1,212 results match your criteria Z-Plasty

One-sized bilobed flap does not fit all standing cones: a mathematical analysis of the standing cone in bilobed flap dynamics.

Arch Dermatol Res 2022 Jun 23. Epub 2022 Jun 23.

Department of Dermatology, University of Minnesota, 516 Delaware St SE, Minneapolis, MN, 55455, USA.

The bilobed flap (BLF) is a workhorse for nasal repair. Alterations to the length and orientation of the BLF's standing cutaneous deformity (SCD) have been suggested as a means of preventing Z-plasty-induced flap lengthening and consequent ipsilateral alar depression. To investigate the effect of design variations of the SCD on bilobed flap mechanics. Read More

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Correction of congenital cleft ear lobes: optimal outcome with simple surgical approach.

Sunil Kumar Rout

J Maxillofac Oral Surg 2022 Jun 8;21(2):466-468. Epub 2022 Jan 8.

Department of Burns & Plastic Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha 751019 India.

Congenital cleft ear lobe is a rare anomaly, even though the deformities of the ear as a whole are encountered commonly. The deformity results from the failure of fusion of hillocks 1 and 6 during embryonic life. The defective ear lobe carries immense aesthetic importance, especially in females. Read More

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[Incisions in surgical Treatment of Dupuytren's Disease].

Handchir Mikrochir Plast Chir 2022 Jun 10;54(3):223-235. Epub 2022 Jun 10.

Rhön-Klinikum AG Klinik für Handchirurgie.

Therapeutic options to treat Dupuytren`s disease vary considerably. Nevertheless, limited fasciectomy remains the method of choice in advanced disease. Correct incisions are of crucial importance in this kind of surgery. Read More

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Pilonidal cyst with primary transverse closure.

Colorectal Dis 2022 Jun 9. Epub 2022 Jun 9.

Sechenov University.

Surgical treatment for recurrence of pilonidal sinus disease is the gold standard. There are a lot of surgical techniques proposed for recurrence, for example Limberg flap, V-Y plasty flap or Z plasty. They take into consideration many features: deficiency of soft tissue, lack of tissue tension etc. Read More

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Editorial Commentary: The Indication and Technique of Iliotibial Band Release for External Snapping Hip During Hip Arthroscopy in Patients With Femoroacetabular Impingement Syndrome.

Arthroscopy 2022 Jun;38(6):1900-1903

The Fourth Medical Center, Chinese PLA General Hospital, Beijing, China.

Patients with femoroacetabular impingement syndrome (FAIS) often have extra-articular disorders, such as external snapping hip (ESH). We recommend that obvious ESH be addressed by endoscopic transversal iliotibial band (ITB) release during hip arthroscopy for FAIS because the residual serious snapping caused by ESH negatively affects the outcome of hip arthroscopy. However, for mild ESH without indications for severe trochanteric bursitis on magnetic resonance imaging, we still propose that physical therapy, extracorporeal shock wave therapy, or local injection be performed for pain relief. Read More

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A Modified Double Z-Plasty for Bilateral Cleft Lip Repair.

J Coll Physicians Surg Pak 2022 May;32(5):682-684

Department of Oral and Maxillofacial Surgery, Faculty of Dental, Medicine for Girls, Al-Azhar University, Cairo, Egypt.

Repairing bilateral cleft lip (BCL) with a modified Z-Plasty technique to overcome many complications encountered with other traditional techniques was attempted in a group of Egyptian subjects at the Department of Oral and Maxillofacial Surgery, Faculty of Medicine for Girls, Al Azhar University, Cairo, Egypt between May 2018 to May 2021. The study included 20 patients suffering from primary BCL of both genders with ages ranging from one week to one year. 60% of the patients were female and 40% were males. Read More

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Reconstruction of full thickness lower eyelid defects using a lateral advancement flap with Z-plasty and periosteal strip.

Orbit 2022 May 4:1-4. Epub 2022 May 4.

