Quick Calculation of Breast Resection Mass Using the Schnur Scale
In 1991, Dr Paul Schnur and his colleagues published an article correlating the weight of breast tissue to be removed in a breast reduction operation with the total body surface area (BSA) of the patient. They presented a very cogent argument for selecting three groups of patients: those with medical indications for operation, those who merit review, and those whose operation could be considered cosmetic. The Schnur Sliding Scale is widely used by insurance companies in the western United States in the process of preauthorizing breast reduction operations, and its use may be spreading eastward. The Schnur group presented a...
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Research Source Type: research

The Impact of Resident Postgraduate Year Involvement in Body-Contouring and Breast Reduction Procedures: A Comprehensive Analysis of 9638 Patients
Conclusions Resident involvement in BCPs was associated with an increased rate of overall complications in a large, national database. However, the clinical significance of these outcomes may be debated. Increased postgraduate year experience as a surgical resident was inversely associated with overall complications. Guided resident autonomy and earlier exposure to BCPs could lead to an optimization of clinical outcomes and resident education. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Research Source Type: research

Repair of Sacral and Ischial Region Defects With Lateral Sacral Artery Perforator Flaps
Conclusions The LSAP flap has not been frequently described in the literature. We believe that LSAP flap is a flap of choice that should be considered preferably for sacral and ischial defects, which can be reliably elevated over pedicles and has short surgery duration and low surgical morbidity. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

The Modified Keystone Flap for Pressure Ulcers: A Modification of the Keystone Flap With Rotation and Advancement
Conclusions Considering its simple design, reliable flap survival, minimal donor-site morbidity, optimal flap thickness, and evenly distributed surgical tension, our novel technique of the modified keystone flap is as an excellent surgical option for the reconstruction of pressure ulcers in the gluteal region. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Long-term Follow-up of Intracapsular Schwannoma Excision
This study was designed as a long-term follow-up to investigate postoperative symptoms, nervous impairment, and recurrence rate. Methods We performed a long-term follow-up of 18 subjects who underwent intracapsular schwannoma excision. We evaluated preoperative versus postoperative 2-point discrimination (2-PD) in the affected dermatome, pain (visual analog scale [VAS] from 0–10), Hoffmann-Tinel sign, and thermoreceptor response. For reasons of comparison, all examinations were done on both the healthy and affected extremity. Results Last postoperative follow-up was done on average after approximately 50.4 mont...
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Application of Concatenated Arterialized Venous Flaps in Finger Reconstruction
This article describes the use of a 2-concatenated paddle, flow-through arterialized venous flap design for simultaneous resurfacing of 2 separate defects on a single digit. A technique that can be used to reduce postoperative venous congestion will be highlighted in this article. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Surgical Technique for Nasal Cleft Repair
Conclusion Isolated nasal cleft can be properly corrected with the described procedure in a single stage and with optimal result. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Correction of Tanzer Type IIB Constricted Ears via Z-shaped Double V-Y Advancement Flaps
Conclusions The preauricular, superoauricular, and retroauricular skin areas can be used to successfully expand the skin envelope of the upper auricle via the creation of 2 adjoining V-Y advancement flaps. This results in an ample skin cover with which to accommodate the auricular cartilaginous framework reconstructed by multiple techniques. This novel Z-shaped double V-Y advancement flap method can effectively correct Tanzer type IIB constricted ears. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Individual Treatment of Delayed Distal Biceps Tendon Rupture: Case Report and Literature Review
Conclusions Individual treatment is advised in DBTR with complicated elbow injuries. Secondary treatment of DBTR can achieve satisfactory results using individual strategies depending on patients' overall condition. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Ensuring Sustainability for UK Burns Services: Workforce Planning for Burns Consultants
Conclusions Workforce planning is essential to avoid a short fall in the number of upcoming burns consultants. Plans must be in place to anticipate additional workload with a 10% population rise. With the current struggles of NHS funding, a comprehensive review of burns workforce planning should be undertaken to ensure that sufficient numbers of trainees are completing appropriate burns-specific training and are ready to fill these posts. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

