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Ectopic scalp replantation: A case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of near-total scalp avulsion treated by temporary implantation to the lower abdomen with secondary replantation. PMID: 19535309 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - June 15, 2009 Category: Cosmetic Surgery Authors: Sanger JR, Logiudice JA, Rowe D, Cortes W, Matloub HS Tags: J Plast Reconstr Aesthet Surg Source Type: journals

Perineural Invasion in Aggressive Skin Carcinomas of the Head and Neck. Potentially Dangerous but Frequently Overlooked.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: In this series, it was demonstrated that immunohistochemically detected perineural invasion was very prevalent in advanced skin carcinomas. In addition, it was statistically associated with extremely aggressive BCCs with skull base invasion. PMID: 18946230 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - October 23, 2008 Category: Cosmetic Surgery Authors: Cernea CR, Ferraz AR, de Castro IV, Sotto MN, Logullo SF, Bacchi CE, Plopper C, Wanderlei F, de Carlucci Jr D, Hojaij FC Tags: ORL J Otorhinolaryngol Relat Spec Source Type: journals

Taking a history in aesthetic surgery: SAGA - the surgeon's tool for patient selection.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Most patient dissatisfaction in Aesthetic surgery is based on failures of communication and patient selection criteria, and not on technical faults [Ward CM. Consenting and consulting for cosmetic surgery. Br J Plast Surg 1998;51:547-50; Gorney M. (2004) Essentials of malpractice claims prevention for the plastic surgeon. eMedicine; Jan 5, 2004]. Litigation leaves the surgeon perplexed when the operation has been performed to his or her satisfaction. Taking a history of Aesthetic Distress is critical in understanding the patient's complaint and postoperative expectation. It is often overlooked. This valuable informatio...
Source: British Journal of Plastic Surgery - March 26, 2008 Category: Cosmetic Surgery Authors: Blackburn VF, Blackburn AV Tags: J Plast Reconstr Aesthet Surg Source Type: journals

The benefits of otoplasty for children: Further evidence to satisfy the modern NHS.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Otoplasty is an effective procedure in alleviating psychosocial distress in the vast majority of children that undergo the operation, and hence this study supports the continued availability of otoplasty on the NHS for children with prominent ears. PMID: 18032121 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - November 19, 2007 Category: Cosmetic Surgery Authors: Cooper-Hobson G, Jaffe W Tags: J Plast Reconstr Aesthet Surg Source Type: journals

Skin tension or skin compression? Small circular wounds are likely to shrink, not gape.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The final appearance of a scar may be influenced by tension or mechanical factors. [Borges AF. Scar prognosis of wounds. Br J Plast Surg 1960;13:47-54; Arem AJ, Madden JW. Effects of stress on healing wounds. J Surg Res 1976;20:93-102; Burgess LP, Morin GV, Rand M, et al. Wound healing. Relationship of wound closing tension to scar width in rats. Arch Otolaryngol Head Neck Surg 1990;116:798-802; Meyer M, McGrouther DA. A study relating wound tension to scar morphology in the pre-sternal scar using Langer's technique. Br J Plast Surg 1991;44:291-4] Karl Langer suggested that information could be gained about the tension...
Source: British Journal of Plastic Surgery - July 23, 2007 Category: Cosmetic Surgery Authors: Bush JA, Ferguson MW, Mason T, McGrouther DA Tags: J Plast Reconstr Aesthet Surg Source Type: journals

In response to: Rubino C, Dessy LA, Posadinu A. A modified technique for nipple reconstruction: The "arrow flap". Br J Plast Surg 2003;56:247.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 17616375 [PubMed - in process]
Source: British Journal of Plastic Surgery - July 10, 2007 Category: Cosmetic Surgery Authors: de Lorenzi F, Manconi A, Rietjens M, Petit JY Tags: J Plast Reconstr Aesthet Surg Source Type: journals

The dynamic rotation of Langer's lines on facial expression.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Karl Langer investigated directional variations in the mechanical and physical properties of skin [Gibson T. Editorial. Karl Langer (1819-1887) and his lines. Br J Plast Surg 1978;31:1-2]. He produced a series of diagrams depicting lines of cleavage in the skin [Langer K. On the anatomy and physiology of the skin I. The cleavability of the cutis. Br J Plast Surg 1978;31:3-8] and showed that the orientation of these lines coincided with the dominant axis of mechanical tension in the skin [Langer K. On the anatomy and physiology of the skin II. Skin tension. Br J Plast Surg 1978;31:93-106]. Previously these lines have be...
Source: British Journal of Plastic Surgery - March 14, 2007 Category: Cosmetic Surgery Authors: Bush J, Ferguson MW, Mason T, McGrouther G Tags: J Plast Reconstr Aesthet Surg Source Type: journals

