Authors' Response to the Letter to the Editor Discussing “Analgesic Use Following Bilateral Breast Reduction”
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Additional Factors in Evaluating Analgesic Use Following Bilateral Breast Reduction
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Comment on: The Effect of Postmastectomy Radiation Therapy on Breast Implants: Material Analysis on Silicone and Polyurethane Prosthesis
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Comparative Effectiveness of Transversus Abdominis Plane Blocks in Abdominally Based Autologous Breast Reconstruction: A Systematic Review and Meta-analysis
Background The abdomen is the most common donor site in autologous microvascular free flap breast reconstruction and contributes significantly to postoperative pain, resulting in increased opioid use, length of stay, and hospital costs. Enhanced Recovery After Surgery (ERAS) protocols have demonstrated multiple clinical benefits, but these protocols are widely heterogeneous. Transversus abdominis plane (TAP) blocks have been reported to improve pain control and may be a key driver of the benefits seen with ERAS pathways. Methods A systematic review and meta-analysis of studies reporting TAP blocks for abdominall...
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Review Papers Source Type: research

The Use of the Bipedicled Deep Inferior Epigastric Perforator Flap for Unilateral Breast Reconstruction: A Systematic Review and Meta-analysis
Conclusions Bipedicled DIEP flap for unilateral breast reconstruction is a technique that maintains the complications rate relatively low in challenging postmastectomy cases. Further comparative studies are needed to substantiate the findings of this study. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Review Papers Source Type: research

Four-Corner Arthrodesis Versus Proximal Row Carpectomy for Scapholunate Advanced Collapse: A Systematic Literature Review and Meta-analysis
Conclusions This study demonstrated that in comparative studies, there was a statistical difference favoring proximal row carpectomy to 4-corner arthrodesis for the treatment of SLAC. Although these differences were statistically significant, they remain very small and lack clinical relevance. This study further supports that both of these treatment options are equivalent for the treatment of this disease. Although not clinically significant, compared with 4-corner arthrodesis, patients treated with proximal row carpectomy had increased range of motion, increased grip strength, and decreased pain. Limitations to these ...
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Review Papers Source Type: research

Evaluating the Necessity of Capsulectomy in Cases of Textured Breast Implant Replacement
Conclusions Capsulectomy introduces additional morbidity and is not mandatory for asymptomatic patients. Implant removal or exchange for smooth implants without a capsulectomy may be an acceptable choice for many women who do not demonstrate capsular pathology. However, any symptoms or surgical findings suggesting pathology warrant a capsulectomy. En bloc resections are reserved for patients diagnosed with BIA-ALCL. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Review Papers Source Type: research

Public Perceptions of Cross-Sex Vascularized Composite Allotransplantation
Background Cross-sex vascularized composite allotransplantation has been performed in cadaveric facial transplantation and clinical extremity transplantation. Understanding the challenge of appropriate donor-recipient matching, this study sought to characterize the public's perception of cross-sex vascularized composite allotransplantation. Methods Participants were surveyed in New York City. Data collected included demographics and willingness to donate vascularized composite allografts (VCAs) of various types. Similar questions were asked in the context of same-sex and cross-sex donation. Results A tota...
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

Clinical Evaluation of Scar Quality Following the Use of Prophylactic Negative Pressure Wound Therapy in Obese Women Undergoing Cesarean Delivery: A Trial-Based Scar Evaluation
Conclusions Prophylactic iNPWT has been found to reduce the risk of surgical site infection following CD. Conversely, this study was not able to detect a difference in the long-term cosmetic result after CD when compared with standard dressings. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Research Source Type: research

Changes in Opioid Prescribing Patterns: A Survey of the Florida Society of Plastic Surgeons
Conclusions Results from our survey indicate that Florida plastic surgeons have adjusted their prescribing practices in response to recently enacted legislation. Most plastic surgeons reported decreased number of tablets of opioids prescribed. Many also reported incorporating nonopioid analgesics. Further study will be necessary to determine the impact of these changes on rates of opioid overdose. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Research Source Type: research

Three-Dimensional Visualization for Extended Deep Inferior Epigastric Perforator Flaps
Conclusions The DIEPs can obtain large extended perforator flaps accompanied with nerves. The perforator close to the umbilicus should be selected while designing the DIEP flap. The 3-dimensional model of extended DIEP flaps can be established conveniently and intuitively by VR and DR methods of Mimics. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Research Source Type: research

