MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'British Journal of Plastic Surgery' source. Sat, 10 Oct 2009 19:29:05 +0100 http://www.medworm.com/index.php?rid=2530479&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19535309%26dopt%3DAbstract We report a case of near-total scalp avulsion treated by temporary implantation to the lower abdomen with secondary replantation. PMID: 19535309 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2530479 Sun, 14 Jun 2009 23:00:00 +0100 2530479 http://www.medworm.com/index.php?rid=1907497&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18946230%26dopt%3DAbstract Conclusions: In this series, it was demonstrated that immunohistochemically detected perineural invasion was very prevalent in advanced skin carcinomas. In addition, it was statistically associated with extremely aggressive BCCs with skull base invasion. PMID: 18946230 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1907497 Thu, 23 Oct 2008 04:00:00 +0100 1907497 http://www.medworm.com/index.php?rid=1343782&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18374638%26dopt%3DAbstract Authors: Blackburn VF, Blackburn AV Most patient dissatisfaction in Aesthetic surgery is based on failures of communication and patient selection criteria, and not on technical faults [Ward CM. Consenting and consulting for cosmetic surgery. Br J Plast Surg 1998;51:547-50; Gorney M. (2004) Essentials of malpractice claims prevention for the plastic surgeon. eMedicine; Jan 5, 2004]. Litigation leaves the surgeon perplexed when the operation has been performed to his or her satisfaction. Taking a history of Aesthetic Distress is critical in understanding the patient's complaint and postoperative expectation. It is often overlooked. This valuable information influences patient selection for surgery and shapes the operation to be performed. If a carefully selected patient has a surgical re... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1343782 Wed, 26 Mar 2008 04:00:00 +0100 1343782 http://www.medworm.com/index.php?rid=1046588&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18032121%26dopt%3DAbstract CONCLUSIONS: Otoplasty is an effective procedure in alleviating psychosocial distress in the vast majority of children that undergo the operation, and hence this study supports the continued availability of otoplasty on the NHS for children with prominent ears. PMID: 18032121 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1046588 Mon, 19 Nov 2007 05:00:00 +0100 1046588 http://www.medworm.com/index.php?rid=761382&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17652049%26dopt%3DAbstract Authors: Bush JA, Ferguson MW, Mason T, McGrouther DA The final appearance of a scar may be influenced by tension or mechanical factors. [Borges AF. Scar prognosis of wounds. Br J Plast Surg 1960;13:47-54; Arem AJ, Madden JW. Effects of stress on healing wounds. J Surg Res 1976;20:93-102; Burgess LP, Morin GV, Rand M, et al. Wound healing. Relationship of wound closing tension to scar width in rats. Arch Otolaryngol Head Neck Surg 1990;116:798-802; Meyer M, McGrouther DA. A study relating wound tension to scar morphology in the pre-sternal scar using Langer's technique. Br J Plast Surg 1991;44:291-4] Karl Langer suggested that information could be gained about the tension inherent in skin, in all directions, by observing the wound edge retraction that occurred after making circular ski... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=761382 Mon, 23 Jul 2007 04:00:00 +0100 761382 http://www.medworm.com/index.php?rid=724843&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17616375%26dopt%3DAbstract Authors: de Lorenzi F, Manconi A, Rietjens M, Petit JY PMID: 17616375 [PubMed - in process] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=724843 Tue, 10 Jul 2007 18:33:59 +0100 724843 http://www.medworm.com/index.php?rid=472034&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17349595%26dopt%3DAbstract Authors: Bush J, Ferguson MW, Mason T, McGrouther G Karl Langer investigated directional variations in the mechanical and physical properties of skin [Gibson T. Editorial. Karl Langer (1819-1887) and his lines. Br J Plast Surg 1978;31:1-2]. He produced a series of diagrams depicting lines of cleavage in the skin [Langer K. On the anatomy and physiology of the skin I. The cleavability of the cutis. Br J Plast Surg 1978;31:3-8] and showed that the orientation of these lines coincided with the dominant axis of mechanical tension in the skin [Langer K. On the anatomy and physiology of the skin II. Skin tension. Br J Plast Surg 1978;31:93-106]. Previously these lines have been considered as a static feature. We set out to determine whether Langer's lines have a dynamic element and to define... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=472034 Wed, 14 Mar 2007 22:07:02 +0100 472034 http://www.medworm.com/index.php?rid=367673&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16061212%26dopt%3DAbstract Authors: Sommerlad BC PMID: 16061212 [PubMed - indexed for MEDLINE] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367673 Mon, 22 Jan 2007 14:31:03 +0100 367673 http://www.medworm.com/index.php?rid=367666&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16061213%26dopt%3DAbstract Authors: Moolenburgh SE, van Huizum MA, Hofer SO Flap neovascularisation is generally believed to make free skin-containing flaps independent of their axial pedicle blood supply. A case of DIEP-flap failure 3 years after transfer is presented in a breast reconstruction patient in whom a lateral breast reduction for symmetry improvement was performed. Causative factors in this patient were the division of the flap pedicle during lateral breast reduction and smoking in the postoperative period. A review of literature is presented and highlights the uniqueness of this case. PMID: 16061213 [PubMed - indexed for MEDLINE] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367666 Mon, 22 Jan 2007 14:31:03 +0100 367666 http://www.medworm.com/index.php?rid=367662&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16061214%26dopt%3DAbstract This report documents the successful elimination of disfiguring sebaceous adenomas from the face of a 21-year-old male patient with mechanical dermabrasion. PMID: 16061214 [PubMed - indexed for MEDLINE] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367662 Mon, 22 Jan 2007 14:31:03 +0100 367662 http://www.medworm.com/index.php?rid=367661&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16084501%26dopt%3DAbstract We present a review of five cases referred to our unit between 1999 and 2004 with a diagnosis of a midline nasal dermoid sinus cyst and radiological evidence of intracranial communication. All cases had a communication with the anterior cranial fossa diagnosed preoperatively and were treated surgically with a craniofacial approach. An intracranial extension was identified at operation in each case and this was confirmed on histopathology. The only significant complication resulted from an early postoperative infection, requiring re-operation. There were no recurrences and acceptable aesthetic outcomes have been observed in all cases. PMID: 16084501 [PubMed - indexed for MEDLINE] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367661 Mon, 22 Jan 2007 14:31:03 +0100 367661 http://www.medworm.com/index.php?rid=367660&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16084503%26dopt%3DAbstract CONCLUSIONS: It seems that DO can be feasible in previously irradiated rabbit mandible. PMID: 16084503 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367660 Mon, 22 Jan 2007 14:31:03 +0100 367660 http://www.medworm.com/index.php?rid=367659&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16084928%26dopt%3DAbstract In conclusion, our new flap model in a favored laboratory animal is of benefit to researchers in providing a means for future various types of investigations into this new concept. The technique might be considered in further experimental research studies and appropriate clinical situations. PMID: 16084928 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367659 Mon, 22 Jan 2007 14:31:03 +0100 367659 http://www.medworm.com/index.php?rid=367658&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16084929%26dopt%3DAbstract Authors: Jose RM, Bennett A, Holmes J PMID: 16084929 [PubMed - indexed for MEDLINE] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367658 Mon, 22 Jan 2007 14:31:03 +0100 367658 http://www.medworm.com/index.php?rid=367657&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16084930%26dopt%3DAbstract We present an audit of primary cleft palate surgery in our unit including rates of two important post-operative complications. Multidisciplinary audit clinics ran from March 1998 to April 2002 to follow up all local patients with a cleft lip or palate who had undergone primary palatal surgery in our unit. One hundred and forty eight patients were studied. Patient ages at follow-up ranged from 3 years and 10 months to 17 years and 4 months. Two surgeons performed the primary surgery. One hundred and twenty eight Wardill-Kilner and 20 Von Langenbeck repairs were performed. We found a 4.7% rate of oro-nasal fistula development requiring surgical closure, and a 26.4% rate of velopharyngeal insufficiency (VPI) requiring subsequent pharyngoplasty. We noted that the type of cleft involved affecte... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367657 Mon, 22 Jan 2007 14:31:03 +0100 367657 http://www.medworm.com/index.php?rid=367656&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16086989%26dopt%3DAbstract Authors: Kelly EJ, Terenghi G, Hazari A, Wiberg M Quantification of sensory recovery after peripheral nerve surgery is difficult and no accurate techniques are available at present. Quantification of reinnervated skin has been used experimentally, and in some clinical studies, but the lack of knowledge about the normal sensory distribution has been a problem. The purpose of this study was, therefore, to map the density of sensory end organs, nerve fibres and free nerve endings in the glabrous skin of the human hand. Skin biopsies were taken from patients undergoing acute and elective hand surgery. Nerve fibres were stained in the epidermis and papillary dermis and quantified in five sites on the palm of the hand, using protein gene product 9.5 immunoreactivity-a panneuronal marker. The... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367656 Mon, 22 Jan 2007 14:31:03 +0100 367656 http://www.medworm.com/index.php?rid=367655&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16086990%26dopt%3DAbstract Authors: Griffiths RW, Suvarna SK, Stone J For 1378 patients treated in the 11 years 1988-1998 by conventional excision of 1635 basal cell carcinomas, 1516 first index lesions were histologically completely excised. All patients having more than one BCC excised were identified from the data base from 1988 to 2003 to give minimum 5 years follow for last treated primary lesions in 1998. Measured clearance margins around the initial lesions at or near sites of presumptive recurrent lesions were noted and the lesions recorded photographically. All incompletely excised lesions whether or not re-excised were excluded. The median age for all patients was 70 years. Over minimum 5 years follow up, six patients developed nine subsequent lesions contiguous with the scar or graft repair of primary... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367655 Mon, 22 Jan 2007 14:31:03 +0100 367655 http://www.medworm.com/index.php?rid=367654&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16086991%26dopt%3DAbstract Authors: Roblin P, Ross DA A vertical rectus abdominis myocutaneous flap was used to provide cover for a recurrent angiosarcoma in the abdominal skin. Of note, the patient had 9 years previously undergone formal abdominoplasty to allow closure following excision of the primary tumour. This flap is normally reliant on myocutaneous perforators originating from the deep epigastric system, which are divided during abdominoplasty. Despite this, the flap survived well, implying that a new blood supply had formed during the intervening years. This flap can, therefore, be considered a possible option in reconstructive cases where other options are limited, despite a preceding abdominoplasty. In the future because of the increasingly common occurrence of abdominoplasty in young females, this pr... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367654 Mon, 22 Jan 2007 14:31:03 +0100 367654 http://www.medworm.com/index.php?rid=367653&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16086992%26dopt%3DAbstract We present a case of a large full thickness abdominal wall defect following excision of a huge basal cell carcinoma, uniquely reconstructed with a sandwich omental flap, vicryl/prolene (vypro II) mesh and split thickness skin graft. PMID: 16086992 [PubMed - indexed for MEDLINE] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367653 Mon, 22 Jan 2007 14:31:03 +0100 367653 http://www.medworm.com/index.php?rid=367652&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16086993%26dopt%3DAbstract Authors: Scaranelo AM, Davanço RA A swelling of the abdominal wall in a 27-year-old woman after undergoing liposuction is described. Pseudocyst of Morel-Lavallée was located within the abdominal fascia and removed by surgery. MRI showed a non-homogenous mass with hyper intense fluid level and septations in T2-weighted images. We speculated that MRI can be used to guide the treatment (conservative or surgical). The literature concerning liposuction is reviewed. PMID: 16086993 [PubMed - indexed for MEDLINE] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367652 Mon, 22 Jan 2007 14:31:03 +0100 367652 http://www.medworm.com/index.php?rid=367651&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16086994%26dopt%3DAbstract We report a case of malignant melanoma metastasis in the thigh musculature in a young female patient. PMID: 16086994 [PubMed - indexed for MEDLINE] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367651 Mon, 22 Jan 2007 14:31:03 +0100 367651 http://www.medworm.com/index.php?rid=367650&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16086995%26dopt%3DAbstract We present the eighth case reported worldwide with a review of the literature and suggestions on the management of this unusual condition. PMID: 16086995 [PubMed - indexed for MEDLINE] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367650 Mon, 22 Jan 2007 14:31:03 +0100 367650 http://www.medworm.com/index.php?rid=367649&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16086996%26dopt%3DAbstract We report an 11-year-old girl with histologically confirmed ALHE on the dorsum of her left hand, which underwent complete spontaneous regression within 10 weeks. Angiolymphoid hyperplasia is a benign disease and it is important to recognise this condition so that early superficial lesions can be observed for 3-6 months pending spontaneous regression. PMID: 16086996 [PubMed - indexed for MEDLINE] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367649 Mon, 22 Jan 2007 14:31:03 +0100 367649 http://www.medworm.com/index.php?rid=367648&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16086997%26dopt%3DAbstract We report the case of a large venous malformation of the tongue, preventing the patient from being able to contain it within the oral cavity. The extent of the malformation precluded a complete surgical excision. The immediate problems were; impending airway compromise, inability to speak, eat or drink, severe discomfort due to exposure-induced dryness and an embarrassing spectacle. This case demonstrates that even malformations considered to be incurable may be managed appropriately. PMID: 16086997 [PubMed - indexed for MEDLINE] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367648 Mon, 22 Jan 2007 14:31:03 +0100 367648 http://www.medworm.com/index.php?rid=367647&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16095577%26dopt%3DAbstract This study sheds some light on the variation in venous drainage important to the initial survival of these flap transfers. PMID: 16095577 [PubMed - indexed for MEDLINE] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367647 Mon, 22 Jan 2007 14:31:03 +0100 367647 http://www.medworm.com/index.php?rid=367646&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16098490%26dopt%3DAbstract Authors: Felici N, Felici A After a 10-year experience with phalloplasty in female to male gender reassignment surgery and with more than one hundred cases treated, we have introduced a new technique for creation of the neo-phallus. Between 1993 and 2002, phalloplasties were performed in our department using the free radial forearm flap or the pre-expanded suprapubic flap (modified Pryor technique). The study of long-term results and complications of these cases, as well as patient requests for a new donor site, induced us to look for an alternative flap for phalloplasty. The versatility and the low donor site morbidity of anterolateral thigh flap persuaded us to use it for phalloplasty. Since March 2003, six phalloplasties with free anterolateral thigh (ALT) flap have been performed. ... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367646 Mon, 22 Jan 2007 14:31:03 +0100 367646 http://www.medworm.com/index.php?rid=367645&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16099439%26dopt%3DAbstract Authors: Joshi A, Rajendraprasad JS, Shetty K The facial artery musculomucosal flap, technically a combination of the nasolabial flap and the buccal mucosal flap, has been a reliable, versatile flap, either superiorly or inferiorly based for reconstruction of a wide variety of postcancer excision intraoral mucosal defects including defects of the palate, alveolus, lips and floor of mouth. We have used it 17 times in 16 patients with no failures and one flap with terminal necrosis. Almost all flaps developed venous congestion which settled on its own by conservative management. PMID: 16099439 [PubMed - indexed for MEDLINE] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367645 Mon, 22 Jan 2007 14:31:03 +0100 367645 http://www.medworm.com/index.php?rid=367644&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16112659%26dopt%3DAbstract CONCLUSION: From the results obtained in our work, we can deduce that it is always possible to locate perforator arteries in both muscle bellies; most frequently they have intramuscular distribution and are located in the proximity of the vascular septum. Their most common origins are the popliteal artery and first and second profunda perforator artery. Finally, it is possible to design pedicle and free flaps, with less morbidity and more versatility than musculocutaneous flaps. PMID: 16112659 [PubMed - indexed for MEDLINE] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367644 Mon, 22 Jan 2007 14:31:03 +0100 367644 http://www.medworm.com/index.php?rid=367643&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16154118%26dopt%3DAbstract Authors: Christofides E, Potgieter A, Chait L The aim of unilateral cleft lip repair is to achieve a functional and aesthetically acceptable upper lip scar. Many techniques have been described but do not fulfil the basic aesthetic criteria. This series assessed the long term results from a subjective and objective point of view in a group of 20 patients who only had the initial repair, as described by Millard, without further revisional surgery. Surgery was undertaken at approximately 3 months of age and no secondary procedures were performed thereafter. The analysis related essentially to the residual scar. Patients were assessed subjectively and objectively by means of questionnaires. A control group (n=20) of normal patients, of similar age, male to female ratio and of similar racia... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367643 Mon, 22 Jan 2007 14:31:03 +0100 367643 http://www.medworm.com/index.php?rid=367642&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16154119%26dopt%3DAbstract Authors: Lu LI, Chuang DC Sensory neurotisation of a muscle (sensory nerve transfer to the motor nerve of a muscle) produces muscle sensibility, but not skin sensibility. How to achieve sensation of a musculocutaneous flap remains a challenge to reconstructive microsurgeons. The purpose of our study was to determine if multiple nerve grafts which were placed vertically between the neuromuscular entrance zone of a muscle and a target area of dermis on the overlying skin could improve sensation. Thirty-six gracilis musculocutaneous flaps (18 rabbits) were raised and divided into three groups: group 1 consisted of 12 sensory neurotised gracilis musculocutaneous flaps with five nerve grafts each; group 2 consisted of another 12 sensory neurotised gracilis flaps with 10 nerve grafts each; a... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367642 Mon, 22 Jan 2007 14:31:03 +0100 367642 http://www.medworm.com/index.php?rid=367641&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16154120%26dopt%3DAbstract We describe a surgical approach using careful mathematical measurements of the deformity that allows the preoperative marking of the incision in the shape of a fish. This incision is specially designed to offset the problems routinely faced in brachioplasty. Mathematical measurements, anatomic marking and conduct of the operation have been described in detail. The 'fish-incision' brachioplasty provides a usable, simple method that is easy to follow and optimises aesthetic results. PMID: 16154120 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367641 Mon, 22 Jan 2007 14:31:03 +0100 367641 http://www.medworm.com/index.php?rid=367640&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16154549%26dopt%3DAbstract Authors: Chang SH, Wu TC, Hsiao HT, Tung KY PMID: 16154549 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367640 Mon, 22 Jan 2007 14:31:03 +0100 367640 http://www.medworm.com/index.php?rid=367639&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16154550%26dopt%3DAbstract Authors: McGregor JC PMID: 16154550 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367639 Mon, 22 Jan 2007 14:31:03 +0100 367639 http://www.medworm.com/index.php?rid=367638&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16156002%26dopt%3DAbstract We describe our humble experience with this anomaly over a period of 10 years during which time we were able to treat 1415 cases. However, this paper only describes results of 1206 patients. We use universally only one technique for hypospadias repair and perform this in two stages. This technique has been described by many but lately popularized by Aivar Bracka from UK. Our overall fistula rate has been 3.8% though most of the fistulae occurred in the earlier period. Other complications included repeated UTI (3%) and hair growth in the urethra (0.2%). PMID: 16156002 [PubMed - indexed for MEDLINE] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367638 Mon, 22 Jan 2007 14:31:03 +0100 367638 http://www.medworm.com/index.php?rid=367637&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16157312%26dopt%3DAbstract Authors: Bulstrode NW, Kotronakis I, Baldwin MA The use of tensor fasciae latae was first described as a rotation or island flap and evolved into a free flap in the late 1970s. This series of 85 patients undergoing free tensor fasciae latae transfer includes complex head and neck, abdominal wall and lower limb reconstruction. The overall success rate was 93% (79 patients), partial flap loss, 5% (four cases), and flap failure, 2% (two patients). Twelve patients (14%) required unplanned return to theatre for exploration resulting in a 75% salvage rate. We believe this series demonstrates the great versatility of this flap and highlights particular indications for its use. PMID: 16157312 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367637 Mon, 22 Jan 2007 14:31:03 +0100 367637 http://www.medworm.com/index.php?rid=367636&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16183041%26dopt%3DAbstract This study aimed prospectively to investigate psychological distress throughout the diagnostic process in an outpatient pigmented lesion clinic (PLC). Psychological distress was measured at pre clinical diagnosis, post clinical diagnosis, pre histological diagnosis (including a benign follow-up) and post histological diagnosis stages using standard anxiety measurement scales and a study specific measure of satisfaction with care. In total 324 patients undergoing investigation of a suspicious skin lesion consented to take part out of a cohort of 463 patients who attended the PLC in a 6 month period. Using recognised cut-off scores, 27% of women on clinic arrival reported clinically high levels of anxiety, in comparison with 10% of men (p<0.0001). Patients given an immediate benign post c... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367636 Mon, 22 Jan 2007 14:31:03 +0100 367636 http://www.medworm.com/index.php?rid=367635&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16274678%26dopt%3DAbstract Authors: Burm JS This paper describes the use of a composite graft from the mastoid area consisting of full-thickness skin peripherally and selectively localised fascia-fat tissue underneath the skin centrally for immediate reconstruction of moderate defects of the nasal tip including the columella and soft triangle. Mastoid composite grafting is a simple and safe procedure that avoids partial graft loss and provides adequate augmentation of soft tissue, easy reshaping of the new nostril rim, minimal post-operative shrinkage, and no donor-site morbidity. Then, it results in a satisfactory nasal appearance with adequate tip projection and symmetry. This procedure may represent a preferred method of nasal tip reconstruction. PMID: 16274678 [PubMed - as supplied by publisher] (Source:... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367635 Mon, 22 Jan 2007 14:31:03 +0100 367635 http://www.medworm.com/index.php?rid=367634&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16274679%26dopt%3DAbstract CONCLUSIONS: For the reverse posterior interosseous flap to be reliable the flap should include the septocutaneous perforators in the distal third of the forearm. To cover distant defects reliably by a flap with a long pedicle, the flap should extend up to the distal third of the forearm to include a piece of skin with numerous perforators. PMID: 16274679 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367634 Mon, 22 Jan 2007 14:31:03 +0100 367634 http://www.medworm.com/index.php?rid=367633&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16274680%26dopt%3DAbstract We present the case of a young patient with EEC syndrome and mammary hypoplasia who underwent DIEP flap reconstruction for breast augmentation. The outcome was satisfactory to both patient and surgeon. PMID: 16274680 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367633 Mon, 22 Jan 2007 14:31:03 +0100 367633 http://www.medworm.com/index.php?rid=367632&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16307732%26dopt%3DAbstract Authors: Kay S PMID: 16307732 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367632 Mon, 22 Jan 2007 14:31:03 +0100 367632 http://www.medworm.com/index.php?rid=367631&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16309637%26dopt%3DAbstract CONCLUSIONS: Both drugs equally increased flap survival in nicotine treated animals. Viability areas increased due to larger ischaemic areas, probably as a reflex of the action of these drugs in sites of partial circulatory deficit. PMID: 16309637 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367631 Mon, 22 Jan 2007 14:31:03 +0100 367631 http://www.medworm.com/index.php?rid=367630&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16309638%26dopt%3DAbstract Authors: Rajive J, John H, Stuart N, Danish I PMID: 16309638 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367630 Mon, 22 Jan 2007 14:31:03 +0100 367630 http://www.medworm.com/index.php?rid=367629&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16309639%26dopt%3DAbstract Authors: Li JH, Xing X, Ouyang TX, Li P, Xu J The aim of this study was to describe an innovation of the transposition pedicle island flap for reconstruction of the medium-sized skin defects in the face, neck and hand. Twenty-seven cases of skin tumours and scars were surgically excised and reconstructed with this island flap. All flap survived with primary healing postoperatively. With a follow-up from 1 to 22 months, functionally and cosmetically satisfactory outcomes were achieved. This modification of transposition island flap provides a competitive repair alternative for the treatment of medium-sized skin defects. PMID: 16309639 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367629 Mon, 22 Jan 2007 14:31:03 +0100 367629 http://www.medworm.com/index.php?rid=367628&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16309640%26dopt%3DAbstract We present our 14-year experience of free tissue transfer following surgery for head and neck neoplasm. We evaluated 346 patients mean age 57 years, 65% had squamous cell carcinoma; the most frequent sites were oral cavity and mandible (168) craniomaxillo facial region (94) pharynx+/-cervical oesophagus and oropharyngostomes (84). In 327 (95%) cases the reconstruction was a success. Flap revision was necessary in 29 (8.4% of total) and recovery was successful in 10/29. Nine patients (2.6%) died perioperatively. Poor preoperative condition, previous treatment, and requirement for vein graft were significantly associated with increased risk of major complications after surgery. Cosmetic and functional outcomes were assessed on 1-10 scales: 69 and 77% of patients, respectively, had cosmetic a... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367628 Mon, 22 Jan 2007 14:31:03 +0100 367628 http://www.medworm.com/index.php?rid=367627&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16309641%26dopt%3DAbstract We present a case in which a longstanding lesion initially diagnosed as basal cell carcinoma was later found to have basosquamous histology and regional metastases. Review of the literature reveals a metastatic rate greater than that of basal cell and squamous cell carcinoma, and identifies several important characteristics that impact prognosis after surgical resection. For physicians treating carcinomas of the skin, it is important to understand the natural history and proper treatment of this aggressive neoplasm. PMID: 16309641 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367627 Mon, 22 Jan 2007 14:31:03 +0100 367627 http://www.medworm.com/index.php?rid=367626&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16309642%26dopt%3DAbstract We present a series of reconstruction of 47 patients with large full thickness cheek defects secondary to cancer ablative surgery. All patients were reconstructed primarily by bipaddle pectoralis major myocutaneous (PMMC) flap. The age of patients ranged from 25 to 85 years (mean 49.5 years). All patients were male. The size of the paddle used for mucosal defect repair ranged from 5x3 to 9x7cm and the size of the paddle used for skin cover ranged from 4x4 to 9x8cm. The total flap size ranged from 10x5 to 17x7cm. One patient had complete loss of flap (2.12%). Sixteen patients had minor complications all of which settled with conservative management. The follow up period varied from 1 month to 4 years. The modification adopted in bipaddling the flap was based on anatomical location of perfor... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367626 Mon, 22 Jan 2007 14:31:03 +0100 367626 http://www.medworm.com/index.php?rid=367625&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16309643%26dopt%3DAbstract Authors: Liyanage SH, Purohit GS, Frye JN, Giordano P Laparostomy wound management is a difficult problem especially with a stoma and the potential risk of infection. A case describing the use of a permanent porcine dermal collagen implant in the repair of a massive ventral hernia, in a patient with a large post-laparostomy defect and colostomy is outlined. The implant was not rejected, and after 12 months, there was no evidence of residual or recurrent hernia. The search for the ultimate biomaterial for reconstructing abdominal wall defects is ongoing. Collagen based implants appear to have many of the requirements that an ideal material should possess. PMID: 16309643 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367625 Mon, 22 Jan 2007 14:31:03 +0100 367625 http://www.medworm.com/index.php?rid=367624&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16309644%26dopt%3DAbstract Authors: Nagata S This disease was first described by von Recklinghausen and Festscher and has been known as the von Recklinghausen's disease or neurofibromatosis (NF). Numerous articles have been published on this subject where majority of the authors have stressed their difficulty in achieving favourable surgical results. This disease is pathologically accepted to be of neuroectodermal origin with a positive family history in approximately 50% of the cases, autosomal dominant trait and is known to involve the periorbital regions, orbit (preoperative CT scan: upper left and right photographs), temporal region to a variable extent, mid-facial region to the mandibular region. The indicated treatment for this disease is surgery including cranio-maxillofacial surgery even though re-evalua... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367624 Mon, 22 Jan 2007 14:31:03 +0100 367624 http://www.medworm.com/index.php?rid=367623&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16309645%26dopt%3DAbstract Authors: Yu H, Bock O, Bayat A, Ferguson MW, Mrowietz U Keloids are benign skin tumours occurring during wound healing in genetically predisposed patients. They are characterised by an abnormal deposition of extracellular matrix components, in particular collagen. There is evidence that transforming growth factor-beta (TGFbeta) is involved in keloid formation. SMAD proteins play a crucial role in TGFbeta signaling and in terminating the TGFbeta signal by a negative feedback loop through SMAD6 and 7. It is unclear how TGFbeta signalling is connected to the pathogenesis of keloids. Therefore, we investigated the expression of SMAD mRNA and proteins in keloids, in normal skin and in normal scars. Dermal fibroblasts were obtained from punch-biopsies of keloids, normal scars and normal skin... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367623 Mon, 22 Jan 2007 14:31:03 +0100 367623 http://www.medworm.com/index.php?rid=367622&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16309646%26dopt%3DAbstract We present our experience in functional reconstruction of the Achilles tendon with large tissue defects following after trauma and infection. To cover the skin defect and to reconstruct the Achilles tendon we used the free tensor fasciae latae (TFL) flap. From 1997 to 2003 six males, ranging from 22 to 71 (average 38.6) years, underwent this reconstructive procedure. All of them had sustained a trauma with following loss of the tendon and of the overlying tissue. After initial debridements the reconstruction with a tensor fascia latae free flap was performed. To achieve a strong distal fascia lata attachment to the calcaneal bone, we developed a special method of fixation. After vertical osteotomy in the calcaneus the distal part of the fascia flap was introduced between the bone segments,... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367622 Mon, 22 Jan 2007 14:31:03 +0100 367622 http://www.medworm.com/index.php?rid=367621&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16309647%26dopt%3DAbstract CONCLUSIONS: This study demonstrates the feasibility of comparative audit for free and pedicled flap procedures using the methods proposed. Based on the incidence of flap failure observed in this pilot study, at least 18 months of prospective data collection on consecutive patients is required to fulfil the statistical requirements of comparative audit. The establishment of a routinely collected minimum dataset is proposed as one means of meeting these requirements. PMID: 16309647 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367621 Mon, 22 Jan 2007 14:31:03 +0100 367621 http://www.medworm.com/index.php?rid=367620&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16309648%26dopt%3DAbstract Authors: Jósvay J, Sashegyi M, Kelemen P, Donáth A The method most frequently used for the coverage of trochanteric pressure sores is the tensor fascia lata (TFL) flap. The authors introduce a new, hatchet-shaped incision strategy for the TFL flap, which preserves the safe blood supply of the flap and keeps the flap mobile enough. The part of the flap including the muscle is adapted to the greater trochanter. This provides a good aesthetic result without dog-ear formation at the rotation point of the flap. The donor site is closed in a V-Y fashion, and the closure does not require any skin grafting or designing a local flap. The TFL hatchet flap was used nine times on eight patients to cover trochanteric pressure sores. With one exception all patients healed. No recurrence was observ... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367620 Mon, 22 Jan 2007 14:31:03 +0100 367620 http://www.medworm.com/index.php?rid=367619&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16309649%26dopt%3DAbstract Authors: Greenbaum A PMID: 16309649 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367619 Mon, 22 Jan 2007 14:31:03 +0100 367619 http://www.medworm.com/index.php?rid=367618&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16309650%26dopt%3DAbstract This study was planned to assess whether the differences between perforator flap and normal systemic vasculature have an impact on haemodynamic parameters in perforator flaps and on their clinical significance. The study was performed on 10 patients. Echo-colour-Doppler measurement of diameters, velocity of flow and calculations of flow rate were made at the level of flap pedicle artery and skin perforator artery, pre- and post-operatively in each patient. Statistical analysis used the Wilcoxon matched pairs signed sum rank test. Our data show that in the donor area pre-operatively, blood velocity in skin artery perforator is lower that in the corresponding pedicle artery, whereas post-operatively, in perforator flaps, blood velocity in the perforator is higher than in the pedicle. The dif... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367618 Mon, 22 Jan 2007 14:31:03 +0100 367618 http://www.medworm.com/index.php?rid=367617&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16309651%26dopt%3DAbstract Authors: Farace F, Mario L, Antonello M, Rita MD, Corrado R Bites from Loxosceles spiders can cause few symptoms to gangrenous skin necrosis or even death. To date, the treatment of the violin spider bite is largely unsatisfactory. Although no specific therapy exists, it has been suggested that heparin, steroids, dapsone, experimental antivenin and/or surgical excision may be beneficial. Three rare cases of suspected spider bite and their surgical treatment are reported. On the basis of geographical area, anamnesis and clinical symptoms, we suppose Loxoceles rufescens responsible for these bites. PMID: 16309651 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367617 Mon, 22 Jan 2007 14:31:03 +0100 367617 http://www.medworm.com/index.php?rid=367616&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16309658%26dopt%3DAbstract Authors: Hamilton S, Gault D PMID: 16309658 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367616 Mon, 22 Jan 2007 14:31:03 +0100 367616 http://www.medworm.com/index.php?rid=367615&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16309659%26dopt%3DAbstract Authors: Yokoyama A, Sugano H, Umeda T, Hata Y PMID: 16309659 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367615 Mon, 22 Jan 2007 14:31:03 +0100 367615 http://www.medworm.com/index.php?rid=367614&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16309660%26dopt%3DAbstract Authors: Fattah A, Belcher HJ PMID: 16309660 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367614 Mon, 22 Jan 2007 14:31:03 +0100 367614 http://www.medworm.com/index.php?rid=367613&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16313890%26dopt%3DAbstract Authors: Das-Gupta R, Busic V, Begic A PMID: 16313890 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367613 Mon, 22 Jan 2007 14:31:03 +0100 367613 http://www.medworm.com/index.php?rid=367612&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16337928%26dopt%3DAbstract Authors: Bedogni A, McCombe D, Kennedy J, Morrison W Recurrent massive epistaxes due to heriditary haemorrhagic telangectasia were managed in two patients by ablation of the mucosa of the nasal and maxillary cavities and resurfacing with radial forearm fasciocutaneous free flaps. Both patients had undergone multiple procedures attempting to control the epistaxes prior to the definitive procedures described. Both patients remained epistaxis free postoperatively and retained their nasal airways. Olfactory function was preserved in the second patient due to preservation of the superior turbinate and cribriform olfactory mucosa. PMID: 16337928 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367612 Mon, 22 Jan 2007 14:31:03 +0100 367612 http://www.medworm.com/index.php?rid=367611&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16337929%26dopt%3DAbstract In this study, we attempted to analyse the temporal profiles of HSP72 induction in epithelial and adipose cells in skin flaps after various periods of transient ischaemia, and we investigated the reason why there were differences in ischaemic tolerance between these cells. We used the abdominal skin flap of Wister rats, which were divided into three groups: the sham control group (n=27), the 2-h ischaemia group (n=25), and the 8-h ischaemia group (n=25). At periods of 8, 24, 48, 96h, and 7 days after reperfusion, we examined them for any histological changes and performed immunostaining for HSP72 (n=5, each time point). Two animals in the sham control group were sacrificed to harvest the samples immediately after the skin flaps were elevated. As a result, the epithelial cells in all groups... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367611 Mon, 22 Jan 2007 14:31:03 +0100 367611 http://www.medworm.com/index.php?rid=367610&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16343453%26dopt%3DAbstract Authors: Pappachan B, Adenwalla HS, Borle RM, Bonde R PMID: 16343453 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367610 Mon, 22 Jan 2007 14:31:03 +0100 367610 http://www.medworm.com/index.php?rid=367609&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16343454%26dopt%3DAbstract Authors: Fogarty GB, Burt J, Ainslie J PMID: 16343454 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367609 Mon, 22 Jan 2007 14:31:03 +0100 367609 http://www.medworm.com/index.php?rid=367608&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16343455%26dopt%3DAbstract Authors: Akyol A, Kiylioglu N, Copcu E PMID: 16343455 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367608 Mon, 22 Jan 2007 14:31:03 +0100 367608 http://www.medworm.com/index.php?rid=367607&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16343456%26dopt%3DAbstract Authors: Rea S, O'sullivan ST Molecular biology has become an essential component in many fields of modern medical research, including plastic surgery. Research into the molecular mechanisms underlying many disease processes offer increased understanding of the pathogenesis of disease and provide exciting therapeutic possibilities. Yet for many clinicians, the presentation of much research into molecular biological processes is couched in confusing terminology and based on scientific techniques, the basis of which are frequently difficult for the clinician to understand. The purpose of this review is to present an introduction to some of the molecular biological techniques currently in use, namely the polymerase chain reaction (PCR) and explore its applications to different aspects of ... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367607 Mon, 22 Jan 2007 14:31:03 +0100 367607 http://www.medworm.com/index.php?rid=367606&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16343457%26dopt%3DAbstract Authors: Leong A, Khoo C PMID: 16343457 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367606 Mon, 22 Jan 2007 14:31:03 +0100 367606 http://www.medworm.com/index.php?rid=367605&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16343458%26dopt%3DAbstract Authors: Yen MT PMID: 16343458 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367605 Mon, 22 Jan 2007 14:31:03 +0100 367605 http://www.medworm.com/index.php?rid=367604&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16352294%26dopt%3DAbstract Authors: Acarturk S, Arslan E, Demirkan F, Unal S Severe middle vault deformity with disturbed nasal form and function is one of the most challenging procedures to correct in a secondary rhinoplasty. Reconstructing the deformity with autologous septal cartilage would be the primary choice of most surgeons, if it were always available. However in certain cases the lack of a sufficient quantity of autologous cartilage has forced surgeons to explore other viable options. This paper discusses our experience with the combined use of spreader and dorsal onlay grafts from various materials in the reconstruction of severe middle vault deformity in 110 patients. In follow up, (between 6 and 42 months; mean 21 months) all patients were noted to have improved in both aesthetics and function with ... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367604 Mon, 22 Jan 2007 14:31:03 +0100 367604 http://www.medworm.com/index.php?rid=367603&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16352295%26dopt%3DAbstract We present our experience of two cases in which we carried out pollicisation of the index metacarpal based on the first dorsal metacarpal artery and venae comitans. Both cases were complex severe hand injuries where the initial injury was the result of a firework exploding while held in the hand. In both cases the radial side of the superficial palmar arch was destroyed by the injury. In both cases there was virtually complete loss of the thumb ray and amputation of the index through the base of the proximal phalanx. A useful opposition post has been created from vascularised index metacarpal with free flap soft tissue reconstruction. PMID: 16352295 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367603 Mon, 22 Jan 2007 14:31:03 +0100 367603 http://www.medworm.com/index.php?rid=367602&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16352296%26dopt%3DAbstract CONCLUSION: Aesthetic nasal proportions of 50 healthy Caucasians were examined from a cohort of 57 volunteers. Results showed that the average nose did not conform to neo-classical facial canons. The alar width (average 3.6cm) was significantly wider than the intercanthal width (average 3.0cm, p<0.05). The nasal width-length ratio was also greater suggesting that the cohort average was shorter and wider than the aesthetic ideal. The Baum ratio was 2.5:1, indicating that the average nasal tip was more projected that the aesthetic ideal (2.8:1). The naso-frontal and naso-facial angles are both more obtuse, and in profile the average nose overall appeared more prominent, as a result of the reduced forehead projection. The only parameter where there appeared to be consistency between the av... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367602 Mon, 22 Jan 2007 14:31:03 +0100 367602 http://www.medworm.com/index.php?rid=367601&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16356481%26dopt%3DAbstract Authors: Woo SH, Lee GJ, Kim KC, Ha SH, Kim JS The authors successfully performed a series of 32 distal finger reconstructions using partial second toe-to-finger transfers solely for aesthetic indications. The resulting hand function shows an average static 2-point discrimination of 8mm. Total active range of motion was 205 degrees . Key-pinch strength and grip strength averaged 65 and 90% of the normal contralateral side, respectively. Patient satisfaction, as reflected by the average subjective satisfaction scores for aesthetic appearance and function (SSSAF) of the reconstructed distal finger, was high at 82 and 78, respectively. The SSSAF for the donor site averaged 88 for function and 75-80 for aesthetic appearance, which is statistically significant (p<0.05). The authors modif... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367601 Mon, 22 Jan 2007 14:31:03 +0100 367601 http://www.medworm.com/index.php?rid=367600&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16356482%26dopt%3DAbstract This article details our experience in learning and improving the technique with the help of an external team of experienced surgeons. In our initial 65 DIEP flap breast reconstructions our total flap loss rate was reduced from 9.5 to 0%, partial flap loss rate from 31 to 0%, and fat necrosis rate from 17 to 4.3%. We illustrate how a surgical team, which might initially have considered the complication rate from DIEP flap breast reconstruction too high, can benefit from a staged approach to this complex, but useful, reconstruction technique. PMID: 16356482 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367600 Mon, 22 Jan 2007 14:31:03 +0100 367600 http://www.medworm.com/index.php?rid=367599&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16356483%26dopt%3DAbstract Authors: Paterson P, Sterne GD, Fatah F The pedicled transverse rectus abdominis myocutaneous (TRAM) flap remains a popular choice for patients requesting breast reconstruction. Criticism of all techniques that harvest the rectus abdominis muscle centre on abdominal wall weakness.[Dulin WA, Avila RA, Verheyden CN, Grossman L. Evaluation of abdominal wall strength after TRAM flap surgery. Plast Reconstr Surg 2004; 113: 1662-1665](1) Primary fascial closure of the donor site has been shown to reduce abdominal wall weakness and the subsequent risk of hernia and bulge.[Mizgala CL, Hartrampf CR Jr, Bennett GK. Abdominal function after pedicled TRAM flap surgery. Clin Plast Surg 1994; 21: 255-272](2) Primary fascial closure of all uni-lateral and most bilateral muscle preserving TRAM flap do... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367599 Mon, 22 Jan 2007 14:31:03 +0100 367599 http://www.medworm.com/index.php?rid=367598&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16356484%26dopt%3DAbstract Authors: Grossman JA, Taranto PD, Alfonso D, Ramos LE, Price AE Over a 5-year-period, 26 infants underwent a partial transfer of the spinal accessory nerve into the suprascapular nerve using a nerve graft, as part of the repair of a brachial plexus birth injury. At a minimum follow-up of 2.5 years, all children had shoulder function of Grade 4 or better using a modified Gilbert Scale. Average lateral rotation was measured at 53 degrees . PMID: 16356484 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367598 Mon, 22 Jan 2007 14:31:03 +0100 367598 http://www.medworm.com/index.php?rid=367597&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16359650%26dopt%3DAbstract Authors: Neligan PC PMID: 16359650 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367597 Mon, 22 Jan 2007 14:31:03 +0100 367597 http://www.medworm.com/index.php?rid=367596&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16364264%26dopt%3DAbstract Authors: Bradbury ET, Simons W, Sanders R This paper examines the psychological and social impact of reconstructive surgery for hemi-facial palsy and considers psychosocial factors which may be associated with patient satisfaction. It reports a retrospective study in which 106 adults were assessed using primarily qualitative methods. All participants had undergone two-stage reconstruction using vascularised free muscle grafts, with all procedures having been carried out by the same surgeon. The participants were all at least 12 months post-surgery. They were assessed using demographic questionnaires, the hospital anxiety and depression scale (HADS) and the facial paralysis evaluation measure (FPEM). In addition, all participants were interviewed using a semi-structured format, the inte... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367596 Mon, 22 Jan 2007 14:31:03 +0100 367596 http://www.medworm.com/index.php?rid=367595&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16364265%26dopt%3DAbstract The objective of this study was to develop and validate a protocol that would ensure that these patients were assessed and followed up for their mental health as recommended by the DoH. In the absence of clear guidelines from the DoH and utilising the existing arrangement between Accident and Emergency (A&E) and the psychiatric services, all referring A&E departments were instructed at the time of referring patients with DSH to wrist and forearm to arrange a psychiatric examination before transferring the patient to the plastic surgery unit. Data were collected retrospectively (August 2002-October 2002) and prospectively (November 2002-October 2003) and comprised demographic features, previous history of self-harm, conduct of the patient in A&E and the ward, length of stay in t... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367595 Mon, 22 Jan 2007 14:31:03 +0100 367595 http://www.medworm.com/index.php?rid=367594&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16364266%26dopt%3DAbstract Authors: Wong M, Jones S, Sheikh H, James N PMID: 16364266 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367594 Mon, 22 Jan 2007 14:31:03 +0100 367594 http://www.medworm.com/index.php?rid=367593&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16364267%26dopt%3DAbstract Authors: Wechselberger G, Schoeller T PMID: 16364267 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367593 Mon, 22 Jan 2007 14:31:03 +0100 367593 http://www.medworm.com/index.php?rid=367592&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16364268%26dopt%3DAbstract Authors: Uysal AC, Uysal A PMID: 16364268 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367592 Mon, 22 Jan 2007 14:31:03 +0100 367592 http://www.medworm.com/index.php?rid=367591&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16364269%26dopt%3DAbstract Authors: Oh CS, Chung IH, Kim YS, Hwang K, Nam KI Resection of the infraorbital fat is performed in blepharoplasty of the lower eyelid, however, the previous anatomical reports on its compartmentalization have been in disagreement. The aim of this study was to classify the infraorbital fat based on the extent of compartmentalization, and to clarify its topographic relationship with the surrounding structures. Sixty orbits from 30 cadavers were dissected. The infraorbital fat was classified into four types based on its compartmentalization. In type I, which was the most common type (60.0%), the infraorbital fat was compartmentalised into three encapsulated medial, central, and lateral parts, which were side by side. In type II (11.7%), the medial or lateral compartment, or both compartm... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367591 Mon, 22 Jan 2007 14:31:03 +0100 367591 http://www.medworm.com/index.php?rid=367590&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16368083%26dopt%3DAbstract Authors: Abood A, Mallucci P PMID: 16368083 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367590 Mon, 22 Jan 2007 14:31:03 +0100 367590 http://www.medworm.com/index.php?rid=367589&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16368084%26dopt%3DAbstract We report the case of a 47-year-old woman with a small tumour between the inner quadrants of the left breast. She underwent quadrantectomy and sentinel node biopsy and intraoperative radiotherapy (IORT) of the target zone. Simultaneously, she received a bilateral augmentation mammaplasty. One year later we observed no evidence of local recurrence, no local fibrosis and radiodistrophy. Cosmetic results are excellent and the patient is very satisfied. The surgical technique and the possible advantage of such a procedure are also discussed. PMID: 16368084 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367589 Mon, 22 Jan 2007 14:31:03 +0100 367589 http://www.medworm.com/index.php?rid=367588&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16368085%26dopt%3DAbstract Authors: Hartman EH, Van Damme PA, Sauter H, Suominen SH Three noma patients with large unilateral facial defects were reconstructed using the pedicled supraclavicular flap technique in the Noma Children Hospital in Sokoto, Nigeria. The results are-although not completely perfect-encouraging enough to report and to repeat the technique in future reconstructive noma surgery after moderate modifications. It is advised not to tunnel the pedicle in the neck, but instead to open the neck. Then, the flap can be inset in a Z-plasty fashion to close the neck without the chance of compression of the pedicle of the flap. In this way flap necrosis can be prevented, without the risk of a scar contracture of the neck. Another technique, which can prevent partial flap necrosis and loss of tissue, wi... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367588 Mon, 22 Jan 2007 14:31:03 +0100 367588 http://www.medworm.com/index.php?rid=367587&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16368086%26dopt%3DAbstract Authors: Murison M, James W PMID: 16368086 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367587 Mon, 22 Jan 2007 14:31:03 +0100 367587 http://www.medworm.com/index.php?rid=367586&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16371223%26dopt%3DAbstract Authors: Cigna E, Chen HC, Spanio S, Ozkan O, Chio SY, Tang YB, Coskunfirat OK This paper investigates the effectiveness of the breast dissector to create a substernal space for oesophageal reconstruction. The surgeon must be extremely careful while dissecting the tissue below the sternum in order to avoid pneumothorax. The endoscopically assisted preparation of the substernal route is safe but it requires appropriate training. A retrospective study on 68 patients who underwent oesophageal reconstruction was done analysing the patients' records. In 39 cases, the breast dissector was used. In 29 cases, the substernal tunnel was created with hand dissection only. All 68 colon segments were successfully transferred in the two groups of patients. In all 39 the cases where the breast dissec... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367586 Mon, 22 Jan 2007 14:31:03 +0100 367586 http://www.medworm.com/index.php?rid=367585&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16375870%26dopt%3DAbstract CONCLUSIONS: Procedures designed to denervate the corrugator should be directed at both components of its redundant nerve supply, the frontal branch as well as the angular nerve. Division of the angular nerve will also denervate the procerus muscle. Both frontal nerve branches and angular nerve components are accessible through an upper blepharoplasty incision. PMID: 16375870 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367585 Mon, 22 Jan 2007 14:31:03 +0100 367585 http://www.medworm.com/index.php?rid=367584&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16375871%26dopt%3DAbstract Authors: Agir H, Ustundag E, Iscen D PMID: 16375871 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367584 Mon, 22 Jan 2007 14:31:03 +0100 367584 http://www.medworm.com/index.php?rid=367583&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16375872%26dopt%3DAbstract Authors: Yoon T, Benito-Ruiz J, García-Díez E, Serra-Renom JM Nasal reconstruction is always challenging for plastic surgeons. Its midfacial localisation and the relationship between convexities and concavities of nasal subunits make impossible to hide any sort of deformity without a proper reconstruction. Nasal tissue defects can be caused by tumor removal, trauma or by any other insult to the nasal pyramid, like cocaine abuse, developing an irreversible sequela. Due to the special characteristics of the nasal pyramid surface, the removal of the lesion or the debridement must be performed according to nasal subunits as introduced by Burget. Afterwards, the reconstructive technique or a combination of them must be selected according to the size and the localisation of the defect crea... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367583 Mon, 22 Jan 2007 14:31:03 +0100 367583 http://www.medworm.com/index.php?rid=367582&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16375873%26dopt%3DAbstract In conclusion, the authors believe that the perforator based flap cover described here is simple, safe and a versatile procedure for a trauma surgeon to cover the moderate sized traumatic pre-tibial wounds exposing the bone and the tendons. PMID: 16375873 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367582 Mon, 22 Jan 2007 14:31:03 +0100 367582 http://www.medworm.com/index.php?rid=367581&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16375874%26dopt%3DAbstract We report a case who presented with acute renal failure, livedo reticularis and skin necrosis following angioplasty. Cutaneous biopsy revealed cholesterol crystals in the lumen of a vessel. Necrotic sites were treated with daily wound care and he was operated for reconstruction of tissue defects with cutaneous advancement flaps. One month after the operation healing was complete. PMID: 16375874 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367581 Mon, 22 Jan 2007 14:31:03 +0100 367581 http://www.medworm.com/index.php?rid=367580&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16375875%26dopt%3DAbstract In conclusion, treatment of traumatic tattoos with the V-shaped knife is effective, results in minimal scaring and restores the natural colour of the skin because the particle is completely removed. It is a promising method for treating multiple deep skin inclusions. PMID: 16375875 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367580 Mon, 22 Jan 2007 14:31:03 +0100 367580 http://www.medworm.com/index.php?rid=367579&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16375876%26dopt%3DAbstract Authors: Mavrikakis I, Malhotra R, Selva D, Huilgol SC, Barlow R The purpose of the study is to describe linear basal cell carcinoma (BCC) as a distinct clinical entity, and highlight its existence to the plastic surgery literature. A Medline and PubMed literature search was conducted, and 33 reported cases of linear BCC were analysed. Of these 33 cases, the most common site for linear BCC was the periocular region, accounting for 49% (n=16). The most common histologic subtype, was nodular BCC, accounting for 50% (n=17). Of the 33 reported cases the postoperative defect size was mentioned in five cases only. None of these would have been completely excised if a 2mm margin was applied, and only one out of five if a 4mm margin was applied. Linear BCC is a distinct clinical entity. Presen... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367579 Mon, 22 Jan 2007 14:31:03 +0100 367579 http://www.medworm.com/index.php?rid=367578&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16375877%26dopt%3DAbstract Authors: Tahir A, Webb JB, Allen G, Nancarrow JD EMLA((R)) cream is used in plastic surgery as a topical anaesthetic to harvest split skin grafts. It has been observed that the skin appears pale and oedematous after the application of EMLA((R)). The aim our study was to determine the effect of EMLA((R)) with an occlusive dressing on skin thickness using a high frequency ultrasound. Twenty volunteers took part in this study after approval from the ethics committee. An area of skin was marked on both thighs and the skin thickness of each, measured using ultrasound. EMLA((R)) with an occlusive dressing was applied to one thigh. This was removed after at least 2h of application time but at different time points and skin thickness of each thigh measured again. Data was analysed using t-test... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367578 Mon, 22 Jan 2007 14:31:03 +0100 367578 http://www.medworm.com/index.php?rid=367577&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16375878%26dopt%3DAbstract CONCLUSION: Despite widespread recognition of the importance of eye protection, goggle use is still infrequent. Our study stresses the frequency of potential splashes to the eye and need for routine use of goggles to prevent viral transmission. PMID: 16375878 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367577 Mon, 22 Jan 2007 14:31:03 +0100 367577 http://www.medworm.com/index.php?rid=367576&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16376319%26dopt%3DAbstract We describe a baby boy with scaphoid type megalourethra and review the embryology and management of this condition. PMID: 16376319 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367576 Mon, 22 Jan 2007 14:31:03 +0100 367576 http://www.medworm.com/index.php?rid=367575&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16376320%26dopt%3DAbstract Authors: Gore SM, Myers SR, Gault D Polyotia (mirror ear) is an extremely rarely reported congenital anomaly of the external ear. The aetiology of this condition is unclear, and there are few descriptions of surgical techniques used. We aimed to review our experience with this condition by performing a retrospective review of the cases treated in our unit. Eight cases of polyotia treated at a referral centre for ear reconstruction in a 12 year period (1992-2004) were reviewed. Patient demographic data and associated syndromes were recorded. Operative techniques used in the cases were studied. There was an equal number of males and females. Four patients had abnormal contralateral ears and two patients were formally diagnosed as suffering from a congenital developmental syndrome. Five m... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367575 Mon, 22 Jan 2007 14:31:03 +0100 367575 http://www.medworm.com/index.php?rid=367574&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16376321%26dopt%3DAbstract Authors: Ball EA, Horlock NM PMID: 16376321 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367574 Mon, 22 Jan 2007 14:31:03 +0100 367574 http://www.medworm.com/index.php?rid=367573&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16376866%26dopt%3DAbstract Authors: Solomon LK, Rashid A, Khan K PMID: 16376866 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367573 Mon, 22 Jan 2007 14:31:03 +0100 367573 http://www.medworm.com/index.php?rid=367572&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16386720%26dopt%3DAbstract Authors: Uzunismail A, Findik H, Beyhan G PMID: 16386720 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367572 Mon, 22 Jan 2007 14:31:03 +0100 367572 http://www.medworm.com/index.php?rid=367571&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16403477%26dopt%3DAbstract Authors: Shaikh U, Sigman-Grant M PMID: 16403477 [PubMed - as supplied by publisher] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367571 Mon, 22 Jan 2007 14:31:03 +0100 367571 http://www.medworm.com/index.php?rid=367570&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16703867%26dopt%3DAbstract Authors: Leong A, Khoo C PMID: 16703867 [PubMed - indexed for MEDLINE] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367570 Mon, 22 Jan 2007 14:31:03 +0100 367570 http://www.medworm.com/index.php?rid=367569&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16818073%26dopt%3DAbstract We report the case of a 4-year-old girl who had a widely spreading sialoblastoma of the left cheek. We were obligated to widely resect the tumor including the trunk of the facial nerve, superior part of the left maxilla, and the zygoma. Although the patient was operated 3 times in 4 years, invasion of the tumor could not be stopped. The patient died because of respiratory insufficiency and deterioration of her general health. PMID: 16818073 [PubMed - indexed for MEDLINE] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367569 Mon, 22 Jan 2007 14:31:03 +0100 367569 http://www.medworm.com/index.php?rid=367568&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16876084%26dopt%3DAbstract Authors: Paterson P, Allison K The Specialist Advisory Committee (SAC) in plastic surgery within the United Kingdom (UK) recommends a modular training programme to include aesthetic surgery. The intercollegiate board examinations test candidates on all aspects of aesthetic practice yet there is no formal, national aesthetic training in the UK. Closure of National Health Service (NHS) private patient facilities has reduced training opportunity [Nicolle FV. Sir Harold Gillies Memorial Lecture; Aesthetic plastic surgery and the future plastic surgeon. Br J Plast Surg 1998;51:419-24.] Calmanisation [Hospital doctors: training for the future. The Report of the Working Group on Specialist Medical Training (The Calman Report). London: HMSO; 1993.], the European Working Time Directive (EWTD) [... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367568 Mon, 22 Jan 2007 14:31:03 +0100 367568 http://www.medworm.com/index.php?rid=367567&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16920590%26dopt%3DAbstract This study shows no benefit from the application of a formal head bandage for any longer than 1 day. PMID: 16920590 [PubMed - in process] (Source: British Journal of Plastic Surgery) British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367567 Mon, 22 Jan 2007 14:31:03 +0100 367567 http://www.medworm.com/index.php?rid=367566&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D16924625%26dopt%3DAbstract Authors: Bullocks J, Naik B, Lee E, Hollier L Flaps have long been recognized as an essential tool for soft-tissue reconstruction. Flaps range in complexity from local to free and perforator flaps and can include a variety of composite tissues. The concept of a flow-through flap, in which both the proximal and the distal ends of the vascular pedicle of a free flap are anastamosed to provide blood flow to distal tissues, was first described by Soutar et al. in 1983. An uninterrupted arterial flow was established by Soutar et al. between the external carotid and distal facial artery via a radial forearm flap for head and neck reconstruction (Soutar et al., Br J Plast Surg 1983;36:1-8). Shortly thereafter, Foucher et al. were the first to report the reconstruction of an extremity with a s... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367566 Mon, 22 Jan 2007 14:31:03 +0100 367566 http://www.medworm.com/index.php?rid=367565&cid=s_34404_9_f&fid=34404&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17113539%26dopt%3DAbstract We present two cases referred for ear reconstruction following catastrophic post-operative infection at the time of pinnaplasty, leaving each patient with significant helical rim deformities. Both patients displayed evidence of active post-auricular eczema at the time of their primary surgery. Dermatological research has highlighted the increased colonisation of Staphylococcus aureus in particular within areas of atopic eczema in comparison to normal skin. We advise delaying ear surgery in the presence of a rash in view of the potentially devastating complications that may result. This approach may be extended to all cutaneous surgery where treatment of the rash is advocated prior to embarking on an elective surgical procedure. PMID: 17113539 [PubMed - in process] (Source: British Jour... British Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=367565 Mon, 22 Jan 2007 14:31:03 +0100 367565