MedWorm: Cosmetic Surgery

Peruvian Gang Killed People To Sell Their Fat Say Police

Cosmetic Medicine / Plastic Surgery News From Medical News Today — Fri, 20 Nov 2009 10:00:00 +0100

Police in Peru have arrested four people, three men and a woman, whom they allege are members of a gang suspected of killing up to 60 people in order to extract their body fat to sell for thousands of dollars a litre to foreign markets to make cosmetics. (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)

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Dermatologists Now Offer Non Invasive Skin Tightening

Cosmetic Medicine / Plastic Surgery News From Medical News Today — Fri, 20 Nov 2009 09:00:00 +0100

The University of Alabama at Birmingham (UAB) Department of Dermatology is offering a new non-surgical, needle-free skin-tightening procedure that doctors say smoothes wrinkles, firms up baggy or loose skin and improves body contours. The outpatient cosmetic procedure is performed with Thermage®, a device that contours skin all over the body face, eyelids, neck, abdomen, arms, legs and more using focused radio waves. (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)

Book Review

Facial Plastic Surgery — Thu, 19 Nov 2009 13:59:05 +0100

Facial plast Surg 2009; 25: 277-277DOI: 10.1055/s-0029-1242133© Thieme Medical PublishersGet connected:Table of contents | Full text (Source: Facial Plastic Surgery)

Applications of Platelet-Rich Fibrin Matrix in Facial Plastic Surgery

Facial Plastic Surgery — Thu, 19 Nov 2009 13:59:05 +0100

This article describes its use for cosmetic facial applications.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)

Pins and Needles: Minimally Invasive Office Techniques for Facial Rejuvenation

Facial Plastic Surgery — Thu, 19 Nov 2009 13:59:05 +0100

Facial plast Surg 2009; 25: 260-269DOI: 10.1055/s-0029-1242038ABSTRACTThe desire for minimally invasive facial rejuvenation has continued to increase from the perspective of both the patients and injectors. For successful rejuvenation, it is important to understand the anatomic changes of the aging face as well as the properties of available neuromodulators and soft tissue fillers. The injector should be knowledgeable of the advantages and disadvantages of each product. Patient selection, perhaps, plays the largest role in success, choosing patients that would truly benefit from and have reasonable expectations for minimally invasive techniques. Unsatisfactory outcomes can be limited by meticulous injection technique and well thought out treatment plans.[...]© Thieme Medical PublishersGet...

The Aging Midfacial Skeleton: Implications for Rejuvenation and Reconstruction Using Implants

Facial Plastic Surgery — Thu, 19 Nov 2009 13:59:05 +0100

Facial plast Surg 2009; 25: 252-259DOI: 10.1055/s-0029-1242037ABSTRACTTraditional theories on facial aging and methods for rejuvenation focus primarily on soft tissues with ptosis as the major mechanism responsible for senescent changes. Anatomic studies demonstrate that there are also many changes to the craniofacial skeleton as patients age. Midface skeletal augmentation, using implants made of porous polyethylene, is a simple and effective method to reverse age-related changes of the facial skeleton in patients with intact occlusion. Skeletal implants correct concave morphology by increasing projection and provide a means to resuspend cheek soft tissues that have descended off a deficient bony platform. Beyond rejuvenation, skeletal implants can be used to restore facial proportions in ...

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A Paradigm for Facial Skin Rejuvenation

Facial Plastic Surgery — Thu, 19 Nov 2009 13:59:05 +0100

Facial plast Surg 2009; 25: 245-251DOI: 10.1055/s-0029-1242036ABSTRACTThere is a significant desire by patients to reverse the signs of aging caused by photodamage. Numerous procedures for facial skin rejuvenation have been developed in an attempt to minimize the erythema, dyspigmentation, and rhytides associated with photoaging. The initial procedures developed for facial rejuvenation involve skin resurfacing via complete ablation of layers of skin. Of these procedures, ablative laser resurfacing is the most precise technique and is considered the gold standard for facial skin rejuvenation. Although ablative procedures are quite efficacious, they carry significant patient downtime and risks of adverse effects such as scarring and dyspigmentation. Concerns regarding patient morbidity have ...

Fat Management in Lower Lid Blepharoplasty

Facial Plastic Surgery — Thu, 19 Nov 2009 13:59:05 +0100

This article outlines the evolution of our approach to lower eyelid blepharoplasty with a specific focus on the importance of management of fat in the periocular region. A discussion of various surgical approaches with their advantages and disadvantages is presented, and the importance of maintaining a safe lower eyelid is emphasized. A comprehensive and systematic approach to restoration of the lower eyelid is highlighted with specific postoperative results.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)

Endoscopic Forehead and Brow Lift

Facial Plastic Surgery — Thu, 19 Nov 2009 13:59:05 +0100

Facial plast Surg 2009; 25: 222-233DOI: 10.1055/s-0029-1242034ABSTRACTEndoscopic method of rejuvenating the brow-forehead complex has evolved into the procedure of choice for many aesthetic surgeons. Safe and reliable application of the endoscopic technique depends on several important factors. These include technical expertise with the endoscopic equipment, understanding of the surgical goals in patients seeking rejuvenation in the forehead region, and detailed comprehension of the steps involved in altering forehead anatomy during endoscopic lifting. In this manuscript, the senior author reviews his experience with the endoscopic forehead lift and delineates a stepwise approach to this technically challenging operation. The text also highlights important details with respect to patient c...

Management of the Aging Nose

Facial Plastic Surgery — Thu, 19 Nov 2009 13:59:05 +0100

This article provides an overview of versatile and proven techniques that may be applied to the majority of aging nose rhinoplasty cases and that have been found to yield predictable and lasting results.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)

SafeStitch Medical, Inc. Receives FDA Clearance To Market The AMID StaplerTM For Hernia Repairs

Cosmetic Medicine / Plastic Surgery News From Medical News Today — Thu, 19 Nov 2009 03:00:00 +0100

SafeStitch Medical, Inc. (OTCBB:SFES) announced that it has received 510(k) clearance from the U.S. Food and Drug Administration ("FDA") to market its AMID StaplerTM in the U.S. with the intended use in general surgery procedures for fixation of mesh, in the repair of hernia defects and in other surgical specialties for the approximation of tissues, including skin. (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)

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Management of the Aging Face

Facial Plastic Surgery — Thu, 19 Nov 2009 02:56:40 +0100

Facial plast Surg 2009; 25: 213-213DOI: 10.1055/s-0029-1242031© Thieme Medical PublishersGet connected:Table of contents | Full text (Source: Facial Plastic Surgery)

Physician Teaches Miami Plastic Surgeons Via Tele-Surgery

Cosmetic Medicine / Plastic Surgery News From Medical News Today — Wed, 18 Nov 2009 10:00:00 +0100

Alexander P. Moya, M.D., director, Center for Weight Loss Body Contouring at Geisinger Medical Center (GMC), performed his newly developed corset trunkplasty surgery for board-certified plastic surgeons at the University of Miami School of Medicine live via televised feed as he worked at an operating room at GMC in Danville on Nov 13. "It was a tremendous opportunity to be able to share my experiences and knowledge with colleagues as far away as Miami," said Dr. Moya. (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)

Pitt Researcher To Co-Direct National Consortium On Facial Birth Defects

Cleft Palate News From Medical News Today — Wed, 18 Nov 2009 08:00:00 +0100

Researchers at the University of Pittsburgh and the University of Iowa will lead a $9 million, five-year initiative to study the cause of facial birth defects. The FaceBase Consortium will create an encyclopedic database of how the faces of children develop and what goes wrong to cause malformations. FaceBase will build a list of the genes and proteins that drive embryonic cell differentiation around the forming mouth. (Source: Cleft Palate News From Medical News Today)

The top 10 plastic surgery research mistakes–what they are and how to avoid them

Journal of Plastic, Reconstructive & Aesthetic Surgery — Tue, 17 Nov 2009 13:56:11 +0100

Americans love lists. Several books of lists have become best sellers here in the States. A feature on one of our late night television shows is a nightly collection of ten humourous points on a given topic. The United States is a great country. After all, where else could a retired actor become the Governor of California or even President of the United States? Is it too fanciful to believe that a ‘retired’ Hollywood cartoon character could offer a top ten list of helpful suggestions for improving the quality of scientific papers? (Source: Journal of Plastic, Reconstructive & Aesthetic Surgery)

The Submental Fat Compartment of the Neck

Seminars in Plastic Surgery — Tue, 17 Nov 2009 13:55:46 +0100

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...

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Facial Fat Compartments: A Guide to Filler Placement

Seminars in Plastic Surgery — Tue, 17 Nov 2009 13:55:46 +0100

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)

Management of the Midface During Facial Rejuvenation

Seminars in Plastic Surgery — Tue, 17 Nov 2009 13:55:46 +0100

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...

Isolated Management of the Aging Neck

Seminars in Plastic Surgery — Tue, 17 Nov 2009 13:55:46 +0100

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...

Secondary Rhytidectomy

Seminars in Plastic Surgery — Tue, 17 Nov 2009 13:55:46 +0100

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)

Nuances of the Composite Face-lift Technique

Seminars in Plastic Surgery — Tue, 17 Nov 2009 13:55:46 +0100

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)

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Contemporary Face-lift Techniques

Seminars in Plastic Surgery — Tue, 17 Nov 2009 13:55:46 +0100

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)

Index

Clinics in Plastic Surgery — Tue, 17 Nov 2009 13:55:23 +0100

(Source: Clinics in Plastic Surgery)

Future Advances in Melanoma Research

Clinics in Plastic Surgery — Tue, 17 Nov 2009 13:55:22 +0100

The future of melanoma research is promising. Specific mechanisms leading to oncogenic transformation in melanoma development have been identified, and are likely to produce new targets for melanoma therapy. Also, advances in melanoma research will result from melanoma investigators co-opting approaches used to study other malignancies in which progress has been made more rapidly. Systematic roadblocks limiting advances in melanoma research relative to other malignancies are being addressed in a formal manner. The public and public officials are increasingly becoming aware of the need for more dedicated efforts to address the challenges of research on this malignancy. (Source: Clinics in Plastic Surgery)

Surgical Treatment of Advanced Melanoma

Clinics in Plastic Surgery — Tue, 17 Nov 2009 13:55:22 +0100

This article reviews the principles of patient selection and the potential benefits of surgical management of melanoma metastatic to various sites. Novel adjuvant therapies are being developed to augment the benefits of surgical treatment of advanced melanoma in the future. (Source: Clinics in Plastic Surgery)

