Plastic Surgery International最新文献_第2页

Therapeutic Options of Chondrodermatitis Nodularis Helicis 螺旋结节性软骨皮炎的治疗选择

Plastic Surgery International Pub Date : 2016-01-27 DOI: 10.1155/2016/4340168

Lea Juul Nielsen, Caroline Holkmann Olsen, J. Lock‐Andersen

引用次数: 11

The Role of Current Techniques and Concepts in Peripheral Nerve Repair 当前技术和概念在周围神经修复中的作用

Plastic Surgery International Pub Date : 2016-01-20 DOI: 10.1155/2016/4175293

K. Houschyar, A. Momeni, M. Pyles, J. Cha, Z. Maan, D. Duscher, O. S. Jew, F. Siemers, J. Schoonhoven

引用次数: 88

Nasal Septal Deviations: A Systematic Review of Classification Systems 鼻中隔偏曲:分类系统综述

Plastic Surgery International Pub Date : 2016-01-11 DOI: 10.1155/2016/7089123

Jeffrey C Teixeira, V. Certal, Edward T. Chang, M. Camacho

{"title":"Nasal Septal Deviations: A Systematic Review of Classification Systems","authors":"Jeffrey C Teixeira, V. Certal, Edward T. Chang, M. Camacho","doi":"10.1155/2016/7089123","DOIUrl":"https://doi.org/10.1155/2016/7089123","url":null,"abstract":"Objective. To systematically review the international literature for internal nasal septal deviation classification systems and summarize them for clinical and research purposes. Data Sources. Four databases (including PubMed/MEDLINE) were systematically searched through December 16, 2015. Methods. Systematic review, adhering to PRISMA. Results. After removal of duplicates, this study screened 952 articles for relevance. A final comprehensive review of 50 articles identified that 15 of these articles met the eligibility criteria. The classification systems defined in these articles included C-shaped, S-shaped, reverse C-shaped, and reverse S-shaped descriptions of the septal deviation in both the cephalocaudal and anteroposterior dimensions. Additional studies reported use of computed tomography and categorized deviation based on predefined locations. Three studies graded the severity of septal deviations based on the amount of deflection. The systems defined in the literature also included an evaluation of nasal septal spurs and perforations. Conclusion. This systematic review ascertained that the majority of the currently published classification systems for internal nasal septal deviations can be summarized by C-shaped or reverse C-shaped, as well as S-shaped or reverse S-shaped deviations in the anteroposterior and cephalocaudal dimensions. For imaging studies, predefined points have been defined along the septum. Common terminology can facilitate future research.","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"102 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85820953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 68

Maximizing Outcomes While Minimizing Morbidity: An Illustrated Case Review of Elbow Soft Tissue Reconstruction. 最大限度地提高疗效，同时降低发病率:肘部软组织重建的一个病例回顾。

Plastic Surgery International Pub Date : 2016-01-01 Epub Date: 2016-05-29 DOI: 10.1155/2016/2841816

Adrian Ooi, Jonathan Ng, Christopher Chui, Terence Goh, Bien Keem Tan

{"title":"Maximizing Outcomes While Minimizing Morbidity: An Illustrated Case Review of Elbow Soft Tissue Reconstruction.","authors":"Adrian Ooi, Jonathan Ng, Christopher Chui, Terence Goh, Bien Keem Tan","doi":"10.1155/2016/2841816","DOIUrl":"https://doi.org/10.1155/2016/2841816","url":null,"abstract":"Background. Injuries to the elbow have led to consequences varying from significant limitation in function to loss of the entire upper limb. Soft tissue reconstruction with durable and pliable coverage balanced with the ability to mobilize the joint early to optimize rehabilitation outcomes is paramount. Methods. Methods of flap reconstruction have evolved from local and pedicled flaps to perforator-based flaps and free tissue transfer. Here we performed a review of 20 patients who have undergone flap reconstruction of the elbow at our institution. Discussion. 20 consecutive patients were identified and included in this study. Flap types include local (n = 5), regional pedicled (n = 7), and free (n = 8) flaps. The average size of defect was 138 cm(2) (range 36-420 cm(2)). There were no flap failures in our series, and, at follow-up, the average range of movement of elbow flexion was 100°. Results. While the pedicled latissimus dorsi flap is the workhorse for elbow soft tissue coverage, advancements in microvascular knowledge and surgery have brought about great benefit, with the use of perforator flaps and free tissue transfer for wound coverage. Conclusion. We present here our case series on elbow reconstruction and an abbreviated algorithm on flap choice, highlighting our decision making process in the selection of safe flap choice for soft tissue elbow reconstruction. ","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2016 ","pages":"2841816"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/2841816","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34585621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Defining the Best Nasal Tip Projection among Iranian Women. 定义伊朗女性最佳鼻尖突出。

