Review of Autologous Fat Grafting in Postmastectomy Reconstruction Patients: Nonroutine Diagnostics and Oncologic Safety
This study aims to characterize the oncologic and surgical safety of FG in women undergoing autologous breast reconstruction (ABR) or implant-based reconstruction (IBR).
Methods:
A retrospective chart review was performed for all patients undergoing FG at a multi-site single health system between 2015 to 2018. A total of 228 eligible breasts from 155 patients were identified using Current Procedural Terminology codes. Patients were divided by reconstructive technique. Bivariate analyses compared baseline characteristics and post-FG outcomes.
Results:
Mean age for patients undergoing ABR (129 breasts) was 52.8...
Source: Plastic and Reconstructive Surgery Global Open - October 1, 2022 Category: Cosmetic Surgery Tags: Breast: Original Article Source Type: research
Toward Drainless Breast Reconstruction: A Pilot Study
Conclusions:
This pilot study demonstrates the feasibility of breast reconstruction without external drains using a dual-port expander with built-in seroma reservoir. From these results, it is apparent that dual-port tissue expanders with built-in seroma reservoir offer a safe and effective way to perform breast reconstruction without drains in appropriately selected patients. A larger prospective cohort will be needed to definitively demonstrate lower infection and reconstructive failure rates. (Source: Plastic and Reconstructive Surgery Global Open)
Source: Plastic and Reconstructive Surgery Global Open - October 1, 2022 Category: Cosmetic Surgery Tags: Breast: Original Article Source Type: research
Intercostal Artery Perforator Flap for Salvage Breast Reconstruction with Exposed Breast Implants
Conclusion:
This technique can be used as an alternative when there is exposure of the implantβ even in cases with a mild breast infection and in patients undergoing radiotherapy and chemotherapy. (Source: Plastic and Reconstructive Surgery Global Open)
Source: Plastic and Reconstructive Surgery Global Open - October 1, 2022 Category: Cosmetic Surgery Tags: Breast: Original Article Source Type: research
Regret after Gender-affirmation Surgery: A Systematic Review and Meta-analysis of Prevalence
No abstract available (Source: Plastic and Reconstructive Surgery Global Open)
Source: Plastic and Reconstructive Surgery Global Open - September 1, 2022 Category: Cosmetic Surgery Tags: Letter to the Editor Source Type: research
A Simplified Approach to Jaw-in-a-Day Using a Preassembled Prosthesis: Lowering the Barrier to Entry
Summary:
Fibula flap reconstruction with primary dental implant placement has been established as a successful procedure for composite mandibular defects. When using virtual surgical planning, these techniques typically require additional personnel and materials preoperatively and intraoperatively to fabricate occlusal-based guidance and prosthesis. The authors present a technique utilizing a custom-made implant-supported prosthesis completed before surgery that greatly reduces lead time and needed resources. The authors follow the established workflow of segmental mandibulectomy and fibula flap reconstruction using pr...
Source: Plastic and Reconstructive Surgery Global Open - September 1, 2022 Category: Cosmetic Surgery Tags: Research: Ideas and Innovations Source Type: research
Effect of All-trans Retinoic Acid on Panniculus Carnosus Muscle Regeneration in Fetal Mouse Wound Healing
Conclusions:
ATRA inhibits PC regeneration, and decreased RARΞ± expression in wounds after E14 inhibits myoblast migration. Our findings may contribute to the development of therapies to promote complete wound regeneration, even in the muscle. (Source: Plastic and Reconstructive Surgery Global Open)
Source: Plastic and Reconstructive Surgery Global Open - September 1, 2022 Category: Cosmetic Surgery Tags: Research: Original Article Source Type: research
Viability of Fat Cells in Frozen Fat Tissue in Relation to Thawing Technique
Conclusion:
Natural thawing is better in maintaining frozen adipocyte viability. Younger patients will benefit from frozen fat more than older ones. Duration of freezing should not exceed 7 months. (Source: Plastic and Reconstructive Surgery Global Open)
Source: Plastic and Reconstructive Surgery Global Open - September 1, 2022 Category: Cosmetic Surgery Tags: Research: Original Article Source Type: research
The Growth Factors of Subcutaneous Benign Lipoma: Consideration from Anatomical Position of Occurrence
Conclusions:
Lipoma growth might require neurovascular perforators that supply both blood flow and continuous stretching stimuli. The mobile adipofascial layer with bones adjacent to a fixed or less mobile area might also be necessary to grow lipomas. If these findings can be used as clues to elucidate the mechanism of fat amplification in the future, it may lead to an improvement in the survival rate of fat grafts. (Source: Plastic and Reconstructive Surgery Global Open)
Source: Plastic and Reconstructive Surgery Global Open - September 1, 2022 Category: Cosmetic Surgery Tags: Research: Original Article Source Type: research
Techniques and Innovations in Flap Engineering: A Review
Conclusions:
Some of the described procedures, though not yet ready for clinical use, are certainly ready for trial in large animal models and even human studies. Tissue engineering is a promising field for the handling of large and complex tissue defects. (Source: Plastic and Reconstructive Surgery Global Open)
Source: Plastic and Reconstructive Surgery Global Open - September 1, 2022 Category: Cosmetic Surgery Tags: Research: Original Article Source Type: research
Amniotic Membrane Scaffolds Support Organized Muscle Regeneration in A Murine Volumetric Muscle Defect Model
Background:
Current treatment for volumetric muscle loss is limited to muscle transfer or acellular collagen scaffold (ACS) therapies that are associated with donor site morbidity and nonfunctional fibrosis, respectively. The aim of this study is to assess the utility of amniotic membrane scaffold (AMS) for volumetric muscle loss treatment.
