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The distally based posterolateral supramalleolar neurofasciocutaneous island flap for coverage defects over the distal third of the leg and footEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: European Journal of Plastic Surgery - November 4, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

The evaluation of the use of the buccal myomucosal flap in cleft palate repair—a comparative studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 con...
Source: European Journal of Plastic Surgery - October 31, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Using the distal part of vastus lateralis muscle as chimeric anterolateral thigh free flap is a more flexible tool for head and neck reconstructionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 reconstru...
Source: European Journal of Plastic Surgery - October 30, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

The role of transverse latissimus dorsi musculocutaneous flap immediate breast reconstructionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: European Journal of Plastic Surgery - October 26, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Use of VAC therapy and sternal plating in the treatment of sternotomy wound dehiscenceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a small series with their combined usage. We retrospectively reviewed eight cases of sternal wound dehiscence or sepsis referred to our unit for further management for the period January 2006 to December 2007. The subjects consisted of five males and three females with their ages ranging from 47 to 74 years (mean = 63 years). All patients had a premorbid history of hypertension and hyperlipidemia and five of diabetes. The patients were managed with a combination of serial debridement, VAC therapy, and sternal internal plate fixation and bilateral pectoralis major advancement flap. In three pat...
Source: European Journal of Plastic Surgery - October 21, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Substantial chest-wall deformity following tissue expansion after radiotherapyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present the case of a 54-year-old woman who underwent a two-stage breast reconstruction with a tissue expander after sustaining a lumpectomy and local radiotherapy for breast cancer. During expansion, the woman developed an abnormal concave deformity of the chest wall. Although respiratory or aesthetic consequences were expected, our patient reported only pain and was satisfied with the end result. Osteoporosis or local recurrence was excluded as predisposing factors, and radiotherapy was considered to be the causal factor in our patient. On the basis of this finding, we advise surgeons to take the risk of chest-wal...
Source: European Journal of Plastic Surgery - October 21, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Ulnar nerve paresis secondary to lunate dislocationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present the second reported case of ulnar nerve paresis secondary to lunate dislocation resulting from a wrist hyperextension injury. Early open reduction and screw fixation lead to rapid resolution of symptoms. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00238-009-0360-5Authors Zakir Shariff, Pinderfield General Hospital Wakefield EnglandChika Edward Uzoigwe, Pinderfield General Hospital Wakefield EnglandFulvio Urso-Baiarda, Pinderfield General Hospital Wakefield EnglandAjit Shetty, Pinderfield General Hospital Wakefield England Journal European Journal of Plastic SurgeryOnline ISSN 1435-...
Source: European Journal of Plastic Surgery - October 3, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Influence of laser-supported liposuction on hemoglobin, hematocrit, and erythrocyte values in patient's bloodEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Liposuction has been used as a surgical method of shaping the body for more than 30 years. Although of considerable interest, there are very few studies dealing with preoperative and postoperative blood parameters. There are no papers reporting what goes on in a patient's blood after laser-assisted lipectomy. Standard blood samples were evaluated in patients before and after lipectomy. We compared values of hemoglobin, erythrocytes, hematocrit, and leukocytes. We performed the same evaluation in patients undergoing laser-supported lipectomy. Moreover, we compared the decrease in postoperative v...
Source: European Journal of Plastic Surgery - September 24, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Dupuytren’s disease of the radial side of the handEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Dupuytren’s disease with involvement of the radial aspect of the hand is a clinical entity, which affects the thumb, the first web space, and the index finger. It can be primary or secondary. The palmar fascia anatomy and the clinical aspects of radial Dupuytren’s disease are described. The authors propose a new classification, which has the advantage in requiring only a clinical evaluation. One hundred and fifteen patients were examined for Dupuytren’s disease with radial involvement, primary or secondary, in the Hand Surgery Unit of the University of Modena between 1985 and 1994. Eighty-two ...
Source: European Journal of Plastic Surgery - September 18, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Microdialysis for free flap monitoring is reliable when used under conditions with increased external pressure—an in vitro studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Microdialysis can be used to detect tissue ischemia. In some experimental and clinical setups, the microdialysis catheter is subjected to external pressure, for example, during monitoring of free flaps or during pressure ulcer research. However, it is not known how external pressure affects the properties of the microdialysis membrane. Therefore, the aim of this study was to measure the concentration of glucose and the volume of a dialysate of a fluid under pressure. Glucose and urea (used for control) were added to plastic bags (n = 12) containing Ringer’s solution to a concentration of 10&nb...
Source: European Journal of Plastic Surgery - August 21, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Primary mucinous carcinoma (PMC) of the skin—a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a case of primary mucinous carcinoma of the skin. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00238-009-0352-5Authors Nau’shil Kaur Randhawa, Tan Tock Seng Hospital Section of Plastic, Reconstructive and Aesthetic Surgery, Department of General Surgery Singapore SingaporeMarcus T. C. Wong, Tan Tock Seng Hospital Section of Plastic, Reconstructive and Aesthetic Surgery, Department of General Surgery Singapore Singapore Journal European Journal of Plastic SurgeryOnline ISSN 1435-0130Print ISSN 0930-343X (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 4, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

