An Algorithm for Reconstruction of Electrical Injuries of the Scalp
Conclusion:
The authors propose an algorithm for reconstruction of electrical injuries of the scalp. Thorough débridement of the calvarium is the most important determinant of a successful outcome.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, IV. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - September 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Head and Neck: Original Articles Source Type: research
Discussion: Surgical Treatment for Postparalytic Facial Synkinesis: A 35-Year Experience
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - September 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Head and Neck: Original Articles Source Type: research
Surgical Treatment for Postparalytic Facial Synkinesis: A 35-Year Experience
Conclusions:
Combined myectomy and neurectomy followed by functioning free muscle transplantation for type II and III synkinetic patients leads to promising and long-lasting results despite high revision rates. Refined techniques to decrease the revision rates are needed in the future.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, IV. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - September 1, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Head and Neck: Original Articles Source Type: research
Orbital Index: A Novel Comprehensive Quantitative Tool for Prediction of Delayed Enophthalmos in Orbital Floor Fracture Management
This study aimed to validate the Orbital Index, a prediction tool using computed tomography to stratify risk for delayed enophthalmos and establish a threshold for repair. The Orbital Index stratifies fractures by size, location, and inferior rectus rounding (a surrogate for fascioligamentous sling disruption) on a scale 0 to 6. A 22-year (1998 to 2020) multi-institution analysis of unilateral isolated orbital floor fractures was performed. Index scores were assigned to each scan, unoperated patients invited for blinded Hertel exophthalmometry assessment, and enophthalmos measurements correlated with Index scores. Interobs...
Source: Plastic and Reconstructive Surgery - September 1, 2022 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Ideas and Innovations Source Type: research
Efficacy of Postsurgical Nostril Retainer in Patients with Unilateral Cleft Lip and Palate Treated with Presurgical Nasoalveolar Molding and Primary Cheiloplasty–Rhinoplasty
Background:
The aim of this investigation was to determine whether the nasal form of patients with unilateral cleft lip and palate treated with presurgical nasoalveolar molding therapy, primary lip-nose surgery, and postsurgical nostril retainer was different from that of patients treated with presurgical nasoalveolar molding and primary lip and nose surgery alone.
Methods:
This cross-sectional, retrospective review focused on 50 consecutive patients with nonsyndromic unilateral cleft lip and palate: 24 treated with nasoalveolar molding and primary lip and nose surgery followed by postsurgical nostril retainer (...
Source: Plastic and Reconstructive Surgery - September 1, 2022 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research
Impact of Orthodontic Gap Closure versus Prosthetic Replacement of Missing Maxillary Lateral Incisor on Dental Arch Relationships and Symmetry in 212 Patients with Cleft Palate: Retrospective Study
Background:
Maxillary lateral incisors are frequently missing in patients with cleft lip and/or palate. The aim of this study was to assess how orthodontic gap closure or prosthetic rehabilitation of the missing maxillary lateral incisor affected dental arch relationships and symmetry at the end of treatment. The authors also aimed to determine the effect of the level of oral hygiene on the decision made to manage the missing maxillary lateral incisor gap.
Methods:
A descriptive, retrospective cohort study including all patients with cleft lip and/or palate born between 1980 and 1999 and treated at Nantes Cleft ...
Source: Plastic and Reconstructive Surgery - September 1, 2022 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research
Discussion: Soft-Tissue Reconstruction in Progressive Hemifacial Atrophy: Current Evidence and Future Directions
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - September 1, 2022 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research
Soft-Tissue Reconstruction in Progressive Hemifacial Atrophy: Current Evidence and Future Directions
Conclusions:
Soft-tissue reconstruction in progressive hemifacial atrophy remains an evolving field. Operative decision-making is often multifaceted, and guided by specific volumetric, aesthetic, and functional deficiencies. Serial fat grafting is the primary modality used for patients with mild soft-tissue atrophy, whereas microvascular free flaps widely remain the treatment of choice for reconstruction of large-volume defects. There exists a growing role of graft supplementation to improve fat graft survival, whereas recent evidence demonstrates that early intervention may help curb disease progression. (Source: Plas...
