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    1 OF 21

    Closure of the trans-columellar incision in open septorhinoplasty in 100 patients: use of an absorbable multi-filament suture.
    Clin Otolaryngol 2017 Mar 10. Epub 2017 Mar 10.
    Department of Otolaryngology-Head & Neck Surgery, University Hospital Lewisham, London.
    Open septorhinoplasty with an inverted-V incision is an established technique for primary and revision cases. Achieving an aesthetic scar is often a paramount concern for the patient and surgeon and can influence patient satisfaction with the overall procedure. This article is protected by copyright. Read More

    All Seasons Vertical Augmentation Mastopexy: A Simple Algorithm, Clinical Experience, and Patient-reported Outcomes.
    Plast Reconstr Surg Glob Open 2016 Dec 27;4(12):e1170. Epub 2016 Dec 27.
    Swanson Center, Leawood, Kans.
    Background: The safety of augmentation mastopexy has been questioned. Staging has been recommended for women deemed to be at higher risk, such as women with greater degrees of ptosis. Most existing studies evaluate women treated with multiple methods, including the traditional Wise pattern. Read More

    Arthrofibrosis Associated With Total Knee Arthroplasty.
    J Arthroplasty 2017 Feb 14. Epub 2017 Feb 14.
    Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora, Colorado; Geriatric Research, Education and Clinical Center, Veterans Affairs Medical Center, Denver, Colorado.
    The purpose of this article is to review the etiology, economic burden, treatment strategies, and future research directions of arthrofibrosis after total knee arthroplasty (TKA). Arthrofibrosis is a debilitating postoperative complication of TKA. This condition is one of the leading causes of hospital readmission and a predominant reason for TKA failure. Read More

    Invisible scar medial epicanthoplasty: A novel approach.
    J Plast Reconstr Aesthet Surg 2017 Feb 16. Epub 2017 Feb 16.
    Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University, School of Medicine, China. Electronic address:
    Background: Presently, many techniques have been described to make the epicanthal fold less prominent. However, visible scarring remains a major concern in most techniques. The aim of this study was to develop a novel design using concealed incisions with minimal tension. Read More

    A minimally invasive approach for cubital tunnel release and ulnar nerve transposition.
    Phys Sportsmed 2017 Feb 22:1-4. Epub 2017 Feb 22.
    a Department of Hand Surgery , Third Hospital of Hebei Medical University , Shijiazhuang , China.
    Objectives: The aim of the study is to introduce a new minimally invasive technique for ulnar nerve release and transposition.

    Methods: From January 2010 to May 2011, 51 patients with cubital tunnel syndrome were treated through a 1.5 to 2 cm incision. Read More

    Complication Rate in Minimally Invasive Revision Lumbar Discectomy: A Case Series and Technical Note.
    Clin Spine Surg 2017 Mar 6. Epub 2017 Mar 6.
    *Department of Neurosurgery, MedStar Georgetown University Hospital †Georgetown University School of Medicine, Washington, DC.
    Revision lumbar discectomy, given the disruption of anatomic planes, can be a more technically complicated operation. Historically, it may have higher complication rates than first-time microdiscectomy. Recently, minimally invasive tubular discectomy (MITD) has been reported as an equivalent treatment to traditional approaches and may have better utility for revision surgery. Read More

    Timing of Presentation of Pediatric Compartment Syndrome and Its Microsurgical Implication: A Retrospective Review.
    Plast Reconstr Surg 2017 Mar;139(3):663-670
    Toronto and London, Ontario, Canada From the Division of Plastic and Reconstructive Surgery, University of Toronto; the Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children; and Western University.
    Background: Pediatric forearm compartment syndrome can lead to severe functional disability. Although it is known that earlier presentation with decompression leads to better outcomes, it is not known when presentation after injury leads to significant loss of function requiring microsurgical intervention. The authors describe the rate of microsurgical reconstruction after pediatric forearm compartment syndrome as related to timing of presentation. Read More