“Hammock” reconstruction of full-thickness excised lower lip: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A number of techniques have been described to reconstruct lower lip defects. A microsurgical total lower lip reconstruction was performed in a 48-year-old female patient affected by a squamous cell carcinoma of the lower lip. The patient underwent a wide lower lip resection and an immediate aesthetic and functional lower lip reconstruction. The lower lip was reconstructed with a composite radial forearm palmaris longus flap. The subcutaneous layer of the residual upper lip was undermined and palmaris longus tendon was transfixed to the paranasal portion of the orbicularis oris muscle, giving to the ...
Source: European Journal of Plastic Surgery - August 4, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Microvascular reconstruction of the columella using a small radial forearm free flap: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present the case of a columellar defect resulting from a distal necrosis of a forehead flap in total nasal reconstruction. The columella was reconstructed using a small radial forearm free flap and a conchal cartilage graft. The flap and the graft survived completely with a satisfactory cosmetic result and good respiratory function during the follow-up time of 2 years. The result was achieved in a single-stage operation: the patient did not need any further procedures to improve the nasal appearance. We propose that the radial forearm free flap may be an easy and reliable alternative among the surgical options ...
Source: European Journal of Plastic Surgery - July 31, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Clindamycin vasculitis in patients with peripheral arterial vascular diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report two cases of necrotizing vasculitis due to clindamycin which was used for the treatment of chronic wounds in patients suffering of peripheral vascular disease. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00238-009-0343-6Authors Jamil Al-Jamali, University of Freiburg Medical Center Department of Plastic and Hand Surgery Freiburg GermanyGunther Felmerer, University of Freiburg Medical Center Department of Plastic and Hand Surgery Freiburg GermanyAhmed Kasem, University of Freiburg Medical Center Department of Plastic and Hand Surgery Freiburg GermanyKhalid Al-awadi, University of Freiburg Me...
Source: European Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

