Plastic Surgery in the News
To find a specific topic search this page with your browser.
Complications and Risks of Breast Augmentation <p>There were 364,610 breast augmentation procedures performed in 2005. The top concerns of breast augmentation include the surgery itself, the implants, breast cancer and the risk of anesthesia.</p><p>Contributor: Cristina Olvera<br />Published: May 24, 2006</p> Wed, 24 May 2006 07:47:00 -0700 |
What Is Liposuction? What Are The Risks And Benefits Of Liposuction? Liposuction, also called lipoplasty, liposculpture suction lipectomy, or lipo is a type of cosmetic surgery which breaks up and "sucks" fat from various possible parts of the body, most commonly the abdomen, thighs, buttocks, neck, chin, upper and backs of the arms, calves, and back. The fat is removed through a hollow instrument - a cannula - which is inserted under the skin... Wed, 24 Feb 2010 23:00:00 -0800 |
What Is Liposuction? What Are The Risks And Benefits Of Liposuction? Liposuction, also called lipoplasty, liposculpture suction lipectomy, or lipo is a type of cosmetic surgery which breaks up and "sucks" fat from various possible parts of the body, most commonly the abdomen, thighs, buttocks, neck, chin, upper and backs of the arms, calves, and back. The fat is removed through a hollow instrument - a cannula - which is inserted under the skin... (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today) Wed, 24 Feb 2010 23:00:00 -0800 |
Study Identifies Factors Associated With Early Detection Of Melanoma Early detection of melanoma appears more common among younger patients, those living in areas with high concentrations of dermatologists and those whose cancer is detected by dermatologists. Frédérique Durbec, M.D., of Hôpital Robert Debré, France, and colleagues studied new cases of cutaneous melanoma in five regions of northeastern France in 2004... Wed, 17 Mar 2010 23:00:00 -0700 |
Surgeons Use Neck Muscle, Surrounding Tissue As Lip Implant Augmenting the lips with grafts of muscle and connective tissue from the neck appears to result in improved appearance for at least two years, according to a report in the March/April issue of Archives of Facial Plastic Surgery, one of the JAMA/Archives journals... (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today) Wed, 17 Mar 2010 23:00:00 -0700 |
Older Adults With Melanoma Incur Significant Costs Treating melanoma in older adults is estimated to cost approximately $249 million annually. Anne M. Seidler, M.D., M.B.A., Emory University School of Medicine, Atlanta, and colleagues used national databases to assess health care resource consumption by a total of 1,858 patients age 65 and older with melanoma during fiscal years 1991 to 1996... Wed, 17 Mar 2010 22:00:00 -0700 |
Melanoma Survivors Appear To Be At Increased Risk For Another Melanoma Survivors of one melanoma appear approximately nine times as likely as the general population to develop a second melanoma. Porcia T. Bradford, M.D., and colleagues at the National Cancer Institute, Bethesda, Md., used nine cancer registries to identify 89,515 patients who survived at least two months after an initial melanoma diagnosis between 1973 and 2006. Of these, 10,857 (12... Wed, 17 Mar 2010 21:00:00 -0700 |
Studies Reveal Substantial Increases In Non-Melanoma Skin Cancers Both new diagnoses and a history of non-melanoma skin cancer appear to have become increasingly common, and the disease affects more individuals than all other cancers combined, according to two reports in the March issue of Archives of Dermatology, one of the JAMA/Archives journals... Wed, 17 Mar 2010 20:00:00 -0700 |
Skin Cancer Epidemic Underrecognized, US Study US researchers who analysed over a decade's worth of statistics on non-melanoma skin cancers in the US (the country's most common form of cancer) found they have been rising steadily every year, and concluded that their findings reveal the "most complete evaluation to date of the underrecognized epidemic of skin cancer in the United States"... Wed, 17 Mar 2010 13:00:00 -0700 |
Oxygen Supply To Unborn Baby Reduced By Obesity And Passive Smoking Babies born to mothers with obesity and exposed to passive smoking are more likely to have health problems than others. This conclusion is based on evidence of elevated levels of nucleated red blood cells in the umbilical cord reported in the International Journal of Food Safety, Nutrition and Public Health... Wed, 17 Mar 2010 06:00:00 -0700 |
Teen Girls Look To Peers To Gauge Weight Goals Their schoolmates' weight determines whether teenage high school girls will try to lose pounds, new research finds, and the school environment plays a big role in the decision... Wed, 17 Mar 2010 02:00:00 -0700 |
Hand Bacteria May One Day Aid Forensic Identification, Study Next time you leave your computer station or close the lid of your laptop think about this: your mouse and keyboard are covered in hand bacteria that could be traced back to you, according to a new US study that suggests the unique bacterial communities we leave behind on objects we have handled may one day sit alongside DNA and fingerprints as part of the forensic tool... Wed, 17 Mar 2010 02:00:00 -0700 |
What's Mom's Influence On Baby's Obesity Risk? Aspiring moms may be advised to achieve a healthy weight before they become pregnant, and to gain only the recommended amount of weight during their pregnancy. Now ongoing studies by Agricultural Research Service (ARS)-funded investigator Kartik Shankar and colleagues could provide new insights into those recommendations... Wed, 17 Mar 2010 00:00:00 -0700 |
What Is Hirsutism (Excessive Hairiness)? What Causes Hirsutism? Hirsutism (from the Latin "hirsutus" meaning shaggy, hairy) is a condition of unwanted, male-pattern hair growth in women. It is excessive hairiness on female humans. It may arise from excess male hormones called androgens, the major hormone being testosterone, or it may be due to an ethnic or family trait. The amount of body hair is largely determined by genetic makeup... Wed, 17 Mar 2010 00:00:00 -0700 |
Rigid internal fixation of mandibular fractures using autologous bone grafts: the autologous bone plate Abstract The mandible is the second most commonly fractured part of the maxillofacial skeleton because of its position and prominence. Over the past three decades, many different techniques and approaches have been described in the literature to surgically correct facial fractures. The present study has attempted to study the role of bone grafts in open reduction and internal fixation of mandibular fractures. Fourteen patients with mandibular fracture were considered for the study from August 2006 to August 2008. Autologous bone grafts were used for rigid fixation of these fractures in all the cases. Patients presenting with unilateral fractures of the body of the mandible were considered and enrolled for rigid internal fixation using autologous bone grafts. Fourteen patie... Wed, 10 Mar 2010 17:37:58 -0800 |