    Principles of Nasal Reconstruction.
    Facial Plast Surg 2017 Feb 22;33(1):9-16. Epub 2017 Feb 22.
    Department of Otolaryngology-Head and Neck Surgery, Washington University in Saint Louis School of Medicine, Saint Louis, Missouri.
    The rise in cutaneous malignancies over the past 20 years has led to significant advances in reconstructing the nose from an aesthetic and functional standpoint. The principles of nasal reconstruction center on application of the nasal subunit principle, three-layered reconstruction, nasal skin characteristics, and patient factors. Reconstructive planning starts with proper defect analysis, followed by application of the reconstructive ladder for soft-tissue repair, adequate structural support, and repair of nasal lining deficits. Read More

    The aplication of cyanoacrilate surgical glue on skin suture in rats.
    Acta Cir Bras 2017 Jan;32(1):56-64
    PhD, Associate Professor, Department of Surgery, UFMS, Campo Grande-MS, Brazil. Critical revision, supervision all phases of the study.
    Purpose:: To compare the use of a new cyanoacrylate-based surgical glue and suture with sepa-rate points in skin wounds closure.

    Methods:: Thirty-six rats were subjected to a 4cm dorsal longitudinal incision. Twelve were sub-jected to simple suture with polyamide 6-0, 12 rats underwent wall synthesis using Dermabond(r) and 12 was performed cutaneous synthesis with N-2-Butyl-Cyanoacrylate. Read More

    [Exceptional pacemaker complication in Still's disease].
    Herzschrittmacherther Elektrophysiol 2017 Feb 21. Epub 2017 Feb 21.
    Medizinische Klinik II Kardiologie, St. Josef Hospital, Universitätsklinikum der Ruhr-Universität Bochum, Gudrunstr. 56, 44791, Bochum, Deutschland.
    Case Report: A 49-year-old man with Still's disease presented with a rash above his pacemaker scar. In 2012, there was a replacement of the generator in which the position was changed from subpectoral to subcutaneous. A revision operation was performed after the local finding became worse, turning from a granuloma to a macula. Read More

    Ophthalmic Manifestations of Facial Dog Bites in Children.
    Ophthal Plast Reconstr Surg 2017 Feb 17. Epub 2017 Feb 17.
    *TOC Eye and Face, Austin, Texas; †Department of Ophthalmology, University of Colorado, Aurora, Colorado; ‡Ophthalmic Associates of the Southern Tier, Johnson City, New York; and §Department of Ophthalmology, San Antonio Military Medical Center, San Antonio, Texas, U.S.A.
    Purpose: To characterize ophthalmic manifestations and periocular injuries of pediatric facial dog bites.

    Methods: A retrospective review of all children younger than 18 years who sought medical attention after a dog bite to the face between January 1, 2003 and May 22, 2014 was performed at a large tertiary pediatric hospital. Data on type and location of injury, surgical intervention, and complications were collected. Read More

    The Subunit Principle in Scar Face Revision.
    J Craniofac Surg 2017 Feb 15. Epub 2017 Feb 15.
    Department of Plastic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
    Facial scaring is considered one of the most difficult cosmetic problems for any plastic surgeon to solve. The condition is more difficult if the direction of the scar is not parallel to relaxed skin tension lines. Attempts to manage this difficult situation included revisions using geometric designs, Z plasties or W plasties to camouflage the straight line visible scaring. Read More

    Masculine Chest-Wall Contouring in FtM Transgender: a Personal Approach.
    Aesthetic Plast Surg 2017 Apr 7;41(2):369-374. Epub 2017 Feb 7.
    Department Plastic and Reconstructive Microsurgery, Careggi Universital Hospital, Florence, Italy.
    Background: Chest-wall contouring surgery is one of the first steps in sexual reassignment in female-to-male (FtM) transsexuals that contributes to strengthening of the self-image and facilitates living in the new gender role. The main goal is to masculinize the chest by removing the female contour. Chest contour, scar placement, scar shape, scar length, nipple-areola position, nipple size and the areola size are the key points. Read More

