanthoplasty With Upper Blepharoplasty in Asian Patients.

Ann Plast Surg 2021 03;86(3S Suppl 2):S235-S238

From the Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China.

Purpose: To introduce the experience of comprehensive 3-dimensional epicanthoplsty with upper blepharoplasty in Asian patients.

Methods: The patients who underwent comprehensive 3-dimensional epicanthoplsty with upper blepharoplasty at the Shanghai Ninth People's hospital from January 2018 to January 2019 were included in our study. The interepicanthal distance was evaluated preoperatively and 6 months after the surgery, scar visibility and patient's satisfaction were documented 6 months after the surgery. Read More

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Surgical treatment in child's congenital toe syndactyly: Risk factor of recurrence, complication and poor clinical outcomes.

Foot Ankle Surg 2021 Feb 19. Epub 2021 Feb 19.

Department of Pediatric Orthopedics, Armand-Trousseau Hospital, Sorbonne University, 26 Avenue du Dr-Arnold-Netter, 75012 Paris, France; The MAMUTH Hospital University Department for Innovative Therapies in Musculoskeletal Disease Sorbonne University, Paris, France.

Introduction: Surgical treatment of toe syndactyly remains controversial. The strong demand from parents for a cosmetic release is increasing in our societies. But is it worth it? The objective was to assess medium-long term outcomes and to identify the risk factors of recurrence, complication and poor clinical outcomes. Read More

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February 2021

Sudden cardiac death in HIV-infected patients: A contemporary review.

Venkata A Narla

Clin Cardiol 2021 Mar 16;44(3):316-321. Epub 2021 Feb 16.

Section of Cardiac Electrophysiology, Division of Cardiology, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

HIV-infected individuals have an increased risk of sudden cardiac death compared to the general population; yet the mechanisms underlying this increased risk remain unclear. The mechanisms underlying the heightened sudden cardiac death risk in HIV-infected individuals is likely multifactorial. We reviewed the literature to elucidate and summarize the potential mechanisms contributing to sudden cardiac death in the HIV patient population. Read More

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Modified Z-Epicanthoplasty Based on the Movement and Tension of Medial Canthal Area in Asian Females.

J Craniofac Surg 2021 Feb 12. Epub 2021 Feb 12.

Department of Plastic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Background: Z-epicanthoplasty is a popular method of correcting mild to moderate epicanthal folds. However, it has some limitations, such as, under correction, recurrence, and leaving of a visible scar. This study aimed to modify the traditional Z-epicanthoplasty to optimize its application in correcting severe cases of epicanthal fold. Read More

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February 2021

Classification of Transgender Man's Breast for Optimizing Chest Masculinizing Gender-affirming Surgery.

Plast Reconstr Surg Glob Open 2021 Jan 25;9(1):e3363. Epub 2021 Jan 25.

Plastic Surgery Unit, Hillel Yaffe Medical Center, The Technion, Rappaport Faculty of Medicine, Haifa, Israel.

The purpose of mastectomy for the female-to-male transgender patient is to produce a masculine appearance of the chest. A number of algorithms have been proposed for selecting the surgical technique; these have generally been based on the degree of breast ptosis and the quality and elasticity of the skin. We present a series of subcutaneous mastectomies operated on by 1 surgeon during the last 2 decades. Read More

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January 2021

Age and Body Mass Index Affect Patient Satisfaction Following Reduction Mammoplasty: A Multicenter Study Using BREAST-Q.

Aesthet Surg J 2021 Feb 9. Epub 2021 Feb 9.

Background: Reduction mammoplasty effectively improves quality of life for women with macromastia. However, little is known whether surgical- or patient-related factors affect satisfaction.

Objective: The authors sought to investigate factors associated with altered patient satisfaction following reduction mammoplasty. Read More

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February 2021

Management of Acute Soft Tissue Injuries of the Cheek and Principles of Scar Revision.

Facial Plast Surg 2021 Jan 31. Epub 2021 Jan 31.

Department of Otolaryngology, Head & Neck Surgery, Baylor College of Medicine, Houston, Texas.

Facial soft tissue injury is a challenging and complex problem for the facial plastic and reconstructive surgeon for cosmetic and functional reasons. This article will focus on the management of soft tissue injuries of the cheek, one of the most important presenting areas of the face. The cheek, like any other part of the face, is susceptible to several types of injury and any of these injuries have the potential to disfigure and debilitate. Read More

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January 2021

Advanced technology-driven therapeutic interventions for prevention of tendon adhesion: Design, intrinsic and extrinsic factor considerations.

Acta Biomater 2021 04 27;124:15-32. Epub 2021 Jan 27.

Department of Biomedical Engineering, the Hong Kong Polytechnic University, Hung Hom, Hong Kong, China. Electronic address:

Tendon adhesion formation describes the development of fibrotic tissue between the tendon and its surrounding tissues, which commonly occurs as a reaction to injury or surgery. Its impact on function and quality of life varies from negligible to severely disabling, depending on the affected area and extent of adhesion formed. Thus far, treatment options remain limited with prophylactic anti-inflammatory medications and revision surgeries constituting the only tools within the doctors' armamentarium - neither of which provides reliable outcomes. Read More

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Nasalis-Based V to Y Flap Versus the Bilobed Flap.

Dermatol Surg 2021 May;47(5):618-622

All authors are affiliated with the Department of Dermatology, University of North Carolina School of Medicine, Chapel Hill, North Carolina.

Background: Reconstructing defects on the nose can be challenging. The bilobed transposition flap and the nasalis-based V to Y (NBVY) flaps can be excellent repair options, each with their own advantages and disadvantages.

Objective: To compare bilobed and NBVY flap scar appearances, postoperative complications, scar revision rates, flap sizes, and relative costs. Read More

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A Complication of Mycobacterium chelonae Infection Following Orbital Floor Fracture Repair.

J Craniofac Surg 2021 Jan 7;Publish Ahead of Print. Epub 2021 Jan 7.

University of North Carolina School of Medicine Department of Otolaryngology - Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery Department of Otolaryngology - Head and Neck Surgery, Division of Voice and Swallowing Disorders, University of North Carolina, Chapel Hill, NC.

Abstract: Mycobacterium chelonae is a rare, atypical nontuberculous bacterium that has been reported to be an underlying cause of persistent wound infections. Although there are several studies highlighting the role of M chelonae as the putative cause of other postoperative wound infections, to our knowledge there are no reports of infection following implant placement for repair of an orbital floor fracture. The authors present a unique case describing the management of a persistent postoperative infection in a young, immunocompetent patient with an orbital floor fracture repaired with a Stryker Medpor Titan implant. Read More

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January 2021

A Reverse Orbicularis-Tarsus Fixation Technique in Double-Eyelid Blepharoplasty: A Novel Fixation Technique Different From Park's Technique.

J Craniofac Surg 2021 Jan 5;Publish Ahead of Print. Epub 2021 Jan 5.

Department of Plastic and Reconstructive Surgery, The First Bethune Hospital of Jilin University, Chang Chun, China.

Background: Although Park's "orbicularis-levator fixation technique" has been widely used as a mature double-eyelid surgery in China recently. Shortcomings related to this method cannot be ignored. Thus, a reverse orbicularis-tarsus fixation technique in double-eyelid blepharoplasty has now been devised. Read More

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January 2021

Arthrofibrosis after total knee arthroplasty: patients with keloids at risk.

J Orthop Traumatol 2021 Jan 5;22(1). Epub 2021 Jan 5.

Department of Orthopaedic Surgery, Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA, 70112, USA.

