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Reversal in Centers for Medicare & Medicaid Services Reimbursement for Deep Inferior Epigastric Perforator Flap Reconstruction-Empowering Plastic Surgeons in Sustaining Microsurgical Accessibility. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-02-29 Rishub K Das, Karie G Villanueva, Ginger C Slack, Jaco H Festekjian
This Editorial discusses the recent overturning of a proposed Centers for Medicare & Medicaid Services policy that reduced reimbursement for deep inferior epigastric perforator flap breast reconstruction. The authors highlight the importance of advocacy efforts in sustaining access to complex microsurgical procedures, even those under investigation such as breast reinnervation and lymphatic reconstruction
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Free Tissue Transfer for Reconstruction After Bilateral Skin Sparing Mastectomy-A Systematic Review. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-02-29 Florian Bucher, Peter M Vogt, Nicco Krezdorn, Khaled Dastagir
Breast cancer is the most commonly diagnosed malignant neoplasia in females worldwide. Overall survival and patients' choice for bilateral mastectomy have increased. It is therefore important to offer breast reconstructive procedures to improve patient quality of life and self-esteem. The aim of this systematic literature review is to quantify the outcome and sustainability of bilateral breast reconstruction
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Diversity in Plastic Surgery and the 2023 US Supreme Court Decision. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-02-29 Eric Swanson
The number of publications on the topic of diversity, equity, and inclusion in plastic surgery has increased exponentially in the last 5 years. Numerous changes have been implemented. On June 29, 2023, the US Supreme Court ruled that affirmative action in college admissions is unconstitutional. Writing for the majority, Justice Roberts concluded that eliminating racial discrimination means eliminating
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A Case Report of Craniofacial Intraosseous Xanthoma in a Patient Seeking Facial Feminization Surgery. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-02-27 Nghiem Nguyen, James Lee, Yuan Liu
Fibrous dysplasia (FD) is a benign developmental disorder of the bone that causes normal skeletal tissue to be replaced by excess fibrous tissue and poorly differentiated osteoblasts. Intraosseous xanthomas are benign intraosseous tumor growths characterized microscopically by the presence of lipid-laden foamy histiocytes, often with cortical expansion or disruption. Although FD commonly occurs in
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Update on the Selection Criteria of Plastic Surgery Residents: A Survey of Program Directors and Associate Program Directors. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-02-14 Arya Asghari, Eric Hines, Joseph Mocharnuk, Amber Leis, Eric D Wang
Plastic and reconstructive surgery (PRS) is recognized as a highly competitive specialty. Since the first assessment of resident selection criteria in 2007, PRS residency programs have adopted holistic review processes and adapted to changes such as a decline in medical schools participating in the Alpha Omega Alpha Honor Medical Society as well as the recent transition to pass/fail grading for the
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Enhanced Diabetic Rat Wound Healing by Platelet-Rich Plasma Adhesion Zwitterionic Hydrogel. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-1-29 Nan-Chieh Huang, Nien-Chi Huang, Lan-Ya Kang, Pai-Shan Hsieh, Lien-Guo Dai, Niann-Tzyy Dai, Chun-Jen Huang
The skin is the largest organ in the human body and serves as a barrier for protective, immune, and sensory functions. Continuous and permanent exposure to the external environment results in different levels of skin and extracellular matrix damage. During skin wound healing, the use of good dressings and addition of growth factors to the wound site can effectively modulate the rate of wound healing
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Platelet-Rich Plasma Lysate Enhances the Osteogenic Differentiation of Adipose-Derived Stem Cells. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-1-29 Chia-Fang Chen, Po-Fang Wang, Han-Tsung Liao
Adipose-derived stem cells (ADSCs) have become an accepted source of cells in bone tissue engineering. This study aimed to investigate whether platelet-rich plasma (PRP) lysate can replace traditional fetal bovine serum as a culture medium with the enhanced proliferation and osteogenic potential of ADSCs. We divided the experiment into 5 groups where the ADSCs were cultured in an osteogenic medium
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Evaluation of Concomitant Facial Fracture in Traumatic Brain Injury Patients-Simplification and External Validation of a Prediction Model. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-1-29 Jennifer An-Jou Lin, Pei-Hua Li, Chien-Hung Liao, Chi-Hsun Hsieh, Yu-Chi Kuo, Ting-An Hsu, Yu-Ying Chu, Chih-Yuan Fu
Patients with traumatic brain injuries (TBIs) often experience concurrent facial bone fractures. In 2021, a prediction model with 10 variables was published and precisely predicted concomitant facial fractures in TBI patients. Herein, external validation and simplification of this model was performed.