Operating in an eczematous surgical field: don't be rash, delay surgery to avoid infective complications.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present two cases referred for ear reconstruction following catastrophic post-operative infection at the time of pinnaplasty, leaving each patient with significant helical rim deformities. Both patients displayed evidence of active post-auricular eczema at the time of their primary surgery. Dermatological research has highlighted the increased colonisation of Staphylococcus aureus in particular within areas of atopic eczema in comparison to normal skin. We advise delaying ear surgery in the presence of a rash in view of the potentially devastating complications that may result. This approach may be extended to all cutan...
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Flow-through flaps: a review of current knowledge and a novel classification system.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Bullocks J, Naik B, Lee E, Hollier L Flaps have long been recognized as an essential tool for soft-tissue reconstruction. Flaps range in complexity from local to free and perforator flaps and can include a variety of composite tissues. The concept of a flow-through flap, in which both the proximal and the distal ends of the vascular pedicle of a free flap are anastamosed to provide blood flow to distal tissues, was first described by Soutar et al. in 1983. An uninterrupted arterial flow was established by Soutar et al. between the external carotid and distal facial artery via a radial forearm flap for head and...
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Twenty-four hours or 10 days? A prospective randomised controlled trial in children comparing head bandages following pinnaplasty.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study shows no benefit from the application of a formal head bandage for any longer than 1 day. PMID: 16920590 [PubMed - in process]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Maintaining standards of aesthetic practice in trainees subject to NHS restrictions.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Paterson P, Allison K The Specialist Advisory Committee (SAC) in plastic surgery within the United Kingdom (UK) recommends a modular training programme to include aesthetic surgery. The intercollegiate board examinations test candidates on all aspects of aesthetic practice yet there is no formal, national aesthetic training in the UK. Closure of National Health Service (NHS) private patient facilities has reduced training opportunity [Nicolle FV. Sir Harold Gillies Memorial Lecture; Aesthetic plastic surgery and the future plastic surgeon. Br J Plast Surg 1998;51:419-24.] Calmanisation [Hospital doctors: train...
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Sialoblastoma: a congenital epithelial tumor of the salivary gland.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the case of a 4-year-old girl who had a widely spreading sialoblastoma of the left cheek. We were obligated to widely resect the tumor including the trunk of the facial nerve, superior part of the left maxilla, and the zygoma. Although the patient was operated 3 times in 4 years, invasion of the tumor could not be stopped. The patient died because of respiratory insufficiency and deterioration of her general health. PMID: 16818073 [PubMed - indexed for MEDLINE]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Letter in reply to: Keratoacanthoma observed. Br J Plast Surg (2004);57:485-501.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Leong A, Khoo C PMID: 16703867 [PubMed - indexed for MEDLINE]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Breast augmentation and breastfeeding: Knowledge and practices of surgeons in Las Vegas, Nevada.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Shaikh U, Sigman-Grant M PMID: 16403477 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

'Trilobed flap' and 'The seagull flap' for syndactyly.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Uzunismail A, Findik H, Beyhan G PMID: 16386720 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Facial herpes simplex infection from possible cross contamination through the laser hand-piece following cutaneous laser resurfacing.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Solomon LK, Rashid A, Khan K PMID: 16376866 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Sump drainage with an atraumatic diffusion sucker in DIEP flaps.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Ball EA, Horlock NM PMID: 16376321 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Mirror ear: A reconstructive technique for substantial tragal anomalies or polyotia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Gore SM, Myers SR, Gault D Polyotia (mirror ear) is an extremely rarely reported congenital anomaly of the external ear. The aetiology of this condition is unclear, and there are few descriptions of surgical techniques used. We aimed to review our experience with this condition by performing a retrospective review of the cases treated in our unit. Eight cases of polyotia treated at a referral centre for ear reconstruction in a 12 year period (1992-2004) were reviewed. Patient demographic data and associated syndromes were recorded. Operative techniques used in the cases were studied. There was an equal number ...
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

A case of congenital megalourethra.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe a baby boy with scaphoid type megalourethra and review the embryology and management of this condition. PMID: 16376319 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Ocular contamination during lesional surgery-a hazard for the plastic surgeon.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Despite widespread recognition of the importance of eye protection, goggle use is still infrequent. Our study stresses the frequency of potential splashes to the eye and need for routine use of goggles to prevent viral transmission. PMID: 16375878 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

