Publication date: Available online 22 August 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Peter Kalu, Gregory Howgego, Ishta Sharma
Publication date: Available online 22 August 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Navid Jallali, Judith E Hunter, Francis P Henry, Simon H Wood, Katy Hogben, Ragheed Almufti, Dimitri Hadjiminas, Jonathan Dunne, Paul T.R. Thiruchelvam, Daniel R Leff
Publication date: Available online 22 August 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): M. Khan, S.H. Murphy, A.J. Durrani
Publication date: Available online 22 August 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Catherine de Blacam, Christoph Theopold, Jeffrey Dalli, David J.A. Orr, Ronan A Cahill, Dara A O'Keeffe
Publication date: Available online 22 August 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): D. Markeson, N. Freeman Romilly, M. Potter, S. Tucker, P. Kalu
Publication date: Available online 21 August 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Martin Sollie, Jørn Bo Thomsen, Jens Ahm Sørensen
Publication date: Available online 21 August 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Yannick F. Diehm, Sebastian Fischer, Emre Gazyakan, Gabriel Hundeshagen, Dimitra Kotsougiani, Florian Falkner, Ulrich Kneser, Christoph Hirche
Publication date: Available online 21 August 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Mehmet Emin Cem Yildirim, Shih-Heng Chen, Hui-Ching Weng, Seyed Abolghasem Mousavi, Hung Chi Chen
Comparing Outcomes of Post-Mastectomy Breast Reconstruction Between United States and Western Europe
Publication date: Available online 21 August 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Zachary Erlichman, Joshua Bloom, Sina Foroutanjazi, Jeffrey Aalberg, Abhishek Chatterjee
Publication date: Available online 21 August 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Miranda BH, Hughes WRM, Pinto-Lopes R, Mathur BS, Ramakrishnan VV, Sood MK, St Andrew's Collaborative
Publication date: Available online 20 August 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Kiichi Furuse, Motoi Kato, Yuya Morishita, Tomoyo Kumagai, Shuichi Nakatsukasa, Tomoyuki Kuwata
Publication date: Available online 20 August 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Hina Panchal, Devki Shukla, Shantanu N Razdan, Mahmoud El-Tamer, Evan Matros, Peter W Henderson
Publication date: Available online 20 August 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Todor K. Krastev, Sander J. Schop, Juliette Hommes, Andrzej Piatkowski, Rene R.W.J. van der Hulst
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The authors present a case series of 4 patients with facial nerve palsy who underwent a direct brow lift to correct brow ptosis, using the excised brow skin as a full-thickness skin graft to correct lower eyelid skin contracture, ectropion, and retraction. Functional outcomes were measured using the validated cornea, static asymmetry, dynamic function, synkinesis (CADS) grading system and by photographic assessment of lower eyelid height via margin reflex distance. Aesthetic outcomes were measured...
A rare case of compressive optic neuropathy due to giant mucosa-associated lymphoid tissue lymphoma in the orbit was presented. A 87-year-old woman was aware of a slow progressive left ocular proptosis for 10 years and presented after becoming aware of a sudden progression of the proptosis accompanying visual disturbance over the previous 2 months. Orbital imaging and a biopsy of the tumor revealed a mucosa-associated lymphoid tissue lymphoma occupying her left orbit compressing and stretching the...
Late-onset orbital hemorrhage is a rare complication of alloplastic implant use in orbital wall reconstruction following trauma. The authors report 3 patients with chocolate cysts presenting 3 to 9 years after orbital fracture repair with porous polyethylene implants. All patients were managed by implant removal and evacuation of cyst contents. Complete excision of the cyst was performed in 1 patient, while partial excision of the capsule was performed in 2 patients. Improvement of symptoms associated...
Purpose: To assess risks and benefits associated with surgical excision of orbital cavernous venous malformation and analyze factors influencing the outcome. Methods: Design: cohort study. Participants: 164 consecutive patients undergoing surgical removal of orbital cavernous venous malformation. Intervention: lateral or anterior orbitotomy. Outcome measures: visual acuity, visual field, pupillary function, ocular motility, and fundus examination. Influence of the mass volume and tumor...
Purpose: To evaluate the efficacy and safety of a bilayer dermal regenerative matrix for primary or complex/recurrent eyelid retraction. Methods: Retrospective review of patients undergoing eyelid retraction repair using the bilayer dermal regenerative matrix from 2005 to 2019. Nineteen eyelid surgeries from 15 patients were identified. Collected data included patient demographics, symptoms, preoperative/postoperative lower eyelid position, inferior scleral show, lagophthalmos, etiology...