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Comparing Surgical Site Infection Rate Between Primary Closure and Rhomboid Flap After Stoma Reversal. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-1-29 Che-Ming Chu, Chih-Cheng Chen, Yu-Yao Chang, Kai-Jyun Syu, Shih-Lung Lin
Primary closure (PC) is a common wound closure procedure after stoma reversal and is associated with a high rate of surgical site infection (SSI). This study introduced a new method of skin closure, a rhomboid flap (RF), for skin closure after stoma reversal and compared the SSI rate between the 2 techniques.
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Dilute Povidone-Iodine Solution Soaking Is Ineffective in Improving Outcomes of Necrotizing Fasciitis Caused by Diabetic Foot. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-1-29 Wen-Yu Lin, Chun-Yu Ma, Wei-Chieh Fang, Tien-Hsiang Wang, Yu-Chung Shih, Chih-Hsun Lin, Szu-Hsien Wu, Cherng-Kang Perng, Ching-En Chen
Wound soaking is a physical debridement method that helps reduce bacterial colonization and consequently promotes wound healing. Although soaking in povidone-iodine solution was ineffective in reducing bacterial colonization in acute trauma wounds, there is still a lack of evidence supporting the efficacy of this method in treating severe soft tissue infection. This study aimed to explore the effects
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Subtotal Thigh Flap for Large Abdominal Wall Defect Reconstruction in Patient With Recurrent Dermatofibrosarcoma Protuberans: A Case Report and Literature Review. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-1-29 Pei-Ju Hsieh, Min-Yen Shi, Chi-Ming Pu
Harvesting an adequate-sized flap is challenging for reconstructing large defects on the abdominal wall. A subtotal thigh flap would be one of the choices as it provides a well-vascularized large flap with muscle components. Moreover, dermatofibrosarcoma protuberans (DFSP) is a low-grade dermal neoplasm with a high recurrence rate. There is still no consensus on the extent of resection to prevent a
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"Submarine-Shaped" Radial Forearm Flap for Simultaneous Reconstruction of Oral and Lower Lip Defects". Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-1-29 Luis Mata Ribeiro, Chi Peng, Al Mustafa, David Chon-Fok Cheong, Shao-Yu Hung, Chung-Kan Tsao
Reconstruction of the oral cavity commonly results in trismus and lip incompetence.
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Comparative Efficacy of Drug Interventions for Keloids: A Network Meta-analysis. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-1-29 Hsi-An Yang, Wun-Long Jheng, Jiaxin Yu, Jhao-Yu Huang, Kai-Yuan Cheng, Jian-Jr Lee
Keloids are common benign skin lesions originating from a disorganized fibroproliferative collagen response; these lesions often lead to both physical and psychological problems. The optimal treatment for keloids is yet to be standardized. Intralesional injection, which is simple and nontraumatic, is one of the most commonly used treatment modalities for these lesions. In this study, we compared 5
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Chang Gung Forum: An Exemplary Strategy for Implementing a Multidisciplinary Network of Experts in Craniofacial Anomalies. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-1-29 Gloria Chen, Junior Chun-Yu Tu, Kai-Ti Chuang, Po-Fang Wang, Chuan-Fong Yao, Pang-Yun Chou, Ting-Chen Lu, Ying-An Chen, Chun-Shin Chang, Clement Cheng-Hui Lin, Zung-Chung Chen, Lun-Jou Lo, Yu-Ray Chen
The Chang Gung Forum has been dedicated to the care of craniofacial anomalies since 2000. This annual continuing medical education program focuses on orofacial cleft and surgery-first orthognathic surgery by providing up-to-date information and management guidelines. This study explored how the Chang Gung Forum has influenced medical perspectives, decisions, and practices in a multidisciplinary craniofacial
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Trapdoor Deformity Correction Post Nasal Bilobed Flaps for Basal Cell Carcinoma Reconstruction With Multiple Laser Modalities. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-1-29 Chun-Fang Chuang, Chang-Cheng Chang, Yung-Hsueh Huang, Che-Chi Liao, Yu-Tung Teng
In case of excision of nasal basal cell carcinoma (BCC), bilobed flaps are considered the criterion standard of reconstruction for defect less than 15 mm in size. However, there is still a risk of trapdoor deformity formation, of which its treatment is less discussed. A 44-year-old woman who was diagnosed with nasal BCC and underwent tumor excision with bilobed flap reconstruction presented with trapdoor
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Patterns of Perioperative Hormone Therapy for Gender-Affirming Surgery. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-01-25 Ya-Ching Hung, Patrick E Assi, Benjamin C Park, Sriya V Nemani, Sara C Chaker, Teja D Williams, Brian C Drolet, Salam A Kassis
There is no consensus regarding perioperative hormone replacement therapy (HRT) for gender-affirming surgery (GAS). Common concerns for continuing perioperative HRT included risk of deep vein thrombosis (DVT) or hematoma. However, discontinuing HRT is not risk free and may cause mood swing or increased anxiety. Our study aimed to investigate current patterns of HRT before GAS worldwide.