Ophthalmology Department, Sir Charles Gairdner Hospital, Nedlands, Australia.

Purpose: To describe a single stage technique of reconstruction of full thickness lower eyelid defects using a lateral advancement flap and Z-plasty combined with a lateral periosteal strip.

Methods: A retrospective case series of six patients who underwent reconstruction using this technique is presented documenting surgical technique, clinical photographs and postoperative outcomes.

Results: All six patients demonstrated good eyelid position and cosmesis following reconstruction. Read More

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Achilles tendon surgery in clubfoot: Are long term sequelae predictable?

Pediatr Med Chir 2022 May 3;44(1). Epub 2022 May 3.

Pediatric Orthopedic and Traumatology Unit, Children's Hospital, AON SS Antonio e Biagio e Cesare Arrigo, Alessandria.

Congenital Clubfoot (CCF) treatment involves a surgical procedure on the Achilles tendon most of the time, i.e. tenotomy or, in selected cases, Z-plasty lengthening. Read More

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Mini-invasive Quadriceps-plasty for Severe Flexion-Impeding Knee Stiffness.

Jinzhong Zhao

Arthrosc Tech 2022 Apr 19;11(4):e645-e653. Epub 2022 Mar 19.

Department of Sports Medicine, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, China.

Severe flexion-impeding knee stiffness is a common clinical condition that challenges orthopaedic surgeons. A mini-invasive and effective release technique to address this special condition is still being pursued. We describe a mini-invasive quadriceps-plasty that is performed through a small incision on the supralateral side of the knee and includes release of the retinaculum and patellofemoral joint, re-creation of the suprapatellar pouch and medial and lateral gutters, overlapping Z-plasty of the rectus femoris and vastus intermedius, and transfer of the vastus lateralis. Read More

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Risk factors of penile resurfacing in re-operative hypospadias repair: A retrospective analytical study.

J Pediatr Urol 2022 Jun 18;18(3):366.e1-366.e9. Epub 2022 Apr 18.

Department of Urology, Zagazig University, Faculty of Medicine, Zagazig, Sharkia Governorate, 44519, Egypt.

Introduction: In re-operative hypospadias repair, scarred urethral plate, and deficient unhealthy penile skin are usually problematic. Difficulties are not only in urethroplasty but also in penile skin coverage. Penile skin coverage after urethroplasty with good viable skin decreases the complication rate and increases the satisfaction with repair. Read More

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Simulation and optimization of reconstructive surgery procedures on human skin.

J Mech Behav Biomed Mater 2022 Jul 9;131:105215. Epub 2022 Apr 9.

Institute of Biomechanics, Graz University of Technology, Stremayrgasse 16/II, 8010 Graz, Austria.

The complex procedures involved in the reconstructive surgery of human skin to minimize post-operative scarring are here modeled by means of an automated computational tool. A finite strain no-compression membrane model accounting for the tendency to develop wrinkling regions in the skin is presented. The constitutive behavior of the material is then described by a suitable hyperelastic incompressible potential. Read More

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Use of single-layer artificial dermal template in patients with trauma and burns.

J Wound Care 2022 Apr;31(Sup4):S16-S23

Orthopedics and Traumatology, Izmir Bozyaka Education and Research Hospital, Izmir, Turkey.

Objective: Artificial dermal templates (ADTs), were designed initially to provide extracellular matrix and skin substitute for extensive burn injuries. Use of ADTs in a variety of other indications, has also been described in the literature. In this study, we describe our experience of using ADTs for different indications in burn contractures and wound coverage. Read More

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Skin oncoplasties: O-to-Z technique a technique of choice in situation of limited resources? Case of Burkina Faso.

World J Surg Oncol 2022 Apr 7;20(1):113. Epub 2022 Apr 7.

Dermatology, Yalgado Ouedraogo Teaching Hospital, Ouagadougou, Burkina Faso.