Plastic Surgery International Pub Date : 2016-01-01 Epub Date: 2016-05-16 DOI: 10.1155/2016/8549276

Alireza Mohebbi, Hesam Jahandideh, Zhaleh Faham, Morteza Jafari

{"title":"Defining the Best Nasal Tip Projection among Iranian Women.","authors":"Alireza Mohebbi, Hesam Jahandideh, Zhaleh Faham, Morteza Jafari","doi":"10.1155/2016/8549276","DOIUrl":"https://doi.org/10.1155/2016/8549276","url":null,"abstract":"Rhinoplasty is one of the most complicated aesthetic surgeries. One important factor in nasal profile analysis before surgery is the NTP (Nasal Tip Projection). There has been controversy over defining the best tip projection and due to cultural differences there is a need to find the best formulation for Iranian noses. We selected 50 randomized patients. Lateral nasal views were captured from all of the patients. In order to equalize the photos, all tip rotations changed first to 105. We selected four methods for measuring NTP (Goode, Crumley 1, Crumley 2, and Powell and Humphreys). Based on these methods NTP was shown in four pictures. A questionnaire was designed for rating the pictures. Questionnaires were filled in by 3 different groups: rhinoplasty surgeons, general people, and artists. A total of 73 questionnaires were filled in. The analysis and comparison were done. Crumley 2 is the best NTP measurement method from the surgeons' and artists' view. Goode is the method preferred by general people. Powell & Humphreys method seems to be the worst method from all 3 groups' view. It seems that general people prefer smaller noses, because projection in Goode method is almost less than Crumley 2. ","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2016 ","pages":"8549276"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/8549276","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34473654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Predictors of Nasal Obstruction: Quantification and Assessment Using Multiple Grading Scales. 鼻塞的预测因素:使用多重分级量表进行量化和评估。

Plastic Surgery International Pub Date : 2016-01-01 Epub Date: 2016-05-16 DOI: 10.1155/2016/6945297

Macario Camacho, Soroush Zaghi, Victor Certal, Jose Abdullatif, Rahul Modi, Shankar Sridhara, Anthony M Tolisano, Edward T Chang, Benjamin B Cable, Robson Capasso

{"title":"Predictors of Nasal Obstruction: Quantification and Assessment Using Multiple Grading Scales.","authors":"Macario Camacho, Soroush Zaghi, Victor Certal, Jose Abdullatif, Rahul Modi, Shankar Sridhara, Anthony M Tolisano, Edward T Chang, Benjamin B Cable, Robson Capasso","doi":"10.1155/2016/6945297","DOIUrl":"https://doi.org/10.1155/2016/6945297","url":null,"abstract":"Unlabelled: Objective. To evaluate the association between nasal obstruction and (1) demographic factors, (2) medical history, (3) physical tests, and (4) nasal exam findings. Study Design.Case series: Methods. Chart review at a tertiary medical center. Results. Two hundred-forty consecutive patients (52.1 ± 17.5 years old, with a Nasal Obstruction Symptom Evaluation (NOSE) score of 32.0 ± 24.1) were included. Demographic factors and inferior turbinate sizes were not associated with NOSE score or Nasal Obstruction Visual Analog Scale (NO-VAS). A significant association was found between higher NOSE score on univariate analysis and positive history of nasal trauma (p = 0.0136), allergic rhinitis (p < 0.0001), use of nasal steroids (p = 0.0108), higher grade of external nasal deformity (p = 0.0149), higher internal nasal septal deviation grade (p = 0.0024), and narrow internal nasal valve angle (p < 0.0001). Multivariate analysis identified the following as independent predictors of high NOSE score: NO-VAS: ≥50 (Odds Ratio (OR) = 17.6 (95% CI 5.83-61.6), p < 0.0001), external nasal deformity: grades 2-4 (OR = 4.63 (95% CI 1.14-19.9), p = 0.0339), and allergic rhinitis: yes (OR = 5.5 (95% CI 1.77-18.7), p = 0.0041). Conclusion. Allergic rhinitis, NO-VAS score ≥ 50, and external nasal deformity (grades 2-4) were statistically significant independent predictors of high NOSE scores on multivariate analysis. Inferior turbinate size was not associated with NOSE scores or NO-VAS.","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2016 ","pages":"6945297"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/6945297","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34462645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 16

A Fast-Track Referral System for Skin Lesions Suspicious of Melanoma: Population-Based Cross-Sectional Study from a Plastic Surgery Center. 可疑黑色素瘤皮肤病变的快速转诊系统:来自整形外科中心的基于人群的横断面研究。

