Patient-Reported Outcome Measures in Plastic Surgery: An Introduction and Review of Clinical Applications
This article aims to provide an introduction of PROMs to plastic surgeons, a description of how PROMs are developed and scored, along with the most commonly used tools currently most applicable to plastic surgery. The benefits of PROMs on a local, regional, and national level are discussed, and we aim to set out how these tools can be used in auditing individual and departmental performance against national standards. We will also provide suggestions for sustainable use of PROMs in the clinical environment, advice on choosing the right outcome measure, and our views on electronic data collection, analysis, and interpretati...
Source: Annals of Plastic Surgery - August 17, 2019 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Texts and Contexts Source Type: research

New Paradigms in Reconstructive Microsurgery Education
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 17, 2019 Category: Cosmetic Surgery Tags: Editorial Source Type: research

Optimal Result of One-Stage Secondary Debulking Procedure After Flap Reconstruction of the Ankle: Erratum
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Errata Source Type: research

Tendon Subluxation After Surgical Release of the First Dorsal Compartment in De Quervain Disease: Erratum
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Errata Source Type: research

Reply to the Letter to the Editor
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Influence of Recipient Site on the Function and Survival of Fat Grafts
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Surgical Management of Migraine Headaches: A Systematic Review and Meta-analysis
Background The aim of the present study was to systematically review and analyze the available evidence on the role of surgery in improving outcomes in patients with migraine headaches. Methods An electronic search of PubMed, Scopus, CENTRAL (Cochrane Central Register of Controlled Trials), and Google Scholar databases was performed for English-language articles reporting results of peripheral nerve surgery for migraine headaches. Results The search strategy revealed a total of 1528 records, of which 23 studies were included in the review. A total of 1151 headache patients were treated in the included studies. The ...
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Keystone Flaps: Physiology, Types, and Clinical Applications
The keystone perforator flap (KPF) was first introduced in 2003 by Behan et al for use in reconstruction after skin cancer excision. Since its initial description, KPF use has been expanded to complex defects of various etiologies and disorders throughout the body. At its most basic, the KPF is a perforator-type flap designed with a 1:1 flap-to-defect width ratio. Keystone perforator flaps are specifically raised on pedicles arising from musculocutaneous or fasciocutaneous perforator vessels. Major advantages of the KPF derive from the maintenance of perforator vascular territories, perforosomes, permitting increased flap ...
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Treating Intimal Injury to the Graft Hepatic Artery by Intraoperative Fluorescence Vascular Stenting
Conclusion Anastomosis of the intimally injured graft artery followed by immediate endovascular angioplasty with stenting to bypass the injury zone is an efficacious and tolerable procedure. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

Comprehensive Assessment of Vascularized Composite Allotransplantation Patient-Oriented Online Resources
Conclusions Future efforts in face and upper extremity transplantation should be directed toward developing standardized, comprehensive, and intelligible resources with high-quality content and simple language. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

Acute Activation of α7-Nicotinic Receptors by Nicotine Improves Rodent Skin Flap Survival Through Nitrergic System
Conclusions Acute pretreatment with nicotine by stimulating the expression and activation of cutaneous α7-nAChR improves skin flap survival, which is partially mediated through modulation of the NO pathway. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Research Source Type: research

The Influence of Patient Exposure to Breast Reconstruction Approaches and Education on Patient Choices in Breast Cancer Treatment
Conclusions Decisions for altering the preliminary oncologic plan or choosing a specific alternative (eg, lumpectomy plus radiation vs mastectomy) resulted from patient education on (1) reconstructive options, (2) aesthetic pitfalls and results. and (3) their interfacing with the oncological outcomes. Ultimately, plastic surgeons influence the multispecialty breast cancer management and patient decision-making process. Therefore, oncological literacy for plastic surgeons is essential to provide state-of-the-art breast cancer care and avoidance of suboptimal patient decisions. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Research Source Type: research

The Value of Plastic Surgery Spinal Closures: A Review of 782 Spine Cases
Background The role of the plastic surgeon in wound management after complications from previous spinal surgeries is well established. Purpose The present study evaluates wound complications after plastic surgeon closure of the primary spinal surgery in a large patient population. Study Design and Setting This is a retrospective review of spine surgery patients undergoing plastic surgeon closure of spine surgeries at a single tertiary care center. Patient Sample Spine surgery patients included those who were referred for plastic surgeon closure due to (a) concerns about patient healing potential, (b) concerns ab...
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

