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"Comparison of Outcomes After Autologous Breast Reconstruction: Latissimus Dorsi with Immediate Fat Transfer vs. Abdominally Based Free Flaps". Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-03-12 Daisy L Spoer, Lauren E Berger, Samuel S Huffman, Christian X Lava, Paige K Dekker, JiMin A Ko, Brian N Truong, Parhom N Towfighi, Niloofar Ghyasi, Kenneth L Fan, David H Song
Autologous breast reconstruction confers favorable patient reports of satisfaction and quality of life compared to implant-based reconstruction over a lifetime. The latissimus dorsi with immediate fat transfer (LIFT) is an alternative approach to abdominally based free flaps (Ab-FF), which expands fully autologous reconstruction to non-microsurgeons. This study aims to compare the two procedures concerning
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"Longitudinal Experience Using Pedicled Buccal Fat Pad Flaps in Cleft Palatoplasty: Mitigating Velopharyngeal Insufficiency Risk and Severity". Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-03-12 Nathan T Sheppard, Melissa C Daniel, Megan L Dietze-Fiedler, James D Vargo, Marissa Habeshy, Natalie R Wombacher, Christian J Vercler, Steven J Kasten, Steven R Buchman, Raquel M Ulma
Cleft palatoplasty commonly results in denuded maxillary bone in the lateral gutter(s) and a posterior void between oral and nasal closures. Bony exposure of the anterior palate subjects the maxilla to scarring and growth restriction, while scar contracture of the posterior void may result in velopharyngeal insufficiency (VPI) and fistula formation. Utilization of the buccal fat pad flap (BFPF) at
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The L-shaped Zygomatic Reduction with Oblique or Vertical Resection: Which One is the Optimal Choice? Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-03-12 Yingyou He, Yu Wang, Mohammed Qasem Al-Watary, Yumo Wang, Yifan Wu, Xiang Li, Bin Ye, Jihua Li
This study aims to investigate the optimal surgical techniques in reduction malarplasty by comparing the difference between the L-shaped osteotomy with vertical and oblique bone resection.
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Cervicofacial Pediatric Tissue Expansion: Aesthetic Unit-Based Algorithm. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-03-12 Christopher D Lopez, Cynthia T Yusuf, Alisa O Girard, Alexander K Karius, Robin Yang, Howard Wang, Richard J Redett
Tissue expansion is a powerful tool for reconstruction of pediatric soft-tissue pathologies, but complication rates for children have been reported as high as 40%. Infection and implant extrusion lead to premature removal and delays in reconstruction. Expanding the head and neck is uniquely challenging because the confluence of facial aesthetic units must be respected. These challenges have prompted
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Silicone Leakage from Breast Implants Is Determined by Silicone Cohesiveness: A Histological Study of 493 Patients. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-03-12 Andreas Larsen, Erik E F Bak, Liv B Hart, Adam M Timmermann, Mathias Ørholt, Tim K Weltz, Mathilde Hemmingsen, Peter Vester-Glowinski, Jens Jørgen Elberg, Jesper Trillingsgaard, Lisbet R Hölmich, Tine E Damsgaard, Mikkel Herly
Silicone leakage from breast implants is a concern with potential implications for patient health. This study aimed to quantify and model silicone leakage from implants to the breast implant capsule and to investigate whether silicone cohesiveness affected the silicone leakage rate.
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Risk Factors for Tissue Expander-Related Infections in Pediatric Scar Reconstruction: A 10-Year Retrospective Study. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-03-05 Chunjie Fan, Peilong Li, Ning Yan, Guobao Huang
Tissue expansion addresses limited soft tissue availability and provides natural-looking skin for scar reconstruction. However, infection is a common complication in expander surgeries. This 10-year retrospective cohort study aims to investigate the infection risk factors in pediatric scar reconstruction.