Serious complications in patient after augmentation mammoplasty with polyacrylamide gel Abstract In the past, biomaterials have been utilized for volumetric augmentation in many parts of the human body. In aesthetic surgery, it is not rare to observe complications related to the inappropriate use of these materials. Formacryl®, an injectable hydrophilic gel of polyacrylamide, was proposed as the ideal material for volumetric modeling and improvement and even for augmentation mammoplasty. As is frequent with injectable substances, this gel was supposed to be fully biocompatible without complications. It was withdrawn from the market and its use was forbidden because of the early and later complications that appeared after implantation. The present case report describes the complications and the subsequent reconstruction of a patient who presented to us after ... Wed, 10 Mar 2010 06:46:42 -0800 |
Playing with fire and getting burnt??a retrospective analysis of injuries presenting to the emergency department during ??firework season?? Abstract During firework season in the UK (October??January), many patients present to emergency departments across the country with firework-related injuries. These seasonal injuries can vary from minor skin trauma to major burns, inhalation injuries and even death in some cases. Governments have tried to improve public awareness and safety with education using multi-million pound national safety campaigns as well as clamping down on fireworks both from within and outside of the EU which fail to meet safety standards. Despite these measures, firework-related injuries are increasing (2005 census Royal Society of Prevention of Accidents (RoSPA)). Reasons for this have been cited as new variations in firework design, antisocial behaviour and readily available cheap firework...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Wed, 10 Mar 2010 06:46:42 -0800 |
Early outcome of facial reconstructive surgery abroad: a comparative study Abstract Every year, many medical missions are undertaken in the developing world but there is almost a universal lack of outcome data on the quality of these missions. The present study compares early clinical outcome and complication rate in two consecutive missions (facial reconstruction) undertaken to Ethiopia in 2007 and 2008. The object was to establish if measures adopted following feedback from the first mission led to improvement of the results. A significant improvement was observed in early clinical outcome and there were less severe complications in the 2008 compared to the 2007 mission. On both occasions, significantly more complications were experienced after complex compared to simple procedures. Despite improved outcome in 2008, 50% of the complex cases had... Wed, 10 Mar 2010 06:46:41 -0800 |
New Hope To Vitiligo Patients Offered By Skin Transplant In the first study of its kind in the United States, Henry Ford Hospital showed that skin transplant surgery is safe and effective for treating vitiligo. Henry Ford researchers followed 23 patients for up to six months after surgery and found that the treated area regained on average 52 percent of its natural skin color... Wed, 10 Mar 2010 03:00:00 -0800 |
FDA Approves Botox To Treat Spasticity In Flexor Muscles Of The Elbow, Wrist And Fingers The U.S. Food and Drug Administration approved Botox (onabotulinumtoxin A) to treat spasticity in the flexor muscles of the elbow, wrist, and fingers in adults. Spasticity is common after stroke, traumatic brain injury, or the progression of multiple sclerosis... (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today) Wed, 10 Mar 2010 03:00:00 -0800 |
Breast Implants: Saline vs. Silicone and More on Augmentation Surgery <p>Now ten years after silicone implants were yanked off the market, breast enlargment sugery is on the rise. This article introduces two mothers who had implants and discusses silicone v. saline, sizes, shapes, side effects and pros/cons or the surgery.</p><p>Contributor: Donna Talarico<br />Published: Feb 21, 2006</p> Tue, 21 Feb 2006 05:33:00 -0800 |
Enhancing Adolescents' Health By Simple, Low-Cost Steps Simple, low-cost measures such as wearing a pedometer to inspire walking and spending a few minutes a day meditating can put adolescents on the track toward better health, researchers report. These types of side-effect-free steps can quickly help lower important numbers like blood pressure, heart rate and even weight, counteracting today's unhealthy, upward trends among young people, said Dr... Tue, 16 Mar 2010 04:00:00 -0700 |
Obesity-Cancer Link Investigated The link between obesity and disease has been well documented. There's evidence now that obesity and cancer have a strong link, as they've shown in the United States at least 90,000 cancer deaths a year can be attributed to obesity. University of Alberta researcher Richard Lamb is on his way to understanding the correlation and it's a good example of how the scientific process works... Tue, 16 Mar 2010 04:00:00 -0700 |
Obesity Impairs Body's "Memory" Of How To Fight Flu Obesity may limit the body's ability to develop immunity to influenza viruses, particularly secondary infections, by inhibiting the immune system's ability to "remember" how it fought off previous similar bouts of illness, according to new research from the University of North Carolina at Chapel Hill... Tue, 16 Mar 2010 00:00:00 -0700 |
Caudal Antia??Buch reconstruction for helical defect reconstruction: Burow??s triangle always in the lobule Abstract Different reconstructive techniques regarding helical ear defect reconstruction exist. The best cosmetic results are achieved using the modified Antia??Buch chondrocutaneous advancement flaps. In addition to this flap when it is caudally based, we always place Burow??s triangle in the earlobe. This technique provides the most normal cosmetic appearance of the ear without the need for a cranial-based flap in most cases. Content Type Journal ArticleCategory Ideas and InnovationsDOI 10.1007/s00238-010-0397-5Authors B. B. G. M. Franssen, Maxima Medical Center Veldhoven The NetherlandsM. R. Frechner, Maxima Medical Center Veldhoven The Netherlands Journal European Journal of Plastic SurgeryOnline ISSN 1435-0130Print ISSN 0930-343X (Source: European Journal... Tue, 16 Feb 2010 09:05:08 -0800 |
Mast cells in wound-healing cholestatic liver response We read the very interesting Review by Van der Veer et al, published in one of the recent issues of the journal . Among the potential cellular and molecular causes of hypertrophic scar formation, the authors mention mast cells and some of their mediators, in particular TNF-α and IL-4 . (Source: Burns : Journal of the International Society for Burn Injuries)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Tue, 16 Feb 2010 05:02:16 -0800 |
