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  • Commentary

    Comment on “Breast cancer-related lymphedema: quality of life after lymph node transfer”

    Azra Ashraf
    Published on: 30 Sep 2016
    Views: 129757
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  • Original Article

    Medially based de-epithelialized flap for nasal base narrowing and nostril sill augmentation in a cleft lip nasal deformity

    Kun Hwang , Jong Hwan Choi , Hun Kim , Dae Joong Kim
    Aim: The authors observed the nostril floor in a gross cadaver specimen histologically and innovated a medially based de-epithelialized flap for nasal base narrowing and nostril sill augmentation. Methods: In cadaver, fully thick section was taken from the nostril sill at the midpoint of the columella base and ala base, and stained with Masson-Trichrome. In eight patients, circumferential incision along the nostril sill and alar base freed the alar base from the upper lip. At the columellar base, fresh epithelium was shaved on the medial side of the incision line. The widened scar on the...
    Published on: 20 Sep 2016
    Views: 36115
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  • Original Article

    Full retroauricular skin and fascia expansion in microtia reconstruction: a single center experience of 166 cases

    Ji-Hua Wang , Ting Tang , Yong-Jing He , Ying-Jia Zhang , Yun Yang
    Aim: Ear reconstruction is a challenge for plastic and reconstructive surgeons. The ear requires sufficient skin coverage and a three-dimensional (3D) cartilage framework. In this paper, the authors present their 10-year experience in microtia reconstruction using tissue expansion and an autogenous rib cartilage framework. Methods: Ear reconstruction was performed in 3 operative stages. During the first procedure, a 50-80 mL kidney or cylinder-shaped expander was implanted deep to the subcutaneous fascia of the retroauricular mastoid region. Over a period of 3-5 months, the expander was...
    Published on: 30 Nov 2016
    Views: 9366
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  • Case Report

    Epidermoid and dermoid cysts of the head and neck region

    Samrat S. Sabhalok , Lakshmi S. Shetty , Pallavi H. Sarve , Sneha V. Setiya , Swati R. Bharadwaj
    Epidermoid cysts, dermoid cysts and teratoid cysts are cystic malformations lined with squamous epithelium. They present as soft nodular lesions with a sessile base. Their prevalence is 7% in head and neck patients and 1.6% within the oral cavity. The authors present a case series of 21 patients with dermoid and epidermoid cysts who underwent surgical removal. One year of follow-up was carried out without evidence of recurrence. The removal of these cysts is of great concern as it can cause serious social stigma, aesthetic and functional impairment, dysphagia and dysphonia.
    Published on: 4 Nov 2016
    Views: 8880
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  • Original Article

    The temporal endoscopic midface lift - centrofacial rejuvenation without facial scars

    Thomas Haffner
    Aim: The author describes a new endoscopic midface lifting technique using solely temporal access and evaluates its advantages and perspectives. Methods: This is a single-surgeon case study. Through a short temporal incision, dissection is performed along a single plane connecting the superficial surfaces of both the facial and temporal superficial musculoaponeurotic system (SMAS) layers. Subsequent midface dissection divides the malar fat pad into the deeper and superficial parts. A new concept of a combination high malar SMAS lift and internal skin flap anchorage that provides long-term...
    Published on: 31 Oct 2016
    Views: 7914
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  • Original Article

    Improvements in the cervical angle and anthropometric distances using elasticum suspension

    Seong Kee Kim , Kun Hwang , Hun Kim , Young Rok Kim , Yeop Na
    Aim: This study aims to characterize the effects of elastic facelifts using the elasticum suspension technique on the cervical angle and anthropometric distances. Methods: Forty-six patients underwent surgery. Two 4-5 mm incisions a few centimetres apart were made at sideburn. Through blunt dissection, the deep temporal fascia was approached. An elastic thread (Elasticum®) was anchored to this fascia. A 1.0 cm incision was made just in front of the earlobe. The elastic thread was anchored to the tympanoparotid fascia. Jano needle was passed under the skin surface, as determined by the depth...
    Published on: 23 Dec 2016
    Views: 5465
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  • Original Article

    Peno-scrotal soft tissue loss: a need for multidisciplinary and multimodal integration

    Pradeoth Korambayil Mukundan , Prashanth Varkey Ambookan , Ragu Angappan , Vinoth Kumar Dilliraj
    Aim: Scrotal soft tissue loss is a part of the challenging conditions for plastic surgeon. The non-availability of adequate nearby healthy soft tissue and its probability of frequent contamination by excretory substances make the issue of reconstruction complicated. The authors present their experience with penoscrotal soft tissue loss with hyperbaric oxygen therapy as an adjunct. Methods: This retrospective study was undertaken in the department of plastic surgery, over a period of 2 years. Nine patients with scrotal or penile injury and infection were enrolled in the study. Age of the...
    Published on: 12 Aug 2016
    Views: 5402
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  • Original Article

    Soft tissue reconstruction after lower extremity limb-sparing pediatric sarcoma resection

