Introduction Biological glue is already used as a hemostatic agent and tissue adhesive in plastic surgery. This study evaluates the use of this glue as an alternative to suction drainage for the adhesion of tissue-expanded flaps in pediatric patients. Methods This is a retrospective, multicenter case-control study on 48 flap procedures conducted on 42 children (5 months–12 years of age) between 2004 and 2017, comparing a “glue” group (n = 24) with a control group (n = 24), in which a classic...
Fri Aug 14, 2020 12:14
Background Surgical learning curves reflect the trainee's rate of progress in gaining skills and competence for new procedures. Complex interventions such as free tissue transfers, with various linked skills and competences, transferred to one procedure are likely to have steep learning curves. This work aimed to report influence of learning curves on outcomes such as success rate, operative time, and complication rates in plastic surgery procedures. Methods The study was conducted according...
Fri Aug 14, 2020 12:14
No abstract available
Fri Aug 14, 2020 12:14
Purpose Capsular contracture (CC) is a troublesome complication after breast surgery with breast implants, and the risk increases in breast cancer patients after radiotherapy. Studies investigating leukotriene antagonists (eg, montelukast, zafirlukast) found that the acellular dermal matrix (ADM) can help prevent CC. We aimed to compare the effects of ADM and montelukast on CC after irradiation. Methods Eighteen New Zealand white rabbits were randomly divided into 3 groups of 6 each. Miniature...
Fri Aug 14, 2020 12:14
Purpose The purpose of this study was to analyze the rates of burnout and contributory factors among US plastic surgery residents. Methods The Maslach Burnout Inventory Human Services Survey was emailed to program coordinators of American College of Graduate Medical Education–accredited plastic surgery residencies. Scores are provided for 3 subscales: emotional exhaustion (EE), depersonalization (DP), and personal accomplishment. Normative scoring tables (low, average, high) were used for...
Fri Aug 14, 2020 12:14
No abstract available
Fri Aug 14, 2020 12:14
Background Although the literature is replete with surgical techniques described for correction of the prominent ears, new techniques are still needed to minimize the recurrence rates and postoperative complications. Objective Here, the author presents a new and simple otoplasty procedure, namely, the dermal anchor technique (DAT), in which a wide planar adhesion between the opposing dermal surfaces of the deepithelized antihelical groove is used as a biological anchor for long-term maintenance...
Fri Aug 14, 2020 12:14
Background Application of collagen products to wounds has been shown to improve wound healing. Using a collagen-based hydrogel (cHG) capable of cellular support previously developed by our laboratory, we hypothesize that our hydrogel will increase the speed of wound healing by providing a 3-dimensional framework for cellular support, increasing angiogenesis and cell-proliferation at the wound bed. Methods Two, 10-mm excisional wounds were created over the dorsum of 12 male, genetically modified...
Fri Aug 14, 2020 12:14
Background Breast scars after breast reconstruction can be hypertrophic and/or hyperpigmented, especially in Asian patients, whose skin is thicker and has increased melanin. Few studies have focused on breast scars after breast reconstruction, and the risk factors for an abnormal breast scar remain unknown. Methods We examined 257 Asian patients who underwent an immediate 2-stage unilateral implant-based breast reconstruction. Vascularity, hypertrophy, and hyperpigmentation of the patients'...
Fri Aug 14, 2020 12:14
Background Musculoskeletal symptoms and injuries among surgeons are underestimated but are increasingly recognized to constitute a major problem. However, it has not been established when symptoms start and what factors contribute to the development of symptoms. Methods A 19-question survey approved by our institution's review board, and American Council of Academic Plastic Surgery was sent to all plastic surgery residents enrolled in Accreditation Council for Graduate Medical Education–accredited...
Fri Aug 14, 2020 12:14
As nipple-sparing mastectomies continue to gain popularity, the reconstruction of a large ptotic breast remains a challenge. The purpose of this article is to introduce the senior author's modifications of a novel technique previously described for addressing the redundant skin envelope in ptotic breasts during immediate reconstruction after nipple-sparing mastectomy. In this review, 15 patients (29 breasts) were reconstructed using our modified “buttonhole” technique. Postoperative complications...
