Technical Refinements with the Use of Biologic Healing Agents
Semin Plast Surg DOI: 10.1055/s-0042-1742749Soft tissue defects resulting from trauma, vascular disease, burns, and postoncologic resections require reconstructive surgery for appropriate wound coverage and support. Dermal substitutes have been applied to a vast array of reconstructive settings across nearly all anatomical areas with demonstrable success. However, they require meticulous handling and operative technical expertise to optimize management of these soft tissue defects. In this review, we will address three dermal substitutes, their operative techniques, and their surgical applications. [...] Thieme Medical Pub...
Source: Seminars in Plastic Surgery - February 25, 2022 Category: Cosmetic Surgery Authors: Dibbs, Rami P. Depani, Monal Thornton, James F. Tags: Review Article Source Type: research
Overview of Biologic Agents Used in Skin and Soft Tissue Reconstruction
Semin Plast Surg DOI: 10.1055/s-0042-1742736Wound healing is a highly complex process mediated by cellular interactions at the microscopic level. Increased understanding of wound healing physiology has served as the foundation for translational research to develop biologic wound care technologies that have profoundly affected patient care. As the reader will see throughout this series in Seminars in Plastic Surgery, biologic wound technologies have broad applications and have greatly impacted the reconstructive ladder. Despite their frequent use, many surgeons lack familiarity with the myriad of products available on the m...
Source: Seminars in Plastic Surgery - February 15, 2022 Category: Cosmetic Surgery Authors: Parham, Matthew J. Grush, Andrew E. Smerica, Abel Wen, Y. Edward Depani, Monal Ferry, Andrew M. Jones, Lloyd M. Thornton, James F. Tags: Review Article Source Type: research
Use of Biologic Agents for Lip and Cheek Reconstruction
Semin Plast Surg DOI: 10.1055/s-0042-1742747The unique requirements of reconstructing cheek defects, often with its proximity to the mobile elements of the face including the lip and the eyelid, have been met very handily with the directed and thoughtful use of biologic wound healing agents. One of the key advantages of these agents is their ability to provide coverage for the mobile elements of the cheek and the lip in patients with multiple co-morbidities. These agents are successfully used where the standard cheek closure techniques including cervicofacial advancement flap are contraindicated due to its anesthetic requi...
Source: Seminars in Plastic Surgery - February 14, 2022 Category: Cosmetic Surgery Authors: Depani, Monal Ferry, Andrew M. Grush, Andrew E. Moreno, Tanir A. Jones, Lloyd M. Thornton, James F. Tags: Review Article Source Type: research
Use of Biologic Agents for Lip and Cheek Reconstruction
Semin Plast Surg DOI: 10.1055/s-0041-1741399The unique requirements of reconstructing cheek defects, often with its proximity to the mobile elements of the face including the lip and the eyelid, have been met very handily with the directed and thoughtful use of biologic wound healing agents. One of the key advantages of these agents is their ability to provide coverage for the mobile elements of the cheek and the lip in patients with multiple co-morbidities. These agents are successfully used where the standard cheek closure techniques including cervicofacial advancement flap are contraindicated due to its anesthetic requi...
Source: Seminars in Plastic Surgery - December 31, 2021 Category: Cosmetic Surgery Authors: Depani, Monal Ferry, Andrew M. Grush, Andrew E. Moreno, Tanir A. Jones, Lloyd M. Thornton, James F. Tags: Review Article Source Type: research
The Use of Biologic Wound Healing Agents in Cheek Reconstruction
This article describes the unique indications for biologic wound agents, including preservation of lip and eyelid mobile element anatomy without retraction from a local flap, which has not been previously described. [...] 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 31, 2021 Category: Cosmetic Surgery Authors: Depani, Monal Thornton, James Tags: Review Article Source Type: research
Orbital Fractures
Semin Plast Surg 2021; 35: 269-273 DOI: 10.1055/s-0041-1735815Orbital fractures are common in facial trauma and can be a challenge to treat. Understanding anatomy of the orbit, the clinical evaluation, indications for surgery, surgical approaches, complications, and postoperative are essential in providing appropriate treatment for patients who have sustained orbital fractures. In this article, the authors review the diagnostic evaluation, acute management, treatment options, and common complications of orbital fractures, as well as recent advancements in orbital fracture repairs. [...] Thieme Medical Publishers, Inc. 333 ...
Source: Seminars in Plastic Surgery - November 19, 2021 Category: Cosmetic Surgery Authors: Zhou, Peiran Chambers, Christopher B. Tags: Review Article Source Type: research
Initial Assessment of the Facial Trauma Patient
Semin Plast Surg 2021; 35: 225-228 DOI: 10.1055/s-0041-1735817The initial evaluation of the craniofacial trauma patient must be systematic, thorough, and consistent to ensure that injuries are not missed. Life-threatening conditions are first identified using ATLS principles, and focused head and neck examination conducted by a specialist then follows. Imaging is used to guide operative planning, as many craniofacial injuries ultimately benefit from repair to prevent permanent cosmetic or functional deformity. Peri-operative care is often multi-disciplinary in nature, and specialist consultation should be performed in an e...