Single-Surgeon Experience for Maximizing Outcomes in Implant-Based Breast Reconstruction in Chinese Patients
Conclusions Our implant selection method fit the Chinese population characteristics and could be extended to different types of implant-based breast reconstruction. It produced good esthetic outcomes and was reproducible, predictable, and simple to master in the clinical setting. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Nonshaven Follicular Unit Extraction: Personal Experience
Nonshaven follicular unit extraction (NS-FUE) is the most state-of-the-art surgical technique in the field of follicular unit hair transplantation. It is particularly appealing because donor area shaving, one of the most serious impediments for the patient, can be omitted. In this article, we present our surgical approach for NS-FUE. We selectively used the direct or the pretrimming method of NS-FUE according to indication, determined by considering the location and purpose of transplantation, the condition of the recipient site, and the patient's preference. A total of 658 patients underwent NS-FUE. Of these, 17 had pubic...
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

A Multimetric Evaluation of Online Spanish Health Resources for Lymphedema
Conclusions Available online Spanish lymphedema resources are written at an elevated reading level and are inappropriate for a population with lower health literacy levels. As patients continue to use the internet as their primary source for health information, health care entities must improve the quality of provided Spanish resources in order to optimize patient comprehension. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Texts and Contexts Source Type: research

Analysis of US Food and Drug Administration Breast Implant Postapproval Studies Finding an Increased Risk of Diseases and Cancer: Why the Conclusions Are Unreliable
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - February 7, 2019 Category: Cosmetic Surgery Tags: Editorial Source Type: research

Molar-Incisor Hypomineralization and Cleft Lip and Palate
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Immunomodulation in Vascularized Composite Allotransplantation: What Is the Role for Adipose-Derived Stem Cells?
Hand and face transplants are becoming increasingly common, recording progressively more penile, uterus, abdominal wall, and allotransplantation cases reported worldwide. Despite current protocols allow long-term survival of the allografts, the ultimate goal of donor-specific tolerance has not been achieved yet. In fact, the harmful adverse effects related to the lifelong administration of immunosuppressive agents are the main drawbacks for vascularized composite allotransplantations. Research is very active in investigating alternative methods to induce greater tolerance while minimizing toxicity. Adipose-derived stem cel...
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Transplantation of Adipose-Derived Stem Cells Before Flap Expansion and After Expanded Flap Elevation Result in Different Effects
Conclusions Transplantation of ADSCs before tissue expansion does not improve flap viability but can promote tissue regeneration. Injection of ADSCs after flap elevation can increase the surviving rate of the expanded flap. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

Mechanical Dilation With a Nylon Monofilament for 0.1-mm Anastomoses
Despite advances in supermicrosurgical techniques, the ability to anastomose vessels with a diameter of less than 0.2 mm remains limited. One of the reasons for this limitation is that the dilation methods currently available, such as inserting the tip of a microforceps into the lumen or topical application of a vasodilator such as papaverine hydrochloride or xylocaine spray, are not effective in very small vessels. To overcome this problem, we have developed a method whereby nylon monofilaments are placed inside the vessel lumen to act as a dilator. Using this method, a smaller nylon monofilament is inserted into the vess...
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Research Source Type: research

International Medical Graduates and the Integrated Plastic Surgery Residency Match
Plastic surgery continues to be one of the most competitive programs into which medical students attempt to match. The reasons for this include the complexity and diversity of cases, the opportunity to interact with multiple specialties, patient and surgeon satisfaction, and the potential for higher compensation compared with other specialties. The disparity between the relatively small number of plastic surgery residency positions and the large number of highly competitive candidates has created challenges for both the applicant and the residency program director. This challenge is even greater for international medical g...
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Research Source Type: research

Factors That Affect Medical Students' Perception and Impression of a Plastic Surgery Program: The Role of Elective Rotations and Interviews
Conclusions Current applicants to plastic surgery in Canada prioritize resident happiness, program collegiality, and meaningful faculty relationships, such as those with a mentor, when ranking residency programs. Although finding a mutually “good fit” between applicant and program will remain a major aim, these findings indicate the importance of certain tangible, potentially modifiable factors that affect how medical students ultimately perceive and rank plastic surgery programs. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Research Source Type: research

