Surgical Management of Chronic Neuropathic Burn Pain
Burn-related chronic neuropathic pain can contribute to a decreased quality of life. When medical and pharmacologic therapies prove ineffective, patients should undergo evaluation for surgical intervention, consisting of a detailed physical examination and elective diagnostic nerve block, to identify an anatomic cause of pain. Based on symptoms and physical examination findings, particularly Tinel ’s sign, treatments can vary, including a trial of laser therapies, fat grafting, or nerve surgeries (nerve decompression, neuroma excision, targeted muscle reinnervation, regenerative peripheral nerve interfaces, and vasculari...
Source: Clinics in Plastic Surgery - May 23, 2024 Category: Cosmetic Surgery Authors: Ying C. Ku, Arya Andre Akhavan, Charles Scott Hultman Source Type: research

Acute and Reconstructive Burn Care, Part II
CLINICS IN PLASTIC SURGERY (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 23, 2024 Category: Cosmetic Surgery Authors: Francesco M. Egro, C. Scott Hultman Source Type: research

Copyright
ELSEVIER (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 23, 2024 Category: Cosmetic Surgery Source Type: research

Contributors
FRANCESCO M. EGRO, MD, MSc, MRCS (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 23, 2024 Category: Cosmetic Surgery Source Type: research

Contents
Dedication: Acute and Reconstructive Burn Care: Part IIix (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 23, 2024 Category: Cosmetic Surgery Source Type: research

Forthcoming Issues
Hand and Upper Extremity Surgery (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 23, 2024 Category: Cosmetic Surgery Source Type: research

Optimizing Outcomes in the Management of the Burned Hand
Burns of the hand are prevalent and must be managed aggressively in the acute phase to prevent deformity and disability. Proper early wound management, achieving durable soft tissue coverage, and appropriate positioning in the acute period offer substantial benefits to patients long-term. When contractures occur, secondary procedures are often indicated, and they range from laser therapy to local/regional flap coverage; rarely free flaps are used. Boutonniere deformities are common, and unfortunately, at times finger amputation renders the hand more functional than further efforts at reconstruction. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 15, 2024 Category: Cosmetic Surgery Authors: Elizabeth Dale Slater, Andrew Joseph James, John Bradford Hill Source Type: research

Bone Grafts and Flaps in the Management of Complex Upper-Extremity Defects
This article features a review of the most useful flaps for small and long defects in the hand and upper limb. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 11, 2024 Category: Cosmetic Surgery Authors: Francisco del Pi ñal Source Type: research

From Simple to Complex
This article reviews reconstructive principles and operative techniques for reconstr ucting the traumatized thumb. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 7, 2024 Category: Cosmetic Surgery Authors: Jonathan T. Bacos, Sarah E. Sasor Source Type: research

The Art of Local Tissue Rearrangements in Burn Reconstruction
In recent decades, advances in surgical anatomy, burn pathophysiology, surgical techniques, and laser therapy have led to a paradigm shift in how we approach burn scars and contractures. Scar excision and replacement with uninjured tissue, which predominated burn scar treatment for much of the 20th century, is no longer appropriate in many patients. A scar ’s intrinsic ability to remodel can be induced by reducing tension on the scar using various techniques for local tissue rearrangement. Often in combination with laser therapy, local flaps can optimally camouflage a burn scar with adjacent normal tissue and restore a p...
Source: Clinics in Plastic Surgery - April 6, 2024 Category: Cosmetic Surgery Authors: Matthias B. Donelan, Martin R. Buta Source Type: research

Nerve Versus Tendon Transfers in the Management of Isolated Upper Extremity Peripheral Nerve Injuries
Upper extremity peripheral nerve injuries present functional deficits that are amenable to management by tendon or nerve transfers. The principles of tendon and nerve transfers are discussed, with technical descriptions of preferred tendon and nerve transfers for radial, median, and ulnar nerve injuries. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - April 6, 2024 Category: Cosmetic Surgery Authors: Dexter W. Weeks, Ronald D. Brown Source Type: research

Free Functional Muscle Transfer —Technical Considerations
Free functional muscle transfers restore voluntary motion in extremities following the loss of local muscle-tendon units. Surgeons, at various levels of expertise, need to consider several technical aspects when performing this procedure. Successful and consistent outcomes can be attained by applying a combination of basic principles, drawing from techniques developed for successful tendon transfers and microsurgical free tissue transfers. Patient preparation through counseling and intensive rehabilitation is essential to achieve the optimal conditions before the transfer. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - April 4, 2024 Category: Cosmetic Surgery Authors: Utkan Aydin, Kevin C. Chung Source Type: research

Optimizing Outcomes in Revision Peripheral Nerve Surgery of the Upper Extremity
Peripheral nerve surgeries for compressive neuropathy in the upper extremity are generally successful. However, cases that either fail or have complications requiring revision surgery are challenging. During revision consideration, surgeons should perform a comprehensive preoperative workup to understand the etiology of the patient ’s symptoms and categorize symptoms as persistent, recurrent, or new in relation to the index procedure. Revision surgery often requires an open, extensile approach with additional procedures to optimize outcomes. Even with proper workup and treatment, clinical outcomes of revision surgeries a...
Source: Clinics in Plastic Surgery - April 3, 2024 Category: Cosmetic Surgery Authors: Michele Christy, Christopher J. Dy Source Type: research

Proximal and Distal Nerve Transfers in the Management of Brachial Plexus Injuries
This study explores nerve transfer strategies and their integration with other procedures, emphasizing their importance in enhancing outcomes in brachial plexus injury management. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - April 3, 2024 Category: Cosmetic Surgery Authors: Soo Jin Woo, Johnny Chuieng-Yi Lu Source Type: research

The Mangled Upper Extremity –Algorithm for Salvage
Mangling injuries of the upper extremity are severe, high-energy traumas that damage multiple functional systems including skin, nerves, vascular, tendon, and bone. Management requires familiarity with various techniques in orthopedic, vascular, and plastic surgery. A specific technique cannot be described due to the various combinations of injuries that can occur with mangled upper extremities, but we present principles and recommendations for treatment and judgment. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - April 3, 2024 Category: Cosmetic Surgery Authors: Tsz Kit Kevin Chan, Kevin Chi Chung Source Type: research