Predictors of Complications After Pectoralis Major Transposition for Sternum Dehiscence
Conclusions: Tissue-flap coverage of the sternum using pectoralis major advancement flaps is a procedure that is still hampered by a high postoperative complication incidence. Female sex, smoking, detachment of the humeral insertion and operation time are associated with postoperative wound complications. These results may contribute in improving operative strategy. Also the use of the Clavien-Dindo classification makes underestimation of the complication rate unlikely in this study. The classification can easily be used in future studies, which will enhance comparability of results. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2017 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Propeller Flaps With Reduced Rotational Angles: Clinical Experience on 40 Consecutive Reconstructions Performed at Different Anatomical Sites
Conclusions: Propeller flaps with reduced rotational angles represent a safe and versatile option to reconstruct soft tissues defects at different anatomical sites. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2017 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Is Routine Pathologic Evaluation of Sebaceous Cysts Necessary?: A 15-Year Retrospective Review of a Single Institution
Abstract: A question arose in our practice of whether all cysts considered sebaceous should be sent for pathologic evaluation. To address this controversial topic, we performed a retrospective study of our single institution's histopathology database. A natural language search of the CoPath database across the institution was undertaken using the diagnosis of sebaceous cyst, epidermal cyst, epidermoid cyst, epithelial cyst, infundibular cyst, pilar cyst, trichilemmal cyst, and steatocystoma. A surgical pathologic review of all specimens with one of these preexcision diagnoses was included in the 15-year retrospective study...
Source: Annals of Plastic Surgery - January 12, 2017 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Bipolar Transfer of Latissimus Dorsi Myocutaneous Flap for Restoration of Elbow Flexion in Late Traumatic Brachial Plexus Injury: Evaluation of 13 Cases
Conclusions: Bipolar transfer of latissimus dorsi myocutaneous flap is a reliable method for restoration of elbow flexion in patients suffering from late sequelae of traumatic brachial plexus injury. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2017 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Vascularized Second Metatarsophalangeal Joint Transfer for Salvage of Failed Centralization in Radial Longitudinal Deficiency: Case Report
We report on a child with recurrence after centralization, where correction and successful maintenance of a good functional and cosmetic position were obtained by vascularized second metatarsophalangeal joint transfer. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2017 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Pharyngoesophageal Reconstruction With the Medial Sural Artery Perforator Flap After Total Laryngopharyngectomy: A New Method
Conclusions: Here, we demonstrated the use of the MSAP flap in reconstruction of circumferential pharyngoesophageal defects. Further application and follow-up studies should be performed. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2017 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Fibro-Lipo-Lymph-Aspiration With a Lymph Vessel Sparing Procedure to Treat Advanced Lymphedema After Multiple Lymphatic-Venous Anastomoses: The Complete Treatment Protocol
Background: In lymphedema, excess adipose tissue occurs with progression of the disease because of chronic lymph stasis, impeding lymphatic flow. Recently, liposuction has been used as a less-invasive procedure to remove this excess tissue. Given the existing poor lymph drainage in patients with lymphatic diseases, extra caution should be taken to avoid damaging lymphatic vessels during liposuction. We developed a new technique (Fibro-Lipo-Lymph-Aspiration with a Lymph Vessel Sparing Procedure [FLLA-LVSP]) to improve chronic swelling in patients with advanced lymphedema. The FLLA-LSVP highlights the superficial lymphatic p...
Source: Annals of Plastic Surgery - January 12, 2017 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Salvage of Ear Framework Exposure in Total Auricular Reconstruction
Conclusions: Salvage of framework exposure remains a challenging issue in total auricular reconstruction. However, appropriate wound management using various flaps allows the reconstructed ear to be safely preserved. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2017 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

