1,161 results match your criteria Z-Plasty


Modified partial penile disassembly repair for improved functional and cosmetic outcome in isolated male epispadias.

J Plast Reconstr Aesthet Surg 2021 Mar 30. Epub 2021 Mar 30.

Department of Urology, Dr. S.N. Medical College Jodhpur, Rajasthan 334003, India.

Introduction And Objective: The objective of the study was to evaluate the functional and cosmetic outcome of single-stage modified partial penile disassembly repair in isolated male epispadias.

Materials And Methods: A retrospective analysis of 15 cases of primary epispadias repair, from June 2015 to December 2018, was performed. Patients were classified by the type of epispadias, urinary incontinence, chordee, and rotation. Read More

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Outcomes of Furlow Double-Opposing Z-Plasty Palatoplasty for the Treatment of Symptomatic Overt and Occult Submucous Cleft Palate: A Comparison Study.

Plast Reconstr Surg 2021 May;147(5):1141-1148

From the Departments of Plastic Surgery and Otolaryngology and the School of Medicine, University of Pittsburgh; Ohio State University; and University of Pittsburgh Medical Center Children's Hospital of Pittsburgh.

Background: The submucous cleft palate can be overt or occult and may require surgical repair. The double-opposing Z-plasty (Furlow repair) is the authors' center's preferred approach. This study evaluated complication rates, differences in outcome between overt and occult types, and patient factors associated with surgical failure. Read More

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External Screw-Threaded Traction Device Helps Optimize Finger Joint Mobility in Severe Stage III and IV Dupuytren Disease.

Med Sci Monit 2021 Apr 22;27:e929814. Epub 2021 Apr 22.

Department of Plastic and Hand Surgery, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.

BACKGROUND Treating advanced finger joint contractures from Dupuytren disease remains a challenge. We evaluated the effectiveness of a skeletal distraction device versus alternative treatment options. MATERIAL AND METHODS We analyzed the surgical treatment of contracted finger joints in stage III and stage IV Dupuytren's disease over a 10-year period. Read More

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The Utility of Double Opposing Transposition Flaps in the Management of Inguinal Ectopic Scrotum: Surgical Experience and Literature Review.

Cureus 2021 Mar 19;13(3):e13992. Epub 2021 Mar 19.

Plastic and Reconstructive Surgery, Surgery Department, King Abdulaziz Medical City, National Guard's Health Affairs, Riyadh, SAU.

An ectopic scrotum (ES) represents a rare developmental anomaly of the male genitalia. The condition usually represents a part of a wide spectrum pathology associated with other anomalies. The different locations in which an ectopic scrotum is found include inguinal, suprainguinal, infrainguinal, and/or perineum. Read More

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Management of cryptoglandular fistula-in-ano among gastrointestinal surgeons in the Netherlands.

Tech Coloproctol 2021 Apr 15. Epub 2021 Apr 15.

Department of Surgery, Proctos Kliniek, Bilthoven, The Netherlands.

Background: Management of cryptoglandular fistula-in-ano (FIA) can be challenging. Despite Dutch and international guidelines determining optimal therapy is still quite difficult. The aim of this study was to report current practices in the management of cryptoglandular FIA among gastrointestinal surgeons in the Netherlands. Read More

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Endoscope-assisted greater neurovascular palatal bundle release in cleft palatoplasty.

Int J Oral Maxillofac Surg 2021 Apr 10. Epub 2021 Apr 10.

Department of Oral and Maxillofacial Surgery, Osaka Women's and Children's Hospital, Izumi, Osaka, Japan; Department of Oral and Maxillofacial Surgery, Osaka Rosai Hospital, Sakai, Osaka, Japan.

Performing surgery in the oral cavity is difficult because of the limited view of the surgical field. Intraoral surgery for infantile oral disorders, such as cleft palate, is even more challenging. Endoscopy provides a minimally invasive approach and clear surgical view in surgeries with a constrained field of view. Read More

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Experience of Two Different Techniques of Medial Epicanthoplasty with Four-Point Homologous Design: A Cohort Study.