The Impact of Preoperative Negative-Pressure Wound Therapy on Pectoralis Major Muscle Flap Reconstruction for Deep Sternal Wound Infections
Background Deep sternal wound infection (DSWI) represents a life-threatening complication following open-heart surgery and pectoralis major muscle flap reconstruction has led to a significant reduction in mortality and morbidity. Negative-pressure wound therapy represented a step forward in DSWI treatment, both as a single procedure or as a preparation for reconstructive surgery. In the present study, we report our 13 years' experience with sternal reconstruction in order to evaluate the impact of preoperative vacuum-assisted closure (VAC) therapy on reconstructive outcome. Methods Seventy-three patients diagnosed wi...
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Depression Rates After Facial Paralysis
Introduction Facial paralysis (FP) has many functional consequences with a large impact on daily life. Although an association with FP and depression has been observed and described in the literature, there are currently no large-scale studies to further validate this correlation. Our goal was to determine whether patients with FP become depressed at a higher rate compared with matched controls. Methods We performed a retrospective cohort study using MarketScan Commercial Claims and Encounters Database by Truven Health. From the database, all inpatient and outpatient claims with International Classification of Disease...
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

The Microsurgical Calcaneus Osteocutaneous Fillet Flap After Traumatic Amputation in Lower Extremities: Flap Design and Harvest Technique
Conclusions The free calcaneus osteocutaneous fillet flap harvested from the amputated limb provides reliable and robust tissue for reconstruction of large defects of the residual limb without additional donor-site morbidity. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

End-to-Side Venous Anastomosis to a Ligated Vein Stump for Free Flap Transfer in Head and Neck Reconstruction
Conclusions The end-to-side venous anastomosis to a ligated vein stump procedures were easy to perform and not dependent on the vessel diameters of the free flaps. No complications were observed in any patient owing to differences in vessel diameter, ease of anastomosis, and safety. Results suggest that this new technique is a simple and very useful option in head and neck reconstruction where the IJV/EJV cannot be preserved. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Tailored Posterior Pharyngeal Fat Grafting Outcomes in Velopharyngeal Insufficiency Managed According to a Simplified Algorithm
This study aimed to evaluate the outcomes of posterior pharyngeal fat grafting for the management of velopharyngeal insufficiency using a simplified therapeutic algorithm and a tailored surgical technique. Methods This was a prospective study of consecutive nonsyndromic patients with repaired cleft palate and velopharyngeal insufficiency who were stratified according to a simplified algorithm (minimally scarred palate, transverse orientation of levator veli palatini, and pinhole-to-small velopharyngeal gaps) and who underwent tailored posterior pharyngeal fat grafting. The patients were screened for obstructive sleep ap...
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Merkel Cell Carcinoma of the Digit
We report a case of MCC to alert medical professionals of this potentially fatal tumor, as early diagnosis and treatment may improve morbidity and mortality rates. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Long-Term Follow-up of Full-Awake Hand Surgery in Major Flexor Tendon Injury of the Hand and Forearm
Conclusions Full-awake hand surgery is potential surgical approach for major flexor tendon trauma cases resulting in satisfactory long term functional outcome. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Keloid Excision and Adjuvant Treatments: A Network Meta-analysis
Conclusions According to our results, “excision + radiation” had significantly better outcomes than excision alone. “Excision + pressure” had better outcomes than excision + any other treatment modality, and excision + nonradiation adjuvant therapies were also better than “excision only,” although these findings did not reach statistical significance. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

