Adhesion neuropathy of the median nerve with persistent pain can be a challenging problem. Currently, coverage of the median nerve with a well-vascularized soft tissue is deemed necessary after secondary neurolysis. Herein, we reviewed the outcomes of seven patients with a persistent median nerve neuropathy after a primary open carpal tunnel release or a median nerve repair, treated with neurolysis and median nerve wrapping with radial artery perforator adipose flaps. During the revision surgery,...
: The aim of this study is to evaluate the feasibility and aesthetic results comparing two cosmetic approaches which were employed in parotidectomy according to the tumour location with traditional Blair approach.
Following the excision of sacral tumors, plastic surgeons are often faced with a large soft tissue defect which necessitates flap coverage to promote wound healing and obliterate the resulting dead-space. We aimed to evaluate the outcomes and complications following soft tissue reconstruction of sacrectomy defects.
The recently introduced polyethylene glycol (PEG) treatment restores axonal continuity after nerve injury leading to a rapid recovery of the nerve function. The impact of PEG therapy on neuroregeneration has not yet been compared with any intervention with an established proneuroregenerative potential. FK-506 is an immunosuppressive agent with documented proneuroregenerative potential in nerve injury models. The aim of this study was to compare the effects of PEG therapy and preinjury FK-506 administration...
: Hypertrophic scars frequently follow primary closure of surgical wounds. Laser application at or shortly after suture may be associated with a reduction in scar formation, though the respective study results vary.
Several resorbable fixation systems are used for osteosynthesis in craniofacial surgery. Recently, ultrasonic-assisted pinned resorbable systems have been introduced; however, few studies have described the associated complications during the long-term follow-up until complete resorption. In this study, we investigated the complications of craniofacial surgery using ultrasonic-assisted pinned resorbable system with a follow-up of at least 30 months.Among patients who underwent craniofacial surgery...
Healthy nerve function provides humans with the control of movement, sensation (such as pain, touch and temperature) and the quality of skin, hair and nails. Injury to this complex system creates a deficit in function which is slow to recover and rarely, if ever, returns to what patients consider to be normal.Despite promising preclinical experiments in animals, a significant limitation in the translation of emerging therapies is the lack of effective measures with which to quantify nerve regeneration...
The British Association of Aesthetic Plastic Surgeons (BAAPS) is committed to promoting excellence in aesthetic plastic surgery and patient safety. The modified Delphi approach is an established method for reaching a consensus opinion among a group of experts in a field.1 This approach was used to survey the entire membership of the Association of Coloproctology of Great Britain and Ireland (ACPGBI) to reach a consensus on prioritising clinical research questions in colorectal disease.1 It was also...
Synkinesis is a negative sequela of facial nerve recovery. Despite the necessity of effective treatment, controversy exists regarding optimal management and outcome reporting measures. The goals of this study were to evaluate the current synkinesis literature and compare effectiveness of treatment modalities. A search of biomedical databases was performed in May 2019. Full-text English language articles of cohort studies or randomized controlled trials on synkinesis treatment were eligible for inclusion.
: Plastic Surgery is underrepresented in the undergraduate curriculum, limiting knowledge and practical skills. The objective was to assess the impact of teaching basic plastic surgery concepts and skills at a one-day undergraduate conference on medical students’ knowledge and skills in plastic surgery.
Our work was presented at the following meetings:
A great many causes can result in dorsal soft tissue defects of the thumb. The reverse homodigital dorsoradial flap, initially described by Moschella in 1996, is a useful choice for reconstructing dorsal loss of the thumb.1 As we observed in our practice, venous congestion was the most prevalent complication which was always ascribed to compression of pedicle. Many studies have indicated that the pedicle should be dissected as widely as possible to secure adequate venous return.2 However, we believe...
Due to the prevalence of obesity across the world, the rates of bariatric surgery are increasing. Bariatric surgery is covered by insurance, however often surgery to correct massive weight loss surgeries are not, despite patient perception.
Publication date: Available online 10 October 2019Source: Annales de Chirurgie Plastique EsthétiqueAuthor(s): L. Hanan, G. Lonjon, A.G. Lellouch, K. Haddad, E. Arago, M. Hivelin, L. LantieriSummaryWe report a case of pedicled omental flap use together with osteosynthesis treatment of a chronic L4-L5 spondylodiscitis due to a large sacral eschar. The 43-years-old patient was paraplegic and had depleted regional flaps solutions due to multiple previous surgeries. The procedure was carried out in supine...
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