A Comparative Study of Lateral Extension Versus Conventional Deltopectoral Flap in Head and Neck Reconstruction After Surgical Extirpation of Tumor
Conclusions Although the CDP flap is the “aged workhorse” in contemporary head and neck reconstructions, it was shown to be a beneficial regional flap with a dependable pedicle and easy technique. The LEDP flap is of value particularly when used to treat full thickness defects of the head and neck or in cases when higher reach is required. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 17, 2018 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

The Effectiveness of Sternocleidomastoid Flap Versus Superficial Musculoaponeurotic System Flap for the Prevention of Frey Syndrome and Facial Depressed Deformity in Parotid Surgery for Pleomorphic Adenoma
The purpose of this study was to compare 2 types of reconstruction techniques: sternocleidomastoid (SCM) flap and superficial musculoaponeurotic system (SMAS) flap after partial parotidectomy (PP) for preventing Frey syndrome (FS) and concave facial depressed deformity. A total of 99 patients underwent PP for pleomorphic adenoma of the parotid gland. The patients were divided in 2 groups according to the dimension of the tumor: tumors less than 3 cm (group A, 47 patients) and tumors greater than or equal to 3 cm (group B, 52 patients). The patients in the 2 groups were assigned to 3 subgroups: PP without reconstruction (su...
Source: Annals of Plastic Surgery - January 17, 2018 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Isolated Dorsoradial Capsular Tear of the Thumb Metacarpophalangeal Joint: Missed Diagnosis and the Management of Delayed Presentation
Isolated dorsoradial capsule injuries of the thumb metacarpophalangeal joint are different from those associated with collateral ligament disruption. Early suspicion of this rare injury is important because, if overlooked, ulnarward subluxation of extensor pollicis longus tendon can develop. Functionally, active thumb extension becomes impaired, and over the long term, a thumb Boutonniere's deformity becomes established. Joint hypermobility/instability may predispose to this injury. The 2 cases presented illustrate this through anatomic differences. At the time of acute injury, 3 presenting clinical features should raise s...
Source: Annals of Plastic Surgery - January 17, 2018 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Selective Scalp Nerve Block: A Useful Technique With Tissue Expansion in Postburn Pediatric Alopecia
Conclusions Scalp nerve block is considered an excellent choice for postoperative pain control with less need for opioid analgesia. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 17, 2018 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

A Simple Flap Design for the Salvage of Immediate Implant-Based Breast Reconstruction
Conclusions The Limberg-like rectangular flap can be used as a salvage option in complicated skin-reducing mastectomies and can be considered as a safe and effective method because of its easy-to-use nature, low cost, and no need for microsurgery experience. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 17, 2018 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Tuberous Breast: Past, Present, and Future Personal Classification, Treatment, and Surgical Outcomes
Conclusions Preoperative identification of the type of the deformity is essential to obtain satisfactory results and a complete and intuitive classification including all the possible variants of the deformity, even the minor forms, and fundamental in diagnosing and resolving the problem. In this article, the authors propose a personal classification and surgical procedure to resolve the malformation. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 17, 2018 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Endoscopic Delayed Breast Reconstruction With Expanders and Implants via the Axillary Incision Made for Sentinel Lymph Node Biopsy or Lymphadenectomy
Conclusions Endoscopic delayed breast reconstruction with insertion of implants through the axillary incision for sentinel node biopsy or lymphadenectomy is safe and feasible. It achieves complete intraoperative expansion, symmetry between the volumes of the breasts during the first stage, and avoids problems with the scar and the risk of extrusion, as the scar is placed remotely in the axilla. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 17, 2018 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Safety and Utility of the Drainless Abdominoplasty in the Post–Bariatric Surgery Patient
Conclusion Despite post–bariatric surgery patients being considered higher risk for postoperative complications, drainless abdominoplasty can be safely offered to this population by using a progressive tension suture technique. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 17, 2018 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Course Review: The First International Oldenburg–Groningen Fresh Cadaver Flap Course
The first international fresh cadaver flap course held in Groningen, the Netherlands, was a 2-day course where participants could learn and practice a wide variety of flap dissections on fresh cadavers under close supervision from international specialists in reconstructive surgery. Despite its high cost and long days, this was justified in excellent content, proficient teachers. and a one-to-one teacher-student ratio. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 17, 2018 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Texts and Contexts Source Type: research