Role of Radiation Therapy in Cutaneous Melanoma

Clinics in Plastic Surgery — Tue, 17 Nov 2009 13:55:22 +0100

Cutaneous melanoma is a disease that often has an aggressive and unpredictable course. It was historically thought to be a radioresistant neoplasm; however, substantial radiobiologic and clinical evidence has emerged to refute this notion. Improved local control has been demonstrated with the use of adjuvant radiation therapy delivered to the primary site or regional lymphatics in patients with high-risk clinical or pathologic features. Despite improved local control, high-risk cutaneous melanoma often spreads systemically, leading to poor survival. In the setting of systemic progression, radiation therapy can frequently palliate symptomatic sites of metastatic disease. (Source: Clinics in Plastic Surgery)

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Systemic Therapy for Cutaneous Melanoma

Clinics in Plastic Surgery — Tue, 17 Nov 2009 13:55:22 +0100

This article provides a review of the current medical management of patients with high-risk and metastatic cutaneous melanoma, including a review of the use of adjuvant interferon therapy and a discussion of adjuvant treatments under evaluation. The use of standard chemotherapeutic agents for metastatic disease is discussed, with an emphasis on developmental therapeutics using targeted agents. This discussion includes a review of the immune therapy for metastatic melanoma, including newer immunomodulatory agents and cellular therapeutics that are expected to significantly impact the care of these patients. (Source: Clinics in Plastic Surgery)

Complete Lymph Node Dissection for Regional Nodal Metastasis

Clinics in Plastic Surgery — Tue, 17 Nov 2009 13:55:22 +0100

The primary management of lymph nodes involved with metastatic melanoma is regional lymphadenectomy. Axillary or inguinal node complete lymph node dissection (CLND) is performed after an occult metastasis is found by sentinel lymph node biopsy, or after a clinically apparent regional lymph node metastasis. CLND completely removes all lymph-node-bearing tissue in a nodal basin. This procedure continues to be controversial. No randomized prospective studies have yet determined the survival advantage of CLND. The National Comprehensive Cancer Network recommends that all patients with stage III melanoma have a CLND. (Source: Clinics in Plastic Surgery)

Evaluation of Sentinel Lymph Nodes for Melanoma Metastases by Pathologists

Clinics in Plastic Surgery — Tue, 17 Nov 2009 13:55:22 +0100

This article discusses various approaches along with recommended dos and don'ts for optimum evaluation of sentinel lymph nodes for melanoma metastases. (Source: Clinics in Plastic Surgery)

The Role of Lymphatic Mapping and Sentinel Lymph Node Biopsy in the Staging and Treatment of Melanoma

Clinics in Plastic Surgery — Tue, 17 Nov 2009 13:55:22 +0100

This article explores what has driven the advent of selective or SLN biopsy, the rationale behind obtaining a preoperative lymphoscintigram, the technical details of the SLN biopsy procedure, and the refinement in the pathologic detection of ever smaller volumes of tumor in nymph node tissue removed. The role that these new modalities have played in changing the dynamic field of melanoma care is emphasized. (Source: Clinics in Plastic Surgery)

Head and Neck Melanoma

Clinics in Plastic Surgery — Tue, 17 Nov 2009 13:55:22 +0100

Nearly 20% of malignant melanoma in the human body occurs in the head and neck. Most studies divide the sites of origin of malignant melanoma in the head and neck into the following areas: the face, the scalp and neck, the external ear, and the eyelid or medial or lateral canthal area. Sixty-five percent of malignant melanomas occur in the facial region. Given that the face represents only 3.5% of total body surface area, the face is overrepresented when compared with other sites in the head and neck. Among the sites of origin in the head and neck, melanoma of the scalp and neck carries the highest mortality, with 10-year survival being only 60%. Melanomas of the ear, face, and eyelid have 10-year survival rates of 70%, 80%, and 90%, respectively. (Source: Clinics in Plastic Surgery)

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Surgical Management of Primary Disease

Clinics in Plastic Surgery — Tue, 17 Nov 2009 13:55:22 +0100

Despite advancements in the treatment of melanoma, surgical management remains the cornerstone for treatment and long-term survival. The authors present their surgical approach to the patient with melanoma including evaluation, treatment, and reconstruction. In addition, management of melanoma occurring in difficult anatomic areas and in special patient populations is reviewed. (Source: Clinics in Plastic Surgery)

Melanoma: Workup and Surveillance

Clinics in Plastic Surgery — Tue, 17 Nov 2009 13:55:22 +0100

This article provides a survey of these means. (Source: Clinics in Plastic Surgery)

Epidemiology, Staging (New System), and Prognosis of Cutaneous Melanoma

Clinics in Plastic Surgery — Tue, 17 Nov 2009 13:55:21 +0100

Melanoma remains one of the most deadly of skin cancers and its incidence has been rising steadily throughout the past several decades. The risk factors associated with melanoma include external factors, such as exposure to ultraviolet radiation, and host factors, such as family history, history of dysplastic nevi, and number of nevi. The 2002 American Joint Committee on Cancer tumor-nodes-metastasis staging classification incorporates Breslow depth, Clark's level, ulceration, pathologic microstaging attributes, and nodal and distant metastases. Prognosis remains poor for advanced disease and surgery remains the mainstay of treatment for early stage melanoma. (Source: Clinics in Plastic Surgery)

Lentigo Maligna: Diagnosis and Treatment

Clinics in Plastic Surgery — Tue, 17 Nov 2009 13:55:21 +0100

Lentigo maligna is an overgrowth of atypical melanocytes at the dermal–epidermal junction also known as melanoma in situ. Left untreated, these lesions can continue to grow, resulting in dermal invasion and progression to lentigo maligna melanoma. Many operative and nonoperative treatments have been developed with the goals of preserving function and cosmesis while at the same time addressing the diffuse nature of these lesions. Previous recommendations have led plastic surgeons to commonly perform wide local excision with 5 mm margins. More recent literature has suggested that in many cases this treatment can result in high recurrence rates. This has led to margin control procedures becoming the treatment of choice for these lesions. (Source: Clinics in Plastic Surgery)

The Spitz Nevus: Review and Update

Clinics in Plastic Surgery — Tue, 17 Nov 2009 13:55:21 +0100

The Spitz nevus is a relatively common skin lesion in children and is less commonly seen in adults. The lesion is defined by the presence of distinctive-appearing spindle or epithelioid cells on light microscopy in a recognizable nevus-like pattern. Spitz lesions share features with melanoma on light microscopic examination. When Spitz features are atypical or typical features are absent, distinction from melanoma can be difficult. A spectrum of pathology of Spitz lesions can be found from lesions that are benign and typical to lesions that are atypical with melanoma-like features and frank melanoma. There is significant interobserver variation in interpretation of Spitz lesions. The lack of uniformly applied criteria for distinction of light microscopic grades and the confusion in diagnos...

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Pigmented Lesion Pathology: What You Should Expect from Your Pathologist, and What Your Pathologist Should Expect from You

Clinics in Plastic Surgery — Tue, 17 Nov 2009 13:55:20 +0100

The first part of this review examines the reliability of histologic diagnosis in pigmented lesions, as measured by concordance studies and medicolegal analysis. It emphasizes the role of clinicians in maximizing that reliability, by providing adequate clinical descriptions, using appropriate biopsy technique, and critically interpreting pathology reports. It identifies those entities that are especially problematic, either because they cannot be reliably recognized by the histopathologist or because their histology is a poor guide to their biologic behavior. The second part of the review is a guide to some of the more difficult and controversial pigmented lesions, including dysplastic nevus, spitzoid nevi and melanomas, cellular blue nevus, animal-type melanoma, and deep penetrating nevus...

Preface

Clinics in Plastic Surgery — Tue, 17 Nov 2009 13:55:20 +0100

It has been almost 10 years since an issue of Clinics in Plastic Surgery was dedicated to the diagnosis and treatment of malignant melanoma. Since that time, significant changes in the diagnosis and treatment of melanoma have occurred. In 2000, at the time of the last issue, elective lymph node dissection was still being performed and sentinel lymph node biopsy was in its infancy. Sentinel lymph node biopsy has now become the standard of care in melanoma. The staging system was totally revamped in 2002, taking into account the significance of ulceration and the information gained during sentinel node biopsy. Although the treatment of melanoma still remains surgical, new research into immunotherapy gives hope for further medical therapies. (Source: Clinics in Plastic Surgery)

Forthcoming Issues

Clinics in Plastic Surgery — Tue, 17 Nov 2009 13:55:20 +0100

(Source: Clinics in Plastic Surgery)

Clinics in Plastic Surgery — Tue, 17 Nov 2009 13:55:20 +0100

(Source: Clinics in Plastic Surgery)

Advanced BioMedical Technologies Inc. Begins Phase II Animal Test On PA Miniscrews And Plates

Cosmetic Medicine / Plastic Surgery News From Medical News Today — Tue, 17 Nov 2009 09:00:00 +0100

Advanced BioMedical Technologies Inc. (OTCBB: ABMT) announced that the Company's subsidiary, Shenzhen Changhua Biomedical Engineering Co., Ltd. ("ABT-CHANGHUA"), has signed a cooperative agreement with The First Affiliated Hospital of Guangdong Pharmaceutical University ("GDPU Hospital") in Guangzhou. (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)

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Cecilia Beaux's Brother and Sister: Charles Sumner Bird and His Sister Edith Bird (Mrs Robert Bass) [Beauty]

Archives of Facial Plastic Surgery — Mon, 16 Nov 2009 20:51:21 +0100

(Source: Archives of Facial Plastic Surgery)

Abstracts: In Other Archives Journals [Abstracts: In Other Archives Journals]

Archives of Facial Plastic Surgery — Mon, 16 Nov 2009 20:51:21 +0100

(Source: Archives of Facial Plastic Surgery)

Functional Valvular Indrawing--Reply [Editor's Correspondence]

Archives of Facial Plastic Surgery — Mon, 16 Nov 2009 20:51:21 +0100

(Source: Archives of Facial Plastic Surgery)

Functional Valvular Indrawing [Editor's Correspondence]

Archives of Facial Plastic Surgery — Mon, 16 Nov 2009 20:51:21 +0100

(Source: Archives of Facial Plastic Surgery)

Rhinoplasty: A View From the United Kingdom [Commentary]

Archives of Facial Plastic Surgery — Mon, 16 Nov 2009 20:51:21 +0100

(Source: Archives of Facial Plastic Surgery)

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Rhinoplasty at the Global Crossroads [Commentary]

Archives of Facial Plastic Surgery — Mon, 16 Nov 2009 20:51:21 +0100

(Source: Archives of Facial Plastic Surgery)

Cultivating a Global Aesthetic Consciousness [Commentary]

Archives of Facial Plastic Surgery — Mon, 16 Nov 2009 20:51:21 +0100

(Source: Archives of Facial Plastic Surgery)

Measuring Outcomes in Nasal Surgery: Realities and Possibilities [Commentary]

