1,436 results match your criteria Scar Revision

Performance-optimized otoplasty.

BMC Surg 2022 May 14;22(1):182. Epub 2022 May 14.

Orelhinha Institute, 55 Oriente ST, Chácara da Barra, Campinas, São Paulo, 13090-740, Brazil.

Objectives: This study proposes a new surgical alternative for the most common deformity in the ears, the so-called "protruding/prominent ears", which is a condition that affects 5% of the Caucasian population (Goulart et al. in Rev Bras Cir Plast 26:602-607, 2011). This technique comes with the benefits of reduced surgical time, shallow learning curve, and a low revision rate. Read More

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[Research progress of causes and strategies in revision surgery for atlantoaxial dislocation].

Zhongguo Gu Shang 2022 May;35(5):495-9

Department of Spinal Surgery, China-Japan Friendship Hospital, Beijing 100029, China.

Atlantoaxial dislocation (AAD) is a kind of life-threatening atlantoaxial structural instability and a series of neurological dysfunction caused by common multidisciplinary diseases. The operation risk is extremely high because it is adjacent to the medulla oblongata and the location is deep. With the increase of the number of operations in the upper cervical region, postoperative complications such as failure of internal fixation, non fusion of bone graft and poor prognosis gradually increase. Read More

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Safety of Percutaneous Femoral Access for Endovascular Aortic Aneurysm Repair Through Previously Surgically Exposed or Repaired Femoral Arteries.

J Endovasc Ther 2022 May 6:15266028221092980. Epub 2022 May 6.

Department of Vascular Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.

Objective: Percutaneous femoral artery access is being increasingly used in endovascular aortic repair (EVAR). The technique can be challenging in patients with previously surgically exposed or repaired femoral arteries because of excessive scar tissue. However, a successful percutaneous approach may cause less morbidity than a "re-do" open femoral approach. Read More

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Are tie-over bolster dressings necessary for healing or success of full thickness skin graft reconstruction following facial skin cancer excision?

Br J Oral Maxillofac Surg 2022 Mar 12. Epub 2022 Mar 12.

Royal Surrey County Hospital, Egerton Rd, Guildford GU2 7XX, United Kingdom. Electronic address:

Skin grafts are commonly used for reconstruction of defects following excision of facial skin cancers. Tie-over bolster dressings are routinely placed to secure these grafts, but are they necessary for healing or graft success?A total of 96 patients was treated from 2013-2019 who underwent full thickness skin graft (FTSG) reconstruction following facial skin cancer excision were retrospectively analysed. All patients were treated by one consultant with non-fenestrated FTSG's placed on defects varying from 10 to 55mm in maximum diameter. Read More

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Significant epidural electrode migration out of the spinal canal due to prolonged latent infection of the spinal cord stimulation hardware.

Pol Merkur Lekarski 2022 Apr;50(296):131-133

Department of Neurosurgery, Institute of Psychiatry and Neurology, Warsaw, Poland.

Electrode migration is one of the most common complication of Spinal Cord Stimulation (SCS). Usually the lead migrates cranio-caudally or laterally and in the vast majority of cases occurs during the first few months after implantation. One method of preventing lead migration is the use of open-surgical insertion of paddle electrodes. Read More

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Oblique Lumbar Interbody Fusion Using a Stand-Alone Construct for the Treatment of Adjacent-Segment Lumbar Degenerative Disease.

Front Surg 2022 1;9:850099. Epub 2022 Apr 1.

Department of Neurosurgery, Xuanwu Hospital of Capital Medical University, Beijing, China.

Objective: Adjacent-segment disease (ASD) is common in patients undergone previous lumbar fusion. A typical revision treatment from posterior approach requires management of postoperative scar tissue and previously implanted instrumentation. An oblique lumbar interbody fusion (OLIF) approach allows surgeon to reduce the potential risk of posterior approach. Read More

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Total Gynecomastia Removal with Layered Closure: A Study of 567 Cases.

Robert C Caridi

Plast Reconstr Surg Glob Open 2022 Apr 13;10(4):e4256. Epub 2022 Apr 13.

Austin Gynecomastia Center, Westlake Plastic Surgery, Austin, Tex.

Conventional teaching dictates subtotal removal of gynecomastia tissue to ensure a cosmetically acceptable result. Modern-day concerns regarding gynecomastia treatment include continued "puffy nipples," possible recurrence, and compromised aesthetic results resulting from incomplete tissue removal. The author practiced complete tissue removal with a layered closure technique to optimize the cosmetic result while addressing treatment complications. Read More

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Resolution of Primary or Recalcitrant Chiari-Associated Syringomyelia Requires Adequate Cerebrospinal Fluid Egress from the Fourth Ventricle.

World Neurosurg 2022 Apr 6;163:24. Epub 2022 Apr 6.

Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston. Electronic address:

Syringomyelia is often resistant to various treatment modalities. Chiari I malformations are associated with syringomyelia in approximately 69% of operative cases. Failure to resolve syringomyelia after Chiari decompression is common. Read More

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Revision and Replacement of Spinal Cord Stimulator Paddle Leads.

Neuromodulation 2022 Apr 4. Epub 2022 Apr 4.

Department of Neurosurgery, Albany Medical College, Albany, NY, USA; Department of Neuroscience and Experimental Therapeutics, Albany Medical College, Albany, NY, USA. Electronic address:

Objectives: Paddle leads for spinal cord stimulation (SCS) offer more efficient energy delivery and advantages in some patients. However, there is concern for how safely SCS paddles can be replaced once previously implanted because of scar tissue and the relative vulnerability of the thoracic cord. In this study, we share our experience on SCS paddle replacement. Read More

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Evolving Clinical Experiences in Aesthetic Hip Implant Body Contouring.

Aesthet Surg J 2022 Apr 5. Epub 2022 Apr 5.

Private practice in Las Vegas, NV.

Background: Hip augmentation increases the hip width using fat transfer and/or subcutaneous implants, creating a more feminine hourglass shape. Custom hip implant surgery requires proper patient selection, correct body frame analysis, appreciation of hip aesthetics, understanding surgical anatomy, optimal aesthetic planning, a favorable implant design and fabrication, skilled surgical implant placement, diligent postoperative patient care, and proper complication management.

Objectives: Evaluate the pioneering clinical experience with cosmetic custom hip silastic implants. Read More

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Severe Bradycardia Occurring After Assisted Mouth Opening: A Case Report.

Anesth Prog 2022 Apr;69(1):46-48

Department of Dental Anesthesiology, School of Dental Medicine Tsurumi University, Kanagawa, Japan.

We report a case of severe bradycardia during general anesthesia due to reduced atrioventricular conduction capacity believed to have been caused by the trigeminocardiac reflex (TCR). A 46-year-old woman was scheduled for intraoral scar revision under general anesthesia. When the surgeon opened her mouth intraoperatively, the patient's blood pressure immediately increased, and she developed significant bradycardia and a transient Mobitz type II second-degree atrioventricular block. Read More

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Innovations in Spinal Endoscopy.

World Neurosurg 2022 Apr;160:138-148

Department of Neurological Surgery, University of Miami, Miami, Florida, USA.

Innovations in spinal endoscopy technology and technique have broadened their applications during the past 10 years. Smaller outer-diameter working-channel endoscopes have permitted safe usage in the cervical spine for full endoscopic decompressions. Endoscopic fusions have now been widely reported, leveraging compatible instrumentation for disc preparation and expandable interbody grafts. Read More

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Triple steps acne scar revision technique: A new combination therapeutic modality for atrophic acne scars.

J Cosmet Dermatol 2022 Mar 29. Epub 2022 Mar 29.

Dermatology, Department of Medicine, College of Medicine, Shaqra University, Dawadmi, Saudi Arabia.

Background: Atrophic acne scarring is an unfortunate, permanent complication of acne vulgaris, associated with significant psychological distress.

Objective: A new complementary treatment of atrophic acne scars using subcision and injection of hybrid cooperative complexes of high and low molecular weight hyaluronan (hybrid H-HA/L-HA).

Methods: This study included eighty-two patients divided into two groups with predominantly atrophic acne scarring. Read More

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Exoscope for Upper Extremity Peripheral Nerve Surgery: Revision Carpal Tunnel Release With Epineurolysis and Hypothenar Fat Flap.

Cureus 2022 Feb 23;14(2):e22539. Epub 2022 Feb 23.

Plastic Surgery, Central Texas Veterans Health Care System, Temple, USA.

The exoscope is a high-resolution three-dimensional external microscope that allows the surgeon to perform delicate dissection in multiple regions of the body. The exoscope was originally used for intracranial and spine surgery. In this article, we describe its novel use in upper extremity peripheral nerve decompression surgery after recurrent carpal tunnel syndrome. Read More

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February 2022

Prospective randomized trial of skin closure for pacemaker implantation: absorbable vs. non-absorbable suture : PRO-PACE.

Herzschrittmacherther Elektrophysiol 2022 Mar 1. Epub 2022 Mar 1.

St. Josefs-Hospital, Beethovenstr. 20, 65189, Wiesbaden, Germany.

Background: Pacemaker implantations have been performed for > 50 years, reaching 1.25 million implants worldwide per year. Despite this, only few randomized studies exist regarding technical aspects of the implantation procedure-in particular, wound closure. Read More

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Multiple Continuous Y-to-V-Plasties for Excision and Reconstruction of Constriction Band Syndrome: Case Series and Description of Surgical Technique.