Fri Aug 14, 2020 12:14
No abstract available
Fri Aug 14, 2020 12:14
Background Hypertrophic scars are commonly seen in children and associated with pruritus, pain, functional impairment, and aesthetic disfigurement. Ablative fractional CO2 and pulse dye laser are emerging techniques to improve scar quality. Only limited data are available on children, nonburn scars, and patient-reported outcome. We aimed to investigate safety and outcome of repeated laser therapy for hypertrophic scars originating from burns and other conditions by means of patient- and physician-reported...
Fri Aug 14, 2020 12:14
Necrotizing fasciitis in the pediatric population is a particularly difficult diagnostic and management challenge. Options for soft tissue reconstruction of wounds following surgical debridement have been historically limited, yet recent advancements in bioengineered tissue and matrices have introduced alternative methods of treatment for these patients. We present a case of neonatal necrotizing fasciitis of the scalp requiring full-thickness surgical debridement, which was successfully reconstructed...
Fri Aug 14, 2020 12:14
Purpose Although the Oberg-Manske-Tonkin (OMT) classification has been recommended by the International Federation of Societies for Surgery of the Hand owing to some insufficiencies of the Swanson classification system, it has not achieved a universal adoption by hand surgeons. In this study, we hypothesize that the OMT classification can be used easily to classify congenital upper extremity anomalies. We also aim to make epidemiological analysis of congenital upper extremity anomalies with the...
Fri Aug 14, 2020 12:14
Background Recent studies of panniculectomy outcomes have reported variable complication rates ranging from 8.65% to 56%. Meanwhile, reported abdominoplasty complication rates are considerably lower (~4%). This discrepancy may be attributable to inaccurate inclusion of abdominoplasty patients in panniculectomy cohorts. We performed the current study to better characterize panniculectomy complication rates at a large tertiary care center. Methods We performed a retrospective review of patients...
Fri Aug 14, 2020 12:14
Introduction Saethre-Chotzen syndrome is a genetic condition characterized by craniofacial and limb anomalies, with craniosynostosis (mainly coronal) being the most frequent craniofacial finding. Cranial and facial deformities can be extremely variable requiring individualization of treatment strategies. We present our case series to highlight clinical findings, treatment philosophy, and challenges facing Saethre-Chotzen patients. Methods A retrospective review was performed on records of...
Fri Aug 14, 2020 12:14
Closed incisional negative pressure wound therapy (ciNPWT) has become commonplace in surgery. One mechanism ciNPWT may prevent incision site complications is by off-loading tension. This study aimed to find what width sponge using ciNPWT provides the most tension off-loading.
Fri Aug 14, 2020 12:14
Background The medial sural artery perforator (MSAP) flap is an ideal option for reconstruction of oral cavity defects owing to its thin and pliable nature and favorable donor site. Our study presents an assessment of functional outcomes including speech and swallowing in patients with oral cavity tumors reconstructed with MSAP flaps. Methods Patients undergoing MSAP reconstruction for oral cavity tumors between January 2014 and January 2018 were identified from our prospective head and neck...
Fri Aug 14, 2020 12:14
Introduction Bacterial contamination is hypothesized to be one reason for the development of capsular contracture after alloplastic breast reconstruction using silicone breast implants. The role of fungal colonization or infection in this context as well as the question if microorganisms can penetrate the shell of silicone breast implants remains an unresolved question to date. Therefore, the aim of this study was to assess whether fungal spores are able to penetrate the shell of silicone implants. ...
Fri Aug 14, 2020 12:14
Background Donor site complications are a significant source of morbidity for patients undergoing abdominal-based free flap breast reconstruction, but there is a paucity of data regarding minimizing these postoperative complications. We hypothesize that selective ablation of the umbilicus at the time of deep inferior epigastric perforator (DIEP) harvest decreases the incidence of umbilical and abdominal wall complications in high-risk patients. Methods A retrospective review was performed...