Plastic Surgery International Pub Date : 2016-01-01 Epub Date: 2016-07-20 DOI: 10.1155/2016/2908917

Reem Dina Jarjis, Lone Bak Hansen, Steen Henrik Matzen

{"title":"A Fast-Track Referral System for Skin Lesions Suspicious of Melanoma: Population-Based Cross-Sectional Study from a Plastic Surgery Center.","authors":"Reem Dina Jarjis, Lone Bak Hansen, Steen Henrik Matzen","doi":"10.1155/2016/2908917","DOIUrl":"https://doi.org/10.1155/2016/2908917","url":null,"abstract":"Introduction. To minimize delay between presentation, diagnosis, and treatment of cutaneous melanoma (CM), a national fast-track referral system (FTRS) was implemented in Denmark. The aim of this study was to analyze the referral patterns to our department of skin lesions suspicious of melanoma in the FTRS. Methods. Patients referred to the Department of Plastic Surgery and Breast Surgery in Zealand University Hospital were registered prospectively over a 1-year period in 2014. A cross-sectional study was performed analyzing referral patterns, including patient and tumor characteristics. Results. A total of 556 patients were registered as referred to the center in the FTRS for skin lesions suspicious of melanoma. Among these, a total of 312 patients (56.1%) were diagnosed with CM. Additionally, 41 (7.4%) of the referred patients were diagnosed with in situ melanoma. Conclusion. In total, 353 (63.5%) patients had a malignant or premalignant melanocytic skin lesion. When only considering patients who where referred without a biopsy, the diagnostic accuracy for GPs and dermatologists was 29% and 45%, respectively. We suggest that efforts of adequate training for the referring physicians in diagnosing melanocytic skin lesions will increase diagnostic accuracy, leading to larger capacity in secondary care for the required treatment of malignant skin lesions. ","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2016 ","pages":"2908917"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/2908917","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34307454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Growth Hormone-Releasing Peptide 6 Enhances the Healing Process and Improves the Esthetic Outcome of the Wounds. 生长激素释放肽6促进愈合过程，改善伤口的美观效果。

Plastic Surgery International Pub Date : 2016-01-01 Epub Date: 2016-04-20 DOI: 10.1155/2016/4361702

Yssel Mendoza Marí, Maday Fernández Mayola, Ana Aguilera Barreto, Ariana García Ojalvo, Yilian Bermúdez Alvarez, Ana Janet Mir Benítez, Jorge Berlanga Acosta

{"title":"Growth Hormone-Releasing Peptide 6 Enhances the Healing Process and Improves the Esthetic Outcome of the Wounds.","authors":"Yssel Mendoza Marí, Maday Fernández Mayola, Ana Aguilera Barreto, Ariana García Ojalvo, Yilian Bermúdez Alvarez, Ana Janet Mir Benítez, Jorge Berlanga Acosta","doi":"10.1155/2016/4361702","DOIUrl":"https://doi.org/10.1155/2016/4361702","url":null,"abstract":"In addition to its cytoprotective effects, growth hormone-releasing peptide 6 (GHRP-6) proved to reduce liver fibrotic induration. CD36 as one of the GHRP-6 receptors appears abundantly represented in cutaneous wounds granulation tissue. The healing response in a scenario of CD36 agonistic stimulation had not been previously investigated. Excisional full-thickness wounds (6 mmØ) were created in the dorsum of Wistar rats and topically treated twice a day for 5 days. The universal model of rabbit's ears hypertrophic scars was implemented and the animals were treated daily for 30 days. Treatments for both species were based on a CMC jelly composition containing GHRP-6 400 μg/mL. Wounds response characterization included closure dynamic, RT-PCR transcriptional profile, histology, and histomorphometric procedures. The rats experiment indicated that GHRP-6 pharmacodynamics involves attenuation of immunoinflammatory mediators, their effector cells, and the reduction of the expression of fibrotic cytokines. Importantly, in the hypertrophic scars rabbit's model, GHRP-6 intervention dramatically reduced the onset of exuberant scars by activating PPARγ and reducing the expression of fibrogenic cytokines. GHRP-6 showed no effect on the reversion of consolidated lesions. This evidence supports the notion that CD36 is an active and pharmacologically approachable receptor to attenuate wound inflammation and accelerate its closure so as to improve wound esthetic. ","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2016 ","pages":"4361702"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/4361702","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34566503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Bilateral Breast Reconstruction with Abdominal Free Flaps: A Single Centre, Single Surgeon Retrospective Review of 55 Consecutive Patients. 用腹部游离皮瓣重建双侧乳房:单一中心，单一外科医生对55例连续患者的回顾性分析。

Plastic Surgery International Pub Date : 2016-01-01 Epub Date: 2016-07-18 DOI: 10.1155/2016/6085624

