Frostbite injuries to the upper aerodigestive tract sustained from inhaled nitrous oxide
ConclusionsThe pathophysiology of frostbite involves both direct and indirect effects, leading to tissue ischaemia, inflammation, and immune responses. Complications, including airway obstruction, underscore the severity of N2O-related injuries. Management strategies include securing the airway, surgical debridement, and pharmacological interventions such as prophylactic corticosteroids and antibiotics. N2O is a documented causative agent of frostbite injuries. Awareness of its rising prevalence and potential complications is key in the treatment of patients with complications sustained from the use of N2O.Level of evidenc...
Source: European Journal of Plastic Surgery - May 17, 2024 Category: Cosmetic Surgery Source Type: research

Dutch translation and cultural adaptation of new LYMPH-Q- scales measuring impact on work and lymphedema worry
ConclusionThe translated LYMPH-Q ‘Impact on Work’ and ‘Lymphedema worry’ scales provide healthcare professionals with an instrument to assess and monitor the impact of BCRL on work-related challenges and on worries. This comprehensive translation process, involving patients with BCRL and experts, ensured the linguistic accu racy, cultural relevance, and clarity of the Dutch versions. The translated scales will contribute to a better understanding of the multifaceted impact of BCRL and facilitate the development of tailored interventions to improve patients’ well-being and functional outcomes.Level of Evidence:Not...
Source: European Journal of Plastic Surgery - May 11, 2024 Category: Cosmetic Surgery Source Type: research

Transformative care and remarkable outcomes: illuminating cleft lip and palate management at a premier university center in Saudi Arabia
ConclusionsThe findings of this study revealed that cleft lip was the most common type of cleft observed, with patients receiving early treatment and having shorter hospital stays. However, patients who underwent cleft lip correction and management reported lower satisfaction with their quality of life.Level of Evidence: Level IV, risk / prognostic study (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - May 8, 2024 Category: Cosmetic Surgery Source Type: research

Evaluation of the use of an acellular dermal matrix produced in a tissue bank with and without skin autografts in burn patients: a comparative study in a Colombian population
ConclusionsFurther study in dermal matrices is warranted due to the wide range of expensive options available. Results align with previous literature, favoring the use of such tissue based on objective variables and expert evaluation, despite potential bias. The use of this type of matrix shows encouraging results in improving scar healing in burn patients, without increasing graft intake time or complications. This represents the first comparative study in Latin America, demonstrating a matrix of lower cost compared to those available in the market.Level of evidenceLevel III, Therapeutic. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - May 4, 2024 Category: Cosmetic Surgery Source Type: research

Systematic review and meta-analysis of speech outcome among different surgical techniques post cleft palate repair: Furlow against other   palatoplasty techniques
ConclusionsFurlow palatoplasty was superior to other procedures in terms of incidence of velopharyngeal insufficiency. The effectiveness of techniques for speech based on fistula formation was Bardach, Furlow, Wardill-Kilner then von Langenbeck. The one stage palatoplasty was superior to the two-stage approach in terms of fistula formation and velopharyngeal insufficiency.Level of evidence: Not ratable   (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - May 3, 2024 Category: Cosmetic Surgery Source Type: research

What do we know about Aquafilling tissue filler? – A systematic review
ConclusionsOver time, Aquafilling injection can potentially result in a variety of complications. It triggers inflammation and prophylactic removal should be considered. MRI and USG are recommended in the diagnostic process. Elevated CRP, WBC, or ESR indicate the presence of comorbidity or advanced gel infection. The recommended treatment is radical surgery. There is not enough information available in the literature about reconstruction, especially regarding immediate reconstruction. Antibiotics should be administered according to the antibiogram, with ciprofloxacin and clindamycin being considered if empirical treatment ...
Source: European Journal of Plastic Surgery - May 3, 2024 Category: Cosmetic Surgery Source Type: research

Combined posterior approach brachioplasty and cubital tunnel release in massive weight loss patients
We present a novel surgical technique to address both excess upper arm skin and cubital tunnel syndrome in a post-bariatric surgery patient and review the literature on compressive neuropathies after massive weight loss.Level of Evidence: Level V, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - May 3, 2024 Category: Cosmetic Surgery Source Type: research