Re: Burn injuries due to Christian religious customs Reply, We would like to thank the authors for their useful contribution. We missed their article because we only reviewed the English literature. Once again, their comments confirm the importance of burns related to traditions, social habits, and religious activities . (Source: Burns : Journal of the International Society for Burn Injuries) Tue, 16 Feb 2010 05:02:16 -0800 |
Burn injuries due to Christian religious customs Sir, With great interest we read the paper by Al-Qattan and Al-Zahrani K, ??A review of burns related to traditions, social habits, religious activities, festivals and traditional medical practices?, which summarizes thermal injuries related to specific social and cultural customs and practices from Jewish, Muslim, Indian and Buddhist religions , but none related to Christian customs. We would like to take the opportunity to draw attention to typical burn injury patterns due to Christian religious practice. (Source: Burns : Journal of the International Society for Burn Injuries) Tue, 16 Feb 2010 05:02:15 -0800 |
The involvement of alpha-melanocyte-stimulating hormone in the hyperpigmentation of human skin autografts Conclusions: These results indicate that the function of melanogenesis, transfer of melanin in melanocytes, was dramatically enhanced in skin autografts by α-MSH. The over-expression of α-MSH may play an important role in the hyperpigmentation process of skin autografts and provide a novel mechanism of this process. (Source: Burns : Journal of the International Society for Burn Injuries) Tue, 16 Feb 2010 05:02:15 -0800 |
Thiamine supplementation increases serum thiamine and reduces pyruvate and lactate levels in burn patients Abstract: The importance of vitamins for optimal metabolism is well established. However, currently little is known about the optimal vitamin levels required for burn patients. As a consequence, current practice both for macronutrient supplementation and vitamin supplementation varies widely between burn units. A better understanding of the effects of vitamins on metabolism may lead to better nutrition and subsequently improved outcomes for burn patients.Thiamine is an important co-factor required for multiple enzymes involved in carbohydrate metabolism. We have examined the levels of thiamine (B1) in burn patients as well as the effects of thiamine supplementation on the levels of serum thiamine, pyruvate and lactate.Twenty patients had blood samples taken on the day of admission, then on... Tue, 16 Feb 2010 05:02:15 -0800 |
Reconstruction of large hypertrophic scar on trunk and thigh by means of liposuction technique Conclusion: Large hypertrophic scar at sites rich in subcutaneous fat such as trunk and thigh can be reconstructed in one stage by liposuction technique, which is easy, safe, effective and economic. Although indications of liposuction scar reconstruction are strict, it is indeed a better option for appropriate cases. (Source: Burns : Journal of the International Society for Burn Injuries) Tue, 16 Feb 2010 05:02:14 -0800 |
The use of ??composite dressing? for covering split-thickness skin graft donor sites Abstract: To evaluate the effect of a new dressing method for clean wound coverage, two kinds of dressing materials are combined together to cover nine wounds in nine patients. All the wounds are split-thickness skin graft donor sites located in the anterior thighs. The size of the wounds ranges from 6cm?4cm to 10cm?8cm (42cm2 on average). A central fenestration is created in the polyurethane film layer for draining the wound discharge, and a piece of 2.5cm?2.5cm carboxymethyl cellulose dressing is fixed on top of the fenestration for protecting the underlying wound. Dry gauze is used to cover the composite dressing, which is replaced daily. The wound condition is checked and recorded everyday until the patient is discharged. Further management and follow-up for the wound is performed a... Tue, 16 Feb 2010 05:02:14 -0800 |
Accelerated healing of skin burns by anti-Gal/α-gal liposomes interaction Abstract: Topical application of α-gal liposomes on burns results in rapid local recruitment of neutrophils and macrophages. Recruited macrophages are pivotal for healing of burns because they secrete cytokines/growth factors that induce epidermis regeneration and tissue repair. α-Gal liposomes have glycolipids with α-gal epitopes (Galα1-3Galβ1-4GlcNAc-R) which bind anti-Gal, the most abundant natural antibody in humans constituting ?1% of immunoglobulins. Interaction of α-gal liposomes with anti-Gal within the fluid film formed on burns, activates complement and generates chemotactic complement cleavage peptides which effectively recruit neutrophils and macrophages. Anti-Gal IgG coating α-gal liposomes further binds to Fcγ receptors on macrophages and activates them to secrete c... Tue, 16 Feb 2010 05:02:14 -0800 |
Age-dependent differences of interleukin-6 activity in cardiac function after burn complicated by sepsis Abstract: Interleukin (IL)-6 is a pleiotropic cytokine that is activated after acute injuries, and plays an important role during aging. We aim to define the role of IL-6 on myocardial dysfunction following a 40% total body surface area burn followed by late (7 days) Streptococcus pneumoniae sepsis (burn plus sepsis) in 2- and 14-month-old wild type and IL-6??/?? mice. We measured global hemodynamic and cardiac contractile function with left ventricular pressure??volume analysis 24h after sepsis induction, and measured phosphorylated signal transducer and activator of transcription 3 (p-STAT-3), tumor necrosis factor (TNF)-α, and IL-1β in the heart with Western blot analysis. We also measured mRNA expression of IL-6, TNF-α, and IL-1β. Sham injured mice did not manifest any appreciab...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Tue, 16 Feb 2010 05:02:14 -0800 |
Assessing the severity of inhalation injuries in adults This study supports the predictive nature of the P/F ratio in relation to survival in adults. Larger prospective studies using bronchoscopic findings and P/F ratio would give us a better indication as to the value of a scoring system in adults that are admitted with inhalation injuries. (Source: Burns : Journal of the International Society for Burn Injuries) Tue, 16 Feb 2010 05:02:13 -0800 |
Acute kidney injury in critically ill burn patients. Risk factors, progression and impact on mortality Conclusion: This study demonstrated (a) the high incidence of AKI in patients with severe burns; (b) the number of predisposing to progression of AKI factors (severity of organ failure, presence of sepsis, use of nephrotoxic drugs, number of previous surgical operations, cumulative fluid balance); (c) the association of Failure class of acute kidney injury with high mortality. (Source: Burns : Journal of the International Society for Burn Injuries) Tue, 16 Feb 2010 05:02:13 -0800 |