Digital Subtraction Angiography and Magnetic Resonance Imaging–Based Staging of Circulatory Obstruction in the Femoral Head During Osteonecrosis of the Femoral Head Development
Conclusions The existing classification systems do not fully reflect the progression of circulatory obstruction in ONFH. Each stage of NONFH development has its own characteristics circulatory obstruction. Early-stage NONFH displays characteristic venous stasis of the femoral head, whereas advanced stage NONFH is characterized by insufficient arterial blood supply to the femoral head. Corresponding NONFH treatment strategies should be considered based on their specific circulatory status. This work also provides guidance and recommendations for adopting corresponding femoral head preserving strategies for young patient...
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Research Source Type: research

Influence of Residency Training on Research Productivity and Plastic Surgery Career
Background The impact of residency training on academic productivity and a career in academic plastic surgery remains uncertain. Previous literature has explored the influence of training institutions on academic careers in surgery. The aims of the study were to assess research productivity during plastic surgery residency training and to illustrate how differences in training programs impact resident research productivity. Methods Academic plastic surgery faculty that graduated in the past 10 years were identified through an Internet search of all Accreditation Council for Graduate Medical Education–accre...
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Research Source Type: research

Implications of Training Pathways on Future Academic Plastic Surgeon Employment
Conclusions Academic surgeons commonly complete a postresidency fellowship and are often employed at institutions where they have formerly trained. Trainees considering an academic career should consider these patterns when planning their future careers. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Research Source Type: research

Anterolateral Thigh Flap With Vascularized Fascia Lata Associated With Thigh Flaps: A Case Report of an All-in-One Reconstruction of the Suspensory Ligament and Penoscrotal District After Fournier Gangrene
Radical surgical debridement after Fournier gangrene (FG) can totally change anatomical balance between structures and compromise urogenital function. This is particularly true when the suspensory ligament and the lower abdominal wall are involved, leading to erection and sexual intercourse dysfunction. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

The Charles Procedure as Part of the Modern Armamentarium Against Lymphedema
Conclusions The Charles procedure continues to have clinical utility in modern lymphedema treatment. Despite potential risks, it can be done successfully with proper planning and careful attention to technical details; it can be life changing for patients suffering from most extreme lymphedema. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Lymphatic Leaks of the Thigh and Inguinal Region: Combined Plastic Surgery Approaches for an Effective Treatment Algorithm
Conclusions A stepwise approach, combining lymphatic surgery principles and plastic surgery flap techniques, can lead to an effective treatment algorithm where surgical options are wound tailored to guarantee the best functional outcomes. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Reliability and Versatility of Reverse Sural Island Neurofasciocutaneous Leg Flaps
Conclusions Reverse sural island NFC flaps provide adequate and aesthetically very acceptable coverage of soft tissue defects of the distal lower leg and proximal foot with no functional impairment. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Medial Sural Artery Perforator Flap for Leg and Knee Coverage: Extended Skin Paddle With 2 Perforators
Conclusions The pedicled MSAP flap represents a versatile option in soft-tissue defect coverage of the lower leg and around the knee joint. Inclusion of 2 perforators could render the flap safer and increase its skin paddle, making it suitable for larger defects. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Effectiveness of Selegiline Hydrochlorate in Treating Neurosensory Disorders of the Lower Alveolar Nerve Resulting From Mandibular Sagittal Osteotomy: Preliminary Study
Introduction Peripheral nerves transmit nerve signals between periphery and the spinal cord or brain stem. Its function can be compromised by trauma to the nerve, such as those that occur in surgical procedures such as orthognathic surgery. Depending on the type of injury, treatment may be proposed, but this is still a controversial point in literature. Alternative methods that assist in the treatment of paresthesia should be studied, and in this context, selegiline hydrochloride seems to be a promising drug. Aim Based on the above, the aim of this study was to evaluate the effectiveness of selegiline hydrochlor...
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Two-stage Reconstruction Using a Free Jejunum/Ileum Flap After Total Esophagectomy
Conclusions Two-stage surgery using free jejunum/ileum flap transfer is a safe and reliable option for esophageal reconstruction in cases where gastric pull-up is unavailable. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Clinical Outcomes in Ring Avulsion Fingers and Systematic Review of the Literature
Ring avulsions continue to be a challenge in reconstructive surgery. We conducted a retrospective study and reviewed all Urbaniak-Kay type IV degloving injuries replanted at our institution between 2011 and 2018. A systematic review of the literature was also conducted to assess the survival rates, functional, and sensibility outcomes. The results of our systematic review outline a survival rate of 79.50% (101/127). With 1 artery being repaired, 79% of the fingers survived, a value that increased to 87.50% when 2 arteries were anastomosed (P = 0.484). Statistically significant differences (P (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Translucent Customized Cranial Implants Made of Clear Polymethylmethacrylate: An Early Outcome Analysis of 55 Consecutive Cranioplasty Cases
Conclusions This is the first reported consecutive case series of cranioplasty reconstruction using customized clear PMMA implants, demonstrating excellent results with regard to ease of use, safety, and complication rates well below published rates when compared with other alloplastic materials. Clear PMMA also provides additional benefits, such as visual transparency and sonolucency, which is material specific and unavailable with autologous bone. Although these early results are promising, further studies with multicenter investigations are well justified to evaluate long-term outcomes. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Treatment of Divided Eyelid Nevus With Orbicularis Oculi Myocutaneous Flap: Report of 17 Cases
Conclusions The OOMC flap is an excellent method for the treatment of divided eyelid nevus, resulting in high functional and aesthetic reconstruction. In some cases, blepharoplasty can be performed in the second stage, which improves the aesthetic outcomes. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Hand Surgery Referral Pattern Preferences Among Primary Care Physicians in Academic Centers in the Southeastern United States
Conclusions Referrals for arthritis, nerve decompressions, tendon injuries, fractures, and sports injuries are more likely to be referred to OS. Referrals for soft tissue coverage and skin cancers are more likely to be referred to PS. Nerve injuries and congenital deformities referrals were similar between orthopedic and PS. Further research should be conducted to determine why referral patterns vary among specialties with similarly trained hand surgeons. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Comparison Between Human Amniotic/Chorionic Membrane and Cryopreserved Allografts in the Treatment of Genital Burns
Conclusions Dehydrated amniotic membrane skin substitutes are a safe alternative in the treatment of genital burns. Its use achieves comparable benefits with no major significant difference in terms of complication, supporting the safety of amniotic membrane to treat genital burns. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