Source: Seminars in Plastic Surgery - November 19, 2021 Category: Cosmetic Surgery Authors: Esonu, Onyi Sardesai, Maya G. Tags: Review Article Source Type: research
The Harborview Approach to Craniofacial Trauma
Semin Plast Surg 2021; 35: 224-224 DOI: 10.1055/s-0041-1736327 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 - November 19, 2021 Category: Cosmetic Surgery Authors: Birgfeld, Craig Tags: Preface Source Type: research
Craig Birgfeld, MD, FACS
Semin Plast Surg 2021; 35: 223-223 DOI: 10.1055/s-0041-1736326 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 - November 19, 2021 Category: Cosmetic Surgery Authors: Buchanan, Edward P. Tags: Introduction to the Guest Editor Source Type: research
Mandibular Fractures: Diagnosis and Management
This article reviews comprehensive mandibular fracture assessment, mandibular surgical anatomy, fracture fixation principles, management considerations, and commonly encountered complications. In addition, this article reviews emerging literature examining 3-dimensional printing and intraoperative imaging. [...] 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 - October 11, 2021 Category: Cosmetic Surgery Authors: Panesar, Kanvar Susarla, Srinivas M. Tags: Review Article Source Type: research
Pediatric Facial Fractures
Semin Plast Surg DOI: 10.1055/s-0041-1736484Facial trauma is common in the pediatric population with most cases involving the soft tissue or dentoalveolar structures. Although facial fractures are relatively rare in children compared with adults, they are often associated with severe injury and can cause significant morbidity and disability. Fractures of the pediatric craniomaxillofacial skeleton must be managed with consideration for psychosocial, anatomical, growth and functional differences compared with the adult population. Although conservative management is more common in children, displaced fractures that will not ...
Source: Seminars in Plastic Surgery - October 11, 2021 Category: Cosmetic Surgery Authors: Lim, Rachel B. Hopper, Richard A. Tags: Review Article Source Type: research
Contemporary Management of Zygomaticomaxillary Complex Fractures
This article provides an updated overview of the evaluation and management of zygomaticomaxillary complex fractures based on available evidence and clinical experience at our center. The importance of soft tissue management is emphasized, and approaches to internal orbital reconstruction are discussed. While evidence remain limited, intraoperative imaging and navigation may prove to be useful adjuncts in the treatment of zygomaticomaxillary fractures. [...] 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 - October 7, 2021 Category: Cosmetic Surgery Authors: Wang, Howard D. Dillon, Jasjit Tags: Review Article Source Type: research
Frontal Sinus Fractures
Semin Plast Surg DOI: 10.1055/s-0041-1736325Management of frontal sinus fractures is controversial with no universally accepted treatment protocol. Goals of management are to correct aesthetic deformity, preserve sinus function when it is deemed salvageable, prevent sequela related to the injury, and minimize complications associated with intervention. Studies suggest that frontal sinus injuries, including disruption of the nasofrontal outflow tract (NFOT), can be managed nonoperatively in many cases. Advances in the utilization of endoscopic techniques have led to an evolution in management that reduces the need for open ...
Source: Seminars in Plastic Surgery - October 7, 2021 Category: Cosmetic Surgery Authors: Podolsky, Dale J. Moe, Kris S. Tags: Review Article Source Type: research
Management of Panfacial Trauma: Sequencing and Pitfalls
Semin Plast Surg DOI: 10.1055/s-0041-1735813Panfacial trauma refers to high-energy mechanism injuries involving two or more areas of the craniofacial skeleton, the frontal bone, the midface, and the occlusal unit. These can be distracting injuries in an unstable patient and, as in any trauma, Advanced Trauma Life Support (ATLS) protocols should be followed. The airway should be secured, bleeding controlled, and sequential examinations should take place to avoid overlooking injuries. When indicated, neurosurgery and ophthalmology should be consulted as preservation of brain, vision, and hearing function should be prioritize...
Source: Seminars in Plastic Surgery - September 23, 2021 Category: Cosmetic Surgery Authors: Massenburg, Benjamin B. Lang, Melanie S. Tags: Review Article Source Type: research
LeFort Fractures
Semin Plast Surg DOI: 10.1055/s-0041-1735816Consultations for management of facial fractures in the emergency setting are not uncommon for the oral maxillofacial surgeon, otolaryngologist, and/or plastic surgeon. This necessitates a knowledge foundation and working understanding of the evaluation, assessment, and timely management. Here, we will focus on the workup and management of LeFort fractures. [...] 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 - September 23, 2021 Category: Cosmetic Surgery Authors: Ikeda, Allison K. Burke, Andrea B. Tags: Review Article Source Type: research