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The Effect of Obesity on Vaginoplasty Outcomes. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-01-25 Lauren E Berger, Christian X Lava, Daisy L Spoer, Samuel S Huffman, Taylor Martin, Jenna C Bekeny, Kenneth L Fan, David M Lisle, Gabriel A Del Corral
Some surgeons use body mass index criteria within the patient selection processes before vaginoplasty, thereby limiting access to select obese patients. We sought to better characterize the effect of obesity on postoperative outcomes across multiple vaginoplasty techniques.
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Modified Mustardé and Superolateral Periosteal Flaps for Full-Thickness Defects of Medial and Central Lower Eyelid: A Case Series. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-01-25 Pattana Ongkasuwan
Reconstructing full-thickness defects involving 50% to 75% of the horizontal length of the lower eyelid after medial and central full-thickness block resection can be challenging. As a disadvanatge, 1-stage reconstructions may require a free graft reconstruction of the posterior lamella. In addition, 2-stage reconstructions are associated with several complications, including erythema, and the eye
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Pectoralis Major Muscle Flap Utilization in Salvage Esophagectomy Including Great Vessel Resection Reconstructed by Prosthetic Grafts. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-01-25 Kiichi Furuse, Masayuki Nara, Daisuke Kageyama, Masaki Arikawa, Satoshi Akazawa, Hiroyuki Daiko, Takuya Higashino
Salvage surgery is a therapeutic option for recurrent or residual esophageal cancer after definitive chemoradiation therapy. This report aimed to describe the procedure of reconstruction after salvage esophagectomy involving great vessel resection using prosthetic grafts, a pectoralis major muscle (PM) flap, and free jejunal transfer, if required. To the best of our knowledge, no previous report has
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Xeroform Stick-Down Dressing: A Novel Treatment for Pediatric Partial-Thickness Burns. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-01-25 Jennifer N Grauberger, Nikita Joshi, Alex Joo, Alannah L Phelan, Janice F Lalikos
Burns traditionally require frequent, painful dressing changes to minimize infection risk and promote wound healing. To improve care for our pediatric population, our institution adapted a skin graft donor site dressing into a "stick-down" burn dressing consisting of a one-time application of bacitracin and 3% bismuth tribromophenate/vaseline impregnated gauze (Xeroform) that adheres to the burn and
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Updated Trends and Outcomes in Autologous Breast Reconstruction in the United States, 2016-2019. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-01-12 Jennifer K Shah, Uchechukwu O Amakiri, Priscila Cevallos, Pooja Yesantharao, Haripriya Ayyala, Clifford C Sheckter, Rahim Nazerali
Autologous breast reconstruction (ABR) has increased in recent decades, although concerns for access remain. As such, our goal is to trend national demographics and operative characteristics of ABR in the United States.