Purpose: Tarsal epithelial cysts (TECs) are squamous epithelial-lined lesions of the eyelid that are often mistaken for chalazia or epidermal inclusion cysts. They remain poorly described in the literature. This study is designed to characterize the prevalence and clinical features of TEC. Methods: We conducted a single-center retrospective review of adult patients with a diagnosis of eyelid neoplasm, eyelid cyst, hordeolum, stye, or chalazion between January 1, 2011 and July 1, 2017....
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The COVID-19 pandemic has had a significant impact on the delivery of surgical services, particularly reconstructive surgery. This article examines the current evidence to assess the feasibility of recommencing immediate breast reconstruction services during the pandemic and highlights considerations required to ensure patient safety.
COVID-19 has generated a need to rapidly increase online consulting in secondary care, an area in which it has previously been underutilised. We sought to review the guidance around conducting remote consultations and found that while there is a large amount of information about the implementation of remote consultations at an organisation level, there is a paucity of high-quality papers considering the guidelines for online consultations alongside practical advice for their implementation at the...
COVID-19 has caused an unprecedented demand on healthcare resources globally. In light of the arrival of a novel contagious and life-threatening virus, the NHS has responded by making difficult decisions to maintain care for patients and protect staff. The response has been frequently amended following updates in UK Government policy as scientific understanding of the virus has improved. Our Plastic Surgery practice has adapted to mitigate risk to patients by reducing face-to-face contact, downgrading...
Elective surgery during the evolving COVID-19 pandemic presents unprecedented logistical challenges to surgical teams. Cleft surgery may be considered an aerosol generating procedure (AGP), which may lead to small-droplet transmission of virions. Strict adherence to personal protective equipment (PPE) policy is used with the hope of preventing transmission of the virus between patients and operating theatre staff.
A number of techniques have been proposed to prevent seroma formation, such as the use of quilting sutures, barbed sutures, and immobilisation with thromboembolism prophylaxis and compression garments. Nevertheless, around 50% of patients undergoing inguinal lymph node dissection [1] and 1.2% -14.9% of sentinel lymph node biopsy (SLNB) patients [2] develop a seroma. Persistent seroma can lead to delayed wound healing, infection, increased length of hospital stay and re-admission. There is limited...
The aim of this study was to compare the incidence of infection and verrucous hyperkeratosis in patients who underwent surgery for advanced lymphedema according to the algorithm designed by the senior author and were treated concurrently with/without toe treatment.A case series (Between 2004-2015) of 46 patients with unilateral advanced lower limb lymphedema were reviewed. Lymphoscintigram was used for evaluation of lymphedema severity. The ICG lymphography were used for staging. Fibrosis and skin...
Artificial dermal skin substitutes (ADSS) in combination with split thickness skin grafts (STSG) are a valuable option for reconstruction of skin- and soft tissue defects. However, successful incorporation of ADSS can be limited by various factors. We investigated the anticipated benefits of negative pressure wound therapy (NPWT) as an adjunct to support integration of ADSS in a retrospective, comparative cohort study.
: Post-herpetic neuralgia (PHN) is a relatively common side effect after an outbreak of herpes zoster, characterised by chronic neuropathic dermal pain. No effective treatment exists today. Fat grafting has shown promise in alleviating neuropathic pain, yet the exact mechanism of action, at a biological level, is not yet known. We report on the first human study using autologous fat grafting for treating PHN. Our hypothesis was that fat grafting can alleviate pain and improve Quality of Life (QoL)...
Comparing Outcomes of Post-Mastectomy Breast Reconstruction Between United States and Western Europe
As advancements in breast cancer treatment has led to increased survival rates, the focus of surgical management has shifted towards an emphasis on reduction in surgical morbidity and improving quality-of-life outcomes. The gradual rise in the rate of breast reconstruction among patients in the United States over the past few decades further suggests that there is an increased demand for a favorable aesthetic outcome after mastectomy.1
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Publication date: Available online 21 August 2020Source: Annales de Chirurgie Plastique EsthétiqueAuthor(s): C. Jaloux, C. Philandrianos, A. Mayoly, Q. Bettex, M. Abellan-Lopez, N. Kachouh, R. Legré, C. Bergel, B. Bertrand, D. Casanova
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