Background: In developing countries, the long delays in consultation lead to a delay in diagnosis and management of the skin tumors. The lesions are often large and bring the problem of skin coverage after their resections. Several reconstruction techniques allow skin coverage. Read More

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The Efficacy of Suspensory Ligament Release and Pubic Lipectomy Via Penopubic Z Plasty During Penile Prosthesis Implantation in Improving Sexual Satisfaction: A Prospective Randomized Controlled Trial.

J Sex Med 2022 05 1;19(5):852-863. Epub 2022 Apr 1.

Urology Department, Cairo University, Cairo, Egypt. Electronic address:

Background: The utility of penile suspensory ligament release (SLR) in the setting of penile prosthesis implantation (PPI) has received limited attention in the literature.

Aim: To assess the efficacy and safety of penile SLR release, pubic lipectomy (PL), and the utility of penopubic Z-plasty (ZP) during malleable PPI in improving sexual satisfaction compared to that achieved with the conventional method.

Methods: Between August 2018 and April 2020, 61 patients with refractory erectile dysfunction were prospectively randomized into 2 groups; group A included 31 patients who underwent PPI with SLR and PL via ZP, and group B included 30 patients who underwent conventional PPI via a penoscrotal incision. Read More

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Correction of congenital macrostomia by double reversing Z-plasty: A technical note.

J Stomatol Oral Maxillofac Surg 2022 Mar 26. Epub 2022 Mar 26.

Service de Chirurgie Maxillo-Faciale et Stomatologie, CHU de Nantes, 1 place Alexis Ricordeau, 44093 Nantes, France; CRCI2NA INSERM-CNRS-Nantes Université-Université d'Angers - Équipe 9 (CHILD), faculté de médecine, 1 rue Gaston Veil, 44000 Nantes, France. Electronic address:

Congenital macrostomia is a rare congenital deformity that consists of an enlargement of the commissure of the mouth. The malformation may be unilateral or bilateral and has a polymorphic presentation. Various surgical techniques have been described to correct macrostomia, with only a few cases illustrating the expected results. Read More

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Primary Palatoplasty.

Atlas Oral Maxillofac Surg Clin North Am 2022 Mar;30(1):27-36

Department of Oral and Maxillofacial Surgery and Hospital Dentistry, University of Michigan, School of Dentistry, 1011 North University Avenue, Suite 2014, Ann Arbor, MI 48109, USA.

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Finite element analysis between Hunsuck/Epker and novel modification of Low Z plasty technique of mandibular sagittal split osteotomy.

Proc Inst Mech Eng H 2022 May 23;236(5):646-655. Epub 2022 Feb 23.

Division of Oral and Maxillofacial Surgery, Faculty of Dentistry, Thammasat University, Pathum Thani, Thailand.

A novel modification of the Low Z plasty (NM-Low Z) technique for bilateral sagittal split osteotomy was recently proposed. The osteotomy line was modified more inferiorly than in the conventional Hunsuck-Epker (HE) approach. The NM-Low Z technique enhances the mandibular setback distance and degree of rotation in severe skeletal discrepancies. Read More

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[Application of trifoliate flap design of radial forearm flap in reconstruction of defects after mouth floor cancer resection].

Zhonghua Zhong Liu Za Zhi 2022 Feb;44(2):192-196

The 2nd Department of Head and Neck Surgery, Department of Oncoplastic Surgery, Hunan Cancer Hospital & the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha 410013, China.

To evaluate the effect of trifoliate flap design of radial forearm flap in reconstruction of defects after mouth floor cancer resection. From June 2016 to December 2019, 12 patients with defect after resection of mouth floor cancer were treated with trifoliate flap design of radial forearm flap. All of these patients were T2 stage, included 9 well-differentiated squamous cell carcinoma (SCC) and 3 moderate differentiated SCC. Read More

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February 2022

[Release of amniotic constricted grooves by hemi-circumferential excision and skin closure without Z-plasty].