A modified alar cinch suture techniqueEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a modified alar base cinch suturing technique and compare it with the published techniques in the literature. Content Type Journal ArticleCategory Ideas and InnovationsDOI 10.1007/s00238-009-0348-1Authors Raffaele Rauso, Second University of Naples Department of Head and Neck Surgery Naples ItalyGiulio Gherardini, Rome ItalyGianpaolo Tartaro, Second University of Naples Department of Head and Neck Surgery Naples ItalyGiuseppe Curinga, Civico Hospital Department of Plastic Surgery Palermo ItalyNicola Nesi, Second University of Naples Department of Head and Neck Surgery Naples ItalyMario Santagata, Second Un...
Source: European Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Childhood Dupuytren’s disease of the interphalangeal joint of the thumbEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a rare case of childhood Dupuytren’s contracture involving only the interphalangeal joint of the thumb and review of current literature of the preferred management of Dupuytren’s disease in childhood. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00238-009-0354-3Authors William H. C. Tiong, University Hospital Galway Department of Plastic, Reconstructive, and Hand Surgery Newcastle Road Galway Republic of IrelandJenny B. Lynch, University Hospital Galway Department of Plastic, Reconstructive, and Hand Surgery Newcastle Road Galway Republic of IrelandJohn L. Kelly, University Hospital Ga...
Source: European Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Osteo-cutaneous necrosis following a spider bite to the thumbEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00238-009-0353-4Authors R. Nayar, Whiston Hospital Warrington Road Prescot Merseyside L35 5DR UKH. Tehrani, Whiston Hospital Warrington Road Prescot Merseyside L35 5DR UKK. Nelson, Whiston Hospital Warrington Road Prescot Merseyside L35 5DR UKI. Khan, Whiston Hospital Warrington Road Prescot Merseyside L35 5DR UK Journal European Journal of Plastic SurgeryOnline ISSN 1435-0130Print ISSN 0930-343X (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Lipofibromatous hamartoma of the digital nerve without macrodactyly: follow-up of an unusual caseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Lipofibromatous hamartoma (LFH) of nerve is a rare benign, tumour-like fibro-fatty malformation of the epi- and perineurium. Major peripheral nerves of the upper extremity are mostly involved, most commonly the median nerve and its branches. Although there is a relatively large number of publications on LFH, involvement of digital nerves is rarely reported or described. A case of LFH involving the digital ulnar nerve of the index finger without macrodactyly is presented; the aetiology, pathogenesis, differential diagnosis and surgical management are described. Content Type Journal ArticleCategory...
Source: European Journal of Plastic Surgery - July 25, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Decubitus ulcer development: pressure alone increases tissue temperatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, the increase in temperature is most likely to be caused by facilitated heat conduction from the body core caused by compression of the tissues. An increase in temperature as a result of loading may make the tissues even more vulnerable to pressure-induced ischemia due to an increase in metabolic demand. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00238-009-0351-6Authors Ioannis K. Angelidis, Stanford University Medical Center Division of Plastic Surgery 770 Welch Road, Suite 400 Stanford CA 94305 USADisa Lidman, University Hospital Department of Plastic Surgery, Hand Surgery, and ...
Source: European Journal of Plastic Surgery - July 25, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

The effect of radial artery reconstruction on the radial forearm donor site: a prospective studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The purpose of this study was to evaluate the effect of radial artery reconstruction after radial forearm flap elevation and to study whether a vein graft can stay patent in this position. Ten consecutive oral cancer patients were included in the study. Pre-operative Allen's test was performed, and the flow velocity of both radial and ulnar arteries was recorded using colour Doppler ultrasonography. After flap elevation, the radial artery was reconstructed using the cephalic vein of the donor forearm as a free vein graft. The reconstructed artery was completely covered with surrounding skin, while t...
Source: European Journal of Plastic Surgery - July 25, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

The surgical challenge of giant circumferential congenital naevi of the extremities: a 13-year follow-up of two casesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present our experience in the management of circumferential giant congenital melanocytic naevi involving the upper limb in one patient and lower limb in another one. They were managed and followed up for 13 years. The lesion regenerated following dermabrasion in the first patient and regenerated following tangential excision and split-thickness skin graft in both patients. Therefore, another approach was used, full-thickness resection of the lesions and reconstruction with dermal regeneration template (Integra™), followed by ultrathin split-thickness skin graft. The last approach resulted in no recurrence du...
Source: European Journal of Plastic Surgery - July 25, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Posttraumatic ectopic nail of the toeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of posttraumatic ectopic nail of the right IV toe, with a review of the literature. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00238-009-0347-2Authors Taro Kusano, Showa University School of Medicine Tokyo JapanMasahiro Hayashi, Showa General Hospital Tokyo JapanYoshiaki Hosaka, Showa University School of Medicine Tokyo Japan Journal European Journal of Plastic SurgeryOnline ISSN 1435-0130Print ISSN 0930-343X (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 22, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Fibula holding forceps for free fibula harvestEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe an instrument which holds both ends of osteotomized fibula simultaneously during the free fibula harvest. This instrument has advantages over conventional instruments in that it can be held by only one hand of the assistant and does not slip from the ends of fibula. Content Type Journal ArticleCategory Ideas and InnovationsDOI 10.1007/s00238-009-0344-5Authors Manav P. Suri, Tata Memorial Hospital Plastic and Reconstructive Surgery Division Dr E. Borges Marg Parel Mumbai 400012 IndiaM. T. Friji, Tata Memorial Hospital Plastic and Reconstructive Surgery Division Dr E. Borges Marg Parel Mumbai 400012 IndiaQ...
Source: European Journal of Plastic Surgery - July 18, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Post-traumatic composite graft fingertip replantation in both adults and childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report CGFR outcome in adults and children. A prospectively collated patient information database identified CGFR attempts over five consecutive years. Patient demographics and co-morbidities, injury mechanisms and details (including Ishikawa levels), timing of surgical interventions and outcomes were documented. One hundred thirty-one CGFRs were attempted in 130 patients (106 in children under 16). Ishikawa amputation level or CGFR outcome was not documented in 21 excluded cases. Despite a significant association between adulthood and smoking, complete or partial graft survival was excellent in both adults and chi...
Source: European Journal of Plastic Surgery - July 9, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Congenital midline cervical cleft presenting as neck contractureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Congenital midline cervical cleft is a rare congenital anomaly involving the neck. This developmental anomaly presents at birth with a ventral midline defect of the neck extending for a variable distance from the mandible to the manubrium with a superior nipple-like skin projection and a subcutaneous fibrous cord. Other associated clinical features include thyroglossal duct cysts, cleft lip/mandible/sternum, mandibular spurs, and or bronchogenic cysts. Initially, the cleft is covered by an exudative thin desquamating epithelium which toughens and dries during the following weeks, creating scarring. ...
Source: European Journal of Plastic Surgery - June 26, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