Archives of Facial Plastic Surgery — Mon, 16 Nov 2009 20:51:21 +0100

(Source: Archives of Facial Plastic Surgery)

Has the Pendulum Swung Too Far?: Trends in the Teaching of Endonasal Rhinoplasty [Commentary]

Archives of Facial Plastic Surgery — Mon, 16 Nov 2009 20:51:21 +0100

(Source: Archives of Facial Plastic Surgery)

The Legacy of Jack Anderson, MD [Commentary]

Archives of Facial Plastic Surgery — Mon, 16 Nov 2009 20:51:21 +0100

(Source: Archives of Facial Plastic Surgery)

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Perspectives on the Evolution of Rhinoplasty [Commentary]

Archives of Facial Plastic Surgery — Mon, 16 Nov 2009 20:51:21 +0100

(Source: Archives of Facial Plastic Surgery)

Defining the Facial Extent of the Platysma Muscle: A Review of 71 Consecutive Face-lifts [Original Article]

Archives of Facial Plastic Surgery — Mon, 16 Nov 2009 20:51:21 +0100

Conclusion The platysma muscle may have a more significant facial extension than previously described. (Source: Archives of Facial Plastic Surgery)

Error in Text in: Margin Reflex Distance in Different Ethnic Groups [Correction]

Archives of Facial Plastic Surgery — Mon, 16 Nov 2009 20:51:21 +0100

(Source: Archives of Facial Plastic Surgery)

Minimally Invasive Ear Reshaping With a 1450-nm Diode Laser Using Cryogen Spray Cooling in New Zealand White Rabbits [Original Article]

Archives of Facial Plastic Surgery — Mon, 16 Nov 2009 20:51:21 +0100

Conclusions Cartilage reshaping using laser energy can be performed safely transcutaneously using cryogen spray cooling in rabbits. This animal model has similarity to human ears with regard to skin and cartilage thickness and is a stepping stone toward developing minimally invasive laser auricle reshaping in humans. (Source: Archives of Facial Plastic Surgery)

Measurements of Orbital Volume Change Using Computed Tomography in Isolated Orbital Blowout Fractures [Original Article]

Archives of Facial Plastic Surgery — Mon, 16 Nov 2009 20:51:21 +0100

Conclusions Consistent volume measurements can be obtained using different 3-D image analysis programs. Measuring preoperative and postoperative volume changes and postoperative reduction can ensure a good surgical result and thereby decrease the incidence of enophthalmos. (Source: Archives of Facial Plastic Surgery)

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Long-term Use and Follow-up of Irradiated Homologous Costal Cartilage Grafts in the Nose [Original Article]

Archives of Facial Plastic Surgery — Mon, 16 Nov 2009 20:51:21 +0100

Conclusions Based on careful and extensive review of the data, we have concluded that IHCC is well tolerated as a grafting material in rhinoplasty and yields superb functional, structural, and cosmetic results in the most complex and challenging operative cases necessitated by previous unsuccessful nasal surgery, septal perforations, and even in autoimmune diseases that led to nasal deformity. Not only did very few complications occur following the use of 1025 IHCC grafts in 357 patients after 386 rhinoplasties over 24 years (rate, 3.25%), but the rate of complications was no greater than rhinoplasty complication rates when AC grafts are used. The results indicate safety and reliability and justify the convenient use of IHCC grafts for primary and revision rhinoplasty without creatin...

The Technical and Anatomical Aspects of the World's First Near-Total Human Face and Maxilla Transplant [Original Article]

Archives of Facial Plastic Surgery — Mon, 16 Nov 2009 20:51:21 +0100

Conclusions Successful near-total face and maxilla allograft transplant can be accomplished based on the facial arterial system and its arcades. This presents a novel method for reconstructing massive facial injuries with significant involvement of the facial skeleton. (Source: Archives of Facial Plastic Surgery)

The Evolution of the Archives of Facial Plastic Surgery [Editorial]

Archives of Facial Plastic Surgery — Mon, 16 Nov 2009 20:51:21 +0100

(Source: Archives of Facial Plastic Surgery)

Highlights of Archives of Facial Plastic Surgery [Highlights of Archives of Facial Plastic Surgery]

Archives of Facial Plastic Surgery — Mon, 16 Nov 2009 20:51:21 +0100

(Source: Archives of Facial Plastic Surgery)

About This Journal [About This Journal]

Archives of Facial Plastic Surgery — Mon, 16 Nov 2009 20:51:21 +0100

(Source: Archives of Facial Plastic Surgery)

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Cosmetic Surgery Patients At More Risk Than Ever

Cosmetic Medicine / Plastic Surgery News From Medical News Today — Mon, 16 Nov 2009 12:00:00 +0100

A special edition of the journal, Clinical Risk, published by the Royal Society of Medicine, looks at how the combination of an under-regulated market, "professional greed", increased marketing and overwhelming media hype have created a "perfect storm" that threatens patients and practitioners alike. The journal's editor argues that cosmetic surgery patients in the UK are at more risk than ever before. (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)

Trauma: A New Pseudogynecomastia Cause

Aesthetic Plastic Surgery — Sat, 14 Nov 2009 06:58:59 +0100

Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00266-009-9435-8Authors Songül Erol, Ankara Numune Training and Research Hospital Department of Plastic and Reconstructive Surgery 60. SK. 132/11, Emek Ankara 06510 TurkeyErkan Orhan, Ankara Numune Training and Research Hospital Department of Plastic and Reconstructive Surgery 60. SK. 132/11, Emek Ankara 06510 TurkeyAsuman Sevin, Ankara Numune Training and Research Hospital Department of Plastic and Reconstructive Surgery 60. SK. 132/11, Emek Ankara 06510 TurkeyBülent Erdoğan, Ankara Numune Training and Research Hospital Department of Plastic and Reconstructive Surgery 60. SK. 132/11, Emek Ankara 06510 Turkey Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plast...

Oral And Maxillofacial Surgeons Among First Responders To Fort Hood Shootings

Cosmetic Medicine / Plastic Surgery News From Medical News Today — Thu, 12 Nov 2009 11:00:00 +0100

Before news of the November 12, Fort Hood shootings reached the public, oral and maxillofacial surgeons Major Mark E. Ranschaert, DMD and Major Joseph Dylan Bowles, DDS were in Fort Hood's Carl R. Darnall Army Medical Center emergency room working to save the lives of the shooter's victims. Arriving in the ER to help treat the influx of patients, Majors Ranschaert and Bowles found 30 injured soldiers awaiting treatment and the operating rooms already full. (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)

BJOG Release: Study Raises Concerns About Cosmetic Labial Surgery

Cosmetic Medicine / Plastic Surgery News From Medical News Today — Thu, 12 Nov 2009 09:00:00 +0100

New research to be published in BJOG: An International Journal of Obstetrics and Gynaecology reviews the available literature on cosmetic labial surgery and underlines the striking lack of evidence on the safety and long-term consequences of such procedures. The authors caution that medically nonessential surgery to the labia is being promoted to women, while no data on clinical effectiveness exist. (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)

New York Plastic Surgeon Eases Common Fear Of Rhinoplasty Surgery By Eliminating Traditional Packing And Painful Removal

Cosmetic Medicine / Plastic Surgery News From Medical News Today — Wed, 11 Nov 2009 10:00:00 +0100

Dr. Oleh Slupchynskyj, Director of The Aesthetic Institute of New York and New Jersey, has revolutionized the rhinoplasty procedure by eliminating traditional packing and subsequent painful removal. The pain associated with the post-operative removal of nasal packing is a well-known and commonly cited fear among rhinoplasty candidates. Slupchynskyj, a rhinoplasty specialist, has alleviated this fear by utilizing recent advancements in packing material. (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)

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Replacing Amalgam In Fillings

Cosmetic Medicine / Plastic Surgery News From Medical News Today — Tue, 10 Nov 2009 13:00:00 +0100

Tooth enamel is the hardest material in the human body because it's made almost entirely of minerals. As tough as it may be, however, enamel can be broken down by bacteria, forming cavities and eventually destroying the tooth. That's why dentists repair cavities by filling them with a material to replace the lost enamel. The most common such restorative is a material invented in the 19th-century known as amalgam -- the classic silver-black fillings many people have. (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)

Lipomodeling of Poland’s Syndrome: A New Treatment of the Thoracic Deformity

Aesthetic Plastic Surgery — Tue, 10 Nov 2009 08:04:23 +0100

Conclusion Lipomodeling in Poland’s syndrome is technically feasible. This original description of treatment of the severest form of Poland’s syndrome, with impressive results and at the cost of limited constraints and scar sequelae, opens new perspectives and suggests extensive potential applications of lipomodeling in all disciplines related to the breast. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00266-009-9428-7Authors Emmanuel Delay, University of Lyon, Centre Léon Bérard Plastic Surgery Department 28 rue Laennec 69008 Lyon FranceRaphael Sinna, University of Lyon, Centre Léon Bérard Plastic Surgery Department 28 rue Laennec 69008 Lyon FranceKaled Chekaroua, University of Lyon, Centre Léon Bérard Plastic Surgery Department 28 rue Laenn...

How Young Is TOO Young For Cosmetic Surgery? UK

Cosmetic Medicine / Plastic Surgery News From Medical News Today — Tue, 10 Nov 2009 08:00:00 +0100

A national survey carried out by Girl Guiding UK, today revealed that 24% of girls aged 16-21 would consider having cosmetic surgery. The researchers found the turning point was around the age of 10 when it came to worrying about appearances. Between the ages of 7 to 11-year-olds, 2% were not happy with their appearance but this increased to 11% in 11 to 16-year-olds. (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)

The Lowe Law Firm Files Suit Over Alleged Botox Overdose

Cosmetic Medicine / Plastic Surgery News From Medical News Today — Mon, 09 Nov 2009 12:00:00 +0100

St. Louis-based The Lowe Law Firm has filed a lawsuit on behalf of a man who experienced partial respiratory paralysis and other side effects after receiving an overdose of the Botox being used to treat his muscle spasticity. The suit, Richard A. Hart v. Yi Pan, Tenet HealthSystem SL Inc., d/b/a St. Louis University Hospital and Allergan USA Inc., cause no. 0922-CC09485, was filed in St. Louis Circuit Court on Oct. 21. (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)

Garlic burn: The real facts

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:22 +0100

I thank Dr. Das for his interest in our paper . I believe Dr. Das thought the term “associated and underlying pathology” used in our paper meant the biochemical/inflammatory changes at the site of garlic application. This is not correct. What we meant was to highlight the underlying causes which have led to the use of garlic. This is clear from the discussion and the table that documents the underlying causes in previously reported cases. On the other hand, the points raised by Dr. Das are interesting because as far as I know, no one has ever studied the exact biochemical or inflammatory markers in the skin injured by the garlic paste. Furthermore, no one has investigated if other substances added to the garlic paste may have actually potentiated skin injury since it is possible that n...