A New Technique for Total Reconstruction of the Lower Lid
Conclusions: This new technique seems to be a useful alternative for reconstruction of total and subtotal lower eyelid defects. The procedure seems to be superior since it requires considerably shorter operating time with no risk of flap failure. Moreover, this technique offers an excellent color and textural match for the reconstruction of total and subtotal lower eyelid defects extending the infraorbital area. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2017 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Pediatric Hand Surgery in Global Health: The Role for International Outreach
This study aims to identify how hand surgical volunteer programs can benefit the pediatric hand surgical landscape in global health. There has been no literature review to date. Methods: This institutional review board-approved review systematically searched PubMed, Embase, Medline, African Journal Online, and the Journal of Hand Surgery. A scoping review methodology was selected to allow mapping of a body of literature by topic, include a greater range of study designs, and provide a descriptive overview of the reviewed material. All studies published between 2000 to March 2016 relevant to pediatric hand surgery in globa...
Source: Annals of Plastic Surgery - January 12, 2017 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Treatment of Keloids With Excision and Adjuvant Radiation: A Single Center Experience and Review of the Literature
Conclusions: At this time, the evidence supporting surgery and radiation for the treatment of keloids remains equivocal, and randomized controlled studies are needed to determine the efficacy of this treatment protocol. Most importantly, our data reinforce the need for long-term follow-up in this patient population. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2017 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

Preventing Breast Implant Contamination in Breast Reconstruction: A National Survey of Current Practice
Conclusions: There is considerable heterogeneity in surgical practices aimed at preventing bacterial contamination in implant-based breast reconstruction. Surgeons may benefit from high-level studies designed to create standardized evidence-based practice guidelines. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2017 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Infectious Loss of Tissue Expanders in Breast Reconstruction: Are We Treating the Right Organisms?
Discussion: Due to the high rate of infection in breast reconstruction patients, adequate perioperative prophylaxis is necessary. The surgeon must also be prepared to treat patients who may return with infection postoperatively. Although the majority of our infections were secondary to normal skin flora, a significant proportion were caused by gram-negative species. Given these results, the empiric antibiotic of choice for postoperative infections should be reconsidered to cover for these various organisms. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2017 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Simple Reshaping of the Breast in Massive Weight Loss Patients: Promising Preliminary Results
Conclusions: The LOPOSAM technique is quick and simple to perform, and the preliminary results are promising. However, a longer follow-up is needed to confirm this. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2017 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Safety and Outcomes in Rereduction Mammaplasty: Single Institution Experience and Review of the Literature
Conclusions: With careful technique, rereduction mammaplasty is safe, reliable, and effective. Varying amounts of tissue may be excised, and the nipple may be moved safely with a short superior or central mound pedicle regardless of initial technique. Limited rereduction can be performed as early as 4 to 6 months. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2017 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Mycobacterium abscessus Infection After Facial Injection With Autologous Fat: A Case Report
We report a case of Mycobacterium abscessus infection in a 29-year-old woman after facial injection with autologous fat. Nineteen months previously, she received a facial surgery of autologous fat injection with the fat harvested from her inner thigh. On examination, she had multiple painful and fluctuant abscesses associated with local pyrexia in her bilateral temporal and lower orbital regions. A B ultrasound revealed multiple fat liquefaction in her bilateral temporal and lower orbital regions. The acid-fast bacilli culture and polymerase chain reaction sequencing confirmed M. abscessus infection. She was treated with m...
Source: Annals of Plastic Surgery - January 12, 2017 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Silicone-Polytetrafluoroethylene Composite Implants for Asian Rhinoplasty
Conclusions: I-shaped silicone-PTFE composite implants are feasible for both primary and secondary augmentation rhinoplasty in Asians. Early outcomes data suggest an overall complication rate that is comparable to PTFE alone. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2017 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Fellowship Review: Laclinic Aesthetic Surgery Fellowship
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2017 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Text and Context Source Type: research

Book Review: Review of Comprehensive Cleft Care, Second Edition
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2017 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Text and Context Source Type: research