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Outcomes After Implant-Based Breast Reconstruction Following the National Institution of a Ban on Bacitracin Irrigation. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-01-09 Nikita Roy, Olachi Oleru, Uchechukwu Amakiri, Catherine Stratis, Daniel Kwon, Anya Wang, Arya Akhavan, Peter W Henderson
The use of irrigation with bacitracin-containing solution is common among surgeons, as it was widely thought to have antibacterial properties and prevent postoperative infection. Current literature, however, suggests that antibiotic-containing irrigation confers little added benefit. On January 31, 2020, the Food and Drug Administration instituted a ban on bacitracin-containing irrigation for operative
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Comparative Study of the Morphological Characteristics of Perforators of the Transverse and Descending Branches of the Lateral Circumflex Femoral Artery in Anterolateral Thigh Flap Surgery. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-01-09 Yongtao Huang, Yang Cao, Lin Yang, Qinfeng Gao, Chengpeng Yang, Fengwen Sun, Yucheng Liu, Junnan Cheng, Tao Zhang, Jihui Ju
The anterolateral thigh flap (ALTF) is a kind of lateral thigh flap that uses branches of the lateral circumflex femoral artery (LCFA) as the vessel pedicle and is widely used in plastic surgery. During classic ALTF surgery, some perforators from the descending branch of the lateral circumflex femoral artery (LCFA-db) are hard to harvest due to their anatomical variants and individual differences;
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The Value of Anterolateral Thigh Free Flap for the Reconstruction of Malignant Melanoma of the Sole of the Foot. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-01-09 Yong Chan Bae, Joo Hyoung Kim, Changryul Claud Yi
Wide excision of malignant melanoma on the foot usually results in an extensive function-destroying defect, and the reconstruction of foot defects remains challenging for reconstructive surgeons. We propose using anterolateral thigh perforator (ALT) free flaps for the reconstruction of widespread defects caused by malignant melanoma in the sole.
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Superficial Temporal Artery Posterior Branch Flap for Reconstruction of Composite Oral/Perioral Defects. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-01-09 Semih Baghaki, Can E Yalcin, Ugur Celik, Fatih Cinar
Defects involving total lower and/or upper lip often extend to intraoral and/or perioral areas. Flaps based on superficial temporal artery, either as pedicled or free flaps, can be used for reconstruction of various head and neck defects. In this clinical study, we tried to demonstrate the application of a pedicled flap based on the posterior branch of superficial temporal artery in 3-dimensional reconstruction
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Assessing the Benefits and Downsides of Physician Review Websites to Plastic Surgeons: A Cost-Benefit Analysis. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-01-09 Victoria N Yi, William M Tian, Kevin Klifto, Tim Atia, Amanda R Sergesketter, Detlev Erdmann
Patients often evaluate the reputations of plastic surgeons based on their performances on physician review websites. This article aims to compare rating methodologies and conduct a cost-benefit analysis of physician review websites to further understand how plastic surgeons and their patients can utilize review websites to inform their practice and care.
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Assessing the Readability of Online English and Spanish Language Patient Education Resources Provided by the American Society of Plastic Surgeons, American Society of Aesthetic Plastic Surgeons, and American Society of Reconstructive Microsurgeons. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-01-09 Sairandri Sathyanarayanan, Praneet Paidisetty, Leonard Kuan-Pei Wang, Amanda Gosman, Steven Williams, Wendy Chen
The National Institutes of Health recommends that patient education materials (PEMs) be written at the sixth grade level. However, PEMs online are still generally difficult to read. The usefulness of online PEMs depends on their comprehensibility.
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Aesthetic Considerations of Simultaneous Reconstruction With Free Flap for Local Advanced Hypopharyngeal Combined With Cervical Esophageal Cancer. Ann. Plast. Surg. (IF 1.5) Pub Date : 2024-01-06 Liu Yang, Wen Li
Patients with local advanced hypopharyngeal combined with esophageal cancer often require total laryngectomy and cervical esophagectomy, which result in big-sized upper aerodigestive tract defects and neck deformities. Although free flap is widely used to reconstruct aerodigestive defects, the aesthetic results especially that of neck contour have not brought to the forefront or discussed extensively
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Multiple Lymphaticovenular Anastomoses for Chyluria in Klippel-Trenaunay Syndrome. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-12-28 Kayo Miyashita, Hideki Kadota, Masuo Hanada, Yusuke Inatomi, Chikafumi Oryoji, Aki Morishita, Sei Yoshida, Yoshinao Oda, Izumi Kinoshita
Klippel-Trenaunay syndrome (KTS) is characterized by port-wine stains, mixed vascular malformations, and soft tissue and bone hypertrophy. Klippel-Trenaunay syndrome is occasionally complicated by chyluria, for which there is no effective treatment currently. We report a case of KTS complicated by intractable chyluria and hematuria due to a lymphatic-ureteral fistula. The patient was successfully treated
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Facial Anthropometric Analysis of Gender-Related Characteristics in Computed Tomography. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-12-20 Guan-Jie Luo, Pang-Yun Chou, Chih-Hao Chen
In recent years, facial feminization surgery (FFS) has gained increasing popularity because of increases in transgender individuals and the acceptance of diversity in gender identity. However, there is still a scarcity of anthropometric research to guide evidence-based practices for FFS in Taiwan.