Survival and Versatility of the Flow-Through Lateral-Thigh Free Flap in Severe Electrical Injuries to the Wrist
Conclusions High-voltage electrical burns of the wrist are highly destructive, and sophisticated management of damage requires concomitant vascular reconstruction and soft-tissue coverage. The flow-through anterolateral-thigh flap is an optimal solution for this problem. Emphasis must be placed on the affected blood vessel throughout the treatment period. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

Transversus Abdominis Plane Block With Liposomal Bupivacaine Versus Thoracic Epidural for Postoperative Analgesia After Deep Inferior Epigastric Artery Perforator Flap–Based Breast Reconstruction
Conclusion When using TAP blocks with liposomal bupivacaine, a statistically significant effect on postoperative day 3 and decreased opioid utilization overall were observed. Patients also had their Foley removed sooner and were discharged from the hospital earlier. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

The Influence of Obesity on Outcomes After Pediatric Reduction Mammaplasty: A Retrospective Analysis of the Pediatric National Surgical Quality Improvement Program–Pediatric Database
Conclusions Obesity was significantly associated with greater postoperative adverse events in obese adolescent females after reduction mammaplasty compared with their nonobese counterparts. Although recorded rates of adverse events after reduction mammaplasty were low, preoperative weight loss programs may further improve outcomes for obese pediatric populations undergoing reduction mammaplasty. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Complications of Wise-Pattern Compared With Vertical Scar Mastopexy/Breast Reduction in Oncoplastic Breast-Conserving Surgery
Conclusions The Wise-pattern mastopexy/breast reduction OBCS technique was associated with a significantly higher complication and major complication rate than vertical scar techniques. The findings should be considered during choice of surgical technique in oncoplastic breast conservation. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Composite Face Lifting: The Combination of Stromal Enriched Lipograft With Face Minilift and Upper and Lower Blepharoplasty: A Review of 210 Cases
Conclusions Composite face lifting seems as a safe and effective combined procedure for the rejuvenation of face. Face harmony not only depends on redraping tissues toward a more natural, tense, and young conformation, but also on restoring volumes and improving the quality of the redraped tissues. More research is necessary, but the preliminary encouraging impression is that the composite face lifting is capable of addressing all issues, the necessity of correcting laxity, filling volumes, and improving the quality of cutaneous tissues. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Rhinoplasty With Hyaluronic Acid: A Standard 5-step Injection Procedure Using Sharp Needle
Conclusions Injection of hyaluronic acid with the sharp needle by a standard 5-step procedure is a safe technique that can effectively correct the deficient features of the Chinese nose. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

