Plastic Surgery International最新文献_第3页

Does Acellular Dermal Matrix Thickness Affect Complication Rate in Tissue Expander Based Breast Reconstruction? 脱细胞真皮基质厚度是否影响组织扩张器乳房重建的并发症发生率?

Plastic Surgery International Pub Date : 2016-01-01 Epub Date: 2016-04-12 DOI: 10.1155/2016/2867097

Jessica F Rose, Sarosh N Zafar, Warren A Ellsworth Iv

{"title":"Does Acellular Dermal Matrix Thickness Affect Complication Rate in Tissue Expander Based Breast Reconstruction?","authors":"Jessica F Rose, Sarosh N Zafar, Warren A Ellsworth Iv","doi":"10.1155/2016/2867097","DOIUrl":"https://doi.org/10.1155/2016/2867097","url":null,"abstract":"Background. While the benefits of using acellular dermal matrices (ADMs) in breast reconstruction are well described, their use has been associated with additional complications. The purpose of this study was to determine if ADM thickness affects complications in breast reconstruction. Methods. A retrospective chart review was performed including all tissue expander based breast reconstructions with AlloDerm (LifeCell, Branchburg, NJ) over 4 years. We evaluated preoperative characteristics and assessed postoperative complications including seroma, hematoma, infection, skin necrosis, and need for reintervention. We reviewed ADM thickness and time to Jackson-Pratt (JP) drain removal. Results. Fifty-five patients underwent 77 ADM-associated tissue expander based breast reconstructions, with average age of 48.1 years and average BMI of 25.9. Average ADM thickness was 1.21 mm. We found higher complication rates in the thick ADM group. Significant associations were found between smokers and skin necrosis (p < 0.0001) and seroma and prolonged JP drainage (p = 0.0004); radiated reconstructed breasts were more likely to suffer infections (p = 0.0085), and elevated BMI is a significant predictor for increased infection rate (p = 0.0037). Conclusion. We found a trend toward increased complication rates with thicker ADMs. In the future, larger prospective studies evaluating thickness may provide more information. ","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2016 ","pages":"2867097"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/2867097","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34390135","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: 21

Nose and Midface Augmentation by Rib Cartilage Grafts: Methods and Outcome in 32 Cases 肋软骨隆鼻术32例疗效观察

Plastic Surgery International Pub Date : 2015-12-10 DOI: 10.1155/2015/849802

A. Farouk, S. Ibrahiem

引用次数: 3

Stem Cell-Based Therapeutics to Improve Wound Healing 干细胞疗法改善伤口愈合

Plastic Surgery International Pub Date : 2015-11-15 DOI: 10.1155/2015/383581

Michael S. Hu, Tripp Leavitt, Samir Malhotra, D. Duscher, Michael S. Pollhammer, G. Walmsley, Z. Maan, Alexander T. M. Cheung, Manfred Schmidt, G. Huemer, M. Longaker, H. Lorenz

{"title":"Stem Cell-Based Therapeutics to Improve Wound Healing","authors":"Michael S. Hu, Tripp Leavitt, Samir Malhotra, D. Duscher, Michael S. Pollhammer, G. Walmsley, Z. Maan, Alexander T. M. Cheung, Manfred Schmidt, G. Huemer, M. Longaker, H. Lorenz","doi":"10.1155/2015/383581","DOIUrl":"https://doi.org/10.1155/2015/383581","url":null,"abstract":"Issues surrounding wound healing have garnered deep scientific interest as well as booming financial markets invested in novel wound therapies. Much progress has been made in the field, but it is unsurprising to find that recent successes reveal new challenges to be addressed. With regard to wound healing, large tissue deficits, recalcitrant wounds, and pathological scar formation remain but a few of our most pressing challenges. Stem cell-based therapies have been heralded as a promising means by which to surpass current limitations in wound management. The wide differentiation potential of stem cells allows for the possibility of restoring lost or damaged tissue, while their ability to immunomodulate the wound bed from afar suggests that their clinical applications need not be restricted to direct tissue formation. The clinical utility of stem cells has been demonstrated across dozens of clinical trials in chronic wound therapy, but there is hope that other aspects of wound care will inherit similar benefit. Scientific inquiry into stem cell-based wound therapy abounds in research labs around the world. While their clinical applications remain in their infancy, the heavy investment in their potential makes it a worthwhile subject to review for plastic surgeons, in terms of both their current and future applications.","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87328488","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: 40

Use of Lateral Calcaneal Flap for Coverage of Hindfoot Defects: An Anatomical Appraisal 使用外侧跟骨瓣覆盖后足缺损:解剖学评价

Plastic Surgery International Pub Date : 2015-11-11 DOI: 10.1155/2015/212757

Panagiotis Zygouris, A. Michalinos, V. Protogerou, E. Kotsiomitis, A. Mazarakis, I. Dimovelis, T. Troupis