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Surgical Treatment of Malignant Peripheral Nerve Sheath Tumor of the Scalp With Intracranial and Extracranial Extension: A Rare Case Report. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-12-20 Ting-An Cheng, Shyh-Jou Shieh
Malignant peripheral nerve sheath tumors of the scalp are rare neoplasms of the peripheral nervous system. Here, we describe an unusual malignant peripheral nerve sheath tumor of the scalp in an 84-year-old Asian man. The tumor was associated with bony destruction, intracranial, and extracranial extension. Trans-arterial embolization was done twice preoperatively. En block excision was performed and
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Reconstruction With Flow-Through Chimeric Anterolateral Thigh Flap Combining Vascularized Fibular Bone Graft for Extensive Composite Tissue Defect of the Forearm: A Case Report. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-12-20 Hua-Hsin Hsieh, Shyh-Jou Shieh
The management of critical limb trauma is challenging because limb salvage is preferable to amputation. For upper limb reconstruction, the surgical restoration of functionality, and appearance, a multidisciplinary approach is needed. We report the case of an extensive composite tissue defect of the forearm caused by a machine-crushing injury that was repaired by a flow-through chimeric anterolateral
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Tape Tarsorrhaphy in the Management of Lagophthalmos Caused by Severe Congenital Blepharoptosis Procedures. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-12-20 Li-Ming Sun, Dong-Yue Hao, Jiao Cao, Zheng-Qiang Cang, Xiao Fan, Yun-Xia He, Bao-Qiang Song, Pai Peng, Chao-Hua Liu
Lagophthalmos, a common complication after blepharoptosis correction, has plagued oculoplastic surgeons. The goal of this study was to investigate the effect of tape eyelid closure on reducing the occurrence of lagophthalmos after blepharoptosis correction.
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Oncological Safety of Autologous Fat Grafting for Breast Reconstruction. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-12-20 Amy L Strong, John D Syrjamaki, Neil Kamdar, Edwin G Wilkins, Erika D Sears
Autologous fat grafting has become a vital component of breast reconstruction. However, concerns remain regarding the safety of fat grafting after oncological resection and breast reconstruction. The purpose of the study was to evaluate the association of fat grafting after breast reconstruction with metastasis and death in breast cancer patients.
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The Aesthetic Evaluation of the Brow-Eye Continuum After Correction of Severe Congenital Ptosis in Children With Extended Frontalis Muscle Advancement Technique. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-12-20 Li-Ming Sun, Xiao Fan, Dong-Yue Hao, Jiao Cao, Zheng-Qiang Cang, Yun-Xia He, Hai-Xia Qiao, Bao-Qiang Song, Pai Peng, Chao-Hua Liu
Severe congenital ptosis is a common ocular deformity in pediatric patients that can significantly impact visual development and aesthetic appearance, leading to negative psychosocial outcomes. The frontalis muscle advancement technique is a well-established surgical treatment for severe congenital ptosis. Aesthetic changes of the brow-eye continuum often plays an important role in ptosis surgery.