The effect of local anaesthetic cream (EMLA((R))) applied with an occlusive dressing on skin thickness. Does it matter?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Tahir A, Webb JB, Allen G, Nancarrow JD EMLA((R)) cream is used in plastic surgery as a topical anaesthetic to harvest split skin grafts. It has been observed that the skin appears pale and oedematous after the application of EMLA((R)). The aim our study was to determine the effect of EMLA((R)) with an occlusive dressing on skin thickness using a high frequency ultrasound. Twenty volunteers took part in this study after approval from the ethics committee. An area of skin was marked on both thighs and the skin thickness of each, measured using ultrasound. EMLA((R)) with an occlusive dressing was applied to one ...
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Linear basal cell carcinoma: A distinct clinical entity.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Mavrikakis I, Malhotra R, Selva D, Huilgol SC, Barlow R The purpose of the study is to describe linear basal cell carcinoma (BCC) as a distinct clinical entity, and highlight its existence to the plastic surgery literature. A Medline and PubMed literature search was conducted, and 33 reported cases of linear BCC were analysed. Of these 33 cases, the most common site for linear BCC was the periocular region, accounting for 49% (n=16). The most common histologic subtype, was nodular BCC, accounting for 50% (n=17). Of the 33 reported cases the postoperative defect size was mentioned in five cases only. None of th...
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Effective treatment of permanent tattoos with combustible particles due to blast injuries with a V-shaped device.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, treatment of traumatic tattoos with the V-shaped knife is effective, results in minimal scaring and restores the natural colour of the skin because the particle is completely removed. It is a promising method for treating multiple deep skin inclusions. PMID: 16375875 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

A case of skin necrosis as a result of cholesterol crystal embolisation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case who presented with acute renal failure, livedo reticularis and skin necrosis following angioplasty. Cutaneous biopsy revealed cholesterol crystals in the lumen of a vessel. Necrotic sites were treated with daily wound care and he was operated for reconstruction of tissue defects with cutaneous advancement flaps. One month after the operation healing was complete. PMID: 16375874 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Perforator based flap coverage from the anterior and lateral compartment of the leg for medium sized traumatic pretibial soft tissue defects-a simple solution for a complex problem.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, the authors believe that the perforator based flap cover described here is simple, safe and a versatile procedure for a trauma surgeon to cover the moderate sized traumatic pre-tibial wounds exposing the bone and the tendons. PMID: 16375873 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Our algorithm for nasal reconstruction.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Yoon T, Benito-Ruiz J, García-Díez E, Serra-Renom JM Nasal reconstruction is always challenging for plastic surgeons. Its midfacial localisation and the relationship between convexities and concavities of nasal subunits make impossible to hide any sort of deformity without a proper reconstruction. Nasal tissue defects can be caused by tumor removal, trauma or by any other insult to the nasal pyramid, like cocaine abuse, developing an irreversible sequela. Due to the special characteristics of the nasal pyramid surface, the removal of the lesion or the debridement must be performed according to nasal subunits...
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Bilateral isolated orbital blowout fractures among terrorist bombing victims. A very rare entity.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Agir H, Ustundag E, Iscen D PMID: 16375871 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Angular nerve: New insights on innervation of the corrugator supercilii and procerus muscles.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Procedures designed to denervate the corrugator should be directed at both components of its redundant nerve supply, the frontal branch as well as the angular nerve. Division of the angular nerve will also denervate the procerus muscle. Both frontal nerve branches and angular nerve components are accessible through an upper blepharoplasty incision. PMID: 16375870 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

A new technique for substernal colon transposition with a breast dissector: Report of 39 cases.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Cigna E, Chen HC, Spanio S, Ozkan O, Chio SY, Tang YB, Coskunfirat OK This paper investigates the effectiveness of the breast dissector to create a substernal space for oesophageal reconstruction. The surgeon must be extremely careful while dissecting the tissue below the sternum in order to avoid pneumothorax. The endoscopically assisted preparation of the substernal route is safe but it requires appropriate training. A retrospective study on 68 patients who underwent oesophageal reconstruction was done analysing the patients' records. In 39 cases, the breast dissector was used. In 29 cases, the substernal tu...
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Preliminary evaluation of the efficacy of Dermatix silicone gel in the reduction of scar elevation and pigmentation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Murison M, James W PMID: 16368086 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