Ann Chir Plast Esthet 2022 Mar 17;67(2):73-80. Epub 2022 Feb 17.

Département de chirurgie orthopédique, traumatologique et plastique pédiatrique, hôpital des enfants, CHU de Toulouse, 330, avenue de Grande Bretagne, 31059 Toulouse, France.

Introduction: Constriction grooves are typical abnormalities of constriction band syndrome (CBS). Treatment by complete excision and Z-plastic closure is the gold standard for release of these grooves. However, the results of these Z-plasties are often judged to be aesthetically insufficient. Read More

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A predictor of a postoperative fistula after double-opposing Z-plasty in bilateral cleft lip and palate patients.

J Plast Reconstr Aesthet Surg 2022 Jun 31;75(6):1931-1936. Epub 2022 Jan 31.

Department of Biostatistics, School of Medicine, Yokohama City University3-9 Fukuura, Kanazawaku, Yokohama city, Kanagawa, zip code 236-0004 Japan.

Furlow double-opposing Z-plasty (FDOZ) as primary palatoplasty for the bilateral cleft lip and palate (BCLP) closure often leads to a palatal fistula formation in cases with wide clefts. We examined the utility of the calculated maximum closable cleft width to determine the feasibility of a direct palatal closure without lateral incisions. In this retrospective study, we analyzed consecutive patients with a BCLP who were treated for 5 years from 2009. Read More

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Incidence of fistula after primary cleft palate repair: a 25-year assessment of one surgeon's experience.

Arch Plast Surg 2022 Jan 15;49(1):43-49. Epub 2022 Jan 15.

Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea.

Background: Cleft lip and cleft palate are the most frequent congenital craniofacial deformities, with an incidence of approximately 1 per 700 people. Postoperative palatal fistula is one of the most significant long-term complications. This study investigated the incidence of postoperative palatal fistula and its predictive factors based on 25 years of experience at our hospital. Read More

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January 2022

The Use of Z-Plasty for Reconstructing Posterior Ear Defects.

Dermatol Surg 2022 May 19;48(5):579-581. Epub 2022 Jan 19.

Department of Medicine, Division of Dermatology, Houston Methodist Hospital, Houston, Texas.

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Correction of whistle deformity secondary to cleft lip repair by V-Y plasty: a simple and effective technique.

BMJ Case Rep 2021 Dec 22;14(12). Epub 2021 Dec 22.

Oral and Maxillofacial Surgery, Yenepoya Dental College, Mangalore, Karnataka, India.

Several techniques are available for the surgical repair of the cleft lip, however, avoiding secondary deformities and achieving consistent results remains a challenge. The whistle deformity is a secondary lip deformity characterised by inadequate fullness of the central upper lip with abnormal exposure of the central incisors when the lips are at rest, giving a whistling appearance. The causes include scarring of the vermilion and failure to restore the mucosal or muscular continuity. Read More

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December 2021

Split Buccal Fat Flap in Modified Furlow Palatoplasty: Surgical Technique and Early Result.

Plast Reconstr Surg 2022 Jan;149(1):197-201

From Plastic and Cleft-Craniofacial Surgery, A&D DermePlastique; and Department of Plastic and Reconstructive Surgery, the Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University.

Summary: Encouraging results have been described for the use of pedicled buccal fat pad flap in primary cleft palate repair. This retrospective study describes the surgical technique and early results of a technical innovation utilizing the split buccal fat flaps in modified Furlow palatoplasty with small double-opposing Z-plasty. This technique introduces buccal fat tissue for coverage of lateral denuded palate surfaces to reduce the bone exposure and scar formation to potentially attenuate maxillary growth interference and for reinforcement of the palatal areas of high tension or with incomplete closure to decrease the risk of postoperative dehiscence and oronasal fistula formation. Read More

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January 2022

Reinforcing the Modified Double-Opposing Z-Plasty Approach Using the Pedicled Buccal Fat Flap as an Interpositional Layer for Cleft Palate Repair.