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An Objective Evaluation of Cleft Lip Repair Deformities Based on Standardized Photographic Views. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-12-20 Mohamed El-Shazly, Ahmed S Sharaf, Ahmed Abdelkarim, Mohamed Makboul, Osama Rabie, Medhat Araby Saleh
Several assessment systems of the cleft-related facial deformity have been reported in the medical literature. Assessments have been made from direct clinical evaluations, photographs, on-screen digital images, and 3-dimensional imaging. An evaluation method based on standardized photographic views is developed to evaluate the most common postoperative deformities and to detect the responsible factors
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Body Mass Index Is Associated With Myocutaneous Free Flap Reliability: Overcoming the Obesity Obstacle With a Proposed Clinical Algorithm to Identify and Manage High-Risk Patients Undergoing Gracilis Free Flap With Skin Paddle Harvest. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-12-20 Megan R Donnelly, Karen J Noh, Jeremy Silverman, John H Donnelly, Ali Azad, Rebecca Nicholas, Patrick Reavey, Bari Dane, Jacques Henri Hacquebord
The purpose of this study was to evaluate the role of body mass index (BMI) in predicting postoperative complications following myocutaneous free flap transfer. In addition, we sought to identify certain body composition variables that may be used to stratify patients into low- versus high-risk for gracilis myocutaneous free flap with skin paddle failure.
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Systematic Review and Meta-Analysis of Global Neuroma Incidence in Upper Extremity Amputees. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-12-20 Sara C Chaker, Ya-Ching Hung, Mariam Saad, David Cardenas, Galen Perdikis, Wesley P Thayer
Neuromas substantially decrease a patient's quality of life and obstruct the use of prosthetics. This systematic review and meta-analysis aimed to determine the global incidence of neuroma formation in upper extremity amputees.
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Geographic Variability of Genital Gender-Affirming Surgery Centers and Costs of Hospitalization. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-12-20 Erin J Kim, Stephen A Stearns, Valeria P Bustos, Toni Engmann, Arriyan S Dowlatshahi, Bernard T Lee, Ryan Cauley
The cost of gender-affirming surgery (GAS) is an important component of healthcare accessibility for transgender patients. However, GAS is often prohibitively expensive, particularly as there are inconsistencies in insurance coverages. Variability in hospital costs has been documented for other types of nonplastic surgery procedures; however, this analysis has not been done for GAS. To better understand
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Are Gender-Affirming Plastic Surgeons Adequately Compensated? An Analysis of Relative Value Units. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-12-20 Olachi O Oleru, Nargiz Seyidova, Peter J Taub
Gender-affirming surgery (GAS) has a complicated history within US health care. As GAS procedures and reimbursement availability continue to uptrend, the present study aims to investigate whether compensation is equitable between GAS procedures and general plastic surgery procedures.
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Effect of a Perioperative Educational Video in Patients Undergoing Mohs Reconstruction: A Randomized Clinical Trial. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-12-11 Rishub K Das, Chris L Kalmar, Justin McLawhorn, Anna S Clayton, Wesley P Thayer
Skin cancer is the most common type of cancer in the United States, and most are treated with Mohs micrographic surgery (MMS) by fellowship-trained dermatologic surgeons. Complex reconstruction in cosmetically and functionally sensitive areas often requires a plastic surgery consult. The uncertainty regarding reconstructive options and cosmetic appearance is difficult emotionally and cognitively for
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Simplified Septal Stabilization in Closed-Approach Low-Septal-Resection Dorsal Preservation Rhinoplasty. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-12-11 Ayhan Işik Erdal, Serhat Şibar
Septal fixation is a basic step in low-septal-resection dorsal preservation rhinoplasty. Inadequate septal stabilization can lead to supratip depression or more severe saddle nose deformity. This paper presents a simple surgical maneuver to stabilize quadrangular septal cartilage instead of suture fixation to the anterior nasal spine.
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Clinical Efficacy, Safety, and Complications of the Arthroscopic Cartilage Shaving Procedure for Secondary Osmidrosis Treatment. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-12-11 Juo-Mei Chang, Yen-Chang Hsiao
Axillary osmidrosis is a common disease with negative psychosocial impact on patients. Further, many treatment modalities are not sufficient and result in recurrence.
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Patient Perspectives on Selecting an Academic Aesthetic Surgeon: A Qualitative Analysis. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-12-11 Shirley Chen, Benjamin C Park, Alan T Makhoul, Galen Perdikis, Catherine M Hammack-Aviran, Brian C Drolet
Growth of the aesthetic surgery marketplace has increased patient choice in provider selection. This study aimed to characterize how patients choose an aesthetic surgeon, identify knowledge gaps in this decision-making process, and understand why patients select academic aesthetic surgeons.