A microarray analysis of temporal gene expression profiles in thermally injured human skin Abstract: Partial-thickness burns incite a multitude of responses which eventually culminate in cutaneous wound repair. We hypothesized that these events would evoke extensive alterations in gene expression thereby orchestrating the complexity of spatial and temporal events that characterize ??normal? human wound healing. In the present study, gene expression from partial-thickness areas at defined temporal periods (1??3 days, 4??6 days, and 7??18 days) after injury were compared to normal non-wounded skin. Gene alterations proved extensive (2286 genes). Statistically significant alterations were noted among increased and decreased genes expressed in the three different temporal groupings. Our foundational data (based on samples from 45 individuals) provide a comprehensive molecular ... Tue, 16 Feb 2010 05:02:13 -0800 |
Pre-existing psychiatric disorders, psychological reactions to stress and the recovery of burn survivors This study aimed to investigate whether previous findings from a small retrospective study could be replicated prospectively. The previous study showed that patients with an existing diagnosis of psychosis or depression, admitted to a burns service, had longer hospital stays and longer wound healing times when compared with controls matched for burn injury but without a pre-existing psychiatric condition . In this study it was hypothesised that those patients without pre-existing psychiatric diagnosis, but with high levels of psychological distress after burn would also show a similar pattern of delayed recovery to those with a pre-existing psychiatric illness. In addition, we examined potential mechanisms for slowed recovery, including; adherence with treatment; delayed discharge on socia...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Tue, 16 Feb 2010 05:02:13 -0800 |
Burn resuscitation: The results of the ISBI/ABA survey Abstract: Introduction: There are valid concerns that burn shock resuscitation is inadequate; a tendency to over-resuscitate the patient seems to exist which may increase complications such as compartment syndrome. The purpose of this study was to survey members of the ISBI and ABA to determine current practices of burn resuscitation.Methods: A survey asking for practices of burn shock resuscitation was provided to all participants of a recent ABA meeting. Around the same time, the survey was sent to all members of the ISBI through the internet. The results of the 101 respondents (ABA ?? 59, ISBI ?? 42, approximately a 15% response rate) are described.Results: Surveys were returned from all the continents except Africa. Respondents included directors (48%), staff physicians (19%), nurses... Tue, 16 Feb 2010 05:02:12 -0800 |
Toxic epidermal necrolysis (Lyell's disease) Abstract: Stevens??Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are severe adverse drug reactions, characterized by a low incidence but high mortality, initially described as separate entities, but today considered variants of the same pathologic process and differing only for severity.The majority of cases appear to be related to idiosyncratic drug reactions. The drugs most commonly involved are: antibiotics such as sulfonamides, β-lactam, tetracyclines and quinolones; anticonvulsants such as phenytoin, phenobarbital and carbamazapine; antiretroviral drugs; nonsteroidal anti-inflammatory drugs, allopurinol.There is common agreement to consider TEN as the manifestation of a disregulated immune reaction against epithelial cells. During the first stages of TEN, apoptosis med... Tue, 16 Feb 2010 05:02:11 -0800 |
2009 Proposed Revisions. THE INTERNATIONAL SOCIETY FOR BURN INJURIES CONSTITUTION AND BYLAWS (Source: Burns : Journal of the International Society for Burn Injuries)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Tue, 16 Feb 2010 05:02:11 -0800 |
Hopkins reunion Every two years the Johns Hopkins Medical and Surgical Association holds a reunion in Baltimore. This year was different because it was not only a reunion but also a celebration of Paul Manson's tenure as chief of plastic surgery and his impending retirement after a third of a century at Hopkins, a period that began in 1976, his first year of residency. (Source: Journal of Plastic, Reconstructive & Aesthetic Surgery) Tue, 09 Mar 2010 05:02:53 -0800 |
Through the mists of time: Puthumana Philip PhilipIndian Journal of Plastic Surgery 2009 42(2):219-223Sushrutha had been viewed in textbooks of plastic surgery as belonging to the caste of potters who performed surgery in India. We have examined the available source documents and other references to the technology of the period to examine this assertion and are convinced that there is no evidence to support this. The period, technology and geographic references in Sushrutha Samhitha are correlated with settled positions on these to arrive at an understanding of the time and knowledge which is described. Source of erroneous interpretation of Sushrutha as a potter is also examined and clarified. (Source: Indian Journal of Plastic Surgery)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Tue, 09 Mar 2010 05:02:25 -0800 |
Index (Source: Clinics in Plastic Surgery) Tue, 09 Mar 2010 05:02:05 -0800 |
Problems in Rhinoplasty In this review, the complications of rhinoplasty are examined in terms of their timing of presentation. An algorithmic approach to postoperative problems is discussed. Complications can frequently be avoided by meticulous technique, recognition of pitfalls, and early attention to perioperative morbidity. Reoperative rates can be minimized with good patient education and proper command of the postoperative situation, so that unnecessary procedures are not undertaken. (Source: Clinics in Plastic Surgery) Tue, 09 Mar 2010 05:02:05 -0800 |
Secondary Rhinoplasty in Unilateral Cleft Nasal Deformity The cleft-lip nasal deformity presents a formidable challenge in rhinoplasty surgery. A wide variety of techniques have been proposed for the correction of this problem, which is proof of the difficulty of this reconstructive problem. The approach outlined in this article amalgamates many cleft-lip rhinoplasty concepts into a single unified technique. This technique is designed to address the deficiencies present on the cleft side of the nose. (Source: Clinics in Plastic Surgery) Tue, 09 Mar 2010 05:02:05 -0800 |
