The Incidence of Snow Blower–Related Injuries to the Hand in the United States
This study examines current safety features and their impact on decreasing the incidence of snow blower–related injuries. Methods The National Electronic Injury Surveillance System was queried to look for injuries related to the use of snow throwers or blowers between 2001 and 2016. From all of the injuries related to snow blowers, we collected information on identifying characteristics, location of injury, and type of injury (i.e., avulsion). Chi-squared tests were used for categorical variable comparisons, and Student t tests were used for continuous variable comparisons. Data analysis was performed using SAS st...
Source: Annals of Plastic Surgery - March 9, 2019 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Does Increased Patient Load Improve Mortality in Burns?: Identifying Benchmark Parameters Defining Quality of Burn Care
Conclusions This systematic review demonstrates that a clear correlation between patient load and mortality reduction in adult burn treatment is not supported by the existing literature, requiring future studies. In contrast, all efforts aiming to improve the quality of burn care, such as isolation of burn patients, speed of wound closure, American Burn Association verification and especially standard operating procedures for burn care improve survival and quality of burn care. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2019 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

Geographic Variation in Breast Reconstruction Modality Use Among Women Undergoing Mastectomy
Purpose Despite changes in legislation and an increase in public awareness, many women may not have access to the various types of breast reconstruction. The purpose of this study was to evaluate variation in reconstructive modality at the health service area (HSA) level and its relationship to the plastic surgeon workforce in the same area. Methods Using the Arkansas, California, Florida, Nebraska, and New York state inpatient databases, we conducted a cross-sectional study of adult women undergoing mastectomy for cancer from 2009 to 2012. The primary outcomes were receipt of reconstruction and the reconstructive mod...
Source: Annals of Plastic Surgery - March 9, 2019 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

The Medial Pillar Island Flap for Oncoplastic Breast Reconstruction of Upper Pole Defects
Conclusions The medial pillar island flap has reliable vascularity based on the internal mammary artery system. The flap carries lower pole breast tissue as confined by the medial and lateral pillars of a vertical mastopexy design, offering unrestricted arc of rotation for effective reconstruction of upper pole lumpectomy defects as it is completely dissected from the chest wall and the inframammary fold. The two flap design, along with superomedial pedicle, accomplishes versatility for flap inset. The technique was proven to result in safe outcomes without major complications. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2019 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Use of an Augmentation Spreader Graft for Management of Nasofacial Angle in Patients With Pseudo-Hump
Conclusions Our multipurpose bilateral augmentation spreader graft positioned above the septal plane was effective in dorsal and tip augmentation without the need for alloplastic material. Conservative hump reduction combined with augmentation of the relatively deficient areas of the nose produces a balanced nasal profile. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2019 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Making Augmented and Virtual Reality Work for the Plastic Surgeon
This article will explore how various augmented and virtual reality platforms have enabled real-time visualization of patient information, recording of surgical cases, point-of-view photography, and intraoperative consults—all while remaining sterile in the operating room. Although this technology is of potential value to a number of different surgical and medical specialties, plastic surgery is ideally suited to lead this charge. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2019 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Text and Context Source Type: research

International Humanitarian Work: A Mindset for Success in Plastic Surgery Training
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 9, 2019 Category: Cosmetic Surgery Tags: Editorial Source Type: research

Lower Percentage of the Patients in Breast Reconstruction After Mastectomy Group Who Received Adjuvant Radiotherapy Might Be Associated With Higher Work Ability and Productivity: Reply
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Lower Percentage of the Patients in Breast Reconstruction After Mastectomy Group Who Received Adjuvant Radiotherapy Might Be Associated With Higher Work Ability and Productivity
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