Methods:
Murine quadriceps defects were created and randomized to three groups (n = 5/group): untreated controls, ACS, and AMS. In vivo muscle regeneration volume was quantified by MRI and microcomputed tomography. Muscle explants were analyzed using standard histology and wh...
Source: Plastic and Reconstructive Surgery Global Open - September 1, 2022 Category: Cosmetic Surgery Tags: Research: Original Article Source Type: research
Challenges of Large-scale Patient-reported Outcome Measures Collection in a Multidisciplinary Limb Salvage Center
No abstract available (Source: Plastic and Reconstructive Surgery Global Open)
Source: Plastic and Reconstructive Surgery Global Open - September 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Viewpoint Source Type: research
Dufourmentel Flap for Scalp Reconstruction
Summary:
Transposition flaps are useful for reconstruction of many skin defects. Limberg described a rhomboid rotation flap in 1946. Dufourmentel described an improved version of the Limberg flap in 1962. The Dufourmentel flap is also a quadrangular rhomboid flap which can be used in any area of the body except for the central face, the fingers, and the volar hand. The design of the Dufourmentel flap creates a wider base for this random flap, thus making it more reliable. Where tissue loss is significant, or where skin and soft tissue elasticity is limited, double opposing Dufourmentel flaps are useful. A variation of ...
Source: Plastic and Reconstructive Surgery Global Open - September 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Special Topic Source Type: research
A Novel Method of Intra-Abdominal Cavity Obliteration: A Case Report of a Colonic Seromuscular Flap
Summary:
Obliteration of an organized subphrenic abscess with an enteric fistula is a great challenge, especially after hepatectomy, as most of the conventional flaps used to fill the abscess cavity are not feasible. A seromuscular flap is an innovative option for this purpose because of its proximity to the pathology, flexibility in the size and volume of the flap harvested, antibacterial ability of the muscle flap, and preservation of trunk musculature. We illustrate the use of a colonic seromuscular flap for filling such an abscess and show its long-term change. A 66-year-old man developed a right subphrenic abscess...
Source: Plastic and Reconstructive Surgery Global Open - September 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Case Report Source Type: research
Combined ALT, Estlander, and Upper Lip Flap for Defects Involving the Oral Commissure
In this report, we present a case of reconstructive surgery of the corners of the mouth, buccal mucosa, and buccal skin after tumor resection for buccal mucosal squamous cell carcinoma in a 70-year-old man. The patient presented with a change in an oral mucosal ulcer for a period of 1 year. After biopsy of the ulcerated area, he was pathologically diagnosed with squamous cell carcinoma. After tumor resection, including the corners of the mouth, lips, and cheek skin, and neck dissection, the patient underwent reconstructive surgery using an extended upper lip flap combined with an Estlander flap and a free anterolateral thi...
Source: Plastic and Reconstructive Surgery Global Open - September 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Case Report Source Type: research
Saphenous Vein Interposition Grafts in Lower Extremity Reconstruction: Appraisal of Technique and Case Series
This study further assesses outcomes of this technique in a series of patients and demonstrates a flap success rate of over 93% in patients with calcified recipient and donor microvasculature. (Source: Plastic and Reconstructive Surgery Global Open)
Source: Plastic and Reconstructive Surgery Global Open - September 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Ideas and Innovations Source Type: research
