Meltblown Polylactic Acid Nanowebs as a Tissue Engineering Scaffold
Polylactic acid (PLA) nanofiber nonwovens have recently come under more vigorous investigation for their use as tissue engineering scaffolds owing to its ability to mimic the physical properties of naturally occurring human extracellular matrix in a variety of host tissues. Currently, the majority of available research on PLA nanowebs has focused on their creation through electrospinning. The goal of this study was to evaluate meltblown nonwoven webs made of nanodiameter PLA fibers for their application as a tissue engineering scaffold. Meltblown PLA fabrics were produced with a variety of different crystallinities, tensil...
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

A Quick and Reliable Method to Decellularize a Gracilis Flap: A Crucial Step Toward Building a Muscle
Conclusions We present a quick, simple, and affordable method to decellularize a muscle flap through the vascular network. Our proposed method is efficient and can be completed in a significantly shorter time when compared with other methods. It is also safe and does not affect integrity of tissue, and this is essential for a reliable recellularization. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

Extracorporeal Free Flap Perfusion Using Extracorporeal Membrane Oxygenation Device: An Experimental Model
This study aimed to develop and evaluate a human extracorporeal free flap perfusion model using an extracorporeal membrane oxygenation device. Five patients undergoing esthetic abdominoplasty participated in this study. Deep inferior epigastric artery perforator flaps were obtained abdominoplasty flaps, which are normally medical waste, used in this model. Deep inferior epigastric artery perforator flaps were extracorporeally perfused with a mean of 6 days. The biochemical and pathological evaluations of the perfusions were discussed in the article. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

Chaperone Use in Plastic and Reconstructive Surgery Outpatient Clinics: The Patient Perspective
Introduction Patient perspectives on chaperone use during examinations, especially in surgical subspecialties, are understudied. We aimed to identify specific patient cohorts that desire the presence of chaperones and compare patient and surgeon perspectives, all in an effort to improve quality of care. Methods and Materials We prospectively administered a 15-question survey to all patients visiting 2 plastic surgery outpatient clinics between January 2015 and April 2016. Data on demographics, types of procedures (cosmetic or reconstructive), area of examination (sensitive or nonsensitive), views on chaperone use, typ...
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Research Source Type: research

Rezoning Free Muscle-Sparing Transverse Rectus Abdominis Myocutaneous Flaps Based on Perforasome Groupings and a New Understanding of the Vascular Architecture of the Deep Inferior Epigastric Artery–Based Flaps
Conclusions Two dominant perforators are preferable in DIEP flap breast reconstruction. Lateral perforators play a more important role in flap perfusion than do medial ones. Crossover anastomosis is an effective technology for increasing arterial perfusion areas. Our rezoning shows which areas are better for surgery and which have a high risk of complications—valuable information for a surgeon designing a flap for breast reconstruction. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Research Source Type: research

The Flower Petal Training System in Microsurgery: Validation of a Training Model Using a Randomized Controlled Trial
Conclusions The flower petal technique, despite being a low-fidelity model, shows superiority in developing fine tissue feeling and improved knot tying in microsurgery beginners and intermediate level practitioners adding this training model to their program. Further research needs to establish if the improvements also apply to already seasoned microsurgeons and whether the petal score has predictive value for future clinical application. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Research Source Type: research

Orbital Volume Increases With Age: A Computed Tomography–Based Volumetric Study
Objective The aim of the study was to determine whether the bony orbital volume (BOV) changes with age in males and females. Methods This case-control study reviewed high-resolution ( (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Research Source Type: research