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REPORTED PRICES FOR HIGH VOLUME HAND SURGERY IN THE ERA OF PRICE TRANSPARENCY: IMPLICATIONS FOR FUTURE POLICY ITERATIONS. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-03-04 Joseph N Fahmy, Mitchell Mead, William T Chung, Andrew M Ibrahim, Kevin C Chung
In 2021, the United States enacted a law requiring hospitals to report prices for healthcare services. Across several healthcare services, poor compliance and wide variation in pricing was found. This study aims to investigate variation in reporting and listed prices by hospital features for high-volume hand surgeries including Carpal Tunnel release, Trigger Finger Release, De Quervain Tenosynovitis
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Coverage of Congenital Anomalies: Ensuring Lasting Smiles Act (ELSA) in Legislation. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-03-04 Marina A Lentskevich, Alice Yau, Emily Chwa, Narainsai K Reddy, Arun K Gosain
The Ensuring Lasting Smiles Act (ELSA) is a federal bill which would require all health federally regulated insurance products to cover the full treatment of a congenital anomaly or birth defect until complete restoration of normal function or appearance. ELSA has been a key federal priority for the Legislative Advocacy Committee of the American Society of Plastic Surgeons (ASPS) since the 115 th Congress
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Breast Implant Associated Anaplastic Large Cell Lymphoma: Evidence-Based Consensus Conference Statement From The American Association of Plastic Surgeons. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-02-27 Mark W Clemens, Terence Myckatyn, Arianna Di Napoli, Andrew L Feldman, Elaine S Jaffe, Cara L Haymaker, Steven M Horwitz, Kelly K Hunt, Marshall E Kadin, Colleen M McCarthy, Roberto N Miranda, H Miles Prince, Fabio Santanelli di Pompeo, Sari D Holmes, Linda G Phillips
In the absence of high-quality evidence, there is a need to provide guidelines and multidisciplinary consensus recommendations on Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL). The purpose of this expert consensus conference was to evaluate the existing evidence regarding the diagnosis, and management of BIA-ALCL caused by textured implants. The aim is to provide evidence-based
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Metformin eliminates lymphedema in mice by alleviating inflammation and fibrosis: implications for human therapy. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-02-22 Miaomiao Wei, Liangliang Wang, Xin Liu, Yaping Deng, Sanhong Yang, Wenjie Pan, Xiaoshan Zhang, Guangchao Xu, Shune Xiao, Chengliang Deng
Secondary lymphedema is a chronic, disabling disease impacting over 50% of patients with cancer and lacking effective pharmacological treatment even for early- to mid-disease stages. Metformin reportedly exerts anti-inflammatory and anti-fibrotic effects and is safe, with minimal side effects; We investigated the role of metformin in lymphedema mouse models and examined underlying molecular mechanisms
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Predisposing Factors for Postoperative Complications in the Year Following Fronto-Orbital Advancement and Remodeling: A Single Institution Study of 267 Patients. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-02-20 Larissa E Wietlisbach, Carlos E Barrero, Dillan F Villavisanis, Jordan W Swanson, Scott P Bartlett, Jesse A Taylor
Fronto-orbital advancement and remodeling (FOAR) is a common surgical approach used for craniosynostosis conferring functional and aesthetic benefit. There are few reports examining predisposing factors for postoperative complications within the first year after surgery. This study aimed to establish complication rates and identify risk factors for inferior outcomes in a large population of patients
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High volume, drainless lipoabdominoplasty with progressive tension sutures -UK experience. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-02-20 Charlotte L Bendon, Dan Marsh, Mo Akhavani
Lipoabdominoplasty is an established technique, however outcomes for high lipoaspirate volumes in large series are lacking. We present the UK experience of high-volume, drainless lipoabdominoplasty using progressive deep tension sutures.
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Post-Bariatric Panniculectomy: Postoperative Complications by Weight Loss Surgery Type. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-02-20 Joseph N Fahmy, Lingxuan Kong, Trista M Benítez, Hayley M Sanders, Lu Wang, Kevin C Chung
Over 250,000 patients undergo bariatric surgery each year in the United States. Approximately 21% will undergo subsequent body contouring after massive weight loss. Patients with prior bariatric surgery are at a greater risk for complications relative to the general population. However, it is unknown if bariatric surgery type is associated with differential complication risk after panniculectomy.
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Oncoplastic Reconstruction in the Setting of Prior Cosmetic Augmentation. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-02-20 Luis Camacho, Carrie K Chu, Melissa P Mitchell, Thuy Nguyen, Arlene Correa, Alexander F Mericli
This study explores the surgical management and reconstruction options for augmented breasts in the context of breast conservation therapy (BCT) for breast cancer. We hypothesized that there would be no difference in the rates of complications, revisions, or patient satisfaction in patients who maintained their breast augmentation versus those that had their implants removed in the context of BCT.
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Single centre, long-term experience with Mentor Contour Profile Gel Implants. What can we learn after 21 years of follow up? Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-02-14 Jose L Martin Del Yerro, Sara D Bengoa
The difficulty in obtaining long term data with the use of breast implants is well known. The majority of available data are multicentre studies with different surgical techniques, and different implants.