A National Curriculum of Fundamental Skills for Plastic Surgery Residency: Report of the Inaugural ACAPS Boot Camp
Conclusions: This successful inaugural course serves as a benchmark for development of a logistical blueprint, business plan, and curriculum for a proposed expansion to regional centers, to potentially encompass all incoming residents in plastic surgery. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2017 Category: Cosmetic Surgery Tags: Editorial Source Type: research

Comment to “Orange Peel Excision of Gland: A Novel Surgical Technique for Treatment of Gynecomastia”
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 13, 2016 Category: Cosmetic Surgery Tags: Letter and Invited Commentary Source Type: research

A Systematic Quality Evaluation of Meta-Analyses Related to Plastic Surgery
Conclusions: There have been measurable improvements in the quality of meta-analyses over recent years. However, several serious deficiencies remain according to the PRISMA statement. Future reviewers should pay more attention to not only reporting the main findings but also encouraging compliance with proper standards. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 13, 2016 Category: Cosmetic Surgery Tags: Review Articles Source Type: research

Surgical Correction of Nonsyndromic Sagittal Craniosynostosis: Concepts and Controversies
Abstract: Sagittal craniosynostosis remains the most common type of isolated craniosynostosis, accounting for nearly half of all nonsyndromic cases. The clinical diagnosis is typically made on the basis of a scaphocephalic head shape and is confirmed by computed tomography or magnetic resonance imaging. The current review examines the major surgical options for correction of isolated sagittal craniosynostosis, including their complications and short- and long-term outcomes. Reconstructive techniques have benefited from advances in perioperative anesthesia monitoring and improved safety of blood transfusion. Although extens...
Source: Annals of Plastic Surgery - December 13, 2016 Category: Cosmetic Surgery Tags: Review Articles Source Type: research

Fistula in Cleft Lip and Palate Patients—A Systematic Scoping Review
Aims: (1) Assess the level of available evidence regarding fistula occurrence in cleft lip and palate patients, (2) identify main research areas in the original studies, (3) evaluate the quality of original studies, and (4) summarize the evidence. Methods: Two independent researchers searched the Cochrane Database of Systematic Reviews, Medline, Web of Knowledge, Web of Science and EMBASE, the Grey literature, and the reference lists of main references. The level of evidence was assessed based on study design and according to the Hierarchy of Evidence. The quality assessment was done using the adapted Consolidated Standar...
Source: Annals of Plastic Surgery - December 13, 2016 Category: Cosmetic Surgery Tags: Review Articles Source Type: research

Evaluation of 2 Purification Methods for Isolation of Human Adipose-Derived Stem Cells Based on Red Blood Cell Lysis With Ammonium Chloride and Hypotonic Sodium Chloride Solution
Conclusions: Our data suggest that 0.3% NaCl solution is useful for isolating ADSCs from liposuction aspirate for clinical applications with safety, convenience, and cost-effect. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 13, 2016 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

Comparison of Biomechanical and Histological Outcomes of Different Suture Techniques in Rat Rectus Abdominis Muscle Repair
Abstract: The aim of this study was to determine the strongest suture technique that retains the most muscle thickness to obtain functional outcome for Sprague–Dawley rat rectus abdominis muscle repair. We exposed the paired rectus abdominis muscle of 32 Sprague–Dawley rats on both sides (n = 64) and cut transversely. Immediate closure of the muscle was performed using one of 4 different suture methods (group A: interrupted suture, group B: horizontal mattress suture, group C: vertical mattress suture, group D: overlapping suture). After 8 weeks, the sutured muscle was dissected and cut for evaluation of tensil...
Source: Annals of Plastic Surgery - December 13, 2016 Category: Cosmetic Surgery Tags: Research Source Type: research