Ethnic Rhinoplasty As the United States becomes more racially and ethnically diverse, the number of non-Caucasian patients seeking rhinoplasty is increasing. The non-Caucasian, or ethnic, rhinoplasty patient can be a surgical challenge due to the significant anatomic variability from the standard European nose as well as variability within each ethnicity. Becoming familiar with the common anatomic differences as well as the aesthetic goals in the ethnic rhinoplasty patient will assist the surgeon in attaining consistent, ethnically congruent, and aesthetically pleasing results. (Source: Clinics in Plastic Surgery)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Tue, 09 Mar 2010 05:02:05 -0800 |
Asian Rhinoplasty Asian rhinoplasty differs from traditional rhinoplasty approaches in preoperative analysis, patient expectations, nasal anatomy, and surgical techniques used. Platyrrhine nasal characteristics are common, with low dorsum, weak lower lateral cartilages, columellar retraction, and thick sebaceous skin often noted. Typically, patients seek augmentation of these existing structures rather than reductive procedures. Autologous cartilage, in particular use of costal cartilage, has been shown to be a reliable technique, which, when executed properly, produces excellent long-term results. An understanding of cultural perspectives, knowledge of the nasal anatomy unique to Asian patients, and proficiency with augmentation techniques are prerequisites in attaining the desired results for patient and ... Tue, 09 Mar 2010 05:02:05 -0800 |
Lengthening the Short Nose Lengthening the short nose is a challenging area of rhinoplasty. The short nose can be a naturally occurring aesthetic disproportion, or the result of a congenital abnormality or traumatic deformity. The surgical approach depends mostly on the quality of the lining, skeleton, overlying skin, and the amount of correction desired. (Source: Clinics in Plastic Surgery) Tue, 09 Mar 2010 05:02:05 -0800 |
Surgical Treatment of the Crooked Nose This article discusses the general principles and the surgical details of septorhinoplasty. (Source: Clinics in Plastic Surgery) Tue, 09 Mar 2010 05:02:04 -0800 |
Osteotomies The most challenging and instrumental step in achieving harmonious form and function during rhinoplasty is the successful completion of osteotomies. Osteotomies are performed to correct deformities of the bony nasal vault. Successful treatment of deformity of the bony vault is achieved through organized thinking, comprehensive knowledge of nasal anatomy, and thorough preoperative and intraoperative planning. In this review the authors discuss the pertinent anatomy, technical considerations, and complications that rhinoplasty surgeons should be aware of to optimize the correction of deformities of the nasal bony vault. (Source: Clinics in Plastic Surgery) Tue, 09 Mar 2010 05:02:04 -0800 |
Rhinoplasty: Dorsal Grafts and the Designer Dorsum This article reviews the author's different approaches to dorsal grafts using fascia and diced cartilage, either separately or in combination. (Source: Clinics in Plastic Surgery)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Tue, 09 Mar 2010 05:02:04 -0800 |
Humpectomy and Spreader Flaps In a primary rhinoplasty that requires a humpectomy, the dorsal aspect of the upper lateral cartilages is commonly discarded. Many of these patients need spreader grafts to reconstruct the middle third of the nose. However, it is possible to reconstruct the upper lateral cartilages into ??spreader flaps? that act much like spreader grafts. In the process of making spreader flaps, an incremental humpectomy is performed on the dorsal septum and bony hump. This humpectomy procedure is more accurate than the conventional humpectomy that involves resection of the bone, and septum as a single unit. The open and closed approaches of this technique are discussed in this article. (Source: Clinics in Plastic Surgery) Tue, 09 Mar 2010 05:02:04 -0800 |
Rhinoplasty5 Pearls: Value of the Endonasal Approach and Vertical Dome Division Successful outcomes in rhinoplasty depend more on diagnosis than on approach or technique. When the needs of each patient are assessed on multiple occasions, operative performance improves and revision rates decline. The evolutionary track from an endonasal and excisional operation to the more commonly preferred external and restructuring technique is outlined in this article. The senior author's rationale and preference for the endonasal approach and the repositioning of cartilage in the tip using vertical dome division techniques is emphasized. (Source: Clinics in Plastic Surgery) Tue, 09 Mar 2010 05:02:04 -0800 |
Alar Cartilage Grafts The alar cartilages provide the contour and structural support of the nasal tip. Current rhinoplasty concepts support preservation of alar structure with suture techniques or judicious cephalic trim indicated for tip deformities. In many primary cases and some revisions, adequate alar structure exists to achieve the desired aesthetic and functional results with conservative surgical methods. In some primary and most revision cases, however, the existing tip structure is inadequate to create a structurally sound and aesthetically pleasing nasal tip without adding structure. In these cases, alar cartilage grafting techniques are indicated to recapitulate nasal tip contour and structure. (Source: Clinics in Plastic Surgery) Tue, 09 Mar 2010 05:02:04 -0800 |
Alar Base Disharmonies This article simplifies the recognition of common alar base disharmonies. The classification system is intended to facilitate choosing the best surgical technique to correct the alar base flaws. (Source: Clinics in Plastic Surgery) Tue, 09 Mar 2010 05:02:04 -0800 |
Suture Techniques in Rhinoplasty Suture techniques are an indispensable means to biologically sculpt the cartilage of the nose. Here the authors review their use in tip-plasty and present a 4-suture algorithm that allows for simple, complete control in sculpting the shape of all nasal tips in primary rhinoplasty. After a standard cephalic trim of the lateral crus leaving it 6 mm wide, one or more of the four suture techniques are applied. One of the newest techniques that has yielded excellent results is the hemi-transdomal suture, a variation of the conventional transdomal suture. This technique narrows the dome but also everts the lateral crus slightly to avoid concavities of the nostril rim. The 4-suture algorithm is useful in both the open and closed approaches. A more general use of sutures is described and referred ...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Tue, 09 Mar 2010 05:02:04 -0800 |
Diagnosis and Correction of Alar Rim Deformities in Rhinoplasty Recognition of alar rim deformities is an important component of the preoperative analysis of the nose. Correction of these deformities improves the esthetic balance of the nose and has an added benefit of improving the function of the external nasal valve. Classification systems have been proposed to enable surgeons to more accurately diagnose alar deformities. These classification systems help guide surgeons as to the appropriate surgical procedure to correct a problem. The purpose of this article is to review the proposed classification systems for alar rim deformities and review the specific surgical techniques that have been proposed for each of the deformities. (Source: Clinics in Plastic Surgery) Tue, 09 Mar 2010 05:02:04 -0800 |