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Increasing DIEA Perforator Detail in 3D Photorealistic Volume Rendering Visualizations with Skin-masking and Cinematic Anatomy. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-02-14 Fabian N Necker, David J Cholok, Mohammed S Shaheen, Marc J Fischer, Kyle Gifford, Trishia El Chemaly, Christoph W Leuze, Michael Scholz, Bruce L Daniel, Arash Momeni
Preoperative CT angiography (CTA) is increasingly performed prior to perforator flap-based reconstruction. However, radiological 2D thin-slices do not allow for intuitive interpretation and translation to intraoperative findings. 3D volume rendering has been used to alleviate the need for mental 2D-to-3D abstraction. Even though volume rendering allows for a much easier understanding of anatomy, it
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Lipidomic analysis of microfat and nanofat reveal different lipid mediator compositions. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-02-14 Lisanne Grünherz, Sedef Kollarik, Nadia Sanchez-Macedo, Michelle McLuckie, Nicole Lindenblatt
Microfat and nanofat are two commonly used techniques in various surgical procedures from skin rejuvenation to scar correction that are known to contribute to tissue regeneration. While microfat mainly contains adipocytes and is well suited for tissue augmentation, nanofat is rich in lipids, adipose derived stem cells, microvascular fragments, and growth factors, making it attractive for esthetic use
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ALAR BASE LINING GRAFT (ABLG): A NEW TECHNIQUE TO PREVENT AND CORRECT ALAR RETRACTION IN PRIMARY AND SECONDARY RHINOPLASTY. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-02-12 Mirco Pozzi, Pietro Susini, Andrea Murante, Alberto Bolletta, Roberto Cuomo, Carlos Weck Roxo
rhinoplasty traditionally represents a difficult challenge for plastic surgeons. The aim of this article is to describe our personal new graft ABLG (Alar base lining graft) in augmentation rhinoplasty, to treat and prevent alar retraction.
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The synkinetic mentalis muscle and its negative effect on the smile: pathomechanism and treatment with mentalis targeted selective neurectomies. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-02-12 Federico Facchin, Cristina V Sanchez, Natalie A Gault, Benjamin Rail, Shai M Rozen
The treatment of post-paretic facial synkinesis is based on a combination of nonsurgical and surgical strategies. Even if improvements towards the restoration of a natural smile have been obtained with selective neurectomies (SN) and depressor anguli oris (DAO) myectomy, the lower lip frequently remains asymmetric and cranially displaced. The aim of this study was to evaluate the effect of the mentalis
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Long-Term Orbito-ocular Outcomes Following LeFort III and Monobloc Distraction Osteogenesis in Patients with Syndromic Craniosynostosis. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-02-12 Matthew E Pontell, Connor S Wagner, Neil Reddy, Lauren K Salinero, Carlos E Barrero, Jordan W Swanson, Scott P Bartlett, Jesse A Taylor
Exorbitism in patients with syndromic craniosynostosis is often managed by LeFort III (LF3) or Monobloc (MB) distraction osteogenesis (DO). This study compared short- and long-term orbital craniometrics after LF3DO/MBDO and related these findings to symptom relief.
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Upper Extremity Surgery in Cervical Spinal Cord Injury: A Prospective Comparative Mixed Methods Study. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-02-12 Rachel Skladman, Caitlin A Francoisse, Allison J L'Hotta, Christine B Novak, Catherine M Curtin, Doug Ota, Katherine C Stenson, Katharine Tam, Carie R Kennedy, Aimee James, Ida K Fox
Cervical spinal cord injury (SCI) is a devastating injury. Restoring upper extremity function is a top priority, which can be accomplished by tendon transfer (TT) and nerve transfer (NT) surgeries. The purpose of this prospective comparative study was to assess long-term changes in UE function between surgical (TT or NT) and non-surgical groups through a comprehensive mixed methods approach.
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Superiority of a Silk Surgical Site Wound Closure Device Over Synthetic Dressings. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-02-07 Daniel S Rouhani, Navin K Singh, James J Chao, Adah Almutairi, Mehran H Seradj, Rebecca Badowski-Platz, Jason D Toranto, M Mark Mofid
Silk fibroin is an emerging biomaterial with enhanced properties of cellular regeneration, growth and proliferation. The use of a silk fibroin wound dressing has the potential to decrease the incidence of wound healing complications and to improve patient outcomes compared to synthetic dressing alternatives.
