Δευτέρα 30 Μαρτίου 2020


Suppressive Effect of Leukotriene Antagonists on Capsular Contracture in Patients Who Underwent Breast Surgery with Prosthesis: A Meta-Analysis
Background: Capsular contracture is a troublesome and distressing complication in mammaplasty or breast reconstruction involving a prosthesis. Previous studies have indicated that leukotriene antagonists effectively reverse capsular contracture. However, this treatment method lacks comprehensive support from evidence-based medicine and remains considerably controversial. In this study, a meta-analysis was conducted to evaluate the therapeutic and preventive effects of leukotriene antagonists on...
Plastic and Reconstructive Surgery - Current Issue
7h
Lower Eyelid Reconstruction: A New Classification Incorporating the Vertical Dimension
No abstract available
Plastic and Reconstructive Surgery - Current Issue
7h
Lumbar Flap versus the Gold Standard: Comparison to the DIEP Flap
Background: The lumbar artery perforator flap is an excellent free flap for breast reconstruction whenever the deep inferior epigastric perforator (DIEP) flap is not an option. The main indication is a lack of abdominal bulk, often seen in young BRCA-positive women seeking prophylactic amputation and immediate reconstruction. Methods: Between October of 2010 and July of 2016, a total of 661 free flap breast reconstructions were performed. The authors retrospectively analyzed patient demographics,...
Plastic and Reconstructive Surgery - Current Issue
7h
Staying on Top of Breast Implant Illness: An Analysis of Chest Feminization Experiences
No abstract available
Plastic and Reconstructive Surgery - Current Issue
7h
Discussion: Lumbar Flap versus the Gold Standard: Comparison to the DIEP Flap
No abstract available
Plastic and Reconstructive Surgery - Current Issue
7h
Postmastectomy Breast Reconstruction: Exploring Plastic Surgeon Practice Patterns and Perspectives
Background: Within the multidisciplinary management of breast cancer, variations exist in the reconstructive options offered and care provided. The authors evaluated plastic surgeon perspectives on important issues related to breast cancer management and reconstruction and provide some insight into factors that influence these perspectives. Methods: Women diagnosed with early-stage breast cancer (stages 0 to II) between July of 2013 and September of 2014 were identified through the Georgia...
Plastic and Reconstructive Surgery - Current Issue
7h
Deconstructing the Reconstruction: Evaluation of Process and Efficiency in Deep Inferior Epigastric Perforator Flaps
Background: With advances in technology and technique, the goal of microvascular breast reconstruction has transitioned from flap success to minimizing complications and maximizing aesthetic outcome and efficiency. In an effort to evaluate efficiency, the authors implemented a rigorous process analysis in their practice to evaluate deep inferior epigastric perforator (DIEP) flap breast reconstruction. Methods: A prospective implementation of process analysis was instituted on 147 DIEP flaps....
Plastic and Reconstructive Surgery - Current Issue
7h
Free Tissue Transfer with Distraction Osteogenesis and Masquelet Technique Is Effective for Limb Salvage in Patients with Gustilo Type IIIB Open Fractures
Summary: Osteocutaneous reconstruction can be challenging because of concomitant injuries and limited donor sites. There is a paucity of data on limb salvage outcomes following combined soft-tissue reconstruction and bone transport or Masquelet procedures. The authors reviewed a consecutive series of open tibia fracture patients undergoing soft-tissue reconstruction with either distraction osteogenesis or Masquelet technique. Endpoints were perioperative flap complications and bone union. Fourteen...
Plastic and Reconstructive Surgery - Current Issue
7h
Oncoplastic Procedures in Preparation for Nipple-Sparing Mastectomy and Autologous Breast Reconstruction: Controlling the Breast Envelope
Background: Nipple-sparing mastectomy has been associated with superior aesthetic outcomes and oncologic safety. However, traditional contraindications, such as breast ptosis/macromastia, have excluded a large number of patients. The purpose of this study was to determine whether a staged approach would expand the indications for nipple-areolar complex preservation and permit greater control over nipple-areolar complex position and skin envelope following autologous reconstruction. Methods:...
