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 5, 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 5, 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 5, 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 4, 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 3, 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 15, 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 15, 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 13, 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 13, 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 13, 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 13, 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 10, 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 4, 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 - July 1, 2020 Category: Cosmetic Surgery Source Type: research

Study of serum creatine kinase and lactate dehydrogenase levels and their correlation in high-voltage electric contact burns
AbstractBackgroundHigh-voltage electric contact burns often lead to amputation of limbs. Raised muscle enzymes reflect the extent of muscle damage. We aimed to estimate the levels of creatine kinase (CK-T and CK-MB) and lactate dehydrogenase (LDH) in high-voltage electric burns and to find out the correlation with amputation.MethodsA prospective observational study was conducted in 60 patients over a period of 14  months, and they were divided into 2 groups: ‘amputation’ and ‘no amputation.’ Decision regarding amputation was purely based on clinical assessment either early or late (within or af...
Source: European Journal of Plastic Surgery - June 30, 2020 Category: Cosmetic Surgery Source Type: research

Hand Bionic Score: a clinical follow-up study of severe hand injuries and development of a recommendation score to supply bionic prosthesis
ConclusionsWhile iHISS can guide early clinical decisions following severe hand injury, our novel Hand Bionic Score provides orientation for clinical decision-making regarding elective amputation and bionic prosthesis supply later during the course of treatment. The score not only considers hand function but also psychological outcomes and quality of life, which are important considerations for patients with severe hand injuries. However, future randomized multicenter studies are needed to validate Hand Bionic Score before further clinical application.Level of evidence: Level III, risk/prognostic study. (Source: European J...
Source: European Journal of Plastic Surgery - June 26, 2020 Category: Cosmetic Surgery Source Type: research

The National Dutch Breast Implant Registry: user-reported experiences and importance
ConclusionsRespondents believe that registration is highly important and worth the administrative burden. However, we should collectively keep improving accuracy, usability and sustainability of breast implant registries. The primary focus should be on the user interface; on user friendliness, automation, and data reusability. These users ’ responses function as a new incentive and provide learning points that are easy to extrapolate to others who want to set up or improve breast implant registries.Level of evidence: Not ratable. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - June 26, 2020 Category: Cosmetic Surgery Source Type: research

COVID-19 pandemic and the social effects on clinic and scientific research: the “human factor”
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - June 24, 2020 Category: Cosmetic Surgery Source Type: research

Outcomes and rupture rate of the “Adelaide” four-strand repair for zone 2 flexor tendon injuries over a 10-year period
ConclusionsThe “Adelaide” repair combined with early active mobilization achieves a good functional outcome with low rupture rates.Level of evidence: Level III; therapeutic study (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - June 19, 2020 Category: Cosmetic Surgery Source Type: research

Functional outcomes following delayed hemi-hamate arthroplasty for proximal interphalangeal joint reconstruction
ConclusionsBased on our experience, hemi-hamate arthroplasty is a viable option in the management of intra-articular fracture dislocations of the base of the middle phalanx.Level of evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - June 4, 2020 Category: Cosmetic Surgery Source Type: research

Outcome of 1000 free flap head and neck reconstructions at a tertiary cancer care institute in India
ConclusionsFree flap reconstruction is a robust and highly reliable option for head and neck defects, and two free flaps are a safe option for treating large defects. A second free flap should be the first choice in failed cases after the medical optimization of the patient. Free flap reconstruction is safe in elderly and post-radiotherapy patients.Level of Evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - June 3, 2020 Category: Cosmetic Surgery Source Type: research

A new approach for treatment of congenital melanocytic nevi with hypertrichosis: the Depilendolaser technique
ConclusionThe authors describe a new laser technique for depigmentation and epilation and their experience in the treatment of CMN with hypertrichosis. Data collected in this study showed first of all an extreme safety and tolerability of the procedure in children and young patients, with no adverse effects such as skin atrophy, pathological scarring and aesthetic improvement.Level of evidence: Level I, therapeutic; risk/prognostic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - May 22, 2020 Category: Cosmetic Surgery Source Type: research

Scrotal massive localized lymphedema: a case report
AbstractMassive localized lymphedema is defined as a large-scale soft tissue tumour placed in a specific part of the body. The entity was first described in 1998, and since then, it has been associated with different causes such as morbid obesity andWuchereria bancrofti parasite infection. Our team present the surgical resection and reconstruction of an unusual form of the disease.Level of evidence: Level V, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - May 21, 2020 Category: Cosmetic Surgery Source Type: research