    [Treatment of recurrent Dupuytren's disease].
    Orthopade 2017 Apr;46(4):342-352
    Klinik für Handchirurgie, Salzburger Leite 1, 97616, Bad Neustadt an der Saale, Deutschland.
    Background: The tendency of recurrence or progression is a frequent problem in Dupuytren's disease. The management of recurrence is adapted to the individual situation and the patient's needs. In mild cases a non-operative approach is recommended. Read More

    Evaluation of a Minimally Disruptive Treatment Protocol for Frontal Sinus Fractures.
    JAMA Facial Plast Surg 2017 Feb 2. Epub 2017 Feb 2.
    Department of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle.
    Importance: Despite common goals of frontal sinus fracture treatment (restoring forehead contour and creating a safe sinus), there remains significant variability in evaluation and treatment.

    Objective: To describe our experience with a minimally disruptive treatment protocol for the treatment of frontal sinus fractures.

    Design, Setting, And Participants: Analysis of prospectively collected data from 2010 through 2015 at a level 1 trauma center. Read More

    "Meniscal" scar as a landmark for the joint line in revision total knee replacement.
    World J Orthop 2017 Jan 18;8(1):57-61. Epub 2017 Jan 18.
    Wasim Sardar Khan, Jagmeet Bhamra, Rhodri Williams, Rhidian Morgan-Jones, Cardiff and Vale Orthopaedic Centre, Llandough University Hospital, Cardiff and Vale NHS Trust, Cardiff CF5 2LD, United Kingdom.
    Aim: To determine whether tissue identified at the joint line was actually remnant "meniscal" scar tissue or not.

    Methods: Nine patients undergoing revision knee surgery following informed consent had meniscal scar tissue sent to the histology department for analyses. All revisions were performed where joint line had been raised or lowered at earlier surgery. Read More

    Ulna Rotation Osteotomy in Complete Dislocation of the Distal Radioulnar Joint.
    J Wrist Surg 2017 Feb 15;6(1):74-79. Epub 2016 Jan 15.
    Division of Hand Surgery, Department of Trauma Surgery, Medical University Innsbruck, Innsbruck, Austria.
    Background Complete dislocation of the distal radioulnar joint (DRUJ) is a rare injury. Dislocation can present as uni- or multidirectional, acute or chronic, reducible or irreducible. It can occur due to isolated loss of ligamentous restraints or more frequent in Galeazzi - or Essex-Lopresti-type fractures. Read More

    The versatility of the Karapandzic flap: A review of 65 cases with patient-reported outcomes.
    J Craniomaxillofac Surg 2017 Feb 14;45(2):325-329. Epub 2016 Dec 14.
    Oral and Maxillofacial Surgery Department, York Teaching Hospitals NHS Foundation Trust, The York Hospital, Wigginton Road, York, YO31 8HE, United Kingdom.
    Objective: The Karapandzic flap is an established technique for reconstruction of large lip defects and in our experience is particularly valuable in repair of the upper lateral lip and the commissures as well. We present our experience in a case series of 65 patients under one consultant.

    Method: This is a retrospective study of patients who underwent Karapandzic flap repair for lip defects following cancer resection from 2007 to 2014 in North Yorkshire. Read More

    [Treatment and outcome of polypropylene mesh or tape related pain after reconstructive pelvic surgery].
    Zhonghua Fu Chan Ke Za Zhi 2016 Dec;51(12):901-908
    Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing 100044, China.
    Objective: To investigate clinical treatment and outcome of mesh-related pain after pelvic floor reconstruction. Methods: Twelve patients were referred to Peking University People's Hospital for post-operation pain related to polypropylene mesh or tape used in pelvic floor reconstruction and received reoperation from January 2007 to December 2014. The demographic characteristics, clinical manifestation, operation method and follow-up outcome were retrospectively analyzed, and current literature was also reviewed. Read More