An Evidence-Based Approach to Management of Pectus Excavatum and Carinatum
Pectus excavatum (PE) and pectus carinatum (PC) are the most common congenital chest wall anomalies. Current research suggests that PE and PC may result from overgrowth of the sternocostal cartilages. This can produce a deformation that displaces the sternum inward as in PE or outward as in PC. The etiology, clinical presentation, evaluation, and management of PE and PC are reviewed. Varied clinical presentations, cardiopulmonary effects, and psychosocial aspects are described. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Vascularized Fibula Epiphysis Transfer for Pediatric Extremity Reconstruction: A Systematic Review and Meta-analysis
Background Vascularized fibula epiphysis transfer for pediatric extremity reconstruction intends to preserve growth potential. However, few cases are reported, and outcomes are poorly characterized. Methods Systematic review was performed through a MEDLINE search using keywords “pediatric” or “epiphyseal” and “vascularized fibula.” Patients were divided into upper extremity or lower extremity groups. Functional and growth outcomes were assessed, and indications, pedicle, complications, and need for secondary surgery were recorded. Results Twenty publications with 62 patients were...
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Medial Plantar Flap for Hand Reconstruction: A Systematic Literature Review and Its Application for Post–Sarcoma Excision
The reconstruction of soft tissue defects on the volar aspect of the hand represents a special challenge for the hand surgeon. Even though local and regional options have been described, in some cases because of their complexity, a free flap is preferred. The medial plantar free flap offers a unique reconstructive alternative by providing glabrous skin resurfacing for the palm and digits. The aim of this article is to present a systematic literature review on the use of the medial plantar free flap for hand surgery and a case report in which this flap was used for reconstructing a thenar eminence defect after sarcoma excis...
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Venous Congestion in Pedicled Frontal Branch Superficial Temporal Artery Flaps Reconstructions for Head and Neck Defects: A Review
The superficial temporal artery (STA) flap is a versatile flap for head and neck defect reconstruction. It can be based on the frontal branch of the STA and an islanded 360-degree rotation arc for various defects on the scalp, cheek, and auricular region. It provides a nonmicrosurgical option for reconstructing such defects, which is itself relatively easy to perform. However, venous congestion is a problem than often can cause worry to the clinician and hence preclude its use. In this review, we revisit this flap in head and neck reconstruction, with case examples used for reconstruction of defects on the scalp, maxilla, ...
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Face Transplantation for Granulomatosis With Polyangiitis (Wegener Granulomatosis): Technical Considerations, Immunological Aspects, and 3-Year Posttransplant Outcome
Conclusions This case represents a new underlying disease (trauma + GPA) leading to face transplantation and a unique clinical scenario where allografting was indicated for potentially life-threatening and sight-preserving reasons and not for mere functional and aesthetic concerns. Despite complexity, 3-year clinical outcome is encouraging, and the patient is no longer at risk for dural exposure, meningitis, and related morbidity. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

Quick Calculation of Breast Resection Mass Using the Schnur Scale
In 1991, Dr Paul Schnur and his colleagues published an article correlating the weight of breast tissue to be removed in a breast reduction operation with the total body surface area (BSA) of the patient. They presented a very cogent argument for selecting three groups of patients: those with medical indications for operation, those who merit review, and those whose operation could be considered cosmetic. The Schnur Sliding Scale is widely used by insurance companies in the western United States in the process of preauthorizing breast reduction operations, and its use may be spreading eastward. The Schnur group presented a...
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Research Source Type: research

The Impact of Resident Postgraduate Year Involvement in Body-Contouring and Breast Reduction Procedures: A Comprehensive Analysis of 9638 Patients
Conclusions Resident involvement in BCPs was associated with an increased rate of overall complications in a large, national database. However, the clinical significance of these outcomes may be debated. Increased postgraduate year experience as a surgical resident was inversely associated with overall complications. Guided resident autonomy and earlier exposure to BCPs could lead to an optimization of clinical outcomes and resident education. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Research Source Type: research

Repair of Sacral and Ischial Region Defects With Lateral Sacral Artery Perforator Flaps
Conclusions The LSAP flap has not been frequently described in the literature. We believe that LSAP flap is a flap of choice that should be considered preferably for sacral and ischial defects, which can be reliably elevated over pedicles and has short surgery duration and low surgical morbidity. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

The Modified Keystone Flap for Pressure Ulcers: A Modification of the Keystone Flap With Rotation and Advancement
Conclusions Considering its simple design, reliable flap survival, minimal donor-site morbidity, optimal flap thickness, and evenly distributed surgical tension, our novel technique of the modified keystone flap is as an excellent surgical option for the reconstruction of pressure ulcers in the gluteal region. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Long-term Follow-up of Intracapsular Schwannoma Excision
This study was designed as a long-term follow-up to investigate postoperative symptoms, nervous impairment, and recurrence rate. Methods We performed a long-term follow-up of 18 subjects who underwent intracapsular schwannoma excision. We evaluated preoperative versus postoperative 2-point discrimination (2-PD) in the affected dermatome, pain (visual analog scale [VAS] from 0–10), Hoffmann-Tinel sign, and thermoreceptor response. For reasons of comparison, all examinations were done on both the healthy and affected extremity. Results Last postoperative follow-up was done on average after approximately 50.4 mont...
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Application of Concatenated Arterialized Venous Flaps in Finger Reconstruction
This article describes the use of a 2-concatenated paddle, flow-through arterialized venous flap design for simultaneous resurfacing of 2 separate defects on a single digit. A technique that can be used to reduce postoperative venous congestion will be highlighted in this article. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Surgical Technique for Nasal Cleft Repair
Conclusion Isolated nasal cleft can be properly corrected with the described procedure in a single stage and with optimal result. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Correction of Tanzer Type IIB Constricted Ears via Z-shaped Double V-Y Advancement Flaps
Conclusions The preauricular, superoauricular, and retroauricular skin areas can be used to successfully expand the skin envelope of the upper auricle via the creation of 2 adjoining V-Y advancement flaps. This results in an ample skin cover with which to accommodate the auricular cartilaginous framework reconstructed by multiple techniques. This novel Z-shaped double V-Y advancement flap method can effectively correct Tanzer type IIB constricted ears. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Individual Treatment of Delayed Distal Biceps Tendon Rupture: Case Report and Literature Review
Conclusions Individual treatment is advised in DBTR with complicated elbow injuries. Secondary treatment of DBTR can achieve satisfactory results using individual strategies depending on patients' overall condition. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Ensuring Sustainability for UK Burns Services: Workforce Planning for Burns Consultants
Conclusions Workforce planning is essential to avoid a short fall in the number of upcoming burns consultants. Plans must be in place to anticipate additional workload with a 10% population rise. With the current struggles of NHS funding, a comprehensive review of burns workforce planning should be undertaken to ensure that sufficient numbers of trainees are completing appropriate burns-specific training and are ready to fill these posts. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

Single-Surgeon Experience for Maximizing Outcomes in Implant-Based Breast Reconstruction in Chinese Patients
Conclusions Our implant selection method fit the Chinese population characteristics and could be extended to different types of implant-based breast reconstruction. It produced good esthetic outcomes and was reproducible, predictable, and simple to master in the clinical setting. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Nonshaven Follicular Unit Extraction: Personal Experience
Nonshaven follicular unit extraction (NS-FUE) is the most state-of-the-art surgical technique in the field of follicular unit hair transplantation. It is particularly appealing because donor area shaving, one of the most serious impediments for the patient, can be omitted. In this article, we present our surgical approach for NS-FUE. We selectively used the direct or the pretrimming method of NS-FUE according to indication, determined by considering the location and purpose of transplantation, the condition of the recipient site, and the patient's preference. A total of 658 patients underwent NS-FUE. Of these, 17 had pubic...
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

A Multimetric Evaluation of Online Spanish Health Resources for Lymphedema
Conclusions Available online Spanish lymphedema resources are written at an elevated reading level and are inappropriate for a population with lower health literacy levels. As patients continue to use the internet as their primary source for health information, health care entities must improve the quality of provided Spanish resources in order to optimize patient comprehension. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Texts and Contexts Source Type: research

Analysis of US Food and Drug Administration Breast Implant Postapproval Studies Finding an Increased Risk of Diseases and Cancer: Why the Conclusions Are Unreliable
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Editorial Source Type: research

Molar-Incisor Hypomineralization and Cleft Lip and Palate
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Immunomodulation in Vascularized Composite Allotransplantation: What Is the Role for Adipose-Derived Stem Cells?
Hand and face transplants are becoming increasingly common, recording progressively more penile, uterus, abdominal wall, and allotransplantation cases reported worldwide. Despite current protocols allow long-term survival of the allografts, the ultimate goal of donor-specific tolerance has not been achieved yet. In fact, the harmful adverse effects related to the lifelong administration of immunosuppressive agents are the main drawbacks for vascularized composite allotransplantations. Research is very active in investigating alternative methods to induce greater tolerance while minimizing toxicity. Adipose-derived stem cel...
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Transplantation of Adipose-Derived Stem Cells Before Flap Expansion and After Expanded Flap Elevation Result in Different Effects
Conclusions Transplantation of ADSCs before tissue expansion does not improve flap viability but can promote tissue regeneration. Injection of ADSCs after flap elevation can increase the surviving rate of the expanded flap. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

Mechanical Dilation With a Nylon Monofilament for 0.1-mm Anastomoses
Despite advances in supermicrosurgical techniques, the ability to anastomose vessels with a diameter of less than 0.2 mm remains limited. One of the reasons for this limitation is that the dilation methods currently available, such as inserting the tip of a microforceps into the lumen or topical application of a vasodilator such as papaverine hydrochloride or xylocaine spray, are not effective in very small vessels. To overcome this problem, we have developed a method whereby nylon monofilaments are placed inside the vessel lumen to act as a dilator. Using this method, a smaller nylon monofilament is inserted into the vess...
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Research Source Type: research

International Medical Graduates and the Integrated Plastic Surgery Residency Match
Plastic surgery continues to be one of the most competitive programs into which medical students attempt to match. The reasons for this include the complexity and diversity of cases, the opportunity to interact with multiple specialties, patient and surgeon satisfaction, and the potential for higher compensation compared with other specialties. The disparity between the relatively small number of plastic surgery residency positions and the large number of highly competitive candidates has created challenges for both the applicant and the residency program director. This challenge is even greater for international medical g...
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Research Source Type: research

Factors That Affect Medical Students' Perception and Impression of a Plastic Surgery Program: The Role of Elective Rotations and Interviews
Conclusions Current applicants to plastic surgery in Canada prioritize resident happiness, program collegiality, and meaningful faculty relationships, such as those with a mentor, when ranking residency programs. Although finding a mutually “good fit” between applicant and program will remain a major aim, these findings indicate the importance of certain tangible, potentially modifiable factors that affect how medical students ultimately perceive and rank plastic surgery programs. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Research Source Type: research

Modified V-Y Fasciocutaneous Flap Reconstruction After Abdominoperineal Resection in Irradiated Patients Prevents Wound Dehiscence and Associated Complications: A Retrospective Analysis and Benchtop Confirmation
Conclusion Tension-free de-epithelialized V-Y flap use after APR effectively reconstructs the defect while eliminating an additional donor site. Benchtop studies suggest enhanced flap integrity yielded by layered closure. Wound complications can be managed with local care in their majority (90%). Staggering or delaying suture removal can decrease minor dehiscence. Based on analysis of our results, review of the literature and consideration of donor site morbidity, we believe that modified V-Y flap is the best approach for APR reconstruction in irradiated patients. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Treatment of Abdominal Surgical Wound Dehiscence With Bowel Exposure and Infection: Using Intrawound Continuous Negative Pressure, Irrigation, and Application of Artificial Dermis
The objective at this time is to heal such wounds safely and absolutely with using intrawound continuous negative pressure and irrigation treatment and artificial dermis. The subjects were 18 patients with abdominal wall dehiscence wounds with bowel exposure. Complications had already developed in 4 of the 18 cases of intestinal fistula. Subsequently, these 4 cases were treated with conservative treatment alone, whereas the other 14 were treated by split-thickness skin grafts. Intrawound continuous negative-pressure therapy has enabled the concomitant use of an artificial dermis inside the infected wound by maintaining irr...
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Anatomic Targets for Breast Reconstruction Neurotization: Past Results and Future Possibilities
The concept of providing neurotized autologous breast reconstruction is not novel, but the introduction of cadaveric nerve grafts has allowed for the development of new techniques and a resurgence in academic interest. There has been a surge in the number of publications regarding neurotized autologous breast reconstruction. However, recent articles and reviews have focused mainly on autologous, abdominal-based reconstruction. The sensory innervation of the most commonly used autologous tissues has been well described, allowing surgeons to perform accurate and reproducible dissections. However, there are numerous options f...
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Mechanical Dilation Using Nylon Monofilament Aids Multisite Lymphaticovenous Anastomosis Through Improving the Quality of Anastomosis
In this study, we investigated the efficacy of the conventional supermicrosurgery technique performed with and without MD as a treatment for lower limb lymphedema. The LVA was performed using conventional supermicrosurgery alone in 10 patients (group without MD) and in combination with MD in another 10 patients (group with MD). The mean number of successful LVAs performed per hour was significantly higher in the group with MD than in the group without MD (1.42 ± 0.16 vs 1.14 ± 0.15; P (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

The Long-term Patency of Lymphaticovenular Anastomosis in Breast Cancer–Related Lymphedema
Conclusions This study is, to our knowledge, the first to evaluate long-term patency of LVA in upper limb lymphedema. Our study demonstrates that at least 56.5% of the anastomoses created are patent after 1-year follow-up. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Chyle Leak Following Autologous Breast Reconstruction: A Rare Complication of a Deep Inferior Epigastric Artery Perforator Flap
Conclusion While altering practice patterns based on a single case is not usually suggested, this complication does intimate that dealing with lymphatic vessels and lymph nodes in the chest should be done deliberately to prevent lymphatic leaks. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Medial Arm Flap: An Unexplored Option for Autologous Breast Reconstruction in the Setting of Morbid Obesity
Currently, deep inferior epigastric perforator flap is undoubtedly the first choice for autologous breast reconstruction for most surgeons; however, there are instances where lower abdominal tissue is unavailable for microvascular transfer. In these cases, most surgeons choose gluteal or lower-extremity territories as donor sites. In the setting of morbid obesity, there is an increased risk of flap and donor site complications, as well as increased blood loss, surgical time, and risk of deep venous thrombosis, not to mention a more challenging surgical technique. Added to these problems, Tamoxifen intake and delayed or li...
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Single Versus Simultaneous Double Free Flaps for Head and Neck Reconstruction: Comparison of Flap Outcomes and Donor-Site Morbidity
Conclusions The use of multiple free flaps for reconstruction of major head and neck tissue defects is sometimes necessary to achieve adequate reconstructive results. These procedures have no significant associated increase in overall flap-related complications. Our findings suggest that donor site morbidity can be minimized in double-flap reconstructions by thoughtful flap selection. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Long Term Follow Up of a Vascularized Osteocutaneous Free Flap for Reconstruction in Charcot Neuroarthropathy: A Case Report
We report the long-term results of a case describing the use of an MFC flap to reconstruct an osseous defect resulting from first metatarsophalangeal joint resection in a diabetic patient. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Speech Outcomes After LeFort I Advancement Among Cleft Lip and Palate Patients
Conclusions Although VP function remains unchanged in a majority of patients after LeFort I advancement, VPI should be carefully screened for after surgery. If detected, secondary operations to correct speech should be strongly considered. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Risk of Ischemic Stroke After a Facial Bone Fracture in Elderly Patients
Conclusions Facial bone fractures are associated with increased risk of stroke at 1-year follow-up among elderly patients, particularly women. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

A Test for the Clinical Evaluation of the Flexor Digitorum Superficialis of the Fifth Finger
Conclusions Among the 3 tests described and used in our study, Mecott's modified test proved to be more sensitive and specific than the other two; therefore, we consider this to be the test that should be used in determining the integrity of the FDS5. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Two Cases of Radial Ray Deficiency With Absence of First Metacarpus and 2 Tiny Fingers
We report 2 cases showing both radial ray deficiency and thumb duplication. The common features of these cases were absence of the first metacarpus and presence of 2 tiny fingers. The features of our cases may have been due to continuous abnormality of the mesenchymal cells before limb bud formation and apical ectodermal ridge at the established limb bud. In 1 case, we created a 5-finger hand using 2 tiny floating fingers. Two fingers as vascularized bones with growth potential were useful to make 1 thumb. Two tendon transfers at 2 years of age were effective to allow gripping and pinching of objects. At 6 years of age, th...
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Acquired Localized Hypertrichosis Following Pressure Garment and/or Silicone Therapy in Burn Patients
We report on 7 burn patients who developed hypertrichosis following application of pressure garment/silicone therapy to prevent hypertrophic scarring. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

Autologous Breast Reconstruction With the Latissimus Dorsi Muscle With Immediate Fat Grafting: Long-term Results and Patient Satisfaction
Conclusions This reconstruction technique with autologous fat injection was effective, with satisfactory and long-lasting results, and without the requirement for implants to set breast shape and volume. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Y-Peg-in-a-Round-Hole Closure for Immediate Periareolar Mastectomy Expander Reconstruction
Conclusion After nipple resecting mastectomy, the Y-peg-in-a-round-hole scar minimizes radial size and contour deformity but allows for reliable wound healing. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research