Are Gillies’ Ten Commandments Just as Commanding Today?
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 17, 2018 Category: Cosmetic Surgery Tags: Editorial Source Type: research

Breast Augmentation Combining Fat Injection and Breast Implants in Patients With Atrophied Breasts
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Re: Gynecomastia Surgery—Impact on Life QualityA Prospective Case-Control Study
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Discussion on “Gynecomastia Surgery—Impact on Life Quality: A prospective Case-Control Study”
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Discussion on “Reduction of the Areolar Diameter After Ultrasound-Assisted Liposuction for Gynecomastia”
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Venous Thromboembolism After Surgical Treatment of Breast Cancer
Conclusions Nearly two thirds of all 90-day VTE events after breast cancer surgery occur after discharge. Further research should determine whether a longer course of VTE prophylaxis is warranted among specific populations including those with prolonged hospitalizations, previous VTE, and those undergoing autologous reconstruction. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Human and Autologous Adipose-derived Stromal Cells Increase Flap Survival in Rats Independently of Host Immune Response
Conclusions Flap survival increased with SVF treatment regardless of human or autologous origin, suggesting that increased flap survival is independent of the host immune response. All cell injections lead to increased vessel density, but it did not necessarily lead to increased flap survival. Further research should elaborate which molecular events make SVF treatment more efficacious than ASC. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

Radioprotection With Amifostine Enhances Bone Strength and Regeneration and Bony Union in a Rat Model of Mandibular Distraction Osteogenesis
Conclusions Our study revealed that AMF enhances biomechanical strength, regeneration, and bony union after radiation in a murine model of DO. The use of prophylactic AMF in combination with DO offers the promise of an alternative reconstructive option for patients afflicted with head and neck cancer. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Research Source Type: research

Prevention of Peritendinous Adhesion Formation After the Flexor Tendon Surgery in Rabbits: A Comparative Study Between Use of Local Interferon-α, Interferon-β, and 5-Fluorouracil
Conclusions Local application of 5-FU significantly reduced peritendinous adhesion. Local IFN-α and IFN-β had no significant effect on the prevention of peritendinous adhesion formation. The strength of the repair was not affected by these cytokines and 5-FU. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Research Source Type: research

Integrated Plastic Surgery Residency Applicant Trends and Comparison With Other Surgical Specialties
The objective of this study is to evaluate trends of US senior applicants of PS compared with other surgical specialties from 2007 to 2016. Methods Data were obtained from “NRMP: Main Residency Match” and from “NRMP: Charting Outcomes in the Match.” Frequencies, percentages, and proportions were calculated for categorical variables. Odds ratios with 95% confidence interval were calculated to evaluate the relationship of Alpha Omega Alpha membership and match success. Results The overall National Resident Matching Program match rate ranged from 93.1% to 95.1%, but rates were lower for surgical ...
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Research Source Type: research

Long-term Outcomes After Flap Reconstruction in Pediatric Pressure Ulcers
Conclusions Flap reconstruction can be beneficial in the management of pediatric pressure ulcers. Although high rates of long-term success with this intervention have been reported in children, we found rates of ulcer recurrence similar to that seen in adults. Poor compliance with nonoperative care and failure to modify the biopsychosocial perpetuators of pressure ulcers will likely eventuate in postoperative recurrence. Despite the many comorbidities observed in our patient sample, compliance was the best indicator of long-term skin integrity and flap success. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Immediate Perineal Reconstruction After Extralevatory Abdominoperineal Excision: Buried Desepidermised Fasciocutaneous V-Y Advancement Flap
Conclusions Buried desepidermised fasciocutaneous V-Y advancement flap is a reasonably easy and time-saving operation. It is effective in filling the pelvic dead space while closing the sacral defect after APR and therefore decreases late term complications related to large perineal excision. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Management of Infected Mesh After Abdominal Hernia Repair: Systematic Review and Single-Institution Experience
Conclusions This study reviews the literature and our single-institution experience regarding treatment of infected abdominal wall mesh. Framework is developed for how to approach this complex clinical problem. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

