Pediatric Outcomes following Cranial Vault Remodeling with Restricted Use of Postoperative Narcotics: A Retrospective Review
Background:
The appropriate use of narcotics for postoperative pain control is controversial because of potential medication-induced complications. The authors sought to determine the effects of narcotics in the pediatric population following cranial vault remodeling operations.
Methods:
A retrospective review was performed on 160 consecutive patients who underwent cranial vault remodeling for craniosynostosis.
Results:
There was a statistically significant difference in total morphine equivalents in the group that experienced no emesis and those with at least one episode of emesis (0.97 morphine equivale...
Source: Plastic and Reconstructive Surgery - November 30, 2022 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research
Discussion: Longitudinal Outpatient and School-Based Service Use among Children with Nonsyndromic Craniosynostosis
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - November 30, 2022 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research
Longitudinal Outpatient and School-Based Service Use among Children with Nonsyndromic Craniosynostosis
This study assessed the prevalence of such services among children surgically treated for nonsyndromic craniosynostosis and identified predictors of service use.
Methods:
Parents of children with nonsyndromic craniosynostosis were recruited from an online craniosynostosis support network and surveyed regarding their child’s use of various outpatient and school-based services. Multiple stepwise regression was performed to identify predictive variables for each type of intervention.
Results:
A total of 100 surveys were completed. Of these, 45 percent of parents reported use of one or more outpatient support s...
Source: Plastic and Reconstructive Surgery - November 30, 2022 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research
Long-Term Outcomes of Arthroscope-Assisted Bone–Ligament–Bone Reconstruction for Nonstatic Scapholunate Ligament Injury
Conclusions:
The proposed technique for scapholunate reconstruction, providing a biologic reconstruction of both the volar and dorsal portion of the scapholunate ligament and avoiding extensive capsulotomy, obtained significant functional outcomes improvement that was maintained over time and prevented degenerative changes to the articular surfaces.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, IV. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - November 30, 2022 Category: Cosmetic Surgery Tags: Hand/Peripheral Nerve: Original Articles Source Type: research
A New Standardized Clinical Model for Evaluation of Nerve Guides: A Single-Blinded Randomized Controlled Prospective Study
Conclusions:
The distal sural nerve biopsy can be used as a baseline model to evaluate peripheral nerve regeneration. Newly developed nerve guides could be tested in other unpredictable and challenging clinical peripheral nerve lesions.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, II. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - November 30, 2022 Category: Cosmetic Surgery Tags: Hand/Peripheral Nerve: Original Articles Source Type: research
Patient Perspectives after Trapeziectomy and Ligament Reconstruction Tendon Interposition: A Qualitative Analysis
Conclusions:
Preoperative counseling is of vital importance to set patient expectations in terms of overall expected outcomes, but also regarding early limitations, expectations, and overall recovery length. These themes have influenced how we counsel our patients about recovery after thumb carpometacarpal surgery and may help other surgeons identify areas for improvement in their discussions with patients. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - November 30, 2022 Category: Cosmetic Surgery Tags: Hand/Peripheral Nerve: Original Articles Source Type: research
A Quality Collaborative Study of the Concordance of Electrodiagnostic Scores and Clinical Severity in Carpal Tunnel Syndrome
Conclusions:
Wide practice-level variation underscores the variability in diagnostic testing accuracy. Physicians should consider patient characteristics (e.g., sex, age, body mass index) when assessing carpal tunnel syndrome severity.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Diagnostic, II. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - November 30, 2022 Category: Cosmetic Surgery Tags: Hand/Peripheral Nerve: Original Articles Source Type: research
Short-Term Administration of HIV Protease Inhibitor Saquinavir Improves Skull Bone Healing with Enhanced Osteoclastogenesis
Conclusion:
The improved skull bone repair following short-term saquinavir treatment may involve enhanced osteoclastogenesis and modulated inflammatory response following skull injury.