    Kevin Shultz , Nicholas Webster , Miguel A. Soto-Miranda , Anas Eid , Jon P. Ver Halen
    Aim: Limb salvage is the treatment of choice for lower extremity bone sarcomas in children. To date, peers have not described algorithms for soft tissue reconstruction of these defects. This paper is to report a large single center series of lower extremity salvage after sarcoma treatment, with algorithm. Methods: The authors performed a retrospective review of patients undergoing resection of lower extremity bone sarcomas at a single center over 12 years. Results: In total, 65 children (29 girls, 36 boys) with a mean age of 13 years (range 2.9-23.3 years) underwent resection of a lower leg...
    Published on: 30 Sep 2016
    Views: 4388
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  • Original Article

    Photometric analysis of absorbable barbed suture for periareolar closure in mastopexy

    Allen D. Rosen , Alanna M. Guzman , Teresa Hartman
    Aim: The primary author previously described his technique for periareolar closure in mastopexy using a pinwheel interlocking purse string with absorbable barbed suture and now reports the results of a retrospective photometric analysis comparing this technique with the same closure using Gortex® suture. This study is designed to compare the degree of areolar widening and safety profile of using absorbable barbed sutures for periareolar closure versus permanent smooth suture. Methods: A retrospective chart review was conducted of all patients whose periareolar closures were performed using...
    Published on: 20 Sep 2016
    Views: 3822
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  • Case Report

    Total nasal septal reconstruction using costal cartilage in difficult cases of secondary septoplasty

    Kapil S. Agrawal , Raghav Shrotriya
    Rhinoplasty and septal reconstruction often require the use of cartilage grafts. Complete nasal septal reconstruction may be required in very specific situations like difficult secondary septoplasty or severely deformed post traumatic noses. Usually in these cases the septal cartilage or bone is insufficient for septal reconstruction. The authors hereby describe a new technique of complete septal reconstruction by using the 7th rib (costal) cartilage combined with author’s ingenious technique to prevent warping.
    Published on: 20 Sep 2016
    Views: 3288
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  • Original Article

    The extended running W-plasty: an additional tool for simultaneous reduction of the hypertrophied labia minora and redundant clitoral hood

    Hamdy A. Elkhatib
    Aim: The extended running W-plasty technique using the W-plasty principle is a modification of the conventional technique. The use of this technique was utilized for simultaneous reduction of the protuberant labia minora and the redundant clitoris. Methods: Twenty-three patients presented to the plastic surgery clinic between 2008 and 2015 with the complaints of protuberant and enlarged labia minora in conjunction with a hypertrophied clitorial hood. The extended running W-plasty was performed in all patients. Surgery was performed under general anesthesia as an outpatient procedure with a...
    Published on: 22 Nov 2016
    Views: 3130
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  • Case Report

    Non-odontogenic hard palate cysts with special reference to globulomaxillary cyst

    Bharat Bhushan Sharma , Shweta Sharma , Arvind Jha , Kamal Deep Sharma , Jai Deep Sharma , Chattur Bhuj Sharma
    Palatal cysts are always confusing by defining their exact nomenclature or conclusive diagnosis. One of these presentations is globulomaxillary cyst which requires to be categorized under appropriate head for the management point of view. Though this entity appears to be of odontogenic in origin but because of its anatomical relation and histo-pathological background this is placed in non odontogenic group. Though the mechanism of its formation remains the same but this cyst cannot be mixed up with nasopalatine cyst as per their location. Globulomaxillary cyst appears as inverted pear...
    Published on: 20 Sep 2016
    Views: 2863
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  • Letter to Editor

    Two-millimeter dermoscopically detected excision margins in the treatment of basal cell carcinoma: an assessment of radicality and recurrence

    Pierfranco Simone , Carlo Carusi , Riccardo Iannuzzi , Paolo Persichetti
    Published on: 28 Jul 2016
    Views: 2488
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  • Topic: Advanced Wound Management and Prospects

    Preliminary evidence using negative pressure wound therapy to achieve limb salvage for the ischemic diabetic foot

    Joe Chi-Cheng Fang , Yu-Tsung Chen , Yin-Shuo Chang , Jen-Hsiang Shen , Min-Ling Chen , Chang-Cheng Chang
    Aim: Negative pressure wound therapy (NPWT) in diabetic foot ulcers (DFU) has been discussed in several studies, but without a focus on peripheral arterial disease (PAD), which is a common comorbidity. This study aims to investigate the feasibility of NPWT in the treatment of DFU with PAD in regards to limb salvage and the clinical course. Methods: The authors retrospectively collected patients with DFU and PAD diagnosed with either Doppler ultrasound or angiography as the PAD study group. Patients with DFU but no PAD were enrolled as the non-PAD comparison group. NPWT was applied to both...
    Published on: 20 Dec 2016
    Views: 2421
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  • Original Article

    Topical rapamycin for angiofibromas in patients with tuberous sclerosis: how does it work in clinical practice?