The Plastic Surgeon's Role in Health Equity Research and Policy
Although a growing body of research explores the interplay of social, economic, and environmental conditions that underlie health disparities, there is no clear path forward to combat health inequity. Plastic surgeons continue to witness how changes in healthcare delivery processes, insurance coverage, and payment structures interfere with patients' access to specialty services. However, their perspectives are rarely incorporated into meaningful strategies that ensure equitable care for the diverse patient population. The goal of this article was to convey how plastic surgeons can play a more active role in the development...
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Text and Contexts Source Type: research

Hanno Millesi: Pioneer of Plastic Surgery and Nerve Surgery (1927–2017)
Recently, plastic surgery lost one of its most prominent surgeons—Dr. Hanno Millesi. His contributions to the field continue to impact the practice of medicine and surgery. As such, it is appropriate to reflect upon his career and recognize his accomplishments in peripheral nerve surgery, hand surgery, and Dupuytren disease. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Text and Contexts Source Type: research

Yellow Lights?
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Editorials Source Type: research

The Dark Side of Aesthetic Surgery: Are We Promoting Cultural Appropriation?
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 26, 2020 Category: Cosmetic Surgery Tags: Editorials Source Type: research

One-Piece FO Distraction With Midline Splitting But Without Bandeau for Metopic Craniosynostosis Craniometric, Volumetric, and Morphologic Evaluation
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 9, 2020 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Oncoplastic Breast-Conserving Surgery: Is Technical Skill All That Is Needed?
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 9, 2020 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Secondary Lymphedema Following Radical Prostatectomy: Noncontrast Magnetic Resonance Lymphangiography Assessment and Vascularized Lymph Node Transfer
Lymphedema (LE) is a progressive chronic disorder, frequently related to malignancies and their treatment in Western countries. It markedly affected patients' quality of life, and its management is challenging, mainly based on conservative therapy, as bandages and manual lymphatic drainage, with limited results. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 9, 2020 Category: Cosmetic Surgery Tags: Review Papers Source Type: research

The Effect of Multiple Surgeries on Psychosocial Outcomes in Pediatric Patients: A Scoping Review
Conclusions The studies here suggest that certain pediatric patient populations are at risk for impaired psychosocial functioning as a result of repetitive procedures. However, it is important to differentiate whether the association with poorer psychosocial outcomes is from the number of surgical procedures or whether the number if just a surrogate for increased disease complexity. Standardized psychosocial outcomes measures and future prospective, long-term, randomized clinical trials are also warranted. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 9, 2020 Category: Cosmetic Surgery Tags: Review Papers Source Type: research

The Current Status of the Autologous Fat Grafting for Pediatric Craniofacial Patients
Since its first introduction, autologous fat grafting (AFG) has undergone multiple refinements and has become a common treatment option within plastic surgery. It is a safe, quick, economical, and minimally invasive method for volume augmentation and is finding its own indications in the pediatric craniofacial surgery patients. Because there is currently a paucity of literature regarding the use of AFG in the pediatric population compared with the adults, the authors performed a systematic review of the literature using PubMed, Cochrane Library databases, and the Journal of Plastic and Reconstructive Surgery using the term...
Source: Annals of Plastic Surgery - October 9, 2020 Category: Cosmetic Surgery Tags: Review Papers Source Type: research

Characterization of Face Transplant Candidates Evaluated at Cleveland Clinic and Algorithm to Maximize Efficacy of Screening Process
This report analyzes our algorithm for the assessment of potential face transplant candidates referred to our institution. Methods After institutional review board approval in 2004, a prospectively maintained database was created for patients who were referred face transplant. Records were reviewed for the nature of tissue defect, functional deficit, surgical and medical history, and expert recommendations. Our algorithm begins with a review of a patient's file with a focus on institutional review board criteria. After screening, a phone interview is conducted, and transplantation is discussed. Patients are presented t...
Source: Annals of Plastic Surgery - October 9, 2020 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