The augmented TRAM flap: a technique for the large-breasted patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The transverse rectus abdominis myocutaneous (TRAM) flap is the most common method of autogenous breast reconstruction. In high-risk patients, a reliable and bulky flap is needed to achieve breast symmetry and a mound together with durable satisfactory projection. The purpose of this study is to look into the use of contralateral zones of the pedicled TRAM flap to improve flap survival and to reduce the incidence of fat necrosis in order to achieve good cosmetic results. Seven obese large-breasted patients of cup size C and above who underwent primary breast reconstruction by the same surgeon are pr...
Source: European Journal of Plastic Surgery - June 18, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Delayed pseudocyst formation following free latissimus dorsi transferEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Pseudocysts are an accumulation of fluid within a fibrinous capsule usually occurring post-surgery. They usually occur within a year of surgery. This case report we believe is the first reported occurrence of a delayed pseudocyst presenting 17 years after a latissimus dorsi free flap reconstruction. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00238-009-0340-9Authors Gordon J. McArthur, Royal Free Hospital Department of Plastic and Reconstructive Surgery Pond Street London NW3 2QG UKCamilla Rowan, Royal Free Hospital Department of Cellular Pathology London UKAina V. Greig, Ro...
Source: European Journal of Plastic Surgery - June 9, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Surgical outcome of Dupuytren’s disease—no higher self-reported recurrence after segmental fasciectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A single-center survey on the patients’ perception of recurrence after Dupuytren’s surgery was conducted. To evaluate the impact of surgical techniques on self-reported recurrence rates, a retrospective analysis of 216 surgically treated patients with a minimum 2-year follow-up was conducted using a postal questionnaire. Reported recurrence rates were somewhat lower in segmental fasciectomy (43%), which was performed in 39% of the patients compared to an overall reported recurrence rate of 54% in all surgical procedures. In total fasciectomy with skin resection and grafting, patients reported a ...
Source: European Journal of Plastic Surgery - June 9, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Giant cutaneous horn on squamous cell carcinoma of the lower lipEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Cutaneous horn is a clinical term describing morphologic or epithelial changes of the skin. These changes give this lesion a conical shape characteristic that resembles a miniature animal horn. Such lesions usually appear on sun-exposed skin areas and can overlie certain benign, premalignant, or malignant lesions. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00238-009-0338-3Authors C. Skoulakis, General Hospital of Volos ENT Department Volos GreeceE. Theos, General Hospital of Volos ENT Department Volos GreeceP. Chlopsidis, General Hospital of Volos ENT Department Volos GreeceA. G...
Source: European Journal of Plastic Surgery - May 20, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Effect of quilting sutures on seroma formation post-abdominoplastyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Quilting sutures have been shown to be effective in reducing seroma in latissimus dorsi donor wounds. This technique has been adapted to the closure of abdominoplasty flaps. Seventy-four female patients aged 25 to 76 who underwent abdominoplasty over eight years were reviewed retrospectively. In the first 40 consecutive patients, no quilting sutures were used, in the subsequent 34 patients, abdominal closure was performed with quilting sutures. Primary outcome measures were the incidence of seroma, number of times aspirated and total volume aspirated. Secondary outcome measures were haematoma format...
Source: European Journal of Plastic Surgery - May 15, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Correction of involutional entropion using a rhytidoplasty techniqueEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The pathophysiology of involutional entropion is multifactorial and correction of the multiple causes may require use of a combination of procedures. Here, we report the outcome of treatment of entropion of the lower eyelid using the rhytidoplasty and modified Celsus–Hotz procedure for 29 Japanese patients. The patients comprised nine males and 20 females of age 44 to 86 years old (average age 69 years old). A postoperative assessment was performed in our office or by telephone interview. There were no cases of secondary ectropion and almost all of the patients were pleased with the resu...
Source: European Journal of Plastic Surgery - May 5, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Mandible fractures during epileptic seizure: two case reportsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Epilepsy is a neurological disorder characterized by repeated unprovoked seizures. It is well known that epileptic seizures may cause fractures and dislocations. Many antiepileptic drugs increase the risk of osteoporosis and bone fractures. For this reason, minimal traumas may result in fractures during an epileptic seizure. However, mandible fracture cases have rarely been reported. To the authors’ knowledge, there is nothing published on subcondylar fracture of the mandible as a result of an epileptic seizure, probably because of their very low incidence. Content Type Journal ArticleCategory ...
Source: European Journal of Plastic Surgery - May 5, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