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Polyethylene Glycol-Mediated Axonal Fusion Promotes Early Sensory Recovery After Digital Nerve Injury: A Randomized Clinical Trial. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-02-07 Sriya Nemani, Sara Chaker, Helen Ismail, Julia Yao, Monal Chang, Hakmook Kang, Mihir Desai, Douglas Weikert, Panambur L Bhandari, Brian Drolet, Brinkley Sandvall, John B Hill, Wesley Thayer
Peripheral nerve repair is limited by Wallerian degeneration coupled with the slow and inconsistent rates of nerve regrowth. In more proximal injuries, delayed nerve regeneration can cause debilitating muscle atrophy. Topical application of polyethylene glycol (PEG) during neurorrhaphy facilitates the fusion of severed axonal membranes, immediately restoring action potentials across the coaptation
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Eyelid and Brow Rejuvenation: Technical Pearls and Outcomes of Upper Blepharoplasty with or without Ptosis Correction and Browlift. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-02-02 Liset Falcon Rodriguez, Doga Kuruoglu, Cristina A Salinas, Alice Liu, Lilly H Wagner, Elizabeth A Bradley, Uldis Bite, Samir Mardini, Basel A Sharaf
Eyelid ptosis may present with upper lid dermatochalasis and brow ptosis. When indicated, ptosis correction (PC) is advocated during upper blepharoplasty (UB). Here, we aimed to report our outcomes following UB and PC.
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Gender-Affirming Surgery Improves Mental Health Outcomes and Decreases Anti-Depressant Use in Patients with Gender Dysphoria. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-02-02 Lee H Kilmer, Jesse Chou, Christopher A Campbell, Brent R DeGeorge, John T Stranix
Patients with gender dysphoria face significant health disparities and barriers to care. Transition-related care includes hormonal therapy, mental healthcare, and gender-affirming surgeries. Studies have described favorable surgical outcomes and patient satisfaction, however, the degree to which these procedures impact mental health conditions is not fully understood. The purpose of this study was
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Outcomes of Immediate versus Delayed Autologous Reconstruction in the Setting of Post-Mastectomy Radiation Therapy: A Meta-analysis. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-02-02 Rawan O ElAbd, Sinan K Jabori, Brea Willey, Leen El Eter, Michelle K Oberoi, Devinder Singh
Post-mastectomy autologous breast reconstruction can be immediate (IBR) or delayed (DBR). The safety of performing IBR and the impact of radiation on the newly reconstructed breast is not yet validated.
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Effectiveness of Liposomal Bupivacaine Transversus Abdominis Plane Block in DIEP Flap Breast Reconstruction: Randomized Controlled Trial. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-02-02 Rachel H Park, Jesse Chou, Robert G DeVito, Aric Elmer, Scott T Hollenbeck, Chris A Campbell, John T Stranix
Transversus Abdominis Plane (TAP) blocks improve pain control and reduce narcotic medication requirements in various surgical procedures. Liposomal bupivacaine may provide more sustained analgesia. This study compares pain related outcomes between standard bupivacaine and liposomal bupivacaine TAP blocks after autologous breast reconstruction.
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Treatment durability of limited fasciectomy vs. percutaneous needle fasciotomy for Dupuytren's disease. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-01-30 Bente A van den Berge, Fatuma M A Omar, Paul M N Werker, Zhuozhao Zhan, Edwin R van den Heuvel, Dieuwke C Broekstra
Patients with Dupuytren's disease (DD) are mostly surgically treated by percutaneous needle fasciotomy (PNF) or limited fasciectomy (LF), but data on time intervals to retreatment is lacking. We aimed to estimate the risk of retreatment within certain time periods after treatment with PNF and LF.
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Revisions after trapeziometacarpal joint resection arthroplasty: A systematic literature review. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-01-30 Sara Neumeister, Elisabet Hagert, Kevin C Chung, Simon Farnebo, Michel Boeckstyns, Daniel B Herren, Miriam Marks
The aim of this systematic literature review was to describe current indications and interventions for revisions after trapeziometacarpal joint (TMJ) resection arthroplasty.
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A European multicenter outcome study on the different perioperative airway management policies following midface surgery in syndromic craniosynostosis: a proposal for a Standard Operating Procedure. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-01-30 Iris E Cuperus, Irene M J Mathijssen, Marie-Lise C van Veelen, Anouar Bouzariouh, Ingrid Stubelius, Lars Kölby, Christopher Lundborg, Sumit Das, David Johnson, Steven A Wall, Dawid F Larysz, Krzysztof Dowgierd, Małgorzata Koszowska, Matthias Schulz, Alexander Gratopp, Ulrich-Wilhelm Thomale, Víctor Zafra Vallejo, Marta Redondo Alamillos, Rubén Ferreras Vega, Michela Apolito, Estelle Vergnaud, Giovanna
Perioperative airway management following midface advancements in children with Apert and Crouzon/Pfeiffer syndrome can be challenging, and protocols often differ. This study examined airway management following midface advancements and postoperative respiratory complications.