Management of Intravenous Infiltration Injuries
Conclusions Although there is an increase in expert involvement for cases of IV infiltration injuries, the vast majority of these injuries are managed with minimal intervention. This is most likely owing to recent changes that have decreased the potential for harmful infiltration. Contrary to existing literature, invasive intervention is almost never indicated. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Lateral Malleolar Defect Coverage Using Abductor Digiti Minimi Muscle Flap
Conclusions Coverage of a soft tissue defect at the lateral side of the ankle remains a challenge for surgeons because of the limited possibilities for local transposition. Free flaps have frequently been associated with postoperative complications and higher costs. Also, not all patients are suitable candidates for free tissue transfer because of existing comorbidities. Coverage with a split-thickness skin graft will not be possible for wounds with exposed bone or neurovascular structures or in wounds involving the weight bearing surface of the foot. Using ADM muscle offers no donor site morbidity, good soft tissue cove...
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Preexpansion in Phalloplasty Patients: Is It Effective?
Conclusion Donor-site expansion before phalloplasty was associated with high rates of expander-related complications and expander failure. Primary closure of the donor site was achieved in less than a third of the cases. Primary closure may potentially lead to smaller scars and greater satisfaction; however, we concluded that the potential advantages of preexpansion do not outweigh the high risk of complications and lack of success. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Combined General and Epidural Anesthesia is Associated With Decreased Opioid Consumption and Enhanced Pain Control After Penile Inversion Vaginoplasty in Transwomen
This study compares the postoperative pain and opioid use in patients managed for surgery with general anesthesia (GA) with patients who were given combined epidural and general anesthesia (E/GA) with continuing postoperative epidural analgesia. Methods All patients who underwent penile inversion vaginoplasty between May of 2016 and May of 2018 under the care of single surgeon were identified retrospectively, 18 patients of which met the inclusion criteria. A retrospective chart review was conducted. Outcome measures were postoperative pain using visual analog scale, type and dosage of postoperatively administered intra...
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Significance of the Marginal Mandibular Branch in Relation to Facial Palsy Reconstruction: Assessment of Microanatomy and Macroanatomy Including Axonal Load in 96 Facial Halves
Background The marginal mandibular branch (MMB) of the facial nerve provides lower lip symmetry apparent during human smile or crying and is mandatory for vocal phonation. In treating facial palsy patients, so far, little attention is directed at the MMB in facial reanimation surgery. However, isolated paralysis may occur congenital, in Bell's palsy or iatrogenic during surgery, prone to its anatomical course. A variety of therapies address symmetry with either weakening of the functional side or reconstruction of the paralyzed side. To further clarify the histoanatomic basis of facial reanimation procedures using nerve ...
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

The Epidemiology of Upper Extremity Nerve Injuries and Associated Cost in the US Emergency Departments
Conclusions While there was a low incidence of upper extremity nerve injuries associated with upper extremity trauma, the ulnar nerve was most frequently injured. Males were twice as likely to sustain a traumatic upper extremity nerve injury, with laceration being the most common mechanism of injury. The average ED cost associated with upper extremity nerve injuries in the United States was determined to be approximately $5779. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Ossification of the Vascular Pedicle After Microsurgical Soft Tissue Transfer of the Lateral Upper Arm Free Flap
This article describes ossification of the corresponding vascular pedicle after soft tissue transfer with the lateral upper arm free flap and microsurgical anastomosis in oral cancer treatment. Similar findings in the context of the lateral upper arm free flap have never been reported in the literature; however, it is important for surgeons to know that pedicle ossification can occur. This knowledge may be helpful to avoid erroneous diagnosis of the ossification as a sign of tumor relapse/recurrence as well as to anticipate potential difficulties in the surgical approach in cases requiring reentry of the reconstructed regi...
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Total Nasal Reconstruction With Prefabricated and Prelaminated Free Flap
Nasal reconstruction is a complex staged procedure. When optimal donor areas are unavailable, flap prefabrication and prelamination techniques can be used for total nasal reconstruction. A technique of total nasal reconstruction using neovascularization of the supraclavicular skin from a skin free flap used for internal lining, along with prelamination of the cartilage framework and surgical delays, is described in 2 patients with adverse anatomical conditions. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Emergency Repair of Severe Limb Injuries With Free Flow-Through Chimeric Anterolateral Thigh Perforator Flap
Conclusions The flow-through chimeric ALTP flap can be used for 1-stage reconstruction of 3-dimensional soft tissue defects and vascular gap. It is feasible for managing complex injuries of both the upper and lower extremities in emergency settings. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Anatomical and Clinical Comparison of Small Free Flaps for Repairing Finger Skin Defects
The reconstruction of finger defects requires improved functional outcomes and acceptable esthetic outcomes, and small free flaps present a good alternative technique for repairing finger skin defects. From January 2006 to December 2018, we investigated the number and diameter of proximal digital artery perforators, medial plantar artery perforators, and peroneal proper plantar digital arteries of the hallux by dissection and then transplanted free digital arterial perforator flaps, free medial plantar flaps, and free peroneal flaps from the hallux to repair small finger skin defects. The number (SD) of perforators from th...
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