Aesthetic Plast Surg 2021 Apr 2. Epub 2021 Apr 2.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, 639 Zhizaoju Road, Shanghai, 200011, People's Republic of China.

Background: Various methods have been introduced to eliminate the epicanthus; however, there are no clear guidelines to determine the optimal technique for epicanthus. We aimed to investigate the clinical effect of modified Z-plasty and modified Y-V flap on epicanthus and report our experience.

Methods: Medical records, including photographic information and scar score, of 81 eyes of 43 patients with congenital epicanthus were collected. Read More

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Ultrasound-guided release for iliotibial band syndrome: A novel ultraminimally invasive surgical procedure.

Knee 2021 Mar 27;30:9-17. Epub 2021 Mar 27.

Avanfi Institute and Unit for Ultrasound-guided Surgery, Hospital Beata María Ana, Madrid, Spain; Department of Nursery and Physiotherapy, School of Medicine and Health Sciences, University of Alcalá, Madrid, Spain.

Background: Iliotibial band (ITB) syndrome is the most common cause of lateral knee pain in runners (affecting 7-14%) and in persons taking part in other sports. The aim of this study was to show how to perform a distal release of the ITB guided by ultrasound and present our initial results with this new technique.

Methods: The surgical technique - either Z-plasty or transverse section of the ITB - was first validated on 14 cadaver specimens and then applied in clinical practice. Read More

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The Z-plasty contributes to the coalescence of a chronic non-healing wound.

Int Wound J 2021 Mar 17. Epub 2021 Mar 17.

Department of Plastic Surgery, Peking University Third Hospital, Beijing, China.

This study aimed to explore the treatment effect of Z-plasty on a non-healing wound. A total of 72 patients diagnosed with a chronic non-healing wound in Peking University Third Hospital from November 2009 to August 2019 were retrospectively analysed. Among them, 27 patients were treated with Z-plasty, and 45 patients were treated with the general method. Read More

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Palatal Re-Repair With Z-Plasty in Treatment of Velopharyngeal Insufficiency of Syndromic and Nonsyndromic Patients With Cleft Palate.

J Craniofac Surg 2021 Mar-Apr 01;32(2):685-690

Cleft and Craniofacial Center, Department of Plastic Surgery, Helsinki University Hospital and University of Helsinki, Finland.

Background: Velopharyngeal insufficiency (VPI) often results from palatal shortening or insufficient levator function after cleft palate repair.

Aims: To assess the efficacy of palatal re-repair with Z-plasty in treatment of VPI for patients with isolated cleft palate (ICP).

Methods: This retrospective analysis comprised 130 consecutive patients who had ICP with VPI that required Z-plasty as secondary surgery between 2008 and 2017. Read More

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Revisional Medial Epicanthoplasty Using Reverse Z-plasty Technique.

Aesthet Surg J 2021 Mar 1. Epub 2021 Mar 1.

Department of Plastic and Reconstructive Surgery, Seoul National University Hospital and Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea.

Background: Medial epicanthoplasty is a common method for correcting epicanthal folds in Asians but sometimes cause unsatisfactory results. Although several procedural variations have been devised, revision techniques have earned little attention. Revision technique we have developed uses reverse Z-plasty to restore an overcorrected epicanthal fold. Read More

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Congenital midline cervical cleft: An easily misdiagnosed disease.

Arch Craniofac Surg 2020 Dec 20;21(6):372-375. Epub 2020 Dec 20.

Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul, Korea.

Congenital midline cervical cleft is a rare congenital disease. The disease is often misdiagnosed as a branchial cleft deformity, thyroglossal duct cyst, or other skin diseases. It has the following characteristics: skin defect at the midline of the anterior neck, a skin tag at the upper end of the lesion, and a blind sinus tract at the caudal aspect with or without mucoid discharge. Read More

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December 2020

Novel Use of Pennig External Fixation for the Treatment of Pediatric Syndactyly.

Tech Hand Up Extrem Surg 2021 Mar 1. Epub 2021 Mar 1.