Early Breast Angiosarcoma Development After Radiotherapy: A Cautionary Tale
This is a short clinical report depicting an exceptionally early presentation of radiation-induced angiosarcoma and overview of the literature. This case highlights the need for a high level of clinical suspicion in those patients presenting with unresolving cutaneous skin changes after radiotherapy for breast cancer. Breast-conserving therapy, comprising breast-conserving surgery and adjuvant radiotherapy, has largely replaced mastectomy in the treatment of early-stage breast carcinoma. Breast angiosarcoma is a rare but severe long-term complication associated with postoperative radiotherapy (Int J Radiat Oncol Biol Phys...
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Prospective Evaluation of Health After Breast Reduction Surgery Using the Breast-Q, Short-Form 36, Breast-Related Symptoms Questionnaire, and Modified Breast Evaluation Questionnaire
Conclusions Breast reduction reduces or removes disease-associated pain. It improves or normalizes perceived health and psychosocial self-esteem in slightly obese women or women of normal weight with preoperative breast volumes around 1000 mL. Women with higher preoperative breast volumes and longer sternal notch-to-nipple distances appear to be more satisfied with the cosmetic result postoperatively. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Two-Dimensional Ablation of Apocrine Glands With the Use of Hydrosurgical Treatment of Axillary Osmidrosis: An Analysis of 480 Cases
In this study, we evaluated the effectiveness and complications of a minor surgical procedure. From January 2010 to December 2017, 480 patients (376 females and 104 males) whose ages ranged from 8 to 72 years, with an average age of 28 years, were treated for axillary osmidrosis with hydrosurgery (Versajet unit surgical instruments) under local anesthesia on an outpatient basis. Patients were followed for 4 to 80 months with an average of 24 months. The total satisfaction rate was 99.6% (478/480). The patient complication rate was 2.7% (13/480) and the wound complication rate was 1.8% (17/960). There was 2 patient (3 axill...
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Origins of Gender Affirmation Surgery: The History of the First Gender Identity Clinic in the United States at Johns Hopkins
Conclusion This is the first study that highlights the role of the Gender Identity Clinic in establishing gender affirmation surgery and reveals the reasons of its closure. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Texts and Contexts Source Type: research

Rembrandt's Aging Face in Plastic Surgical Perspective
Conclusions We conclude that Rembrandt truthfully reflected his ongoing age in the self-portraits, up to 1660. These self-portraits therefore may allow for training the art of observation of such characteristics. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Texts and Contexts Source Type: research

The Value of Business Training in the Quest for Sustainable Health Care Delivery in Plastic Surgery
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2019 Category: Cosmetic Surgery Tags: Editorial Source Type: research

Diagnostic Criteria for Symptomatic Neuroma: Erratum
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 14, 2019 Category: Cosmetic Surgery Tags: Erratum Source Type: research

Commentary in Response to “Discussion: Unfiltered Nanofat Injections Rejuvenate Postburn Scars of Face”
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 14, 2019 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Discussion: Unfiltered Nanofat Injections Rejuvenate Postburn Scars of Face
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 14, 2019 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Reducing Prominent Mandibular Angle Osteotomy Complications: 10-Year Retrospective Review
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 14, 2019 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Response to “Delayed Breast Reconstruction on Patients With Upper Extremity Lymphedema. A Systematic Review of the Literature and Pooled Analysis” by Siotos et al
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 14, 2019 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Combined Orthodontic-Surgical Sequential Treatment of Cleidocranial Dysplasia: A Case Report With 7-Year Follow-up and Review of the Literature
We present a case of a 10-year-old boy with CCD, presenting with hypoplastic clavicles, delayed closure of the fontanelles, retarded exfoliation of the deciduous teeth, retarded eruption of the permanent teeth, and multiple impacted supernumerary teeth. Based on the clinical and radiographic examination results showing abnormalities of the bones and teeth, a diagnosis was reached easily, but it was difficult to achieve a complete curative effect. We carried out a highly organized schedule of treatment, including extraction of the deciduous and supernumerary teeth, partial resection of alveolar bone, distraction of impacted...
Source: Annals of Plastic Surgery - June 14, 2019 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Recurrent Breast Cerebrospinal Fluid Pseudocyst: A Complication of Ventriculoperitoneal Shunt Placement
We present the case of a 22-year-old woman with recurrent cerebrospinal fluid pseudocyst secondary to fracture of a VP shunt at the time of breast surgery for breast asymmetry. We review the literature on this topic and present our case that highlights the need of the breast surgeon to take into account the position of VP shunts placed at birth. Shunts placed on the chest wall may result in breast asymmetry requiring surgery in the adolescent. Shunts in place since birth may be at greater risk of fracture during breast implant placement due to manipulation of a calcified and fragile shunt leading to formation of a cerebros...
Source: Annals of Plastic Surgery - June 14, 2019 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Abnormal Presentation of Aggressive Fibromatosis After Radiotherapy for Keloids: Case Report and Brief Literature Review
Rationale Keloids, dermal fibroproliferative lesions, often occur secondary to skin injury and extend beyond the margins of the original lesion. Aggressive fibromatosis (AF) is a rare condition arising from fibroblasts and is characterized clinically as a nonmetastasizing but locally invasive tumor. In this work, we present the case of a patient who developed AF in the chest 3 years after surgery and postoperative radiotherapy for keloids. Patient Concerns A 15-year-old female patient who underwent surgery and postoperative radiotherapy for keloids presented with AF in the chest 3 years after intervention. Diagnoses ...
Source: Annals of Plastic Surgery - June 14, 2019 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Keratinocyte Cytotoxicity of Peracetic Acid Used as Sterilizing Agent for Implant Scaffolds
This study aimed to investigate the cytotoxicity of PAA concentrations on keratinocytes by growing HaCaT cells in culture medium. Different concentrations of PAA (control-untreated, 0.01, 0.1, 1, 10, 100, 200, 400, 800, 1200, 1600, and 2000 ppm) were added to the culture wells and allowed to be in direct contact with cells for up to 24 hours. Cytotoxicity was quantitatively and qualitatively determined by cell viability assay and analysis of morphological changes. Statistical analysis was performed with 1-way analysis of variance and Tukey test at 5% significance. Cells treated with 0.01 and 0.1 ppm followed the same morph...
Source: Annals of Plastic Surgery - June 14, 2019 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