Modified V-Y Fasciocutaneous Flap Reconstruction After Abdominoperineal Resection in Irradiated Patients Prevents Wound Dehiscence and Associated Complications: A Retrospective Analysis and Benchtop Confirmation
Conclusion Tension-free de-epithelialized V-Y flap use after APR effectively reconstructs the defect while eliminating an additional donor site. Benchtop studies suggest enhanced flap integrity yielded by layered closure. Wound complications can be managed with local care in their majority (90%). Staggering or delaying suture removal can decrease minor dehiscence. Based on analysis of our results, review of the literature and consideration of donor site morbidity, we believe that modified V-Y flap is the best approach for APR reconstruction in irradiated patients. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Treatment of Abdominal Surgical Wound Dehiscence With Bowel Exposure and Infection: Using Intrawound Continuous Negative Pressure, Irrigation, and Application of Artificial Dermis
The objective at this time is to heal such wounds safely and absolutely with using intrawound continuous negative pressure and irrigation treatment and artificial dermis. The subjects were 18 patients with abdominal wall dehiscence wounds with bowel exposure. Complications had already developed in 4 of the 18 cases of intestinal fistula. Subsequently, these 4 cases were treated with conservative treatment alone, whereas the other 14 were treated by split-thickness skin grafts. Intrawound continuous negative-pressure therapy has enabled the concomitant use of an artificial dermis inside the infected wound by maintaining irr...
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Anatomic Targets for Breast Reconstruction Neurotization: Past Results and Future Possibilities
The concept of providing neurotized autologous breast reconstruction is not novel, but the introduction of cadaveric nerve grafts has allowed for the development of new techniques and a resurgence in academic interest. There has been a surge in the number of publications regarding neurotized autologous breast reconstruction. However, recent articles and reviews have focused mainly on autologous, abdominal-based reconstruction. The sensory innervation of the most commonly used autologous tissues has been well described, allowing surgeons to perform accurate and reproducible dissections. However, there are numerous options f...
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Mechanical Dilation Using Nylon Monofilament Aids Multisite Lymphaticovenous Anastomosis Through Improving the Quality of Anastomosis
In this study, we investigated the efficacy of the conventional supermicrosurgery technique performed with and without MD as a treatment for lower limb lymphedema. The LVA was performed using conventional supermicrosurgery alone in 10 patients (group without MD) and in combination with MD in another 10 patients (group with MD). The mean number of successful LVAs performed per hour was significantly higher in the group with MD than in the group without MD (1.42 ± 0.16 vs 1.14 ± 0.15; P (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

The Long-term Patency of Lymphaticovenular Anastomosis in Breast Cancer–Related Lymphedema
Conclusions This study is, to our knowledge, the first to evaluate long-term patency of LVA in upper limb lymphedema. Our study demonstrates that at least 56.5% of the anastomoses created are patent after 1-year follow-up. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Chyle Leak Following Autologous Breast Reconstruction: A Rare Complication of a Deep Inferior Epigastric Artery Perforator Flap
Conclusion While altering practice patterns based on a single case is not usually suggested, this complication does intimate that dealing with lymphatic vessels and lymph nodes in the chest should be done deliberately to prevent lymphatic leaks. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Medial Arm Flap: An Unexplored Option for Autologous Breast Reconstruction in the Setting of Morbid Obesity
Currently, deep inferior epigastric perforator flap is undoubtedly the first choice for autologous breast reconstruction for most surgeons; however, there are instances where lower abdominal tissue is unavailable for microvascular transfer. In these cases, most surgeons choose gluteal or lower-extremity territories as donor sites. In the setting of morbid obesity, there is an increased risk of flap and donor site complications, as well as increased blood loss, surgical time, and risk of deep venous thrombosis, not to mention a more challenging surgical technique. Added to these problems, Tamoxifen intake and delayed or li...
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Single Versus Simultaneous Double Free Flaps for Head and Neck Reconstruction: Comparison of Flap Outcomes and Donor-Site Morbidity
Conclusions The use of multiple free flaps for reconstruction of major head and neck tissue defects is sometimes necessary to achieve adequate reconstructive results. These procedures have no significant associated increase in overall flap-related complications. Our findings suggest that donor site morbidity can be minimized in double-flap reconstructions by thoughtful flap selection. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Long Term Follow Up of a Vascularized Osteocutaneous Free Flap for Reconstruction in Charcot Neuroarthropathy: A Case Report
We report the long-term results of a case describing the use of an MFC flap to reconstruct an osseous defect resulting from first metatarsophalangeal joint resection in a diabetic patient. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Speech Outcomes After LeFort I Advancement Among Cleft Lip and Palate Patients
Conclusions Although VP function remains unchanged in a majority of patients after LeFort I advancement, VPI should be carefully screened for after surgery. If detected, secondary operations to correct speech should be strongly considered. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Risk of Ischemic Stroke After a Facial Bone Fracture in Elderly Patients
Conclusions Facial bone fractures are associated with increased risk of stroke at 1-year follow-up among elderly patients, particularly women. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

