On eponyms and disease: Dupuytren ’s or Dupuytren?
ConclusionsNomenclature of flexion contracture of fingers takes several forms both clinically and in literature. Arguments exist for both possessive and non-possessive forms of the eponym. While Dupuytren ’s disease is currently the more common term, changing medical conventions and terminology have potential to guide transition to the non-possessive form, Dupuytren disease.Level of evidence:  Not ratable. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - November 16, 2020 Category: Cosmetic Surgery Source Type: research

Assessment of feasibility of neuronal reinnervation of pudendal nerve by femoral nerve ’s motor branch to vastus lateralis: an ultrasound-guided study
ConclusionsOn ultrasonography,  length of MNVL was found sufficient to reach the pudendal nerve in majority of the patients. USG can be a tool to assess the feasibility of transfer of MNVL to the pudendal nerve.Level of evidence: Level IV, risk/prognostic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - November 16, 2020 Category: Cosmetic Surgery Source Type: research

COVID-19 and plastic surgery: a UK plastic surgery unit experience
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - November 16, 2020 Category: Cosmetic Surgery Source Type: research

Commentary on “The pivot point in transposition flap planning: concept and surgical implications” by Klaas W. Marck and Jan J. van Wingerden
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - November 16, 2020 Category: Cosmetic Surgery Source Type: research

Preventive effect of trimetazidine against ischemia-reperfusion injury in rat epigastric island flaps: an experimental study
ConclusionsIn the present study, TMZ administration was found to reduce I-R injury macroscopically, histopathologically, and biochemically in a rat epigastric island flap model.Level of evidence:  Not ratable. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - November 12, 2020 Category: Cosmetic Surgery Source Type: research

LIGACLIP-assisted venous anastomosis: a faster, cost-effective, and easy to master technique for venous anastomosis
AbstractBackgroundIn the advancing field of microsurgery, as more complex procedures are being performed, new advances and ideas are necessities. Suturing a vein remains a challenging task for young plastic surgeons, owing to its technical difficulty and labor intensity, leaving them underconfident to perform anastomosis in their practice. Not only does this lead them to delay the process of performing free flaps independently, but it also affects their work efficacy. With the advent of couplers, it does seem to theoretically reduce these disadvantages; however, it has not been proven clinically. These devices have complex...
Source: European Journal of Plastic Surgery - November 12, 2020 Category: Cosmetic Surgery Source Type: research

Microsurgical toe-to-finger transfer of the nail system: long-term outcomes
ConclusionsMicrosurgical toe-to-finger nail unit transfer is a reliable option for nail reconstruction when total nail loss is present. It holds the advantage of transferring all the components of the nail system including the germinal matrix and the cutaneous folds, which allows proper nail growth and an acceptable cosmetic outcome.Level of evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - November 10, 2020 Category: Cosmetic Surgery Source Type: research

Predictive indicators for revisional surgery in nasal reconstruction after Mohs surgery
This study aimed to evaluate risk factors and predictors of revisional surgery in patients undergoing reconstruction after Mohs micrographic surgery for nasal tumours.MethodsThis was a prospective cohort study from April 2, 2008 to February 26, 2019. The study population included all consecutive patients who underwent Mohs micrographic surgery for nasal skin cancer. Resection and reconstruction of nasal skin cancer was performed by the Mohs team.ResultsA total of 988 cases met our study inclusion criteria with 64 (6.5%) cases requiring unplanned surgical revision. Revision rates were highest in the ala (9.0%,p 
Source: European Journal of Plastic Surgery - November 10, 2020 Category: Cosmetic Surgery Source Type: research

Commentary on & quot;Postoperative monitoring of free flaps using a low-cost thermal camera: a pilot study & quot; by Hummelink S, Kruit AS, van Vlaenderen ARW, Schreinemachers MJM, Steenbergen W & amp; Ulrich DJO.
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - November 5, 2020 Category: Cosmetic Surgery Source Type: research

A licence to grill: charcoal barbeque burns in the paediatric population
ConclusionsCharcoal barbeque burns in children were uncommon, usually occurred at home and most commonly involved critical burn areas such as the hands, with the potential for long-term functional impairment. This case series highlights the importance of understanding prevention campaigns around barbecuesLevel of evidence: Level IV, risk/prognostic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 31, 2020 Category: Cosmetic Surgery Source Type: research