    Maria Palmetun Ekbäck , Desiree Wiegleb Edström
    Aim: Topical rapamycin for angiofibromas has been reported to be a new promising treatment. This study aims to report the outcome in clinical practice. Methods: A retrospective clinical follow-up on twenty-three patients who had been prescribed an oral solution of 0.1% rapamycin, to be applied on facial lesions once a day. Results: Seventeen of 23 patients continued the treatment. Papules and nodules were improved in 8 patients (47%) and erythema in 12 (70%). Side effects, such as stinging and redness were reported in 35% of patients. Blood samples were taken from 5 patients and no...
    Published on: 25 Oct 2016
    Views: 2420
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  • Original Article

    A mammometric comparison of modified Robertson versus Wise pattern inferior pedicle reduction mammoplasty

    Victor Z. Zhu , Ajul Shah , Rachel Lentz , Tracy Sturrock , Alexander F. Au , Stephanie L. Kwei
    Aim: The advent of 3D photoimaging and mammometrics has allowed for quantitative, volumetric breast analyses. This study uses 3D photoimaging and mammometrics to compare the postoperative morphometric outcomes of the modified Robertson technique to the more traditional Wise pattern inferior pedicle technique. Methods: Inferior pedicle reduction mammoplasty was performed using either a Wise pattern or modified Robertson skin incision. 3D photography and analysis were done at 1-3 months and 6-12 months postoperatively. Results: There were 14 breasts in the modified Robertson group (ROB) and...
    Published on: 20 Sep 2016
    Views: 2362
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  • Original Article

    Thermal distribution and response in Q-switched ruby laser treatment for oculodermal melanosis (Nevus of Ota)

    David Cheong Chon Fok , Cheng-Jen Chang , Yun-Liang Su , Shu-Ying Chang , Yen-Chang Hsiao , Kuen Ting , Wen-Shiung Lin , Kuen-Tasnn Chen , Shih-Feng Chen
    Aim: A clinically useful treatment laser must generate stable and precise energy of low diffusivity. This study assessed the photothermal response of a Q-switched ruby laser (QSRL) in the treatment of oculodermal melanosis (Nevus of Ota). Methods: A two-year retrospective review of 40 patients with oculodermal melanosis treated with a QSRL (λ = 694 nm, pulse duration = 25 ns, 3 mm spot size, energy density 6-10 J/cm2) was performed. Demographics included an age range of 18-54 years (mean 28) and a gender distribution of 25 females and 15 males. The values recorded from real-time infrared...
    Published on: 19 Jan 2017
    Views: 2296
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  • Original Article

    A propensity score matched analysis of obesity as an independent risk factor for postoperative complications in reduction mammaplasty

    James D. Goggin , Stacy Wong , Jessica E. Pruszynski , Jon P. Ver Halen
    Aim: Reduction mammaplasty is a commonly performed procedure for the treatment of symptomatic macromastia and is increasingly desired by the obese population. With the increasing prevalence obesity in the population, it is imperative to understand its effect on postoperative outcomes. The purpose of this study is to evaluate obesity as an independent risk factor for postoperative complications in breast reduction surgery using 1:1 patient matching through propensity scores between obese patients and non-obese controls. Methods: Between 2005 and 2013, the National Surgical Quality...
    Published on: 28 Jul 2016
    Views: 2174
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  • Original Article

    Proliferation and adipogenic differentiation of human adipose-derived stem cells isolated from middle-aged patients with prominent orbital fat in the lower eyelids

    Guang-Peng Liu , Cai-He Liao , Yi-Pin Xu
    Aim: To evaluate the age-related effects on the adipogenic differentiation and proliferation potentials of human orbital adipose-derived stem cells (OASCs). Methods: Orbital adipose samples were harvested from the central fat compartment in the lower eyelids of 10 young and middle-aged patients during routine blepharoplasty surgery. After assessment of the morphological changes of adipocytes with aging, OASCs were isolated from the fat samples and expanded in vitro. Differences in the stem cell colony number (fibroblast colony-forming unit), growth rate and phenotype characterization (flow...
    Published on: 25 Oct 2016
    Views: 2119
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  • Original Article

    Development and assessment of a cutaneous tissue stretch device as a novel scar therapy

    Jonathan Kanevsky , Joshua Vorstenbosch , Julian Diaz-Abele , Tyler Safran , Markus Prinz , Youssef Tahiri , Mirko Gilardino , Satya Prakash
    Aim: Scar prevention and reduction is an area of therapeutic opportunity and unmet medical need. With no current effective scar therapy, patients are often disappointed in their appearance post surgery and re-present to surgeons, only to be turned away. The purpose of this study was to develop and test a device that produces intermittent parallel stretch on new scars and to analyze its potential to reduce scarring. Methods: Mice were randomized into 5 scar stretch treatment groups: 1 control, 1 sham, and 3 stretch models (0.5×, 1×, or 2× device strength) and treated for 10 days. Scars were...
    Published on: 15 Nov 2016
    Views: 2093
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