引用次数: 2

Mandibular Ramus Fracture: An Overview of Rare Anatomical Subsite 下颌支骨折:罕见解剖亚区综述

Plastic Surgery International Pub Date : 2015-11-03 DOI: 10.1155/2015/954314

Anendd Jadhav, Bhushan P Mundada, Rahul V. Deshmukh, Umesh Bhutekar, A. Kala, Kapil Waghwani, Apoorva Mishra

{"title":"Mandibular Ramus Fracture: An Overview of Rare Anatomical Subsite","authors":"Anendd Jadhav, Bhushan P Mundada, Rahul V. Deshmukh, Umesh Bhutekar, A. Kala, Kapil Waghwani, Apoorva Mishra","doi":"10.1155/2015/954314","DOIUrl":"https://doi.org/10.1155/2015/954314","url":null,"abstract":"Aim. The present study aims at exemplifying the incidence, and aetiology and analyses the outcomes of open reduction internal fixation (ORIF) over closed treatment of mandibular ramus fractures. Patients and Method. In the present retrospective analysis of mandibular fracture patients, variables analysed were age, sex, cause of injury, pretreatment occlusion, treatment given, period of maxillo-mandibular fixation (MMF), and posttreatment occlusion. Results. Out of 388 mandibular fractures treated, ramus fractures were 12 (3.09%). In the present study, predominant cause of mandibular ramus fracture was road traffic accident (RTA) n = 07 (58.33%) followed by fall n = 04 (33.33%) and assault n = 1 (8.33%). The average age was 35.9 years with a male predilection. Of these, 9 patients were treated with ORIF while remaining 3 with closed treatment. The average MMF after closed treatment was 21 days and 3 to 5 days after ORIF. There was improvement in occlusion in all 12 patients posttreatment with no major complication except for reduced mouth opening in cases treated with ORIF which recovered with physiotherapy and muscle relaxants. Conclusion. Mandibular ramus fractures accounted for 3.09% with RTA as a common aetiology. ORIF of ramus fractures facilitated adequate functional and anatomic reduction with early return of function.","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84061961","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: 19

Telemedicine and Plastic Surgery: A Pilot Study 远程医疗和整形外科:一项试点研究

Plastic Surgery International Pub Date : 2015-11-02 DOI: 10.1155/2015/187505

D. S. Valente, Luciano Silveira Eifler, L. A. Carvalho, G. P. Filho, Vinicius Weissheimer Ribeiro, A. Padoin

{"title":"Telemedicine and Plastic Surgery: A Pilot Study","authors":"D. S. Valente, Luciano Silveira Eifler, L. A. Carvalho, G. P. Filho, Vinicius Weissheimer Ribeiro, A. Padoin","doi":"10.1155/2015/187505","DOIUrl":"https://doi.org/10.1155/2015/187505","url":null,"abstract":"Background. Telemedicine can be defined as the use of electronic media for transmission of information and medical data from one site to another. The objective of this study is to demonstrate an experience of telemedicine in plastic surgery. Methods. 32 plastic surgeons received a link with password for real-time streaming of a surgery. At the end of the procedure, the surgeons attending the procedure by the Internet answered five questions. The results were analyzed with descriptive statistics. Results. 27 plastic surgeons attended the online procedure in real-time. 96.3% considered the access to the website as good or excellent and 3.7% considered it bad. 14.8% reported that the transmission was bad and 85.2% considered the quality of transmission as good or excellent. 96.3% classified the live broadcasting as a good or excellent learning experience and 3.7% considered it a bad experience. 92.6% reported feeling able to perform this surgery after watching the demo and 7.4% did not feel able. 100% of participants said they would like to participate in other surgical demonstrations over the Internet. Conclusion. We conclude that the use of telemedicine can provide more access to education and medical research, for plastic surgeons looking for medical education from distant regions.","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84096221","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: 15

Sociodemographic Predictors of Breast Reconstruction Procedure Choice: Analysis of the Mastectomy Reconstruction Outcomes Consortium Study Cohort 乳房重建手术选择的社会人口学预测因素:乳房切除术重建结果联合研究队列分析

Plastic Surgery International Pub Date : 2015-10-29 DOI: 10.1155/2015/150856

Tiffany N. S. Ballard, Yeonil Kim, Wess A. Cohen, J. Hamill, Adeyiza O. Momoh, A. Pusic, H. Myra Kim, E. Wilkins

