Surgical Management of Hidradenitis Suppurativa: A Two-Center Retrospective Study
Conclusions:
This large multi-institutional retrospective chart review on the plastic surgical management of hidradenitis suppurativa demonstrates that surgery is an effective therapy for hidradenitis suppurativa and captures a diversity of site-specific techniques that may serve as a foundation for future prospective studies and evidence-based guidelines for the use of various techniques to optimize patients’ surgical outcomes.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, IV. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 29, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Trunk: Original Articles Source Type: research
Twenty Years of Abdominal Wall Allotransplantation: A Systematic Review of the Short- and Long-Term Outcomes
Conclusions:
Abdominal wall allotransplantation is an important reconstructive option when abdominal wall closure is challenging and should be considered in combination with visceral organ allotransplantations. There may be potential benefit in neurotizing the abdominal wall allotransplant for functional use, and future studies should aim to include functional outcomes. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 29, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Trunk: Original Articles Source Type: research
Polylactic Acid Membrane Improves Outcome of Split-Thickness Skin Graft Donor Sites: A Prospective, Comparative, Randomized Study
Background:
Polyurethane film dressings are commonly applied for coverage of split-thickness skin graft donor sites, although previous studies have suggested reduced morbidity using a polylactic acid membrane. To further investigate the optimal treatment approach, the authors compared outcomes of donor sites in patients receiving either polylactic acid membrane or polyurethane film.
Methods:
This randomized clinical trial allocated patients requiring split-thickness skin grafting to receive either polylactic acid membrane or polyurethane film at the donor site. The primary endpoint was difference in donor-site s...
Source: Plastic and Reconstructive Surgery - October 29, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Trunk: Original Articles Source Type: research
A Novel Method of Fibula Flap In Situ Distraction Osteogenesis Prior to Flap Transfer
Conclusions:
In situ fibula distraction osteogenesis is a novel technique to prelaminate a fibula flap before transfer to the mandible. This method allows for the reconstruction of challenging mandibular defects without compromising bone height, pedicle length, or the ability to perform orthognathic surgery.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, IV. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 29, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Head and Neck: Ideas and Innovations Source Type: research
Videofluorographic Analysis of Swallowing Function after Total Glossolaryngectomy
Summary:
Surgeons have traditionally believed that swallowing is mainly dependent on gravity after total glossolaryngectomy. However, swallowing function after total glossolaryngectomy varies widely among patients, and a thorough analysis is lacking. The authors aimed to clarify the swallowing function after total glossolaryngectomy and determine whether it is primarily dependent on gravity. The authors retrospectively analyzed videofluorographic examinations of patients who underwent total glossolaryngectomy and free or pedicle flap reconstruction. The authors enrolled 20 patients (12 male; mean age, 61 years; age ran...
Source: Plastic and Reconstructive Surgery - October 29, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Head and Neck: Ideas and Innovations Source Type: research
Revisiting the Role of Occipital Artery Resection in Greater Occipital Nerve Decompression
Conclusion:
Occipital artery resection during greater occipital nerve decompression is safe and improves outcomes; therefore, it should be performed routinely.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, III. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 29, 2022 Category: Cosmetic Surgery Tags: Reconstructive: Head and Neck: Original Article Source Type: research
A 10-Year Retrospective Review of the Nonsurgical Treatment of Infant Ear Anomalies
Conclusions:
The study outcomes demonstrate that ear molding can be effective in patients as old as 22 weeks without compromising treatment duration or complexity. In addition, in the authors’ experience, molding is an effective treatment for the majority of infant ear deformities. Despite a steady increase in patient volume over the past 10 years and consistent coverage of treatment by insurance, the authors’ catchment area continues to be largely limited to affluent households.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, IV. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 29, 2022 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research
Prenatal Diagnosis of Craniosynostosis Using Ultrasound
Background:
Craniosynostosis is typically diagnosed postnatally. Prenatal diagnosis would allow for improved parental counseling and facilitate timely intervention. Our purpose was to determine whether prenatal ultrasound can be used to diagnose nonsyndromic craniosynostosis.