Madelung Disease Affecting Scrotal Region
Abstract: Madelung disease is an uncommon disease characterized by large subcutaneous adipose masses. Mediterranean countries show higher disease incidence. We review the current concepts concerning this pathology, including etiology, diagnosis, and treatment. Madelung disease usually affects the upper half of the body, but we describe a patient with scrotal lipomas. As this location is rare, we review the cases found in literature, as well as the specific nuances regarding local symptoms and treatment. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 13, 2016 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Magnetic Resonance Neurographic and Clinical Long-Term Results After Oberlin's Transfer for Adult Brachial Plexus Injuries
The objective of this study was to assess magnetic resonance (MR) neurographic, clinical and electrophysiological long-term results after Oberlin's transfer. For this purpose, we performed a retrospective follow-up study. Six patients with upper brachial plexus or musculocutaneous nerve injuries were assessed; 2 were iatrogenic nerve injuries following shoulder arthroscopy or neurofibroma resection. Direct and indirect signs of neuropathy were objectified with MR neurography. Moreover, clinical and electrodiagnostic follow-up was performed and all patients completed the Disabilities of Arm, Shoulder and Hand score. Mean fo...
Source: Annals of Plastic Surgery - December 13, 2016 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Fingertip Replantation Without and With Palmar Venous Anastomosis: Analysis of the Survival Rates and Vein Distribution
Background: The purpose of this study was to compare the results of fingertip replantations without (artery anastomosis only replantations) and with venous anastomosis (replantations in which both arterial and palmar venous anastomoses were performed). Also, distribution of the veins used for anastomosis was analyzed retrospectively. Patients and Methods: First 53 digits (47 patients) received only arterial anastomosis (group 1). For relieving venous congestion, external bleeding method was used. Last 41 digits (38 patients) received both arterial and palmar venous anastomoses without external bleeding (group 2). Results...
Source: Annals of Plastic Surgery - December 13, 2016 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

The Incidence of Ocular Injuries in Isolated Orbital Fractures
Conclusions: The incidence of significant ocular injuries in isolated orbital fractures is lower than previously reported. Patients presenting with grossly abnormal visual acuity or abnormal pupillary reactivity are at high risk and should receive prompt ophthalmology service evaluation. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 13, 2016 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

The Appropriate Surgical Approach to Frontotemporal Dermoid Cysts in Adult Patients
Abstract: Because frontotemporal dermoid cysts are superficial masses on the zygomaticofrontal suture, they are usually removed by simple direct excision in pediatric patients. Adult patients, however, require a more involved treatment approach because these cysts may be large and extend deeply into the surrounding tissue. From 2008 to 2015, 33 adult patients with frontotemporal dermoid cysts were treated in our clinic under a new treatment algorithm. Patients with a cyst smaller than 2 cm in diameter were treated using a direct excisional approach without a preoperative computed tomography (CT) evaluation. Patients with a...
Source: Annals of Plastic Surgery - December 13, 2016 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Indication for and Limitation of the Facial Dismasking Flap Approach for Skull Base Surgery to Achieve the Best Esthetical and Functional Results
Conclusions: The FDF approach could be a good option for skull base surgery. In particular, patients without a history of skull base surgery and orbital extension could obtain satisfactory esthetical and functional outcomes. However, the procedure had limited effectiveness for patients with a history of skull base surgery or orbital extension because esthetical and functional outcomes inevitably became worse. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 13, 2016 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Myxofibrosarcoma in the Thenar Eminence
We present the case of an elderly woman with an expanding high-grade myxofibrosarcoma within the thenar musculature of the nondominant hand. She presented with early signs of complex regional pain syndrome, leading to a treatment dilemma. We feel this case has important learning points on assessing objectives, risks, and outcomes in the management of these types of cases, and it highlights the role of multidisciplinary involvement in sarcoma management. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 13, 2016 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Early Reconstruction of Distal Leg and Foot in Acute High-Voltage Electrical Burn: Does Location of Pedicle in the Zone of Injury Affect the Outcome of Distally Based Sural Flap?
Conclusions: Provided that early and completed debridements of contact points of HVEB were achieved, distally based sural flap is feasible and there is reliable coverage in HVEB even in patients with flap pedicle located in vicinity of the zone of injury. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 13, 2016 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

