The Internet Journal of Plastic Surgery最新文献

{"title":"The Golden Proportion: Key To The Secret Of Beauty","authors":"S. Saraf, P. Saraf","doi":"10.5580/2ce6","DOIUrl":"https://doi.org/10.5580/2ce6","url":null,"abstract":"The Golden Proportion, a mathematical ratio, represents beauty, harmony and balance in physical form. Over the centuries, this geometric constant has influenced architecture, biological systems, mathematics and art. This ratio is believed to hold the key to the secret of beauty and finds its representation in innumerous natural and manmade masterpieces. The paper discusses various aspects of this ratio and their relevance in human aesthetics.","PeriodicalId":284795,"journal":{"name":"The Internet Journal of Plastic Surgery","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129406637","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}

{"title":"Radial Artery And Cephalic Vein Interposition Graft To Salvage A DIEP Flap And Prevent No-Flow Phenomenon: A Case Report And Literature Review.","authors":"P. Moradi, P. Hedén","doi":"10.5580/2c97","DOIUrl":"https://doi.org/10.5580/2c97","url":null,"abstract":"Autologous tissue from the lower abdomen represents the optimal method for delayed breast reconstruction in the previously irradiated chest, as these flaps are capable of reproducing a reconstructed breast that approximates the shape, volume, softness and ptosis of the native breast.1 Unfortunately, delayed breast reconstruction in the setting of previous postmastectomy radiotherapy has been shown to have a higher complication rate2,3 due the soft-tissue sequelae caused by radiation including tissue fibrosis, edema and vasculitis which can interfere with healing of the reconstructed breast and can injure the internal mammary vessels increasing the risk of intraoperative and postoperative microvascular anastomotic complications.We present the relevant literature review and a case where a deep inferior epigastric perforator (DIEP) flap was not only salvaged with a radial artery vascular pedicle conduit graft, but fat cell damage was minimized by prompt revascularisation of flap to the arm. 1 Baumann DP, Lin HY, Chevray PM. Perforator number predicts fat necrosis in a prospective analysis of breast reconstruction with free TRAM, DIEP and SIEA flaps. Plast Reconstr Surg. 2010;125:1335-1341. 2 Tran NV, Chang DW, Gupta A, Kroll SS, Robb GL. Comparison of immediate and delayed TRAM flap breast reconstruction in patients receiving postmastectomy radiation therapy. Plast Reconstr Surg. 2001;108:78-82. 3 Kronowitz SJ, Robb GL. Breast reconstruction with postmastectomy radiation therapy: Current issues. Plast Reconstr Surg. 2004; 114:950-960.","PeriodicalId":284795,"journal":{"name":"The Internet Journal of Plastic Surgery","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128438451","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}

{"title":"How to do an “Adelaide Tension Suture”","authors":"C. Brumfitt, Y. Puan, A. Jay, J. Ooi, Natalie Parker, L. Main, M. Lloyd, John Miller, K. Moretti, R. Mahajani, D. Spernat","doi":"10.5580/2c96","DOIUrl":"https://doi.org/10.5580/2c96","url":null,"abstract":"Tension sutures are most often used after emergency midline laparotomy where the nature of the intra-abdominal pathology can lead to gut oedema with resultant difficulty in closure of the wound. They are primarily used for wounds thought to have an increased risk of dehiscence. The sutures are placed 3-5cm apart and are inserted to encompass a large amount of fascial tissue. Their use is controversial as they can be uncomfortable for the patient and often result in a poor cosmetic effect (Figure 1, 2).","PeriodicalId":284795,"journal":{"name":"The Internet Journal of Plastic Surgery","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115380889","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}

{"title":"Cranioplasty For Craniosynostosis In The Negev: Our Experience And Surgical Concepts And Early Post Operative Results","authors":"E. Silberstein, O. Pérez, T. Silberstein, L. Rosenberg, A. Cohen","doi":"10.5580/2b39","DOIUrl":"https://doi.org/10.5580/2b39","url":null,"abstract":"Introduction: Craniosynostosis is characterized by early fusion of cranial sutures resulting in a variety of structural phenotypes and neurological sequelae due to alteration in cranial volume and restriction of brain growth. Tessier introduced the modern concept of cranioplasty that included wide subperiosteal exposure of cranial vault and orbits complete separation and reposition of large parts of the skull including the orbits. The goal of this study is to describe our experience with surgical correction of craniosynostosis with its operative and early post-operative course and complications.Materials and methods: This is a retrospectives chart review of the first 62 consecutive children that underwent surgical cranioplasty for craniosynostosis at Soroka university medical center between Jan 1991 and Dec 2005. Results: Our surgical technique for each type of craniosynostosis is described as well as intra-operative and post-operative early complications. 57 out of 62 patients had isolated craniosynostosis. There was no gender difference with regarding to presence of synostosis or suture involvement. We had one case of intra-operative death. Six cases of significant complications including one CSF leak, one infection that required drainage, one case of transient leg ischemia and two cases of hematoma, 10 cases of minor complications and 46 cases with no complications. All patients required blood transfusion. Conclusion: cranioplasty for craniosynostosis is a safe procedure but it should be practiced in dedicated centers with advanced intra and post-operative monitoring and intensive care facilities with personnel experienced in these type of procedures.","PeriodicalId":284795,"journal":{"name":"The Internet Journal of Plastic Surgery","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124916416","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}