Methods:
The authors reviewed 22 prenatal ultrasounds of infants known to have nonsyndromic craniosynostosis and 22 age-matched controls. Cross-sectional images at the plane used to measure biparietal diameter were selected and cranial shape of each participant was parameterized and used to discriminate affected patients from controls. The ...
Source: Plastic and Reconstructive Surgery - October 29, 2022 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research
How Low Should We Go? Safety and Craniometric Impact of the Low Occipital Osteotomy in Posterior Vault Remodeling
Background:
A larger volume cranial vault expansion is likely facilitated by a low posterior cranial osteotomy beneath the torcula; however, this may impart an increased risk of venous bleeding. The authors compared the safety of infratorcular versus supratorcular osteotomy in patients undergoing posterior vault reconstruction or posterior vault distraction osteogenesis and analyzed volumetric changes.
Methods:
Patients undergoing initial posterior vault reconstruction or distraction osteogenesis between 2009 and 2021 at the authors’ institution were grouped by occipital osteotomy location and analyzed retrosp...
Source: Plastic and Reconstructive Surgery - October 29, 2022 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research
Discussion: Early Cleft Lip Repair: Demonstrating Efficacy in the First 100 Patients
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 29, 2022 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research
Early Cleft Lip Repair: Demonstrating Efficacy in the First 100 Patients
Conclusion:
Early cleft lip repair provides an efficacious method for correcting the cleft lip and nasal deformity that simulates nasoalveolar molding.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, III. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 29, 2022 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research
Needle Aponeurotomy for Stage IV Dupuytren Contracture: A Wide-Awake First Step Approach in 204 Consecutive Rays
Summary:
Severe forms of Dupuytren disease are difficult to treat. Surgical fasciectomy is often the first choice, despite its high complication rate. At times, amputation is recommended. The authors evaluated the efficacy of minimally invasive needle fasciotomy (needle aponeurotomy) as the first and only treatment for severe (stage IV) Dupuytren contracture using a retrospective chart review of a single surgeon’s consecutive experience over 8 years. A total of 204 rays from 165 patients with severe Dupuytren disease with total passive extension digit contracture of 135 degrees or greater were included in the study. ...
Source: Plastic and Reconstructive Surgery - October 29, 2022 Category: Cosmetic Surgery Tags: Hand/Peripheral Nerve: Ideas and Innovations Source Type: research
Ultrasound Findings in Patients with Normal Nerve Conduction despite Clinical Signs and Symptoms Consistent with Carpal Tunnel Syndrome
Conclusions:
Patients diagnosed clinically with carpal tunnel syndrome with normal nerve conduction study results were found to have clinically significant median nerve cross-sectional area on ultrasound (10.1 ±2.1 mm2, p (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 29, 2022 Category: Cosmetic Surgery Tags: Hand/Peripheral Nerve: Original Articles Source Type: research
Arteriovenous Malformations of the Hand: Optimizing Outcomes with Palmar Arch Reconstruction
Conclusions:
Meticulous surgical excision with microvascular reconstruction is an acceptable technique for management of symptomatic hand arteriovenous malformations. Potential soft-tissue loss does not preclude aggressive resection. Wide excision with palmar arch reconstruction minimizes complications, optimizes functionality, and may prevent ischemia that could otherwise trigger recurrence.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, IV. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 29, 2022 Category: Cosmetic Surgery Tags: Hand/Peripheral Nerve: Original Articles Source Type: research
Complications and Functional Outcomes following Trigger Finger Release: A Cohort Study of 1879 Patients
Conclusions:
This study demonstrates that trigger finger release results in improved hand function, although complications occur in 17 percent. Most complications are minor and can be treated with nonsurgical therapy, resulting in improved hand function as well. However, additional surgical treatment is required in 2 percent of patients. In addition, the authors found that change in hand function depends on the baseline score, with less improvement in patients with better baseline scores. Future studies should investigate factors that contribute to the variability in treatment outcomes following trigger finger release....
Source: Plastic and Reconstructive Surgery - October 29, 2022 Category: Cosmetic Surgery Tags: Hand/Peripheral Nerve: Original Articles Source Type: research