The Correlation of Age and Patterns of Maxillofacial Bone Fractures and Severity of Associated Injuries Caused by Motorcycle Accidents
Conclusions Our study presents the different trends of fracture patterns in different age groups, which is associated with different types of treatment required. We summarized all these data in the hope of providing further assistance to trauma doctor dealing with motorcycle accidents. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Simultaneous Surgical Correction of Skeletal Class III Dentofacial Deformity During Acute Management of Facial Fractures: Patient Selection and Surgical Technique
Conclusions Careful patient selection with presurgical planning using computer-assisted surgical simulation is essential in achieving successful outcomes in correcting dentofacial deformities while managing maxillofacial fractures. This combined technique is a viable option in the surgical management of facial fractures in patients with dentofacial deformities. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Unilateral Cleft Lip Repair: A Quantitative Scale Assessment of Postoperative Lip and Nose Scars Across 2 Operative Techniques
Conclusions Using 3 validated scar assessment scales, no significant difference was found between the extended Mohler and Millard techniques in terms of lip or nose scars. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

The Reconstruction of the Central Tubercle in Bilateral Cleft Lips: Bilateral Lateral Mucosal Advancement Flap With Reinforcement of the Orbicularis Oris Muscle
Background There are various methods to correct the whistle deformity in bilateral cleft lip. In case of the central deficiency with concomitant lateral excess, local tissue rearrangement can be used to reposition the lateral tissue. We designed bilateral lateral advancement flap with reinforcement of the orbicularis oris muscle. Method Thirteen bilateral cleft lip patients with whistling lip deformity from July 2009 to February 2017 underwent our method of tubercle formation. Vertical upper lip measurements of upper lip were recorded. Augmentation percentage was documented using follow-up measurements compared with p...
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

A Comparative Study of Finger Pulp Reconstruction Using Free Distal Ulnar Artery Perforator Flaps and Reverse Dorsal Homodigital Island Flaps
Conclusions Although both types of flaps offer a satisfactory approach for finger reconstruction with small-to-medium defects, FDUAP flaps are more suitable for such operations because of the better sensory reconstruction and aesthetic results. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

A New Surgical Method to Reconstruct the Fingertip
Conclusions The method we introduced in this study is proved to be an effective surgical method for fingertip avulsions. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Anterior Neck Resurfacing Using a Single Free Flap: Comparison of Flap Descent in Patients With Burn Sequelae of the Neck/Chest and Patients With Burn Sequelae of Only the Neck
Conclusions We conclude that patients with burn sequelae involving the anterior neck and thorax have a significantly greater degree of flap descent and neck extension compared with patients with burn sequelae involving only the anterior neck. Flaps of a larger surface area or use of multiple flaps for neck resurfacing may be considered to avoid significant flap descent associated with burn sequelae involving both the anterior neck and thorax. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

“Namaste Flap”: Modification of Subcutaneous Pedicle Propeller Flaps in the Reconstruction of Postburn Axillary and Elbow Contractures
Conclusions In cases where normal skin is still present on the axillary and cubital fossa with scar contracture caused by extensive burns, the subcutaneous propeller flap methods and their modifications should be considered one of the most useful versatile reconstruction methods. Namaste flap in addition to the advantages of subcutaneous pedicle propeller flap also negates the disadvantages caused by the use of split skin grafting of the donor area. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

Appalachian Status Is a Negative Predictor of Breast Reconstruction Following Breast Cancer Resection
This study aims to determine if a disparity in BR utilization exists in women from Appalachia Kentucky. Methods A retrospective, population-based cohort study was conducted from January 1, 2006, to December 31, 2015. The Kentucky Cancer Registry was queried to identify population-level data for female patients diagnosed with breast cancer and treated with mastectomy. A multivariate logistic regression model controlling for patient, disease, and treatment characteristics was constructed to predict the likelihood of BR. Results Bivariate testing showed differences (P (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Chest Wall Masculinization in Female-to-Male Transsexuals: Our Treatment Algorithm and Life Satisfaction Questionnaire
Esthetic masculinization of the chest wall is one of the first surgical steps in female-to-male transsexual (FTMTS) reassignment. This surgical procedure is not a simple mastectomy: it is required for removal of breast tissue with glandular resection and skin excess revision, to reduce and replace the nipple-areola complex in the right location, minimizing chest wall scars. The creation of an esthetically pleasing male chest allows the patient to live at ease in the male gender role. In this article, we present our series of 68 FTMTSs who underwent bilateral mastectomies for surgical sexual reassignment (a total of 136 m...
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Impact of Obesity on Quality of Life After Breast Reconstruction
The objective of this study was to determine the impact of obesity on quality of life as measured by the BREAST-Q, in women undergoing breast reconstruction. Methods A review of the breast reconstruction database (n = 336) at the Flinders Breast Reconstruction Service was performed, with demographic data, complication rates, and BREAST-Q data being extracted and analyzed. Participants were divided into 2 groups: nonobese (BMI (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Cosmetic Tourism in Northern Ireland
Conclusions This surge in cosmetic complications occurred in the New Year period. Complications were seen after a wide range of surgical procedures. All patients required an inpatient stay, and two-thirds required surgery with a significant cost burden to the NHS. Patients are unaware of the risks involved, highlighted by the lack of preoperative counseling and follow-up. In addition, this series has highlighted the risks associated with traveling in the perioperative period, with 2 patients investigated for pulmonary embolus. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