{"title":"Lipoma Arising on the Sole of the Foot","authors":"T. Ueno, S. Ansai, Y. Matsuoka, T. Omi, S. Kawana","doi":"10.5580/2c98","DOIUrl":"https://doi.org/10.5580/2c98","url":null,"abstract":"This report describes a case of a common tumor in an uncommon location. Lipoma rarely occurs in the foot, even though it nevertheless represents the most common soft tissue neoplasm. A 42-year-old male presented with a ten-year history of a lipoma on the sole of the foot. Repeated mechanical stress at the site probably led to the development of the lesion.","PeriodicalId":284795,"journal":{"name":"The Internet Journal of Plastic Surgery","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125910357","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}

{"title":"Temperatures Achieved During The Heating Of Cooking Oil In Chip-Pans","authors":"Melissa K Whalan, A. Amir, Luke Spencer, N. Solanki, M. Wagstaff, J. Greenwood","doi":"10.5580/2bfa","DOIUrl":"https://doi.org/10.5580/2bfa","url":null,"abstract":"Objectives To investigate aspects of chip-pan design which might lead to hot oil scald injury during cooking. To ascertain whether there is a need for safety information aimed at the general public to encourage primary prevention. Materials and Methods Two previously un-used 'chip-pans' were filled with fresh vegetable oil and heated over a gas-heated hotplate. Temperature measurements were taken using an infrared thermometer with laser sight at 1-minute intervals of the cooking oil, the external surface of the pan and the handles of both the pan itself and the inner chip basket.Results Between January 1996 and January 2010, 247 patients were admitted to the Adult Burn Centre of the Royal Adelaide Hospital with burns due to hot oil scalds sustained in the home. Experimentally, the oil temperature reached a plateau of 240-260°C. At this time, the temperature of the long handle of pan 1 ranged from 90-120°C. The shorter 'alternative' handle reached temperatures as high as 193°C. The handles of pan 2 ranged from 40-60°C.Conclusions In the absence of a chip-pan fire, pan-handles can become too hot to hold without protection. Attempts to move a blazing chip-pan from the stove-top to outdoors are likely to result in dropping the pan and/or spillage of the oil and severe burn injury (as well as the risk of the fire spreading). Admission numbers mandate public awareness campaigns and the promotion of fire blanket purchase.","PeriodicalId":284795,"journal":{"name":"The Internet Journal of Plastic Surgery","volume":"384 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124769710","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}

{"title":"Technical Innovation: Intra-Operative Obturator For Nasal Lining With Skin Graft","authors":"E. Silberstein, B. Joshua, Y. Shoham, M. Puterman","doi":"10.5580/2b5a","DOIUrl":"https://doi.org/10.5580/2b5a","url":null,"abstract":"Squamous cell carcinoma, arising in nasal mucosa, is rare and is estimated to be less than 1% of cases of head and neck cancer. Surgical treatment for aggressive intranasal squamous cell carcinoma (SCC) requires a multidisciplinary team approach to ensure optimal patient outcomes. Surgical procedures for the removal of intranasal malignancies may include rhinectomy, palatectomy, and maxillectomy. These procedures leave patients with significant facial defects. However, in rare cases surgery may preserve nasal skin. In these cases, one needs to reconstruct nasal lining and support. Complex nasal reconstruction is often staged and therefore may delay complementary oncologic therapy [1,2]. As a rule, we would initially like to keep reconstruction as simple as possible, while preserving valuable tissue from scaring and shrinkage due to radiotherapy. Lining the nose with a full-thickness skin graft may serve this purpose well [3,4]. In order to assist skin graft adherence in the immediate post operative stage as well as prevent later shrinkage, we constructed a nasal obturator.","PeriodicalId":284795,"journal":{"name":"The Internet Journal of Plastic Surgery","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131673411","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}