Clinical Relevance Statement:
The authors’ work demonstrates improved skull bone healing by short-term application of saquinavir, a drug traditionally used in the treatment of acquired immunodeficiency syndrome. As such, saquinavir may be repurposed for skeletal repair. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - November 30, 2022 Category: Cosmetic Surgery Tags: Experimental Source Type: research
Regional-Controlled Tissue Expanders Increase Skin Expansion and Thickness Compared to Standard Tissue Expanders in a Rat Model
Background:
Skin and soft-tissue expansion are widely used. However, the existing methods cannot expand targeted areas on the top flap. Thus, the authors developed a new expander with a partially thickened top. The authors hypothesized that pressure differences would lead to higher growth near nonthickened regions and lower growth near thickened regions, allowing targeted expansion.
Methods:
Eighteen male Sprague Dawley rats (8 weeks old) were used; 20-ml rectangular regional-controlled expanders (n = 12) and ordinary expanders (n = 6) were implanted. Flaps on regional-controlled expanders were divided into nont...
Source: Plastic and Reconstructive Surgery - November 30, 2022 Category: Cosmetic Surgery Tags: Experimental Source Type: research
Use of the Novel Hourglass Shaping Sutures to Create a Natural Middle Vault Shape as Illustrated by Three-Dimensional Modeling
Summary:
The middle vault plays a major aesthetic and functional role. Excessive narrowing of the middle vault can occur in the absence of appropriate middle vault reconstruction. This can result in both aesthetic flaws and functional issues. Spreader flaps combined with our hourglass shaping sutures technique yield a natural middle vault appearance and prevent unwanted functional and aesthetic complications. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - November 30, 2022 Category: Cosmetic Surgery Tags: Cosmetic: Video Source Type: research
Rhinoplasty in the COVID-19 Era: Practice and Safety Considerations
This article describes simple preventative strategies at a single institution to minimize the risk of disease transmission during rhinoplasty procedures. In particular, the utility of povidone-iodine in prophylaxis during the perioperative period is discussed. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - November 30, 2022 Category: Cosmetic Surgery Tags: Cosmetic: Special Topic Source Type: research
The Objective Buttocks Assessment Scale: A New and Complete Method to Assess the Gluteal Region
Conclusion:
Consistent outcomes between raters and by individual raters at two time points confirm the reliability of the Objective Buttocks Assessment Scale in female patients and suggest it will be a valuable tool for use in research and clinical practice. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - November 30, 2022 Category: Cosmetic Surgery Tags: Cosmetic: Original Articles Source Type: research
Decision-Making Algorithm for Advanced Excisional Body Contouring: Dynamic Definition Solutions for Skin Laxity
Conclusions:
This algorithm helped the authors choose the best excisional technique based on patients’ anatomical features by following skin geometry to enhance aesthetic outcomes. Further studies are needed to support the algorithm validation and aesthetic outcomes.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, IV. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - November 30, 2022 Category: Cosmetic Surgery Tags: Cosmetic: Original Articles Source Type: research
Effectiveness of Botulinum Toxin Type A Injection on Scars: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Background:
Scars can cause pain, long-term physical dysfunction, and psychological harm. Botulinum toxin type A (BoNT-A) is one treatment choice for scars, but further evidence is needed to confirm its efficacy.
Methods:
This systematic review included randomized controlled trials that investigated the effectiveness of BoNT-A on scars. The mean and standard deviation for the Vancouver Scar Scale, Stony Brook Scar Evaluation Scale, visual analog scale for appearance evaluation, visual analog scale for scar pain evaluation, and scar width were extracted for subgroup analysis.
Results:
Twenty-one randomized...
Source: Plastic and Reconstructive Surgery - November 30, 2022 Category: Cosmetic Surgery Tags: Cosmetic: Original Articles Source Type: research
Facial Scars: Do Position and Orientation Matter?
Conclusions:
On average, a single well-healed facial scar does not negatively affect first impressions of attractiveness, confidence, or friendliness. Specific scar location and orientation combinations, however, such as a perpendicular scar at the mid-lower eyelid, may result in lower perceived attractiveness, confidence, and friendliness.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Risk, III. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - November 30, 2022 Category: Cosmetic Surgery Tags: Cosmetic: Original Articles Source Type: research