The Mersey FRCS(Plast) Examination Revision Course: A Review
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Text and Contexts Source Type: research

Albucasis: A Pioneer Plastic Surgeon
The middle ages in the Arab world etched medical advancements that laid the foundations of modern medical practice. Among the several renowned physicians of historical importance, Abu Alkasem al-Zahrawi (Albucasis) left his mark in the fields of medicine and surgery. He is notably famous for his 30-volume compendium Kitab-al Tasreef, which served as his magnum opus. The last volume of this work was reserved for surgery. During his lifetime, Albucasis made contributions of unparalleled luminosity to the field of surgery. He described surgical techniques for a range of procedures encompassing several subspecialties that comp...
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Text and Contexts Source Type: research

Defining Plastic, Reconstructive, Aesthetic, and Cosmetic Surgeries: What Can Get Lost and Found in Translation
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 12, 2019 Category: Cosmetic Surgery Tags: Editorial Source Type: research

Adjuvant Radiotherapy After Keloid Excision: Preliminary Experience in Taiwan
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Commentary on “Letter to the Editor After “Clinical Utility of Postoperative Computed Tomography Imaging in Orbital Floor Fracture Management” by Wendy Ng, Annals of Plastic Surgery, 2019”
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Letter to the Editor After “Clinical Utility of Postoperative Computed Tomography Imaging in Orbital Floor Fracture Management” by Wendy Ng, Annals of Plastic Surgery, 2019
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Pediatric Breast Fibroadenomas: A Systematic Review and Algorithm for Treatment
Conclusion This is the first time a treatment algorithm for surgical resection has been proposed in the literature. It is our hope that this systematic review will provide guidance to surgeons in the operative management of pediatric breast fibroadenomas. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

The Molecular Pathogenesis of Dupuytren Disease: Review of the Literature and Suggested New Approaches to Treatment
Conclusion The pathophysiological changes involved in Dupuytren’s disease can be divided into a number of molecular and structural alterations with genetic predisposition playing a contributory role. Understanding these changes can allow for the development of biologics which may disrupt and halt the disease process. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Female-to-Male Transgender Chest Contouring: A Systematic Review of Outcomes and Knowledge Gaps
Discussion Female-to-male transgender patients often undergo chest contouring as their initial gender affirmation surgery. As the surgical treatment of gender dysphoria continues to grow, it is imperative for plastic surgeons to understand the surgical options and associated outcomes for transmasculine top surgery. Future research is needed to improve patient selection, surgical decision making, and patient-reported outcomes for different chest contouring techniques. In addition, there is a significant knowledge gap for the ideal nipple-areolar complex shape, size, and location. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Propranolol Accelerats Hemangioma Stem Cell Transformation Into Adipocyte
Conclusions Our study found that propranolol inhibited proliferation, induced apoptosis and necrosis, and promoted differentiation of HemSCs. Propranolol may upregulate PPARγ via PI3K pathways, thereby accelerating lipogenesis and enhancing IH HemSC adipogenesis. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

Micro/nanobubbles: Improving Pancreatic Islet Cell Survival for Transplantation
Conclusions The addition of MNBs to culture medium offers an innovative approach for the oxygenation of transplantable tissue, such as islet cells. This study demonstrated that MNBs filled with air provided the most optimal addition to the islet cell culture medium for improving islet cell survival amongst the treatment groups we tested. Given these findings, we hypothesize that MNBs may also improve the oxygenation and survival of a variety of other tissues, including fat grafts from lipoaspirate, chronic wounds, and solid organs. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