Cleft Palate Craniofac J 2021 Dec 3:10556656211064769. Epub 2021 Dec 3.

The Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.

Pedicled buccal fat flaps have been adopted in primary Furlow double-opposing Z-plasty palatoplasty to reduce oronasal fistula formation or to attenuate maxillary growth disturbance. We combined both goals in a single intervention. This study describes a series of 33 modified Furlow small double-opposing Z-plasty palatoplasties reinforced with a middle layer of pedicled buccal fat flaps between the oral and nasal layers for full coverage of the dissected palatal surfaces, with rapid mucosalization of lateral relaxing incisions and no dehiscence or fistula formation. Read More

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December 2021

A novel surgical treatment for labial adhesion - The combination of - and Y-V-plasty: A case report.

Case Rep Womens Health 2021 Oct 21;32:e00363. Epub 2021 Oct 21.

Department of Obstetrics and Gynaecology, Shiga University of Medical Science Hospital, Seta Tsukinowa-cho, Otsu-shi, Shiga 5202192, Japan.

Labial adhesion is characterised by complete or partial fusion of the labia minora. It occurs rarely in postmenopausal women. Although various methods have been proposed, there is no established treatment for postmenopausal patients with labial adhesions due to its low prevalence in this age group. Read More

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October 2021

Versatility Of Square Flaps In Post-Burn Contractures Involving Upper Limb.

Ann Burns Fire Disasters 2021 Sep;34(3):259-263

1RG Kar Medical College and Hospital, Kolkata, India.

Post-burn contractures are a common problem and functionally limiting for upper limbs. Many different techniques have been described in the literature for their treatment. Z-plasty and release with SSG cover are the commonest procedures done for post-burn contractures. Read More

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September 2021

A Novel Method for Correction of the Tethered and Contracted Facial Scars: The Three-Dimensional Subcutaneous Z-Plasty.

J Craniofac Surg 2021 Nov 5. Epub 2021 Nov 5.

Department of Plastic, Reconstructive and Aesthetic Surgery, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.

Objective: Scar revision is 1 of the basic surgery in the field of plastic and reconstructive surgery. The classic treatment of the scar is excision scarless tissue, wide undermining and suture by planes. This method has had unsatisfying results on contracted and tethered scars. Read More

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November 2021

Reading Man Flap: A Nasal Reconstruction Technique.

Ann Plast Surg 2022 Jun 27;88(6):625-630. Epub 2021 Oct 27.

Plastic, Reconstructive and Aesthetic Surgery, Joiest Aesthetic Clinic Antakya /Hatay, Turkey.

Background: Closure of the nasal skin defects that resulted from excision of the skin neoplasms represents a challenging problem in reconstructive surgery. Here, the use of the reading man procedure as a new alternative in reconstruction of the skin defects of the nose is presented.

Materials And Methods: In this procedure, 2 local flaps designed in an unequal Z-plasty manner are used. Read More

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Square-root Palatoplasty: Comparing a Novel Modified-Furlow Double-opposing Z-palatoplasty Technique to Traditional Straight-line Repair.

Plast Reconstr Surg Glob Open 2021 Aug 19;9(8):e3777. Epub 2021 Aug 19.

James A. Lehman Jr. MD Craniofacial Center, Department of Pediatric Plastic and Reconstructive Surgery, Akron Children's Hospital, Akron, Ohio.

The purpose of this study was to introduce a modification of the Furlow double-opposing Z-plasty (DOZ)-the square-root palatoplasty (SRP)-and critically evaluate outcomes compared to children who underwent straight-line repair (SLR).

Methods: A retrospective review was performed of all nonsyndromic children undergoing primary cleft palate closure either by SRP or SLR at our institution between 2009 and 2017. Outcomes of interest included rates/location of oronasal fistula, secondary surgery, speech delay/deficits, resonance, nasal air emission (NAE), articulation errors, and velopharyngeal function. Read More

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