British Association of Plastic Surgeons

 British Association of Plastic Surgeons

Meta-analysis on the comparative efficacy of drains, progressive tension sutures and subscarpal fat preservation in reducing complications of abdominoplasty

Publication date: Available online 1 February 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Weiguang Ho, Christopher D Jones, Elizabeth Pitt, Marc-James HallamAbstractIntroductionAbdominoplasty is a popular aesthetic operation. Complication rates vary from 4-80%. To date, there is a lack of evidence for complication-reducing techniques. The aim of this meta-analysis was to summarise and quantify the effects of these techniques on complication rates and determine...

British Association of Plastic Surgeons

Sat Feb 01, 2020 14:08

Robotic-Assisted Latissimus Dorsi Muscle Flap for Autologous Chest Reconstruction in Poland Syndrome

Publication date: Available online 31 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): K.C. Moon, H.D. Yeo, E.S. Yoon, B.I. Lee, S.H. Park, J.H. Chung, H.C. LeeAbstractBackgroundSince chest reconstructions in Poland syndrome are performed for patients at young ages, patients are generally concerned about conspicuous scars. Meanwhile, a robotic-assisted latissimus dorsi (LD) muscle harvest with inconspicuous scars has been performed for autologous breast reconstruction....

British Association of Plastic Surgeons

Sat Feb 01, 2020 14:08

The value of letters to the editor; medical students' perspective

Publication date: Available online 31 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Haris Shoaib, Mohammad S.A. Amin

British Association of Plastic Surgeons

Fri Jan 31, 2020 18:52

One-stage free transfer of latissimus dorsi-serratus anterior combined muscle flap with dual innervation for smile reanimation in established facial paralysis

Publication date: Available online 31 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Yorikatsu Watanabe, Takahiro Yamamoto, Hirai Rintarou, Ryo Sasaki, Kaori Agawa, Tanetaka AkizukiAbstractMicroneurovascular free muscle transfer is the gold-standard surgical procedure for the reanimation of established facial paralysis. However, the innervation of the transferred muscle by the contralateral facial nerve is usually insufficient to produce a stable smile. Besides,...

British Association of Plastic Surgeons

Fri Jan 31, 2020 18:52

Response to letter: The muscle sparing latissimus dorsi (MSLD) flap for secondary breast reconstruction based on reverse flow from intercostal vessels.”

Publication date: Available online 30 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Aniket K Sakharpe, Jonathan Cook, Martin Newman, Yoav Barnavon

British Association of Plastic Surgeons

Thu Jan 30, 2020 17:02

Surgery for Lower Extremity Symptomatic Neuroma: Long-term Outcomes

Publication date: Available online 23 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Navapong Anantavorasakul, Jonathan Lans, Arno Macken, Ravi F. Sood, Neal C. Chen, Kyle R. EberlinSummaryIntroductionTraumatic neuroma caused by injuries or surgery can result in neuropathic pain, functional impairment and psychological distress, which has an impact on quality of life. The aim of this study was to identify the factors related to successful treatment of symptomatic...

British Association of Plastic Surgeons

Fri Jan 24, 2020 16:39

SCIP Flap In High-Risk Extremity Reconstruction: Anatomical Study of additional superficial Venous Patterns and Implications in Caucasian Patients.

Publication date: Available online 23 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Cristian Carrasco Lopez, Carmen Higueras Suñe, Jordi Vila-Poyatos, Oihane Garcia Senosian, David Priego, Maria Del Rio, Paloma Malagon, Lia Huesa, Francisco Reina-de-la-Torre, Ana Carrera-Burgaya

British Association of Plastic Surgeons

Fri Jan 24, 2020 16:39

Breast Reduction with Deskinning of a Superomedial Pedicle: A Retrospective Cohort Study

Publication date: Available online 23 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Andreas Larsen, Mathilde N. Hemmingsen, Mathias Ørholt, Peter Stemann Andersen, Faye Sarmady, Jens Jørgen Elberg, Peter V. Vester-Glowinski, Mikkel HerlySummaryBackgroundIn most breast reduction techniques the pedicle of the nipple-areola-complex (NAC) is de-epithelialized to preserve the subdermal plexus, thereby decreasing the risk of NAC necrosis. However, deskinning the...

