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 'Seminars in Plastic Surgery' source. Sat, 16 Jan 2010 13:55:29 +0100 http://www.medworm.com/index.php?rid=2996997&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1242180 Seminars in Plastic Surgery 2009; 23: 288-291DOI: 10.1055/s-0029-1242180ABSTRACTThe anatomic understanding of the superficial compartments of the head and neck are evolving. Recently, studies have shown that the superficial fat is sequestered into separate “compartments”; however, the superficial anatomy of the submental region of the neck has yet to be defined, and improved understanding of this area may lead to advances in our ability to rejuvenate the neck. This cadaveric investigation revealed that there is one superficial fat compartment in the submental region. The anterior boundary of this compartment, previously without name, has been labeled the “submental septum.” The posterior boundary of the submental fat compartment is created by a septum that arises fr... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2996997 Tue, 17 Nov 2009 13:55:46 +0100 2996997 http://www.medworm.com/index.php?rid=2996996&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1242181 This report provides a review of the locations and characteristics of the facial fat compartments and provides examples of how this knowledge can be used clinically, specifically with regard to soft tissue fillers.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2996996 Tue, 17 Nov 2009 13:55:46 +0100 2996996 http://www.medworm.com/index.php?rid=2996995&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1242182 Seminars in Plastic Surgery 2009; 23: 274-282DOI: 10.1055/s-0029-1242182ABSTRACTThe endoscopic midface lift procedure has evolved from experience with postreduction soft tissue repair after facial fracture fixation. The procedure elevates and repositions midface soft tissue, which descends with facial aging; as well, it can correct periorbital congenital abnormalities, such as exorbitism and lateral canthal displacement. The procedure has been refined by the senior author to employ a temporal endoscopic approach alleviating the need for a lower eyelid incision. The plane is sub-SMAS (superficial muscular aponeurotic system) within the pre-zygomatic space with release of the zygo-orbicular ligament and the malar retaining ligament. Using an endoscopically placed suture in the malar retainin... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2996995 Tue, 17 Nov 2009 13:55:46 +0100 2996995 http://www.medworm.com/index.php?rid=2996994&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1242178 Seminars in Plastic Surgery 2009; 23: 264-273DOI: 10.1055/s-0029-1242178ABSTRACTThe contour of the neck is a very important determinant of facial aesthetics. Precise knowledge of neck anatomy is essential for adequate planning and execution of this procedure. There are three anatomic and surgical planes involved in the management of the aging neck; the superficial plane (subcutaneous fat), the intermediate plane (platysma muscles and the fat between the two muscles), and the deep plane (subplatysmal fat, the anterior belly of the digastric muscles, and the submandibular glands). These planes need to be thoroughly evaluated in the preoperative assessment and dealt with according to each patient's needs. Even though this article focuses on isolated management of the aging neck, careful evalu... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2996994 Tue, 17 Nov 2009 13:55:46 +0100 2996994 http://www.medworm.com/index.php?rid=2996993&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1242184 This article is intended to bridge that gap and stimulate further discussion about this clinical situation.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2996993 Tue, 17 Nov 2009 13:55:46 +0100 2996993 http://www.medworm.com/index.php?rid=2996992&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1242183 Seminars in Plastic Surgery 2009; 23: 247-256DOI: 10.1055/s-0029-1242183ABSTRACTThe composite face-lift is a well-described, comprehensive facial rejuvenation technique that results in harmonious repositioning of all components of the aging face. It is distinguished by the superior-medial movement of the cheek and the septal reset maneuver. The composite rhytidectomy reverses the unbalanced vectors of the traditional face-lift in patients with the lateral sweep and may reestablish the youthful convexity in patients with hollow eyes.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2996992 Tue, 17 Nov 2009 13:55:46 +0100 2996992 http://www.medworm.com/index.php?rid=2996991&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1242179 Seminars in Plastic Surgery 2009; 23: 245-245DOI: 10.1055/s-0029-1242179© Thieme Medical PublishersGet connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2996991 Tue, 17 Nov 2009 13:55:46 +0100 2996991 http://www.medworm.com/index.php?rid=2595666&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1224803 We present an article reviewing current trends in buttock aesthetic procedures and discuss issues relevant to the ethnic populations.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2595666 Tue, 14 Jul 2009 10:49:15 +0100 2595666 http://www.medworm.com/index.php?rid=2595665&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1224802 Seminars in Plastic Surgery 2009; 23: 223-231DOI: 10.1055/s-0029-1224802ABSTRACTOver the past three decades, an increasing number of African American patients have undergone rhinoplasty, and many continue to present to surgeons for rhinoplasty evaluation. The reality is that rhinoplasty is no longer an uncommon procedure in the African American population. Most patients desire nasal refinement while preserving their cultural identity. The African American nose has many unique features that have to be appreciated and understood to provide the desired outcome. In this paper, we present an overview of the unique anatomic features of the African American nose, rhinoplasty techniques tailored to this patient population, and complications encountered postoperatively.[...]© Thieme Medical Publis... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2595665 Tue, 14 Jul 2009 10:49:15 +0100 2595665 http://www.medworm.com/index.php?rid=2595664&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1224801 The objective for Asian rhinoplasty is augmentation rather than reduction in which the dorsum is raised and the nasal tip projection and definition are enhanced. The watchword today is ethnic preservation rather than effacement for the Asian patient. An ethnically sensitive standard for aesthetic rhinoplasty for the Asian nose is proposed. Also, a thorough discussion of cultural issues that can be important when working with the Asian patient is undertaken to guide a surgeon through every phase of patient care. Finally, the technical details are elaborated on both rhinoplasty and revision rhinoplasty for the Asian nose with an emphasis on correcting previous silicone augmentation rhinoplasty, the most popular choice for material in the Far East but that has failed the author in achieving c... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2595664 Tue, 14 Jul 2009 10:49:15 +0100 2595664 http://www.medworm.com/index.php?rid=2595663&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1224800 Seminars in Plastic Surgery 2009; 23: 207-214DOI: 10.1055/s-0029-1224800ABSTRACTIn the United States, rhinoplasty has traditionally been performed in Caucasian patients. Ethnic rhinoplasty is often thought of as a procedure done to reshape the nose of a black or Asian patient. Little attention has been paid to rhinoplasty in Hispanic patients. There has been a large increase in the Hispanic population of the United States, and plastic surgeons will see a concomitant rise in requests for rhinoplasty among this population. In an effort to increase our understanding of Hispanic rhinoplasty, a retrospective review of a senior surgeon's experience was performed. A retrospective chart review was done examining the senior author's (S.S.) rhinoplasty practice over the past 10 years. Hispanic patie... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2595663 Tue, 14 Jul 2009 10:49:15 +0100 2595663 http://www.medworm.com/index.php?rid=2595662&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1224799 Seminars in Plastic Surgery 2009; 23: 198-206DOI: 10.1055/s-0029-1224799ABSTRACTThe rejuvenation of the African American periorbit is rooted in select modifications of traditional techniques. The African American patient presents with dynamic considerations and needs. Whereas this subset is at risk for pigmentation and scar concerns, the natural resistance to actinic damage makes rejuvenation efforts rewarding. We will review the composite that makes up the periorbit, the brow, upper eyelid, lower eyelid/lateral canthus, and the midface unique. Specific indications and presurgical and postsurgical considerations will be presented in addition to technical considerations to manage periorbital aging that spares the skin. Common pitfalls and succinct ways to avoid them without compromising on ... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2595662 Tue, 14 Jul 2009 10:49:15 +0100 2595662 http://www.medworm.com/index.php?rid=2595661&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1224798 Seminars in Plastic Surgery 2009; 23: 185-197DOI: 10.1055/s-0029-1224798ABSTRACTOne of the defining features between an individual of Asian descent and someone of Western descent is the presence of an upper eyelid crease. Approximately 50% of Asians do not have an upper eyelid crease. The double eyelid operation, or creation of a supratarsal crease, is the most common cosmetic procedure requested in Asia and the third most common procedure requested by Asian Americans. In this comprehensive article, we explore the art of creating an eyelid crease in the individual who either does not have a crease or has an indistinct crease. We will review the history of the development of Asian blepharoplasty, explain the anatomy of the Asian eyelid and how it differs from the Caucasian eyelid, and clari... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2595661 Tue, 14 Jul 2009 10:49:15 +0100 2595661 http://www.medworm.com/index.php?rid=2595660&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1224797 Seminars in Plastic Surgery 2009; 23: 178-184DOI: 10.1055/s-0029-1224797ABSTRACTCutaneous wound healing is a complex response to skin injury. Deregulation of this process can lead to excessive scar formation, as seen in keloids. Keloids are common skin lesions that are difficult to treat and are associated with high recurrence rates despite the large number of available treatment options. With increased knowledge of the disease process and further scientific advancements, future approaches will hopefully improve keloid treatment. In this article, we review the epidemiology, genetic basis, etiology, clinical features, pathogenesis, and management of keloids.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surger... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2595660 Tue, 14 Jul 2009 10:49:15 +0100 2595660 http://www.medworm.com/index.php?rid=2595659&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1224796 Seminars in Plastic Surgery 2009; 23: 173-177DOI: 10.1055/s-0029-1224796ABSTRACTToday, laser therapy is standard treatment for a wide variety of dermatologic complaints. From skin rejuvenation to the management of complex vascular malformations, laser treatment has proved to be an effective, innovative solution to once-challenging dilemmas. However, laser application in those with darker complexions remains a topic of great concern. Although contemporary devices may use longer-wavelength lasers and cooling devices to isolate target tissues within patients with high levels of epidermal melanin, significant risk remains. Today's laser surgeon must have a thorough understanding of patient concerns, lesion character and response to treatment, as well as the unique needs of those with darker sk... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2595659 Tue, 14 Jul 2009 10:49:15 +0100 2595659 http://www.medworm.com/index.php?rid=2595658&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1224795 Seminars in Plastic Surgery 2009; 23: 168-172DOI: 10.1055/s-0029-1224795ABSTRACTUse of over-the-counter cosmetics, approaches to hygiene, and many basic dermatologic principles differ between individuals with Caucasian skin and ethnic skin. Still, comparatively few publications highlight these variations or discuss appropriate management. Among many ethnic patients, issues related to skin hydration, restoration of even pigmentation, hair removal, and acne care remain problematic yet not fully addressed. As well, there are some dermatologic conditions that may be rare in Caucasian skin but are much more common in the ethnic patient. Here, we discuss various aspects of skin hydration, dyschromia, sunscreen use, and chemical depilatories in the ethnic population.[...]© Thieme Medical Publish... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2595658 Tue, 14 Jul 2009 10:49:15 +0100 2595658 http://www.medworm.com/index.php?rid=2595657&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1224794 Seminars in Plastic Surgery 2009; 23: 163-167DOI: 10.1055/s-0029-1224794ABSTRACTAnalysis of the differences in facial morphology and skin structure and tone among ethnic groups within the realm of plastic surgery is relevant due to the increasing number of ethnic individuals seeking cosmetic surgery. Previous classifications of ideal facial morphologic characteristics have been revised and challenged over the years to accurately reflect the differences in facial structure that are aesthetically pleasing to individuals of differing ethnic groups. The traditional neoclassic canons reflected the European Caucasian facial morphology and cannot be used to classify facial characteristics in ethnic groups due to drastic differences in measurement and proportion. In addition, differences in biophy... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2595657 Tue, 14 Jul 2009 10:49:15 +0100 2595657 http://www.medworm.com/index.php?rid=2595656&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1224793 Seminars in Plastic Surgery 2009; 23: 159-162DOI: 10.1055/s-0029-1224793ABSTRACTThe popularity of cosmetic surgery has increased around the world, and whereas in the past, the patient base consisted of mainly Caucasian individuals, interest in this field has grown among persons of varying ethnic backgrounds. Growing interest enables ethnic populations to contribute to the economic growth of the cosmetic surgery industry and impact the direction of the field in the future. Minority populations accounted for 22% of the cosmetic procedures performed in 2007, with the most common being liposuction, Botox generic botulinum toxin type A (Allergan, Inc., Irvine, CA), and chemical peels. Ultimately, changes in the population characteristics of the plastic surgery patient will alter the techniques ... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2595656 Tue, 14 Jul 2009 10:49:15 +0100 2595656 http://www.medworm.com/index.php?rid=2595655&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1224792 Seminars in Plastic Surgery 2009; 23: 157-157DOI: 10.1055/s-0029-1224792© Thieme Medical PublishersGet connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2595655 Tue, 14 Jul 2009 10:49:15 +0100 2595655 http://www.medworm.com/index.php?rid=2595654&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1224791 Seminars in Plastic Surgery 2009; 23: 155-155DOI: 10.1055/s-0029-1224791© Thieme Medical PublishersGet connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2595654 Tue, 14 Jul 2009 00:44:48 +0100 2595654 http://www.medworm.com/index.php?rid=2383541&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1214167 The objective of this review was to provide a literature review of the animal models created to study osteomyelitis. The models were chosen based on historical relevance and clinical applicability. Numerous animal models exist to study both acute and chronic osteomyelitis. Many models have been created that allow investigators to study various aspects in the treatment and diagnosis of osteomyelitis. Based on the needs of investigators, an animal model must be carefully selected for ideal research, as no single model encompasses all aspects of osteomyelitis.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2383541 Sun, 03 May 2009 19:11:02 +0100 2383541 http://www.medworm.com/index.php?rid=2383540&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1214166 Seminars in Plastic Surgery 2009; 23: 141-147DOI: 10.1055/s-0029-1214166ABSTRACTThe current management for chronic osteomyelitis centers on adequate antibiotic coverage and surgical debridement of nonviable tissue. The eradication of osteomyelitis, however, often involves a prolonged and frustrating course of management. Nonsurgical adjunctive modalities have not been widely used, mostly due to a lack of perceived efficacy, and have remained in a state of infancy. In this article, we will outline the rationale, current status, and evidence for several potential adjuncts to osteomyelitis management.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2383540 Sun, 03 May 2009 19:11:02 +0100 2383540 http://www.medworm.com/index.php?rid=2383539&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1214165 Seminars in Plastic Surgery 2009; 23: 132-140DOI: 10.1055/s-0029-1214165ABSTRACTAlthough osteomyelitis is a difficult problem, certain conditions make it even more difficult to address. Diabetes, peripheral vascular disease, and radiation are all comorbidities that interfere with wound healing and therefore make the treatment of osteomyelitis challenging. In this article, we discuss these conditions, their pathophysiology, and highlight the special considerations in treating osteomyelitis in patients with these comorbidities.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2383539 Sun, 03 May 2009 19:11:02 +0100 2383539 http://www.medworm.com/index.php?rid=2383538&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1214164 Seminars in Plastic Surgery 2009; 23: 119-131DOI: 10.1055/s-0029-1214164ABSTRACTOsteomyelitis of the craniofacial skeleton closely resembles osteomyelitis elsewhere in the body in its pathophysiology and medical management; subsequent reconstruction after debridement remains distinctly challenging. The goals of reconstruction must include the restoration of the complex and readily visible morphology of the cranium and face, as well as the adequate return of vital sensory, expressive, and digestive functions. In this article, the various reconstructive modalities will be discussed including pedicled and nonpedicled flaps with or without an osseous component, nonvascularized bone grafts, alloplastic implants, and bone regeneration using protein therapy. Although reconstruction of craniofacia... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2383538 Sun, 03 May 2009 19:11:02 +0100 2383538 http://www.medworm.com/index.php?rid=2383537&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1214163 Seminars in Plastic Surgery 2009; 23: 108-118DOI: 10.1055/s-0029-1214163ABSTRACTReconstruction of large skeletal defects secondary to osteomyelitis remains a challenging problem. Osteomyelitis can result from a variety of etiologies; most often, it is a consequence of trauma to a long bone. Despite advances in antibiotic therapy, treatment of chronic osteomyelitis requires adequate surgical debridement, which can often lead to large soft tissue and bone loss. Free vascularized bone can be used to reconstruct large skeletal defects greater than 6 cm or bone defects of smaller size that failed to heal with nonvascularized bone grafting. The length, cortical strength, and anatomic configuration of the free vascular fibular graft make it an ideal bone graft to bridge extremity defects, and it ... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2383537 Sun, 03 May 2009 19:11:02 +0100 2383537 http://www.medworm.com/index.php?rid=2383536&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1214162 Seminars in Plastic Surgery 2009; 23: 100-107DOI: 10.1055/s-0029-1214162ABSTRACTThe local delivery of antibiotics in the treatment of osteomyelitis has been used safely and effectively for decades. Multiple methods of drug delivery have been developed for the purposes of both infection treatment and prophylaxis. The mainstay of treatment in this application over the past 20 years has been non-biodegradable polymethylmethacrylate, which has the advantages of excellent elution characteristics and structural support properties. Biodegradable materials such as calcium sulfate and bone graft substitutes have been used more recently for this purpose. Other biodegradable implants, including synthetic polymers, are not yet approved for use but have demonstrated potential in laboratory investigatio... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2383536 Sun, 03 May 2009 19:11:02 +0100 2383536 http://www.medworm.com/index.php?rid=2383535&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1214161 Seminars in Plastic Surgery 2009; 23: 090-099DOI: 10.1055/s-0029-1214161ABSTRACTAppropriately designed antibiotic regimens are critical to the management of all stages of osteomyelitis, although goals of therapy may vary in different stages of infection. The most important consideration for antibiotic selection is spectrum of action. Route of administration by intravenous or oral route is less important than drug levels that are achievable at the site of infection. Outpatient parenteral therapy and use of oral agents has simplified delivery of long-term treatment regimens. There are few high-quality studies that compare specific treatment regimens or durations of therapy, and recommendations for drugs and duration of antibiotic therapy are based on expert opinion, case series, and extrapol... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2383535 Sun, 03 May 2009 19:11:02 +0100 2383535 http://www.medworm.com/index.php?rid=2383534&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1214160 Seminars in Plastic Surgery 2009; 23: 080-089DOI: 10.1055/s-0029-1214160ABSTRACTThe diagnostic imaging of osteomyelitis can require the combination of diverse imaging techniques for an accurate diagnosis. Conventional radiography should always be the first imaging modality to start with, as it provides an overview of the anatomy and the pathologic conditions of the bone and soft tissues of the region of interest. Sonography is most useful in the diagnosis of fluid collections, periosteal involvement, and surrounding soft tissue abnormalities and may provide guidance for diagnostic or therapeutic aspiration, drainage, or tissue biopsy. Computed tomography scan can be a useful method to detect early osseous erosion and to document the presence of sequestrum, foreign body, or gas formation bu... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2383534 Sun, 03 May 2009 19:11:02 +0100 2383534 http://www.medworm.com/index.php?rid=2383533&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1214159 Seminars in Plastic Surgery 2009; 23: 073-079DOI: 10.1055/s-0029-1214159ABSTRACTSkull-based osteomyelitis, which is a true bony infection, originates from a chronic, inadequately treated infection. Because of the complex craniofacial skeletal anatomy and associated aesthetic concerns, osteomyelitis of the craniofacial skeleton must be uniquely managed and is more difficult to treat than osteomyelitis of other bones of the body. It is thought that osteomyelitis is decreasing in prevalence due to broad-spectrum antibiotic treatment; however, it still remains a challenging clinical entity in developing countries and lower socioeconomic areas.