Free omental flap for the treatment of chronic scrotal lymphedema: a case report
We report a case of severe genital lymphedema that was treated with surgical debulking followed by resurfacing with a free omental flap and split thickness skin grafts. This is the first report of the use of a free omental flap for the treatment of genital lymphedema. Its large surface area, pliability, and lymphoid properties make it ideal for this form of reconstruction.Level of evidence: Level V, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - May 20, 2020 Category: Cosmetic Surgery Source Type: research

Altering effects of caffeic acid phenethyl ester (CAPE) and ischemia/reperfusion injury: an experimental study in a rat TRAM flap model
In this study, the mitigation effects of caffeic acid phenethyl ester (CAPE) were investigated for its protective effects on flap necrosis in a rat model.MethodsForty-two randomized male Sprague-Dawley rats weighing between 250 and 300 g were assigned to the regular flap (G1) (n = 14), ischemic flap (G2) (n = 14), and ischemic flap + CAPE (G3) (n = 14) groups. Bilateral pedicled TRAM flaps were designed for the first seven rats of each group,; bilateral-free TRAM flaps were designed for the remaining rats in each group and referred as subgroup 1 and 2 (S1 and S2), respectively. In G1, flaps were returned to their original ...
Source: European Journal of Plastic Surgery - May 20, 2020 Category: Cosmetic Surgery Source Type: research

Optimizing harvesting for facial lipografting with a new photochemical stimulation concept: One STEP technique ™
ConclusionsFacial fat grafting using the PicoGraft ™ obtained by One STEP™ technique gives excellent volumetric and regenerative results in a single treatment without volumetric hypercorrection, and it is a good alternative for facial rejuvenation. The fat graft obtained with this novel technique is homogenous, without lumps, and has high concen tration of viable stimulated ADSC and a high number of viable adipocytes.Level of evidence: Level III, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - May 19, 2020 Category: Cosmetic Surgery Source Type: research

The effect of local insulin injection on the healing process of split thickness skin graft donor site: a randomized, double-blind, placebo control clinical trial
This study was aimed to determine the effect of local insulin injection on the improvement of STSG donor site wound healing.MethodsA randomized clinical trial was performed in patients undergoing STSG in 2019. The donor site of patients was divided into control and case segments. Two cubic centimeters of NPH insulin was injected at the case segment with a concentration of 1  IU/ml and normal saline was injected at the control segment by the same volume. The wound site epithelialization area was calculated by ImageJ® software at the 7th, 14th, and the 21st day after the intervention. The epithelialization area of t...
Source: European Journal of Plastic Surgery - May 19, 2020 Category: Cosmetic Surgery Source Type: research

The cinch suture nasal sill excision combination technique for nasal base reduction in rhinoplasty
ConclusionsThe cinch suture nasal sill excision combination technique is a simple and durable technique for alar base reduction. It provides predictable outcomes while allowing for control of the lower nasal vault structures.Level of evidence: LeveI IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - May 19, 2020 Category: Cosmetic Surgery Source Type: research

Flexor pollicis longus tendon retrieval using silicone rods; is it worth it?
AbstractBackgroundThe hand represents one of the most common sites for injuries in a trauma setting. Hand mobility, the arc of motion away from the body, and being involved in many of the daily activities add to this high incidence. Thumb injuries carry a substantial burden on hand function due to its mobility, distinctive motion patterns, and particular purposes it attains.MethodsThis is a prospective case-control study for cases presented to the emergency department at Kasr Al-Ainy, school of medicine, Cairo University, for the period between January 2018 and July 2019, with zone II (T2) flexor pollicis longus (FPL) tend...
Source: European Journal of Plastic Surgery - May 19, 2020 Category: Cosmetic Surgery Source Type: research

Current impact of Covid-19 pandemic on Spanish plastic surgery departments: a multi-center report
ConclusionsPlastic surgery delivery in the Spanish Health System is being severely impacted as a collateral damage from this pandemic. Most of the elective surgery is currently stopped. Our departments seem to be vulnerable regarding their capacity to keep offering emergency care.Level of evidence: not ratable (multi-center survey) (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - May 19, 2020 Category: Cosmetic Surgery Source Type: research