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Garlic burn: The real facts

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:22 +0100

I appreciate the interesting article titled ‘Garlic burns: Case reports with an emphasis on associated and underlying pathology’ by Mohammad M Al-Qattan . The author claims that the article emphasises on the underlying pathology. I disagree with this claim because this article did not consider the underlying pathology but rather relied on patient history. The article highlighted the underlying causes that led to the use of garlic. The patient's history may have helped to understand these causes. (Source: Burns : Journal of the International Society for Burn Injuries)

Cell-phone based multimedia messaging service (MMS) and burn injuries

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:21 +0100

The determination of the injured body surface and the depth of the burn injury are usually determined by visual inspection only. The visual assessment, however, is greatly dependent on the examiners’ experience. Transmission of digital images in remote diagnosis of burn injuries has been advocated as early as 1999 in Burns . The transmission of JPEG images after compression of up to 50 times of the original size did not reduce the usefulness of the interpretation of the digital images. The reliability of digital images to assess burn wounds was issued in an UK-based study with little differences observed between digital images of 2.25–9MByte per image . (Source: Burns : Journal of the International Society for Burn Injuries)

Fatal rescue burns

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:21 +0100

At the request of the Editor of Burns, we take this opportunity to comment on the letter entitled “Fatal rescue burns: possible theories of causation” by Rao and Kumaraswamy . In the recent past, following the publication of the article related to ‘rescue burns’ by Kumar et al. , a string of allied articles are published in the journal Burns . It is disappointing to note that the authors have largely misinterpreted the concluding part of introduction that is meant to discuss the present case with reference to the theories available in literature and not to propose new theories for the same. When there are eye-witnesses to a particular incident, the question of possible theories of causation of the injuries does not arise, and therefore, the need to mention the same in the case repo...

Fatal rescue burns—Possible theories of causation

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:21 +0100

We read an interesting case report ‘Fatal rescue burns’ by Kanchan et al., which made us postulate about the possible causes of the extent of fatal burn injuries. The authors used the word ‘fatal’ based on the extent of burns sustained by the rescuer (total body surface area (TBSA)—70%) and the term ‘rescue burns’ based on the evidence of eyewitnesses and the preliminary investigations into the incident. The authors have not highlighted the various theories stating the possibility of the rescuer sustaining fatal rescue burns, as mentioned in the introduction. (Source: Burns : Journal of the International Society for Burn Injuries)

Careful attention to graft loss areas can prevent forgotten staples in burn patients

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:21 +0100

We appreciate Dr. Menezes et al. comments on our article: “Forgotten Staples” . They have a question about the legal aspects of this complication and also a comment about a preventive method for this event that we will discuss about them respectively. (Source: Burns : Journal of the International Society for Burn Injuries)

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Forgotten staples

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:20 +0100

In the present era of increasing litigations against doctors , the manuscript entitled “Forgotten staples” by Mohammadi et al. did attract our attention. Mohammadi et al. have mentioned that the method of choice for skin graft fixation in many burn centers is skin stapling. At Shiraz Burn Research Center in Iran, Mohammadi et al. found forgotten staples in 73 patients out of the 2000 skin grafted patients that they followed over a period of four years, and more importantly in more than two-thirds of the cases, patients were symptomatic. In the cohort of symptomatic patients with forgotten staples examined by Mohammadi et al. , we are concerned to know whether any of these patients held their doctors responsible for the delayed recovery because of the forgotten staples and whether medic...

Twelve years epidemiological study of paediatric burns in Ain Shams University, Burn Unit, Cairo, Egypt

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:20 +0100

Burns represent an extremely stressful experience and constitute a major concern in the paediatric age group with respect to morbidity and mortality. Although burns are common in children, most of these happen at home and are largely preventable . Currently complications and mortality rates of burns in children are high, especially in developing countries due to a lack of basic knowledge in the population, lack of an appropriate treatment methods and lack of modern technology . As in other developing countries, childhood burns in Egypt are still a significant problem. In Cairo, being one of the most populated cities in the world, socioeconomic factors play a significant role as a cause for burn injuries among children . Prevention of these injuries has to be a priority, but the responsibil...

Reconstruction of postburn inguinal contractures using the pedicled anterolateral thigh flap

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:20 +0100

If they are not managed with proper treatment and rehabilitation, full thickness burns involving the inguinal region may result in contractures. They cause severe static and dynamic problems such as restricted range of motion, postural imbalance, and walking disturbance. Radical excision of all contracting bands and scar tissue is crucial for treatment. Consequently, it creates a skin and soft tissue defect in inguinal region. (Source: Burns : Journal of the International Society for Burn Injuries)

Case report of halo orthosis in early prevention of neck burns contracture

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:20 +0100

Severe post-burn neck contracture can result in significant functional and psychological morbidity. Surgical correction continues to represent a challenge to the reconstructive surgeon and anaesthetist. (Source: Burns : Journal of the International Society for Burn Injuries)

Neutrophil-derived heparin binding protein—A mediator of increased vascular permeability after burns?

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:20 +0100

Abstract: Increased vascular permeability and oedema formation constitute a major clinical challenge following burns. Several clinical studies show that leukocytes are systemically activated following burns. Neutrophils have the capability to increase vascular permeability via mechanisms thought to involve the release of heparin binding protein (HBP). We hypothesised that HBP is elevated in plasma after major burns due to a systemic inflammatory response and investigated plasma–HBP concentrations in 10 severely burned patients daily for 1 week following the burn. Five-fold higher levels in plasma–HBP concentration compared to a control group were detected on the first day after injury, followed by a steep reduction in the time-period that corresponds to the last part of the hyperpermea...

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Gastric and small bowel ileus after severe burn in rats: The effect of cyclooxygenase-2 inhibitors

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:20 +0100

Abstract: Gastrointestinal (GI) ileus is a common complication after severe burns. Selective cyclooxygenase-2 inhibitors (COX-2i) improved post-operative ileus, but its effect on burn-induced GI dysmotility is unknown. Our aim was to test whether a COX-2i improves gastric emptying (GE) and small bowel transit (SBT) after burn. Experiment on GE: rats were anesthetized and randomized into sham/scald burn, treated/untreated with COX-2i. Six hours after burn, rats received a phenol red meal and were sacrificed 30min later. Gastric emptying was determined based on the percentage of phenol red recovered in harvested stomachs. Experiment on SBT: rats received a duodenostomy and were scald/sham burned 5 days later. Six hours after burn, rats received a phenol red meal through the duodenostomy cath...

Effect of sphingosine 1-phosphate on morphological and functional responses in endothelia and venules after scalding injury

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:20 +0100

Conclusion: Our results indicate that S1P plays a role in maintaining basal vascular barrier function and could be protective in burn injury by enhancing the endothelial barrier function. (Source: Burns : Journal of the International Society for Burn Injuries)

Enhancement effect of terpenes on silver sulphadiazine permeation through third-degree burn eschar

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:19 +0100

Abstract: Antimicrobial therapy remains one of the most important methods of wound management. Systemically administered antimicrobials may not achieve therapeutic levels in wound and most agents cannot penetrate burn eschar well enough when applied topically. Therefore, we tested the notion to increase permeability of eschar toward topical agents using terpenes, a well-known class of skin permeation enhancers.Four terpenes, limonene (hydrocarbon), eucalyptol (ether), α-pinene oxide (epoxide) and geraniol (alcohol) were chosen and their effects on permeation of silver sulphadiazine (SSD), a widely used topical antimicrobial agent, through human third-degree burn eschar was evaluated using static diffusion cells.Results showed that terpenes increased permeation flux of SSD through eschar s...

Establishment of soft-tissue-injury model of high-voltage electrical burn and observation of its pathological changes

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:19 +0100

Abstract: A realistic model is very useful in laying the foundation for clinical treatment and further study of high-voltage electrical burns. We therefore established a soft-tissue-injury model of high-voltage electrical burn in rabbits using the highest voltage alternating current reported. Twenty-five healthy big-ear white rabbits were randomly divided into five groups (five in each group): control group (C group) before injury and 0.5-h, 24-h, 48-h and 72-h groups after injury. Except for the control group, the rabbits in the other four groups were anaesthetised with ketamine and the electrodes were placed in their left limbs. Electric shock was administered from a distance of 7cm at 3000V output voltage for 0.1s to observe the skin temperature, electric resistance, wound morphology, h...

Cologne burn centre experience with assault burn injuries

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:19 +0100

Abstract: Objective: To evaluate demographic and socioeconomic factors associated with assault burn injuries.Background: Assault by burning demonstrates a rare but severe public health issue and accounts for unique injury characteristics in the burn intensive care unit (BICU).Methods: We conducted a retrospective cohort study involving patients with thermal injuries admitted to the BICU of a university hospital. The patient cohort was divided into two groups (ABI group: patients with assault burns, n=41; Control group: population of all other burned patients admitted to the BICU, n=1202). Bivariate and multivariate analyses including demographic and socioeconomic data were used to identify factors associated with assault burns.Results: Forty-one assault-related burn victims were identified...

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Epidemiology of paediatric burn injuries in Hamadan, Iran

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:19 +0100

This study was performed to analyse the epidemiology and aetiology of paediatric burns in Hamadan province in the west part of Iran from March 2004 to March 2007. The incidence rate of child hospitalisation for burns was 33.4 per 100000 person-years. The median age was 3 years with 69% of the patients under 4 years. The male-to-female ratio of incidence rate for all age groups was 1.52. Scald was the leading cause in almost all age groups and caused 266 (71.7%) burns. Correlation analysis showed that younger children are more vulnerable to scald injury. The mean body surface area (BSA) of burns was 16.36 (SD=11.42) in all cases. Flame was more fatal than other causes of burns. The total fatality rate in this study was 3.5%. Epidemiological findings reveal that scald, age, gender and reside...

The epidemiology of patients with burn injuries admitted to Norwegian hospitals in 2007

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:19 +0100

Conclusion: Compared to similar data from Norway (1992) the rate of admission for burns in 2007 (15.5/100,000/year) appeared as high as in 1992, whereas the mean length of stay was reduced by 26%. Children under the age of 5 had a seven times higher incidence compared the rest of the population. (Source: Burns : Journal of the International Society for Burn Injuries)

A small-area population analysis of socioeconomic status and incidence of severe burn/fire-related injury in British Columbia, Canada

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:19 +0100

Abstract: Socioeconomic determinants of injury have been associated with risk of burn in the UK and USA, but the relative significance of this impact is largely unknown across Canadian populations. The purpose of this study is to determine the extent to which socioeconomic status (SES) is linked to risk of burn in the province of British Columbia (BC) and identify the extent to which these findings are generalizable across both urban and rural population groups. Measures of SES were based on province-wide comparisons using data obtained from the Canada Census using the Vancouver Area Neighbourhood Deprivation Index (VANDIX). Results illustrate that the effects of SES and increased injury risk are substantial, though the most pronounced variations were exhibited across each SES stratum for ...