British Association of Plastic Surgeons

Fri Jan 24, 2020 16:39

Pigmented border of the toe as a consistent landmark to the digital nerve

Publication date: Available online 23 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Y. Mathangasinghe, U.M.J.E. Samaranayake, H.S.T.M. Maddumaarachchi, A.P. Malalasekera, D.J. Anthony

British Association of Plastic Surgeons

Fri Jan 24, 2020 16:39

Clinical impact of DIEP Flap Perforator Characteristics – A Prospective Indocyanine Green Fluorescence Imaging Study

Publication date: Available online 23 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Alexandra M. Anker, Lukas Prantl, Catharina Strauss, Vanessa Brébant, Magnus Baringer, Marc Ruewe, Jody Vykoukal, Silvan M. KleinSummaryBackgroundThe question to what extent perfusion in Deep-inferior-epigastric-perforator (DIEP) flaps depends on specific perforator characteristics has been raised. Anatomical studies and previous clinical trials focusing on DIEP flap perfusion...

British Association of Plastic Surgeons

Fri Jan 24, 2020 16:39

A comparison of the wound healing process after application of three dermal substitutes with or without basic fibroblast growth factor impregnation in diabetic mice

Publication date: Available online 23 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Sharon Claudia Notodihardjo, Naoki Morimoto, Maria Chiara Munisso, Tien Minh Le, Toshihito Mitsui, Natsuko Kakudo, Kenji KusumotoSummaryPelnac Gplus®, Integra® and Terudermis® are approved artificial dermis products in Japan. Previously, we proved that Pelnac Gplus® was able to sustain basic fibroblast growth factor (bFGF) and accelerated wound healing by releasing impregnated...

British Association of Plastic Surgeons

Thu Jan 23, 2020 15:56

Successful Same Day Discharge After Immediate Post-Mastectomy Alloplastic Breast Reconstruction: A Single Tertiary Centre Retrospective Audit

Publication date: Available online 22 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Paul J. Oxley, Carlyn McNeely, Rhonda Janzen, Rizwan A. Mian, Adrian T. Lee, Amera Murabit, Peiwei Wang, David McNeelyABSTRACTBACKGROUNDImmediate Post Mastectomy Alloplastic Breast Reconstruction (IPMABR) traditionally requires a post-operative overnight stay. Recent initiatives have identified same day discharge as a safe option.METHODSA retrospective audit of all cases...

British Association of Plastic Surgeons

Thu Jan 23, 2020 15:56

UV nail lamps, is there a malignancy risk? A review of the literature

Publication date: Available online 22 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Alexandra Khoury, Katie Young, Jennifer O'Neill

British Association of Plastic Surgeons

Tue Feb 04, 2020 20:01

The Short Scar Three Block L Wing Technique

Publication date: Available online 22 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Norbert Pallua, Bong-Sung Kim, Danmon O'DeyAbstractIntroductionNumerous techniques have been proposed for the plastic surgical treatment of hypertrophic breasts. Challenges of the procedure include the preservation of vascular supply and sensitivity of the nipple areola complex (NAC), breast feeding, and an aesthetically pleasing result.ObjectivesIn the present preliminary...

British Association of Plastic Surgeons

Wed Jan 22, 2020 15:09

The “Patent-Lumen” Vein Graft Harvesting Technique in Free Flap Reconstruction

Publication date: Available online 22 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Eli Saleh, Mihiran Karunanayake, Alexander Govshievich, André Chollet

British Association of Plastic Surgeons

Wed Jan 22, 2020 15:09

The Influence of Contralateral Breast Augmentation on the Development of Complications in Direct-to-Implant Breast Reconstruction

Publication date: Available online 22 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Bo Young Park, Seung Eun Hong, Min Ki Hong, Kyong-Je WooABSTRACTBackgroundSimultaneous contralateral augmentation in direct-to-implant (DTI) breast reconstruction may increase the risk of skin flap necrosis on the reconstruction side due to increased tension on the skin flap when implants are larger than the original breast size. The purpose of this study was to evaluate...

British Association of Plastic Surgeons

Wed Jan 22, 2020 15:09

Topical Nitroglycerin is Associated with a Reduced Mastectomy Skin Flap Necrosis- Systematic Review and Meta-analysis: Nitroglycerin and Mastectomy Skin Flap Necrosis

Publication date: Available online 22 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Rachel Vania, Raymond Pranata, Denny Irwansyah, BudimanAbstractIntroductionThe flap necrosis rate remains high despite the advancement of technology in daily practices. Several randomized trials of topical Nitroglycerin (NTG) have shown promise in reducing flap necrosis. We aim to evaluate the efficacy and safety of topical NTG in preventing flap failure based on existing...

British Association of Plastic Surgeons

Wed Jan 22, 2020 15:09

Nerve decompression according to A.L. Dellon in Morton neuroma - A retrospective analysis

Publication date: Available online 22 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Madeleine Mischitz, Stefan Zeitlinger, Johannes Mischlinger, Matthias RabAbstractBackgroundFirst reported by Dellon et al. in 1992, nerve decompression by dissecting the deep transversal intermetatarsal ligament through a dorsal incision appears to be an reliable method for treating Morton's neuroma by addressing its underlying pathomechanism, since it should rather be considered...