    Reconstruction of patellar tendon following implantation of proximal tibia megaprosthesis for the treatment of post-traumatic septic bone defects.
    Injury 2016 Dec;47 Suppl 6:S77-S82
    Reparative Orthopaedic Surgery Department - ASST Pini-CTO, University of Milan, Italy. Electronic address:
    Introduction: Latest advances made in joint replacement implants allows reconstruction of entire limbs. These special prostheses or megaprostheses were originally designed for the treatment of severe oncological bone loss. Nowadays, however, the indications and applications of these devices are expanding to other orthopaedic and trauma clinical conditions. Read More

    Unusual Surprises in Glaucoma Filtering Surgeries: Lessons Learned and Review of Literature.
    Semin Ophthalmol 2016 Dec 8:1-11. Epub 2016 Dec 8.
    b Glaucoma Services , LV Prasad Eye Institute , Hyderabad , India.
    Purpose: To describe an unusual series of complications after glaucoma filtering surgeries with their clinical findings and outcome after tailored non-conventional modes of therapy.

    Patients And Methods: Eighteen patients who underwent re-interventions (medical or surgical) after glaucoma filtering surgeries during the period at two tertiary centers, excluding those that required conventional modes of treatment (medical control or re-trabeculectomy, simple wound closure for traumatic wound dehiscence, bleb revision or needling, laser iridotomy), were included. Relevant clinical details with intraoperative videos, intraoperative or postoperative problems, and images with course after re-intervention were retrieved from the hospital database. Read More

    Complete vaginal outlet stenosis in a patient with Sheehan's syndrome.
    Obstet Gynecol Sci 2016 Nov 15;59(6):559-561. Epub 2016 Nov 15.
    Department of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea.
    We present a case of complete vaginal stenosis in a woman diagnosed with Sheehan's syndrome. The patient delivered at full-term 5 months prior, and experienced massive postpartum bleeding at that time. During evaluation of persistent amenorrhea, we found that her vaginal orifice was completely adhesive and obstructed. Read More

    Timing of Presentation of Pediatric Compartment Syndrome and its Microsurgical Implication: A Retrospective Review.
    Plast Reconstr Surg 2016 Nov 21. Epub 2016 Nov 21.
    1 - Division of Plastic and Reconstructive Surgery, University of Toronto, Toronto, Canada 2 - Western University, London, Canada 3, 4 - Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, Canada.
    Background: Forearm compartment syndrome in the pediatric population can lead to severe functional disability. Although it is known that earlier presentation with decompression leads to better outcomes, it is not known when presentation post-injury leads to significant loss of function requiring microsurgical intervention.

    Aim: To describe the rate of microsurgical reconstruction after forearm compartment syndrome in pediatric patients as related to timing of presentation. Read More

    Treating Scars of the Chin and Perioral Region.
    Facial Plast Surg Clin North Am 2017 Feb;25(1):55-71
    Facial Plastic and Reconstructive Surgery, Penn State Hershey Medical Center, 500 University Drive H091, Hershey, PA 17033, USA; Fedok Plastic Surgery, 113 East Fern Avenue, Foley, AL 36535, USA; Department of Surgery, USA Medical Center, The University of South Alabama, 2451 Fillingim Street, Mobile, AL 36617, USA. Electronic address:
    Lip and chin scarring occurs owing to reconstruction of congenital, cancer resection, or traumatic defects. Knowledge of lip anatomy and function is critical to optimize results. Realistic expectations should be established before intervention. Read More