The epidemiology of burn injuries in an Australian setting, 2000–2006

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:18 +0100

Conclusions: ED presentations and hospital admissions and deaths have remained the same over this study period, but rates of burn remain high in males, children and the elderly. This could be due to variations in the implementation of government prevention and control programs and the divergence in efficient treatments and clinical practices amongst hospital care providers. Therefore, educational efforts for prevention should be the keystone to minimise the incidence of burns. (Source: Burns : Journal of the International Society for Burn Injuries)

Fluid resuscitation for major burn patients with the TMMU protocol

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:18 +0100

Conclusion: This study indicates that the TMMU protocol for fluid resuscitation is a feasible option for burn patients. Individualised resuscitation – guided by the physiological response to fluid administration – is still important as in other protocols. (Source: Burns : Journal of the International Society for Burn Injuries)

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Twenty-five year epidemiology of invasive methicillin-resistant Staphylococcus aureus (MRSA) isolates recovered at a burn center

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:18 +0100

In this study we, evaluate the changes in PFT and antimicrobial resistance epidemiology of invasive MRSA isolates over 25 years at a single burn unit. Isolates were tested by pulsed-field gel electrophoresis (PFGE), broth microdilution antimicrobial susceptibility testing, and PCR for the virulence factors Panton–Valentine leukocidin (PVL) and arginine catabolic mobile element (ACME), and the resistance marker staphylococcal chromosomal cassette mec (SCCmec). Forty isolates were screened, revealing stable vancomycin susceptibility MIC without changes over time but decreasing susceptibility to clindamycin and ciprofloxacin. The majority of PFGE types were MRSA USA800 carrying the SCCmec I element and USA100 carrying the SCCmec II element. No strains typically associated with community-ass...

Risk factors for acquisition of Methicillin-resistant Staphylococcus aureus among patients from a burn unit in Brazil

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:18 +0100

In conclusion, the acquisition of MRSA was related to the site of the burn and to the surgical manipulation of tissues, but not to the use of antimicrobials. (Source: Burns : Journal of the International Society for Burn Injuries)

Comparison of efficacy of silicone gel, silicone gel sheeting, and topical onion extract including heparin and allantoin for the treatment of postburn hypertrophic scars

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:18 +0100

Abstract: We compared the efficacy of silicone gel (Scarfade®), silicone gel sheet (Epi-Derm™), and topical onion extract including heparin and allantoin (Contractubex®) for the treatment of hypertrophic scars.Forty-five postburn scars were included in the study. Patients with scars less than 6 months from injury were assigned at random to three groups each containing 15 scars, and their treatment was continued for 6 months. Scars were treated with Scarfade®, Epiderm™ and Contractubex®. Scar assessment was performed at the beginning of the treatment, and at the end of the sixth month when the treatment was completed by using the Vancouver scar scale.The difference between before and after treatment scores for each three groups was statistically significant. The difference between S...

Does “off-hours” admission affect burn patient outcome?

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:18 +0100

Conclusions: Contrary to studies in other critically ill patient populations, off-hours admission is not predictive of worse outcomes in burn patients. (Source: Burns : Journal of the International Society for Burn Injuries)

Assessing the impact of missing data in evaluating the recovery of minor burn patients

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:17 +0100

Conclusion: Minor burn patients with upper limb involvement recover well and intensive review of these patients is unnecessary. (Source: Burns : Journal of the International Society for Burn Injuries)

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Assessing the safety and compatibility of silver based wound dressings in a magnetic resonance environment

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:17 +0100

Conclusion: Our data suggests silver containing wound dressings do not cause a significant increase in dressing temperature or image distortion and thus their removal is not warranted for clinical MRI examinations. (Source: Burns : Journal of the International Society for Burn Injuries)

Burn treatment in the elderly

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:17 +0100

Abstract: The population of elderly patients is expected to rise continuously over the next decades due to global demographic changes.The elderly seem to be most vulnerable to burns and their management remains undoubtedly a challenge. A clear age margin for elderly patients is not yet defined, but most studies adhere to the inclusion of patients 65 years and above, but the general condition and social situation must be taken into account. The understanding of the physiological basis of aging and its related pathophysiological changes has only marginally influenced treatment and decision making in elderly burn patients.When looking at treatment regimens currently applied in elderly burn patients, the discussion of standards in intensive care as well as surgical strategies is ongoing. Howev...

The year in burns 2008

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:17 +0100

This article reviews those with the most impact on burn treatment according to the Editor of one of the major journals (Burns). As in the previous year's review, articles were divided into the following topic areas: epidemiology, wound characterisation, critical care physiology, inhalation injury, infection, metabolism and nutrition, psychological considerations, pain management, rehabilitation, and burn reconstruction. Each selected article is mentioned briefly with editorial comment. (Source: Burns : Journal of the International Society for Burn Injuries)

Editorial Board

Burns : Journal of the International Society for Burn Injuries — Fri, 06 Nov 2009 13:55:17 +0100

(Source: Burns : Journal of the International Society for Burn Injuries)

American Association Of Orthopaedic Surgeons, Nineteen Other Surgical Groups Call For Changes To Senate Health Legislation

Cosmetic Medicine / Plastic Surgery News From Medical News Today — Fri, 06 Nov 2009 09:00:00 +0100

The American Association of Orthopaedic Surgeons (AAOS) joined nineteen other surgical organizations, led by the American College of Surgeons, to send a letter to the U.S. Senate today reiterating they are prepared to oppose the Senate's health care reform bill due to its threat to patients' access to specialty care and its potential to harm quality care. This coalition represents over 240,000 surgeons and anesthesiologists. (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)

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The distally based posterolateral supramalleolar neurofasciocutaneous island flap for coverage defects over the distal third of the leg and foot

European Journal of Plastic Surgery — Wed, 04 Nov 2009 19:47:53 +0100

In conclusion, this distally based posterolateral supramalleolar neurofasciocutaneous island flap is reliable and very useful for covering defects over the distal leg, ankle, heel, foot, and Achilles tendon, especially in young children. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00238-009-0362-3Authors Wei-Gang Cao, Shanghai Jiaotong University Ninth People’s Hospital, School of Medicine Shanghai ChinaSheng-Li Li, Shanghai Jiaotong University Ninth People’s Hospital, School of Medicine Shanghai ChinaKai-Xiang Cheng, Shanghai Jiaotong University Ninth People’s Hospital, School of Medicine Shanghai ChinaShan-Liang Wang, Shanghai Jiaotong University Ninth People’s Hospital, School of Medicine Shanghai ChinaQing-Feng Li, Shanghai Jiaotong University Ninth P...

[Is there a relation between mammaplasties incisions and the final shape of the breast?]

Annales de Chirurgie Plastique et Esthetique — Wed, 04 Nov 2009 00:00:00 +0100

CONCLUSION: Those who promote the vertical incision have the greatest drive to encourage other plastic surgeons to abandon the traditional mutilating boat anchor scar. Nevertheless, they should always remember the deforming effect caused by exaggerated vertical incisions which may be avoided by transforming it into an inverted T with short horizontal branches, a small price to pay to obtain a superior aesthetic result. PMID: 19896257 [PubMed - as supplied by publisher] (Source: Annales de Chirurgie Plastique et Esthetique)

Announcements

Aesthetic Plastic Surgery — Tue, 03 Nov 2009 14:01:31 +0100

Content Type Journal ArticleCategory AnnouncementsDOI 10.1007/s00266-009-9430-0 Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

Index

Facial Plastic Surgery Clinics of North America — Sun, 01 Nov 2009 00:00:00 +0100

(Source: Facial Plastic Surgery Clinics of North America)

Discussion Regarding Botulinum Toxin, Immunologic Considerations with Long-term Repeated Use, with Emphasis on Cosmetic Applications

Facial Plastic Surgery Clinics of North America — Sun, 01 Nov 2009 00:00:00 +0100

(Source: Facial Plastic Surgery Clinics of North America)

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Pearls in Facelift Management

Facial Plastic Surgery Clinics of North America — Sun, 01 Nov 2009 00:00:00 +0100

This article provides a collection of surgical tips and pearls that can be applied to most facelift procedures, no matter the surgical technique. A holistic approach to patient care is discussed regarding preoperative, perioperative, and postoperative management. Within this article the authors outline details so facial plastic surgeons can provide their patients with the smoothest surgical experience and recovery. (Source: Facial Plastic Surgery Clinics of North America)

Reflections on Aesthetic Facial Surgery in Men

Facial Plastic Surgery Clinics of North America — Sun, 01 Nov 2009 00:00:00 +0100

This article addresses some of the nonsurgical considerations in caring for male patients. We are witnessing an ever-increasing level of interest in aesthetic surgery among men, and the unique considerations related to addressing male patients compared to female patients merit our attention. The care of male patients is characterized by important differences along each step of the surgical process. Men display a different set of motivations, concerns, and aesthetic ideals compared with women. Men also demonstrate decision-making processes and problem-solving approaches that contrast with approaches observed among women. These unique differences compel facial plastic surgeons to manage male patients differently from female patients. (Source: Facial Plastic Surgery Clinics of North America)

Surgical Treatment of the Heavy Face and Neck

Facial Plastic Surgery Clinics of North America — Sun, 01 Nov 2009 00:00:00 +0100

The surgical management of the patient with the heavy face and neck requires an appreciation of the multiple anatomic and physiologic factors responsible for the associated displeasing appearance. Preoperative planning and patient selection are key components in achieving optimal outcomes. Furthermore, while approaches and techniques applied in traditional facelifts are beneficial, additional or modified maneuvers are often necessary to produce the desired outcomes in this challenging patient group. (Source: Facial Plastic Surgery Clinics of North America)

Rejuvenation of the Aging Neck: Current Principles, Techniques, and Newer Modifications

Facial Plastic Surgery Clinics of North America — Sun, 01 Nov 2009 00:00:00 +0100

This article reviews the techniques that are available and the decision-making process in choosing the appropriate technique for the individual patient. (Source: Facial Plastic Surgery Clinics of North America)

Extended Superficial Muscular Aponeurotic System Rhytidectomy: A Graded Approach

Facial Plastic Surgery Clinics of North America — Sun, 01 Nov 2009 00:00:00 +0100

This article outlines the analysis of the patient, preoperative preparation of the patient, an algorithm for adjunctive procedures to achieve a youthful yet balanced face, the associated surgical technique, and also possible complications. (Source: Facial Plastic Surgery Clinics of North America)

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Deep Plane Rhytidectomy and Variations

Facial Plastic Surgery Clinics of North America — Sun, 01 Nov 2009 00:00:00 +0100

The extreme interest in developing new surgical approaches to rhytidectomy and to refining those techniques over the last two decades has resulted in considerable improvement in surgical results. This has taken the form of a more natural and youthful restoration of the face by together lifting forehead, midface, and lower face. This approach produces a more harmonious balance of the upper and lower portions of the face than was possible before the introduction of mid-facelifting techniques. Added to this has been the emphasis by some surgeons of restoring tissue volume to the face by using autogenous fat injections. One can conclude that the most favorable results in facelifting occur when the lower cheek is rejuvenated by dissecting beneath the superficial musculoaponeurotic system to cre...