Peter McAllister, Isabel Teo, Kuen Chin, Boikanyo Makubate, David Alexander Munnoch

{"title":"Bilateral Breast Reconstruction with Abdominal Free Flaps: A Single Centre, Single Surgeon Retrospective Review of 55 Consecutive Patients.","authors":"Peter McAllister, Isabel Teo, Kuen Chin, Boikanyo Makubate, David Alexander Munnoch","doi":"10.1155/2016/6085624","DOIUrl":"https://doi.org/10.1155/2016/6085624","url":null,"abstract":"Breast reconstruction using free tissue transfer is an increasingly utilised oncoplastic procedure. The aim was to review all bilateral breast reconstructions using abdominal free flaps by a single surgeon over an 11-year period (2003-2014). A retrospective review was performed on all patients who underwent bilateral breast reconstruction using abdominal free flaps between 2003 and 2014 by the senior author (DAM). Data analysed included patient demographics, indication for reconstruction, surgical details, and complications. Fifty-five female patients (mean 48.6 years [24-71 years]) had bilateral breast reconstruction. The majority (41, 74.5%) underwent immediate reconstruction and DIEP flaps were utilised on 41 (74.5%) occasions. Major surgical complications occurred in 6 (10.9%) patients, all of which were postoperative vascular compromise of the flap. Failure to salvage the reconstruction occurred on 3 (5.5%) occasions resulting in a total flap failure rate of 2.7%. Obesity (>30 kg/m(2)) and age > 60 years were shown to have a statistically increased risk of developing postoperative complications (P < 0.05). Our experience demonstrates that abdominal free flaps for bilateral breast reconstruction fares well, with a flap failure rate of 2.7%. Increased body mass index and patient age (>60 years) were associated with higher complication rates. ","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2016 ","pages":"6085624"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/6085624","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34740530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 15

Does the Use of Intraoperative Breast Sizers Increase Complication Rates in Primary Breast Augmentation? A Retrospective Analysis of 416 Consecutive Cases in a Single Institution. 术中使用乳房尺寸仪会增加初次隆胸的并发症吗?对同一医院416例连续病例的回顾性分析。

Plastic Surgery International Pub Date : 2016-01-01 Epub Date: 2016-03-22 DOI: 10.1155/2016/6584810

Lee Seng Khoo, Henrique N Radwanski, Vasco Senna-Fernandes, Nsingi Nsosolo Antônio, Leonardo Luiz Fernandes Fellet, Ivo Pitanguy

{"title":"Does the Use of Intraoperative Breast Sizers Increase Complication Rates in Primary Breast Augmentation? A Retrospective Analysis of 416 Consecutive Cases in a Single Institution.","authors":"Lee Seng Khoo, Henrique N Radwanski, Vasco Senna-Fernandes, Nsingi Nsosolo Antônio, Leonardo Luiz Fernandes Fellet, Ivo Pitanguy","doi":"10.1155/2016/6584810","DOIUrl":"https://doi.org/10.1155/2016/6584810","url":null,"abstract":"Background. Is the use of intraoperative breast sizers beneficial for plastic surgeons or do they result in higher complication rates? Methods. This is a retrospective study of 416 consecutive cases of primary breast augmentation with silicone implants at the Plastic Surgery Service of Professor Ivo Pitanguy at the 38th Infirmary Santa Casa Misericórdia Hospital, Rio De Janeiro, from January 2011 to March 2014. 212 cases (51%) were carried out with use of intraoperative breast sizers with 204 cases (49%) without the use of implant sizers. This study compares the outcome of cases that employed the use of intraoperative implant sizers versus those that did not in terms of infection, hematoma/seroma formation, and capsular contracture. Results. Of 416 primary breast augmentation cases, there were 5 cases of infection (1.2%), 4 cases of seroma (1%), 3 cases of hematoma (0.7%), and 7 cases of capsular contracture (Baker's Grade III/IV)(1.7%). Total complication rate limited to infection, seroma, hematoma, and capsular contracture was 1.15% (95% CI 0.96-1.93%). There was a significant difference in the scores for breast sizers (M = 4.3, SD = 1.4) and no breast sizers (M = 2.3, SD = 0.87) conditions, t(8) = 2.79, p = 0.018. The use of implant sizers was correlated with a higher complication rate. Conclusion. Good results could be obtained without the use of breast sizers in primary breast augmentation with use of a biodimensional tissue based planning system while eliminating risks of infection and reducing intraoperative time. Notwithstanding, in a residency program breast sizers can be an excellent training tool to shorten the learning curve in the novice surgeon. ","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2016 ","pages":"6584810"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/6584810","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34473347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10