{"title":"Facial Nerve and the Temporal Region: A Clarification","authors":"Badr M. I. Abdulrauf","doi":"10.53902/mrprs.2021.01.000504","DOIUrl":"https://doi.org/10.53902/mrprs.2021.01.000504","url":null,"abstract":"Due to the several layers of fasciae and their interchanging characteristics below and above the zygomatic arch, the temporal region anatomy has somewhat been unpleasant to comprehend and recall. The frontal branch of facial nerve is however the ultimate reason why it becomes important to study this area. Apart from Plastic, aesthetic and Reconstructive surgery, few other surgical specialties often need to work on this region, some of the common procedures include Coronal approaches; Zygoma fracture reduction; Temporoparietal flap elevation; Face and brow lift. We believe there is a need for clear and doubt free messages to be made in regard this topic. After an extensive literature search, we came up with a few conclusions and three key illustrations that we strongly believe are crucial to be remembered. The rationale of following certain path of dissection in the temporal region, depending on the planned operation is explained. Eponyms used in literature for various structures have been discussed and clarified. The relationship of the frontal nerve to its surrounding fasciae within the zygomatic zone and Temporoparietal fascia is further explored. This review and guidelines are specifically been developed and recommended as an educational tool for in training surgical residents of concerned specialties, as well for the seniors interested to refresh their knowledge in a simple presentation.","PeriodicalId":445602,"journal":{"name":"Modern Research in Plastic and Reconstructive Surgery","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129388156","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":"The Use of Contralateral Autologous Breast Grafting Tissue In Breast Reconstruction: A New Approach","authors":"Leonardo D’Aló","doi":"10.53902/mrprs.2022.02.000521","DOIUrl":"https://doi.org/10.53902/mrprs.2022.02.000521","url":null,"abstract":"Background: Breast reconstruction surgery is an exceptionally important tool for repair of defects and asymmetries caused by the various types of surgical breast cancer treatment. Reconstruction is indicated regardless of lesion location in the breast when a quadrantectomy or sector resection has been performed. Although several surgical techniques are available for reconstruction, we propose a method based on contralateral breast graft replacement to preserve shape and symmetry. Methods: This quasi-experimental study was performed with a sample of 42 women who had undergone quadrantectomy or wide resection, followed by radiation therapy, for treatment of breast cancer. The outcomes of interest were breast aesthetics and symmetry in the immediate postoperative period and after 3 months of radiation therapy. All patients were photographed preoperatively, pre-radiation therapy, and 3 months post radiation therapy. Before-and-after photographs were sent to four independent experts in the field, who, in a blinded manner, used a continuous visual analogue scale (VAS) of 0 to 10 to assess breast symmetry and aesthetic appearance. Results: The mean (SD) VAS score was 8.74 (0.75) for symmetry and 8.76 (0.80) for aesthetics (p>0.50 for both). Comparison of VAS scores assigned to preoperative and postoperative images revealed that autologous breast tissue grafting was useful. Conclusion: These findings suggest that, when combined with established techniques, autologous contralateral breast tissue grafting is a feasible alternative for breast reconstruction that provides satisfactory aesthetics and symmetry.","PeriodicalId":445602,"journal":{"name":"Modern Research in Plastic and Reconstructive Surgery","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115395303","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":"Retrospective Study of 20 Patients that has Treated with Pedicled Groin Flap in Reconstruction in Hand Injuries","authors":"Hokleang Ly","doi":"10.53902/mrprs.2021.01.000515","DOIUrl":"https://doi.org/10.53902/mrprs.2021.01.000515","url":null,"abstract":"Pedicled groin flap has long been playing an important role in reconstructive hand surgery. This flap is a reliable method for closing the defects of the soft tissue loss of the hand and is used in many clinical conditions. This study aims to evaluate the epidemiology and geographic aspects of the patients that required the treatment with pedicled groin flap and to assess the outcomes achieved by the Children’s Surgical Centre to help guide the future practice. We studied of 20 patient that has treated with pedicled groin flap reconstruction of the hand injuries between 2009 and 2019 at the Children’s Surgical Centre, Kien Klerng, Phnom Penh, Cambodia. In this study pedicled groin flap was used in 20 patients aged between 7 to 56 years, with a mean of 31 years or 40 % of all patients. The sex ratio M/F was 1.5 which was 12 male patients (60 %) and 08 female patients (40 %). The main cause of patient hand defects was from contracture related to burn sequelae which is 70 %.","PeriodicalId":445602,"journal":{"name":"Modern Research in Plastic and Reconstructive Surgery","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114849743","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":"Quantitative Comparison of Drainage after Primary Breast Surgery with and Without Drains","authors":"Breytenbach Jm","doi":"10.53902/mrprs.2020.01.000502","DOIUrl":"https://doi.org/10.53902/mrprs.2020.01.000502","url":null,"abstract":"Background: No quantitative study has been done to study the fluid drainage with and without drains after breast reduction surgery. Closed suction drainage exerts a considerable amount of pressure on tissues and might increase drainage. Therefore, this study aimed to comparethe effect on breast reduction surgery of closed suction drainage with no drainage. Methods: A group of 12 female patients underwent breast reduction surgery. A drain was placed in the right breast and no drain in the left breast. The drain fluid volume in the right breast was the amount drained plus that detected by sonar until the drained mount was ≤30ml/24hrs. The residual volume in the left breast was detected by sonar only. Results: The mass of tissue removed ranged from 820g to 2250g in the right breast and from 760g to 2240g in the left breast. The volume of fluid in the right breast ranged from 24-423ml and in the left, 7-127ml. The residual volume in the left breast was found to be always less than 30ml/24hrs and was 8 times less than in the right breast, which had the drain. There was no correlation between the fluid volume and mass of tissue excised. Conclusion: Within the limitation of the small number of patients, it can be concluded that closed suction drainage can be omitted in large breast reductions without extra complications, and that the amount of residual fluid can be considerably reduced.","PeriodicalId":445602,"journal":{"name":"Modern Research in Plastic and Reconstructive Surgery","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130882552","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":"Application of Mohs Technique for Squamous Cell Carcinoma of the Nipple","authors":"Hershko Dan","doi":"10.53902/mrprs.2022.02.000519","DOIUrl":"https://doi.org/10.53902/mrprs.2022.02.000519","url":null,"abstract":"Cutaneous squamous cell carcinoma (SCC) of the nipple areolar complex (NAC) is a rare entity with only a few cases reported in the medical literature. The standard treatment for invasive squamous cell carcinoma includes complete surgical excision of the lesion with postoperative assessment of free margins. Although this skin cancer involves the NAC it should be considered as a completely separate entity from other breast cancers, and therefore may be treated differently than breast cancers involving the NAC. Mohs micrographic surgery is a well-accepted technique for non-melanoma skin cancers (NMSC) with its remarkable precision for tumor eradication and tissue-sparing properties which favor excellent aesthetic outcome. We present a clinical case of 75-year-old Caucasian female who presented to our clinic with a papulose, scaly lesion located at her right nipple that was confirmed to be SCC of the nipple. The patient underwent complete excision of the tumor using Mohs micrographic technique with immediate reconstruction of spared NAC using purse-string suture technique. Free surgical margins were determined intra-operatively by Mohs’s cryosurgery method and further assessed by permanent evaluation. Follow-up was assessed for 3 years without evidence of local recurrence, and high patient satisfaction with the final aesthetic outcome. To the best of our knowledge, this is the first report that validates the feasibility of application of the Mohs technique for nipple SCC excision with immediate nipple reconstruction. Our results suggest that Mohs micrographic surgical technique may be a safe treatment modality for SCC lesions of the NAC allowing superior tissue preservation and enhanced aesthetic results compared to standard wide local excision.","PeriodicalId":445602,"journal":{"name":"Modern Research in Plastic and Reconstructive Surgery","volume":"294 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121364437","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":"Step-By-Step Hair Transplantation Surgery: FUE’s Method+","authors":"P. V","doi":"10.53902/mrprs.2021.01.000503","DOIUrl":"https://doi.org/10.53902/mrprs.2021.01.000503","url":null,"abstract":"The authors present in this paper the step-by-step procedures in hair transplant surgery by FUE’s method, pre-op considerations, after care treatment, medications, local scalp procedures and how to avoid errors to get the best results.","PeriodicalId":445602,"journal":{"name":"Modern Research in Plastic and Reconstructive Surgery","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133263743","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":"3PHASIC SYSTEM: Biostimulation Without Needles","authors":"A. Parafioriti","doi":"10.53902/mrprs.2023.03.000528","DOIUrl":"https://doi.org/10.53902/mrprs.2023.03.000528","url":null,"abstract":"Chemical peeling for skin arose in ancient culture: Egypt, Mesopotamia and Africa. Medical knowledge regarding chemical peeling is a result of centuries of experience and research. Many substances used in peeling have been described, with more or less marked action. In this work we describe the effectiveness of the 3 Phasic System, a system consisting of a peeling (containing various substances) associated with a topical homebased protocol. This protocol also favors the correction of incorrect eating habits also thanks to the integration with vitamins and probiotics. In this protocol a superficial peeling is used and the indications are: skin resurfacing of the face or body even in dark phototypes, outcomes of acne vulgaris, post-inflammatory hyperpigmentation, melasma, scars and photodamage. 3 Phasic System consists of many agents in reduced concentrations, promoting the efficacy of individual agents and reducing adverse effects. However, familiarity with the properties of peels is very important to avoid adverse effects. The possibility of administering 3 Phasic System according to a monthly schedule together with the correction of incorrect eating habits, the integration of deficient factors, the administration of probiotics and the application of correct home cosmetics has proven effective and safe in patients. The evaluation of the efficacy of the 3 Phasic System was evaluated through ANTERA 3D and VISIA in 450 patients.","PeriodicalId":445602,"journal":{"name":"Modern Research in Plastic and Reconstructive Surgery","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129779796","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":"Invited Commentary on Laser-Assisted Suction Lipectomy in Mastopexy and Breast Reduction","authors":"Ingram A","doi":"10.53902/mrprs.2023.03.000526","DOIUrl":"https://doi.org/10.53902/mrprs.2023.03.000526","url":null,"abstract":"Thank you for this opportunity to comment on the above paper, which I published jointly with Jeffrey Marvel MD, four years ago. I particularly appreciate the opportunity to comment on this publication because both Dr. Marvel (the paper’s senior author) and I have essentially ceased offering this procedure despite the benefits described in the original publication (which include reduced scarring, reduced operative complexity, lower complication rate, reduced surgical time), due – as seen below – to patient preference.","PeriodicalId":445602,"journal":{"name":"Modern Research in Plastic and Reconstructive Surgery","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133392970","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":"Intraosseous Skull Cavernous Hemangiomas: Case Report","authors":"Pham Trinh Quoc Khanh","doi":"10.53902/mrprs.2022.02.000522","DOIUrl":"https://doi.org/10.53902/mrprs.2022.02.000522","url":null,"abstract":"Primary intraosseous cavernous hemangiomas (PICHs) is a rare hemangioma in the skull. The diagnosis and treatment need to be coordinated by related specialties, in which the gold standard for diagnosis is histopathology. • The clinical case is a 72-year-old male patient with a parietal frontal hemangioma originating in the skull, which is an intracranial cavernous hemangioma. • Treatment was consisted of vascular intervention, total cranioplasty, covering with an artificial material and a skin flap. • The patient underwent 3 surgeries to remove the tumor, the second time the pathological result was a cavernous hemangioma of the skull.","PeriodicalId":445602,"journal":{"name":"Modern Research in Plastic and Reconstructive Surgery","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115552225","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":"Case Review: Diversified Wound Management with A Dual-Purpose Wound Occluding Honey Based Ointment","authors":"Pretorius J","doi":"10.53902/mrprs.2022.02.000518","DOIUrl":"https://doi.org/10.53902/mrprs.2022.02.000518","url":null,"abstract":"The correct and effective management of wounds remains challenging within the wound care discipline even though much effort and attention has been directed toward novel technologies and advanced approaches. As wound healing takes place in four stages, the selection of the appropriate treatment, depending on the respective stage on the patients’ wound, is crucial. In addition, identifying the type of wound might be difficult in some cases, which in combination with the aforementioned further complicates appropriate wound management. This article discusses a single product wound management, by means of case studies, in an attempt to describe a simplified and possibly cost-effective way to manage wounds effectively.","PeriodicalId":445602,"journal":{"name":"Modern Research in Plastic and Reconstructive Surgery","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130929179","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}