Short-Scar Purse-String Facelift

Facial Plastic Surgery Clinics of North America — Sun, 01 Nov 2009 00:00:00 +0100

This article describes the purse-string facelift, a vertical facelift that moves away from traditional techniques that use a horizontal vector of subcutaneous muscle–aponeurotic system repositioning. The vertical facelift can counterbalance the effects of gravity and natural facial aging and can reposition the facial soft tissues into a more youthful position more directly and correctly. Rather than multiple, separate sutures to support the suspended tissues, the purse-string technique offers two distinct advantages: operative expediency and a tenacious suture anchor based on the periosteum of the posterolateral zygomatic arch. (Source: Facial Plastic Surgery Clinics of North America)

Volumetric Facelift with Intra- and Post-Operative Midface Volume Replacement“The Four-Dimensional Facelift”

Facial Plastic Surgery Clinics of North America — Sun, 01 Nov 2009 00:00:00 +0100

Cosmetic rejuvenation of the lower face can be accomplished effectively with facelift surgery; however, aesthetic outcomes are significantly improved when surgical traction combined with midface volume restoration is achieved and perpetuated. Incorporating the current understanding of the evolving process of facial maturation, this article puts forth an approach to full-face rejuvenation involving the continued treatment of the facelift patients with injectable filler materials for years after the surgical procedures. Beyond a three-dimensional approach, this “four-dimensional” method can achieve persistent, effective, natural-appearing outcomes that can be maintained successfully and dynamically over time. (Source: Facial Plastic Surgery Clinics of North America)

Management of Anesthesia and Facility in Facelift Surgery

Facial Plastic Surgery Clinics of North America — Sun, 01 Nov 2009 00:00:00 +0100

This article describes a technique with which the authors have had great success. The principles of patient safety and comfort are essential elements in providing anesthesia for a facial plastic surgical case. A well-performed anesthetic makes a smooth postoperative course more likely, but a poorly handled anesthetic can increase the likelihood of postoperative complications and can strain the relationship between surgeon and patient. There cannot be enough emphasis on making and keeping the patient happy. A happy patient will do better in the long run, will be more willing to undergo future procedures, and often provides the best form of advertisement: word of mouth. (Source: Facial Plastic Surgery Clinics of North America)

Avoiding Patient Dissatisfaction and Complications in Facelift Surgery

Facial Plastic Surgery Clinics of North America — Sun, 01 Nov 2009 00:00:00 +0100

This article describes the sources of patient dissatisfaction and the avoidance and management of complications related to facelift surgery. A clinically oriented comprehensive review of the assessment and management of complications encountered during facelift surgery of the lower two thirds of the face and neck is presented. (Source: Facial Plastic Surgery Clinics of North America)

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Facelift Adjunctive Techniques: Skin Resurfacing and Volumetric Contouring

Facial Plastic Surgery Clinics of North America — Sun, 01 Nov 2009 00:00:00 +0100

Optimizing outcomes for rhytidectomy patients involves careful evaluation for conditions likely to benefit from adjunctive facial contouring and/or skin resurfacing procedures. On an individual basis, concurrent procedures should be performed only if benefits far outweigh any added risk and patient safety is not compromised. In this manner, physicians may improve practice productivity and overall patient satisfaction. (Source: Facial Plastic Surgery Clinics of North America)

Preface

Facial Plastic Surgery Clinics of North America — Sun, 01 Nov 2009 00:00:00 +0100

It is an honor and a privilege to serve as a Guest Editor for this edition of Facial Plastic Surgery Clinics of North America. The opportunity to share ideas with mentors and colleagues is thought provoking and exhilarating. Likewise, it represents an opportunity to stimulate intellectual and practical developments in surgical technique, patient management, and philosophy of practice. (Source: Facial Plastic Surgery Clinics of North America)

Forthcoming Issues

Facial Plastic Surgery Clinics of North America — Sun, 01 Nov 2009 00:00:00 +0100

(Source: Facial Plastic Surgery Clinics of North America)

Facial Plastic Surgery Clinics of North America — Sun, 01 Nov 2009 00:00:00 +0100

(Source: Facial Plastic Surgery Clinics of North America)

The evaluation of the use of the buccal myomucosal flap in cleft palate repair—a comparative study

European Journal of Plastic Surgery — Sat, 31 Oct 2009 12:52:36 +0100

This study aimed to evaluate the importance of using the buccal myomucosal flap in cleft palate repair. This is a retrospective comparative study between two centers in which almost the same technique of cleft palate repair is used. The main difference in the repairs is that a buccal myomucosal flap is used as a part of the operation in one center and not in the other. The patients were divided into two groups. Group A was composed of the cases operated at the Craniofacial Institute in Southfield, MI, USA by the second author. In these, a buccal myomucosal flap was used as a step in the cleft palate repair. Group B contained the cases operated in the Plastic Surgery Department Khoula Hospital, Muscat, Sultanate of Oman using the same procedure but without using the buccal myomucosal ...

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Using the distal part of vastus lateralis muscle as chimeric anterolateral thigh free flap is a more flexible tool for head and neck reconstruction

European Journal of Plastic Surgery — Fri, 30 Oct 2009 07:58:36 +0100

Abstract The chimeric anterolateral thigh (ALT) free flap with vastus lateralis (VL) has been our workhorse for soft tissue head and neck reconstruction following cancer resection. Using the distal portion of the VL muscle, as part of the chimeric flap, which is based on the descending branch of the lateral circumflex femoral artery and supplied separately from the skin paddle of the flap, has proved to be a more flexible tool for coverage of these extensive and multidimensional defects. The ALT flap has been a reliable soft tissue source and has shown superiority over other flaps for head and neck reconstruction, especially over its main rival, the radial forearm flap. It offers many advantages and in spite of the intramuscular dissection of the perforator(s) being a chal...

More News Briefs From Plastic Surgery 2009

Cosmetic Medicine / Plastic Surgery News From Medical News Today — Wed, 28 Oct 2009 10:00:00 +0100

Face and Hand Transplants - Ready to Become Mainstream Medicine? Though once inconceivable, face and hand transplants are quickly making themselves more present, both in the operating room and in the media. The world's first hand transplant was performed more than a decade ago, and the first partial-face transplant performed in the United States (and most extensive procedure to date) was completed this year. (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)

[Correction of breast Poland's anomalies. About eight cases and literature review.]

Annales de Chirurgie Plastique et Esthetique — Wed, 28 Oct 2009 00:00:00 +0100

CONCLUSION: The simplest and the fastest breast deformity correction technique in Poland's syndrome patients, the one with the least complications and cosmetic sequella and the most practiced by the surgeon, remains the best method for breast anomaly correction of Poland's syndrome. PMID: 19879029 [PubMed - as supplied by publisher] (Source: Annales de Chirurgie Plastique et Esthetique)

[Does digital percutaneous fasciotomy in Dupuytren's contracture provokes collateral nerves injuries? 25 cases.]

Annales de Chirurgie Plastique et Esthetique — Wed, 28 Oct 2009 00:00:00 +0100

Authors: Ganeval A, Blancher MC, Gouzou S, Liverneaux P It is well known that percutaneous fasciotomy must not be realized at the digital level because of the risks of iatrogenic nervous injury. The purpose of this study is to verify if the percutaneous fasciotomy in the digital level is responsible or not for sensory complication by injury of the collateral nerves, thanks to the precise sensory analysis of a series of twenty five palmodigital or digital fasciotomies. Our series included 20 patients operated on between September 2006 and June 2008, as a total of 25 fingers. Only one patient presented preoperative sensory disorders. It was a multi-operated finger. The patients were operated on in one-day surgery by two senior surgeons using percutaneous fasciotomy in the palm and the di...

[The perforator propeller flap.]

Annales de Chirurgie Plastique et Esthetique — Wed, 28 Oct 2009 00:00:00 +0100

We describe the principles, the operative technique and advantages of this method. PMID: 19879031 [PubMed - as supplied by publisher] (Source: Annales de Chirurgie Plastique et Esthetique)

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[Contribution to the study of painful and functional sequellae after breast reconstruction using latissimus dorsi flap. Investigation into 149 patients.]

Annales de Chirurgie Plastique et Esthetique — Wed, 28 Oct 2009 00:00:00 +0100

Authors: Faucher A, Barrault M, Duguey I Latissimus dorsi flap is the most commonly used among tissues transfers for breast reconstruction. If its qualities and performances are well known, few papers have studied sequellae of this flap, particularly painful. The purpose of this paper is to provide a contribution about this subject. Postulating the complexity of this step, we limited ourselves initially to an evaluation based on analysis of concise questionnaire mailed to two pools of patients with different delays since their reconstruction using latissimus flap. In the two groups of patients, announced principal embarrassment - logically associated with a gestural limitation - is the feeling of axillo-dorsal rigidity, more pregnant than the pain itself. This one is marked during the ...

[Lipofilling and weight gain. Case report and review of the literature.]

Annales de Chirurgie Plastique et Esthetique — Tue, 27 Oct 2009 00:00:00 +0100

Authors: Taupin A, Labbé D, Nicolas J, Debout C, Benateau H Since Coleman's studies, lipofilling has become an easy, reliable and reproducible surgical technique particularly in severe Romberg's syndrome that is characterised by a progressive facial hemi-atrophy of cutaneous and subcutaneous tissues. Considering a young patient case, the authors expose a rare complication of lipofilling: deterioration of the aesthetic results after a significative weight gain due to corticosteroids, oral contraception and a change of lifestyle. Lipofilling is an adipocyte graft realised after centrifugation of liposuction products. Thus, the increasing volume of the fat graft remains hypertrophic and hyperplasic theories. Indeed, the technique produces a concentrated fat graft that realises an asy...

[Mondor's disease and breast plastic surgery.]