Short-Term Complications Associated With Acellular Dermal Matrix-Assisted Direct-to-Implant Breast Reconstruction
We report complication and reoperation rates associated with this technique as well as predictors for these outcomes. Methods: This retrospective study included all patients who underwent immediate, ADM-assisted, direct-to-implant, breast reconstruction from December 2001 to May 2014 at 2 practices. Postoperative complications, defined as those occurring within the first 12 months after reconstructive surgery, were evaluated. Univariate/multivariate analyses were performed to determine the influence of patient-, breast-, and surgery-related characteristics on the development of complications. Results: A total of 1584 bre...
Source: Annals of Plastic Surgery - December 13, 2016 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Nipple Resection and Reconstruction After Attempted Nipple-Sparing Mastectomy
Conclusions: Our findings support the benefit of intraoperative subareolar frozen section for detection of occult disease. When nipple excision is required, patients can still achieve an excellent aesthetic result with reconstruction. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 13, 2016 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Nipple Sparing Mastectomy in Patients With Prior Breast Scars: Is It Safe?
Conclusions: Nipple-sparing mastectomy is a safe and viable option for patients with a prior breast scar. Our results are comparable to the published data in patients without a prior scar. Caution should be exercised with patients who have a history of tobacco use or those requiring chemotherapy because these patients are at increased risk for infection and NAC/skin flap necrosis, respectively, when undergoing NSM in the setting of a prior breast scar. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 13, 2016 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Outbreak of Rapidly Growing Nontuberculous Mycobacteria Among Patients Undergoing Cosmetic Surgery in the Dominican Republic
We present the pathologic findings of a review of 7 cases of RG-NTM infections seen at NewYork-Presbyterian Hospital/Columbia University Medical Center and discuss the diagnostic and therapeutic challenges associated with these infections, such as prolonged incubation periods, the need for acid-fast stains and mycobacterial cultures, and the combination of surgical therapy and lengthy antibiotic courses that are often required for treatment. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 13, 2016 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Analysis of Extended Deep Fat Pad Excision in Abdominoplasty
Conclusions: Increased patient weight, umbilical perimeter, BMI, and width of the operative specimen can be used to predict a heavier extra adipose flap. The extra fat excision is safe, preventing inadvertent invasion of the abdominoplasty flap’s suprafascial plane that can happen with liposuction. No flap necroses were observed. The use of this technique may prove useful to achieve a slimmer abdominal contour and harmonize it with the pubic region. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 13, 2016 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

The Modified Z-Epicanthoplasty—A Stepwise and Individualized Design
Purpose: To describe a medial epicanthoplasty technique using a stepwise, customized design and to review the outcome in Asian patients after the treatment of medial epicanthal fold. Design: Retrospective, noncomparative and interventional case series with the introduction of a new surgical technique. Participants: Forty-eight consecutive Asian patients with primary medial epicanthal fold. Methods: Patient charts were reviewed from patients (mean age, 24.6 ± 3.8 years; range, 19–40 years) with a stepwise z-epicanthoplasty. The intercanthal distance (ICD), interpupillary distance (IPD), and scar visibility w...
Source: Annals of Plastic Surgery - December 13, 2016 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Reconstructive Microsurgery: The Future Is Today
Abstract: This reconstructive microsurgery course will run yearly and was borne and popularized from its infant meeting the year before, primarily focused on perforator flaps. It is a 2-day course updating residents/registrars to attending physicians/consultants about the most topical advancements in microvascular reconstructive surgery. The course is held at the New York University Langone Hospital in the United States. The timetable is primarily lecture based with the advantage of live-surgical procedures by world-renowned faculty. The timetable includes, but not limited to, facial/hand vascularized composite allotransp...
Source: Annals of Plastic Surgery - December 13, 2016 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Text and Context Source Type: research

Specialty Plastic Surgical Care and the Accountable Care Act
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 13, 2016 Category: Cosmetic Surgery Tags: Editorial Source Type: research