British Association of Plastic Surgeons

Wed Jan 22, 2020 15:09

The Temporalis Muscle and Its Relationship to the Accessory Attachments and the Main Pedicle – A Cadaveric Study

Publication date: Available online 22 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Ines Prasidha, Apresh Singla, Thampi Rawther, Quan NgoSummaryLengthening temporalis myoplasty, described by Daniel Labbe in 1997, is a facial reanimation procedure for the treatment of facial nerve palsy. It involves mobilization of the temporalis muscle antero-inferiorly, and insertion of its tendon at the nasolabial fold-oral commissure region. Knowledge of the temporalis...

British Association of Plastic Surgeons

Wed Jan 22, 2020 15:09

Lymphovenous Anastomosis Using the Venous Coupler

Publication date: Available online 22 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Geoffroy C. Sisk, John W. Shuck, Mariela Lopez, Edward I. Chang

British Association of Plastic Surgeons

Wed Jan 22, 2020 15:09

The Island-Type Pedicled TRAM Flap: Improvement of the Aesthetic Outcomes of Breast Reconstruction

Publication date: Available online 22 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Jung Soo Yoon, Jeongseok Oh, Min Sung Chung, Hee Chang AhnSummaryBackgroundThe pedicled transverse rectus abdominis myocutaneous flap (TRAM) remains an effective and widely-used method for breast reconstruction despite well-documented donor-site morbidity. We present the island-type pedicled TRAM flap as a way to obtain better and more reliable outcomes in breast reconstruction.MethodsA...

British Association of Plastic Surgeons

Wed Jan 22, 2020 15:09

Location of the split line of the deep temporal fascia for when reducing a zygomatic arch fracture

Publication date: Available online 21 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Jung-Ah Park, Shin-Hyo Lee, Tae-Jun Ha, Je-Sung Lee, Hye-In Lee, Soon-Heum Kim, Ki-Seok Koh, Wu-Chul SongSummaryBackgroundThe deep temporal fascia is known to separate into two layers that descend to attach to the zygomatic arch. When surgeons reduce an isolated fracture of the zygomatic arch via a temporal approach, the temporal incision site needs be superior to the split...

British Association of Plastic Surgeons

Wed Jan 22, 2020 15:09

A Novel Approach to Sensory Re-innervation to the Nipple Areolar Complex after Mastectomy with Implant-Based Reconstruction: Anatomic and Technical Considerations

Publication date: Available online 21 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Risal Djohan, Rebecca Knackstedt, Isis Scomacao, Cagri Cakmakoglu, Erin Kelly Downs, Stephen R. Grobmyer

British Association of Plastic Surgeons

Wed Jan 22, 2020 15:09

Nasal Columella reconstruction – A comprehensive review of the current techniques

Publication date: Available online 21 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Jake Nowicki, Jonathan R Abbas, Danny Sudbury, Shahram AnariAbstractThe nasal columella is often described as being one of the most difficult nasal subunits to reconstruct. There are a wide range of indications for columella reconstruction, with defects resulting from ischemic injuries, trauma, tumour resection, vascular malformations and congenital agenesis/dysgenesis of...

British Association of Plastic Surgeons

Wed Jan 22, 2020 15:09

Use of cannulated compression screws for skeletal stabilisation during digital re-vascularisation

Publication date: Available online 21 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Dariush Nikkhah, Juan Enrique Berner, Mark Pickford

British Association of Plastic Surgeons

Wed Jan 22, 2020 15:09

Ipsilateral Transnasal Medial Canthopexy to Correct Secondary Telecanthus after Naso-orbito-ethmoid fracture

Publication date: Available online 21 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Yu-Ying Chu, Elva Lim, Han-Tsung LiaoSUMMARYBackgroundTelecanthus results from medial canthal tendon (MCT) disruption, which can result from traumatic nasoorbitoethmoid (NOE) fractures. Several methods, using different anchoring materials, incision approaches, or fixation positions, have been proposed for MCT reconstruction. Herein, we report our experience in treating MCT...

British Association of Plastic Surgeons

Wed Jan 22, 2020 15:09

Outcomes of Bone Morphogenetic Protein-2 and iliac cancellous bone transplantation on alveolar cleft bone grafting: A Meta-Analysis

Publication date: Available online 21 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Wen-lin Xiao, Kai-ning Jia, Guo Yu, Ning ZhaoAbstractBackgroundTo systematically evaluate the effect of bone morphogenetic protein-2 (BMP-2) and iliac cancellous bone graft (ICBG) on alveolar cleft bone grafting (ACBG) in cleft lip and palate.MethodOnline databases were searched for case-control studies related to the application of BMP-2 and ICBG in ACBG.ResultMeta-analysis...

