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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: 115110
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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: 35621
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  • Review

    How we do it: the Running-X suture technique

    Nathaniel L. Villanueva , Kyle Sanniec , Ronald Mancini
    There are a myriad of suture techniques available to close incisions of the brow and forehead, each with their own advantages and disadvantages. The ideal suture technique would provide excellent cosmetic results, offer expedient wound closure, optimize skin eversion and wound edge apposition, and provide excellent cosmetic results. The authors describe a new suture technique, the Running-X suture, a running horizontal mattress suture that has successfully been used by the senior author for many years to re-approximate surgical wounds of the brow and forehead in an expeditious and aesthetic...
    Published on: 14 Jul 2016
    Views: 15177
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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: 9101
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  • Topic: State of the Art in the Management of Oral Squamous Cell Carcinoma

    Current role in facial allograft transplantation: what have we learned?

    Pedro Infante-Cossio , Fernando Barrera-Pulido , Tomas Gomez-Cia , Domingo Sicilia-Castro , Alberto Garcia-Perla-Garcia , Purificacion Gacto-Sanchez , Jose-Maria Hernandez-Guisado , Araceli Lagares-Borrego , Rocio Narros-Gimenez , Juan-David Gonzalez-Padilla
    Face transplant (FT) has evolved enormously in the last 10 years since the successful completion of the first facial transplant. This procedure has become a new reconstructive option for complex facial deformities to restore the anatomy of patients with severely disfigured faces. The authors review the literature and discuss the main surgical, immunological, and ethical aspects as well as the results described in patients undergoing FT. To date there have been more than thirty FT worldwide. The main indication was post-traumatic deformity. In all cases a standard immunosuppression was...
    Published on: 24 Jun 2016
    Views: 8929
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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: 7629
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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: 7107
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  • Topic: State of the Art in the Management of Oral Squamous Cell Carcinoma

    Current prognosis and quality of life following surgical treatment for head and neck squamous cell carcinoma

    Cristina Hernández-Vila
    Head and neck squamous cell carcinoma (HNSCC) is one of the most common cancers in the world with a close relation with some risk factor like, tobacco, alcohol consumption and more recently, with human papilloma virus infection. A review of the literature about actual prognosis and quality of life in HNSCC has been done analysing the results of surgical treatment and their impact on the quality of life of patients. Despite the elevated incidence of HNSCC, the survival rate has increased considerably over the last years thanks to the development of new surgical techniques, such as,...
    Published on: 24 Jun 2016
    Views: 5456
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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: 5106
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  • Topic: State of the Art in the Management of Oral Squamous Cell Carcinoma

    The role of salvage surgery in oral squamous cell carcinoma

    Raúl González-García
    Aim: To select and analyze the most representative papers published in the literature concerning oral squamous cell carcinoma (OSCC), specifically dealing with salvage surgery following primary treatment by surgery with or without by postoperative radiotherapy, specifically focusing in the oral cavity and oropharynx locations. Methods: A bibliography search on MEDLINE and EMBASE databases for studies published from March 2000 to March 2016 was conducted. The authors only included studies published in the English language and those dealing with “squamous cell carcinoma of the oral cavity...
    Published on: 24 Jun 2016
    Views: 4975
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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: 4966
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  • Topic: EuRePS Meeting 2015: best five papers

    Application of regenerative medicine in treatment of acne scars

    Mauro Barone , Stefania Tenna , Annalisa Cogliandro , Vincenzo Panasiti , Carolina Nobile , Paolo Persichetti
    Aim: The aim of this study is to evaluate the efficacy of the protocol of nanofat and platelet-rich plasma (PRP) infiltration and fractional CO2 laser resurfacing for face atrophic scars by acne and to analyse patient’s satisfaction with the original questionnaire. Methods: From March 2014 to June 2015, 30 patients with acne scarsonthe cheeks were selected for this pilot study. Patients were evaluated pre- and postoperatively by a physical examination, photographs and ultrasound scan with a 22 MHz probe to measure subcutaneous tissue thickness. All patients were treated by infiltration of...
    Published on: 7 Jul 2016
    Views: 4897
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  • Letter to Editor