The Effect of Progressive-Tension Closure on Donor Site Seroma Formation in Delayed Latissimus Dorsi Flaps for Breast Reconstruction
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 11, 2016 Category: Cosmetic Surgery Tags: Letter and Invited Commentary Source Type: research

Management of Mycobacterium abscessus Infection After Medical Tourism in Cosmetic Surgery and a Review of Literature
Conclusions: The 2 cases highlighted the importance of multidisciplinary approach of early aggressive surgical intervention and long-term intravenous antibiotics in treating M. abscessus SSI that is highly prevalent among those returning from medical tourism in cosmetic surgery. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 11, 2016 Category: Cosmetic Surgery Tags: Review Article Source Type: research

Porcine Acellular Dermal Matrix for Hernia Repair in Transplant Patients
Purpose: The purpose of this study was to compare clinical outcomes of incisional hernia repair in solid organ transplant patients using non–cross-linked porcine acellular dermal matrix (PADM), human derived acellular dermal matrix (HADM) and synthetic mesh. Methods: A retrospective review of patients who underwent hernia repair with PADM after pancreas and/or renal transplant at the University of Maryland Medical Center from 2008 to 2012 was conducted. Repair type, postoperative infection, hernia recurrence, mesh removal, and length of follow-up were recorded. Results were compared with our previously published dat...
Source: Annals of Plastic Surgery - November 11, 2016 Category: Cosmetic Surgery Tags: Transplant Surgery and Research Source Type: research

The Value of Multidetector Row Computed Tomography Angiography for Preoperative Planning of Freestyle Pedicled Perforator Flaps
Conclusions: The MD-CT angiography can be a new but very effective imaging modality for preoperative planning of a freestyle pedicled perforator flap surgery. It allows surgeons to accurately select the most appropriate perforators with the shortest intramuscular or suprafascial course preoperatively leading to safer and easier flap dissection. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 11, 2016 Category: Cosmetic Surgery Tags: Research Source Type: research

Effectiveness of a Novel Augmented Reality-Based Navigation System in Treatment of Orbital Hypertelorism
Conclusions: This study reports on an effective visualized approach for guiding orbital hypertelorism correction. Our AR-based navigation system may lay a foundation for craniofacial surgery navigation. The AR technology could be considered as a helpful tool for precise osteotomy in craniofacial surgery. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 11, 2016 Category: Cosmetic Surgery Tags: Research Source Type: research

Post Traumatic Reconstruction of the Pediatric Heel and Achilles Tendon: A Review of Pedicle Flap Options in 31 Motorcycle Spoke Trauma Patients
We report details of 31 cases of severe motorcycle spoke injuries of the heel in children. The reconstruction timing depended on the time since injury, systematic conditions, and concurrent injuries. Eighteen cases were reconstructed at the time of emergency surgery, and 13 cases underwent delayed reconstruction. Appropriate flap transfer and Achilles tendon repair were conducted based on the defect size of the Achilles tendon, the main location of the soft tissue defect, and the distal residues of the Achilles tendon. Of the 31 cases, 16 cases were reconstructed with sliding gastrocnemius musculocutaneous flaps, 7 cases ...
Source: Annals of Plastic Surgery - November 11, 2016 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

The Modified Girdlestone Procedure With Muscle Flap for Management of Pressure Ulcers and Heterotopic Ossification of the Hip Region in Spinal Injury Patients: A 15-Year Review With Long-term Follow-up
Conclusions: The Girdlestone arthroplasty is an effective modality to treat hip infection, ankylosis, heterotopic ossification, dislocation, or other pathology associated with the spinal cord injury patient. Long-term follow-up of a large patient population reveals the efficacy of the procedure in preventing recurrence and improving patient quality of life. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 11, 2016 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

The Spinal Accessory Nerve for Functional Muscle Innervation in Facial Reanimation Surgery: An Anatomical and Histomorphometric Study
Conclusions: This study gives a practical guide for spinal accessory nerve dissection for its application in facial reanimation as a motor source for the innervation of a free muscle transplant. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 11, 2016 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research