A crystal conundrum: a review of investigation and management of gout for the hand surgeon
AbstractGout is a common cause of arthritis, and flares can present with a variety of clinical manifestations. These can include red, hot and swollen joints that can be difficult to differentiate from other conditions, meaning such patients often come to the attention of hand surgeons. However, as it is common, understanding potential clinical presentations and current approaches to diagnosis and management is important. Presented here is a review of the recent literature on the pathogenesis, clinical presentation, diagnosis and management of gout from the perspective of the hand surgeon. Gout can mimic many different path...
Source: European Journal of Plastic Surgery - October 27, 2020 Category: Cosmetic Surgery Source Type: research

Deep external pudendal artery perforator (DEPAP) flap with scrotal septal flap phalloplasty: a single-stage sensate phallus
ConclusionsThe DEPAP flap, wreathen scrotal septal flap, has proven to be a highly reliable technique for single-stage phalloplasty, with excellent esthetic appearance, same skin color, providing a good contour and sensate pleasure. Donor site morbidity was negligible.Level of evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 14, 2020 Category: Cosmetic Surgery Source Type: research

One-stage treatment of chronic osteomyelitis with an antibiotic-loaded biocomposite and a local or free flap
ConclusionsOne-stage treatment of OM using ALB, performed by a multidisciplinary team, led to zero amputations in a highly comorbid population, where amputation would otherwise have been unavoidable.Level of evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 13, 2020 Category: Cosmetic Surgery Source Type: research

Successful treatment of giant lymphatic malformation with symptomatic cutaneous vesicles by surgical excision and coverage with Integra ®
We report one such case of a giant mixed type LM in the right lower extremity of an 11-year-old boy. The goal of this article is to discuss the currently available treatment modalities for these complex cases and to describe the successful outcome after an initial treatment with combined sclerotherapy and lasertherapy followed by a definitive surgical excision and coverage with Integra® and skin grafts.Level of evidence: Level V, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 1, 2020 Category: Cosmetic Surgery Source Type: research

Tranexamic acid: a simple way to reduce drainage and bleeding in rhytidoplasty
ConclusionLocal TXA irrigation seems to decrease bleeding and has been shown to be effective in reducing drainage output in the first 24  h postoperatively.Level of evidence:  Level III, risk / prognostic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 1, 2020 Category: Cosmetic Surgery Source Type: research

Unplanned 30-day readmission rates after plastic and reconstructive surgery procedures: a systematic review and meta-analysis
ConclusionsThere is a large difference for readmission rates depending on the complexity of the procedure. Few studies report unplanned readmission rates in esthetic surgery and general free tissue transfer. Whereas readmissions after head and neck reconstruction are well-evaluated, risk factors for other reconstructive surgeries are poorly reported. Closer follow-up visits and outpatient resources could decrease readmission rates.Level of Evidence: Not ratable. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 1, 2020 Category: Cosmetic Surgery Source Type: research

Cost-utility analysis comparing surgical and nonsurgical interventions in the treatment of erectile dysfunction
ConclusionsLong-term costs and utility data should be taken into consideration when determining the best treatment options for a patient with ED. Surgical interventions for erectile dysfunctions represent a significant cost savings to society compared with nonsurgical treatment. Phosphodiesterase type-5 (PDE5) inhibitors offered the greatest cost with the least clinical benefit in the eyes of the patient.Level of evidence: Not ratable. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 16, 2020 Category: Cosmetic Surgery Source Type: research

Perioral pressure ulcers in patients with COVID-19 requiring invasive mechanical ventilation
ConclusionsThe two devices utilised to secure endotracheal tubes are associated with unique patterns of facial pressure ulcers. Measures should be taken to assess the skin regularly and avoid utilising devices that are associated with a high risk of facial pressure ulcers. Awareness and training should be provided to prevent such significant complication.Level of evidence: Level IV, risk/prognostic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 14, 2020 Category: Cosmetic Surgery Source Type: research

Reply to “Commentary on Perinipple Mammaplasty” by Dr. Bishara Atiyeh
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 14, 2020 Category: Cosmetic Surgery Source Type: research

Necrotizing fasciitis of the periorbital region: from presentation to reconstructive journey
We describe two cases of periocular necrotizing fasciitis demonstrating the progression of the disease as well as the surgical debridement for both pre-septal and post-septal disease and the reconstructive steps leading to outcome.Level of evidence: Level V, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 14, 2020 Category: Cosmetic Surgery Source Type: research