A Cadaver Study to Assess the Feasibility of a Cross-Nerve Transfer of the Infraorbital Nerve for Patients With Peripheral Infraorbital Nerve Injury
Conclusions The INB and SLB existed in all the specimens and could be found approximately 1 cm below the piriform aperture. The average distance between the INB and SLB was approximately 11 mm. These results imply the feasibility of a cross-nerve transfer of the distal part of the infraorbital nerve. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

How Big is Too Big: Pushing the Obesity Limits in Microsurgical Breast Reconstruction
Conclusions We found obese women to have a higher rate of abdominal donor site complications; however, this risk seems to level off at class I or II obesity. We have modified our surgical technique of managing the abdominal donor site to optimize our outcomes in the morbidly obese patient population. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

A Comparative Study of Lateral Extension Versus Conventional Deltopectoral Flap in Head and Neck Reconstruction After Surgical Extirpation of Tumor
Conclusions Although the CDP flap is the “aged workhorse” in contemporary head and neck reconstructions, it was shown to be a beneficial regional flap with a dependable pedicle and easy technique. The LEDP flap is of value particularly when used to treat full thickness defects of the head and neck or in cases when higher reach is required. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

The Effectiveness of Sternocleidomastoid Flap Versus Superficial Musculoaponeurotic System Flap for the Prevention of Frey Syndrome and Facial Depressed Deformity in Parotid Surgery for Pleomorphic Adenoma
The purpose of this study was to compare 2 types of reconstruction techniques: sternocleidomastoid (SCM) flap and superficial musculoaponeurotic system (SMAS) flap after partial parotidectomy (PP) for preventing Frey syndrome (FS) and concave facial depressed deformity. A total of 99 patients underwent PP for pleomorphic adenoma of the parotid gland. The patients were divided in 2 groups according to the dimension of the tumor: tumors less than 3 cm (group A, 47 patients) and tumors greater than or equal to 3 cm (group B, 52 patients). The patients in the 2 groups were assigned to 3 subgroups: PP without reconstruction (su...
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Isolated Dorsoradial Capsular Tear of the Thumb Metacarpophalangeal Joint: Missed Diagnosis and the Management of Delayed Presentation
Isolated dorsoradial capsule injuries of the thumb metacarpophalangeal joint are different from those associated with collateral ligament disruption. Early suspicion of this rare injury is important because, if overlooked, ulnarward subluxation of extensor pollicis longus tendon can develop. Functionally, active thumb extension becomes impaired, and over the long term, a thumb Boutonniere's deformity becomes established. Joint hypermobility/instability may predispose to this injury. The 2 cases presented illustrate this through anatomic differences. At the time of acute injury, 3 presenting clinical features should raise s...
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Selective Scalp Nerve Block: A Useful Technique With Tissue Expansion in Postburn Pediatric Alopecia
Conclusions Scalp nerve block is considered an excellent choice for postoperative pain control with less need for opioid analgesia. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