The use of the pedicled supraclavicular flap in noma reconstructive surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Hartman EH, Van Damme PA, Sauter H, Suominen SH Three noma patients with large unilateral facial defects were reconstructed using the pedicled supraclavicular flap technique in the Noma Children Hospital in Sokoto, Nigeria. The results are-although not completely perfect-encouraging enough to report and to repeat the technique in future reconstructive noma surgery after moderate modifications. It is advised not to tunnel the pedicle in the neck, but instead to open the neck. Then, the flap can be inset in a Z-plasty fashion to close the neck without the chance of compression of the pedicle of the flap. In this...
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Breast conservative treatment in association with implant augmentation and intraoperative radiotherapy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the case of a 47-year-old woman with a small tumour between the inner quadrants of the left breast. She underwent quadrantectomy and sentinel node biopsy and intraoperative radiotherapy (IORT) of the target zone. Simultaneously, she received a bilateral augmentation mammaplasty. One year later we observed no evidence of local recurrence, no local fibrosis and radiodistrophy. Cosmetic results are excellent and the patient is very satisfied. The surgical technique and the possible advantage of such a procedure are also discussed. PMID: 16368084 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

In response to: Collis, McGuiness and Batchelor 'drainage in breast reduction surgery: A prospective randomised intrapatient trial' British Journal of Plastic Surgery 2005, 58: Pages 286-2891.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Abood A, Mallucci P PMID: 16368083 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Anatomic variations of the infraorbital fat compartment.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Oh CS, Chung IH, Kim YS, Hwang K, Nam KI Resection of the infraorbital fat is performed in blepharoplasty of the lower eyelid, however, the previous anatomical reports on its compartmentalization have been in disagreement. The aim of this study was to classify the infraorbital fat based on the extent of compartmentalization, and to clarify its topographic relationship with the surrounding structures. Sixty orbits from 30 cadavers were dissected. The infraorbital fat was classified into four types based on its compartmentalization. In type I, which was the most common type (60.0%), the infraorbital fat was comp...
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Vascular anatomy of the dorsum of the hand.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Uysal AC, Uysal A PMID: 16364268 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

In response to: Anatomy of the proximal cutaneous perforator vessels of the gracilis muscle.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Wechselberger G, Schoeller T PMID: 16364267 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

The effect of the new deal on the operative experience of plastic surgical SHOs.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Wong M, Jones S, Sheikh H, James N PMID: 16364266 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Psychiatric assessment of patients with self-inflicted lacerations to the wrist and forearm admitted to a nonpsychiatric ward: The experience of a regional plastic surgery unit.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study was to develop and validate a protocol that would ensure that these patients were assessed and followed up for their mental health as recommended by the DoH. In the absence of clear guidelines from the DoH and utilising the existing arrangement between Accident and Emergency (A&E) and the psychiatric services, all referring A&E departments were instructed at the time of referring patients with DSH to wrist and forearm to arrange a psychiatric examination before transferring the patient to the plastic surgery unit. Data were collected retrospectively (August 2002-October 2002) and prospec...
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Psychological and social factors in reconstructive surgery for hemi-facial palsy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Bradbury ET, Simons W, Sanders R This paper examines the psychological and social impact of reconstructive surgery for hemi-facial palsy and considers psychosocial factors which may be associated with patient satisfaction. It reports a retrospective study in which 106 adults were assessed using primarily qualitative methods. All participants had undergone two-stage reconstruction using vascularised free muscle grafts, with all procedures having been carried out by the same surgeon. The participants were all at least 12 months post-surgery. They were assessed using demographic questionnaires, the hospital anxie...
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Resurfacing the nasomaxillary cavity for management of epistaxis in Osler-Rendu-Weber disease.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Neligan PC PMID: 16359650 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Shoulder function following partial spinal accessory nerve transfer for brachial plexus birth injury.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Grossman JA, Taranto PD, Alfonso D, Ramos LE, Price AE Over a 5-year-period, 26 infants underwent a partial transfer of the spinal accessory nerve into the suprascapular nerve using a nerve graft, as part of the repair of a brachial plexus birth injury. At a minimum follow-up of 2.5 years, all children had shoulder function of Grade 4 or better using a modified Gilbert Scale. Average lateral rotation was measured at 53 degrees . PMID: 16356484 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Mesh assisted direct closure of bilateral TRAM flap donor sites.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Paterson P, Sterne GD, Fatah F The pedicled transverse rectus abdominis myocutaneous (TRAM) flap remains a popular choice for patients requesting breast reconstruction. Criticism of all techniques that harvest the rectus abdominis muscle centre on abdominal wall weakness.[Dulin WA, Avila RA, Verheyden CN, Grossman L. Evaluation of abdominal wall strength after TRAM flap surgery. Plast Reconstr Surg 2004; 113: 1662-1665](1) Primary fascial closure of the donor site has been shown to reduce abdominal wall weakness and the subsequent risk of hernia and bulge.[Mizgala CL, Hartrampf CR Jr, Bennett GK. Abdominal fun...
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