A Test for the Clinical Evaluation of the Flexor Digitorum Superficialis of the Fifth Finger
Conclusions Among the 3 tests described and used in our study, Mecott's modified test proved to be more sensitive and specific than the other two; therefore, we consider this to be the test that should be used in determining the integrity of the FDS5. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Two Cases of Radial Ray Deficiency With Absence of First Metacarpus and 2 Tiny Fingers
We report 2 cases showing both radial ray deficiency and thumb duplication. The common features of these cases were absence of the first metacarpus and presence of 2 tiny fingers. The features of our cases may have been due to continuous abnormality of the mesenchymal cells before limb bud formation and apical ectodermal ridge at the established limb bud. In 1 case, we created a 5-finger hand using 2 tiny floating fingers. Two fingers as vascularized bones with growth potential were useful to make 1 thumb. Two tendon transfers at 2 years of age were effective to allow gripping and pinching of objects. At 6 years of age, th...
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Acquired Localized Hypertrichosis Following Pressure Garment and/or Silicone Therapy in Burn Patients
We report on 7 burn patients who developed hypertrichosis following application of pressure garment/silicone therapy to prevent hypertrophic scarring. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

Autologous Breast Reconstruction With the Latissimus Dorsi Muscle With Immediate Fat Grafting: Long-term Results and Patient Satisfaction
Conclusions This reconstruction technique with autologous fat injection was effective, with satisfactory and long-lasting results, and without the requirement for implants to set breast shape and volume. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Y-Peg-in-a-Round-Hole Closure for Immediate Periareolar Mastectomy Expander Reconstruction
Conclusion After nipple resecting mastectomy, the Y-peg-in-a-round-hole scar minimizes radial size and contour deformity but allows for reliable wound healing. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Muscle-Splitting Augmentation-Mastopexy: Implant Protection With an Inferior Dermoglandular Flap
We describe a technique for augmentation-mastopexy combining a muscle-splitting pocket for implant placement along with an inferior flap, which helps secure the implant in place and provides coverage in case of wound dehiscence. A retrospective chart review was performed (January 2015 to December 2017) of women who underwent augmentation-mastopexy with round, textured silicone gel implants using a muscle-splitting technique combined with an inferior de-epithelialized dermoglandular flap. A total of 118 patients (236 breasts) were operated on. Mean follow-up was 13 months (10–42 months). Mean patient age was 33.3 year...
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Book Review: Plastic Surgery Emergencies, Second Edition
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Texts and Contexts Source Type: research

Book Review: Handbook of Otolaryngology Head and Neck Surgery 2nd Edition
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Texts and Contexts Source Type: research

Understanding the Impact and Misconceptions of Rural Plastic Surgery
In the United States, 54 million people live in a designated health service area with either no plastic surgeon or less than 1 plastic surgeon per 100,000 population. Previous studies demonstrate that patients in rural communities often have limitations with access to basic primary care services and subspecialty care services. Such limitations can have significant adverse impacts on health care and quality of life. Plastic and reconstructive surgeons offer unique advantages especially within rural settings given their broad scope of surgical skillsets. The purposes of this study are to illustrate the shortage of plastic an...
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Texts and Contexts Source Type: research

Brazilian Perspective on Early Integration of Medical Students Interested in Plastic Surgery
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - January 12, 2019 Category: Cosmetic Surgery Tags: Editorial Source Type: research

One-Stage Reconstruction of Huge Scalp Defect With a Free Vascularized Greater Omentum
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 11, 2018 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