Appendectomy scar graft for lip augmentation
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 11, 2020 Category: Cosmetic Surgery Source Type: research

Response to: Commentary on “ Surgical treatment of gynaecomastia: a standard of care in plastic surgery ” by Alessandro Innocenti, Serena Ghezzi & amp; Dario  Melita.
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 11, 2020 Category: Cosmetic Surgery Source Type: research

Obituary —Ian Thomas Jackson (1934–2020)
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 1, 2020 Category: Cosmetic Surgery Source Type: research

Correction to: An index case of primary osseous PEComa in a paediatric craniofacial skeleton
The correction should include: We would like to acknowledge the contributions of Dr. Vani P Atluri [1] to the article. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 1, 2020 Category: Cosmetic Surgery Source Type: research

Evolution of aesthetic surgery in India, current practice scenario, and anticipated post-COVID-19 changes: a survey-based analysis
ConclusionsIndia was rightly witnessing a surge in popularity of aesthetic surgery and medical tourism over the last decade. The corona pandemic has definitely hit this escalating growth curve hard, and it will take some time for the demand to recover. Our study revealed the following conclusions: The effect of COVID 19 demands a major change in aesthetic surgeons ’ professional practice like limiting consultations, changing hospital floor plan, following COVID testing, and having new safety protocols. Social media is rightly poised to be a major tool for education and marketing as also for recreation and leisure. Th...
Source: European Journal of Plastic Surgery - August 27, 2020 Category: Cosmetic Surgery Source Type: research

Moxibustion burns: wound characteristics and clinical manifestation
ConclusionsDespite moxibustion burns often being severe, such a side effect has not been investigated. We recommend that patients be informed about the risk of burns when being treated with moxibustion. This potentially severe side effect should be further researched.Level of evidence: Level IV, Risk/Prognostic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 26, 2020 Category: Cosmetic Surgery Source Type: research

Obituary - Ian T. Jackson (1934-2020)
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 26, 2020 Category: Cosmetic Surgery Source Type: research

The impact of COVID-19 in plastic surgery departments: a comparative retrospective study in a COVID-19 and in a non-COVID-19 hospital
AbstractBackgroundCOVID-19 is a new human-infecting coronavirus for which the World Health Organization declared a global pandemic. The first Italian cases occurred in February 2020: since then, there has been an exponential increase in new cases, hospitalizations and intensive care assistance demand. This new and sudden scenario led to a forced National Health System reorganization and review of welfare priorities. The aim of this study is to evaluate the effects of this pandemic on ordinary activities in two plastic surgery divisions in Rome, hosted in a COVID-19 and a non-COVID-19 hospital.MethodsThe data of this compar...
Source: European Journal of Plastic Surgery - August 25, 2020 Category: Cosmetic Surgery Source Type: research

Congenital nasal pyriform aperture stenosis: report of two cases
We report two cases of newborns diagnosed with congenital nasal pyriform aperture stenosis submitted to surgical treatment. Both had respiratory difficulty since birth, represented clinically by the difficulty during breastfeeding. No concomitant comorbidities were identified. The first patient underwent early surgical treatment, as she presented with severe respiratory distress. The second patient had failed conservative treatment and was also subjected to the surgical widening of the pyriform aperture. Both patients evolved uneventfully in the postoperative period. Congenital nasal pyriform aperture stenosis is part of t...
Source: European Journal of Plastic Surgery - August 25, 2020 Category: Cosmetic Surgery Source Type: research

The impact of COVID-19 on the plastic surgery activity in  a high-complexity university hospital in Brazil: the importance of reconstructive plastic surgery during the pandemic
ConclusionsThe predominant profile of reconstructive surgeries at the Division of Plastic Surgery allowed the continuity of procedures at all technical complexity levels, patient care maintenance, and Plastic Surgery residents training.Level of evidence:  not ratable (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 20, 2020 Category: Cosmetic Surgery Source Type: research