Surgical Anatomy of the Nose This article describes the nasal anatomy, careful study of which makes for a more confident, prepared practitioner. (Source: Clinics in Plastic Surgery) Tue, 09 Mar 2010 05:02:03 -0800 |
Nasal and Facial Analysis Rhinoplasty remains one of the most challenging aesthetic procedures to master. Astute surgeons must consider a continually evolving societal perception of beauty with their own sense of aesthetic proportion when planning surgical intervention. Optimal results are achieved when the outcome is anticipated and satisfying to patient and surgeon. This requires a careful, thoughtful, systematic approach to preoperative analysis. Patients should leave with a clear understanding of the surgeon's perspective of their nose, aesthetically and anatomically. Understanding the interplay of surface deformities and their underlying anatomic counterpart is critical, involving a systematic analysis to create a surgical plan that avoids landmines leading to a suboptimal result. (Source: Clinics in Plastic S... Tue, 09 Mar 2010 05:02:03 -0800 |
Preface For a number of reasons, rhinoplasty is arguably the most intricate and challenging operation in all of aesthetic plastic surgery. Because the nose is a relatively small structure, a millimeter change makes a discernible difference in its aesthetics. It is located in the middle of the face, constantly available for inspection by the patient and others. The magnitude of the effects of the healing process often equals and occasionally exceeds the magnitude of the changes that the surgeon is seeking to make. Indeed, the healing process can completely distort the sculptured result the surgeon has achieved. Furthermore, almost every surgeon knows what an aesthetically pleasing nose looks like when he or she sees it. However, not every surgeon intuitively understands what components of the nose ...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Tue, 09 Mar 2010 05:02:03 -0800 |
Contents (Source: Clinics in Plastic Surgery) Tue, 09 Mar 2010 05:02:03 -0800 |
Tax On Sugared Drinks Loses Appeal, Tanning Salons Still Fighting Los Angeles Times: "Only months ago, supporters of the soda tax saw it as an idea whose hour was near. The sheer magnitude of the medical cost of obesity added urgency to the issue ... But opponents questioned any link between sugary drinks and obesity, and expressed concern about a slippery slope of taxes on other products... Tue, 09 Feb 2010 03:00:00 -0800 |
Questions Remain On Bariatric Surgery For Adolescents Laparoscopic adjustable gastric banding surgery can effectively treat obesity in adolescents and seems to offer a better alternative than gastric bypass surgery, but further study is needed to determine whether it's better than nonsurgical options, a UT Southwestern Medical Center surgeon writes in an editorial in the Feb. 10 issue of the Journal of the American Medical Association... Tue, 09 Feb 2010 01:00:00 -0800 |
Neoumbilicus in abdominoplasty: points of finesse Abstract Most of the scar and resulting ??dog ears??, as a result of abdominoplasty, are inconspicuous and can be well hidden in the clothing. Neoumbilicus is often at display and an aesthetically pleasing umbilicus heightens the patient satisfaction from such a procedure. This paper discusses our technique of restoration of the umbilicus. The neoumbilical site is marked 1 cm inferior to the projected stalk. A small ellipse is excised and a core of adipose tissue is excised in a conical fashion underneath it. The umbilicus is anchored to the rectus sheath at 3, 9 and 6 o??clock points in the described manner. We then discuss the importance of the vector of pull on the umbilical stalk and relate this to production of an aesthetically pleasing superior hood. The tech... Tue, 02 Mar 2010 23:49:42 -0800 |
Making Light Work Of Home Grooming The National Physical Laboratory (NPL) and the University of Dundee recently assessed the light emitted by a home-use intense-pulsed light (IPL) hair reduction system and confirmed that it is safe. This confirmation is important, as IPL devices must meet the necessary safety guidelines, to ensure users are protected in the case of accidental exposure to the human eye... Tue, 02 Mar 2010 04:00:00 -0800 |
Making Light Work Of Home Grooming The National Physical Laboratory (NPL) and the University of Dundee recently assessed the light emitted by a home-use intense-pulsed light (IPL) hair reduction system and confirmed that it is safe. This confirmation is important, as IPL devices must meet the necessary safety guidelines, to ensure users are protected in the case of accidental exposure to the human eye... (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Tue, 02 Mar 2010 04:00:00 -0800 |
Rhinoplasty Using Nácul??s Suspensor System: A Preliminary Report Abstract A minimally invasive procedure based on a ??suspensory system? is presented for the aesthetic correction of the flat nose. A Goretex monofilament is inserted between the connective tissue and the perichondrium from the septal, upper lateral, and alar cartilages in a quadrangular fashion. When tightened, it shortens the nose and elevates the tip. The procedure is performed on an outpatient basis with the patient under local anesthesia. It offers the patient immediate evaluation of the result. No edema or bruises have been observed. At this writing, 8 months after an application of this procedure, no extrusions or collateral reactions have been found. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-010-9476-zAuthors Almir Moojen... Tue, 02 Mar 2010 01:00:13 -0800 |
Nerve regeneration after local administration of the inhibitor peptide of the TGF-?1 (P144®) Abstract To determine whether local administration of the inhibitor peptide of the transforming growth factor-β1 (TGF-β1; p144®) at the site of the anastomosis of a peripheral nerve can improve the peripheral nerve regeneration. Sciatic nerves were transected and immediately repaired. Wistar rats (n??=??45) were divided into three groups: a control group (group I, n??=??15), a vehicle solution group (group II, n??=??15), and a p144®-treated group (group III, n??=??15); 0.25 ml of a solution containing 2.5 mg of p144® per milliliter of tissucol® was administered at the site of the nerve repair in group III. The animals were sacrificed at 12 weeks. Spinal motor neurons and distal axons were quantified. Electrophysiological studies and walking track... Tue, 02 Mar 2010 00:59:53 -0800 |