    Unique Clinical Aspects of Nasal Scarring.
    Facial Plast Surg Clin North Am 2017 Feb;25(1):45-54
    UC Irvine Department of Head & Neck Surgery, 101 The City Drive South, Orange, CA 92868, USA. Electronic address:
    Various methods are available for refining scars of the external nose and optimal scar revision frequently requires the utilization of multiple techniques. Differing anatomy of nasal subunits and their underlying structural framework limit surgical options in nasal scar revision compared with other areas of the face. An understanding of a variety of laser technologies and their specific applications can vastly aid in fine, controlled scar revision. Read More

    Treating Scars of the Cheek Region.
    Facial Plast Surg Clin North Am 2017 Feb;25(1):37-43
    Department of Otorhinolaryngology - Head and Neck Surgery, University of Texas Health Sciences Center at Houston, 6400 Fannin Street, Houston, TX 77030, USA.
    Scars of the cheek resulting from all causes can extol significant psychological toll. The cheek is the largest facial subunit and visually and aesthetically prominent making scars in this region difficult to ignore. An approach to scar management that targets specific characteristics of a scar using a combination of surgical and nonsurgical modalities can significantly improve the appearance of most scars. Read More

    Soft Tissue Principles to Minimize Scarring: An Overview.
    Facial Plast Surg Clin North Am 2017 Feb;25(1):1-13
    Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, University of Cincinnati College of Medicine, PO Box 670528, 231 Albert Sabin Way, Cincinnati, OH 45267-0528, USA; Department of Dermatology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, PO Box 670528, 231 Albert Sabin Way, Cincinnati, OH 45267-0528, USA. Electronic address:
    This article is a broad overview of measures and techniques that can be used to minimize soft tissue scarring. Read More

    Acellular Dermal Matrix: New Applications For Free Flap Pedicle Coverage A Prospective Study in 10 Patients.
    J Cosmet Laser Ther 2016 Oct 25:1-12. Epub 2016 Oct 25.
    b Department of Anatomy University of Bordeaux, Centre François-Xavier-Michelet, Groupe hospitalier Pellegrin, Place Amélie-Raba-Léon , F-33076 Bordeaux , France.
    Introduction: The goal of lower extremity reconstruction after trauma is the coverage of defects to give patients a healed wound and to let them resume their life, ambulate, and return to work while preventing amputation. In this article we describe an innovative use of Integra® for free flap pedicle coverage in lower extremity reconstruction.

    Materials And Methods: Between January 2011 and December 2015, ten patients, 4 women and 6 men, underwent a lower limb reconstruction with an association of free flap and integra® to cover the flap pedicle. Read More

    Fractionated Er:YAG laser versus fully ablative Er:YAG laser for scar revision: Results of a split scar, double blinded, prospective trial.
    Lasers Surg Med 2016 Nov 18;48(9):837-843. Epub 2016 Jul 18.
    Division of Dermatology, University of Louisville, 3810 Springhurst Blvd., Louisville, Kentucky, 40241.
    Background And Objective: Ablative laser resurfacing is a common treatment for post-surgical scars. Fractional ablative laser resurfacing has been an emerging treatment option that is replacing fully ablative lasers in many applications. Data comparing fractionated and fully ablative lasers in treating post-operative scars are lacking. Read More

    Split face evaluation of long-pulsed non-ablative 1,064 nm Nd:YAG laser for treatment of direct browplasty scars.
    Lasers Surg Med 2016 Oct 9;48(8):742-747. Epub 2016 Aug 9.
    Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida 33136.
    Purpose: To investigate 1,064 nm long-pulse Nd:YAG laser for postoperative treatment of direct browplasty scars.