A Systematic Review and Meta-analysis of Functional Shoulder Impairment After Latissimus Dorsi Breast Reconstruction
Conclusions There are several influencing factors, such as age, smoking, obesity, radiotherapy, and physiotherapy. Moreover, the impact on shoulder function seemed influenced by the type of thoracodorsal vessel–based flap. From the level of evidence analysis, there is a tendency that the LDF transfer does affect shoulder function. This limitation seems to be minimal, and few patients experience a major impact on shoulder function. However, the existing literature on total shoulder impairment after breast reconstruction with LDF is insufficient to draw any final conclusion. There is a need for future studies and cur...
Source: Annals of Plastic Surgery - December 11, 2018 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Influence of Recipient Site on the Function and Survival of Fat Grafts
Conclusions Assuming that the extrinsic factors influencing fat function and distribution remain stable, capabilities of the redistributed fat to handle free fatty acid and store lipid substance are reduced, leading to substantial tissue atrophy and volume decline after grafting. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 11, 2018 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

Treatment With Topical Deferoxamine Improves Cutaneous Vascularity and Tissue Pliability in an Irradiated Animal Model of Tissue Expander–Based Breast Reconstruction
Conclusions In an animal model of irradiated tissue expander–based breast reconstruction, treatment with topical DFX improved the cutaneous vascularity and tissue pliability, resulting in vascular density and final tissue expansion volumes similar to those found in the nonirradiated control group. Topical DFX may be an effective agent for the treatment of soft tissue radiation injury; future studies are indicated to further characterize this novel drug formulation. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 11, 2018 Category: Cosmetic Surgery Tags: Research Source Type: research

An Effective Simulator for Intraoral Facial Skeletal Contour Surgeries
Background In East Asia, intraoral facial skeletal contour surgeries (intraoral FSCSs), including reduction gonioplasty, reduction malarplasty, and genioplasty, have become increasingly popular. Nonetheless, intraoral FSCSs are technically difficult and have a steep learning curve. An effective simulator could be beneficial for intraoral FSCS training. However, there is no intraoral FSCS simulator available. We introduced an intraoral FSCS simulator and assessed its effectiveness. Methods An intraoral FSCS simulator was established by covering a 3-dimensional printed skull with elastic cloth. Twenty residents were enr...
Source: Annals of Plastic Surgery - December 11, 2018 Category: Cosmetic Surgery Tags: Research Source Type: research

Comparative Study of Choke Vessel Reconstruction With Single and Multiple Perforator–Based Flaps on the Murine Back Using Delayed Surgery
Objective Choke vessels, vascular anastomosis between adjacent angiosome, play an important role in flap expansion and survival. Here we established a flap model with single and multiple perforators to detect and compare the changes in choke vessels, discuss the effect of hemodynamics on the vascular morphology, and explore the underlying mechanism. Methods One hundred mice (7–8 weeks) were subjected to a “choke zone” surrounded by 4 perforators on their backs. Delayed surgery was performed by the ligation of 1, 2, or 3 perforators to establish flap models. The blood flow of the choke zone was measur...
Source: Annals of Plastic Surgery - December 11, 2018 Category: Cosmetic Surgery Tags: Research Source Type: research

Vascularized Tissue Reconstruction in Previously Irradiated Sarcoma Defects
Conclusions The current study demonstrates the safety of both pedicled and free flap reconstruction in previously irradiated sarcoma defects. Judicious selection of reconstructive technique and recipient vessels is crucial in obtaining optimal outcomes given the devastating effects of RT on native tissues. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 11, 2018 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Linea Arcuate Hernia Following Transversus Abdominis Release Incisional Hernia Repair
We present a rare case of herniation below the linea arcuate (LAH) following repair via TAR-PCS. Given its novelty compared with more widely utilized techniques, literature review revealed less discussion regarding potential pitfalls associated with this type of reconstruction, in particular the potential for LAH. To date, only 9 cases of symptomatic LAH have been described, although 2 previously described “suprapubic” herniations following TAR-PCS may represent previously mischaracterized cases of this type of complication. Nonetheless, none of these reports were in the setting of ventral hernia repair. (Sourc...
Source: Annals of Plastic Surgery - December 11, 2018 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Two-Team Surgical Approach to Improve Retroperitoneal Nerve Identification in the Treatment of Groin Pain
Conclusions A combined open surgical procedure, to identify the lateral femoral cutaneous nerve, and a laparoscopic procedure in the retroperitoneum have demonstrated the feasibility of this approach to identify correctly the nerve to be resected to relieve disabling groin pain. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - December 11, 2018 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research