{"title":"T Tail Configuration Of Opsite On Suction Tubing Outlet For Modified Vacuum Assisted Closure.","authors":"S. Ram, Siddha K Loka Vijayan, A. Kini","doi":"10.5580/2cb6","DOIUrl":"https://doi.org/10.5580/2cb6","url":null,"abstract":"Many modified vacuum assisted closure methods have been proposed as an alternative to original VAC which are simple and cost-effective. M Singh et al has proposed the idea of a poor man’s VAC (1-2). We would like to suggest few modifications in the methodology considering which will improve the efficiency of poor man’s VAC. The port of exit of the suction tubing from the dressing remains a potential site of leakage. For the use of non electrical suction devices it is necessary to have complete leak proof dressing. Every attempt has to be made to minimize the leak. We recommend Ttailing of suction tubing which prevents leakage significantly from our experience. INTRODUCTION Many modified vacuum assisted closure methods have been proposed as an alternative to original VAC which are simple and cost-effective. M Singh et al has proposed the idea of a poor man’s VAC (1-2). We would like to suggest few modifications in the methodology considering which will improve the efficiency of poor man’s VAC. The port of exit of the suction tubing from the dressing remains a potential site of leakage. For the use of non electrical suction devices it is necessary to have complete leak proof dressing. Every attempt has to be made to minimize the leak. We recommend Ttailing of suction tubing which prevents leakage significantly from our experience. METHODOLOGY The opsite is applied in such a manner that the tubing is lifted one to two inches beyond the edge of the wound by the assistant, and the opsite is adhered to the whole circumference of the tubing and opposing beneath the suction tubing by the applicant in a key hole fashion creating an air tight seal towards the periphery. The “wings” of the opsite is adhered to the skin surface. Now the cross section appears a T shape (Figure 1 ). When this procedure is not performed there is always a chance of peritubal leak from the triangular dead space area tracking along the tubing into the wound especially when the opsite is streched. This procedure prevents the leakage and the efficiency of modified VAC remains same for varying size of tubing. This process is similar to creation of witzel tube for feeding jejunostomy. Figure 1 Figure 1. (T tail configuration in different views ) ADVANTAGES Avoids tunneling through the tissue as much as possible preventing the tissue damage and risk of spread of infection. Change of tubing easily, frequently with every change of dressing Avoiding pain and discomfort to the patient T Tail Configuration Of Opsite On Suction Tubing Outlet For Modified Vacuum Assisted Closure. 2 of 3 Avoids unnecessary usage of adhesive plasters in attempt to sealing the leak. It is easy, comfortable, cost-effective and decreases frequent monitoring for leakage. Patients are relatively ambulant when the negative suction can be maintained through using 50 cc syringes and romovac Though the leakage chances are more in regions involving ankle, groin, axilla, and uneven surfaces , pedal suction device with cal","PeriodicalId":284795,"journal":{"name":"The Internet Journal of Plastic Surgery","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116552820","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}

{"title":"Mandibular Reconstruction Using Costochondral Rib Graft In A Growing Patient: 3 Years 9 Months Follow Up.","authors":"Ananth Kumar, Dhupar Vikas, A. Francis, Praveen Kumar","doi":"10.5580/2adf","DOIUrl":"https://doi.org/10.5580/2adf","url":null,"abstract":"Unicystic ameloblastoma refer to those cystic lesions that show clinical, radiographic, or gross features of a mandibular cyst, but on histologic examination they show a typical ameloblastomatous epithelium lining part of the cyst cavity, with or without luminal and/or mural tumor growth. Due to its strong likelihood of recurrence, curettage or mass excision without a safety margin is not recommended for the treatment. The goal of treatment ameloblastoma is to achieve complete excision and appropriate reconstruction. Mandibular reconstruction after resection is essential for the restoration of function and cosmesis, particularly in children. Costochondral grafts have been used for many years in reconstruction of TMJ and mandible. This is a report on unicystic ameloblastoma in a 12 year old patient treated by resection and reconstructed with costochondral graft and followed up for 3 years 9 months.","PeriodicalId":284795,"journal":{"name":"The Internet Journal of Plastic Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127412442","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}

{"title":"Non-Invasive Tools for Improving Diagnosis of Non-Melanoma Skin Cancer: A Review","authors":"M. Amjadi, B. Coventry, J. Am","doi":"10.5580/1ab3","DOIUrl":"https://doi.org/10.5580/1ab3","url":null,"abstract":"Background Non-melanoma skin cancers (NMSC) are the most common cancers diagnosed in the western world . The need for surgical treatment of such lesions is on the increase. The fact that the majority of such lesions appear on aesthetically sensitive areas of head and neck means that a non-invasive method of diagnosis has the potential to both eliminate the need for tissue biopsy, as well as act as an adjunct to surgery to ensure minimal healthy tissue is sacrificed. MethodsA review of all literature using databases of Pubmed and Medline was carried out. All the titles and abstracts of all articles found were searched and relevant articles were selected. A further review of all the references mentioned in the selected studies was carried out and all relevant articles were added to the database. All selected articles were reviewed and categorised into groups based on the technique or the technology being investigated. ResultsThe minimally-invasive techniques currently under use or under investigation are: dermoscopy, high frequency ultrasound (HFUS), optical coherence tomography (OCT), and confocal microscopy including both fluorescence confocal scanning microscopy (FCSM) and reflectance confocal microscopy (RCM) ConclusionsBased on this review RCM is the only device that has shown any promise in delivering a non-invasive real-time in vivo image of the skin and its structures that is comparable in resolution to histology, has reasonable inter-operator reliability, and therefore has the potential for use in conjunction to surgery. To date, trials in its use however have been limited. Neville JA, Welch E, Leffell DJ. Management of nonmelanomaskin cancer in 2007. Nat Clin Pract Oncol 2007;4:462–9","PeriodicalId":284795,"journal":{"name":"The Internet Journal of Plastic Surgery","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127832477","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}