Departments of Orthopedics Geriatrics, Union hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan Hubei Department of Plastic and Cosmetic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China Department of Surgery, Division of Plastic Surgery, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.

Syndactyly is one of the most common congenital limb malformations, second only to polydactyly. Syndactyly is treated with surgical intervention. During separation, free skin grafting or skin flap transplantation is required to allow for adequate skin closure. Read More

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Clinical and Radiologic Outcomes of Thoracolumbar Fusions Using Intraoperative CT Guidance and Stereotactic Navigation in a Spinal Trauma Population: An Analysis of 58 Patients.

Clin Spine Surg 2021 Mar;34(2):E80-E85

Department of Neurosurgery, Carle Illinois College of Medicine, Champaign, IL.

Study Design: Retrospective review of prospectively collected single-institution database.

Objective: To analyze the clinical and radiographic outcomes of posterior thoracolumbar fusions using intraoperative computed tomography (CT)-guidance and stereotactic navigation in thoracolumbar spinal trauma.

Summary Of Background Data: Pedicle screw instrumentation is utilized for stabilization in thoracolumbar fusions. Read More

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A Training Model for Local Flaps Using Fresh Human Skin Excised During Body Contouring Procedures.

J Surg Res 2021 Jun 16;262:190-196. Epub 2021 Feb 16.

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

Background: The safe execution of local flaps tends to be challenging for surgical residents. Thus, the purpose of the study was to evaluate a training model of local flaps based on fresh human skin excised from body contouring procedures.

Materials And Methods: A questionnaire and surgical skills evaluation-analyzing the theoretical and procedural knowledge about local flaps-were held both before and after the surgical skills training. Read More

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Evaluation of fistula rates in three cleft palate techniques without relaxing incisions.

J Craniomaxillofac Surg 2021 Feb 6. Epub 2021 Feb 6.

State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Oral Maxillofacial Surgery, West China School of Stomatology, Sichuan University, Chengdu, 610041, China. Electronic address:

The aim of the present study was to investigate the incidence of postoperative fistula formation from a hybrid cleft palate repair compared to that from two well-established techniques. We performed a modified technique, Sommerlad-Furlow (SF), which combined the repositioning of the levator veli palatini muscles as described by Sommerlad with the double opposing Z-plasty of Furlow to lengthen the soft palate. A retrospective cohort study was conducted to evaluate patients who underwent cleft palate repair utilizing SF, Sommerlad, or Furlow techniques with the incidence of palatal fistula as the target endpoint. Read More

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February 2021

Checkrein Deformity of the Hallux and Second Toe after Soft-Tissue Injury.

Case Rep Orthop 2021 26;2021:8459586. Epub 2021 Jan 26.

Universitat de Valencia, Spain.

We report the case of a patient who developed a checkrein deformity of the hallux and of the second toe following a direct soft tissue trauma to his right leg, with no associated fracture. This dynamic deformity caused the patient significant trouble walking and prevented him from playing any sport as in the stance phase of gait the toes were forced into maximum plantar flexion and ended up trapped under the foot. An MRI study did not show any bone injury or tendinous tethering. Read More

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January 2021

Pilonidal sinus of the cheek: an extremely rare clinical entity-case report and brief review of the literature.

J Med Case Rep 2021 Feb 10;15(1):64. Epub 2021 Feb 10.

Chitwan Medical College, Bharatpur 10, Nepal.

Background: Pilonidal sinus is commonly seen at the sacrococcygeal region and few other sites, usually located at the midline, at areas where hairs collect or near protuberances or some adjacent rubbing surfaces. Its presence elsewhere is uncommon. We share an interesting case of a recurrent discharging sinus from the cheek bulge of a male which turned out to be a pilonidal sinus containing tuft of hairs on exploration and wide excision. Read More

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February 2021

The effect of a three-dimensional instructional video on performance of a spatially complex procedure in surgical residents in relation to their visual-spatial abilities.

Am J Surg 2021 Jan 29. Epub 2021 Jan 29.