    Methods: Nine patients who underwent direct browplasty were enrolled in this prospective study. Subjects were randomized to unilateral laser treatment at 2-week intervals for six total treatments, with the contralateral scar used as a control. Read More

    [Scar revision in children: Clinical situations and solutions].
    Ann Chir Plast Esthet 2016 Oct 23;61(5):578-588. Epub 2016 Jun 23.
    Service de chirurgie plastique, reconstructrice et esthétique, hôpital Roger-Salengro, CHRU Lille, rue Emile-Laine, 59037 Lille cedex, France.
    The scar of soft tissues is a permanent stigma of a trauma but it can sometimes be improved. It is more or less accepted by the patient and may be the source of a significant physical and psychosocial impact that leads to a request for a scar revision. Even if the child presents generally an excellent ability to heal, the quality of the scar depends on many factors such as the age, the type of scar or trauma and the affected body area. Read More

    Evaluation of wound healing treated with latex derived from rubber trees and Aloe Vera extract in rats.
    Acta Cir Bras 2016 Sep;31(9):570-577
    PhD, Class A Professor, General Pathology, Tropical Institute of Pathology and Public Health, UFG, Goiania-GO, Brazil. Technical procedures, analysis and interpretation of data, statistical analysis, manuscript preparation, critical revision.
    Purpose:: To compare the use of latex derivative and Aloe vera extract to wound healing.

    Methods:: Twenty one rats were randomly divided into three groups and each one had a wound made by incision. The treatment consisted in: derivative of latex (GL), Aloe vera extract (GA) and saline solution (GC). Read More

    Mastoid fascia kite flap for cryptotia correction.
    Int J Pediatr Otorhinolaryngol 2016 Nov 24;90:210-213. Epub 2016 Sep 24.
    AP-HP, Hôpital Necker-Enfants Malades, Department of Otorhinolaryngology, 149 Rue de Sèvres, 75015 Paris, France; Descartes University, Paris, France.
    Objective: Cryptotia is one of the most common malformations of the upper auricle with aesthetic and functional consequences, however there is no standard treatment. We present the surgical technique and results of a kite flap procedure which can be used in the different cryptotia subtypes.

    Methods: We reviewed all patients treated in our department from 2010 to 2015, using a mastoid fascia kite flap technique. Read More

    Pendulum Exercises After Hip Arthroscopy: A Video Technique.
    Arthrosc Tech 2016 Aug 15;5(4):e897-e900. Epub 2016 Aug 15.
    Center for Athletic Hip Injury, Allegheny Health Network, Pittsburgh, Pennsylvania, U.S.A.; Department of Orthopaedic Surgery, Drexel University School of Medicine, Pittsburgh, Pennsylvania, U.S.A.
    Advanced hip joint-preserving arthroscopic techniques have been shown to improve patient-reported functional outcomes with low rates of postoperative complications. Prior work has shown that formation of adhesive scar is a potential source of persistent pain and cause for revision surgery. As resources for postoperative in-studio physical therapy become scarce, a home-based strategy to avoid scar formation without adding formal therapy cost may be beneficial. Read More

    [Acromioclavicular instability: arthroscopic and mini-open combined treatment].
    Acta Ortop Mex 2016 Jan-Feb;30(1):2-6
    Instituto de Ortopedia y Traumatología Dr. Jaime Slullitel, Sanatorio de la Mujer. San Luis 2534, 2000 Rosario, Santa Fe. Argentina.
    Introduction: The surgical treatment of acromioclavicular dislocation remains controversial. We describe herein a combined two-stage technique that includes an arthroscopic approach followed by a mini-invasive approach.

    Material And Methods: 41 patients with acromioclavicular dislocation grades III, IV and V. Read More

    Teamwork Endoscopic Endonasal Surgery in Failed External Dacryocystorhinostomy.
    J Ophthalmic Vis Res 2016 Jul-Sep;11(3):282-6
    Department of Ophthalmology, Shahid Mostafa Khomeini Hospital, Shahed University, Tehran, Iran.
    Purpose: The purpose of this study was to evaluate the results of a teamwork revision endoscopic dacryocystorhinostomy (DCR) in eyes with previously failed external DCR.