Validation of the American College of Surgeons National Surgical Quality Improvement Program Risk Model for Patients Undergoing Panniculectomy
Purpose Panniculectomy procedures have been reported to significantly improve quality of life, increase mobility, and improve hygiene in patients with a significant pannus formation. The primary aims of this study were to determine which preoperative risk factors may be used to differentiate postoperative complication rate among patient cohorts and to validate utilization of the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) risk calculator in patients undergoing panniculectomies. Methods This retrospective study included all patients who underwent a panniculectomy procedure a...
Source: Annals of Plastic Surgery - June 14, 2019 Category: Cosmetic Surgery Tags: Research Source Type: research

Postural Changes After Abdominoplasty in Morbid Obese Patients
Conclusions Our study demonstrates the beneficial effect of dermolipectomies and the consequential weight loss on postural stability of obese men. Such findings may support the hypothesis that dermolipectomy may improve postural stability with and without vision. The data demonstrate that the benefits are related to the magnitude of the resected tissue. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 14, 2019 Category: Cosmetic Surgery Tags: Research Source Type: research

Single-Institution, Multidisciplinary Experience of Soft Tissue Sarcomas in the Chest Wall
We report our single-institution, multidisciplinary experience of nearly 20 years of working on chest wall soft tissue sarcoma cases. The aim of this study was to evaluate clinical outcomes in patients with chest wall soft tissue sarcoma. Materials and Methods A retrospective review of 49 surgically treated patients with chest wall soft tissue sarcoma was conducted from 1997 to 2015. Results The median age of the patients was 57.0 years. There were 19 full-thickness and 30 partial-thickness resections. Reconstruction was warranted in 37 cases. Sarcomas were high grade in 31 (63.3%) and low grade in 18 (36.7%) cases. ...
Source: Annals of Plastic Surgery - June 14, 2019 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Comparison of Costs and Outcomes for In-Office and Operating Room Excision of Nonmelanoma Skin Cancer
Introduction With increasing health care expenses and limited resources, it is important to evaluate potential means of reducing cost while maintaining efficacy and safety. The purpose of our study was to compare the cost and outcomes of surgical excision of nonmelanoma skin cancer (NMSC) in the operating room versus an outpatient procedure clinic. Methods A retrospective review of patients undergoing excision of biopsy-confirmed NMSC at the Miami Veterans Affairs Hospital between December 1, 2015, and December 1, 2016, was completed. Patients treated in the operating room and procedure clinic were included. Treatment...
Source: Annals of Plastic Surgery - June 14, 2019 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Soft Tissue Reconstruction and Facial Reanimation With Bilateral Latissimus Dorsi Flaps After Extensive Resection of Head and Neck Arteriovenous Malformation: A Case Report
We report a rare case of a 37-year-old man who presented with a huge arteriovenous malformation in the head and neck region. After resection, the 30 × 25 cm defect was reconstructed with a preexpanded musculocutaneous latissimus dorsi flap. The facial nerve had to be sacrificed during the resection, and smile reanimation was restored in a second operation with the contralateral latissimus muscle flap. A 15-cm length of thoracodorsal nerve was dissected and was anastomosed to the contralateral zygomatic branch in a single stage. He recovered well without any significant complications. At 6 years follow-up, there was n...
Source: Annals of Plastic Surgery - June 14, 2019 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Intraoperatively Detected But Previously Indocyanine Green–Negative Lymphatic Vessels May Have Misprized Potentials and Should Not Be Neglected in Lymphaticovenous Bypass Surgery
Conclusions We believe that ICG-negative lymphatics found intraoperatively should be evaluated for additional LVAs in order to maximize drainage effect and might provide better outcomes. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 14, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Pyoderma Gangrenosum After Abdominal Free Tissue Transfer for Breast Reconstruction: Case Series and Management Guidelines
Conclusions Pyoderma gangrenosum after autologous breast reconstruction is a rare, but serious, complication that is worsened by misdiagnosis and inappropriate debridement. We present a case series of 8 patients and emphasize the importance of early recognition and treatment with immune suppression. We include a treatment algorithm to manage these patients, once the diagnosis is suspected. Future surgery can be considered with a fully informed patient and careful collaboration with dermatology colleagues. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 14, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