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Evaluating Both Partner and Patient Satisfaction With Postmastectomy Breast Reconstruction. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-12-11 Sawyer Cimaroli, Miles Bichanich, Karri Adamson, John LoGiudice, Erin Doren
Few studies have looked in-depth at the relationship between patient and partner satisfaction with postmastectomy breast reconstruction. The studies that do exist suggest that perceived partner satisfaction is an important predictor of patient satisfaction in postmastectomy breast reconstruction.
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Easy and Safe Clamping of the Internal Jugular Vein and Internal Carotid Artery for End-to-Side Anastomosis in the Vessel-Depleted Neck. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-12-11 Miguel De La Parra-Marquez, Carlos Aguilar-Torres, Sergio Charles-Lozoya
Damage to the vascular system resulting from radiotherapy and previous surgeries in patients with recurrent neck tumors has a negative impact on secondary reconstructions. In this study, we describe a simple method for occlusion of the great vessels of the neck in patients with difficult access to recipient vessels for anastomosis.
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Acromiothoracic Venous Supercharge for Abdominal-Based Free Flaps in Breast and Chest Wall Reconstruction. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-12-11 Kareem Alsharkawy, Sherif Youssif, Marco Malahias, George Filobbos, Maninder Kalkat, Haitham Khalil
Supercharging the venous drainage of free abdominal flaps in breast reconstruction has been well described in the literature, with diverse options used to augment venous drainage. In this study, we present our experience in using the acromiothoracic vein (ATV)/thoracoacromial vein (TAV) as a secondary recipient vein for the superficial inferior epigastric vein (SIEV) of free, muscle-sparing transverse
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The Pedicled Sensate Osteocutaneous Groin Flap for Reconstruction of the Forearm and Hand. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-12-11 Aydin Turan
The groin flap is axial pedicled and versatile. Until now, this flap has been used with many modifications for the reconstruction of forearm and hand defects. However, this flap has not been used in forearm, hand, and thumb reconstruction as a pedicled sensate osteocutaneous flap. In this study, a pedicled sensate osteocutaneous groin flap was used for the reconstruction of composite tissue defects
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Anterior Chest Wall Reconstruction After Separation of Thoraco-Omphalopagus Conjoined Twins With Cadaveric Rib Grafts and Omental Flap. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-12-11 Ammar S A Hashemi, Alejandro Gimenez, Nicholas Yim, Caroline Bay, Andrew E Grush, Jeffrey S Heinle, Edward P Buchanan
Anterior chest wall defects have a wide range of etiologies in the pediatric population, ranging from infection, tumor, and trauma to congenital diseases. The reconstructive goals include restoring skeletal stability, obliterating dead space, preserving cardiopulmonary mechanics, and protecting vital underlying mediastinal organs. Although various reconstructive methods have been described in the literature
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Use of Questionnaire-Based Research in Hand Surgery. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-12-11 Yuewei Wu-Fienberg, Morgan Ansley Rousseau, Scott Mitchell
Questionnaire-based research is ubiquitous, and careful survey design is paramount to obtaining meaningful results. This study characterizes the use of questionnaire-based studies in the current hand surgery literature.
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Subchondral Radial and Ulnar K-Wire Positioning With Cancellous Bone Graft Shortens Union Time in Scaphoid Waist Nonunion. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-11-27 Seung Hoo Lee, Hyun Dae Shin, Soo Min Cha, Yun Ki Kim
Bone grafting in patients with scaphoid waist nonunion can present several technical challenges. In this study, we aimed to present a modified surgical technique for scaphoid waist nonunion, which consisted of subchondral radial and ulnar K-wires positions with cancellous bone graft, and to compare the clinical outcome of this modified technique with the conventional method.
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Minimally Invasive 980 nm Laser-Assisted Lipolysis and Skin Tightening on Lower Eyelids of Asian Patients. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-11-27 Jun Zhang, Guo-Bao Wang, Haiguang Zhao, Feng Zhou, Aawrish Khan, Qiuni Gao, Tao Wang, Lili Qi, Zin Mar Aung, Haisong Xu, Haiyan Cui
The present study aimed to evaluate the effectiveness of minimally invasive 980 nm laser-assisted lipolysis and skin tightening in lower eyelid blepharoplasty of Asian patients.