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Interposing Rectus and Gracilis Muscle Flaps For Pelvic Reconstruction in Bladder Exstrophy After Bladder Neck Closure. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-01-30 Thomas G W Harris, Chad B Crigger, Visakha Suresh, Ahmad Haffar, Tamir N Sholklapper, Isam W Nasr, John P Gearhart, Robin Yang, Richard J Redett
The exstrophy-epispadias complex is a spectrum of ventral wall malformations including classic bladder exstrophy (CBE) and cloacal exstrophy (CE). Patients undergo multiple soft-tissues procedures to achieve urinary continence. If unsuccessful bladder neck closure (BNC) is performed, muscle flaps may be used to reinforce BNC or afterwards for fistula reconstruction. In this study, patients reconstructed
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Evidence-Based Performance Measures for Reconstruction after Skin Cancer Resection: A Multidisciplinary Performance Measure Set. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-01-24 Andrew Chen, Peter Ray, Howard Rogers, Christie Bialowas, Parag Butala, Michael Chen, Steven D Daveluy, Caryn Davidson, Paul Faringer, Helena Guarda, Jonathan Kantor, Susan Kaweski, Naomi Lawrence, David Lickstein, John Lomax, Sylvia Parra, Nicholas Retson, Amar Suryadevara, Ryan Smith, Travis T Tollefson, Oliver J Wisco
The American Society of Plastic Surgeons commissioned the multidisciplinary Performance Measure Development Work Group on Reconstruction after Skin Cancer Resection to identify and draft quality measures for the care of patients undergoing skin cancer reconstruction. Included stakeholders were the American Academy of Otolaryngology-Head and Neck Surgery, the American Academy of Facial Plastic and Reconstructive
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Evidence-Based Practices in Cleft Palate Surgery. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-01-24 Sarah A Applebaum, Sofia Aronson, Kareem M Termanini, Arun K Gosain
After studying this article, the participant should be able to: (1) Understand the embryologic origins, cause, and incidence of cleft palate. (2) Review the anatomy and common classifications of cleft palate and associated defects. (3) Describe surgical techniques for palatoplasty and understand their respective indications. (4) Gain an awareness of general perioperative care considerations, timing
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Direct Repair of ruptured nerve stump to middle trunk for restoration of extrinsic finger extension in total brachial plexus injuries. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-01-23 Yunhao Xue, Shufeng Wang, Jingjing Hu, Wenjun Li, Feng Li, Bhatia Anil, Pengcheng Li, Yaobin Yin, Fangfang Duan, Qipei Wei
Attempts to restore independent hand function in total brachial plexus injuries (TBPI) have often failed due to the inconsistent results of fingers extension reconstruction. An innovative technique is described to achieve this by direct neurorrhaphy of residual (ruptured) roots with the middle trunk.
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Novel Noninvasive Hybrid Flap Preconditioning (HFP) Surpasses Surgical Delay in the Murine Model. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-01-23 Xingyi Du, Wenyue Liu, Boyang Xu, Jie Luan, Chunjun Liu
Ischemic necrosis in the distal portion of the flap is a challenging complication in plastic surgery. We hypothesize a novel hybrid flap preconditioning (HFP) device combining foam-mediated external suction and non-surgical delay can promote skin flap survival better than surgical delay.
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Low Strip Unifying Hybrid RhinoSeptoplasty (LUHRS): A Novel Classification in Dorsal Preservation Surgery. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-01-23 Salvatore Taglialatela Scafati, Mario Rasulo, Abdülkadir Göksel
Preservation rhinoplasty techniques continue to evolve. Suture tip-plasty with minimal resection and grafting, lateral crural tensioning, minimal excision from the lateral crura, dorsal preservation, subperichondral dissection, and preservation of the ligaments have become the milestones of modern rhino-surgery. However, every time the dorsal frame is modified by means of rasping, shaving, or osteotomy
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Clinical Applications of Tranexamic Acid (TXA) in Plastic and Reconstructive Surgery. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-01-10 Stav Brown, Tal Brown, Rod J Rohrich
Tranexamic Acid (TXA) has gained increasing recognition as a valuable pharmacologic agent within plastic surgery. This study reviews the scientific evidence regarding the use of TXA in the full range of plastic and reconstructive surgery to provide clinical recommendations regarding for safe and effective use in various plastic surgical procedures.