The treatment of dermal scars by three-dimensional Z-plastyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The depressed scar and the hypertrophic scar are very common in the abdomen after operation. How to reduce the scar after operation becomes more and more important. The three-dimensional Z-plasty is performed on the abdominal skin & subcutaneous tissue and its effectivity is perfect. It seems that this is a logical treatment of depressed scar or hypertrophic scar in the abdomen. Content Type Journal ArticleCategory Ideas and InnovationsDOI 10.1007/s00238-009-0331-xAuthors Bin Xu, The Affiliated People’s Hospital of Jiangsu University Department of General Surgery Jiangsu ChinaPengcheng Jiang, ...
Source: European Journal of Plastic Surgery - April 17, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Mandibular actinomycosis mimicking tumor recurrenceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Actinomycosis is a rare disease caused by a microorganism of the normal oral flora. Infection is characterized by swollen tissues and sinuses from which pus drains containing characteristic sulfur granules. Since actinomycosis is a tumorous infection of skin and subcutaneous tissue, this chronic lesion can occasionally mimic neoplasia. A male patient is presented; he had a tumor-like lesion of the left mental region that was initially diagnosed as tumor recurrence, but proved to be an Actinomyces infection on histopathologic examination. Excellent therapeutic response was obtained with a combination ...
Source: European Journal of Plastic Surgery - April 16, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Effect of surgery on psychiatric states and quality of life of paraplegics and quadriplegics with pressure sores and their primary caregiversEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study examined the role of surgery on the psychiatric state and quality of life in patients with pressure sores and their relatives who provide primary care. The study also determined if a relation exists between psychiatric state and pressure sore recurrence. Seventeen patients with deep pressure sores and 18 caregivers were included in the study. The Beck depression inventory (BDI), trait anxiety inventory (TAI), and the short form-36 were used to measure depression, anxiety, and quality of life in the participants. These tests were administered before the operation and 6 months afterwards. Decreases were ...
Source: European Journal of Plastic Surgery - April 16, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Late features of fish vaccine injection injury: Case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Self-injection with fish vaccines is a rare occupational hazard for fish farm workers. Although there were some reports of early features of fish vaccine injuries, there were no reports about the late features of these injuries. A neglected fish farm worker who suffered from late term pathological features of an accidental injection injury of fish vaccine in finger region in reported. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00238-009-0328-5Authors Fatih Uygur, Haydarpaşa Training Hospital Department of Plastic and Reconstructive Surgery and Burn Unit, Gülhane Military Medi...
Source: European Journal of Plastic Surgery - March 6, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