The Management and Prognosis of Facial and Scalp Angiosarcoma: A Retrospective Analysis of 15 Patients
Conclusions Multimodal treatment that combines surgery with adjuvant therapy is the best management strategy that influences survival positively in patients with angiosarcoma. The study shows that the reconstructive method does not affect the prognosis in these patients. So it is better to choose the simplest suitable resection and reconstructive method with the least complications and to avoid unnecessary procedures. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 14, 2019 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Clinical Application of a Specific Simulation Software for 3-Dimensional Orbital Volume Modeling for Orbital Wall Reconstruction
In this study, we developed a new 3-dimensional (3D) preoperative planning software and investigated its effectiveness by measuring orbital volume change. Fifty-six patients who underwent unilateral orbital wall reconstruction between December 2015 and February 2018 in our institute were recruited. We developed an orbit-specific automatic 3D modeling software (Osteopore CMF 3D) that can automatically detect orbital fracture site, process mirroring, measure volume, and then produce a customized orbital implant. Using preoperative and postoperative 3D computed tomography, orbital volume was measured and compared between Oste...
Source: Annals of Plastic Surgery - June 14, 2019 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Clinical Utility of Postoperative Computed Tomography Imaging in Orbital Floor Fracture Management
Conclusions In this patient cohort, postoperative CT imaging and its associated costs did not significantly benefit management of orbital floor fracture repair. Careful clinical physical examination should be emphasized over postoperative CT imaging to reliably determine the necessity for reoperation in orbital floor fracture management. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 14, 2019 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

An Evaluation of Emergency Hand Coverage in Tennessee After Implementation of the Affordable Care Act
This study aimed to determine if there has been an increase in emergency hand coverage in TN since the implementation of the ACA. A survey was administered to all hospitals in TN with both an emergency department and operating room to determine the percentage of TN hospitals offering elective hand surgery and on-call emergency hand coverage. With 94% of TN hospitals responding to the emergency department survey, we determined that there has been a 138% significant increase in the percentage of hospitals reporting 24/7 emergency hand coverage by a hand specialist since our last study in 2010. There has also been a significa...
Source: Annals of Plastic Surgery - June 14, 2019 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Intra-articular Osteotomy for Malunited Proximal Interphalangeal Joint Fracture
Conclusions For malunited PIP joint fracture without severe cartilage damage, intra-articular osteotomy provides predictable functional recovery and minimal donor site sacrifice. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 14, 2019 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Biologics in Acute Burn Injury
There have been significant advances in the care of burns over the past decade. As a result of the improved survival of burn patients, attention has shifted to the optimized management of their wounds. Traditionally, autografts have been described as the gold standard treatment in cases of deep second- and third-degree burn wounds; however, they are limited especially in large surface area burns. As such, advancements have been made in the development of biologic dressings, which attempt to mimic the function of the lost epidermis and/or dermis. The ideal biologic dressing is nontoxic, lacks antigenicity, is immunologicall...
Source: Annals of Plastic Surgery - June 14, 2019 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

Effects of Dressing Materials on Donor Site Morbidity: A Comparative Study at a Tertiary Hospital in Kenya
In conclusion, all the 4 dressing materials had different scores among the factors assessed. Hydrocolloids dressings and silver hydrofiber dressing would, however, be the preferred dressing materials for the donor site based on these study findings as reflected by the high epithelialization low infection rates and less pain. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 14, 2019 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research