Lower eyelid transconjunctival blepharoplasty with fat repositioning: outcomes and complications
ConclusionsWe report a high patient satisfaction with a low rate of significant complications following our modified lower lid transconjunctival blepharoplasty with fat repositioning.Level of evidence: Level III, therapeutic study (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - May 16, 2020 Category: Cosmetic Surgery Source Type: research

Appearance of recurrent adult fibrosarcoma of the soft tissue and loco-regional post-treatment changes on MRI follow-up
ConclusionRecurrent AFS shows no common configuration on MRI, as it may appear ovoid, nodular, streaky, polycyclic, or fascicular. Patients with the presence of post-treatment muscle edema have a slightly higher risk for recurrences.Level of evidence: Level III, therapeutic study (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - May 15, 2020 Category: Cosmetic Surgery Source Type: research

Microskin grafting: clinical study of its feasibility and results
ConclusionsMicrografting is a feasible alternative for wound coverage and a useful tool for surgeons  when donor sites are limited.Level of evidence: Level IV, therapeutic  study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - May 15, 2020 Category: Cosmetic Surgery Source Type: research

Commentary on “Perinipple Mammaplasty” by L.F. Frascino and S. Pompei
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - May 9, 2020 Category: Cosmetic Surgery Source Type: research

Posterior external jugular vein: a useful alternative recipient vessel in head and neck free flap reconstructions
We report the utilization of posterior external jugular veins (PEJV) for recipients in head and neck microvascular free flap reconstruction. This is a report of two male patients, who had defects successfully reconstructed using posterior external jugular veins (PEJV) as recipient vessels. Since the IJV, EJV and adjacent veins had been totally excised in both cases, PEJV were utilized as recipient vessels without any complications. The cases pioneer use of PEJV as alternative recipient vessels in head and neck microvascular reconstruction.Level of evdence: Level V, therapeutic study (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - May 9, 2020 Category: Cosmetic Surgery Source Type: research

Severe and massive necrosis following high definition  power-assisted liposuction: a case report
We describe the management of a patient with massive necrosis following a high definition power-assisted  liposuction. A 37-year-old woman, who presented an overweight body mass index and no other comorbidities, had a liposuction with abdominoplasty done in 2012. In early 2019, she underwent a high definition liposuction, being transferred 8 days after the procedure into a tertiary and university-rel ated hospital with necrotizing fasciitis and sepsis. The patient received treatment for a life-threatening condition at the ICU and several interventions for debridement and skin replacement. She was discharged 2&nbs...
Source: European Journal of Plastic Surgery - May 9, 2020 Category: Cosmetic Surgery Source Type: research

Fibula free flap with type IIIB popliteal artery branching: a case report and recommendations
We present a case where attempted FFF harvest in a leg with known type IIIB popliteal artery branching was aborted due to intraoperative evidence of inadequate peripheral perfusion measured by great toe pulse oximetry. There are no recommendations for additional testing to determine safety of FFF harvest in legs with type IIIB anatomy, with most authors considering this a contraindication to raising a FFF. We recommend preoperative functional testing by balloon angiography to assess the adequacy of collateral circulation where harvest of FFF is considered in legs with type IIIB popliteal branching.Level of evidence: Level ...
Source: European Journal of Plastic Surgery - May 8, 2020 Category: Cosmetic Surgery Source Type: research

A novel technique of reducing full-thickness skin graft contraction using a dermal substitute: an animal model study
This study was designed to establish a mouse model for studying the inhibitory effect of dermal substitutes on FTSG contraction. Secondarily, the model quantitatively assessed the specific effect of Integra ™ on FTSG contraction and examined if Integra™ can be used in a single-stage procedure with a FTSG.MethodsEighteen male Wistar mice had a quadrangular 3  × 2 cm full-thickness skin defect produced on their back and divided into two groups. In the first group, the graft obtained from the defect was sutured back down as a FTSG. In the second group, Integra™ was placed under 30% o...
Source: European Journal of Plastic Surgery - May 7, 2020 Category: Cosmetic Surgery Source Type: research

