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

Fibula Osteoseptocutaneous Flap: Advantages of Beginning the Harvesting From the Posterior Approach
Conclusions: According to our experience, the posterior approach for the harvest of the osteoseptocutaneous fibula flap is a safe technique and offers many advantages, such as a better visualization of the perforators, beneficial for chimeric flap elevation, preservation of the muscular fascia in the donor site, and an earlier diagnosis of any anatomical variation. Both the reliable and the versatility of the skin paddle can substantially improve with this approach. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 11, 2016 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

The Effects of Perioperative Tamoxifen Therapy on Microvascular Flap Complications in Transverse Rectus Abdominis Myocutaneous/Deep Inferior Epigastric Perforator Flap Breast Reconstruction
Background: Tamoxifen is an important adjunct therapy in breast cancer treatment; however, it has been implicated in increasing microvascular flap complications. Current recommendations on stopping tamoxifen are conflicting and do not address tamoxifen therapy that is continued perioperatively. The purpose of this study is to determine whether tamoxifen taken at the time of free transverse rectus abdominis myocutaneous (TRAM) and deep inferior epigastric perforator (DIEP) flap breast reconstruction affects thrombotic complication rates. Methods: A retrospective review of microvascular breast reconstruction with TRAM/DIEP ...
Source: Annals of Plastic Surgery - November 11, 2016 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Repeat Double-Opposing Z-Plasty for the Management of Persistent Velopharyngeal Insufficiency
Background: Persistent velopharyngeal insufficiency occurrence after double-opposing Z-plasty has been treated with either posterior pharyngeal flap or sphincteroplasty. Both these methods can be accompanied by mild discomfort, such as mouth breathing and hyponasal resonance, and can lead to severe complications, such as sleep apnea and upper airway compromise. The purpose of this study was to review the efficacy of repeat double-opposing Z-plasty for the management of persistent velopharyngeal insufficiency in patients who received a prior surgical intervention by double-opposing Z-plasty. Methods: All patients who were ...
Source: Annals of Plastic Surgery - November 11, 2016 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Complication Rate Comparing Variable Angle Distal Locking Plate to Fixed Angle Plate Fixation of Distal Radius Fractures
Background: Distal radius fractures are common, accounting for approximately 18% of all fractures in adults. Operative management is common, and there are numerous variants of plates used. However, data on safety and complication rates for different plates are limited. Objective: To determine whether the rate of complications differed between two distinct types of volar plate design for distal radius fracture fixation, one using predetermined fixed angles for the locking screws or pegs and the other using a variable angle locking design for the locking screws or pegs. Our null hypothesis was that the rate of complications...
Source: Annals of Plastic Surgery - November 11, 2016 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Blast Injuries Caused by Vape Devices: 2 Case Reports
We present 2 case reports where explosions of electronic vapor devices caused significant injuries. The first patient sustained a combustion injury to the maxilla resulting in bone and anterior maxillary tooth loss requiring reconstruction. The second patient had a severe blast injury to the hand which ultimately resulted in loss of a digit. Toxicology was consulted due to concerns for systemic absorption of metals in the soft tissue of the hand. Cobalt and manganese were initially elevated but decreased after surgical debridement. The patient did not have any systemic symptoms. Currently, there is no federal regulation o...
Source: Annals of Plastic Surgery - November 11, 2016 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

Orange Peel Excision of Gland: A Novel Surgical Technique for Treatment of Gynecomastia
Conclusion: The technique has reduced operative time and avoids residual gland and hematoma with excellent aesthetic outcome. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 11, 2016 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Short-Scar Mammaplasty in Severe Macromastia
This report presents our experience of reduction mammaplasty greater than 1000 g per breast using a short-scar technique. The procedure is based on the following: a) modified breast marking method with conservative placement of the nipple-areola complex, determined not only by the level of the inframammary fold but also degree of upper pole volume loss; b) use of liposuction for contouring the inferior pole; c) vertical design dermoglandular resection; d) superomedial pedicle; and e) skin closure without undermining or gathering. A total of 69 patients were identified (n = 138 breasts). Mean age was 38.0 years with average...
Source: Annals of Plastic Surgery - November 11, 2016 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Reduction Gonioplasty: Bone Regeneration and Soft Tissue Response
Conclusions: Bone regeneration does not lead to an increase in facial width after reduction gonioplasty with our technique, and the use of a high-speed rotary cutting bur without a water coolant decreases bone regeneration. The soft tissue response ratio is higher in the anterior mandible, and the outcome of reduction gonioplasty is a sharper lower face with a full cheek. Reduction gonioplasty is an effective and predictable lower face reshaping surgery. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 11, 2016 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Correction of Midface Depression Using an Inverted m-shaped Expanded Polytetrafluoroethylene Implant Improves Gingival Exposure
Background: Current approaches for the treatment of gingival exposure are often time- and cost-consuming and/or rather invasive. We previously observed a strong correlation between the presence of gingival excess and midfacial depression and here propose an easy 1-step correction technique as a new strategy to improve gingival exposure. Method: From February 2004 to December 2012, 42 patients with gingival exposure associated with different degrees of midfacial depression, defined by Frankfort horizontal plane-labrale superius-subspinale angle and sella-nasion-A point angle, were treated by implantation of an inverted m-s...
Source: Annals of Plastic Surgery - November 11, 2016 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Modified Full Thickness Graded Blepharotomy for Upper Eyelid Retraction Associated With Thyroid Eye Disease in East Asians
Conclusions: Modified graded full thickness eyelid blepharotomy is a reliable and safe method for upper eyelid lengthening for East Asian patients with upper eyelid retraction of TED that offers excellent functional and cosmetic results. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 11, 2016 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