British Association of Plastic Surgeons

Wed Jan 22, 2020 15:09

The Lymphatic Flow-Through (LyFT) flap: Proof of concept of an original approach

Publication date: Available online 21 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Pietro G. di Summa, D. Guillier

British Association of Plastic Surgeons

Fri Jan 31, 2020 18:52

A survey of current burns knowledge in UK undergraduate medical students

Publication date: Available online 21 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): J. Moorby, S. Hassan, A. McMillan, M.U. Anwar, P. MuthayyaSummaryIn recent years the undergraduate medical curriculum in the United Kingdom has undergone significant reshaping to reflect the primary and holistic care needs of today's society. Subspecialty interests; such as burns care and reconstruction, are now infrequently represented in the formal teaching programme1,...

British Association of Plastic Surgeons

Fri Jan 31, 2020 18:52

Vertical enlargement of the palpebral aperture by surgical modification of the lower eyelid: a new cosmetic option for Chinese patients

Publication date: Available online 21 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Jianxun Ma, Hengju Lin, Bailin Pan, Hongyu XueSummaryBackgroundThe distinctive features of Oriental eyes are narrow palpebral aperture and up-slanting lower eyelid margin, which are not in accordance with modern appreciation of the beauty. Although many ophthalmic plastic procedures have been designed to change the characteristic appearance, the methods to enlarge the palpebral...

British Association of Plastic Surgeons

Wed Jan 22, 2020 15:09

"The End Game- A Quantitative Assessment Tool for Anastomoses in Simulated Microsurgery”

Publication date: Available online 21 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Eunsol Kim, Irena C.F. Norman, Simon Myers, Masha Singh, Ali GhanemSummaryWith the move towards increased simulation based microsurgical training and emphasis on the declining usage of animal models, there is a need for an objective method to evaluate the microvascular anastomoses in a non-living, simulated microsurgical training environment. Our aim was to create a validated...

British Association of Plastic Surgeons

Wed Jan 22, 2020 15:09

Multi-lymphosome injection indocyanine green lymphography can detect more lymphatic vessels than lymphoscintigraphy in lymphedematous limbs

Publication date: Available online 21 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Hisako Hara, Makoto MiharaAbstractBackground: Sometimes, injecting ICG or isotope at distal limbs is insufficient especially in the cases with low lymphatic function. The purpose of this study was to elucidate the usefulness of multi-lymphosome injection ICG lymphography.Methods: Two-hundred and six lower limbs of 103 patients were included. ICG lymphography was performed...

British Association of Plastic Surgeons

Wed Jan 22, 2020 15:09

Neuroma Formation following Fascicular Turnover Flap Nerve Repair

Publication date: Available online 20 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Yoshitsugu Hattori, Shuji Yamashita, Kiichi Furuse, Yuya Morishita, Takuya IidaAbstractFascicular turnover flap is a viable option for nerve gap repair. This method's advantages include the needlessness of additional nerve sacrifice as well as the possibility to reconstruct a nerve gap with well-vascularised nerve; its utility has been described both experimentally and clinically.Nonetheless,...

British Association of Plastic Surgeons

Tue Jan 21, 2020 14:02

A systematic review of functional outcomes after nerve reconstruction in extremity soft tissue sarcomas: a need for general implementation in the armamentarium.

Publication date: Available online 20 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Enrico Martin, Max J. Dullaart, Cornelis Verhoef, J. Henk CoertSummaryResection of nerves in extremity soft tissue sarcomas (STS) can lead to large functional deficits. Nerve reconstructions are rarely performed and little is known on their outcomes and indications for their use even though they are essential in restoring sensation in limb salvage procedures. This study investigated...

British Association of Plastic Surgeons

Tue Jan 21, 2020 14:02

Risk of Breast Implant Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) in a Cohort of 3546 Women Prospectively Followed Long Term After Reconstruction with Textured Breast Implants

Publication date: Available online 20 January 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Peter G. Cordeiro, Paola Ghione, Andy Ni, Qunying Hu, Nivetha Ganesan, Natasha Galasso, Ahmet Dogan, Steven M. HorwitzABSTRACTBackground: The risk of BIA-ALCL for patients with textured breast implants has been estimated between 1/2832 and 1/30,000 women. Existing studies estimating the numbers exposed and at risk, may have under reported cases, and/or lacked comprehensive...

British Association of Plastic Surgeons

Tue Jan 21, 2020 14:02

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