Rotation advancement V-Y posterior thigh flap combined with a biceps femoris muscle flap  for reconstruction of a recurrent ischial pressure sore in pediatric patients
ConclusionsAlthough there is still no ideal flap for closure of ischial pressure sores, the rotation advancement V-Y posterior thigh fasciocutaneous flap combined with a biceps femoris muscle turnover flap is considered a reliable reconstructive technique in pediatric patients. The present technique integrates the benefits of well-vascularized muscle tissue with a durable skin coverage that can be reused in cases of recurrence.Level of evidence: Level V, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - May 7, 2020 Category: Cosmetic Surgery Source Type: research

Plastic surgery during the COVID-19 pandemic times
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - May 7, 2020 Category: Cosmetic Surgery Source Type: research

Vessel geometry and microvascular hand-sewn end-to-end anastomoses using Alexis Carrell ’s technique: is the intuition of the Nobel Prize still valuable?
ConclusionsAlexis Carrel ’s technique for microvascular end-to-end anastomoses is still a very efficient end safe technique. Our geometrical optimization of it is a useful trick to keep in mind for the microvascular surgeon, especially in hospitals with a small volume of microsurgical procedures per year.Level of evidence: Level III, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - April 22, 2020 Category: Cosmetic Surgery Source Type: research

Delayed, two-staged autologous breast reconstruction: an approach to improving delayed reconstructive outcomes
ConclusionsDelayed, two-staged autologous breast reconstruction requires an additional short, surgical procedure that results in a lifelong improved breast esthetic and better lower-pole ptosis. Complication rates remain low, which makes this a viable and safe option to improve outcomes for patients seeking delayed autologous reconstruction. Our study utilizes prepectoral expander placement, which we believe will further enhance the quality of patient care.Level of evidence: Level V, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - April 22, 2020 Category: Cosmetic Surgery Source Type: research

Submammary placement of neurostimulator devices: broadening the spectrum of cosmetic techniques
We report two cases of female patients who benefited from our technique to hide the IPG under the breast parenchyma. IPGs were placed through an inframammary incision in a subglandular pocket, similar to the technique used for implant-based breast augmentation. In the first case, the devices were implanted in a subglandular pocket and replaced 5  years later due to battery life limitation. In the second case, the devices were replaced from a subclavicular position to a submammary one. No major or minor complications were observed. Both patients reported an excellent level of satisfaction with the aesthetic and functio...
Source: European Journal of Plastic Surgery - April 21, 2020 Category: Cosmetic Surgery Source Type: research

Patient satisfaction with breast reconstruction: how much do timing and surgical technique matter?
ConclusionsTiming significantly affected satisfaction (delayed reconstruction evidencing positive influence). Technique did not reach significance as independent predictor. Smoking and minor complications showed negative influence. Meaningful satisfaction with delayed reconstruction may encourage BR in the majority of patients, even those with medical or oncologic risks that precluded immediate reconstruction.Level of evidence: Not ratable. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - April 21, 2020 Category: Cosmetic Surgery Source Type: research

Treatment of tibial intercalary defects secondary to tumour with modified fibular flap technique
ConclusionsThis technique appears to have significant advantages as an alternative method for the repair of intercalary defects in the tibia. These advantages include that it does not have a long operating time, does not create excessive tissue damage, and does not cause severe complications such as infection.Level of evidence: Level III, retrospective study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - April 20, 2020 Category: Cosmetic Surgery Source Type: research

A novel three-in-one silicone model for basic microsurgery training
ConclusionWe present a novel synthetic model that can be potentially introduced to early stages of microsurgery training. The model would be ideal to meet the 3R principles of the use of animal models and as an alternative to the commonly used synthetic models.Level of evidence: Not ratable. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - April 20, 2020 Category: Cosmetic Surgery Source Type: research

The use of electrochemotherapy (ECT) in the management of malignant melanoma in the clinically frail patient: a case report
We present a case of an 80-year-old female with numerous co-morbidities, presenting with metastatic melanoma, in which electrochemotherapy (ECT) was successfully used to manage her debilitating symptoms of intractable bleeding.Level of evidence: Level V, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - April 17, 2020 Category: Cosmetic Surgery Source Type: research

A systematic review on the Derriford Appearance Scale (DAS) questionnaire in surgical research
ConclusionsThe DAS59 and DAS24 are versatile self-assessment tools that can be used in different medical and surgical environments.Level of evidence: not ratable. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - April 16, 2020 Category: Cosmetic Surgery Source Type: research