Background: Arthrofibrosis remains one of the leading causes for revision in primary total knee arthroplasty (TKA). Similar in nature to arthrofibrosis, hypertrophic scars and keloid formation are a result of excessive collagen formation. There is paucity in the literature on whether there is an association between keloid formation and the development of arthrofibrosis following TKA. Read More

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January 2021

Prolonged Implantation of Sinus Devices and Implications for Chronic Rhinosinusitis: A Case Report and Review of the Literature.

Surg Case Rep (Tallinn) 2020 Apr 28;3(4). Epub 2020 Apr 28.

Department of Otolaryngology/Head and Neck Surgery, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, United States.

Background: Implantation of sinus stents and spacers can be used as adjuvant management to maintain patency of sinuses after endoscopic sinus surgery for chronic rhinosinusitis. These implants are typically removed several weeks after surgery. We present two cases of different patients who were initially treated by different physicians and were found to have retained sinus spacers in their paranasal sinuses 6-10 years after implantation. Read More

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Paradigms in Complex Facial Scar Management.

Semin Plast Surg 2020 Nov 24;34(4):305-313. Epub 2020 Dec 24.

Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas.

The process of scar formation is a sequela of the healing following soft tissue injury extending to, or through, the reticular dermis. Scars, within the head and neck in particular, may be physically disfiguring with resultant psychosocial implications. Mitigation of excessive scar formation during the healing process following surgery, or in the setting of trauma, begins with meticulous soft tissue handling and reconstructive technique. Read More

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November 2020

Lumbar revision microdiscectomy in patients with recurrent lumbar disc herniation: A single-center prospective series.

Surg Neurol Int 2020 25;11:404. Epub 2020 Nov 25.

Department of Neurosurgery, Neurosurgery Clinic, Birgunj, Nepal.

Background: Recurrent lumbar disc herniation (RLDH) is a common complication following primary microdiscectomy. Notably, revision surgery for recurrent disc herniation typically warrants "aggressive discectomy (AD)" rather than microdiscectomy due to the marked changes in anatomy, including postoperative scar. Here, we prospectively evaluated clinical outcomes of 22 RLDH patients following secondary aggressive discectomy (AD). Read More

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November 2020

Repair of Pediatric Split Earlobe Deformity With Anterior Straight-Line Closure and Posterior Z-Plasty: Surgical Technique and Review of 26 Cases.

Ann Plast Surg 2020 Dec 15;Publish Ahead of Print. Epub 2020 Dec 15.

From the Department of Plastic Surgery, Children's National Hospital Georgetown University George Washington University, Washington, DC.

Background: Split earlobe deformity typically results from earring-related trauma or, less commonly, from congenital malformation. Several surgical approaches to repair the earlobe have been described, with the goals of reconstructing normal contour of the earlobe, avoiding notching of the free margin, and minimizing scar visibility.

Methods: The authors reviewed 26 consecutive patients who underwent earlobe reconstruction using the senior author's novel technique, which involves anterior straight-line closure paired with a posterior Z-plasty. Read More

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December 2020

A modified rabbit model of tracheal stenosis and a household endoscope. More simplicity and accessibility.

Acta Cir Bras 2020 18;35(11):e351104. Epub 2020 Dec 18.

Master, Full Professor, Department of Pulmonary and Critical Care Medicine, Respiratory Medicine Center of Fujian Province, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China. Substantive scientific and intellectual contributions to the study, conception and design, manuscript preparation and writing, critical revision, final approval.

Purpose: To develop a simpler animal model for benign tracheal stenosis and introduce a low-cost household endoscope for postmodeling endotracheal evaluation.

Methods: Twenty rabbits were randomly divided into a model group (15 rabbits, subjected to transoral nylon brush scraping of the trachea) and a mock group (5 rabbits, merely exempted from scraping), a household endoscope was then introduced for weekly endoscopic examination. Meanwhile, other 15 rabbits (modeling like the model group) underwent batch tracheal resection at different postintervention times for pathological analysis. Read More

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December 2020