    Methods: This retrospective study was performed on 50 failed external DCR subjects who underwent a teamwork revision endoscopic DCR by an ophthalmologist and an otolaryngologist. Paranasal sinus CT scanning was performed for each patient before the revision surgery. Read More

    Wear Scar Similarities between Retrieved and Simulator-Tested Polyethylene TKR Components: An Artificial Neural Network Approach.
    Biomed Res Int 2016 14;2016:2071945. Epub 2016 Aug 14.
    Orthopedic Surgery, Rush University Medical Center, 1611 W. Harrison Street, Chicago, IL 60612, USA; Bioengineering, University of Illinois at Chicago, 851 S. Morgan Street, Chicago, IL 60607, USA.
    The aim of this study was to determine how representative wear scars of simulator-tested polyethylene (PE) inserts compare with retrieved PE inserts from total knee replacement (TKR). By means of a nonparametric self-organizing feature map (SOFM), wear scar images of 21 postmortem- and 54 revision-retrieved components were compared with six simulator-tested components that were tested either in displacement or in load control according to ISO protocols. The SOFM network was then trained with the wear scar images of postmortem-retrieved components since those are considered well-functioning at the time of retrieval. Read More

    Lower Eyelid Retraction Surgery Without Internal Spacer Graft.
    Aesthet Surg J 2017 Feb 2;37(2):133-136. Epub 2016 Sep 2.
    Dr Taban is an Assistant Clinical Professor, Division of Orbital and Ophthalmic Plastic Surgery, Jules Stein Eye Institute, David Geffen School of Medicine at UCLA, Los Angeles, CA.
    Background: Internal eyelid spacer graft is routinely placed during lower eyelid retraction surgery, which may be unnecessary.

    Objectives: To evaluate the efficacy of lower eyelid retraction surgery without internal graft in select cases.

    Methods: Retrospective analysis of patients undergoing reconstructive lower eyelid retraction surgery without internal graft, by one surgeon from 2013 to 2015. Read More

    Biportal Endoscopic Spinal Surgery for Recurrent Lumbar Disc Herniations.
    Clin Orthop Surg 2016 Sep 10;8(3):325-9. Epub 2016 Aug 10.
    Spine Center, BESS Education Center, Barun Hospital, Jinju, Korea.
    The major problems of revision surgery for recurrent lumbar disc herniation (LDH) include limited visualization due to adhesion of scar tissue, restricted handling of neural structures in insufficient visual field, and consequent higher risk of a dura tear and nerve root injury. Therefore, clear differentiation of neural structures from scar tissue and adhesiolysis performed while preserving stability of the remnant facet joint would lower the risk of complications and unnecessary fusion surgery. Biportal endoscopic spine surgery has several merits including sufficient magnification with panoramic view under very high illumination and free handling of instruments normally impossible in open spine surgery. Read More

    Contralateral breast symmetrisation in unilateral DIEP flap breast reconstruction.
    J Plast Reconstr Aesthet Surg 2016 Oct 19;69(10):1363-73. Epub 2016 Jul 19.
    Department of Plastic and Reconstructive Surgery, Norfolk and Norwich University Hospital NHS Foundation Trust, Norwich, UK; Faculty of Medicine and Health Sciences, Norwich Medical School, Department of Medical Education, University of East Anglia, UK. Electronic address:
    Introduction: Women undergoing unilateral deep inferior epigastric artery perforator (DIEP) flap breast reconstruction may be offered a contralateral symmetrisation either at the time of reconstruction (simultaneous/immediate) or at a later stage (delayed). Simultaneous contralateral breast symmetrisation may be more beneficial to patients and healthcare institutions by avoiding staged surgery, although there is limited evidence on which to base practice. This deficit formed the rationale for our study. Read More

