European Journal of Plastic Surgery This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

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

Non-microsurgical “replantation” of Allen’s type III amputation: combined distal phalangeal fixation and nail bed suture with V-Y volar advancement flap
ConclusionsThe combination of distal phalangeal fixation and nail bed suturing with a V-Y volar advancement flap is worthy of clinical application for Allen type III fingertip amputation. The technique is simple and straightforward.Level of evidenceLevel III, Therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - April 2, 2024 Category: Cosmetic Surgery Source Type: research

The therapeutics of fat grafting and adipose derived stem cells in burn injuries —a comprehensive review of the evidence and challenges
AbstractBurn injuries are among the most common types of injuries worldwide, with devastating long-term physical and psychological effects. Recently, adipose-derived stem cells (ADSCs) have shown promise as a potential therapeutic approach for reversing fibrosis, promoting wound healing, and remodeling scars in various types of injuries. ADSCs possess unique features such as multipotency, immunomodulation, and the ability to secrete regenerative factors. These characteristics position them as attractive candidates for enhancing tissue regeneration and reducing inflammation in burn injuries. This overview discusses the curr...
Source: European Journal of Plastic Surgery - April 1, 2024 Category: Cosmetic Surgery Source Type: research

A review: recent advances in the application of 3D printing biomaterials in breast reconstruction research
AbstractBreast reconstruction is an indispensable component of surgical treatment for breast cancer. Currently, implant-based breast reconstruction (IBBR) has become a primary method, utilizing prosthetic implants. The advantages of implantation, such as fewer complications, safety, and convenience, have made it a research hotspot in recent years. Among implant materials, high-polymer materials stand out due to their lightweight, cost-effectiveness, high plasticity, and good biocompatibility, making them the most promising choice. Simultaneously, with the advancement of 3D printing technology, some 3D-printed prosthetic sc...
Source: European Journal of Plastic Surgery - March 25, 2024 Category: Cosmetic Surgery Source Type: research

Novel and easy curriculum with simulated models for microsurgery for plastic surgery residents: reducing animal use
ConclusionsThis curriculum allows for structured and sequential training in exvivo models, with a statistically significant improvement in global microsurgery performance scores among participants.Level of evidence: Not ratable. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - March 16, 2024 Category: Cosmetic Surgery Source Type: research

Simultaneous precision rhinoplasty and lip lift for enhanced youthful facial harmony
ConclusionsThe combined approach of simultaneous precision rhinoplasty with Bullhorn lip lift presents a viable and effective strategy for comprehensive facial rejuvenation. This preliminary study suggests enhanced outcomes in facial harmony and patient satisfaction, with minimal complications. Further research with larger cohorts and extended follow-up is required to validate these findings and refine the technique.Level of evidenceLevel III, Therapeutic. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - March 16, 2024 Category: Cosmetic Surgery Source Type: research

Acellular dermal matrix in direct-to-implant breast reconstruction: univariate and multivariate analysis on potential risk factors
ConclusionThis study demonstrates an acceptable rate of explantation in ADM-assisted direct-to-implant breast reconstruction. We found that skin flap necrosis and surgical site infection were the most frequently occurring complications with low rates of severe cases. However, there is a need for larger, controlled studies to further explore the impact of patient and surgery related risk factors.Level of evidenceLevel III, Risk/Prognostic. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - March 15, 2024 Category: Cosmetic Surgery Source Type: research

Lessons learned from reconstructing advanced osteoradionecrosis with free vascularized flaps: a retrospective study
ConclusionsThe iliac crest flap represents a valuable option for mandible reconstruction. However, this preference does not extend to ORN; fibula flap remains the optimal choice. It is worth noting that flap and complication rates are notably higher in ORN. Patients with a history of neck dissection are at a heightened risk of complications. Our study demonstrates a reassuring outcome as ORN recurrence occurred approximately in only one out of eight patients.Level of evidence: Level IV, risk/prognostic. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - March 12, 2024 Category: Cosmetic Surgery Source Type: research

Do we practice what we teach: assessing trauma-informed breast exams in breast surgery literature
In this study, glove-use practices during breast exams depicted in breast surgery literature were investigated to understand their alignment with principles of trauma-informed care. We conducted a cross-sectional analysis of published figures spanning 75  years (1948–2023) to assess glove use practices in four surgical journals, with a focus on breast surgery. The data were analyzed using descriptive statistics and univariate logistic regression models. Fischer’s exact tests were used for temporal analysis with the data grouped into decades. 7, 759 papers were assessed, and 266 figures met the inclusion criteria. In t...
Source: European Journal of Plastic Surgery - March 6, 2024 Category: Cosmetic Surgery Source Type: research