{"title":"Sociodemographic Predictors of Breast Reconstruction Procedure Choice: Analysis of the Mastectomy Reconstruction Outcomes Consortium Study Cohort","authors":"Tiffany N. S. Ballard, Yeonil Kim, Wess A. Cohen, J. Hamill, Adeyiza O. Momoh, A. Pusic, H. Myra Kim, E. Wilkins","doi":"10.1155/2015/150856","DOIUrl":"https://doi.org/10.1155/2015/150856","url":null,"abstract":"Background. To promote patient-centered care, it is important to understand the impact of sociodemographic factors on procedure choice for women undergoing postmastectomy breast reconstruction. In this context, we analyzed the effects of these variables on the reconstructive method chosen. Methods. Women undergoing postmastectomy breast reconstruction were recruited for the prospective Mastectomy Reconstruction Outcomes Consortium Study. Procedure types were divided into tissue expander-implant/direct-to-implant and abdominally based flap reconstructions. Adjusted odds ratios were calculated from logistic regression. Results. The analysis included 2,203 women with current or previous breast cancer and 202 women undergoing prophylactic mastectomy. Compared with women <40 years old with current or previous breast cancer, those 40 to 59 were significantly more likely to undergo an abdominally based flap. Women working or attending school full-time were more likely to receive an autologous procedure than those working part-time or volunteering. Women undergoing prophylactic mastectomy who were ≥50 years were more likely to undergo an abdominal flap compared to those <40. Conclusions. Our results indicate that sociodemographic factors affect the reconstructive procedure received. As we move forward into a new era of patient-centered care, providing tailored treatment options to reconstruction patients will likely lead to higher satisfaction and better outcomes for those we serve.","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89458952","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: 9

Free flap transfer to preserve main arterial flow in early reconstruction of open fracture in the lower extremity. 自由皮瓣转移在下肢开放性骨折早期重建中保留主动脉血流。

Plastic Surgery International Pub Date : 2015-01-01 Epub Date: 2015-03-12 DOI: 10.1155/2015/213892

Mitsuru Nemoto, Shinsuke Ishikawa, Natsuko Kounoike, Takayuki Sugimoto, Akira Takeda

{"title":"Free flap transfer to preserve main arterial flow in early reconstruction of open fracture in the lower extremity.","authors":"Mitsuru Nemoto, Shinsuke Ishikawa, Natsuko Kounoike, Takayuki Sugimoto, Akira Takeda","doi":"10.1155/2015/213892","DOIUrl":"https://doi.org/10.1155/2015/213892","url":null,"abstract":"The selection of recipient vessels is crucial when reconstructing traumatized lower extremities using a free flap. When the dorsalis pedis artery and/or posterior tibial artery cannot be palpated, we utilize computed tomography angiography to verify the site of vascular injury prior to performing free flap transfer. For vascular anastomosis, we fundamentally perform end-to-side anastomosis or flow-through anastomosis to preserve the main arterial flow. In addition, in open fracture of the lower extremity, we utilize the anterolateral thigh flap for moderate soft tissue defects and the latissimus dorsi musculocutaneous flap for extensive soft tissue defects. The free flaps used in these two techniques are long and include a large-caliber pedicle, and reconstruction can be performed with either the anterior or posterior tibial artery. The preparation of recipient vessels is easier during the acute phase early after injury, when there is no influence of scarring. A free flap allows flow-through anastomosis and is thus optimal for open fracture of the lower extremity that requires simultaneous reconstruction of main vessel injury and soft tissue defect from the middle to distal thirds of the lower extremity. ","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2015 ","pages":"213892"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/213892","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33206385","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: 11

The versatility of autologous fat transplantation in correction of facial deformities: a single-center experience. 自体脂肪移植在面部畸形矫正中的多功能性:单中心经验。

Plastic Surgery International Pub Date : 2015-01-01 Epub Date: 2015-03-03 DOI: 10.1155/2015/703535

Niels Hammer-Hansen, Javed Akram, Tine Engberg Damsgaard

引用次数: 13

Analysis of Complications in Postbariatric Abdominoplasty: Our Experience. 肥胖后腹部成形术并发症分析:我们的经验。

Plastic Surgery International Pub Date : 2015-01-01 Epub Date: 2015-07-12 DOI: 10.1155/2015/209173

Michele Grieco, Eugenio Grignaffini, Francesco Simonacci, Edoardo Raposio

{"title":"Analysis of Complications in Postbariatric Abdominoplasty: Our Experience.","authors":"Michele Grieco, Eugenio Grignaffini, Francesco Simonacci, Edoardo Raposio","doi":"10.1155/2015/209173","DOIUrl":"https://doi.org/10.1155/2015/209173","url":null,"abstract":"Abdominoplasty is one of the most popular body-contouring procedures. It is associated with a significant number of complications: the most common ones are seroma, hematoma, infection, wound-healing problems, and skin flap necrosis. From January 2012 to December 2014, 25 patients (18 women and 7 men) (mean age: 51 years) underwent abdominoplastic surgery at the Plastic Surgery Section, Department of Surgical Sciences, University of Parma, Italy. All patients reported a weight loss between 15 kg and 47 kg. All of the of 25 patients were included in the study; minor and major complications were seen in 17 (68%) and 8 (32%) patients, respectively. The percentage of complications in our patients was as follows: 9 patients with seroma (36%); 4 patients with wound dehiscence with delayed wound healing (16%); 3 cases with hematoma (12%); 2 patients with postoperative bleeding (8%); 1 patient (4%) with an umbilical necrosis; 1 patient (4%) with a deep vein thrombosis; 3 patients with infected seroma (12%); and 2 patients with wound infection (8%). There were no cases of postoperative mortality. The aim of this study is to analyze our complications in postbariatric abdominoplasty. ","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2015 ","pages":"209173"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/209173","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33889305","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: 33