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Parallel osteotome technique: new approach to reduce neurosensory disturbances following bilateral sagittal split osteotomy. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-01-10 Anantanarayanan Parameswaran, Elavenil Panneerselvam
To determine clinically if parallel osteotome technique (POST) reduces incidence of neurosensory disturbances (NSD) following bilateral sagittal split osteotomy (BSSO), and to corroborate the findings with finite element analysis (FEA).
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Creating a New Inframammary Fold, Raising the Breast Footprint and Elongating the Torso with Multiplane Concept. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-01-08 Adel A Bark, Guilherme C Minikowski, Laércio M Filho, Isaac B U Mujahed
Augmentation mastopexy focus on restoring the youthful appearance of the female breast. Despite those benefits, there is large scarring to be considered, and the reduction of this side effect is the main goal to enhance the aesthetic result. This article aims to describe a variation of the L-shaped mastopexy technique without complex marking and performed in planes, which brings long-term results for
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"A Fifty-Year Review of Congressional Membership by Healthcare Professionals: Is Surgical Representation Adequate for Informed Legislation?". Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-01-08 Alice Yau, Marina A Lentskevich, Irene Yau, Iulianna Taritsa, Kaleem S Ahmed, Teeba Marlowe, Arun K Gosain
Whereas 100% of Congressional legislators vote on healthcare policy, only a minority have a background in healthcare. A review of the participation of healthcare professionals (HCPs) in Congress, highlighting participation by surgeons, is critical to the future policy-making endeavors in healthcare. This article seeks to better understand the characteristics of HCPs that engage in advocacy and describe
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Revisiting Breast Reduction Insurance Coverage: How the Schnur Scale Discriminates Against Women Based on Body Habitus. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-01-08 Pablo C Ochoa, Cristina A Salinas, Eugene E Zheng, Jorys Martinez-Jorge, Christin A Harless, Aparna Vijayasekaran, Basel A Sharaf
The Schnur scale utilizes body surface area (BSA) to determine the amount of breast tissue resection in reduction mammoplasty, resulting in a greater requirement of breast weight removal in patients with larger BSA. We aimed to demonstrate BSA variance among women with similar mastectomy weights and the range of mastectomy weights among women with comparable BSAs.
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Extensive Defect Reconstruction Using Multiple Perforator Propeller Flaps in a Jigsaw Puzzle Approach. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-01-08 Yiou Wang, Shengyang Jin, Mengqing Zang, Tinglu Han, Shan Zhu, Shanshan Li, Zixiang Chen, Yuanbo Liu
Reconstruction of extensive defects remains challenging for plastic surgeons. We report our experience with extensive defect reconstruction using multiple perforator propeller flaps and provide a systematic review of the literature on this approach.
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Subfascial Mini Muscle-Release Dual Plane Technique: A Modified Procedure for Breast Augmentation. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-01-08 Zenan Xia, Jiangmiao Xie, Wenchao Zhang, Xiaojun Wang, Yongjian Zheng, Ang Zeng
Each breast augmentation technique has advantages and indications, and the quest for the perfect implant pocket plane is ongoing. An ideal dual plane should meet three requirements: adequate implant coverage, optimal control of breast shape, and maximal muscle preservation. This paper reports a modified procedure for breast augmentation named subfascial mini muscle-release dual plane technique.
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From Data to Decisions: How AI Is Revolutionizing Clinical Prediction Models in Plastic Surgery. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2024-01-08 Kevin Kooi, Estefania Talavera Martinez, Liliane Freundt, Kamilcan Oflazoglu, Marco J P F Ritt, Kyle R Eberlin, Ruud W Selles, Mark W Clemens, Hinne A Rakhorst
The impact of clinical prediction models within Artificial Intelligence (AI) and machine learning (ML) is significant. With its ability to analyze vast amounts of data and identify complex patterns, machine learning has the potential to improve and implement evidence-based plastic, reconstructive, and hand surgery. Among others, it is capable of predicting the diagnosis, prognosis, and outcomes of
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Minimally-Invasive Corneal Neurotization (MICN): 10 Year Update in Technique and Lessons Learned Including Novel Donor Transfer of the Great Auricular Nerve. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2023-12-22 Jeffrey N Gross, Neel Bhagat, Khoa Tran, Shaohui Liu, Charline S Boente, Asim Ali, Gregory H Borschel
Corneal anesthesia, caused by lack of corneal innervation, is a rare but devastating condition that can lead to neurotrophic keratopathy 1, corneal ulceration, scarring, and blindness. Minimally-Invasive Corneal Neurotization (MICN) enables transfer of regional donor sensory nerves to the cornea to provide sensation and ocular protection. Here, we provide an update on technical advances and modifications
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Facial Feminization: Perioperative Care and Surgical Approaches. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2023-12-21 Marco Ellis, Joshua Choe, Sarah L Barnett, Kevin Chen, James P Bradley
After studying this article, the participant should be able to: 1. Understand the regional anatomy involved in facial feminization surgery, the key differences between the male and female face, and surgical approaches for modification. 2. Appreciate the integration of preoperative virtual planning and nonoperative approaches for facial feminization care. 3. Understand the perioperative process and
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Risk of ADHD, Autism Spectrum Disorder, and Executive Function Impairment in Metopic Craniosynostosis. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2023-12-19 Mariana N Almeida, David P Alper, Aaron S Long, Carlos Barrero, Mica Cg Williams, Sam Boroumand, Joshua Glahn, Jinesh Shah, Jordan Swanson, Michael Alperovich
Favorable behavioral interactions are critical for academic and interpersonal success. An association between metopic synostosis and behavioral impairments has not been fully elucidated. Behavioral dysfunction in school age children with surgically corrected metopic synostosis was evaluated using targeted testing to detect the most common behavioral abnormalities in this population.