A study of the knowledge and attitudes of emergency physicians and plastic surgeons in the management of snakebitesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of the survey performed was to provide insight into the knowledge and attitude of emergency physicians and plastic surgeons in the management of snakebites. In general, there was a good level of previous experience of managing snakebites abroad in the vast majority of cases. However, the survey findings indicated poor knowledge of the consequences of snakebites and the administration of antivenom. The authors feel better awareness and training for clinical staff who may be asked to deal with such problems would be of great benefit. Further, public awareness for holiday makers should be improved in an eff...
Source: European Journal of Plastic Surgery - March 6, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Modified pedicled tongue-like skin extension fasciocutaneous flaps for heel reconstruction; a versatile techniqueEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Soft-tissue reconstruction for isolated heel defects represents a challenging surgical dilemma due to tight inelastic tissue and inevitable acute angulations of the fibro-vascular pedicle of local flaps. A modified pedicled flap with a tongue-like skin extension has been designed to eliminate tunnel tightness to avoid traction injury and kinking of the blood vessel. Between 2003 and 2005, eight patients with isolated heel defects were analysed (six men, two women). Their age ranged from 5 to 47 years (median age = 31). Six were traumatic while two were neuropathic. Reversed sural (n = 4...
Source: European Journal of Plastic Surgery - March 6, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

An unusual nasal burnEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00238-009-0330-yAuthors Zeeshan Ahmad, Salisbury General Hospital Department of Plastic and Reconstructive Surgery and Burns Odstock Road Salisbury Wiltshire SP2 8BJ UKMansoor S. Khan, Salisbury General Hospital Department of Plastic and Reconstructive Surgery and Burns Odstock Road Salisbury Wiltshire SP2 8BJ UK Journal European Journal of Plastic SurgeryOnline ISSN 1435-0130Print ISSN 0930-343X (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - March 5, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Hypertrophic scar and keloid formation after male circumcision—a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Male circumcision is a standard surgical procedure to remove part of the foreskin for cultural, religious, or medical reasons such as phimosis. Hypertrophic scars and keloids after male circumcision are very rare postoperative complications. To our knowledge, only a handful of cases have been published previously. In this case report, we present our experience using a running-w-plasty after extralesional excision. Postoperative silicone-gel-sheets have been applied for a duration of 3 months. Using these techniques, we achieved a very satisfactory functional and cosmetic result and our patient ...
Source: European Journal of Plastic Surgery - February 24, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

The plastic surgeon Johannes Fredericus Samuel Esser (1877 to 1946), M.D., D.M.D. and his unknown period during 1917 and 1925 in Berlin, GermanyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00238-008-0322-3Authors Jan M. Hilbert, Military-Hospital of Ulm Department of Maxillofacial and plastic facial Surgery Oberer Eselsberg 40 89081 Ulm GermanyJohannes F. Hoenig, Georg-August-University Hospital and Medical School of Goettingen Robert-Koch-Street 40 37075 Goettingen Germany Journal European Journal of Plastic SurgeryOnline ISSN 1435-0130Print ISSN 0930-343X (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - February 19, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Surveillance and early detection of altered biomechanical parameters help keeping reconstructed ulcer healedEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Diabetic ulcers in neuropathic feet are difficult to manage. In earlier studies, appropriate footwear helps healing but recurrent ulceration, recalcitrant and difficult ulcers need surgical intervention. Keeping surgically reconstructed ulcers healed is a great challenge in diabetes mellitus patients when the primary cause of ulceration, reduced sensibility of skin persists. We have developed a system of keeping these surgically treated ulcers under surveillance so that early danger signs are detected. Easy color-coded printouts of pressures in the foot help us to explain to the patients the severit...
Source: European Journal of Plastic Surgery - January 27, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