Effects of luteolin on random pattern skin flaps in rats
This study was designed to evaluate the effects of luteolin on random pattern skin flap in rats.MethodsSixteen rats were randomly divided into two groups (n = 8 each group: luteolin group: Land control group: C). Ten milligram per kilogram of luteolin diluted with saline was given intraperitoneally 30 min before and 12 h after surgery. Tissue samples were taken for biochemical analysis at the first day and at the seventh day for histopathologica l analysis. Catalase, malondialdehyde (MDA), xanthine oxidase (XO), and nitric oxide (NO) levels were measured with spectrophotometrical method. Edema,...
Source: European Journal of Plastic Surgery - August 16, 2020 Category: Cosmetic Surgery Source Type: research

Fractionated CO 2 laser treatment for pearly penile papules: evaluation of clinical results and sexual health quality of life improvements
ConclusionsFractionated CO2 laser treatment has demonstrated to be a safe and effective PPP treatment. PPP significantly alters young male SHQL and deserves medical treatment. The majorities of physicians minimize the psychological effects and impact of PPP in this population and are not aware of available PPP treatments.Level of evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 11, 2020 Category: Cosmetic Surgery Source Type: research

Comparative analysis of propeller flaps vs. modified perforator-based flaps in foot and ankle reconstruction
ConclusionsThe MFP herein presented seems a simpler solution to reconstruct foot and lower leg defects as it has a lesser complication rate in comparison with traditional propeller flaps.Level of evidence: Level III,  therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 6, 2020 Category: Cosmetic Surgery Source Type: research

Commentary on: “Beauty is not perfection: what Leonardo’s Lady with an Ermine can suggest to aesthetic surgery” by L. Campanozzi, L. Navarini, M. Barone M, A. Cogliandro & amp; P. Persichetti.
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 5, 2020 Category: Cosmetic Surgery Source Type: research

Unilateral or bilateral freestyle infra-orbital perforator flap in reconstruction of external soft tissue nasal defects
ConclusionsWe believe that unilateral and bilateral infra-orbital perforator flaps may provide an alternative reconstruction method for different nasal defects.Level of Evidence: Level  IV; therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 4, 2020 Category: Cosmetic Surgery Source Type: research

Donor site grading after six autologous breast reconstructions for one single patient
We report a case of a 53-year-old patient who underwent three consecutive bilateral autologous breast reconstructions due to serial flap failure. Donor site morbidity after bilateral transverse myocutaneous gracilis (TMG), superior gluteal artery perforator (SGAP) and deep inferior epigastric perforator (DIEP) flap harvest was evaluated by the patient according to different variables. While the three donor sites were graded differently regarding postoperative pain, wound healing and aesthetics, no functional deficit was reported. Taking into account all variables, the DIEP donor site was rated most favourably and the TMG d...
Source: European Journal of Plastic Surgery - August 4, 2020 Category: Cosmetic Surgery Source Type: research

Complex regional pain syndrome after breast implant exchange: a case report
AbstractComplex regional pain syndrome (CRPS) is a regional, neuropathic  pain disorder, with disproportionate symptoms, that does not respect dermatomes or nerve distribution. A 28-year-old female patient with personal history of two breast augmentation surgeries consulted for breast reduction after dissatisfaction with the size and form of her breasts. Breast reductio n was undertaken with prosthesis exchange. During the first 10 days, she presented swelling, hyperesthesia, and burning pain mainly around her left breast. An ultrasound showed seroma collection which was drained in two occasions. She wa...
Source: European Journal of Plastic Surgery - August 4, 2020 Category: Cosmetic Surgery Source Type: research

Use of the abbreviated burn severity index (ABSI) as a severity scale in a burn unit in Mexico: a 2-year experience
ConclusionsBurning risk and mortality rates are essential in burned patients management, as they determine treatment priorities, standardizes patient treatment, and function as quality indicators. ABSI is a practical, fast, reproducible, low-cost, and effective screening system to stratify burned patients and correlates with the total days of hospital stay and in the intensive care unit.Level of evidence: Level IV, diagnostic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 3, 2020 Category: Cosmetic Surgery Source Type: research

Commentary on  “Surgical treatment of gynaecomastia: a standard of care in plastic surgery” by Tobias R. Mett, Peter P. Pfeiler, Rosalia Luketina, Alperen S. Bingöl, Nicco Krezdorn & amp; Peter M. Vogt
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 2, 2020 Category: Cosmetic Surgery Source Type: research

Steri-Strips ™ vs. intracuticular skin suture in endoscopic release of carpal tunnel: a retrospective study and review of the literature
ConclusionsSkin closure with Steri-Strips is a safe, secure and cheap method that leads to excellent aesthetic results. It is both a first choice and a valid alternative to intradermal suture for wound closure after endoscopic carpal tunnel release.Level of evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 18, 2020 Category: Cosmetic Surgery Source Type: research

A modified endoscopic technique for the repair of isolated orbital floor fractures
AbstractEndoscopically assisted transantral approach has been used since more than 2 decades for the repair of orbital floor fractures. Its popularity has increased worldwide as it overcomes most of the disadvantages of traditional techniques such as visible scar, ectropion, entropion, eyelid shortening, and impaired visibility of the posterior edge of the defect. There are different endoscopic approaches for orbital floor repair. In this article, we present our endoscopic surgical technique to repair isolated orbital floor fractures using titanium mesh with a tight-fit fixation. The technique was used in 5 patients, and t...
Source: European Journal of Plastic Surgery - July 18, 2020 Category: Cosmetic Surgery Source Type: research

A UK based multi-centre prospective study of microvascular free-flap surgery
ConclusionsOur study establishes a UK baseline for standards in free flap surgery. With the recent introduction of a UK Free Flap Surgery Registry, this baseline will support unit audit and improvements in free flap surgery.Level of evidence: Level III, risk/prognostic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 14, 2020 Category: Cosmetic Surgery Source Type: research

Introducing the virtual European Journal of Plastic Surgery Journal Club
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 14, 2020 Category: Cosmetic Surgery Source Type: research

COVID-19: the impetus for change —sustaining healthcare team communication in times of social distancing
AbstractThe COVID-19 pandemic has challenged existing healthcare systems and has made prevention of healthcare personnel exposure a high priority. Essential healthcare services, including multi-disciplinary team (MDT) meetings that make medical decisions, are expected to continue uninterrupted in this time of social distancing. There are a multitude of virtual platforms available to enable remote MDT meetings, and the pandemic has accelerated their arrival into daily healthcare practice. While we deal with a pandemic crisis, we have comprehensively reviewed and reported on the popular platforms and services available for t...
Source: European Journal of Plastic Surgery - July 12, 2020 Category: Cosmetic Surgery Source Type: research

Concepts of management of plastic surgery services during the coronavirus disease 2019 pandemic
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 12, 2020 Category: Cosmetic Surgery Source Type: research

Lateral canthal choristomas associated with colobomas of lateral canthus
We present 3 cases of dermolipoma at the lateral canthus associated with isolated lateral cleft. The dermolipomas ’ appearance ranges from a flat lesion to a large pedunculated tumor, obliterating the lateral conjunctival fornix. A partial removal of the dermolipoma was done with canthoplasty to close the lateral coloboma. Surgical management of dermolipoma with partial excision aimed at reducing visible tumo r produced good cosmetic results, without complications. Microscopic examination of the tumor revealed a mass covered by stratified squamous keratinized epithelium. The mass comprised largely of mature adipose t...
Source: European Journal of Plastic Surgery - July 12, 2020 Category: Cosmetic Surgery Source Type: research

Anosmia: a COVID-19 symptom that must be investigated by rhinoplasty surgeons
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 12, 2020 Category: Cosmetic Surgery Source Type: research

A multiplanar simulator for hypospadias repair
We present an innovative model that allows surgeons to demonstrate, practise and refine their technical skills. The model can be used to gain an understanding of the principles of hypospadias correction and undertake a range of hypospadias repairs due to its multiplanar design. It is low cost, of high fidelity, and allows training without the use of biological tissue or risk to patients.Level of evidence: Level V, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 9, 2020 Category: Cosmetic Surgery Source Type: research

Restoring the upper pole with fat grafting in reduction mammoplasty: an anthropometric evaluation
ConclusionFat grafting to the upper pole is an excellent ancillary process to restore upper pole fullness and cleavage in the cases of reduction mammoplasty. More studies with a larger population are needed to determine standard selection criteria.Level of evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 3, 2020 Category: Cosmetic Surgery Source Type: research

Rigging the nose: a pilot study using barbed sutures in patients with deviated nose
ConclusionsThis pilot study demonstrates that the progressive re-deviation pattern is altered during the first weeks after surgery in the barbed sutures group. Absorbable barbed sutures in facial soft tissues are well tolerated. Longer lasting sutures may help to obtain definite advantage.Level of evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - June 30, 2020 Category: Cosmetic Surgery Source Type: research