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2383533 Sun, 03 May 2009 19:11:02 +0100 2383533 http://www.medworm.com/index.php?rid=2383532&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1214158 This article offers a basic review of the classification, etiology, epidemiology, pathogenesis, and treatment of long bone osteomyelitis.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2383532 Sun, 03 May 2009 19:11:02 +0100 2383532 http://www.medworm.com/index.php?rid=2383531&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1214157 Seminars in Plastic Surgery 2009; 23: 057-058DOI: 10.1055/s-0029-1214157© Thieme Medical PublishersGet connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2383531 Sun, 03 May 2009 19:11:02 +0100 2383531 http://www.medworm.com/index.php?rid=2383530&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1214156 Seminars in Plastic Surgery 2009; 23: 055-055DOI: 10.1055/s-0029-1214156© Thieme Medical PublishersGet connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2383530 Fri, 01 May 2009 01:03:26 +0100 2383530 http://www.medworm.com/index.php?rid=2173828&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0028-1111101 Seminars in Plastic Surgery 2009; 23: 048-054DOI: 10.1055/s-0028-1111101ABSTRACTWith the rapid economic development of Southeast Asia, the demand for cosmetic surgery has increased rapidly. Breast augmentation is among the most frequently performed cosmetic procedures. However, breast augmentation still has “bad press” in Southeast Asia because of not so distant catastrophes caused by direct liquid silicone injection and “Amazing Gel” augmentations. Asian patients have special characteristics that need to be taken into consideration when performing breast augmentation. The patients are usually thin and small with proportionally smaller breasts. The areola is often small with a large nipple. Because of poor scar healing, incisions need to be hidden. The transaxillary... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2173828 Tue, 10 Feb 2009 23:15:07 +0100 2173828 http://www.medworm.com/index.php?rid=2173827&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0028-1110100 This article therefore attempts to define important differences between Asians and Caucasians in terms of signs of facial aging, perception of beauty, and surgical goals. Our face-lift technique, a modified deep-plane face lift for Asians, is detailed and cases are presented.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2173827 Tue, 10 Feb 2009 23:15:07 +0100 2173827 http://www.medworm.com/index.php?rid=2173826&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0028-1110099 Seminars in Plastic Surgery 2009; 23: 032-039DOI: 10.1055/s-0028-1110099ABSTRACTBimaxillary protrusion is a commonly seen deformity in Asian populations. This condition is characterized by protrusive and proclined upper and lower incisors and an increased procumbency of the lips. It is usually combined with lip incompetence, gummy smile, mentalis strain, and anterior open bite. Facial aesthetics is the primary concern of these patients. Successful treatment depends on a thorough evaluation and understanding of this dentofacial deformity. Typical orthodontic treatment includes retraction and retroclination of maxillary and mandibular incisors after extraction of the four first premolars. Orthognathic surgery is required to correct significant skeletal problems. Anterior subapical osteotomie... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2173826 Tue, 10 Feb 2009 23:15:07 +0100 2173826 http://www.medworm.com/index.php?rid=2173825&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0028-1110098 Seminars in Plastic Surgery 2009; 23: 022-031DOI: 10.1055/s-0028-1110098ABSTRACTAsian people, especially women, prefer a more delicate and feminine facial shape. To achieve a softer and better facial contour, there are several procedures to change the facial skeleton. Reduction malarplasty and mandibular angleplasty are common facial contouring operations in Asia. A lot of techniques have been developed independently by several authors. Various approaches can be chosen, such as intraoral or external skin incisions. There as also different contouring methods that can be chosen depending on the patient's morphology and the surgeon's technical preferences. The different osteotomy techniques used to mobilize the zygomatic complex can be classified according to the specific portion that is bein... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2173825 Tue, 10 Feb 2009 23:15:07 +0100 2173825 http://www.medworm.com/index.php?rid=2173824&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0028-1110097 This article focuses on current rhinoplasty practices and controversies in Asia. It reviews morphologic differences between the Oriental and Western noses, as well as common patient requests. Polytetrafluoroethylene (Gore-Tex) and silicone implant augmentation are discussed. A new augmentation rhinoplasty with diced cartilage is described in more detail.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2173824 Tue, 10 Feb 2009 23:15:07 +0100 2173824 http://www.medworm.com/index.php?rid=2173823&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0028-1110096 This article will discuss Oriental eyelid characteristics, preoperative patient assessment, commonly used corrective techniques for the “double-eyelid” creation, and complications and how to avoid them.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2173823 Tue, 10 Feb 2009 23:15:07 +0100 2173823 http://www.medworm.com/index.php?rid=2173822&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0028-1110095 Seminars in Plastic Surgery 2009; 23: 003-003DOI: 10.1055/s-0028-1110095© Thieme Medical PublishersGet connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2173822 Tue, 10 Feb 2009 23:15:07 +0100 2173822 http://www.medworm.com/index.php?rid=2173821&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0028-1110094 Seminars in Plastic Surgery 2009; 23: 001-001DOI: 10.1055/s-0028-1110094© Thieme Medical PublishersGet connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2173821 Tue, 10 Feb 2009 23:15:07 +0100 2173821 http://www.medworm.com/index.php?rid=1943793&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0028-1095889 Seminars in Plastic Surgery 2008; 22: 306-318DOI: 10.1055/s-0028-1095889ABSTRACTA variety of defects of the upper and lower eyelids can be encountered after Mohs surgery. The goals of eyelid reconstruction are to provide structural and functional restoration with an acceptable aesthetic result. A thorough knowledge of the intricate anatomy of the eyelids combined with familiarity of the wide variety of reconstructive options is required to achieve these goals. In this article, we review the anatomy of the eyelids, and we present commonly used techniques for reconstruction of the upper and lower eyelids and the medial and lateral canthal regions after Mohs surgery.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1943793 Sat, 08 Nov 2008 14:27:00 +0100 1943793 http://www.medworm.com/index.php?rid=1943792&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0028-1095888 Seminars in Plastic Surgery 2008; 22: 294-305DOI: 10.1055/s-0028-1095888ABSTRACTSignificant defects of the cheek present a reconstructive challenge due to their extremely visible site, as well as limited local tissue supply. In addition, the cheek abuts several structures of expressive function, such as the eye, mouth, and local facial musculature. To achieve satisfactory functional and aesthetic results, reconstruction of such defects requires careful three-dimensional restoration of all missing components, adequate texture matching, as well as functional restoration. Aesthetic reconstruction of facial defects should adhere to the priority goals of first preserving function and second achieving cosmesis. According to the size of the defect, location on the cheek, relationship to adjacent ... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1943792 Sat, 08 Nov 2008 14:27:00 +0100 1943792 http://www.medworm.com/index.php?rid=1943791&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0028-1095887 This article will review basic anatomy, principles, and pearls of reconstruction for simple to complex scalp defects. Included will be anatomic considerations, indications and contraindications for reconstruction, and an overview of reconstructive options.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1943791 Sat, 08 Nov 2008 14:27:00 +0100 1943791 http://www.medworm.com/index.php?rid=1943790&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0028-1095886 Seminars in Plastic Surgery 2008; 22: 269-280DOI: 10.1055/s-0028-1095886ABSTRACTLip reconstruction poses a particular challenge to the plastic surgeon in that the lips are the dynamic center of the lower third of the face. Their role in aesthetic balance, facial expression, speech, and deglutination is not replicated by any other tissue substitute. The goals of lip reconstruction are both functional and aesthetic, and the surgical techniques employed are often overlapping. This discussion will focus on lip defects with significant tissue loss that require flap reconstruction. Flaps described include Webster-Bernard cheek advancement flaps, Abbe cross-lip flaps, Karapandzic rotation advancement flaps, and single and dual free-flap lip reconstructions. The principles and techniques described... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1943790 Sat, 08 Nov 2008 14:27:00 +0100 1943790 http://www.medworm.com/index.php?rid=1943789&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0028-1095885 This article provides an overview of nasal reconstruction with brief descriptions of subtle nuances involving certain techniques that the authors believe help their overall outcomes. The major aspects of nasal reconstruction are included: lining, support, skin coverage, local nasal flaps, nasolabial flap, and paramedian forehead flap. The controversy of the subunit reconstruction versus defect-only reconstruction is briefly discussed. The authors believe that strictly adhering to one principle or another limits one's options, and the patient will benefit more if one is able to apply a variety of options for each individualized defect. A different approach to full-thickness skin grafting is also briefly discussed as the authors propose its utility in lower third reconstruction. In general, ... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1943789 Sat, 08 Nov 2008 14:27:00 +0100 1943789 http://www.medworm.com/index.php?rid=1943788&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0028-1095884 Seminars in Plastic Surgery 2008; 22: 247-256DOI: 10.1055/s-0028-1095884ABSTRACTSince the inception of Mohs micrographic surgery in the 1930s, this technique has proved its utility in the treatment of cutaneous tumors. This review describes the technique of Mohs micrographic surgery and the various indications for which it is used. We discuss the use of Mohs micrographic surgery for the following cutaneous tumors: basal cell carcinoma, squamous cell carcinoma, melanoma in situ, dermatofibrosarcoma protuberans, Merkel cell carcinoma, microcystic adnexal carcinoma, atypical fibroxanthoma, and sebaceous carcinoma. Mohs micrographic surgery is cost effective in the U.S. health care system because billing for the surgeon-pathologist and laboratory processing is bundled together. However, Mohs m... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1943788 Sat, 08 Nov 2008 14:27:00 +0100 1943788 http://www.medworm.com/index.php?rid=1943787&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0028-1095883 Seminars in Plastic Surgery 2008; 22: 245-245DOI: 10.1055/s-0028-1095883© Thieme Medical PublishersGet connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1943787 Sat, 08 Nov 2008 14:27:00 +0100 1943787 http://www.medworm.com/index.php?rid=1943786&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0028-1095882 Seminars in Plastic Surgery 2008; 22: 243-243DOI: 10.1055/s-0028-1095882© Thieme Medical PublishersGet connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1943786 Sat, 08 Nov 2008 14:27:00 +0100 1943786 http://www.medworm.com/index.php?rid=1902591&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1081406 Seminars in Plastic Surgery 2008; 22: 234-241DOI: 10.1055/s-2008-1081406ABSTRACTLimb salvage has now replaced amputation as the standard treatment for primary bone tumors and can usually be offered to more than 85% of patients. Recently, a novel approach to limb salvage has been described by Capanna and colleagues whereby a massive bone allograft and intramedullary vascularized fibula are combined to reconstruct large, segmental bone defects. This produces a structurally competent reconstruction with enhanced vascular and osteogenic capabilities and the potential to achieve lower rates of infection, fracture, and nonunion. The Capanna technique has become a well-established means of long bone reconstruction and limb salvage in cases of large bony resection. The operative technique and repo... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1902591 Fri, 24 Oct 2008 14:49:27 +0100 1902591 http://www.medworm.com/index.php?rid=1902590&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1081405 This article provides an overview of the anatomic basis, indications, and operative technique for the use of this flap.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1902590 Fri, 24 Oct 2008 14:49:27 +0100 1902590 http://www.medworm.com/index.php?rid=1902589&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1081404 Seminars in Plastic Surgery 2008; 22: 213-227DOI: 10.1055/s-2008-1081404ABSTRACTVascularized bone grafts (VBGs) are techniques in the management of certain types of carpal pathology. VBGs have traditionally been advocated for conditions including delayed and nonunion of fractures and avascular necrosis. The most common indications for VBG have been for scaphoid nonunion, lunatomalacia (Kienböck's disease), and osteonecrosis of the scaphoid (Preiser's disease). Advantages over NVBG have been established. VBGs provide improved blood flow, osteocyte preservation, and accelerated healing rates. Local pedicled VBGs are the most commonly used methods. They are technically less demanding than are free VBGs and are associated with less morbidity. Commonly used donor grafts arise from the dorsal v... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1902589 Fri, 24 Oct 2008 14:49:27 +0100 1902589 http://www.medworm.com/index.php?rid=1902588&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1081403 Seminars in Plastic Surgery 2008; 22: 195-212DOI: 10.1055/s-2008-1081403ABSTRACTThe relatively new concept and technique of microvascular joint transplantation for the correction of the congenitally deformed wrist is presented with a series of 24 operated radial club hands. The results from the 19 upper extremities with a mean follow-up of 11 years show that the new technique will not diminish the longitudinal growth of the ulna. The ulna length in the series is now 15.4 cm in mean and will develop further and presumably better than that reported in the previous long-term studies after centralization. The superiority in wrist active mobility compared with those of some previous long-term studies is reported with total active motion of 83 degrees in mean. The radial deviation deformity has ... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1902588 Fri, 24 Oct 2008 14:49:27 +0100 1902588 http://www.medworm.com/index.php?rid=1902587&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1081402 Seminars in Plastic Surgery 2008; 22: 186-194DOI: 10.1055/s-2008-1081402ABSTRACTDistal radius reconstruction in children should meet two requests: restoration of some joint function and preservation of the physiologic growth of the segment. None of the conventional options is likely to successfully achieve both goals. Conversely, a vascularized transfer of the proximal fibula including the growth plate provides enough bone stock for diaphyseal reconstruction, an articular surface for joint function, and the potential for longitudinal growth. From 1992 to 2006, eight children ranging in age between 2 and 10 years underwent a vascularized transfer of the proximal fibula for distal radius reconstruction after bone sarcoma resection. The follow-up ranges were between 1 year and 15 years. All t... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1902587 Fri, 24 Oct 2008 14:49:27 +0100 1902587 http://www.medworm.com/index.php?rid=1902586&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1081401 This article aims to illustrate some refinements and pitfalls in vascularized osseous reconstruction of the head and neck using the well-recognized flaps, including calvarium, in a variety of pathologic conditions, recipient-site defects, and comorbidities. Strategies for error avoidance will be emphasized. The authors hope that this will support the concept of a reconstructive “toolbox” for this complex area.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1902586 Fri, 24 Oct 2008 14:49:27 +0100 1902586 http://www.medworm.com/index.php?rid=1902585&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1081400 This article describes the principles of use of the iliac crest with internal oblique in the reconstruction of this defect and compares this technique with the many other methods reported in the literature. The article is mainly descriptive as there are few comparative studies comparing reconstructive techniques for a similar defect.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1902585 Fri, 24 Oct 2008 14:49:27 +0100 1902585 http://www.medworm.com/index.php?rid=1902584&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1081399 Seminars in Plastic Surgery 2008; 22: 156-160DOI: 10.1055/s-2008-1081399ABSTRACTThe temporomandibular joint is elegant in its design, which may make it difficult if not impossible to comprehensively reconstruct. Although a broad range of nonvascularized options exists for reconstruction of degenerative conditions of the temporomandibular joint, vascularized reconstructions such as the fibula or the second metatarsal phalangeal joint are more appropriate for defects resulting from oncologic resection or in patients with compromised soft tissue. An anatomically based classification system for these defects is presented.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1902584 Fri, 24 Oct 2008 14:49:27 +0100 1902584 http://www.medworm.com/index.php?rid=1902583&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1081398 This article will present a systematic review of composite maxillofacial reconstruction with free tissue transfer.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1902583 Fri, 24 Oct 2008 14:49:27 +0100 1902583 http://www.medworm.com/index.php?rid=1902582&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1081397 Seminars in Plastic Surgery 2008; 22: 139-139DOI: 10.1055/s-2008-1081397© Thieme Medical PublishersGet connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1902582 Fri, 24 Oct 2008 14:49:27 +0100 1902582 http://www.medworm.com/index.php?rid=1902581&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1081396 Seminars in Plastic Surgery 2008; 22: 137-137DOI: 10.1055/s-2008-1081396© Thieme Medical PublishersGet connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1902581 Fri, 24 Oct 2008 14:49:27 +0100 1902581 http://www.medworm.com/index.php?rid=1384138&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1063572 Seminars in Plastic Surgery 2008; 22: 124-135DOI: 10.1055/s-2008-1063572ABSTRACTDeficiency of nasal dorsal projection may be inherent or acquired. Repair is most commonly performed with an onlay graft. When nasal septal cartilage is available, it is the author's preferred source for graft material. It is important to realize that dorsal augmentation is an operation performed for aesthetic not functional reasons. As such, patients understandably scrutinize their postoperative result, and attention to detail in all aspects of the surgery is critical in achieving a favorable outcome. The author's technique for using septal cartilage for dorsal augmentation is presented. Specific considerations include patient selection and analysis, graft harvesting, preparation, and placement, donor-site car... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1384138 Sat, 19 Apr 2008 08:49:11 +0100 1384138 http://www.medworm.com/index.php?rid=1384137&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1063571 Seminars in Plastic Surgery 2008; 22: 120-123DOI: 10.1055/s-2008-1063571ABSTRACTAugmentation of the nasal framework requires a working knowledge of nasal and facial anatomy, as well as the principles of facial proportion and balance. Dorsal augmentation rhinoplasty is a valuable means of improving nasal appearance in patients with a low and/or concave nasal dorsum, obtuse nasofrontal angle, and low radix. It frequently is combined with other techniques, including columellar strut grafting, nasal tip grafting, and tip suturing, as dorsal deficiencies are often associated with poor tip projection and support and a shortened columella. Our experience with dorsal augmentation rhinoplasty, including the use of irradiated homograft costal cartilage for grafting in 56 surgeries, is described. A h... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1384137 Sat, 19 Apr 2008 08:49:11 +0100 1384137 http://www.medworm.com/index.php?rid=1384136&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1063570 Seminars in Plastic Surgery 2008; 22: 110-119DOI: 10.1055/s-2008-1063570ABSTRACTThe problem of reconstructing the dorsum of the nose is complex and a source of frustration for both patients and surgeons. Dorsal deficiencies due to various etiologies and the need for dorsal contouring cause the plastic surgeon to look to time-honored techniques such as osseocartilaginous rib grafts while also searching for other options that may be less technically challenging and have the benefit of temporal success. Diced cartilage wrapped with deep temporal fascia is just such a method to achieve reliable dorsal reconstructions. The various ways to use diced cartilage and deep temporal fascia are discussed.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1384136 Sat, 19 Apr 2008 08:49:11 +0100 1384136 http://www.medworm.com/index.php?rid=1384135&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1063569 Seminars in Plastic Surgery 2008; 22: 104-109DOI: 10.1055/s-2008-1063569ABSTRACTWith an ever increasing ethnic population in the United States, dorsal augmentation has become a fairly common accompaniment to rhinoplasty. But procurement of adequate graft material of suitable nature and amount persists as a challenge to plastic surgeons. This dilemma has become even more pressing in recent years as a variety of other exceptional graft applications for the patient's limited cartilage bank have become not just an option but also mandatory for our higher expectations. The debate of the past century over alloplast in the dorsum persists in the present. “When and if ever” is the commonly asked question. Surely, no alloplast can match the ideal graft, but no graft is ideal either as i... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1384135 Sat, 19 Apr 2008 08:49:11 +0100 1384135 http://www.medworm.com/index.php?rid=1384134&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1063568 Seminars in Plastic Surgery 2008; 22: 090-103DOI: 10.1055/s-2008-1063568ABSTRACTThe augmentation-reduction principle is becoming pervasive in nasal surgery. Rhinoplasty surgeons have discovered that nasal skin does not consistently contract. Therefore, nasal augmentation is an increasingly accepted technique, and grafts are required. Autogenous cartilage is the grafting material of choice. There are drawbacks to autogenous material, especially in secondary rhinoplasty patients who are often graft-depleted. Cartilage grafts may cause unsightly irregularities over time. Therefore, an interest in alternative soft tissue substitutes has developed. AlloDerm is freeze-dried acellular cadaver dermis. AlloDerm acts as a filler to expand portions of the nasal skin envelope to balance the overresect... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1384134 Sat, 19 Apr 2008 08:49:11 +0100 1384134 http://www.medworm.com/index.php?rid=1384133&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1063567 We present the senior author's (J.P.G.) experience and evolution of techniques of dorsal augmentation with autogenous rib cartilage grafts with internal K-wire stabilization in rhinoplasty.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1384133 Sat, 19 Apr 2008 08:49:11 +0100 1384133 http://www.medworm.com/index.php?rid=1384132&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1063566 Seminars in Plastic Surgery 2008; 22: 065-073DOI: 10.1055/s-2008-1063566ABSTRACTStructural deficiencies of the nasal dorsum most commonly derive from congenital, traumatic, and iatrogenic etiologies. Alternatively, dorsal deficiency may be a manifestation of a generally underprojected nose with otherwise appropriate relationships between the radix, dorsum, and tip. In analyzing dorsal deficiency, associated anatomic abnormalities leading to compromise of both aesthetic form and respiratory function must be recognized and incorporated into the reconstructive plan. The cornerstone of augmentation rhinoplasty employs either autologous graft or alloplastic implant material to restore dorsal height and structural support to the nasal skeleton. Many autologous and alloplastic materials are curre... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1384132 Sat, 19 Apr 2008 08:49:11 +0100 1384132 http://www.medworm.com/index.php?rid=1384131&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1063565 Seminars in Plastic Surgery 2008; 22: 063-064DOI: 10.1055/s-2008-1063565© Thieme Medical PublishersGet connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1384131 Sat, 19 Apr 2008 08:49:11 +0100 1384131 http://www.medworm.com/index.php?rid=1384130&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1063564 Seminars in Plastic Surgery 2008; 22: 061-061DOI: 10.1055/s-2008-1063564© Thieme Medical PublishersGet connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1384130 Sat, 19 Apr 2008 08:49:11 +0100 1384130 http://www.medworm.com/index.php?rid=1246764&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-1019143 This article highlights the advantages, disadvantages, gives an overview of the technique, discusses complications, and provides factual information to counter false negative information about the procedure.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1246764 Thu, 21 Feb 2008 09:40:50 +0100 1246764 http://www.medworm.com/index.php?rid=1246763&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-1019142 Seminars in Plastic Surgery 2008; 22: 043-049DOI: 10.1055/s-2007-1019142ABSTRACTEndoscopic brow lift has become widely accepted as a procedure for restoring a youthful brow, as only three, hardly noticeable incisions of the scalp are needed for this subperiosteal dissection and final repositioning of the brow. It has become an acceptable technique, an alternative to the conventional technique or transcoronal browpexy. Endoscopic brow lift allows separation and repositioning of the periosteum of the orbital rims and zygomaxilla. In a 7-year period beginning September 1999, 350 patients underwent endoscopic brow lift. In these patients, we used our fixation approach, which was accomplished with an absorbable suture subperiosteally. Satisfactory forehead rejuvenation was obtained in all patie... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1246763 Thu, 21 Feb 2008 09:40:50 +0100 1246763 http://www.medworm.com/index.php?rid=1246762&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-1019141 Seminars in Plastic Surgery 2008; 22: 037-041DOI: 10.1055/s-2007-1019141ABSTRACTEndoscopic carpal tunnel release (ECTR) is generally touted to be a less invasive operation that offers the advantages of less postoperative pain and an earlier return to work compared with conventional open carpal tunnel release (OCTR). ETCR, however, does require special new skills that preferably should be acquired by practice on cadavers before clinical use. Because access to fresh cadavers is restricted in Japan, here we have to gain this experience in actual clinical cases with the assistance of another surgeon who is familiar with the technique. In contradistinction, a “mini” open technique can be learned stepwise just by shortening the conventional incision of OCTR during one's own clinical ... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1246762 Thu, 21 Feb 2008 09:40:50 +0100 1246762 http://www.medworm.com/index.php?rid=1246761&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-1019140 Seminars in Plastic Surgery 2008; 22: 029-036DOI: 10.1055/s-2007-1019140ABSTRACTThe aesthetic necessity to preserve an undisturbed facial appearance and function has led to the progressive adoption of less-conspicuous incisions and decreasingly aggressive exposure in the treatment of facial injuries. The goals of proper anatomic reduction and stable fixation, however, must not be omitted. The introduction of endoscopic techniques has allowed a harmonious union of these two seemingly competing objectives. In condylar injuries, the endoscope may be used to restore preinjury condylar height and angulation, avoiding the feared risks of facial nerve injury and visible scarring. Treatment of complex zygoma and LeFort III fracture cases may be facilitated by repairing the zygomatic arch through r... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1246761 Thu, 21 Feb 2008 09:40:50 +0100 1246761 http://www.medworm.com/index.php?rid=1246760&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-1019139 Seminars in Plastic Surgery 2008; 22: 025-028DOI: 10.1055/s-2007-1019139ABSTRACTA technique of endoscopic sural nerve harvest was devised to minimize the donor site scarring in infants requiring peripheral nerve grafting procedures. The harvests were performed under tourniquet control using three 2-cm incisions for access at the lateral malleolus, midcalf, and popliteal fossa. Endoscopic visualization and blunt dissection of the nerve was achieved with a 4-mm-diameter, 18-cm-long telescope with a 0-degree angle lens, stabilized in an Emory retractor and attached to a video camera. The medial sural nerve was divided in the popliteal fossa proximally under direct vision. The lateral sural nerve was identified and harvested when present. This technique has been in use since 1994 and has been ... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1246760 Thu, 21 Feb 2008 09:40:50 +0100 1246760 http://www.medworm.com/index.php?rid=1246759&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-1019138 Seminars in Plastic Surgery 2008; 22: 019-024DOI: 10.1055/s-2007-1019138ABSTRACTAnatomically favorable structures that have a longitudinal orientation are particularly amenable to endoscopic harvest. Typically, only a single portal is necessary for access, and an optical cavity can be maintained using a mechanical retraction device. As with all minimal invasive surgery, this can still allow rapid and often a safer tissue harvest with diminished morbidity, especially with respect to wound healing and non-aesthetic scar formation. Many plastic surgery applications have already been described facilitated by the endoscopic harvest of vein, tendon, and nerve grafts, as well as certain local or free muscle flaps.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract Â... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1246759 Thu, 21 Feb 2008 09:40:50 +0100 1246759 http://www.medworm.com/index.php?rid=1246758&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-1019137 Seminars in Plastic Surgery 2008; 22: 009-017DOI: 10.1055/s-2007-1019137ABSTRACTPlastic surgeons are frequently faced with difficult and challenging soft tissue defects in all areas of the body. To reconstruct these defects, there are many operative approaches available to the reconstructive surgeon including skin grafts, local flaps, regional flaps, and free-tissue transfer. Despite these many options, occasionally the best alternative for reconstruction of a wound is tissue expansion, where skin of similar quality, texture, and color can be used to close a soft tissue defect. Unfortunately, there are significant problems related to tissue expander reconstruction including a complication rate as high as 50%. As a result, tissue expander reconstruction has not achieved the widespread popul... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1246758 Thu, 21 Feb 2008 09:40:50 +0100 1246758 http://www.medworm.com/index.php?rid=1246757&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-1019136 Seminars in Plastic Surgery 2008; 22: 005-007DOI: 10.1055/s-2007-1019136ABSTRACTIt could be argued that a basic principle establishing plastic surgery as a distinct specialty always has been minimal invasive surgery. Although perhaps lagging behind the other surgical specialties specifically in adopting the surgical endoscope, this merely is a new tool to better achieve just that objective. Outcome enhancements initially predominated in aesthetic applications, but widespread use also in reconstructive endeavors has proved that there is indeed today a broad role for minimally invasive plastic surgery.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1246757 Thu, 21 Feb 2008 09:40:50 +0100 1246757 http://www.medworm.com/index.php?rid=1246756&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-1019135 Seminars in Plastic Surgery 2008; 22: 003-003DOI: 10.1055/s-2007-1019135© Thieme Medical PublishersGet connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1246756 Thu, 21 Feb 2008 09:40:50 +0100 1246756 http://www.medworm.com/index.php?rid=1246755&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-1019134 Seminars in Plastic Surgery 2008; 22: 001-001DOI: 10.1055/s-2007-1019134© Thieme Medical PublishersGet connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1246755 Thu, 21 Feb 2008 01:04:14 +0100 1246755 http://www.medworm.com/index.php?rid=1055113&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-991196 Seminars in Plastic Surgery 2007; 21: 259-268DOI: 10.1055/s-2007-991196ABSTRACTThe face has functional and aesthetic importance. It represents the most identifiable aspect of an individual's physical being. Its role in a person's identity and ability to communicate can therefore not be overstated. The face also plays an important role in certain functional needs such as speech, communicative competence, eye protection, and emotional expressiveness. The latter function bears significant social and psychological import, because two thirds of our communication takes place through nonverbal facial expressions. Accordingly, the significance of reconstruction of the face is indisputable. Yet despite application of meticulous techniques and the development of innovative approaches, functional and... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1055113 Wed, 28 Nov 2007 02:29:27 +0100 1055113 http://www.medworm.com/index.php?rid=1055112&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-991195 Seminars in Plastic Surgery 2007; 21: 250-258DOI: 10.1055/s-2007-991195ABSTRACTReconstruction surgery requires imagination, inventiveness, and creation-a quest that entails overcoming obstacles never before encountered. Over the past 25 years, with the advent in microsurgery of free revascularized transfers, it was believed that this fundamental breakthrough would be sufficient to resolve difficulties of whatever nature, and that little else would be necessary. Undoubtedly, the results obtained by using free autotransfers have been so remarkable that it is no longer possible to undertake reconstruction in plastic surgery without fully mastering these techniques. Nevertheless, limitations remain, especially with regard to form and shape, as there are areas where form and function merge. As ... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1055112 Wed, 28 Nov 2007 02:29:27 +0100 1055112 http://www.medworm.com/index.php?rid=1055111&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-991194 Seminars in Plastic Surgery 2007; 21: 242-249DOI: 10.1055/s-2007-991194ABSTRACTNerve allograft transplantation should be used for the repair of devastating peripheral nerve injuries that cannot be reconstructed through traditional means such as autologous nerve grafting or nerve transfer procedures. The risks of required systemic immunosuppression, although only temporary for nerve allograft recipients, preclude widespread use of this treatment modality. Translational research has led to several advancements in this field including the use of preoperative allograft cold preservation in University of Wisconsin organ preservation solution and inclusion of tacrolimus as part of the immunosuppressive regimen. Investigation of how to further diminish nerve allograft immunogenicity, speed neuror... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1055111 Wed, 28 Nov 2007 02:29:27 +0100 1055111 http://www.medworm.com/index.php?rid=1055110&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-991193 Seminars in Plastic Surgery 2007; 21: 234-241DOI: 10.1055/s-2007-991193ABSTRACTThe loss of a functional voice because of trauma or laryngectomy can have a devastating impact on a patient's self-esteem and overall quality of life. Unfortunately, even with advances in organ preservation therapy, total laryngectomy is frequently necessary in the treatment of laryngeal carcinoma. Over the past several years, the senior author initiated research into laryngeal transplantation with the goal of restoring lung-powered speech for these patients. The research led to the development of an animal model and several groundbreaking studies in this area. Investigations into the use of irradiation, single-drug and multidrug immunosuppression, and the effects of mammalian target of rapamycin (mTOR) inhibito... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1055110 Wed, 28 Nov 2007 02:29:27 +0100 1055110 http://www.medworm.com/index.php?rid=1055109&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-991192 Seminars in Plastic Surgery 2007; 21: 226-233DOI: 10.1055/s-2007-991192ABSTRACTAfter announcements of successful hand, larynx, knee, muscle, nerve, and, most recently, face transplantation, composite tissue allografts (CTAs) have been introduced into the armamentarium of plastic and reconstructive surgery. Because the microsurgical techniques required to perform CTA transplants are well established and used in daily practice by plastic surgeons, the immunologic aspects of transplantation remain of great interest to plastic surgeons. CTAs offer a unique potential for coverage of large multitissue defects; however, compared with the relatively homogenous tissue of solid organ transplants, the heterogenicity of tissue components of CTA may generate high immunologic responses. Although modern ... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1055109 Wed, 28 Nov 2007 02:29:27 +0100 1055109 http://www.medworm.com/index.php?rid=1055108&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-991191 This article reviews the history of CTA, current challenges and complications, and offers future directions for CTA research in strategies to induce tolerance.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1055108 Wed, 28 Nov 2007 02:29:27 +0100 1055108 http://www.medworm.com/index.php?rid=1055107&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-991190 Seminars in Plastic Surgery 2007; 21: 205-212DOI: 10.1055/s-2007-991190ABSTRACTComposite tissue allotransplantation has been recently introduced as a potential clinical treatment for complex reconstructive procedures including traumatic injuries, cancer ablative surgeries, or extensive tissue loss secondary to burns. Composite tissue allografts (CTAs) consist of heterogeneous tissues including skin, fat, muscle, nerves, lymph nodes, bone, cartilage, ligaments, and bone marrow with different antigenicities. Thus, composite tissue structure is considered to be more immunogenic than solid organ transplants. In this article, we present the experimental applications of CTA transplantation. To study the mechanisms of CTA acceptance and rejection, different experimental models, strategies, and di... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1055107 Wed, 28 Nov 2007 02:29:27 +0100 1055107 http://www.medworm.com/index.php?rid=1055106&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-991189 Seminars in Plastic Surgery 2007; 21: 203-203DOI: 10.1055/s-2007-991189© Thieme Medical PublishersGet connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1055106 Wed, 28 Nov 2007 02:29:27 +0100 1055106 http://www.medworm.com/index.php?rid=1055105&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-991188 Seminars in Plastic Surgery 2007; 21: 201-201DOI: 10.1055/s-2007-991188© Thieme Medical PublishersGet connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1055105 Wed, 28 Nov 2007 02:29:27 +0100 1055105 http://www.medworm.com/index.php?rid=1040421&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-979215 Seminars in Plastic Surgery 2007; 21: 133-134DOI: 10.1055/s-2007-979215ABSTRACTOffice-based and freestanding ambulatory surgical facilities have become commonplace and the surgeries they perform more elaborate. Accreditation of all outpatient surgical facilities is necessary to maintain a standard of care that safeguards the patient and reduces liability for the physician. The accreditation entities that currently dominate the industry include JCAHO (Joint Commission for Accreditation of Hospital Organizations), the American Osteopathic Association's HFAP (Healthcare Facilities Accreditation Program), and AAAASF (American Association for Accreditation of Ambulatory Surgery Facilities). All of these accrediting bodies provide standards of operation that maintain a level of care and improve ... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1040421 Wed, 21 Nov 2007 02:13:48 +0100 1040421 http://www.medworm.com/index.php?rid=1040420&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-979214 Seminars in Plastic Surgery 2007; 21: 129-132DOI: 10.1055/s-2007-979214ABSTRACTPropofol is the nearly ideal agent for office-based plastic surgery. Among all anesthetic agents, only propofol has the ability to elicit happiness in this special group of patients. Cosmetic surgery patients will tolerate discomfort in preference to postoperative nausea and vomiting. Propofol is a powerful antiemetic agent. Patient safety will not be optimized unless the person responsible for the administration of propofol has airway management skills. Dedicated anesthesia providers are highly skilled in airway management. Although the short half-life of propofol is seductive for a fast-acting, rapid emerging anesthetic, interindividual differences in propofol response make measurement of the target organ (i.e... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1040420 Wed, 21 Nov 2007 02:13:48 +0100 1040420 http://www.medworm.com/index.php?rid=1040419&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-979213 Seminars in Plastic Surgery 2007; 21: 123-128DOI: 10.1055/s-2007-979213ABSTRACTSafety is always the primary concern of surgeons and patients in any office-based procedure. With the growing use of safe intravenous sedation in this setting, a need for a standardized protocol for dissociative anesthesia exists. We have accomplished this task by using a sedation monitoring system, which could easily be implemented in any existing office-based operating setting. Our sedation monitor, abbreviated SeMo, provides a standardized means of monitoring deep intravenous sedation administration to patients in the operating room setting. The idea of SeMo is to develop a stand-alone system capable of integrating all facets of the operating room staff through a common communication media to improve efficien... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1040419 Wed, 21 Nov 2007 02:13:48 +0100 1040419 http://www.medworm.com/index.php?rid=1040418&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-979212 Seminars in Plastic Surgery 2007; 21: 115-122DOI: 10.1055/s-2007-979212ABSTRACTOffice-based plastic surgery began in the 1960s and has expanded exponentially since then. The majority of plastic surgeons now have their own office-based facilities, and every elective aesthetic procedure from hair transplantation to abdominoplasty and breast reduction can be done as an outpatient procedure with tremendous increases in efficiency, safety, and time. We started with a single room and have expanded to three operating rooms, two specific preoperative, postoperative private rooms, and a two-bedroom, curtained recovery area. Although the capital expenditure is high, the rewards in time, efficiency, and safety are great.[...]Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, Ne... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1040418 Wed, 21 Nov 2007 02:13:48 +0100 1040418 http://www.medworm.com/index.php?rid=1040417&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-979211 Seminars in Plastic Surgery 2007; 21: 109-114DOI: 10.1055/s-2007-979211ABSTRACTIn 1974, the author began to use ketamine in association with diazepam for cosmetic and reconstructive procedures. Since then, through courses in the United States and abroad, well over a thousand plastic surgeons have been taught the technique. Ketamine, by itself, ablates sensory input of pain at the thalamic level but has been associated with hallucinations, bad dreams, and other untoward effects. These can be prevented by the use of benzodiazepines, which “bracket” the use of ketamine. If the patient is sedated and awakens under the influence of these agents, there is no adverse ketamine effect. Specific techniques and adjunct agents are described.[...]Copyright © 2007 by Thieme Medical Publishe... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1040417 Wed, 21 Nov 2007 02:13:48 +0100 1040417 http://www.medworm.com/index.php?rid=1040416&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-979210 Seminars in Plastic Surgery 2007; 21: 103-107DOI: 10.1055/s-2007-979210ABSTRACTOffice-based anesthesia can be safely used to facilitate large, complex plastic surgical procedures. Office-based anesthesia allows for optimal use of the surgeon's time and is cost effective for the patient.[...]Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.Get connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1040416 Wed, 21 Nov 2007 02:13:48 +0100 1040416 http://www.medworm.com/index.php?rid=1040415&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-979209 Seminars in Plastic Surgery 2007; 21: 099-102DOI: 10.1055/s-2007-979209ABSTRACTOffice-based plastic surgery with general anesthesia has several benefits compared with hospital-based surgery. Office-based procedures can be done in a safe, cost- and time-efficient manner, with improved convenience for both the surgeon and the patient. A review and discussion of outpatient plastic surgery procedures at the Marina Outpatient Surgery Center in Marina del Rey, California, was performed.[...]Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.Get connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1040415 Wed, 21 Nov 2007 02:13:48 +0100 1040415 http://www.medworm.com/index.php?rid=1040414&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-979208 Seminars in Plastic Surgery 2007; 21: 097-098DOI: 10.1055/s-2007-979208Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.Get connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1040414 Wed, 21 Nov 2007 02:13:48 +0100 1040414 http://www.medworm.com/index.php?rid=1040413&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-979207 Seminars in Plastic Surgery 2007; 21: 095-095DOI: 10.1055/s-2007-979207Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.Get connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1040413 Wed, 21 Nov 2007 02:13:48 +0100 1040413 http://www.medworm.com/index.php?rid=1040412&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-991187 Seminars in Plastic Surgery 2007; 21: 193-200DOI: 10.1055/s-2007-991187ABSTRACTLaser and light procedures are commonly delegated to nonphysician providers. The purpose of this report is (1) to summarize the factors that determine how such delegation may occur, (2) to analyze the potential pitfalls and problems associated with delegation, and (3) to propose alternative approaches that may improve the delegation process to maximize patient safety while not unreasonably restricting nonphysician provision of laser services.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1040412 Wed, 21 Nov 2007 02:13:48 +0100 1040412 http://www.medworm.com/index.php?rid=1040411&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-991186 Seminars in Plastic Surgery 2007; 21: 175-192DOI: 10.1055/s-2007-991186ABSTRACTTattooing has been a part of human culture since the earliest beginnings of modern civilization. What has changed over the millennia are the myriad of colors with which we can now express our thoughts, feelings, and desires through body art. What has not changed is human nature, and our propensity to change our minds about what it is we think, feel, and wish to express on the canvas of our skin. Our fickle nature results in the desire to change what has been placed as a permanent reminder of a friend, spouse, or as a work of art. The technology used to remove tattoos began with destructive methods of removal, which wreaked havoc not only on the tattoo but more prominently on the skin containing that tattoo. The ... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1040411 Wed, 21 Nov 2007 02:13:48 +0100 1040411 http://www.medworm.com/index.php?rid=1040410&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-991185 Seminars in Plastic Surgery 2007; 21: 167-174DOI: 10.1055/s-2007-991185ABSTRACTTraditional medical treatments for acne vulgaris include a variety of topical and oral medications. The combination of poor compliance, lack of durable remission, and potential side effects are common drawbacks to these treatments. The use of lasers and light devices has increased dramatically in recent years due to the overall ease of treatment, predictable clinical efficacy, and minimal adverse effects. A variety of light and laser devices has been used for the treatment of acne, including the potassium titanyl phosphate (KTP) laser, the 585- and 595-nm pulsed dye lasers, the 1450-nm diode laser, radiofrequency devices, intense pulsed light sources, low-intensity light treatment, and photodynamic therapy using... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1040410 Wed, 21 Nov 2007 02:13:48 +0100 1040410 http://www.medworm.com/index.php?rid=1040409&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-991184 Seminars in Plastic Surgery 2007; 21: 159-166DOI: 10.1055/s-2007-991184ABSTRACTSince its introduction in 1967, laser therapy has benefited patients and physicians alike. After the first clinical application by Goldman (Anderson RR, Parrish JA. 1983;220:524-527), laser therapy has become indispensable in the management of vascular birthmarks. In selecting a proper balance of wavelength, pulse duration, and energy density (), the physician can mold laser energy to effectively manage lesions once considered untreatable. Now, the vast array of lesions amenable to laser therapy continues to expand. By advancing our understanding of both laser technology and vascular lesion biology, the goal of providing optimal clearance with minimal morbidity moves ever closer.[...]© Thieme Medical Publishers... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1040409 Wed, 21 Nov 2007 02:13:48 +0100 1040409 http://www.medworm.com/index.php?rid=1040408&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-991183 This article reviews current concepts in the treatment of adult vascular conditions. It highlights the different types of lasers and the most common vascular lesions amenable to therapy. Also, the article offers several pearls regarding selection of the laser and of the treatment parameters.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1040408 Wed, 21 Nov 2007 02:13:48 +0100 1040408 http://www.medworm.com/index.php?rid=1040407&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-991182 Seminars in Plastic Surgery 2007; 21: 139-146DOI: 10.1055/s-2007-991182ABSTRACTIn a society desiring images of beauty and youthfulness, the world of cutaneous surgery offers the gifts of facial rejuvenation for those determined to combat the signs of aging. With the development of novel laser and plasma technology, pigmentary changes, scarring, and wrinkles can be conquered providing smoother, healthier, younger-looking skin. This review highlights five of the most popular resurfacing technologies in practice today including the carbon dioxide (CO) laser, the erbium:yttrium-aluminum-garnet (Er:YAG) laser, combination resurfacing, fractional photothermolysis, and plasma resurfacing.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: S... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1040407 Wed, 21 Nov 2007 02:13:48 +0100 1040407 http://www.medworm.com/index.php?rid=1040406&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-991181 Seminars in Plastic Surgery 2007; 21: 137-138DOI: 10.1055/s-2007-991181© Thieme Medical PublishersGet connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1040406 Wed, 21 Nov 2007 02:13:48 +0100 1040406 http://www.medworm.com/index.php?rid=1040405&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-991180 Seminars in Plastic Surgery 2007; 21: 135-135DOI: 10.1055/s-2007-991180© Thieme Medical PublishersGet connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=1040405 Wed, 21 Nov 2007 01:07:05 +0100 1040405 http://www.medworm.com/index.php?rid=966522&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2006-951583 Seminars in Plastic Surgery 2006; 20: 249-255DOI: 10.1055/s-2006-951583ABSTRACTPostoperative nausea and vomiting (PONV) is a common problem affecting nearly one third of all surgical patients. In addition to making the patient feel miserable, PONV is a major cause of prolonged recovery, unintended hospital admission, and poor patient satisfaction after surgery. Retching and vomiting can also lead to hematoma formation, wound and suture dehiscence, and aspiration. Thus, the prevention of PONV is an important goal in the overall outcome of surgery and, in particular, plastic surgery. The etiology of PONV is multifactorial, and several important risk factors have been identified. These factors include female gender, nonsmoking status, and a history of PONV or opioid-induced nausea and emesis.... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=966522 Sun, 21 Oct 2007 01:23:59 +0100 966522 http://www.medworm.com/index.php?rid=966521&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2006-951582 This article summarizes the recent literature on infection prophylaxis and advises physicians to consider relative risks and benefits when deciding which patients should receive prophylactic antibiotics.[...]Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.Get connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=966521 Sun, 21 Oct 2007 01:23:59 +0100 966521 http://www.medworm.com/index.php?rid=966520&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2006-951581 Seminars in Plastic Surgery 2006; 20: 233-240DOI: 10.1055/s-2006-951581ABSTRACTHematoma and seroma formation in surgical wounds has negative effects on wound healing and subsequent morbidity to patients. This is of particular pertinence in cosmetic procedures in which the patient has chosen to undergo surgery electively. Over the past several decades there has been considerable interest in the use of ancillary techniques to assist in closing wounds and achieving hemostasis to prevent hematoma and seroma formation. These techniques include application of tissue sealants or platelet gels, application of quilting sutures, and the use of sclerotherapy to obliterate chronic seromatous cavities. The experience with these techniques in a multitude of surgical specialties is positive and additiona... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=966520 Sun, 21 Oct 2007 01:23:59 +0100 966520 http://www.medworm.com/index.php?rid=966519&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2006-951580 This article is a part of that mission, embarking on identifying risk factors and establishing prophylaxis guidelines. At the end of this article, readers should have an understanding of the pathophysiology, incidence, and risk factors associated with VTE as well as the current prophylactic recommendations that should be considered in the aesthetic patient.[...]Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.Get connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=966519 Sun, 21 Oct 2007 01:23:59 +0100 966519 http://www.medworm.com/index.php?rid=966518&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2006-951579 Seminars in Plastic Surgery 2006; 20: 219-224DOI: 10.1055/s-2006-951579ABSTRACTIt is mandatory for the cosmetic surgeon to use local anesthesia in a safe and effective manner. Current trends to perform more procedures in the office setting necessitate that the surgeon become facile with achieving anesthesia while minimizing complications. In a related theme, the use of tumescence during liposuction deserves respect, despite the ease with which it is applied. Too many unnecessary complications occur as a result of its careless use, resulting in a mortality rate higher than expected for an elective cosmetic procedure. Our goal is to describe the necessary characteristics, pharmacokinetics, physiologic effects, and overall safety guidelines for use of local anesthesia and tumescence. In addit... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=966518 Sun, 21 Oct 2007 01:23:59 +0100 966518 http://www.medworm.com/index.php?rid=966517&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2006-951578 Seminars in Plastic Surgery 2006; 20: 214-218DOI: 10.1055/s-2006-951578ABSTRACTMaintaining patient safety in the operating room is a major concern of surgeons, hospitals, and surgical facilities. Circumventing preventable complications is essential, and the pressure to avoid these complications during elective cosmetic surgery is especially important. Traditionally, nursing and anesthesia staff have managed patient positioning and most safety issues in the operating room. As the number of office-based procedures in the plastic surgeon's practice increases, understanding and implementation of patient safety guidelines by the plastic surgeon is of increasing importance.[...]Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.Get connected:Table o... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=966517 Sun, 21 Oct 2007 01:23:59 +0100 966517 http://www.medworm.com/index.php?rid=966516&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2006-951577 Seminars in Plastic Surgery 2006; 20: 205-213DOI: 10.1055/s-2006-951577ABSTRACTPatients interested in elective cosmetic procedures often have comorbidities and suffer from medical problems that influence the operative plan and surgical outcome. In the history and physical examination, it is important for the surgeon to identify these areas and be familiar with the associated risks in relation to the planned cosmetic procedure. Common problems that influence plastic surgery and wound healing in general include cigarette smoking, diabetes mellitus, and management of common medications. Smoking is the most common cause of preventable death in the United States today. In addition to its impact on every organ system, it has many detrimental effects on wound healing. Patients judge the results o... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=966516 Sun, 21 Oct 2007 01:23:59 +0100 966516 http://www.medworm.com/index.php?rid=966515&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2006-951576 Seminars in Plastic Surgery 2006; 20: 203-203DOI: 10.1055/s-2006-951576Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.Get connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=966515 Sun, 21 Oct 2007 01:23:59 +0100 966515 http://www.medworm.com/index.php?rid=966514&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2006-951575 Seminars in Plastic Surgery 2006; 20: 201-201DOI: 10.1055/s-2006-951575Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.Get connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=966514 Sun, 21 Oct 2007 01:23:59 +0100 966514 http://www.medworm.com/index.php?rid=966513&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-967753 Seminars in Plastic Surgery 2007; 21: 080-093DOI: 10.1055/s-2007-967753ABSTRACTThere is a broad spectrum of complications that can occur following cosmetic eyelid surgery. The experienced eyelid surgeon should be able to avoid most serious complications through proper patient selection, a comprehensive preoperative assessment and surgical plan, meticulous surgical technique, and appropriate postoperative care. The aesthetic eyelid surgeon must counsel a patient contemplating blepharoplasty surgery regarding typical expectations including edema, eyelid numbness, dry eyes, and mild blurred vision. Patients must also be aware of the risks and the signs of serious complications such as infection, hematoma, or severe vision loss. Oculofacial surgeons must be capable of managing these adverse ou... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=966513 Sun, 21 Oct 2007 01:23:59 +0100 966513 http://www.medworm.com/index.php?rid=966512&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-967752 Seminars in Plastic Surgery 2007; 21: 074-079DOI: 10.1055/s-2007-967752ABSTRACTLaser periocular surgery has achieved an increased popularity, particularly since the widespread use of CO and erbium:yttrium aluminum garnet laser and more recently with the development of nonablative laser technology. The main target of these techniques is to treat photoaging changes to obtain a rejuvenated skin. Despite the relatively safety of these procedures on experienced hands, postoperative complications affecting the periocular region, and the eye itself, may follow laser surgery. More common complications include persistent erythema, hyper- and hypopigmentation, and hypertrophic scarring. Viral, bacterial, or fungal skin infections may also jeopardize the postoperative period after periocular laser tr... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=966512 Sun, 21 Oct 2007 01:23:59 +0100 966512 http://www.medworm.com/index.php?rid=966511&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-967751 Seminars in Plastic Surgery 2007; 21: 065-073DOI: 10.1055/s-2007-967751ABSTRACTThyroid-associated orbitopathy (TAO) is usually diagnosed clinically. Early presentation of TAO such as ocular irritation, lid puffiness, and mild retraction may be overlooked and misdiagnosed. Careful clinical evaluation, laboratory investigations, and orbital imaging studies are needed for diagnosing early TAO. Knowing the pathogenesis will open the door for obtaining directed and effective treatment for the inflammatory process in TAO. Most patients with mild to moderate active TAO are treated with observation alone as the available treatment modalities effective in controlling the disease have many potential side effects. Severe active TAO, compressive optic neuropathy, and severe exposure keratopathy are th... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=966511 Sun, 21 Oct 2007 01:23:59 +0100 966511 http://www.medworm.com/index.php?rid=966510&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-967750 Seminars in Plastic Surgery 2007; 21: 057-064DOI: 10.1055/s-2007-967750ABSTRACTThe tear trough deformity is a natural consequence of the anatomic attachments of the periorbital tissues. A variety of techniques have evolved to address this cosmetic issue including subtractive blepharoplasty techniques, elevation of ptotic eyelid and midface tissues, and the injection or implantation of autogenous or alloplastic materials to diminish its appearance. Greater anatomic understanding of the pathogenesis of the tear trough deformity has led to more anatomically conservative and appropriate cosmetic surgical treatments. The decline in purely subtractive surgical techniques in blepharoplasty surgery and the advent of fat-repositioning techniques and new subdermal fillers have improved surgical outc... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=966510 Sun, 21 Oct 2007 01:23:59 +0100 966510 http://www.medworm.com/index.php?rid=966509&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-967749 Seminars in Plastic Surgery 2007; 21: 054-056DOI: 10.1055/s-2007-967749ABSTRACTCosmetically objectionable reticular veins in the eyelids may be managed by transection and cautery, extraction with a special phlebectomy hook, laser ablation with the neodymium-doped yttrium aluminum garnet laser, or sclerotherapy using sodium tetradecyl sulfate.[...]Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.Get connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=966509 Sun, 21 Oct 2007 01:23:59 +0100 966509 http://www.medworm.com/index.php?rid=966508&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-967748 Seminars in Plastic Surgery 2007; 21: 047-053DOI: 10.1055/s-2007-967748ABSTRACTCosmetic botulinum toxin type A (Botox, Allergan, Inc., Irvine, CA) has revolutionized minimally invasive treatment of the upper face. Increasingly sophisticated outcomes result in facial symmetry in motion. The face is a three-dimensional moving unit, not an isolated photograph. This is why the advanced injector must hone an astute ability to observe casual microexpressions. Consideration is then given to the patient's age, facial anatomy, facial asymmetry, and dynamic rhytids. The ratio of dosing to agonist and antagonist muscles that allows unopposed action is determined. Nuance in placement and dose combined with adjunct therapy results in natural and appropriate facial emotion and avoids unnatural or bizarr... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=966508 Sun, 21 Oct 2007 01:23:59 +0100 966508 http://www.medworm.com/index.php?rid=966507&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-967747 Seminars in Plastic Surgery 2007; 21: 041-046DOI: 10.1055/s-2007-967747ABSTRACTThere are many established plastic surgical techniques to effectively address blepharoptosis. Minimally invasive levator advancement (MILA) causes limited disruption to the anatomy while maintaining good height, contour, lid folds, function, and long-term stability. This procedure has been performed in more than 1000 patients since 1993 by the author with consistent, durable results and is a reliable method to correct blepharoptosis. It is not indicated in cases with absent to very poor levator function, where frontalis suspension is the preferred procedure. The MILA technique will be described and illustrated.[...]Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=966507 Sun, 21 Oct 2007 01:23:59 +0100 966507 http://www.medworm.com/index.php?rid=966506&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-967746 This article focuses on the administration of anesthesia for periocular aesthetic procedures. Special emphasis is given to office-based procedures, most often without any systemic sedation, highlighting the importance of open communication with patients. Finally, attention is given to potential pitfalls including anesthetic systemic toxicity, ocular injuries, and orbicularis myotoxicity.[...]Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.Get connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=966506 Sun, 21 Oct 2007 01:23:59 +0100 966506 http://www.medworm.com/index.php?rid=966505&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-967745 Seminars in Plastic Surgery 2007; 21: 032-036DOI: 10.1055/s-2007-967745ABSTRACTLoss of eyelashes may occur with several conditions, including a variety of skin diseases, drug side effects, endocrine disorders, metabolic abnormalities, traumatic insults, inflammations, toxins, psychiatric disorders, and systemic disease. If the history and results of clinical, laboratory, and consultative assessments are negative, one must consider the possibility the patient is pulling them out (trichotillomania). Three case reports of spontaneous lash loss are described-one secondary to trichotillomania, one a result of hypothyroidism, and another with features of both hypothyroid and trichotillomania-to illustrate the presentation and appropriate workup to obtain a diagnosis.[...]Copyright © 2007 by Thi... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=966505 Sun, 21 Oct 2007 01:23:59 +0100 966505 http://www.medworm.com/index.php?rid=966504&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-967744 Seminars in Plastic Surgery 2007; 21: 024-031DOI: 10.1055/s-2007-967744ABSTRACTFacial aesthetic surgeons are sometimes challenged by the predicament of diagnosing and managing patients with chronic eyelid edema. Herein we provide a brief review of some of the more common causes of pre- and postoperative eyelid edema, many of which have important systemic implications, and offer management suggestions.[...]Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.Get connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=966504 Sun, 21 Oct 2007 01:23:59 +0100 966504 http://www.medworm.com/index.php?rid=966503&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-967743 Seminars in Plastic Surgery 2007; 21: 018-023DOI: 10.1055/s-2007-967743ABSTRACTEyelid, orbit, and eye position asymmetry may adversely affect overall facial aesthetics. Armed with the knowledge of important periocular measures and landmarks, asymmetries can be easily identified and consideration may be given to correction or camouflage.[...]Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.Get connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=966503 Sun, 21 Oct 2007 01:23:59 +0100 966503 http://www.medworm.com/index.php?rid=966502&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-967742 Seminars in Plastic Surgery 2007; 21: 005-017DOI: 10.1055/s-2007-967742ABSTRACTProper preoperative assessment of the eye and periocular region is essential to verify ocular health and vision and to obtain an optimal surgical result. A systematic approach to reviewing the ocular history, review of systems, and pertinent physical exam will be discussed. This is important to identify not only underlying ocular conditions but also potentially serious systemic conditions with ocular manifestations that can impact the patient's overall health. A thorough exam by a qualified provider is needed if there are any management issues regarding the presence of a condition(s) that can impact the surgical outcome.[...]Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 1... Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=966502 Sun, 21 Oct 2007 01:23:59 +0100 966502 http://www.medworm.com/index.php?rid=966501&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-967741 Seminars in Plastic Surgery 2007; 21: 003-003DOI: 10.1055/s-2007-967741Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.Get connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=966501 Sun, 21 Oct 2007 01:23:59 +0100 966501 http://www.medworm.com/index.php?rid=966500&cid=s_36602_9_f&fid=36602&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2007-967740 Seminars in Plastic Surgery 2007; 21: 001-001DOI: 10.1055/s-2007-967740Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.Get connected:Table of contents  |  Full text (Source: Seminars in Plastic Surgery) Seminars in Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=966500 Tue, 06 Mar 2007 01:00:18 +0100 966500