Reply to Discussion by Dr. M. Kane Discussion by Dr. M. Kane Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00266-009-9400-6Authors Kiyonori Harii, Kyorin University Tokyo Mitaka-shi JapanMakoto Kawashima, Tokyo Women??s Medical University School of Medicine Tokyo Japan Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery) Thu, 25 Feb 2010 21:51:42 -0800 |
The Fate of Porous Hydroxyapatite Granules Used in Facial Skeletal Augmentation This study evaluated the long-term maintenance of augmented bony projection when porous hydroxyapatite granules are used on the facial skeleton. Ten female patients aged 28??58 years were studied following aesthetic augmentation of the facial skeleton at 24 sites using porous hydroxyapatite granules. Postoperative CT scans at 3 months served as the baseline measurement and compared with scans taken at 1 and 2 years, with the thickness of the hydroxyapatite measured in axial and coronal planes. Thickness of original bone plus overlay of hydroxyapatite, thickness of the overlying soft tissue, and the overall projection (bone plus soft tissue) were recorded. It was found that 99.7% of the hydroxyapatite was maintained at 2 years, with no statistical difference (t te...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Thu, 25 Feb 2010 21:51:42 -0800 |
Nurses Clarify Skin Care Advice For Radiotherapy Patients Two US cancer nurses have researched the evidence behind a commonly applied rule that cancer patients should not apply skin creams or lotions for four hours before having radiotherapy treatment and found there is little evidence to support this belief and that practice varies widely. Trish Bieck and Shannon Phillips from the James P... Thu, 18 Mar 2010 02:00:00 -0700 |
Surgeons Use Neck Muscle, Surrounding Tissue As Lip Implant Augmenting the lips with grafts of muscle and connective tissue from the neck appears to result in improved appearance for at least two years, according to a report in the March/April issue of Archives of Facial Plastic Surgery, one of the JAMA/Archives journals... Thu, 18 Mar 2010 00:00:00 -0700 |
Skin Cancer Should Be Treated As A Chronic Disease "To manage the future costs and quality of care for patients with skin cancer, a revised health strategy is needed," write Simone van der Geer, M.D., of Erasmus University Medical Center, Rotterdam, and colleagues in a special article... Thu, 18 Mar 2010 00:00:00 -0700 |
What Is Varicose Eczema (Stasis Dermatitis)? What Causes Varicose Eczema? Varicose eczema also known as stasis dermatitis, congestion eczema, gravitational dermatitis, gravitational eczema, stasis eczema, is a type of eczema (a chronic skin condition) that affects the legs. It refers to the skin changes that occur in the leg as a result of "stasis" or blood pooling from insufficient venous return... Thu, 18 Mar 2010 00:00:00 -0700 |
What Is Discoid Eczema (Nummular Dermatitis)? What Causes Discoid Eczema? Discoid eczema, also known as discoid dermatitis, gravitational eczema, nummular dermatitis, and nummular eczema is a form of dermatitis. It is a chronic (long-term) or recurrent condition. A rash appears on the skin in the form of red coin shaped discs - plaques of eczema - which can affect different parts of the body, but primarily the lower legs, hands and forearms, and sometimes the trunk... Thu, 18 Mar 2010 00:00:00 -0700 |
An uncommon presentation of hydatid cyst in submandibular salivary gland??a case report Abstract Hydatid disease is a parasitosis known as hydatidosis or echinococcosis. It affects both animals and humans. Hydatid cyst of the head and neck region is uncommon and the involvement of salivary glands, especially the submandibular gland is very rare. A case of submandibular gland hydatid cyst is reported in this article. A patient presented with a swelling of submandibular region since 8 months. On examination, swelling revealed a soft, non-tender, mobile mass with fluctuation positive when done bimanually measuring 8?????6 cm. Chest X-ray and abdominal ultrasonography were normal. Excision of the submandibular gland with the mass was performed and pathological examination confirmed the swelling to be a hydatid cyst of the right submandibular gland. ...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Thu, 18 Feb 2010 08:53:21 -0800 |
A long-term review of Z-plasty technique for repair of split earlobes The objective of this study is to present the technique, results, and outcomes of our split earlobe patients. A 10-year retrospective review of one surgeon??s (I.T.J) split earlobe cases was performed. Repairs involved resection of the edges of the split area followed by a Z-plasty at the edge of the lobe. We perform a complete closure without preservation of the original piercing hole. Re-piercing is performed after at least a month. Forty-three patients were included, and eight had bilateral involvement. Average follow-up of the patients was around 4 months. A variety of etiologies were responsible for the split. One patient developed hematoma and infection which was resolved with antibiotics. Another patient developed notching and required revision surgery. The other 41 pat... Thu, 18 Feb 2010 08:53:20 -0800 |
Joint Role Of Obesity And Alcohol In Increasing The Risk Of Liver Disease Obesity and alcohol act together to increase the risk of liver disease in both men and women according to two studies published on bmj.com today. These findings have significant clinical and public health implications. In the UK, rates of liver disease and obesity are increasing. Alcohol is a major cause of liver cirrhosis... Thu, 11 Mar 2010 23:00:00 -0800 |
What Is Hyperhidrosis (Excessive Sweating)? What Causes Hyperhidrosis? Hyperhidrosis, also known as polyhidrosis or sudorrhea means excessive sweating; sweating too much. Hidrosis means sweating, while hyper means too much, or excessively. The excessive sweating may be either localized in specific parts of the body, or generalized (everywhere). Most cases of excessive sweating tend to start during a person's teenage years - their adolescence... Thu, 11 Mar 2010 23:00:00 -0800 |
Melasma Treated with Intense Pulsed Light Conclusion From a careful review of the scientific literature and according to our personal clinical experience, IPL stands out as an effective tool in the treatment and healing of a high percentage of hypermelanosis and melasma, with a very low risk of complications and an excellent satisfaction rate among patients. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-010-9485-yAuthors Giovanni Zoccali, L??Aquila University Department of Health Science, Plastic and Reconstructive Surgery Session, Faculty of Medicine and Surgery P.le S. Tommasi 1 67010 Coppito, L??Aquila ItalyDomenico Piccolo, L??Aquila University Department of Health Science, Plastic and Reconstructive Surgery Session, Faculty of Medicine and Surgery P.le S. Tommasi 1 67010 Co...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Thu, 11 Mar 2010 21:50:30 -0800 |