The Plastic Surgery Match: A Quantitative Analysis of Applicant Impressions From the Interview Visit
Background: The integrated plastic surgery match is a competitive process not only for applicants but also for programs vying for highly qualified candidates. Interactions between applicants and program constituents are limited to a single interview visit. The authors aimed to identify components of the interview visit that influence applicant decision making when determining a final program rank list. Methods: Thirty-six applicants who were interviewed (100% response) completed the survey. Applicants rated the importance of 20 elements of the interview visit regarding future ranking of the program on a 1 to 5 Likert scal...
Source: Annals of Plastic Surgery - November 11, 2016 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Text and Context Source Type: research

The Role of Patient-Centered Outcomes Research in Plastic Surgery
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 11, 2016 Category: Cosmetic Surgery Tags: Editorial Source Type: research

Comment on the Jeon et al Study, Lateral Nail Fold Incision Technique for Venous Anastomosis in Fingertip Replantation
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 14, 2016 Category: Cosmetic Surgery Tags: Letter and Invited Commentary Source Type: research

Botulinum Toxin Use in Pediatric Plastic Surgery
Abstract: Botulinum toxin has increasingly become a prevalent treatment option for a wide range of conditions, many of which have their roots in plastic surgery and have been well studied. In adults, chronic headache, hyperhidrosis, and facial muscular hypertrophy have been effectively treated with botulinum toxin, and emerging studies have begun looking at its efficacy in children, as well. Successful treatment of spasticity and muscular contraction has allowed for the creation of safety profiles and dosage guidelines for botulinum toxin usage in children. The expanded indications for its use have since flourished in all ...
Source: Annals of Plastic Surgery - October 14, 2016 Category: Cosmetic Surgery Tags: Review Article Source Type: research

Three-Dimensional Printing in Plastic and Reconstructive Surgery: A Systematic Review
Conclusions: The 3D printing provides the ability to construct complex individualized implants that not only improve patient outcomes but also increase economic feasibility. The technology offers a potential level of accessibility that is paramount for remote and resource-limited locations where health care is most often limited. The 3D printing-based technologies will have an immense impact on the reconstruction of traumatic injuries, facial and limb prosthetic development, as well as advancements in biologic and synthetic implants. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 14, 2016 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

The Effects of Desferroxamine on Bone and Bone Graft Healing in Critical-Size Bone Defects
In this study, it was aimed to research the effects of desferroxamine (DFO) application on bone and bone graft healing due to the effects of osteoblast and osteoclast regulation and stimulation of angiogenesis. Methods: Rat zygomatic arch critical-size bone defect model (5 mm) was used as the experimental model. Thirty-two Sprague-Dawley rats (64 zygomatic arches) were divided into 4 groups (16 zygomatic arches in each). In groups 1 and 2, defects were reconstructed with the bone grafts harvested from the other side, and the right arc was named as group 1, and the left was group 2. At group 1, 200 μM/300 μL dosage o...
Source: Annals of Plastic Surgery - October 14, 2016 Category: Cosmetic Surgery Tags: Research Source Type: research

Component Separation Technique for Repair of Massive Abdominal Wall Defects at a Pediatric Hospital
Conclusions: Component separation technique is a valuable method for abdominal wall reconstruction in pediatric patients with low risk of serious complication. This technique can be augmented with TE and mesh placement to address lack of available soft tissue or other operative challenges. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 14, 2016 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Glabrous Flow-Through Flaps for Simultaneous Resurfacing, Revascularization, and Reinnervation of Digits
Conclusions: Glabrous flow-through flaps provide excellent reconstruction for fingers with volar injuries associated with digital vessel damage. The great toe fibular flap and the medial plantar flap are reliable and useful options for complicated finger injuries associated with digital vessel and nerve injuries. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 14, 2016 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Full-Length Finger Reconstruction for Proximal Amputation With Expanded Wraparound Great Toe Flap and Vascularized Second Toe Joint
Conclusions: The full-length finger reconstruction procedure allows for construction of natural-appearing full-length fingers with normal PIP joint positioning and a near-normal functional recovery for proximal digital amputation. The operation is technically complex and time consuming and demands a skilled operator for successful outcomes. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 14, 2016 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Donor Site Aesthetic Enhancement With Preoperative Botulinum Toxin in Forehead Flap Nasal Reconstruction
Background: Donor site scarring after forehead flap nasal reconstruction is acceptable. However, as aesthetic outcomes standards for cosmetic and reconstructive surgery merge, we aim to enhance results. We recently demonstrated the cosmetic benefit of botulinum toxin type A (BTX-A) for cleft lip cheiloplasty outcomes. We hypothesize that similar mechanism(s) benefit forehead flap donor scars. Methods: A single surgeon performed 26 forehead flap reconstructions. Indications were cancer (n = 17), trauma (n = 3), and congenital deformity (n = 6). In this split-scar study half the forehead was pretreated with BTX-A and half w...
Source: Annals of Plastic Surgery - October 14, 2016 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Pulp Rotation Flap for Lateral Oblique Fingertip Defects
Conclusion: This technique is simple, rapid, and free from relatively major complications. This flap allows for anatomical reconstruction of the fingertip by using a similar tissue in cases of lateral oblique fingertip amputations, where only a few flap options can be successful. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 14, 2016 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research