Department of Surgery, Leiden University Medical Center, Albinusdreef 2, 2300 RC, Leiden, the Netherlands; Center for Innovation of Medical Education, Leiden University Medical Center, Hippocratespad 21, 2333 ZD, Leiden, the Netherlands.

Background: The effect of three-dimensional (3D) vs. two-dimensional (2D) video on performance of a spatially complex procedure and perceived cognitive load were examined among residents in relation to their visual-spatial abilities (VSA).

Methods: In a randomized controlled trial, 108 surgical residents performed a 5-Flap Z-plasty on a simulation model after watching the instructional video either in a 3D or 2D mode. Read More

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January 2021

Comparison of speech outcomes using type 2b intravelar veloplasty or furlow double-opposing Z plasty for soft palate repair of patients with unilateral cleft lip and palate.

J Craniomaxillofac Surg 2021 Mar 8;49(3):215-222. Epub 2021 Jan 8.

Hacettepe University Faculty of Medicine, Department of Plastic Reconstructive and Aesthetic Surgery, Cleft Lip and Palate and Craniomaxillofacial Disorders Treatment and Research Center, Ankara, Turkey.

Background: The aim of this study is to compare speech outcomes, fistula rates, and rates of secondary speech surgeries after palatoplasty using Furlow palatoplasty or type 2b intravelar veloplasty for soft palate repair.

Patients And Methods: Patients with unilateral cleft lip and palate who had either Furlow palatoplasty or intravelar veloplasty for soft palate repair were retrospectively evaluated for demographic and perioperative variables and speech outcomes. Fistula rate, secondary surgical intervention for improved speech results, and findings of speech assessment were further reviewed for the patients who met the inclusion criteria. Read More

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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

Palatal Re-Repair With Z-Plasty in Treatment of Velopharyngeal Insufficiency of Syndromic and Nonsyndromic Patients With Cleft Palate.

J Craniofac Surg 2020 Dec 16;Publish Ahead of Print. Epub 2020 Dec 16.

Cleft and Craniofacial Center, Department of Plastic Surgery, Helsinki University Hospital and University of Helsinki, Finland.

Background: Velopharyngeal insufficiency (VPI) often results from palatal shortening or insufficient levator function after cleft palate repair.

Aims: To assess the efficacy of palatal re-repair with Z-plasty in treatment of VPI for patients with isolated cleft palate (ICP).

Methods: This retrospective analysis comprised 130 consecutive patients who had ICP with VPI that required Z-plasty as secondary surgery between 2008 and 2017. Read More

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December 2020

Digital artery perforator flap transfer for volar soft tissue defect due to dissociation from joint contracture in camptodactyly.

JPRAS Open 2021 Mar 30;27:48-52. Epub 2020 Nov 30.

Department of Orthopaedic Surgery, Yodogawa Christian Hospital, 1-7-50 Kunizima, Higashiyodogawa-ku, Osaka 533-0024, Japan.

Camptodactyly is a condition defined by persistent flexion contracture of the proximal interphalangeal joints of the hand. Surgical treatment requires flaps for the dissection of the skin and the resulting soft tissue defect, soft tissue release, and sometimes reconstruction of the extension mechanism. Z-plasty and transposition flap have been reported as methods used in soft tissue defects. Read More

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Unilateral Tessier 7 cleft: Case report of Z-plasty with geometric broken line repair and literature review.

Int J Pediatr Otorhinolaryngol 2021 Jan 3;140:110546. Epub 2020 Dec 3.

Department of Otolaryngology-Head and Neck Surgery, Texas Tech University Health Sciences Center, Lubbock, TX, 79430-8312, USA; Division of Facial Plastics Reconstruction. Electronic address:

Tessier 7 clefts are a rare congenital anomaly, usually surgically repaired with Z-plasty or other reconstructive methods, although undesirable scars may result. We present a review of the literature and a case of unilateral Tessier 7 cleft repaired with a novel reconstruction technique using a combined Z-plasty and geometric broken line closure (GBLC) to camouflage and irregularize the otherwise linear scar. We present this case to expand the armamentarium of surgical options to address Tessier 7 clefts and to review techniques for repair. Read More

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January 2021

Treatment of Ectopic Earlobe in Microtia Reconstruction Using Delayed Postauricular Skin Flap.