Plast Reconstr Surg 2022 Apr;149(4):774e-778e

From the Divisions of Plastic and Orthopaedic Surgery, Toronto Western Hospital Hand Clinic, University Health Network, University of Toronto; Orthopaedic Surgery Residency Program, WellSpan York Hospital; and Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine.

Background: Many patients with constriction band syndrome will seek treatment to improve limb function and cosmesis. Although several techniques for excision are reported, cosmetic and functional deficits can persist, including hourglass deformity, lymphedema, and inadequate band excision with resultant neurovascular compromise, which may lead to revision surgery, including amputation. The authors present a novel technique that uses multiple continuous opposing Y-to-V-plasties in a single or staged manner to correct extremity constriction bands. Read More

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Hyaluronic acid gel application versus ovarian suspension for prevention of ovarian adhesions during laparoscopic surgery on endometrioma: a double-blind randomized clinical trial.

BMC Womens Health 2022 02 11;22(1):33. Epub 2022 Feb 11.

Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran.

Background: This study aimed to compare the effect of ovarian suspension and hyaluronic acid gel to prevent re-adhesions after laparoscopic endometrioma surgery.

Methods: This randomized clinical trial was conducted at Rasoul-e-Akram and Pars Hospitals, Tehran, Iran, 2016-18. Fifty patients with bilateral endometrioma and pelvic adhesions, the candidates of laparoscopic surgery, were included. Read More

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February 2022

Burn Scar Ectropion Correction: Surgical Technique for Functional Outcomes.

Ann Plast Surg 2022 03;88(3):271-276

From the Department of Plastic Surgery and Hand Surgery, Burn Center, University Hospital Zurich, Zurich.

Background: Eyelid scarring after severe burn injury of the face is a significant complication endangering vision in addition to the burn scar sequelae. Scar contraction leads to asymmetry and malposition of the eyelid axis, resulting in corneal exposure, eyelid retraction, and incomplete eyelid closure. In consequence, dryness and irritation of the cornea can lead to keratitis, corneal opacity, and vision impairment. Read More

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Combination of 1064 nm Long-Pulsed and Q-Switched Nd:YAG Laser for Facial Hypertrophic Scar and Hyperpigmentation Following Burn Injury.

Int Med Case Rep J 2022 25;15:23-27. Epub 2022 Jan 25.

Department of Plastic Surgery and Reconstruction, Faculty of Medicine, Universitas Padjadjaran - Dr. Hasan Sadikin Hospital, Bandung, Indonesia.

Burn injury is a common type of trauma which causes significant morbidity and mortality. Wound healing following burns can be complicated by the formation of hypertrophic scars and the occurrence of post-inflammatory hyperpigmentation (PIH). Neodymium:yttrium aluminum garnet (Nd:YAG) laser might become one of the treatments of choice for hypertrophic scars and PIH. Read More

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January 2022

The Operation Rainbow Canada Technique for Unilateral Cleft Lip Revision.

Plast Surg (Oakv) 2022 Feb 13;30(1):39-44. Epub 2020 Oct 13.

British Columbia, Canada.

Background: Purpose of this article is to demonstrate the "Operation Rainbow Canada" cleft lip revision technique. This is a surgical technique used by Operation Rainbow Canada on volunteer surgical missions in developing nations. We show how to convert previous Millard or straight line cleft lip repairs to a Fisher anatomic subunit repair, placing a favourable scar along the philtrum. Read More

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February 2022

Breaking the Binary: The Approach to Chest Masculinizing Gender-Affirming Surgery in Trangender Men.

Isr Med Assoc J 2022 Jan;24(1):20-24

Plastic Surgery Unit, Hillel Yaffe Medical Center, Hadera, Israel.

Background: The purpose of mastectomy for the transgender patient is to produce a masculine appearance of the chest. A number of algorithms have been proposed for selecting the surgical technique. A holistic and surgical approach to transgender men includes our experience-based classification system for selecting the correct surgical technique. Read More

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January 2022

Rhinoplasty in a 3 Week Old: Surgical Challenges in the Setting of Severe Congenital Frontonasal Dysplasia.

Ann Otol Rhinol Laryngol 2022 Jan 19:34894211072640. Epub 2022 Jan 19.

Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, University of New Mexico School of Medicine, Albuquerque, NM, USA.

Objectives: Congenital frontonasal dysplasia (CFND) is a rare heterogeneous collection of facial deformities. Due to the range of complexity, surgical management is not standardized.

Methods: We present a severe case of CFND and approach to managing multiple defects with a focus on rhinoplasty. Read More

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January 2022

Two new species of (Poaceae: Bambusoideae) from South China, with a taxonomic revision of related species.

Plant Divers 2021 Dec 24;43(6):492-501. Epub 2021 Mar 24.