Annales de Chirurgie Plastique et Esthetique — Tue, 27 Oct 2009 00:00:00 +0100

CONCLUSION: Mondor's disease is a rare but benign pathology following breast plastic surgery. The treatment is symptomatic and the surgeon must reassure the patient on the benignity and the lack of consequence on the final cosmetic result. PMID: 19875218 [PubMed - as supplied by publisher] (Source: Annales de Chirurgie Plastique et Esthetique)

The role of transverse latissimus dorsi musculocutaneous flap immediate breast reconstruction

European Journal of Plastic Surgery — Mon, 26 Oct 2009 18:02:47 +0100

The objective was to detail latissimus dorsi musculocutaneous flap transversely marked to midline at the back. Patients (n = 320) who underwent mastectomies and transverse latissimus immediate breast reconstructions (n = 324) at the Hospital A. C. Camargo (São Paulo, Brazil) between January 2000 and December 2007 were included. Information on clinical data, technique details, and clinical outcome were prospectively collected. Patient’s age ranged from 27 to 74 years. Most patients received a silicone gel textured surface implant (79.9%). The mean surgical time was 146 min, and dorsal scar had 8 to 18 cm in length and 0.3 to 2.5 cm in width. The follow-up varied from 6 to 91 months (mean 42.8). No complications were observed in 86.4% reconstructions....

Smile Train: The ascendancy of cleft care in India

Indian Journal of Plastic Surgery — Sat, 24 Oct 2009 12:53:41 +0100

Singh Subodh KumarIndian Journal of Plastic Surgery 2009 42(3):192-198Though India has an estimated population of one million untreated cleft patients, facilities for its treatment have been limited and are not evenly distributed across the country. Furthermore, a paucity of committed cleft surgeons in fewer hospitals to provide quality surgical treatment to these patients, poverty, illiteracy, superstitions and poor connectivity in some remote regions severely limit the chances of an average cleft lip patient born in India from receiving rational and effective comprehensive treatment for his/her malady. The Smile Train Project with its singular focus on cleft patients started its philanthropic activities in India in the year 2000. It made hospitals and included clefts surgeon equal partne...

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A community-based survey of visible congenital anomalies in rural Tamil Nadu

Indian Journal of Plastic Surgery — Sat, 24 Oct 2009 12:53:41 +0100

Sridhar KIndian Journal of Plastic Surgery 2009 42(3):184-191An extensive community-based survey of visible congenital defects covering 12.8 million children in rural Tamil Nadu state was conducted during the years 2004-05. A door-to-door survey was done utilizing the existing health care delivery system. More than 10,000 village health nurses were involved to collect the data. All children between the ages of 0 and 15 years were seen. The children with defects were seen by a medical officer and diagnosis was made as per chart. A total of 1.30% of children were born with some visible anomalies. The male:female ratio was 1.3:1. There was a family history in 9% and consanguinity in 32%. More than 5% mothers had taken some medication in the first trimester of pre...

Formatting the surgical management of Tessier cleft types 3 and 4

Indian Journal of Plastic Surgery — Sat, 24 Oct 2009 12:53:41 +0100

Mishra R K, Purwar ReeteshIndian Journal of Plastic Surgery 2009 42(3):174-183Tessier cleft types 3 and 4 are rare entities even among what are considered other rare craniofacial clefts. Very few cases have been reported worldwide, especially in the bilateral form. In the absence of any well-laid guidelines for management of such rare cases, plastic surgeons operate on such cases due to the inherent complexities in technique. To overcome this problem and provide a ground rule for surgical management of such cases, we propose an easier format with a 'split approach' of the affected areas. In our proposed formatting, we have divided the affected areas of the cleft into three components: 1. Lid component; 2. Lip component; and 3. Nasomalar component. Any person skilled in the pl...

External frame distraction osteogenesis of the midface in the cleft patient

Indian Journal of Plastic Surgery — Sat, 24 Oct 2009 12:53:41 +0100

This article reviews treatment planning, pre- and postoperative orthodontic management, operative technique, and mechanics of distraction. It also discusses long-term changes following distraction and protocols to optimize the results and minimize complications. (Source: Indian Journal of Plastic Surgery)

Skeletal facial balance and harmony in the cleft patient: Principles and techniques in orthognathic surgery

Indian Journal of Plastic Surgery — Sat, 24 Oct 2009 12:53:41 +0100

Salyer Kenneth E, Xu Haisong, Portnof Jason E, Yamada Akira, Chong David K, Genecov Edward RIndian Journal of Plastic Surgery 2009 42(3):149-167The management of the palatal cleft, dental arch, and subsequent maxillary form is a challenge for the craniomaxillofacial surgeon. The purpose of this paper is to present the experience of a senior surgeon (KES) who has treated over 2000 patients with cleft lip and palate. This paper focuses on the experience of a recent series of 103 consecutive orthognathic cases treated by one surgeon with a surgical-orthodontic, speech-oriented approach. It will concentrate on not only correcting the occlusion, as others have described, but also on how a surgeon who was trying to achieve optimal aesthetic balance, harmony, and beauty, approached this problem. ...

Problems of middle ear and hearing in cleft children

Indian Journal of Plastic Surgery — Sat, 24 Oct 2009 12:53:41 +0100

Sharma Ramesh Kumar, Nanda VipulIndian Journal of Plastic Surgery 2009 42(3):144-148The hearing loss in a cleft patient is a well known complication, but generally gets ignored. These children continue to have recurrent otitis media with effusion that affects the hearing abilities. Unfortunatley the middle ear function may not improve with palatoplasty.Cleft palate teams need to follow up all such children beginning at birth and going into adulthood, decades after a 'successful' palate repair. These patients should have careful otological and audiological surveillance with appropriate interventions whenever required. The review article discusses the current status of hearing management in patients with cleft palate. (Source: Indian Journal of Plastic Surgery)

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Communication disorders in individuals with cleft lip and palate: An overview

Indian Journal of Plastic Surgery — Sat, 24 Oct 2009 12:53:41 +0100

This article provides an introduction to communication disorders in individuals with cleft lip and palate for members of cleft care teams. The speech pathologist is involved in identifying those infants who are at risk for communication disorders and also for initiating early intervention to prevent or mitigate communication disorders caused by the cleft. Even with early cleft repair, some children exhibit 'cleft palate speech' characterized by atypical consonant productions, abnormal nasal resonance, abnormal nasal airflow, altered laryngeal voice quality, and nasal or facial grimaces. These manifestations are evaluated to identify those that (a) are developmental, (b) can be corrected through speech therapy alone, and, (c) those that may require both surgery and speech ther...

Velo-pharyngeal dysfunction: Evaluation and management

Indian Journal of Plastic Surgery — Sat, 24 Oct 2009 12:53:41 +0100

Marsh Jeffrey LIndian Journal of Plastic Surgery 2009 42(3):129-136Separation of the nasal and oral cavities by dynamic closure of the velo-pharyngeal port is necessary for normal speech and swallowing. Velo-pharyngeal dysfunction (VPD) may either follow repair of a cleft palate or be independent of clefting. While the diagnosis of VPD is made by audiologic perceptual evaluation of speech, identification of the mechanism of the dysfunction requires instrumental visualization of the velo-pharyngeal port during specific speech tasks. Matching the specific intervention for management of VPD with the type of dysfunction, i.e. differential management for differential diagnosis, maximizes the result while minimizing the morbidity of the intervention. (Source: Indian Journal of Plastic Surgery)

Oronasal fistula in cleft palate surgery

Indian Journal of Plastic Surgery — Sat, 24 Oct 2009 12:53:41 +0100

Sadhu ParthaIndian Journal of Plastic Surgery 2009 42(3):123-128Oronasal fistula (ONF) is the commonest complication associated with cleft palate surgery. The main symptoms associated with ONF are nasal regurgitation of food matter and hypernasality of voice. Repair of cleft palate under tension is considered to be the main reason of ONF though vascular accidents and infection can also be the cause. Most of the ONFs are situated in the hard palate or at the junction of hard and soft palate. Repair of ONF depends on its site, size and mode of presentation. A whole spectrum of surgical procedures starting from small local flaps to microvascular tissue transfers have been employed for closure of ONF. Recurrence rate of ONF is 25% on an average after the first attempt of repair. (Source...

Management of cleft lip and palate in adults

Indian Journal of Plastic Surgery — Sat, 24 Oct 2009 12:53:41 +0100

Murthy JyotsnaIndian Journal of Plastic Surgery 2009 42(3):116-122<b>Introduction:</b> With advancement of medical services in developed countries and awareness among the patients, it is rare to find an adult with an unoperated cleft lip and palate. However, the scenario is totally different in developing countries. Working as a part of a team in developing country, where co-coordinated team work is primitive, resources to provide treatment are very thin, public awareness of availability of treatment for this anomaly is minimal, the age of patients reaching for primary treatment varies from few days to late forties. Though the aim and aspiration is to provide holistic multidisciplinary care, the priority is getting treatment for all cleft patients. I...

Alveolar bone grafting

Indian Journal of Plastic Surgery — Sat, 24 Oct 2009 12:53:41 +0100

Lilja JanIndian Journal of Plastic Surgery 2009 42(3):110-115In patients with cleft lip and palate, bone grafting in the mixed dentition in the residual alveolar cleft has become a well-established procedure. The main advantages can be summarised as follows: stabilisation of the maxillary arch; facilitation of eruption of the canine and sometimes facilitation of the lateral incisor eruption; providing bony support to the teeth adjacent to the cleft; raising the alar base of the nose; facilitation of closure of an oro-nasal fistula; making it possible to insert a titanium fixture in the grafted site and to obtain favourable periodontal conditions of the teeth within and adjacent to the cleft. The timing of the ABG surgery take into consideration not only eruption of the canine but also that...

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Cleft palate repair and variations

Indian Journal of Plastic Surgery — Sat, 24 Oct 2009 12:53:41 +0100

Agrawal KaroonIndian Journal of Plastic Surgery 2009 42(3):102-109Cleft palate affects almost every function of the face except vision. Today a child born with cleft palate with or without cleft lip should not be considered as unfortunate, because surgical repair of cleft palate has reached a highly satisfactory level. However for an average cleft surgeon palatoplasty remains an enigma. The surgery differs from centre to centre and surgeon to surgeon. However there is general agreement that palatoplasty (soft palate at least) should be performed between 6-12 months of age. Basically there are three groups of palatoplasty techniques. One is for hard palate repair, second for soft palate repair and the third based on the surgical schedule. Hard palate repair techniques are Veau-Wardill-Kilne...