Mandibular Spatial Reorientation and Morphological Alteration of Crouzon and Apert Syndrome
Background From infancy to adulthood, the mandible develops increased ramus height, prominence of the chin, and laterally widened gonial angles. In Crouzon and Apert syndromes, both relative retrognathia and prognathic jaws have been reported. Growth is influenced by a variety of factors, including the growth and relative position of the skull base, functional coordination, and the spatial influence of the laryngopharynx. Thus, this study aimed to explore in detail the evolution of the mandible in both syndromes and its relationship with the entire facial structure and skull base. Methods One hundred twenty-three preo...
Source: Annals of Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Tags: Research Source Type: research

Labiolysis, Corrective Surgery for Iatrogenic Labium Minus Fusion
Conclusions Labiolysis is a simple surgical operation with a short learning curve, which relieves symptoms, improves quality of life associated with iatrogenic labium minus fusion, and provides an esthetically pleasing surgical outcome. In this study group, no minor and no major surgical complications were observed, and no reoperation was performed. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Herpetic Corneal Keratopathy Management Using Ipsilateral Supratrochlear Nerve Transfer for Corneal Neurotization
Conclusions This is the largest series of corneal neurotization using direct ipsilateral supratrochlear nerve transfer. It is a minimally invasive method to restore corneal sensitivity and treat NK successfully within 1 year without a sural nerve graft. A long-term follow-up is needed for further assessment. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Postoperative Changes in Lymphoscintigraphic Findings After Lymphaticovenous Anastomosis
Conclusions The changes in clinical symptoms and the postoperative lymphoscintigraphic changes did not always correspond. However, there was a tendency for the percentage of lymphoscintigraphic aggravation to be higher in the group with clinical aggravation. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Role of Postoperative Anticoagulation in Predicting Digit Replantation and Revascularization Failure: A Propensity-matched Cohort Study
Conclusions Among DRR patients with similar predisposing characteristics for postoperative therapeutic heparin or dextran, the use of therapeutic anticoagulation does not have a protective effect against digit failure. Studies are needed to define the role of postoperative IV anticoagulation in DRR and to justify the risk of its administration. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Buccal Myomucosal Flap Reconstruction After Resection of Palatal Mucoepidermoid Carcinoma
We present a case of MEC involving the palatal minor salivary gland of an adolescent patient successfully reconstructed using buccal myomucosal flap. The subject presented as a 17-year-old male with a painless left hard palatal mass found to have imaging suspicious for minor salivary gland tumor and punch biopsy consistent with a low-grade MEC. The subject underwent wide local excision of a 1.0 × 1.2 cm mass with 1.0 cm margins down to hard palate nasal mucosa excluding the abutting first and second molars of the ipsilateral maxilla. Pathology confirmed low-grade MEC confined to hard palate. Two weeks, thereafter, th...
Source: Annals of Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Isolated Fat Grafting for Reconstruction of Lower Face Volumetric Asymmetry in Skeletally Immature Patients: A Clinical Outcome Study
Background The purpose of this study was to assess the objective and subjective outcomes of lower face volumetric (contour) asymmetry correction with isolated fat grafting in skeletally immature patients. Methods A prospective analysis was conducted of skeletally immature patients (n = 73) with craniofacial microsomia and Parry-Romberg syndrome who underwent isolated fat grafting (with no previous or concomitant bone surgery) using anatomical surgical principles (facial subunits and fat compartments) for the reconstruction of lower face volumetric asymmetry. Objective ultrasound and photogrammetric lower face symmetry...
Source: Annals of Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Risk Factors Associated With Postoperative Recurrence in Patients With Tenosynovial Giant Cell Tumor of the Hand: A Retrospective Cohort Study
This study suggested that the recurrence rate of tenosynovial giant cell tumors of the hand was closely related to the tumor number and tumor growth patterns. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Marjolin Ulcer: An Observational Epidemiological Study From a Tertiary Care Centre in India
Conclusion Marjolin ulcer is a high-risk skin tumor. Patients with positive lymph node or with moderately differentiated squamous cell carcinoma have high chances of recurrence. Frequent and intense follow-up is required for at least 2 years. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

Upper Lip Reconstruction With Modification for Creating a Philtrum With Single-Stage Full-Thickness Skin Graft in Burned Face Injury
Conclusions This technique of single-stage reconstruction of the upper lip and philtrum with FTSG and silastic tube produced favorable results in the formation of the philtral ridges and the dimple. Through thoughtful preoperative design, meticulous scar release, and skin grafting, satisfactory functional and aesthetic results are achievable. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research