Ear Nose Throat J 2020 Dec 9:145561320973554. Epub 2020 Dec 9.

Department of Plastic & Laser Cosmetology, Hunan Provincial People's Hospital & The First Affiliated Hospital of Hunan Normal University, Changsha, Hunan, China.

Objective: This article discusses a treatment technique for ectopic earlobe in microtia reconstruction using a delayed postauricular skin flap.

Methods: From January 2015 to September 2018, microtia reconstruction using a delayed postauricular skin flap was performed on 10 patients with microtia. During the operation, the position of the affected-side earlobe was designed according to the position of the opposite side. Read More

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December 2020

[Management of blepharophimosis, ptosis, epicanthus inversus syndrome at a referral center in Tunisia].

J Fr Ophtalmol 2021 Jan 2;44(1):53-62. Epub 2020 Dec 2.

Service d'ophtalmologie de Sousse, place du Maghreb Arabe, avenue Léopold Senghor, 4053 Sousse, Tunisie.

Introduction: Blepharophimosis ptosis epicanthus inversus syndrome (BPES) is a rare congenital hereditary abnormality. It includes complex orbital-palpebral malformations, causing aesthetic and functional ramifications. Management of BPES requires two steps : diagnosis and treatment. Read More

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January 2021

The Triple Unilimb Z Plasty Technique for Severe Forms of Unilateral Cleft Lip Repair.

Plast Reconstr Surg Glob Open 2020 Oct 11;8(10):e3213. Epub 2020 Apr 11.

Faculty of Medicine Post Graduate Studies, School of Medicine, San Martin de Porres University; Edgardo Rebagliatti Hospital, Lima, Peru; and the South American Medical Advisory Council, Smile Train Foundation, USA.

Background: A wide spectrum of variation of the unilateral cleft lip deformity requires an individualized management. Current classifications for unilateral cleft lip are limited to incomplete or complete, and these descriptions do not address well this deformity. The soft tissue deficiency is not considered, which plays an important role in the surgical correction of the unilateral cleft lip. Read More

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October 2020

Staged Ear Transfer and Reconstruction in a Severe Case of Neurofibromatosis Type 1.

Plast Reconstr Surg Glob Open 2020 Oct 27;8(10):e3164. Epub 2020 Oct 27.

Section of Plastic Surgery, Department of Surgery, King Faisal Specialist Hospital and Research Center (General Organization), Jeddah, Saudi Arabia.

Cases of neurofibromatosis type 1 may present with varying degrees of craniofacial deformities. Involvement of the ear and surrounding soft tissues may include hypertrophy, distortion, and sagging. We present the case of a 40-year-old woman with a severe plexiform neurofibroma affecting her left face and ear. Read More

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October 2020

Five Essential Principles for First Web Space Reconstruction in the Burned Hand.

Plast Reconstr Surg 2020 11;146(5):578e-587e

From the Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School; and the Division of Plastic Surgery, Shriners Hospital for Children-Boston.

Background: Burn injuries commonly affect the hand, and the development of adduction contractures of the first web space is frequent and deleterious, both functionally and aesthetically. Many corrective techniques and algorithmic approaches have been described to treat this problem, but there is no consensus on the optimal management.

Methods: A retrospective review at a single high-volume pediatric burn center was undertaken to evaluate the clinical course of these patients. Read More

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November 2020

A Global Evaluation of Surgical Techniques and Results of Unilateral Cleft Lip Repairs.

J Craniofac Surg 2020 Nov/Dec;31(8):2276-2279

Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX.

Background: Variations in the clinical presentation of the unilateral cleft lip resulted in numerous surgical repair techniques used around the world. No universally accepted method exists to evaluate aesthetic surgical results. The purpose of this study is to use the Hubli lip grading system, developed by Smile Train, to evaluate the aesthetic results of unilateral cleft lip repairs based on the surgical technique used. Read More

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