Virtual Planning and 3D Printing in the Management of Acute Orbital Fractures and Post-Traumatic Deformities
This article summarizes the traditional surgical management of orbital fractures and reviews advances in VSP and 3D printing in this field. It also discusses the use of in-house (point-of-care) VSP and 3D printing to further advance care of acute orbital trauma and posttraumatic deformities. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - December 7, 2022 Category: Cosmetic Surgery Authors: Sharaf, Basel Leon, Daniel E. Wagner, Lilly Morris, Jonathan M. Salinas, Cristina A. Tags: Review Article Source Type: research

Establishing a Point-of-Care Virtual Planning and 3D Printing Program
Semin Plast Surg 2022; 36: 133-148 DOI: 10.1055/s-0042-1754351Virtual surgical planning (VSP) and three-dimensional (3D) printing have become a standard of care at our institution, transforming the surgical care of complex patients. Patient-specific, anatomic models and surgical guides are clinically used to improve multidisciplinary communication, presurgical planning, intraoperative guidance, and the patient informed consent. Recent innovations have allowed both VSP and 3D printing to become more accessible to various sized hospital systems. Insourcing such work has several advantages including quicker turnaround times a...
Source: Seminars in Plastic Surgery - December 7, 2022 Category: Cosmetic Surgery Authors: Sears, Victoria A. Morris, Jonathan M. Tags: Review Article Source Type: research

Advances in Virtual Surgical Planning and Three-Dimensional Printing in Facial Reconstruction and Aesthetic Surgery
Semin Plast Surg 2022; 36: 132-132 DOI: 10.1055/s-0042-1757565 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - December 7, 2022 Category: Cosmetic Surgery Authors: Sharaf, Basel Mardini, Samir Tags: Preface Source Type: research

Samir Mardini, MD, and Basel Sharaf, MD, DDS, FACS
Semin Plast Surg 2022; 36: 131-131 DOI: 10.1055/s-0042-1757564 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - December 7, 2022 Category: Cosmetic Surgery Authors: Buchanan, Edward P. Tags: Introduction to the Guest Editors Source Type: research

Management of the Failing Flap
Semin Plast Surg DOI: 10.1055/s-0042-1759563Free tissue transfer has become the reconstructive modality of choice for replacing composite tissue defects. While the success rate in high-volume centers is reported to be greater than 95%, up to 10% of patients will require revision of their vascular anastomosis secondary to thrombosis or compromise to flow. In the intraoperative setting, immediate revision is successful in the majority of cases. Rarely, the flap cannot be revascularized and a secondary option must be used. In the perioperative setting revision is successful if the patient can be brought back to the operating ...
Source: Seminars in Plastic Surgery - December 3, 2022 Category: Cosmetic Surgery Authors: Slijepcevic, Allison A. Yang, Sara Petrisor, Daniel Chandra, Srinivasa R. Wax, Mark K. Tags: Review Article Source Type: research

The Management of Salivary Fistulas
Semin Plast Surg DOI: 10.1055/s-0042-1759561Postoperative salivary fistula is an especially undesirable complication because it can be difficult to address, may delay postoperative radiation, and always delays enteral nutrition. Patients who are malnourished, have already undergone radiotherapy, or are hypothyroid are at higher risk of developing this problem. Conservative measures work in most patients, but a significant percentage of patients require intervention beyond pressure dressings and tincture of time. Medications, hyperbaric oxygen therapy, and surgical intervention may be required when fistulas do not heal in a...
Source: Seminars in Plastic Surgery - December 3, 2022 Category: Cosmetic Surgery Authors: Belcastro, Alexandra Reed, William Puscas, Liana Tags: Review Article Source Type: research

Great Toe Transplantation
Semin Plast Surg DOI: 10.1055/s-0042-1758689Despite being relatively uncommon in the general population, thumb amputations cause severe disability. More than 3,300 thumb amputations occurred in the United States. The thumb makes up around 40% of the function of the hand. Therefore, losing it would result in significant medical, hospital, and societal costs. Thumb reconstruction surgery's primary goal is to restore grip strength, including the range of motion, fine and tripod pinch, power grasp, strength, and sensibility, while secondary goals include restoring hand aesthetics. In cases of thumb replantation, like-for-like ...
Source: Seminars in Plastic Surgery - November 21, 2022 Category: Cosmetic Surgery Authors: Forte, Antonio J. Maita, Karla C. Torres-Guzman, Ricardo A. Avila, Francisco R. Safa, Bauback Buncke, Gregory Buntic, Rudolph Watt, Andrew Tags: Review Article Source Type: research

Approach to Lymphedema Management
This article provides a summary of our approach in the assessment and management of the lymphedema patient, including detailed intraoperative photography and imaging, in addition to advanced technical considerations in physiologic reconstruction. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - November 16, 2022 Category: Cosmetic Surgery Authors: Lin, Walter C. Safa, Bauback Buntic, Rudolf F. Tags: Review Article Source Type: research