    The most compatible position of operator for mandibular right posterior teeth extraction

    Ramesh Kumaresan , Sivakumar Pendyala , Jawahar Dhanavel
    Published on: 14 Jul 2016
    Views: 4603
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  • Original Article

    Use of negative pressure wound therapy in pediatric oncology patients: a single-center review of 66 patients

    Stacy Wong , Anas Eid , Warren Southerland , Jon P. Ver Halen
    Aim: Negative pressure wound therapy (NPWT) has been studied extensively in adult patients, but less is known about pediatric patients. This study assesses the efficacy and safety of vacuum-assisted closure® usage in pediatric oncology patients. Methods: Retrospective data on all patients treated with NPWT at a single pediatric oncology hospital were collected between April 2005 and September 2013. Details on pre-treatment factors, treatment course, and post-treatment events were collected. No control group was available for comparison. Results: Sixty-six patients were identified, with a...
    Published on: 14 Jul 2016
    Views: 4457
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  • Topic: State of the Art in the Management of Oral Squamous Cell Carcinoma

    The reliability of the "Iberic graft" for covering of the radial forearm free flap donor site

    Manuel Moreno-Sánchez , Raúl González-García
    Aim: Traditional donor site closure from radial forearm free flap (RFFF) has been associated with esthetic and functional morbidity. To avoid complications, such as color mismatch and secondary donor site morbidity, a new technique named "Iberic graft" for covering the RFFF donor site was described previously by our team. Methods: A study of patients who underwent reconstruction of head and neck defects using a RFFF was conducted to assess postoperative complications of the RFFF donor site and also to evaluate the morbidity in terms of aesthetics and function following the use of the...
    Published on: 24 Jun 2016
    Views: 4282
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  • Brief Communication

    Meshed acellular dermal matrix: technique and application in implant based breast reconstruction

    Dino Zammit , Jonathan Kanevsky , Fan-Yi Meng , Tassos Dionisopoulos
    Alloderm was the first acellular dermal matrix used and remains a popular choice among plastic surgeons. However, while the overall surgical outcome of breast reconstruction using alloderm has been a success, the economic burden on the health care system makes it a subject of frequent re-evaluations in cost-effectiveness. Prompted by the high price of $3,700 USD for a 6 cm × 16 cm area, our group proposes the meshing of AlloDerm to decrease the total amount needed for breast reconstruction, while achieving comparable surgical outcomes as using unmeshed alloderm.
    Published on: 14 Jul 2016
    Views: 4093
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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: 4022
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  • Topic: EuRePS Meeting 2015: best five papers

    Twenty years of experience with the rabbit model, a versatile model for tracheal transplantation research

    Margot Den Hondt , Bart M. Vanaudenaerde , Pierre Delaere , Jan J. Vranckx
    Pathologies comprising more than half the length of the trachea are a challenge to the reconstructive surgeon. Innovative tracheal transplantation techniques aim to offer the patient a curative solution with a sustained improvement in quality of life. This review summarizes the authors’ experience with the rabbit as a versatile model for research regarding tracheal transplantation. Because of the segmental blood supply of the trachea, it is not feasible to transplant the organ together with a well-defined vascular pedicle. As such, the key element of successful tracheal transplantation is...
    Published on: 7 Jul 2016
    Views: 3778
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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: 3723
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  • Topic: State of the Art in the Management of Oral Squamous Cell Carcinoma

    Elective neck dissection in oral squamous cell carcinoma of the upper maxilla: necessary?

    Manuel Moreno-Sánchez
    Aim: Surgical treatment of clinically negative neck in maxillary squamous cell carcinoma (SCC) of the upper jaw is controversial. The purpose of this systematic review was to define the incidence of cervical metastasis and to assess if elective neck dissection is justified when the neck is not primarily affected. Methods: An electronic literature search was conducted in several databases, including MEDLINE, EMBASE, and Cochrane Central databases, for articles written in English. Results: Twenty-eight articles were included in the review. The overall cervical metastases rate was 33% and the...
    Published on: 24 Jun 2016
    Views: 3587
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