Determination of the Ratio of the Decantation Time and the Separation of Components in Lipoaspirate
Methods Thirty milliliters of fat were obtained from 11 healthy adults and decanted at room temperature for 0, 30, and 60 minutes. After decantation, the infiltration liquid and the remnant fat were measured with a volumetric pipette. Once the solution was removed, the remnant fat was centrifuged at 3000 rpm for 5 minutes to separate any residual solution, to measure the amount of actual fat obtained at that time point. Viability was determined with trypan blue staining for all the samples. Results After decantation, 9.4 ± 0.79 mL of fat was obtained at time 0, whereas 7.7 ± 1.56 mL was obtained at 30 mi...
Source: Annals of Plastic Surgery - October 9, 2020 Category: Cosmetic Surgery Tags: Research Source Type: research

Trainee Operative Autonomy in Plastic Surgery
Conclusions Although plastic surgery trainees endorse gradual operative autonomy overall, a majority of final-year trainees do not perceive supervision only independence in the majority of core procedures queried. Faculties perceive higher trainee operative autonomy than trainees for most procedures. Discordant approaches to case logging were identified both among trainees and between trainees and faculties. Standardization may improve both progression and assessment of operative autonomy in plastic surgery training. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 9, 2020 Category: Cosmetic Surgery Tags: Research Source Type: research

Therapeutic Interventions to Reduce Radiation Induced Dermal Injury in a Murine Model of Tissue Expander Based Breast Reconstruction
Conclusions Amifostine resulted in a significant improvement in type I collagen fibril organization and collagen synthesis, whereas DFO mitigated abnormal changes in collagen secondary structure in an irradiated murine model of expander-based breast reconstruction. These therapeutics offer the ability to retain the native microarchitecture of type I collagen after radiation. Amifostine and DFO may offer clinical utility to reduce radiation induced dermal injury, potentially decreasing the high complication rate of expander-based breast reconstruction with adjuvant XRT and improving surgical outcomes. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 9, 2020 Category: Cosmetic Surgery Tags: Research Source Type: research

The Usage of Pedicled or Free Muscle Flaps Represents a Beneficial Approach for Periprosthetic Infection After Knee Arthroplasty
Conclusions Soft tissue coverage improves the outcome after PJI of the knee with soft tissue defects. Patients who simultaneously needed plastic surgery for defect coverage and orthopedic surgery for CR had the lowest number of complications overall. Based on the results of this study, a therapy algorithm could be identified considering the soft tissue defect grade leading to the lowest major complication rates and maximizing the outcome of knee prosthesis infection therapies. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 9, 2020 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Thoracic Wall Reconstruction: Surgical Planning in Extended Malignant Resections
Conclusions Extended resection of the chest wall is associated in most cases with advanced disease, especially advanced breast cancer. Despite poor prognosis associated to locally advanced disease, it is imperative to perform chest wall reconstruction and allow the patient to continue adjuvant therapy (radiotherapy or chemotherapy) and improve quality of life. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 9, 2020 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Reinnervation of the Diaphragm After Bilateral Phrenic Nerve Resection and Immediate Reconstruction Using a Contralateral Phrenic Nerve Autograft
A patient affected by a voluminous synovial sarcoma of mediastinum received radical surgery, resulting in injury of both phrenic nerves. Because of the cancer location, reconstruction of the left phrenic nerve was not possible, so to prevent the patient's ventilator dependence, the right phrenic nerve was reconstructed via an autograft from the residual proximal stump of the contralateral one. In 3 months, the right hemidiaphragm function showed a full recovery, documented by ultrasonographic and radiographic assessment of diaphragmatic excursion, and the patient was weaned from mechanical ventilation. When a nerve autogra...
Source: Annals of Plastic Surgery - October 9, 2020 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

The Effects of Adjunctive Pain Medications on Postoperative Inpatient Opioid Use in Abdominally Based Microsurgical Breast Reconstruction
Background The purposes of this study were to quantify the amount of opioid medication used postoperatively in the hospital setting after abdominally based microsurgical breast reconstruction, to determine factors that are associated with increased opioid use, and to identify other adjunctive medications that may contribute to decreased opioid use. Methods An electronic medical record data pull was performed at the University of Pennsylvania from November 2016 to October 2018. Cases were identified using Current Procedural Terminology code 19364. Only traditional recovery after surgery protocol patients were included....
Source: Annals of Plastic Surgery - October 9, 2020 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Should 1 or 2 Venous Anastomoses Be Done in Microsurgical Flap Transfer?
Conclusion There is no difference in flap survival in single or dual venous anastomosis, but we have noticed higher reexploration rates in the 2-vein group. However, outcome is better in the 2-vein group. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 9, 2020 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research