    Outcomes of Cutaneous Scar Revision During Surgical Implant Removal in Children with Cerebral Palsy.
    J Bone Joint Surg Am 2016 Aug;98(16):1351-8
    Shriners Hospitals for Children-Northern California, Sacramento, California.
    Background: Children who have had surgery involving the placement of an implant frequently undergo a subsequent surgery for hardware removal. The cosmesis of surgical scars following initial and subsequent surgeries is unpredictable. Scar incision (subsequent surgical incision through the initial scar) or excision (around the initial scar) is selected on the basis of the quality of the initial scar. Read More

    Midcervical scar satisfaction in thyroidectomy patients.
    Laryngoscope 2017 May 13;127(5):1247-1252. Epub 2016 Aug 13.
    Department of Otolaryngology-Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, Indiana, U.S.A.
    Objectives/hypothesis: Assess long-term patient satisfaction with conventional thyroidectomy scars and the impact of thyroidectomy scars on patient quality of life.

    Study Design: Validated survey administration and retrospective review of clinical and demographic data.

    Methods: Patients who underwent conventional thyroidectomy through years 2000 to 2010 were identified and administered the validated Patient Scar Assessment Questionnaire. Read More

    The acute effects of preoperative ozone theraphy on surgical wound healing.
    Acta Cir Bras 2016 Jul;31(7):472-8
    MD, Department of Anesthesiology and Reanimation, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey. Critical revision, final approved.
    Purpose: To investigate the effects of preoperative rectal ozone insufflation on surgical wound healing over the proinflammatory cytokines and histopathological changes.

    Methods: Twenty one rabbits were divided into 3 groups. Sham, surgical wound, and ozone applied (6 sessions, every other day 70 µg/mL in 12 mL O2-O3 mixture rectally) surgical wound groups were created. Read More

    Update on Postsurgical Scar Management.
    Semin Plast Surg 2016 Aug;30(3):122-8
    Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.
    Postoperative scar appearance is often a significant concern among patients, with many seeking advice from their surgeons regarding scar minimization. Numerous products are available that claim to decrease postoperative scar formation and improve wound healing. These products attempt to create an ideal environment for wound healing by targeting the three phases of wound healing: inflammation, proliferation, and remodeling. Read More

    Local Wound Care for Primary Cleft Lip Repair: Treatment and Outcomes With use of Topical Hydrogen Peroxide.
    Wounds 2015 Dec;27(12):319-26
    Oregon Health & Science University, Portland, OR.
    Objectives: This study highlights and validates a peroxide-based wound healing strategy for treatment of surgically closed facial wounds in a pediatric population. The authors identified pediatric patients undergoing primary cleft lip repair as a specific population to evaluate the outcomes of such a protocol. Through analysis of defined outcome measures, a reliable and reproducible protocol for postoperative wound care following primary cleft lip repair with favorable results is described. Read More

    Epidural Fibrosis Seen from a Different Angle: Extraforaminal Lumbar Interbody Fusion.
    J Neurol Surg A Cent Eur Neurosurg 2017 Jan 14;78(1):82-86. Epub 2016 Jul 14.
    Neurochirurgie, Groupe Hospitalier du Havre, Le Havre, France.
    Background Postoperative epidural fibrosis (PEF) localized around the exposed dura and nerve roots is a known radiologic entity seen after lumbar surgery. Although excessive PEF is associated with residual and new lumbar pain and radiculopathy, its role as the generator of the pain is still discussed. Various materials acting as an adhesion barrier have been tested. Read More

    Upper Antero-Medial Thigh as an Alternative Site for Implantation of Intrathecal Pumps: A Case Series.
    Neuromodulation 2016 Aug 8;19(6):655-63. Epub 2016 Jul 8.
    Department of Plastic Surgery, Brigham and Women's Hospital, Boston, MA, USA.
    Introduction: Neuraxial drug delivery via intrathecal drug delivery systems (IDDS) is becoming an increasingly common mode of treating intractable cancer-related pain, chronic pain, or severe spasticity. An implanted infusion pump delivers medication into the intrathecal (subarachnoid) space via a thin catheter. These pumps are commonly placed in the anterior abdominal wall. Read More

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