Plastic and Reconstructive Surgery - Current Issue
7h
An Update on Cryopreservation of Adipose Tissue
Summary: Currently, fat transplantation occurs immediately after harvesting procedures. Because low rates of fat graft take are well reported in the literature, many patients require multiple surgical procedures for fat graft harvest. These subsequent procedures lead to increased cost, donor-site morbidity, and patient discomfort in the long term. The ability to preserve our patients’ own adipose aspirate would allow us to counteract these shortcomings and ultimately improve the clinical outcome...
Plastic and Reconstructive Surgery - Current Issue
7h
Facial Aging: A 54-Year, Three-Dimensional Population Study
Background: There is no accurate visual representation of the aging process, one that visually shows how the shape of the face changes with age in a rigorous and three-dimensional way. Method: A total of 594 subjects were studied. Two hundred eighty three-dimensional images of male faces and 305 three-dimensional images of female faces were categorized into “young” and “old” groups by sex. The mean age of the younger men was 33.6, and the mean age of the older men was 70.3. The mean age of...
Plastic and Reconstructive Surgery - Current Issue
7h
The Congruent Facelift: A Three-Dimensional View
No abstract available
Plastic and Reconstructive Surgery - Current Issue
7h
Improvement in Jowl Fat following ATX-101 Treatment: Results from a Single-Site Study
Background: Jowl fat overhang can reduce jawline definition. The most common treatment to reduce jowl fat is liposuction. ATX-101 (deoxycholic acid injection), a minimally invasive treatment approved for submental fat reduction, may also be an effective treatment for jowl fat. The current study evaluated the efficacy and safety of ATX-101 treatment for reducing jowl fat. Methods: In this prospective single-site study, 66 adults were treated for excess jowl fat with ATX-101 (area-adjusted...
Plastic and Reconstructive Surgery - Current Issue
7h
Fat Grafting and the Palpable Breast Mass in Implant-Based Breast Reconstruction: Incidence and Implications
No abstract available
Plastic and Reconstructive Surgery - Current Issue
7h
Subcutaneous Fat Reduction with Injected Ice Slurry
Background: Cryolipolysis is a noninvasive method for removal of subcutaneous fat for body contouring. Conventional cryolipolysis with topical cooling requires extracting heat from subcutaneous fat by conduction across the skin, thus limiting the amount and the location of the fat removed. The authors hypothesized that local injection of a physiological ice slurry directly into target adipose tissue would lead to more efficient and effective cryolipolysis. Methods: Injectable slurries containing...
Plastic and Reconstructive Surgery - Current Issue
7h
Female Genital and Vaginal Plastic Surgery: An Overview
No abstract available
Plastic and Reconstructive Surgery - Current Issue
7h
Calf Reduction by Partial Resection of Gastrocnemius Using a Suction-Assisted Cartilage Shaver
Background: Long-term aesthetic reduction of the legs in Asians is gaining increasing popularity among cosmetic patients. Current treatment options include botulinum toxin injection, radiofrequency, neurectomy, and total, subtotal, or partial muscle resection of the gastrocnemius. Partial resection using Kelly forceps was introduced in 2000. This article presents the use of a suction-assisted cartilage shaver to perform partial resection, describing the procedures and shaver modifications and...
Plastic and Reconstructive Surgery - Current Issue
7h
Optimized Number and Type of Cells for Pre-Enrichment of Adipose Tissue Grafts for Maximum Fat Retention
No abstract available
Plastic and Reconstructive Surgery - Current Issue
7h
A Simplified Approach to Nasal Tip Shaping: The Five-Suture Technique
Summary: Techniques for nasal tip shaping have evolved from destructive to nondestructive techniques. These techniques have proven to be effective, yet they are often applied incrementally and require repeated intraoperative evaluation and manipulation to assess their efficacy. We describe a simple, effective, and reliable five-suture technique to achieve consistent results in tip shaping based on previously described ideals for nasal tip aesthetics
Plastic and Reconstructive Surgery - Current Issue
7h
Surgery for Symptomatic Neuroma: Anatomic Distribution and Predictors of Secondary Surgery
No abstract available
Plastic and Reconstructive Surgery - Current Issue
7h
Male Rhinoplasty: Update
Summary: Male rhinoplasty is unique in that it requires precise preoperative planning to achieve a successful result. Better communication and clarity are paramount with male rhinoplasty patients because the patients may be less attentive. It is important for the surgeon to screen the patients for any psychosocial disorders. Through a series of cases, male rhinoplasty techniques are highlighted. Masculine features should be preserved, and the nose should not be feminized or oversculpted. Another...
Plastic and Reconstructive Surgery - Current Issue
7h
Financial Conflict of Interest and Transparency
No abstract available
Plastic and Reconstructive Surgery - Current Issue
7h
Rhinoplasty Using Three-Dimensional Analysis and Simulation
Summary: Treatment of nasal deformity and obstruction requires analysis, planning, and precise execution of rhinoplasty techniques. When performed well, rhinoplasty is a powerful tool for achieving appealing nasal morphology and optimizing function. This article aims to highlight an open approach to septorhinoplasty using a number of techniques that are preferred by the senior author (D.M.S.) to successfully correct a congenital nasal deformity and deviated septum.
Plastic and Reconstructive Surgery - Current Issue
7h
Computer-Aided Design and Computer-Aided Manufacturing for Pelvic Tumor Resection and Free Fibula Flap Reconstruction
No abstract available
Plastic and Reconstructive Surgery - Current Issue
7h
Brachioplasty Refinements
Summary: With a growing massive weight loss population, upper arm contouring continues to rise in popularity. Refinements in technique, such as modification of skin excision patterns and the adjunct use of liposuction, have allowed for safe and reproducible results. This article helps to understand the evolution of upper arm contouring and provides an update on the limited-incision medial brachioplasty. Details of preoperative markings and operative technique are clearly illustrated in the video...
Plastic and Reconstructive Surgery - Current Issue
7h
ASPS/PSF Sponsored Symposia and Workshops
No abstract available
Plastic and Reconstructive Surgery - Current Issue
7h
Diffusion Magnetic Resonance Imaging Predicts Peripheral Nerve Recovery in a Rat Sciatic Nerve Injury Model
Background: Nerve regeneration after an injury should occur in a timely fashion for function to be restored. Current methods cannot monitor regeneration prior to muscle reinnervation. Diffusion tensor imaging has been previously shown to provide quantitative indices after nerve recovery. The goal of this study was to validate the use of this technology following nerve injury via a series of rat sciatic nerve injury/repair studies. Methods: Sprague-Dawley rats were prospectively divided by...
Plastic and Reconstructive Surgery - Current Issue
7h
Simultaneous Ventral Hernia Repair and Panniculectomy: A Systematic Review and Meta-Analysis of Outcomes
Background: Simultaneous ventral hernia repair and panniculectomy (SVHRP) is a procedure that is more commonly being offered to patients with excess skin and subcutaneous tissue in need of a ventral hernia repair; however, there are concerns about surgical-site complications and uncertainty regarding the durability of repair. SVHRP outcomes vary within the literature. This study assessed the durability, complication profile, and safety of SVHRP through a large data-driven repository of SVHRP cases.360 ...
Plastic and Reconstructive Surgery - Current Issue
7h
Comparative Effectiveness of Different Interventions of Perivascular Hyaluronidase
Background: Soft-tissue necrosis caused by vascular compromise is a frequent and troublesome complication of hyaluronic acid filler injection. Hyaluronidase has been proposed as a treatment for this condition. This study aimed to determine the effective dose and administration interval of hyaluronidase injection in a skin necrosis animal model. Methods: New Zealand rabbits were used to simulate the hyaluronic acid–associated vascular occlusion model. Hyaluronic acid filler (0.1 ml) was injected...
Plastic and Reconstructive Surgery - Current Issue
7h
Muscle Flap Transposition for the Management of Intrathoracic Fistulas
Background: Intrathoracic fistulas pose unique challenges for thoracic and reconstructive surgeons. To decrease the incidence of fistula recurrence, pedicled flaps have been suggested to buttress the repair site. The authors aimed to report their experience with muscle flap transposition for the management of intrathoracic fistulas. Methods: A retrospective review of all patients who underwent intrathoracic muscle flap transposition for the management of intrathoracic fistulas from 1990 to...
Plastic and Reconstructive Surgery - Current Issue
7h
Discussion: Comparative Effectiveness of Different Interventions of Perivascular Hyaluronidase
No abstract available
Plastic and Reconstructive Surgery - Current Issue
7h
Practical Things You Should Know about Wound Healing and Vacuum-Assisted Closure Management
Learning Objectives: After reading this article, the participant should be able to: 1. Understand the basics of negative-pressure wound therapy and practical uses of various vacuum-assisted closure dressings. 2. Understand the mechanisms of action of negative-pressure therapies and other important adjuncts, such as perfusion imaging. 3. Discuss the evidence for hyperbaric oxygen therapy in wound care. Summary: Wound healing requires creating an environment that supports the healing process...
Plastic and Reconstructive Surgery - Current Issue
7h
Toward Development of the Delayed Tolerance Induction Protocol for Vascularized Composite Allografts in Nonhuman Primates
Background: Transplantation of vascularized composite allografts is limited mainly by the need for life-long immunosuppression. The consequent side effects and looming specter of chronic rejection portend eventual allograft loss. Development of tolerogenic protocols is thus of utmost importance to the field of vascularized composite allograft transplantation. Methods: With a modified delayed tolerance induction protocol, 10 cynomolgus macaques received hand (n = 2) or face vascularized composite...
Plastic and Reconstructive Surgery - Current Issue
7h
Discussion: Photographic and Video Deepfakes Have Arrived: How Machine Learning May Influence Plastic Surgery
No abstract available
Plastic and Reconstructive Surgery - Current Issue
7h
Incidence of Complications following Volar Locking Plate Fixation of Distal Radius Fractures: An Analysis of 647 Cases
Background: This study assessed the risk and factors of complications after volar locking plate fixation of distal radius fractures. Methods: A single-institution retrospective review of patients undergoing volar locking plate fixation of distal radius fractures between May of 2000 and May of 2015 was undertaken. Demographic data, major complications, minor complications, and radiographic parameters were evaluated. Results: Six hundred forty-seven distal radius fractures managed with...
Plastic and Reconstructive Surgery - Current Issue
7h
Development and Validation of the Data Instrument for Surgical Global Outreach
Summary: Countless efforts have been made by global surgery outreach organizations to provide care to individuals in low- and middle-income countries; however, there is a paucity of data on these interventions. The authors created the Data Instrument for Surgical Global Outreach to collect basic program, cost, and clinical data on surgical outreach efforts using the literature and the experience of our team. The authors performed a two-round modified Delphi technique to build content validity...
Plastic and Reconstructive Surgery - Current Issue
7h
Subclinical Peroneal Neuropathy Affects Ambulatory, Community-Dwelling Adults and Is Associated with Falling
Background: Peroneal neuropathy with an overt foot drop is a known risk factor for falling. Subclinical peroneal neuropathy caused by compression at the fibular neck is subtler and does not have foot drop. A previous study found subclinical peroneal neuropathy in 31 percent of hospitalized patients. This was associated with having fallen. The purpose of this study was to determine the prevalence of subclinical peroneal neuropathy in ambulatory adults and investigate if it is associated with falling. ...
Plastic and Reconstructive Surgery - Current Issue
7h
Mentors, Leaders, and Role Models: Same or Different?
No abstract available
Plastic and Reconstructive Surgery - Current Issue
7h
Prevalence of Peyronie and Ledderhose Diseases in a Series of 730 Patients with Dupuytren Disease
Background: Dupuytren, Peyronie, and Ledderhose diseases are related fibroproliferative disorders characterized by abnormalities in the connective tissue of the palm of the hand, the tunica albuginea of the penis, and the sole of the foot, respectively. Concomitant prevalence rates of these diseases have only been described in a few small populations. This article aims to report on a large population and to raise awareness in surgeons treating Dupuytren disease for concurring related fibroproliferative...
Plastic and Reconstructive Surgery - Current Issue
7h

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