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Indications for Furlow's double-opposing Z-plasty in patients with velopharyngeal insufficiency following two-flap palatoplasty. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2023-12-19 Tae Hyun Park, Hyun Su Kang, Jeong Yeop Ryu, Joon Seok Lee, Jung Dug Yang, Ho Yun Chung, Kang Young Choi
Various surgical methods have been developed for treating velopharyngeal insufficiency (VPI); however, the choice of surgical treatment is controversial. Pharyngeal flap, which is commonly used, has a high success rate but frequently leads to airway complications. Furlow's double-opposing Z-plasty (DOZ) does not deform the velopharyngeal port; therefore, it is expected to show good speech outcomes
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Tailoring and evaluating treatment with the Patient-Specific Needs Evaluation: A Patient-Centered Approach. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2023-12-12 Willemijn A de Ridder, Yara E van Kooij, Harm P Slijper, Grada R Arends, Aaltje de Roode, Joy C MacDermid, Guus M Vermeulen, Steven E R Hovius, Ruud W Selles, Robbert M Wouters
No patient-reported instrument assesses patient-specific information needs, treatment goals, and Personal Meaningful Gain (PMG, a novel construct evaluating individualized, clinically relevant improvement). This study reports the development of the Patient-Specific Needs Evaluation (PSN) and examines its discriminative validity (i.e., its ability to distinguish satisfied from dissatisfied patients)
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Cortiva vs AlloDerm in Prepectoral and Partial Submuscular Implant-Based Breast Reconstruction: A Randomized Clinical Trial. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2023-12-12 Alexandra M Keane, Sarah N Chiang, Yu Tao, Andrew Pierce, Jason Gagne, Julie A Margenthaler, Marissa M Tenenbaum, Terence M Myckatyn
Several acellular dermal matrices (ADMs) are utilized for soft tissue support in prosthetic breast reconstruction. Little high-level evidence supports the use of one ADM over another. Therefore, we sought to compare Cortiva 1mm Allograft Dermis to AlloDerm RTU, the most studied ADM in the literature.
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"Nasal dorsum anatomy of major different ethnicities - surgical implications. A multicenter radiological study.". Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2023-12-12 David R Dias, Mariline Santos, Maryam Sharafi, Maryam Jalessi, Cameron McIntosh, James Stutterheim, Jisun Kim, Seung Yeon Jeon, Sun Seong Kang, Carlos Pedroza, Daniel Pedroza, Yury Rusetsky, Margarita Dobrokhotova, Dmitry Lezhnev, Miguel G Ferreira
The heterogeneity of nasal features across different ethnical groups is evident. This large-scale multicenter study evaluates dorsal keystone area and its relation to superficial nasal anatomy, through computed tomography (CT) scans.
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A Comparative Study of Two Topical Treatments for Photoaging of the Hands. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2023-12-12 Saranya Wyles, Laura Eaton Jankov, Karen Copeland, Louis P Bucky, Chris Paradise, Atta Behfar
Multiple effective treatments exist for correction of skin photoaging. Topical L-ascorbic acid (Vitamin C) is a well-known anti-oxidant and topical human platelet extract (HPE), a novel off-the-shelf cosmetic ingredient has shown positive results in recent clinical studies. HPE is a leukocyte-depleted allogeneic product derived from U.S.-sourced, pooled, apheresed platelets produced with consistent
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Visual Attention Toward Patients with Hemifacial Microsomia Reconstruction: A Prospective Eye-Tracking Study. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2023-12-05 Dillan F Villavisanis, Clifford I Workman, Zachary D Zapatero, Giap H Vu, Stacey A Humphries, Daniel Y Cho, Jordan W Swanson, Scott P Bartlett, Anjan Chatterjee, Jesse A Taylor
Facial areas attracting the most visual attention in Hemifacial Microsomia (HFM) are poorly understood. Further, it is not clear if and how visual attention changes from pre- to post-operatively. This study characterized layperson visual attention to pre- and post-reconstruction hemifacial microsomia (HFM) using eye-tracking technology.