A Simple Flap Design for the Salvage of Immediate Implant-Based Breast Reconstruction
Conclusions The Limberg-like rectangular flap can be used as a salvage option in complicated skin-reducing mastectomies and can be considered as a safe and effective method because of its easy-to-use nature, low cost, and no need for microsurgery experience. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Tuberous Breast: Past, Present, and Future Personal Classification, Treatment, and Surgical Outcomes
Conclusions Preoperative identification of the type of the deformity is essential to obtain satisfactory results and a complete and intuitive classification including all the possible variants of the deformity, even the minor forms, and fundamental in diagnosing and resolving the problem. In this article, the authors propose a personal classification and surgical procedure to resolve the malformation. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Endoscopic Delayed Breast Reconstruction With Expanders and Implants via the Axillary Incision Made for Sentinel Lymph Node Biopsy or Lymphadenectomy
Conclusions Endoscopic delayed breast reconstruction with insertion of implants through the axillary incision for sentinel node biopsy or lymphadenectomy is safe and feasible. It achieves complete intraoperative expansion, symmetry between the volumes of the breasts during the first stage, and avoids problems with the scar and the risk of extrusion, as the scar is placed remotely in the axilla. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Safety and Utility of the Drainless Abdominoplasty in the Post–Bariatric Surgery Patient
Conclusion Despite post–bariatric surgery patients being considered higher risk for postoperative complications, drainless abdominoplasty can be safely offered to this population by using a progressive tension suture technique. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Course Review: The First International Oldenburg–Groningen Fresh Cadaver Flap Course
The first international fresh cadaver flap course held in Groningen, the Netherlands, was a 2-day course where participants could learn and practice a wide variety of flap dissections on fresh cadavers under close supervision from international specialists in reconstructive surgery. Despite its high cost and long days, this was justified in excellent content, proficient teachers. and a one-to-one teacher-student ratio. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Texts and Contexts Source Type: research

Are Gillies’ Ten Commandments Just as Commanding Today?
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Tags: Editorial Source Type: research

Discussion on the Effect of Omeprazole Usage on the Viability of Random Pattern Skin Flaps in Rats
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 20, 2017 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Optimizing Radiotherapy for Keloids: A Meta-Analysis Systematic Review Comparing Recurrence Rates Between Different Radiation Modalities
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 20, 2017 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Patient-Reported Outcomes Needed for Chest Masculinization
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 20, 2017 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Minimal Invasive Rhinoplasty: Fat Injection for Nasal Dorsum Contouring
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 20, 2017 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Congenital Infiltrating Lipomatosis of the Face: Case Report and Literature Review
Rationale Congenital infiltrating lipomatosis of the face (CILF) is a rare disorder characterized by collections of nonencapsulated mature lipocytes that infiltrate surrounding tissues. In this article, we would report a new case of CILF, which may be one of the first few cases reported in China. Patient Concerns An 8-year-old boy presented with a hyperplasia of subcutaneous tissue of his left face, which had been gradually progressing since birth, resulting in a marked facial asymmetry. Then he underwent an operation of resection of the subcutaneous mass, and the postoperative pathological analysis reported a mature ...
Source: Annals of Plastic Surgery - December 20, 2017 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Inhibition of Lymphatic Drainage With a Self-Designed Surgical Approach Prolongs the Vascularized Skin Allograft Survival in Rats
In conclusion, these data suggest that self-designed surgical approach is effective in inhibiting lymphatic drainage of skin allografts, and the lymphatic system may be new therapeutic targets for developing techniques or drugs against acute rejection after VCAs. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 20, 2017 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

Evidence-Based Medicine in Plastic Surgery: Are We There Yet?
Background The practice of evidence-based medicine in plastic surgery is no longer a trend but a reality, with a growing number of studies published in recent years using evidence-based medicine as an assessment tool. Objective The aim of this study was to verify whether the number of citations to articles with a high level of evidence is greater than articles with low level of evidence. Methods A search was conducted in the 4 main international journals of plastic surgery. All original articles published in 2011 were analyzed, selected, and classified based on the study design. The articles were then divided into ...
Source: Annals of Plastic Surgery - December 20, 2017 Category: Cosmetic Surgery Tags: Research Source Type: research

Effects of the Metallic Port in Tissue Expanders on Dose Distribution in Postmastectomy Radiotherapy: A Tridimensional Experimental Model of Dosimetry in Breast Reconstruction
Abstract The purpose of this research was to develop an experimental model of dosimetry using a breast phantom and evaluate the effects of the metallic port in tissue expanders on dose distribution in postmastectomy radiotherapy. Dose distribution was assessed using an experimental acrylic dosimetry simulator in the absence and presence of a metallic disc (MD), which is similar to that used in tissue expanders containing a magnetic port, by collecting coronal and sagittal radiochromic films. Dosimetry film analysis did not show any changes in dose distribution, except for a MD shadow in the sagittal film where the dose d...
Source: Annals of Plastic Surgery - December 20, 2017 Category: Cosmetic Surgery Tags: Research Source Type: research

Localized Leg Volume Index: A New Method for Body Type–Corrected Evaluation of Localized Leg Lymphedematous Volume Change
Conclusions Localized leg volume index is a highly reproducible and convenient method for evaluation of localized volume change of the lower extremity, which is less affected by body type compared with leg volumetry. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 20, 2017 Category: Cosmetic Surgery Tags: Research Source Type: research

Complex Reconstruction After Sarcoma Resection and the Role of the Plastic Surgeon: A Case Series of 298 Patients Treated at a Single Center
Conclusions A patient with 3 or more major comorbidities resulted in a significantly increased risk of reconstructive failure (P (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 20, 2017 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Determining the False-Negative Rate Using Fluorescence Image–Assisted Sentinel Lymph Node Biopsy in Cutaneous Melanoma
Conclusions This is the first prospective study examining the FNR of fluorescence-assisted SLNB for patients with cutaneous melanoma. Our study reveals that this technique has one of the lowest FNRs published, especially considering the large percentage of participants with head/neck melanoma involved. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 20, 2017 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Defining the Anatomy of the Tendinous Intersections of the Rectus Abdominis Muscle and Their Clinical Implications in Functional Muscle Neurotization
Conclusions The majority of RA muscles have 3 paired tendinous intersections. Most intersections are incomplete and only encompass the anterior rectus sheath. However, there may be a higher percentage of full-thickness intersections than previously appreciated and the clinical relevance behind these remains unclear. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 20, 2017 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Defining the Role of Free Flaps for Transoral Robotic Surgery
Conclusions Minimally invasive transoral surgical techniques have offered the opportunity to minimize surgical morbidity and potentially deintensify adjuvant therapies. Reconstructive options have evolved to match surgical advances seen with robotic surgeries of oropharyngeal cancers. Microvascular reconstruction has been indicated in select patients including those with extensive soft palate resection, primary tumor abutment of the medial pterygoid musculature, exposure of internal carotid artery vasculature, prior radiation therapy, or a significant defect of the oropharyngeal sphincter. Select patients, based on previ...
Source: Annals of Plastic Surgery - December 20, 2017 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Dynamic Cleft Maxillary Orthopedics and Periosteoplasty
This article reports on 25 patients from the initial cohort (20 unilateral and 5 bilateral) that we were able to closely follow up for 25 years, with the same clinical team, making it the longest study of its kind. At this stage, data revealed continued growth of the midface both vertically and horizontally. Secondary alveolar cleft bone grafting when required was in small aliquots placed into well-healed tissue, and orthodontic movement of teeth was through a consolidated alveolus. Orthognathic procedures were performed in 2 of 5 bilateral and 0 of 20 unilateral cases. We concluded that in this cohort, dynamic maxillary...
Source: Annals of Plastic Surgery - December 20, 2017 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Osseointegrated Prosthetic Ear Reconstruction in Cases of Skin Malignancy: Technique, Outcomes, and Patient Satisfaction
Conclusions In cases of skin malignancy requiring total or subtotal auriculectomy, prosthetic ear reconstruction with osseointegrated implants is a good alternative to reconstruction with autologous tissue. Our experience demonstrates good outcomes and with low complication rates and high patient satisfaction. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 20, 2017 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Joint Denervation in the Digits: Technique and Patient Satisfaction
In this study, we describe our surgical techniques for joint denervation and review our survey of patient satisfaction. Methods A retrospective review was performed of all patients undergoing finger joint denervation for osteoarthritis at our institution from 2012 to 2014. Each patient was contacted by phone and asked to rate their pre- and postoperative pain and function. Patients were also asked about any complications experienced and if they would choose to undergo the operation again. Results Over the 2-year period, 12 patients underwent denervation of 23 joints. Of the 12 patients in the study, 11 undergoing 22...
Source: Annals of Plastic Surgery - December 20, 2017 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research