Germplasm Bank of Wild Species, Kunming Institute of Botany, Chinese Academy of Sciences, Kunming, Yunnan 650201, China.

Two new species of (Poaceae, Bambusoideae, Arundinarieae) are described and illustrated from Hunan, China. D.Z. Read More

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December 2021

Platelet-Rich Plasma: A Comprehensive Review of Emerging Applications in Medical and Aesthetic Dermatology.

J Clin Aesthet Dermatol 2021 Nov;14(11):44-57

Dr. White is with Dermatology Partners in Strongsville, Ohio.

Platelet-rich plasma (PRP) has been integrated into numerous treatment regimens for medical and aesthetic dermatology. While some of these approaches are well-established, many uses are underreported in the literature. We sought to identify and summarize the emerging dermatologic applications for PRP by conducting a comprehensive PubMed search of studies published between 2000 and 2020. Read More

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November 2021

Sub-brow skin excision Combined with retro-orbicularis fat resection: A Technique for upper eyelid bulkiness and laxity correction.

J Plast Reconstr Aesthet Surg 2022 Apr 27;75(4):1431-1437. Epub 2021 Nov 27.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China. Electronic address:

Background: Many people are characterized by a swollen appearance and loose skin of upper eyelids, especially Asians. Retro-orbicularis oculus fat (ROOF) lying in the lateral canthus area is a critical factor of the bulkiness formation. Although several approaches have been reported, most of them intend to remove orbicularis muscle and preaponeurotic fat through a double-eyelid incision, leaving ROOF untreated. Read More

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Culture and characterization of various porcine integumentary-connective tissue-derived mesenchymal stromal cells to facilitate tissue adhesion to percutaneous metal implants.

Stem Cell Res Ther 2021 12 18;12(1):604. Epub 2021 Dec 18.

Department of Surgery, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD, 20814, USA.

Background: Transdermal osseointegrated prosthesis have relatively high infection rates leading to implant revision or failure. A principle cause for this complication is the absence of a durable impervious biomechanical seal at the interface of the hard structure (implant) and adjacent soft tissues. This study explores the possibility of recapitulating an analogous cellular musculoskeletal-connective tissue interface, which is present at naturally occurring integumentary tissues where a hard structure exits the skin, such as the nail bed, hoof, and tooth. Read More

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December 2021

Psychometric Validation of the CLEFT-Q Patient Reported Outcome Measure: A Prospective Study to Examine Cross-Sectional Construct Validity.

Cleft Palate Craniofac J 2021 Dec 17:10556656211062837. Epub 2021 Dec 17.

3710McMaster University, Hamilton, Canada.

Objective: CLEFT-Q is a condition-specific patient-reported outcome measure (PROM) for patients with cleft lip and/or palate (CL/P). The aim of this study was to examine the cross-sectional construct validity of the CLEFT-Q scales.

Design: Construct validity was assessed through a prospective study that tested hypotheses regarding correlations of scores with other PROMs that measure related constructs. Read More

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December 2021

A Prospective Study to Examine Responsiveness and Minimally Important Differences (MIDs) for the CLEFT-Q Scales Following Three Cleft-Specific Operations.

Cleft Palate Craniofac J 2021 Dec 14:10556656211064479. Epub 2021 Dec 14.

Department of Pediatrics, 3710McMaster University, Hamilton, Canada.

The aim of this study was to examine internal responsiveness and estimate minimally important differences (MIDs) for CLEFT-Q scales.

In this prospective cohort study, participants completed the CLEFT-Q appearance and health-related quality of life (HRQL) scales before and six months after cleft-related surgery.

Seven cleft centres in Canada, USA and UK participated. Read More

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December 2021

Revision Stapes Surgery: Hearing Symptoms and Associations With Intraoperative Findings and Outcomes.

Otolaryngol Head Neck Surg 2021 Nov 30:1945998211062074. Epub 2021 Nov 30.

Department of Neurotology, Michigan Ear Institute, Farmington Hills, Michigan, USA.

Objective: Stapes surgery for otosclerosis occasionally requires revision due to recurrent or persistent conductive hearing loss (CHL). This study examines outcomes after revision stapes surgery.

Study Design: Retrospective review. Read More

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November 2021

Soft Tissue Injuries Including Auricular Hematoma Management.

Facial Plast Surg Clin North Am 2022 Feb;30(1):15-22

Northwestern-Department of Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, 675 North St Clair Street, Suite 15-200, Chicago, IL 60611, USA.

Facial trauma accounts of 7% to 10% of emergency department visits in the United States every year. The management of facial soft tissue trauma is an essential skill for the facial plastic surgeon. Understanding preoperative evaluation, repair/management of concomitant injuries, postoperative care, and scar treatment help the facial plastic surgeon obtain the best functional and aesthetic results for the patient. Read More

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February 2022