Systematic Review of Patient Safety and Quality Improvement Initiatives in Breast Reconstruction
Conclusions Overall, studies were of moderate quality and investigated several worthwhile interventions. More validated, standardized outcome measures are required, and studies focusing on interventions to reduce thromboembolic events and bleeding risk could further improve PS. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 1, 2022 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Current Evidence in Migraine Surgery: A Systematic Review
Conclusion There is considerable scientific evidence suggesting extracranial migraine surgery is an effective and safe procedure. This surgery should be considered in properly selected migraineurs refractory to medical treatment. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 1, 2022 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Recipient Selection Criteria for Facial Transplantation: A Systematic Review
Conclusions Guidelines among different face transplant programs are changing over time. We found consensus on certain recipient selection criteria, but the majority remain program or surgeon dependent, emphasizing that FT is still an evolving procedure. Although most programs reported on their recipient selection criteria, the rationale was often missing. Further discussion about recipient selection criteria and the reasoning behind employing or changing them will help advance the field. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 1, 2022 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

A Critical Assessment of the Transgender Health Care Workforce in the United States and the Capacity to Deliver Gender-Affirming Bottom Surgery
Conclusions This study demonstrated a shortage of providers with requisite training and experience to provide GABS. Although more robust studies are needed to better characterize the relationship between the number of patients seeking GABS and available providers, these findings indicate a need for improved training. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 1, 2022 Category: Cosmetic Surgery Tags: Research Source Type: research

Caudal Septal Deviation: A Computed Tomography–Based Evaluation Method
This study aimed to introduce an objective evaluation method based on computed tomography (CT) images to measure the effectiveness of septorhinoplasty for CSD treatment. Methods We retrospectively analyzed preoperative and postoperative CT images of patients who had undergone functional open septorhinoplasty by the plastic surgery and otorhinolaryngology teams between January and September 2019. Using OsiriX Lite (Pixmeo, Switzerland), CSD was calculated as the distance between the septum midline and palatal plane. Deformation was categorized as C-shaped unilateral or S-shaped bilateral deviations. The change in the...
Source: Annals of Plastic Surgery - July 1, 2022 Category: Cosmetic Surgery Tags: Research Source Type: research

A Comparison of Handheld Doppler and Indocyanine Green Angiography for Perforator Localization
Conclusions Indocyanine green angiography was more sensitive, specific, and accurate than HHD in identifying perforators across various donor sites; however, its performance suffered in thicker flaps, whereas HHD did not. Patient BMI was not correlated with the performance of either technology. Additional research can further delineate the interrelationships of flap thickness and technologies for perforator localization. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Back to the Beginning: An Algorithmic Approach to Neonatal Myelomeningocele Repair
Conclusions In this series, patients with larger myelomeningoceles appear to benefit from complex flap closure. We propose a 5-layer closure for patients with myelomeningocele including the routine use of a myofascial layer. Cutaneous closure technique should be tailored based on specific defect characteristics as outlined in our algorithm. This approach streamlines myelomeningocele repair while optimizing outcomes and decreasing downstream complications. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Rotation Advancement Keystone Flap for Closure of Large Myelomeningocele Defects
Conclusions Although the conventional keystone flap seems to have geometric constraints to close a transversally oriented myelomeningocele defect, the modified rotation advancement keystone flap serves as a superior alternative and effective option for closure transversally oriented defect. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Comparative Study of En Bloc Excision and Dermal Shaving in Treating Axillary Osmidrosis
Conclusions En bloc excision combined with Minor test effectively reduces malodor without causing severe complications. In addition, perioperative patient satisfaction was better in the en bloc excision group than in the dermal shaving group as en bloc excision provided more rapid returns to normality and simplified communications with patients. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Failed Acellular Nerve Allografts: A Critical Review
Conclusions This article reports instances of ANA graft failure in a variety of contexts, for which the primary reasons for failure remain unclear. The etiology is likely to be multifactorial with both patient, graft and surgeon factors contributing to failure. Further clinical and histological analysis of ANA failures will improve our understanding of the mechanisms of graft failure. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 1, 2022 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

The Tai Chi Flap: A Novel Design for the Radial Forearm Flap
Conclusions The Tai Chi flap is an economically friendly flap design that can be used to prevent skin grafts while providing psychological comfort to patients. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 1, 2022 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Prelamination of the Radial Forearm Free Flap Using Free Full-Thickness Eyelid Skin Grafts: A New Approach for Intraoral Defect Reconstruction
Free flap transfer for reconstruction of intraoral defects is a common procedure in oral and maxillofacial surgery. For tumor-related defects, the radial forearm flap is widely used for soft tissue restoration. However, transfer of free skin grafts to the donor site region is often required for wound closure after free flap harvesting, resulting in esthetic disturbances due to shrinkage of the grafted skin, attendant scarring, or mismatches in skin texture or color. Furthermore, free flap transfer may result in hair follicle transfer into the oral cavity, causing unfavorable intraoral hair growth in adult men in particular...
Source: Annals of Plastic Surgery - July 1, 2022 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Large Isolated Nasoorbital Type of Frontoethmoidal Encephalomeningocele: A Case Report With Long-Term Follow-up
This study aims to present surgical correction of FEEM with Chula's technique and long-term 7-year postoperative follow-up including both clinical and imaging aspects. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 1, 2022 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Genetics, Clinical Presentation, Radiological Features, and Midterm Outcome of Closing Wedge Osteotomy in Children With Brachydactyly Type C
Conclusions This study represents the largest reported series of children undergoing surgery for correction of BD type C clinodactyly with a uniform technique performed by a single surgeon. The closing wedge osteotomy used resulted in good midterm outcomes, although long-term follow-up is lacking. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 1, 2022 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

New Skin Flaps for Triangular Surgical Defects: Design, Assessment on Experimental Model, and Clinical Outcomes
Conclusions Six new flaps for triangular surgical defects were proposed and successfully performed in a series of 40 patients, using an experimental pig skin model and a tensiometer. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 1, 2022 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research