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The Use of Resorbable Fixation for Posterior Cranial Vault Distraction Osteogenesis. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2023-12-05 Daniel Y Cho, Jessica D Blum, Dillan F Villavisanis, Jinggang J Ng, Jordan Swanson, Scott P Bartlett, Jesse A Taylor
Posterior vault distraction osteogenesis (PVDO) traditionally relies on the use of cranial distractors affixed with titanium screws to the posterior cranial vault transport segment to allow for expansion of intracranial volume. We describe a novel technique using the Synthes RAPIDSORB IPS resorbable fixation system for stable fixation of the distraction hardware for PVDO. In a retrospective review
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Outcomes of flap reconstruction for diabetic foot ulcers: a systematic review and meta-analysis of Clinical Studies. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2023-12-04 Alistair Jm Reed, Nicole Ty Lim, Sharon Wl Yip, Neal Thurley, Justin Cr Wormald, Jeremy N Rodrigues, Rebecca Shirley, James Kk Chan
People with diabetic foot ulcers (DFU) are at risk of major amputation, which is associated with a high mortality rate (exceeding 50% at five years) and reduced quality of life. We hypothesise that flap reconstruction of diabetic foot ulcers improves patient outcomes in comparison to standard treatment modalities including major amputation.
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Microneedling radiofrequency enhances poly-L-lactic acid penetration that effectively improves facial skin laxity without lipolysis. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2023-12-04 Xianglei Wu, Qingqing Cen, Xue Wang, Ping Xiong, Xiujuan Wu, Xiaoxi Lin
Microneedle fractional radiofrequency (MFR) is commonly used for skin laxity treatment, and poly-L-lactic acid (PLLA) can stimulate collagen synthesis in the body. However, the synergy of their combination for skin rejuvenation has not been proven. We aimed to evaluate the combined efficacy of PLLA and MRF and the potential mechanism underlying skin laxity.
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Surgical Outcomes of Vertical Rectus Abdominis Myocutaneous Flap Pelvic Reconstruction. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2023-12-04 Malke Asaad, David Mitchell, Cedar Slovacek, Abbas M Hassan, Aashish Rajesh, Jun Liu, Sahil Kapur, Donald Baumann, Charles E Butler
The vertical rectus abdominis myocutaneous (VRAM) flap has emerged as the workhorse flap for perineal and pelvic reconstruction. We aimed to evaluate outcomes of VRAM flap over a 20-year period and the role of mesh abdominal wall reinforcement following VRAM flap-based reconstruction.
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Optimizing Outcomes in Lymphedema Reconstruction. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2023-11-29 Rebecca M Garza, Daniel Wong, David W Chang
After studying this article, the participant should be able to: 1. Describe current surgical techniques for treating primary and secondary lymphedema. 2. Optimize the surgical care of patients with lymphedema.
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Post Facelift Facial Paralysis: A 20-Year Experience. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2023-11-28 Tal Kaufman Goldberg, Elizabeth R McGonagle, Tessa A Hadlock
Facial nerve (FN) injury during a facelift is a relatively rare but potentially devastating complication. Despite extensive literature discussing facial nerve anatomy and danger zones, few studies describe detailed management, FN exploration intraoperative findings, and outcome following post-facelift facial paralysis (PFFP). We review a 20-year experience in managing iatrogenic PFFP.
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Determining Degree of Hypertrophy and Extent of Resection in Aesthetic Labia Minora Reduction: Technical Highlights and Step-by-Step Video Guide. Plast. Reconstr. Surg. (IF 3.6) Pub Date : 2023-11-28 Alexandre Mendonça Munhoz, Ary de Azevedo Marques Neto
Advances in aesthetic labia minora (LM) procedures have led to better results and fewer complications. Edge trim or wedge approaches are utilized, both of which use hidden incisions and preserve the edges of the LM. Since 1998 we have been performing a simple and reliable technique based on inferior wedge LM resection and superior pedicle flap reconstruction. While aesthetic LM reduction has been amply