Evaluating the Effect of Socioeconomic Status on Complex Abdominal Wall Reconstruction Outcomes
Conclusion
Patients with low MHI who undergo complex abdominal wall reconstruction are at an increased risk for complications and poor outcomes, including delayed wound healing and hernia recurrence. This indicates the need to provide resources to address barriers to follow-up and maintenance following complex abdominal wall reconstruction in this patient cohort. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 24, 2022 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research
Pulmonary Embolism Risk After Cosmetic Abdominoplasty and Functional Panniculectomy
Background
Tighter abdominal wall reconstruction may increase intra-abdominal pressure, which can decrease lower extremity venous return. Decreased venous return through the inferior vena cava has been demonstrated to increase risk of deep vein thrombosis.
Objectives
Tighter abdominal wall plication during cosmetic abdominoplasty compared with functional panniculectomy may increase these risks. The purpose of this study was to determine whether cosmetic abdominoplasty increases risk for thromboembolic events compared with functional panniculectomy.
Methods
Retrospective cohort study was conducted using th...
Source: Annals of Plastic Surgery - November 24, 2022 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research
A Cohort Study on Neuropathic Pain of the Sural Nerve—Can Neurectomy Be Considered a Valid Treatment Option?
Conclusion
For sural nerve neuromas, neurectomy remains an option as the surgical morbidity is minor, but patients need to be counseled that only a fourth of those undergoing surgery will be pain-free afterward. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 24, 2022 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research
Feasibility and Efficacy of Low Thoracic Ultrasound-Guided Erector Spinae Plane Blocks in Patients Undergoing Radical Total Mastectomy With Deep Inferior Epigastric Perforator Flap Reconstruction
The analgesic efficacy of bilateral low thoracic erector spinae blocks for combined major breast and abdominal surgery has not been reported. The aim of this case series was to assess the feasibility and efficacy of T8 thoracic preincisional erector spinae blocks in patients undergoing total radical mastectomies with axillary lymph node dissections in addition to reconstruction with abdominal deep inferior epigastric flaps. The aim was to supply dermatomal coverage to provide analgesia for T2–L1 that formed the basis for an opioid-sparing multimodal technique in the context of our early recovery after breast surgery with...
Source: Annals of Plastic Surgery - November 24, 2022 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research
Saving the Exposed Deep Brain Stimulation Implant: A Comprehensive Review of Implant Extrusion and Reconstructive Options
Conclusions
Hardware extrusion is a significant complication of DBS-related surgery. Management of extrusion at the scalp should involve the use of tension-free, well-vascularized locoregional flaps as opposed to primary closure. Implantable pulse generator extrusions at the chest can be managed with both primary closure and repositioning in a new surgical bed. Extruded DBS implants may be salvaged with appropriate reconstructive considerations, and the authors suggest an evidence-based treatment algorithm. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 24, 2022 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research
Secondary Surgery in Facial Feminization: Reasons and Recommendations
Conclusions
One-quarter of patients who underwent FFS had prior FFS and/or sought revision. Keeping in mind that the dominant indication for revision was undercorrection, FFS surgeons can minimize the need for secondary surgery in the future. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 24, 2022 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research
Comparison of the Relapse Ratio and Osteogenesis Between 1-Piece and 2-Piece Fronto-Orbital Distraction Osteogenesis Among Patients With Bilateral Craniosynostosis in Early Childhood
Conclusions
One-piece FODO can result in the preservation of the bone segments' vascularity and the enhancement of osteogenesis in the distraction gap. Moreover, 1-piece FODO is associated with lower rates of relapse of deformity and bone defects compared with 2-piece FODO. Lastly, 1-piece FODO can be performed to maximize the advantages of distraction osteogenesis and improve surgical outcomes, especially among early childhood patients with BCS. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 24, 2022 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research
Effectiveness of Absorbable Plates for the Treatment of Nasal Septal Cartilage Fractures
Conclusions
Our study shows that septoplasty using absorbable plates provides satisfactory and safe clinical outcomes in patients with nasal septal cartilage fractures. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 24, 2022 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research
Cutaneous Mucormycosis of the Upper Extremity: Case Reports Highlighting Rapid Diagnosis and Management
Mucormycosis is a devastating fungal infection known for its angioinvasive spread and hematogenous dissemination, quickly resulting in multiorgan involvement and potentially fatal complications. Timely diagnosis is essential to facilitate early, aggressive debridement, yet the diagnosis remains difficult to obtain because of the need for culture and microscopy diagnosis. We provide case examples, which highlight diagnostic pearls and the multidisciplinary approach that are critical for improving local outcomes, preventing systemic spread, and reducing mortality. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 24, 2022 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research
Soft Tissue Reconstruction for Upper Extremity Necrotizing Soft Tissue Infections
Conclusions
Overall, patients with upper extremity NSTIs survive and undergo successful reconstruction of their wounds. Few patients required additional procedures for reconstructive failure or sequela of their wounds. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 24, 2022 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research
Lesion Site Is the Key Prognostic Factor for Keloid Patients Receiving Surgery With Adjuvant Radiotherapy
Conclusions
We found that lesion site might be a prognostic factor for keloid recurrence. Adjuvant radiation dose escalation for high-recurrence risk areas (other than the head and ear) might be required. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 24, 2022 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research
The Impact of Oncoplastic Reduction on Initiation of Adjuvant Radiation and Need for Reexcision: A Database Evaluation
This study evaluates the implications of simultaneous oncoplastic reduction with lumpectomy on complication rates, time to adjuvant radiation therapy, and rates of margin reexcision compared with lumpectomy alone.
Methods
The Clinformatics Data Mart Database is a national deidentified commercial claims data warehouse. From 2003 to 2020, adult female patients were queried to identify patients with a breast cancer diagnosis with International Classification of Disease codes. Among those, current procedural terminology codes were used to identify those who underwent lumpectomy alone versus lumpectomy with oncoplastic r...
Source: Annals of Plastic Surgery - November 24, 2022 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research
Outcomes Analysis of Textured Versus Smooth Tissue Expanders in Breast Reconstruction
Conclusions
With equivocal safety profiles and no demonstrated risk in BIA-ALCL associated with STEs, this study supports the safety of using STEs compared with textured tissue expanders in prosthesis-based breast reconstruction with the advantage in preventing BIA-ALCL and concludes that there is no role for textured breast expanders. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 24, 2022 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research
The Relationship Between Neuropsychiatric Diagnoses and Revision Surgery After Breast Reconstruction
Conclusions
Neuropsychiatric diagnoses do not significantly influence the number of revision operations after breast reconstruction. However, neuropsychiatric diagnoses result in increased healthcare utilization of plastic surgery resources that may lead to increased healthcare costs. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 24, 2022 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research
Absorbable Suture Anchor Technique: A Method for Postblepharoplasty Lower Eyelid Ectropion Treatment
Conclusions
The absorbable suture anchor technique is an effective, minimally invasive, and safe method for correcting postblepharoplasty lower eyelid ectropion. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 24, 2022 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research