The deep inferior epigastric perforator flap for breast reconstruction, the learning curve explored.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article details our experience in learning and improving the technique with the help of an external team of experienced surgeons. In our initial 65 DIEP flap breast reconstructions our total flap loss rate was reduced from 9.5 to 0%, partial flap loss rate from 31 to 0%, and fat necrosis rate from 17 to 4.3%. We illustrate how a surgical team, which might initially have considered the complication rate from DIEP flap breast reconstruction too high, can benefit from a staged approach to this complex, but useful, reconstruction technique. PMID: 16356482 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Cosmetic reconstruction of distal finger absence with partial second toe transfer.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Woo SH, Lee GJ, Kim KC, Ha SH, Kim JS The authors successfully performed a series of 32 distal finger reconstructions using partial second toe-to-finger transfers solely for aesthetic indications. The resulting hand function shows an average static 2-point discrimination of 8mm. Total active range of motion was 205 degrees . Key-pinch strength and grip strength averaged 65 and 90% of the normal contralateral side, respectively. Patient satisfaction, as reflected by the average subjective satisfaction scores for aesthetic appearance and function (SSSAF) of the reconstructed distal finger, was high at 82 and 78,...
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

A comparison of aesthetic proportions between the healthy Caucasian nose and the aesthetic ideal.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Aesthetic nasal proportions of 50 healthy Caucasians were examined from a cohort of 57 volunteers. Results showed that the average nose did not conform to neo-classical facial canons. The alar width (average 3.6cm) was significantly wider than the intercanthal width (average 3.0cm, p<0.05). The nasal width-length ratio was also greater suggesting that the cohort average was shorter and wider than the aesthetic ideal. The Baum ratio was 2.5:1, indicating that the average nasal tip was more projected that the aesthetic ideal (2.8:1). The naso-frontal and naso-facial angles are both more obtuse, and in profile ...
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Pollicisation of the index metacarpal based on the first dorsal metacarpal artery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present our experience of two cases in which we carried out pollicisation of the index metacarpal based on the first dorsal metacarpal artery and venae comitans. Both cases were complex severe hand injuries where the initial injury was the result of a firework exploding while held in the hand. In both cases the radial side of the superficial palmar arch was destroyed by the injury. In both cases there was virtually complete loss of the thumb ray and amputation of the index through the base of the proximal phalanx. A useful opposition post has been created from vascularised index metacarpal with free flap soft tissue rec...
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

An algorithm for deciding alternative grafting materials used in secondary rhinoplasty.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Acarturk S, Arslan E, Demirkan F, Unal S Severe middle vault deformity with disturbed nasal form and function is one of the most challenging procedures to correct in a secondary rhinoplasty. Reconstructing the deformity with autologous septal cartilage would be the primary choice of most surgeons, if it were always available. However in certain cases the lack of a sufficient quantity of autologous cartilage has forced surgeons to explore other viable options. This paper discusses our experience with the combined use of spreader and dorsal onlay grafts from various materials in the reconstruction of severe midd...
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Correspondence: Avoiding lower eyelid ectropion after full thickness skin grafting.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Yen MT PMID: 16343458 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

Letter in reply to: Keratoacanthoma observed. Br J Plast Surg (2004);57:485-501.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Leong A, Khoo C PMID: 16343457 [PubMed - as supplied by publisher]
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals

The polymerase chain reaction and its application to clinical plastic surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Rea S, O'sullivan ST Molecular biology has become an essential component in many fields of modern medical research, including plastic surgery. Research into the molecular mechanisms underlying many disease processes offer increased understanding of the pathogenesis of disease and provide exciting therapeutic possibilities. Yet for many clinicians, the presentation of much research into molecular biological processes is couched in confusing terminology and based on scientific techniques, the basis of which are frequently difficult for the clinician to understand. The purpose of this review is to present an intr...
Source: British Journal of Plastic Surgery - January 22, 2007 Category: Cosmetic Surgery Source Type: journals