Fri Aug 14, 2020 12:14
Background Chronic kidney disease (CKD) impairs osteoblast/osteoclast balance and damages bone structure with diminished mineralization and results in bone restoration disorders. In this study, we investigate the effects of adipose-derived stromal vascular fraction and platelet-rich plasma (PRP) on bone healing model in rats with CKD. Methods Sprague-Dawley rats were separated into 4 groups. All groups except group I (healthy control) had CKD surgery using 5/6 nephrectomy model. All groups...
Fri Aug 14, 2020 12:14
Background In fingertip replantation with arterial anastomosis alone, many external bleeding techniques have been described to satisfy venous outflow, and some patients require blood transfusions. We used a pulp tissue reduction method to avoid the need for external bleeding techniques and blood transfusions. Methods We examined 18 fingers in cases of Ishikawa's subzone II, III, and IV amputation that were replanted with artery-only anastomosis and pulp tissue reduction from April 2003 to...
Fri Aug 14, 2020 12:14
Introduction Elbow extensive reconstruction was essential for the patients with brachial plexus avulsion. Nerve transfer was applied to repair elbow extension, but the ultimate recovery was quite different. The purpose of this study was to compare the effects of elbow extension in patients with global brachial plexus avulsion after repaired by intercostal nerve (ICN) and contralateral cervical 7 (cC7) nerve transfer to the long head branch of triceps and to analyze the possible influencing factors. ...
Fri Aug 14, 2020 12:14
No abstract available
Fri Aug 14, 2020 12:14
Publication date: Available online 15 August 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Michael J. Stein, Angel Arnaout, Julia B. Lichtenstein, Simon G. Frank, Erin Cordeiro, Amanda Roberts, Bahareh Ghaedi, Jing Zhang
Sun Aug 16, 2020 15:11
Publication date: Available online 15 August 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): MI Patel, A Fung, N Skorupska, D Afolabi, M Kitcat, AJK Patel
Sun Aug 16, 2020 15:11
Publication date: Available online 14 August 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Gokhan Sert, Shih-Heng Chen, Hung-Chi Chen
Fri Aug 14, 2020 12:59
Publication date: Available online 13 August 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Emilie Bougie, Charlotte Jaloux
Fri Aug 14, 2020 12:59
Publication date: Available online 13 August 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): CP GARCIA, DFV AVILA, VRdeA FERREIRA, FC DASILVA, MM DE S FORTKAMP, RS GOMES, JB ELY
Fri Aug 14, 2020 12:59
Publication date: Available online 13 August 2020Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Henry T de Berker, Morgan J Bressington, Isaac M Mayo, Anna Rose, Calum Honeyman
Fri Aug 14, 2020 12:59
Sat Aug 15, 2020 03:00
: Alloderm and Dermacell are the two leading human acellular dermal matrices (ADM) in immediate breast reconstruction. Despite differences in sterility, consistency, thickness and cost, there are no comparative trials to date comparing patient-reported outcome measures (PROM) between the two products. The purpose of this study was to determine if there was a difference in patient-reported outcomes (as measured by the BREAST-Q) between patients reconstructed with Alloderm and Dermacell.
Fri Aug 14, 2020 03:00
Publication date: Available online 15 August 2020Source: Annales de Chirurgie Plastique EsthétiqueAuthor(s): P. Frobert, R. Vaucher, G. Vaz, F. Gouin, P. Meeus, E. Delay
Sat Aug 15, 2020 15:54
Publication date: Available online 14 August 2020Source: Annales de Chirurgie Plastique EsthétiqueAuthor(s): I. Auquit-Auckbur, D. Coquerel-Beghin, J. Vanaret
Sat Aug 15, 2020 15:54
Publication date: Available online 14 August 2020Source: Annales de Chirurgie Plastique EsthétiqueAuthor(s): U. Lancien, A. Leduc, H. Tilliet Le Dentu, P. Perrot, F. Duteille
Fri Aug 14, 2020 14:50
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