Approach to Complex Lower Extremity Reconstruction
Semin Plast Surg DOI: 10.1055/s-0042-1758205Composite injuries to the lower extremity from etiologies including trauma and infection present a complex dilemma for the reconstructive surgeon, and require multidisciplinary collaboration amongst plastic, vascular, and orthopaedic surgical specialties. Here we present our algorithm for lower-extremity reconstructive management, refined over the last decades to provide an optimized outcome for our patients. Reconstruction is predicated on the establishment of a clean and living wound, where quality of the wound-bed is prioritized over timing to soft-tissue coverage. Once establ...
Source: Seminars in Plastic Surgery - November 16, 2022 Category: Cosmetic Surgery Authors: Cholok, David Saberski, Ean Lowenberg, David W. Tags: Review Article Source Type: research

Microsurgical Gender Affirmation Surgery
Semin Plast Surg DOI: 10.1055/s-0042-1758226Phalloplasty in the female to male transgender patient is a complex operation aimed at creating a functional and aesthetic phallus, external genitalia, and perineum. Functional goals include standing micturition and sexual function with erogenous and tactile sensation as well as the ability to participate in penetrative intercourse. Functional genital reconstruction relies on creating of a fully lengthened urethra from local tissues as well as the provision for additional length via tissue transplantation. This manuscript will review techniques for the creation of perineal urethr...
Source: Seminars in Plastic Surgery - November 11, 2022 Category: Cosmetic Surgery Authors: Watt, Andrew J. Safa, Bauback Chen, Mang L. Tags: Review Article Source Type: research

Approach to Complex Upper Extremity Reconstruction
This article addressed these overall clinical considerations and details the approach taken at the Buncke Clinic including replantation and revascularization as well as osseous and soft tissue reconstruction. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - November 4, 2022 Category: Cosmetic Surgery Authors: Li, Alexander Y. Watt, Andrew J. Tags: Review Article Source Type: research

Virtual Surgical Planning in Free Tissue Transfer for Orbito-Maxillary Reconstruction
Semin Plast Surg DOI: 10.1055/s-0042-1754386Since its introduction, virtual surgical planning (VSP) has been rapidly adopted as a part of reconstructive surgeon's armamentarium. VSP allows reconstructive surgeons to simulate resection, plan osteotomies, and design custom plates. These unique advantages have been especially beneficial for head and neck reconstructive surgeons as there is small room for error and high technical demand in head and neck reconstruction. Despite its popularity, most surgeons have limited experience in using VSP for orbito-maxillary reconstruction as tumors that involve the midface are relatively...
Source: Seminars in Plastic Surgery - August 31, 2022 Category: Cosmetic Surgery Authors: Cho, Min-Jeong Hanasono, Matthew M. Tags: Review Article Source Type: research

The Impact of the Syrian Civil War on One Department in an Israeli Hospital
Semin Plast Surg 2022; 36: 107-112 DOI: 10.1055/s-0042-1749105During the Syrian civil war, Syrian refugees crossed the Israeli border to receive medical treatment. During this time, Galilee Medical Center (GMC) became the main center for multidisciplinary treatment of these war-wounded patients. This retrospective study compares the demographics of local Israeli and refugee Syrian patients, as well as the volume and types of procedures each group received over a 5-year period. From January 2013 to December 2017, 963 unique patients underwent 1,751 procedures in the GMC Plastic Surgery Department. Of these patients, 176 wer...
Source: Seminars in Plastic Surgery - August 4, 2022 Category: Cosmetic Surgery Authors: Sagi, Omer I. Ohana, Nissan Appel, Richard Kogan, Leonid Tags: Review Article Source Type: research

Burns in Israel: Etiologic, Demographic, and Clinical trends —A 9-Year Updated Comprehensive Study, 2004–2010 versus 2011–2019
Semin Plast Surg 2022; 36: 066-074 DOI: 10.1055/s-0042-1749094Based on the Israeli National Trauma Registry (INTR) data, this study reports etiological, demographic, and clinical trends and includes all admissions to burn and trauma centers across Israel from 2011 to 2019 and compares these with 2004 to 2010 rates. From 2011 to 2019, 5,710 patients were admitted to burn centers across Israel. Children aged 0 to 1 years (25.9%), non-Jews (40.7%), and males (67.2%) remain the main groups of the burn casualties. Most of the casualties sustained 1 to 9% total body surface area (TBSA) burns with various depths. Scalds were less...
Source: Seminars in Plastic Surgery - August 4, 2022 Category: Cosmetic Surgery Authors: Cohen-Manheim, Irit Harats, Moti Goldman, Sharon Beylin, Dmitry Haik, Josef Bodas, Moran Givon, Adi Kornhaber, Rachel Hayun, Yehiel Cleary, Michelle Hilewitz, Daniel Tessone, Ariel Tags: Review Article Source Type: research

Asaf Olshinka, MD
Semin Plast Surg 2022; 36: 053-053 DOI: 10.1055/s-0042-1749381 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - August 4, 2022 Category: Cosmetic Surgery Authors: Buchanan, Edward P. Tags: Introduction to the Guest Editor Source Type: research