Functional and aesthetic correction of secondary unilateral cleft lip nasal deformities

Indian Journal of Plastic Surgery — Sat, 24 Oct 2009 12:53:41 +0100

Cohen Mimis, Morris David E, White Aisha D, Patel PravinIndian Journal of Plastic Surgery 2009 42(3):91-101The treatment of patients with unilateral cleft lip has undergone significant development during the last decades. With better understanding of the anatomy of the unilateral cleft lip and nasal deformities, primary correction of the nasal deformity at the time of lip repair, critical evaluation of short and long-term results following various treatment protocols, and constant striving for perfection in both aesthetics and function, we have been able to design improved treatment strategies and more accurate surgical techniques so as to achieve overall superior and long-lasting results. In this review article, we present our protocols and experience for functional and aesthetic correcti...

Repair of bilateral cleft lip and its variants

Indian Journal of Plastic Surgery — Sat, 24 Oct 2009 12:53:41 +0100

Mulliken John BIndian Journal of Plastic Surgery 2009 42(3):79-90The surgeon who lifts a scalpel to repair a bilateral cleft lip and nasal deformity is accountable for: 1) precise craftsmanship based on three-dimensional features and four-dimensional changes; 2) periodic assessment throughout the child's growth; and 3) technical modifications during primary closure based on knowledge gained from long-term follow-up evaluation. These children should not have to endure the stares prompted by nasolabial stigmata that result from outdated concepts and technical misadventures. The principles for repair of bilateral complete cleft lip have evolved to such a level that the child's appearance should be equivalent to, or surpass, that of a unilateral complete cleft lip. These same pri...

Composite correction of a unilateral cleft lip nose deformity and alveolar bone grafting

Indian Journal of Plastic Surgery — Sat, 24 Oct 2009 12:53:41 +0100

Conclusion:</b> This concept of simultaneous approach when appropriate for nasal correction at the time of alveolar bone grafting showed an encouraging aesthetic and functional outcome. (Source: Indian Journal of Plastic Surgery)

Primary unilateral cleft lip repair

Indian Journal of Plastic Surgery — Sat, 24 Oct 2009 12:53:41 +0100

Adenwalla H S, Narayanan P VIndian Journal of Plastic Surgery 2009 42(3):62-70The unilateral cleft lip is a complex deformity. Surgical correction has evolved from a straight repair through triangular and quadrilateral repairs to the Rotation Advancement Technique of Millard. The latter is the technique followed at our centre for all unilateral cleft lip patients. We operate on these at five to six months of age, do not use pre-surgical orthodontics, and follow a protocol to produce a notch-free vermillion. This is easy to follow even for trainees. We also perform closed alar dissection and extensive primary septoplasty in all these patients. This has improved the overall result and has no long-term deleterious effect on the growth of the nose or of the maxilla. Other refinements have been...

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Presurgical nasoalveolar moulding treatment in cleft lip and palate patients

Indian Journal of Plastic Surgery — Sat, 24 Oct 2009 12:53:41 +0100

Grayson Barry H, Shetye Pradip RIndian Journal of Plastic Surgery 2009 42(3):56-61Presurgical infant orthopedics has been employed since 1950 as an adjunctive neonatal therapy for the correction of cleft lip and palate. Most of these therapies did not address deformity of the nasal cartilage in unilateral and bilateral cleft lip and palate as well as the deficiency of the columella tissue in infants with bilateral cleft. The nasolaveolar molding (NAM) technique a new approach to presurgical infant orthopedics developed by Grayson reduces the severity of the initial cleft alveolar and nasal deformity. This enables the surgeon and the patient to enjoy the benefits associated with repair of a cleft deformity that is minimal in severity. This paper will discuss the appliance design, clinical m...

Syndromes and anomalies associated with cleft

Indian Journal of Plastic Surgery — Sat, 24 Oct 2009 12:53:41 +0100

Venkatesh RIndian Journal of Plastic Surgery 2009 42(3):51-55Orofacial clefts are one of the commonest birth defects, and may be associated with other congenital anomalies. The majority of these orofacial clefts are nonsyndromic . A significant percentage of these clefts both syndromic and non-syndromic may have associated anomalies. Apart from reviewing other studies, this article also analyses a study of associated anomalies from a tertiary cleft centre in India. (Source: Indian Journal of Plastic Surgery)

Cleft lip and palate genetics and application in early embryological development

Indian Journal of Plastic Surgery — Sat, 24 Oct 2009 12:53:41 +0100

Yu Wenli, Serrano Maria, Miguel Symone San, Ruest L Bruno, Svoboda Kathy K.HIndian Journal of Plastic Surgery 2009 42(3):35-50The development of the head involves the interaction of several cell populations and coordination of cell signalling pathways, which when disrupted can cause defects such as facial clefts. This review concentrates on genetic contributions to facial clefts with and without cleft palate (CP). An overview of early palatal development with emphasis on muscle and bone development is blended with the effects of environmental insults and known genetic mutations that impact human palatal development. An extensive table of known genes in syndromic and non-syndromic CP, with or without cleft lip (CL), is provided. We have also included some genes that have been identified in ...

Neuroembryology and functional anatomy of craniofacial clefts

Indian Journal of Plastic Surgery — Sat, 24 Oct 2009 12:53:41 +0100

Ewings Ember L, Carstens Michael HIndian Journal of Plastic Surgery 2009 42(3):19-34The master plan of all vertebrate embryos is based on neuroanatomy. The embryo can be anatomically divided into discrete units called neuromeres so that each carries unique genetic traits. Embryonic neural crest cells arising from each neuromere induce development of nerves and concomitant arteries and support the development of specific craniofacial tissues or developmental fields. Fields are assembled upon each other in a programmed spatiotemporal order. Abnormalities in one field can affect the shape and position of developing adjacent fields. Craniofacial clefts represent states of excess or deficiency within and between specific developmental fields. The neuromeric organization of the embryo is the com...

MedWorm: Cosmetic Surgery

Peruvian Gang Killed People To Sell Their Fat Say Police

Dermatologists Now Offer Non Invasive Skin Tightening

Book Review

Applications of Platelet-Rich Fibrin Matrix in Facial Plastic Surgery

Pins and Needles: Minimally Invasive Office Techniques for Facial Rejuvenation

The Aging Midfacial Skeleton: Implications for Rejuvenation and Reconstruction Using Implants

A Paradigm for Facial Skin Rejuvenation

Fat Management in Lower Lid Blepharoplasty

Endoscopic Forehead and Brow Lift

Management of the Aging Nose

SafeStitch Medical, Inc. Receives FDA Clearance To Market The AMID StaplerTM For Hernia Repairs

Management of the Aging Face

Physician Teaches Miami Plastic Surgeons Via Tele-Surgery

Pitt Researcher To Co-Direct National Consortium On Facial Birth Defects

The top 10 plastic surgery research mistakes–what they are and how to avoid them

The Submental Fat Compartment of the Neck

Facial Fat Compartments: A Guide to Filler Placement

Management of the Midface During Facial Rejuvenation

Isolated Management of the Aging Neck

Secondary Rhytidectomy

Nuances of the Composite Face-lift Technique

Contemporary Face-lift Techniques

Index

Future Advances in Melanoma Research

Surgical Treatment of Advanced Melanoma

Role of Radiation Therapy in Cutaneous Melanoma

Systemic Therapy for Cutaneous Melanoma

Complete Lymph Node Dissection for Regional Nodal Metastasis

Evaluation of Sentinel Lymph Nodes for Melanoma Metastases by Pathologists

The Role of Lymphatic Mapping and Sentinel Lymph Node Biopsy in the Staging and Treatment of Melanoma

Head and Neck Melanoma

Surgical Management of Primary Disease

Melanoma: Workup and Surveillance

Epidemiology, Staging (New System), and Prognosis of Cutaneous Melanoma

Lentigo Maligna: Diagnosis and Treatment

The Spitz Nevus: Review and Update

Pigmented Lesion Pathology: What You Should Expect from Your Pathologist, and What Your Pathologist Should Expect from You

Preface

Forthcoming Issues

Contents

Advanced BioMedical Technologies Inc. Begins Phase II Animal Test On PA Miniscrews And Plates

Cecilia Beaux's Brother and Sister: Charles Sumner Bird and His Sister Edith Bird (Mrs Robert Bass) [Beauty]

Abstracts: In Other Archives Journals [Abstracts: In Other Archives Journals]

Functional Valvular Indrawing--Reply [Editor's Correspondence]

Functional Valvular Indrawing [Editor's Correspondence]

Rhinoplasty: A View From the United Kingdom [Commentary]

Rhinoplasty at the Global Crossroads [Commentary]

Cultivating a Global Aesthetic Consciousness [Commentary]

Measuring Outcomes in Nasal Surgery: Realities and Possibilities [Commentary]

Has the Pendulum Swung Too Far?: Trends in the Teaching of Endonasal Rhinoplasty [Commentary]

The Legacy of Jack Anderson, MD [Commentary]

Perspectives on the Evolution of Rhinoplasty [Commentary]

Defining the Facial Extent of the Platysma Muscle: A Review of 71 Consecutive Face-lifts [Original Article]

Error in Text in: Margin Reflex Distance in Different Ethnic Groups [Correction]

Minimally Invasive Ear Reshaping With a 1450-nm Diode Laser Using Cryogen Spray Cooling in New Zealand White Rabbits [Original Article]

Measurements of Orbital Volume Change Using Computed Tomography in Isolated Orbital Blowout Fractures [Original Article]

Long-term Use and Follow-up of Irradiated Homologous Costal Cartilage Grafts in the Nose [Original Article]

The Technical and Anatomical Aspects of the World's First Near-Total Human Face and Maxilla Transplant [Original Article]

The Evolution of the Archives of Facial Plastic Surgery [Editorial]

Highlights of Archives of Facial Plastic Surgery [Highlights of Archives of Facial Plastic Surgery]

About This Journal [About This Journal]

Cosmetic Surgery Patients At More Risk Than Ever

Trauma: A New Pseudogynecomastia Cause

Oral And Maxillofacial Surgeons Among First Responders To Fort Hood Shootings

BJOG Release: Study Raises Concerns About Cosmetic Labial Surgery

New York Plastic Surgeon Eases Common Fear Of Rhinoplasty Surgery By Eliminating Traditional Packing And Painful Removal

Replacing Amalgam In Fillings

Lipomodeling of Poland’s Syndrome: A New Treatment of the Thoracic Deformity

How Young Is TOO Young For Cosmetic Surgery? UK

The Lowe Law Firm Files Suit Over Alleged Botox Overdose

Garlic burn: The real facts

Garlic burn: The real facts

Cell-phone based multimedia messaging service (MMS) and burn injuries

Fatal rescue burns

Fatal rescue burns—Possible theories of causation

Careful attention to graft loss areas can prevent forgotten staples in burn patients

Forgotten staples

Twelve years epidemiological study of paediatric burns in Ain Shams University, Burn Unit, Cairo, Egypt

Reconstruction of postburn inguinal contractures using the pedicled anterolateral thigh flap