Source: Plastic and Reconstructive Surgery - September 1, 2022 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research
Bone Morphogenic Protein-2 Use for the Surgical Treatment of Acute Scaphoid Fractures and Scaphoid Nonunions
Conclusions:
Adjunctive use of bone morphogenic protein-2 in operative fixation of scaphoid fractures resulted in desirable union rates without major complications. Larger, prospective studies are needed to assess whether adjunctive bone morphogenic protein-2 use in scaphoid fractures provides significant benefit compared with other treatments.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, IV. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - September 1, 2022 Category: Cosmetic Surgery Tags: Hand/Peripheral Nerve: Ideas and Innovations Source Type: research
Suspensionplasty for Revision Thumb Carpometacarpal Osteoarthritis Surgery: Comparing Suture Button Suspensionplasty to Ligament Reconstruction and Tendon Interposition
In this study, it was evaluated for revision of failed thumb carpometacarpal osteoarthritis surgery, and outcomes were compared to ligament reconstruction and tendon interposition outcomes. A retrospective chart review identified patients who underwent suture button suspensionplasty or ligament reconstruction and tendon interposition after failure of previous thumb carpometacarpal osteoarthritis surgery since 2010. Eighteen patients were included, with nine patients in each group. Eighteen patients had mean final follow-up of 35 months. There were two complications in the ligament reconstruction and tendon interposition gr...
Source: Plastic and Reconstructive Surgery - September 1, 2022 Category: Cosmetic Surgery Tags: Hand/Peripheral Nerve: Ideas and Innovations Source Type: research
Comparative Effectiveness of Physical Therapy and Electrophysiotherapy for the Treatment of Lateral Epicondylitis: A Network Meta-Analysis
Conclusions:
Electrophysiotherapy treatments should be prioritized over physical therapy. Magnetic field therapy was associated with pain reduction, whereas acoustic wave and light therapy were associated with increased grip strength.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, II. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - September 1, 2022 Category: Cosmetic Surgery Tags: Hand/Peripheral Nerve: Original Articles Source Type: research
Sonographic Changes in the Median Nerve Predict Conversion to Surgery after Corticosteroid Injection of the Carpal Tunnel
Conclusions:
This study demonstrates that ultrasound may be an additional tool used by clinicians to better counsel patients about the severity and progression of their disease. Patients who demonstrate a decrease in cross-sectional area of the median nerve along the carpal tunnel demonstrate a higher likelihood of progression to operative management.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Risk, III. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - September 1, 2022 Category: Cosmetic Surgery Tags: Hand/Peripheral Nerve: Original Articles Source Type: research
Primary Targeted Muscle Reinnervation after Below-Knee Amputation Is Not Associated with an Increased Risk of Major or Minor Surgical Complications: A Multi-Institutional, Propensity Score–Matched Analysis
Conclusions:
Despite an increased incidence of postoperative complications, undergoing below-knee amputation with targeted muscle reinnervation does not confer a statistically significant increased risk of major or minor complications. Future studies are needed to delineate patient selection criteria when assessing the suitability of targeted muscle reinnervation at the time of major limb amputation.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, III. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - September 1, 2022 Category: Cosmetic Surgery Tags: Hand/Peripheral Nerve: Original Articles Source Type: research
An Agonistic Monoclonal Antibody Targeting cMet Attenuates Inflammation and Up-Regulates Collagen Synthesis and Angiogenesis in Type 2 Diabetic Mice Wounds
Conclusions:
Tyrosine kinase Met agonistic monoclonal antibody treatment improved diabetic wound healing in mice and reduced wound-site inflammatory cell infiltration. These results need to be validated in large animals before piloting human trials.
Clinical Relevance Statement:
Although further clinical studies are necessary to evaluate its therapeutic efficacy, our study suggested that cMet agonistic monoclonal antibody can be the alternative modality in order to improve wound healing cascade in diabetic foot patients. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - September 1, 2022 Category: Cosmetic Surgery Tags: Experimental Source Type: research