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Comparison of Postoperative Complications in Patients Undergoing Limb Salvage Reconstructive Surgery Based on Estimated Prevalence of Preexisting Peripheral Arterial Disease. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-11-27 Asli Pekcan, Idean Roohani, Jacqueline Stoneburner, Elizabeth Boudiab, Devon O'Brien, Justin J Cordero, Joseph N Carey
Limb salvage after lower extremity (LE) trauma requires optimal blood flow for successful microsurgical reconstruction. Peripheral arterial disease (PAD) decreases LE perfusion, affecting wound healing. Patients who present with LE trauma may have undiagnosed PAD, particularly those with atherosclerotic risk factors. This study assesses outcomes after LE salvage in patients at risk for PAD.
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Nerve Decompression in the Lower Leg Results in an Improvement in Symptoms in Patients With Both Diabetic and Idiopathic Polyneuropathy. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-11-20 Max V Meyer-Marcotty, Abduasalam Attabit, Vincent März, Peter M Vogt
Patients suffering from polyneuropathy often complain of pain, tingling, and numbness sensations, as well as an increased risk of falling with the corresponding subsequent complications. If symptoms persist after conservative treatment options have been exhausted, nerve decompression in the lower extremity, as described by Dellon, can bring about an improvement in symptoms in many patients. Dellon
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Is YouTube Propagating Concerns About Breast Implant Illness? Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-11-20 Isabel Herzog, Meher Pandher, Priya A Mansukhani, Kailash Kapadia, Edward S Lee
An increasing number of patients who underwent breast implant surgery are reporting a cluster of concerning physical and psychological symptoms-newly coined term breast implant illness (BII). YouTube is a popular educational tool for plastic surgery patients.
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The Impact of the Number of Sutures on Regeneration in Nerve Repair. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-11-20 Ebubekir Eravsar, Ali Özdemir, Gökhan Cüce, Mehmet A Acar
The ideal number of sutures for epineural nerve repair is still unclear. Increased number of sutures increases secondary damage and inflammation to the nerve tissue, which negatively affects nerve regeneration. When the number of sutures decreases, the strength of the nerve repair site decreases and nerve endings are fringed, which also negatively affects nerve regeneration. Therefore, each additional
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Long-Term Improvement of Crow's Feet Wrinkles in Combination With Cervicofacial and Temporal Lifting: Review of the Literature. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-11-20 Bishara Atiyeh, Odette Abou Ghanem, Ahmad Oneisi, Rawad Chalhoub
The lateral orbital crow's feet area is one for which rejuvenation is most frequently requested by patients. Moreover, lateral canthal wrinkles are a common source of dissatisfaction after rhytidoplasty. Botulinum toxin injection has emerged as a most popular, easy, and effective solution; nevertheless, repeated injections are required periodically for long-term effect. Other nonsurgical options have
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A Safe and Effective Alternative to Acellular Dermal Matrix in the Treatment of Capsular Contracture of the Breast. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-11-20 Eric Swanson
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Financial Toxicity in Breast Implant-Associated Anaplastic Large Cell Lymphoma. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-11-20 Eliora A Tesfaye, Rebecca C O'Neill, Terri McGregor, Mark W Clemens
Financial toxicity is a growing concern due to its considerable effects on medical adherence, quality of life, and mortality. The cost associated with breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is substantial from diagnosis to treatment, including adjuvant therapy and surgery. This study aims to assess the prevalence of financial toxicity in BIA-ALCL patients.
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Conjoined Free Fibula Transplantation and First Carpometacarpal Joint Prosthesis for Functional Thumb Reconstruction-A Case Report. Ann. Plast. Surg. (IF 1.5) Pub Date : 2023-11-20 Susanne Rein, Daniela Geister, Thomas Kremer
Giant cell tumors grow locally invasive with osseous and soft tissue destruction, requiring wide resection to avoid recurrence. Stable reconstruction of the first carpometacarpal (CMC-1) joint remains a challenge due to its high range of mobility. The latter is of paramount for the functionality of the hand.