Potential benefits of adipose –derived SVF and MSCs to regenerate damaged tissues from alloplastic synthetic materials
This article explores the benefits, complications, and applications of these technologies in Plastic Surgery and Cosmetic Medicine, focusing on their mechanisms of action and future perspectives. Level of evidence: Not ratable (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - April 26, 2024 Category: Cosmetic Surgery Source Type: research

Restoring facial superfacial muscular aponeurotic system defects after permanent fillers removal using fascial and SMAS grafts: a preliminary study
ConclusionsThis study shows promising aesthetic outcomes and high patient satisfaction at 6 months after simultaneous facelift and permanent filler removal with volume defect correction using various local tissue grafts. Larger studies with longer follow-ups are warranted to further assess these reconstructive techniques for significant SMAS defects resulting from improper permanent filler placement.Level of Evidence: Level IV, therapeutic study (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - April 18, 2024 Category: Cosmetic Surgery Source Type: research

Extreme —Super obesity and panniculectomy: bipolar radiofrequency scalpel assisted surgery as a valuable option for the most challenging cases
ConclusionsBRS assisted panniculectomy with minimal undermining is a valuable option for patients with extreme or super obesity. At the time of dissection, minimizing undermining and using BRS could make the operation safer and therefore extendable to a larger cohort of patients.Level of evidence: Level IV, Therapeutic; Risk/Prognostic. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - April 17, 2024 Category: Cosmetic Surgery Source Type: research

Reconstruction of soft tissue defects of the Achilles region: a simple algorithm through a lateral approach
ConclusionsPeroneal artery perforators are safe for the elevation of a perforator-based flap. In case of no suitable perforator, it is possible to harvest a db-PB flap through the same surgical incision. EPAP flap can be used as rescue-procedure after harvesting a propeller PAP flap. For small-to-moderate defects, a lateral approach provides a reconstructive armamentarium that ranges from the propeller perforator flaps, to those extended up to peroneal artery to the distally-based peroneus brevis muscle.Level of EvidenceLevel IV, Therapeutic Study (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - April 17, 2024 Category: Cosmetic Surgery Source Type: research

Flexor digitorum superficialis tendon transfer to extensor pollicis longus in the absence of palmaris longus tendon: a wide-awake anaesthesia approach
ConclusionsThe FDS ring finger transfer to EPL in the absence of the palmaris longus tendon proves to be an effective surgical approach, yielding favorable outcomes. Wide-awake anesthesia with no tourniquet offers advantages such as intraoperative tension adjustment and enables patient participation in rehabilitation, thereby enhancing surgeon confidence for initiating early rehabilitation.Level of Evidence:Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - April 11, 2024 Category: Cosmetic Surgery Source Type: research

Optimizing carpal tunnel decompression: evaluating the significance of transligamentous thenar motor branch variations in severe carpal tunnel release
ConclusionsDespite the release of the transverse carpal ligament in transligamentous type thenar motor branch variations, motor strength may continue to decrease. It is suggested that in these patients, the ligament piece on the motor branch should also be excised additionally.Level of EvidenceLevel IV, Risk/Prognostic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - April 11, 2024 Category: Cosmetic Surgery Source Type: research

What constitutes breast-related quality of life? A comparison of normative scores of two BREAST-Q modules
ConclusionsThe results suggest that different modules cannot be used to compare different patient groups. This begs the question if the time has come for a comprehensive pre-operative BREAST-Q domains that measure breast-related quality of life irrespective of any specific breast-conditions. The difference between version 1.0 and 2.0 of BREAST-Q, might lead to difficulty when results from different studies are compared.Level of EvidenceNot ratable (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - April 10, 2024 Category: Cosmetic Surgery Source Type: research

Microsurgical training on non-living models: a systematic  literature review
ConclusionsThe results of this study have shown that many different non-living models are available not only for basic microsurgical training, but also for intermediate training. These models allow to improve microsurgical and supermicrosurgical skills, simultaneously reducing the use of living animals, according to the “3 R” principle. Their main limitation is that due to their characteristics, as tissue consistency and the absence of a pumping flow, they do not provide a realistic experience as that on living animals, which are still the reference for the final phases of microsurgical training.Level of evidence:Not r...
Source: European Journal of Plastic Surgery - April 6, 2024 Category: Cosmetic Surgery Source Type: research