A new validated otoplasty dressing techniqueEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present an audited method for otoplasty dressing accompanied by an intraoperative photographic sequence. Proflavin-soaked wool is molded into the anatomical sulci anteriorly and a combination of Vaseline gauze and dressing gauze are held in position posteriorly by tying the continuous skin suture over them. Gauze is then placed over the pinna with a thick soft piece of cotton wool covering the whole area bilaterally. Finally, a length of stockinet is used to secure the dressings in place for 10 days, ensuring support, yet without undue pressure. An audit of the cases we have done so far demonstrated no complic...
Source: European Journal of Plastic Surgery - January 24, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Scrotum reconstruction with the anterolateral (ALT) thigh flapEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report our experience of treating three patients for scrotal reconstruction by using the anterolateral thigh island flap. Three patients received scrotum reconstruction with the anterolateral thigh island flap from 2003 to 2007. Two of them had Fournier’s gangrene and one had hidradenitis suppurativa. In two occasions a “true” perforator flap was used and in one a small muscle cuff of the vastus lateralis muscle was also included. All three flaps were successful. One patient had a proximal donor site wound dehiscence due to inadequate drainage. Simple conservative treatment resolved the problem. No patient had...
Source: European Journal of Plastic Surgery - January 17, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Surgical and reconstructive management of pressure ulcersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article aims to provide an overview of the etiology, pathophysiology, and management of pressure ulcers in various anatomical locations, with particular emphasis on current advances in reconstructive surgical procedures. Content Type Journal ArticleCategory Master Class in Plastic SurgeryDOI 10.1007/s00238-008-0318-zAuthors Valentina Lefemine, Glan Clwyd Hospital Surgery, All-Wales Higher Surgical Training Program Rhyl LL18 5UJ UKStuart Enoch, University Hospital of South Manchester Burns and Plastic Surgery, North-West Regional Center for Burns and Plastic Surgery Manchester UKDean Edward Boyce, Morriston Hosp...
Source: European Journal of Plastic Surgery - January 13, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

A comparison of free transfer of radial forearm and anterolateral thigh flaps for head and neck reconstructionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Anterolateral thigh flap (ALTF), since its first description, has challenged the role of the radial artery forearm free flap (RFFF) in head and neck reconstruction. The aim of our study was to objectively compare the two flaps in head and neck reconstruction. From March 2006 to January 2008, 61 head and neck reconstructions were done, 33 using RFFF and 28 using ALTF. Mean patient age was 46.93 years. There were 54 tumor and six trauma cases. Flap elevation time, pedicle length and diameter, flap failure, and re-exploration rates were not significantly different between the two flaps (p value ...
Source: European Journal of Plastic Surgery - January 10, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Auto-circler device (Tercan device) for marking a vertical scar mammaplastyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract It is known that the desired shape and position of the nipple–areola complex may be difficult to achieve in vertical-scar reduction mammaplasty. The marking of a mosque-shaped areolar pattern varies from one surgeon to another, and therefore, periareolar trimming or resection may be inevitable with the use of such technique. We have developed a device to standardize the periareolar marking, and reduce the irregularity of the periareolar region. This device mimics the elasticity of normal breast tissue, and has the flexibility to be applicable to all breast types. We believe that this device improv...
Source: European Journal of Plastic Surgery - January 10, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Compartmentalization of inoperable high-flow vascular malformationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A high-flow vascular malformation of the face is a rare entity, and it can cause severe disfigurement and can even be potentially fatal as a result of massive hemorrhage. The authors describe a high-flow vascular malformation case that was successfully treated by compartmentalization and sclerotherapy with polidocanol. Two weeks later, the necrotic tissues were debrided and the resulting defect was covered with a skin graft. The resulting aesthetic outcome was more than anticipated by the patient. With this technique, it was possible to treat what was considered an untreatable vascular malformation ...
Source: European Journal of Plastic Surgery - January 8, 2009 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Cutaneous leishmaniasis: a diagnostic challenge for plastic surgeonsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Owing to the relatively low number of patients with cutaneous leishmaniasis seen in plastic surgery clinics, these lesions may easily be confused with other skin diseases and cutaneous malignancies. Seven patients with cutaneous leishmaniasis, who had been misdiagnosed as cutaneous malignancies, were referred to our plastic surgery department. The final diagnoses were made using a Tzanck smear examination and histopathologic examination. Systemic or intralesional meglumine antimonite was successfully used to treat the lesions. Plastic surgeons should be aware that some atypical skin lesions might be...
Source: European Journal of Plastic Surgery - December 19, 2008 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Looking at bariatric surgery with a different ‘frame’ of mindEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Our society is experiencing a pandemic of obesity, and bariatric surgery is therefore becoming more commonplace. Plastic surgery procedures to salvage functional and cosmetic repercussions of massive weight loss are also experiencing exponential growth such as resection of the panniculus morbidus following gastric bypass surgery. Suspending this mass above the patient has the clear advantage of lifting the weight from the operative field and facilitates venous drainage from the tissues to be resected. In this paper, we describe the use of an orthopaedic frame to assist with large panniculectomies. I...
Source: European Journal of Plastic Surgery - December 18, 2008 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals