Articles
  • Review

    Current and future applications of nanotechnology in plastic and reconstructive surgery

    Dana K Petersen , Tate M Naylor , Jon P Ver Halen
    Although nanotechnology is a relatively young field, there are countless biomedical applications in use or under investigation. Many specialties have benefitted from nanoscale refinements of diagnostic and therapeutic techniques. Plastic and reconstructive surgery is an incredibly diverse specialty, encompassing craniofacial and hand surgery; trauma, oncologic and congenital reconstruction; burn care, and aesthetic surgery. Advances in nanotechnology have significantly impacted wound management, topical skin care, implant and prosthetic design, tissue engineering, and drug delivery systems....
    Published on: 28 Aug 2014
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  • Original Article

    Management of isolated zygomaticomaxillary complex fractures with an individualized approach: a retrospective study

    Rahul Datta , Kanwar Harit , Yasmin Grewal
    Aim: Fractures of the zygomatico maxillary complex (ZMC) are commonly seen after traumatic injuries to the facial skeleton. The aim of the study was to review the outcome of individualized treatment approach in the management of isolated ZMC fractures. Methods: A retrospective analysis of 25 patients was conducted to assess the outcomes of isolated ZMC (iZMC) fracture treatment at a multi specialty hospital (Punjab, India) over a 3-year period. Results: Out of the 25 patients reviewed, 4 patients required no surgical intervention and 21 patients underwent surgical reduction via the buccal...
    Published on: 28 Aug 2014
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  • Original Article

    Comperative analysis of unilateral cleft lip closure using absorbable and nonabsorbable sutures: a randomised clinical study

    Abhay Nilkanth Datarkar , Darshan Rewanwar , Anshul Rai
    Aim: Patients with cleft lip usually undergo multiple procedures that require hospitalization resulting in emotional stress to their family members. Young patients often require sedation or general anesthesia (GA) for suture removal on a sensitive area to prevent disruption of the repair. In this study, we compared absorbable and nonabsorbable sutures for primary cleft lip repair. Methods: Patients with cleft lip who presented to Smile Train Unit, Child Hospital and Research Institute, Nagpur, India, were randomly assigned to two groups and underwent surgical repair using either Vicryl...
    Published on: 28 Aug 2014
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  • Original Article

    Perceived aesthetic impact of malocclusion in 16-24 year-old adults in the rural areas of India

    Charu M Marya , Amit Rekhi , Ruchi Nagpal , Sukhvinder S Oberoi , Chandan Dhingra
    Aim: The purpose of this study was to assess the self-perception of patients toward their dental appearance using the aesthetic component (AC) of index of orthodontic treatment need (IOTN) index and whether age and gender had any influence on it. Methods: A cross-sectional study was carried out to assess the perceived esthetic impact of malocclusion in 16-24 year-old subjects selected from the rural population of Faridabad, Haryana, India. The sample was divided into two groups, older adolescents and younger adults, and the AC of the IOTN index was applied. Results: The results showed that...
    Published on: 28 Aug 2014
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  • Original Article

    Hyaluronic acid in calves defects correction

    Lorenzo Rosset , Mario Goisis
    Aim: Since the advent of fillers, new techniques are continuously developed for different uses. In this study, we evaluated the use of hyaluronic acid for calf augmentation. Methods: A total of 42 patients were enrolled in this study. All of them underwent augmentation procedure in our centers under local anesthesia, the operations were completed within 1 h with a prompt correction of the defects. Results: Thirty-nine patients were satisfied with the treatment (93%), while three had complications, local infection, and lumps, that were resolved quickly (7%). Conclusion: Macrofillers can be...
    Published on: 28 Aug 2014
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  • Original Article

    Efficacy of autologous platelet-rich plasma in the treatment of chronic nonhealing leg ulcers

    Shwetha Suryanarayan , Leelavathy Budamakuntla , Syed Iqbalulla Sha Khadri , Sacchidanand Sarvajnamurthy
    Aim: The aim was to evaluate the efficacy of platelet-rich plasma (PRP) in the treatment of chronic nonhealing ulcers. Methods: A nonrandomized, uncontrolled study was performed on 24 patients with 33 nonhealing ulcers of various etiologies. All patients were treated with PRP at weekly intervals for a maximum of 6 treatments. At the end of the 6-week period, reduction in size of the ulcers (area and volume) was assessed. Results: The mean age of the patients was 42.5 years (standard deviation [SD] 12.48). Of 33 ulcers, there were 19 venous ulcers, 7 traumatic ulcers, 2 ulcers secondary to...
    Published on: 28 Aug 2014
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  • Original Article

    The keystone-design perforator-based flap for leg defects: a synthesis of philosophies

    Jerry R John , Jyoshid R Balan , Satyaswarup Tripathy , Ramesh Kumar Sharma , Chandan Jadhav
    Aim: The classical keystone-design flap, although elegantly employed for various trunk defects, has limited movement on the leg. This study aims to modify the keystone-design flaps for leg defects. Methods: A keystone-design flap, in which perforators are identified and dissected, is described specifically for elliptical defects overlying the tibia. Results: It retains the unique advantages of both the perforator island flap concept as well as the keystone-design philosophy. Conclusion: The technique as well as the possibilities of raising such flaps over various areas of the leg is outlined.
    Published on: 28 Aug 2014
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  • Original Article

    Allogeneic epidermal substitutes in the treatment of chronic diabetic leg and foot ulcers

    Andrea Marchesi , Marco Brioschi , Pier Camillo Parodi , Matteo Marchesi , Roberto Brambilla , Luca Vaienti
    Aim: Diabetic foot ulcers are the most common cause of nontraumatic lower extremity amputations in the industrialized world. Tissue-engineering products offer a lower extremity salvage strategy when healing does not proceed according to the standard of care. New allogeneic sheets are available for the management of diabetic leg and foot ulcers. Methods: The endpoints of this case series study regard preliminary outcomes of the application of allogeneic keratinocytes composed of benzyl ester of hyaluronic acid to 16 diabetic foot and leg ulcers in 11 patients with type 2 diabetes mellitus....
    Published on: 28 Aug 2014
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  • Case Report

    Supermicrosurgical reconstruction of knee defect using superior medial genicular perforator as a recipient vessel

    Hoon Kim
    A 24-year-old male presented after being involved in a motorcycle accident and was found to have soft tissue defects of the knee with exposure of patella. Due to the severe injury from the popliteal fossa to the posterior aspects of the lower leg, repair with a free flap from anterolateral thigh perforator was planned instead of local calf muscle flap. Preoperative angiography was performed, and it showed that superior medial genicular perforator was patent compared with unreliable filling of the superior lateral genicular perforator. The soft tissue defect was repaired using the superior...
    Published on: 28 Aug 2014
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  • Commentary

    Commentary

    Dina Gofstein , Jonathan Bank
    Published on: 28 Aug 2014
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