Speech Outcomes of Treatment for Velopharyngeal Insufficiency: Combined Use of an Overlapping Intravelar Veloplasty and Dynamic Sphincter Pharyngoplasty
Background
Velopharyngeal insufficiency involving a large velopharyngeal gap and poor lateral wall movement is referred to as a “black hole” and remains a challenging problem for cleft surgeons. The effect of the pharyngeal flap on this form of velopharyngeal insufficiency is still debatable because a wide pharyngeal flap is associated with a high incidence of airway obstruction. The present study aimed to evaluate the speech outcomes of combined overlapping intravelar veloplasty and dynamic sphincter pharyngoplasty for the treatment of velopharyngeal insufficiency.
Methods
Between March 2016 and June 2019, ...
Source: Annals of Plastic Surgery - April 23, 2022 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research
The Role of Nasal Sill Correction in Secondary Cleft Rhinoplasty
Conclusions
Our study shows that objective measures such as nasal sill and nostril shape (cleft height to width ratio) correlate with improved subjective visual analog scale using the UCL SOE. The nasal sill is an often overlooked, yet essential, part of creating an aesthetically pleasing nose during cleft rhinoplasty. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - April 23, 2022 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research
The Bridged Digital Artery Perforator Flap as an Alternative Reconstructive Option for Dorsal Digital or Toe Soft Tissue Defects
Conclusions
A new concept was introduced to resolve a challenging problem. Initial outcomes are very encouraging. These flaps could be a valuable and reliable reconstructive option. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - April 23, 2022 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research
Innervated Reconstruction of Fingertip Degloving Injury Using a Dorsal Digital Perforator Flap Combined With a Cross-Finger Flap
Conclusions
The dorsal digital perforator flap combined with a cross-finger flap is an effective and reliable method for the reconstruction of fingertip degloving injuries. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - April 23, 2022 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research
Square Flap Method for Reconstruction of Palmar and Dorsal Web Space Burn Contractures
Conclusions
The square flap technique is safe, reliable, and effective in management of both dorsal and palmar interdigital web scar contracture. It completely eliminates the contracture and restores commissural anatomy with good cosmetic outcomes. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - April 23, 2022 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research
Localization of Chronic Pain in Postmastectomy Patients: A Prospective Comparison Between Patients With and Without Breast Reconstruction
In this study, we specified the postoperative pain location after breast surgery, including reconstruction, to find ways to improve surgical procedures or provide effective pain relief.
Methods
The subjects were 205 Japanese women undergoing mastectomy or breast reconstruction with a tissue expander (TE)/implant or a deep inferior epigastric perforator (DIEP) flap. Patients were asked whether they had pain in different parts of the body at 1 year after surgery. Differences were assessed by cross-tabulation and χ2 statistics.
Results
Surveys were completed by 157 subjects. Deep inferior epigastric perforator ...
Source: Annals of Plastic Surgery - April 23, 2022 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research
Skin Reducing Mastectomy and Immediate Tissue Expander Reconstruction: A Critical Analysis
Background
Complications of implant-based reconstruction have been shown to be related to increasing body mass index (BMI) and breast size. The impact of skin reducing mastectomy (SRM) with a dermal flap is examined.
Methods
A retrospective review of a single surgeon's experience with immediate submuscular tissue expander (TE) reconstruction from 2011 to 2019 was performed. The outcomes of SRM were compared with those of skin sparing mastectomy (SSM).
Results
A total of 162 patients (292 breasts) were identified. Mastectomy types were as follows: SRM, 73 (136 breasts) and SSM, 89 (156 breasts). Acellular ...
Source: Annals of Plastic Surgery - April 23, 2022 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research
Early Postoperative Sequelae After Open Sky Access in Nasal Osteotomy: A Comparative Study
Conclusions
Open sky access osteotomy is a safe method for lateral nasal osteotomy with direct visualization of the surgical field. It does not require a skin incision that could lead to a scar formation. It produces less mucosal tear than percutaneous perforating osteotomy. No statistically significant difference is found between both techniques regarding postoperative periorbital ecchymosis and edema on the second and seventh postoperative days. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - April 23, 2022 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research
Book Review: Review of Plastic Surgery—Principals and Practice
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - April 23, 2022 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Texts and Contexts Source Type: research
A Historical Perspective on the Management of Facial Paralysis: From Ancient Civilizations to the Modern Era
Documented evidence of facial nerve paralysis (FNP) and its treatment have been discovered in many early civilizations dating back centuries. Early records are present in art and scripts across ancient civilizations and have laid the groundwork for the implementation of many managements used in modern practice. Although the current management of FNP is still evolving, it includes a complex and multimodal spectrum of options ranging from pharmacologic therapy to facial physical therapy and neuromuscular training, and surgical facial reanimation interventions via static and dynamic procedures. The aim of this review is not t...
Source: Annals of Plastic Surgery - April 23, 2022 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Texts and Contexts Source Type: research
Digit Replantation: An Endangered Species of Surgery
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - April 23, 2022 Category: Cosmetic Surgery Tags: Editorial Source Type: research
Reconstruction of Large Ptotic Breasts After Nipple-Sparing Mastectomy: A Modified Buttonhole Technique
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 28, 2022 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research
Galactorrhea After Nipple-Sparing Mastectomy: Case Report, Review of the Literature, and Algorithmic Approach to Management
This study presents the first case of galactorrhea in a female patient after NSM. Although milky discharge due to physiologic lactation related to pregnancy is more common, galactorrhea is still possible and should be worked up appropriately to ensure that all breast tissue has been removed and that there are no other more worrisome causes. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 28, 2022 Category: Cosmetic Surgery Tags: Review Paper Source Type: research
Comparison of the Effects of Intratubal Injection of Adipose-Derived Mesenchymal Stem Cells in a Rat Sciatic Nerve Transection: An Experimental Study
This study was designed to evaluate the efficacy of epineural tubulization (ENT) with or without intratubal application of adipose-derived mesenchymal stem cells (ASCs) in the rat model of sciatic nerve transection. After formation of 1-cm defect in the left sciatic nerve and ENT, 32 adults female Wistar albino rats were separated into 4 groups (n = 8 for each) including ENT per se (group 1; ENT group) and ENT plus intratubal ASC injection groups killed on day 21 (group 2; ENT-ASC-21-day group), 60 days (group 3; ENT-ASC-60-day group), and 120 days (group 4; ENT-ASC-120-day group). Functional (sciatic function index, hip c...
Source: Annals of Plastic Surgery - March 28, 2022 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research
A Comparison of Applicant and Resident Physician Demographics Among Surgical Subspecialties From 2009 to 2019: Trends in Gender and Underrepresented Minorities in Medicine
Conclusions
There has been significant increase in number of residency programs and resident positions since 2009. However, increase in female residents and UIM(s) among SSSs has not matched the pace of growth. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 28, 2022 Category: Cosmetic Surgery Tags: Research Source Type: research