Maryland Legislation Introduced To Prohibit Indoor Tanning For Minors New Maryland legislation to protect youth from melanoma, the deadliest form of skin cancer, is based on significant scientific evidence that indoor tanning before the age of 30 is undeniably linked to increased risk of developing the disease. Senator James N. Robey and Delegate William A... Thu, 11 Mar 2010 01:00:00 -0800 |
Surgical Safety Research Recieves 2010 HSR Impact Award AcademyHealth recognized research that improves patient safety and surgical outcomes with the 2010 Health Services Research (HSR) Impact Award. The WHO Surgical Safety Checklist was created as a tool to ensure adherence to basic safety standards of care... Thu, 11 Feb 2010 03:00:00 -0800 |
A River Cruise Content Type Journal ArticleCategory EditorialDOI 10.1007/s00266-010-9494-xAuthors Thomas M. Biggs, 1315 St. Joseph Parkway Houston TX 77002 USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery) Sun, 14 Mar 2010 04:31:31 -0700 |
Autologous Augmentation-Mastopexy After Bariatric Surgery: Waste Not Want Not! Conclusion Autologous augmentation-mastopexy provides a robust augmentation, giving more natural ptotic breasts while avoiding the cost and potential complications of implant augmentation. The increased lateral flank scarring is well tolerated by these patients, with the additional benefit of reducing flank fullness. Content Type Journal ArticleCategory Innovative TechniquesDOI 10.1007/s00266-010-9479-9Authors Daniel J. A. Thornton, Pinderfields General Hospital Aberford Road WF1 4DG Wakefield UKLe Roux Fourie, Pinderfields General Hospital Aberford Road WF1 4DG Wakefield UK Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery) Sun, 14 Mar 2010 04:31:30 -0700 |
Craniomedial Pedicled Mammaplasty Based on Würinger??s Horizontal Septum Conclusion Based on Würinger`s horizontal septum, a safe and well-vascularized mammaplasty is possible even with large resection weights and long nipple??areola distances, and NAC sensibility can be preserved. The reported technique combining excellent pedicle perfusion with a wide variety of breast shaping proved to be safe. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-010-9487-9Authors H. Ryssel, BG-Trauma Center Ludwigshafen Department of Hand, Plastic and Reconstructive Surgery and Intensive Burn Care Unit Ludwig Guttmann Str. 13 67071 Ludwigshafen GermanyG. Germann, BG-Trauma Center Ludwigshafen Department of Hand, Plastic and Reconstructive Surgery and Intensive Burn Care Unit Ludwig Guttmann Str. 13 67071 Ludwigshafen GermanyR. Re... Sun, 14 Mar 2010 04:31:29 -0700 |
Comprehensive Considerations in Blepharoplasty in an Asian Population: A 10-year Experience Conclusions Transconjunctival blepharoplasty is the first choice for primary eyelid bags. Transcutaneous lower blepharoplasty (skin flap or skin-muscle flap procedures) is indicated for the senile eyelid with excess skin and muscles. If supporting structures (skin, muscle, and septum) show laxity and other aging stigma are present, including tear trough deformity and obvious skeleton rim, Hamra??s procedure (septal reset and fat-replacing technique) is performed. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-010-9478-xAuthors Lingli Guo, Changhai Hospital, Second Military Medical University Department of Plastic Surgery 168 Changhai Road Shanghai 200433 ChinaHongda Bi, Changhai Hospital, Second Military Medical University Department of Pl...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Sun, 14 Mar 2010 04:31:27 -0700 |
Y-Scar Vertical Mammaplasty for Treatment of Mild Macromastia with Pseudoptosis In conclusion, Y-scar vertical mammaplasty may find its use in other less commonly seen patient profiles such as this presented case of an older patient with slightly enlarged breasts and pseudoptosis. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00266-010-9484-zAuthors Mustafa Akyurek, UMass Medical Center Division of Plastic Surgery 281 Lincoln Street Worcester MA 01605 USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery) Sun, 14 Mar 2010 04:31:27 -0700 |
Histological Features of Periprosthetic Mammary Capsules: Silicone vs. Polyurethane Abstract Background Periprosthetic capsules are a common reaction of the body to silicone or polyurethane breast implants. The aim of this study was to evaluate similarities and differences in the histological features of periprosthetic capsules surrounding silicone implants and polyurethane foam-coated implants and to correlate those features with the age of the implants. Methods Tissues were studied from 41 periprosthetic capsules surrounding textured prostheses and from 20 capsules surrounding polyurethane foam-coated implants. For each sample we evaluated synovial metaplasia, density of collagen fibers or fibrosis, orientation of collagen fibers, and foreign body reaction (granulomatous reaction). Results Synovial metaplasia was s... Sun, 14 Mar 2010 04:31:26 -0700 |
Women and Breast Implants <p>Women sometimes need the breast implant to fullfill their lives. They need them to enhance their body figures.</p><p>Contributor: C<br />Published: Oct 02, 2005</p> Sun, 02 Oct 2005 08:51:00 -0700 |
What Are Emollients? What Are Emollients Used For? Emollients, also called moisturizers, reduce water loss from the outer layer of the skin (epidermis) by covering it with a protective film and keeping it supple and moist. They come in many forms: lotions, creams, ointments, soap substitutes and bath and shower additives. Regular use of emollients is the most important part of the day-to-day treatment for people with eczema... Sat, 20 Mar 2010 00:00:00 -0700 |
Some Britons Would Prefer Weight-Loss Surgery To Diet And Exercise More than half of Britons would rather shift excess weight through drastic surgery than diet or exercise, a new poll has suggested. Women see weight-loss operations as the key to quick results while some men regard it as the "lazy option", it found. The survey was carried out among 1,305 members of the public on behalf of the Good Surgeon Guide website... Sat, 13 Mar 2010 23:00:00 -0800 |
Response to Letter to the Editor: ??Title to a text is author's prerogative? I am very pleased to hear yet another input from Mr. Tanuj Kanchan regarding my paper (Congenital burns) published 5 years ago in this journal . I thank him for his interest in this work. I appreciate his latest work which showed the results of a survey regarding the appropriateness of the title of my paper to the text and he concluded in his survey that the title was not appropriate. Well, I can only say that I have my own reservations to the group which he involved in this survey as they are all medical students and I think they are still not experienced enough to be involved in such type of task. I would prefer if the survey respondents were plastic surgeons or may be experienced clinicians. (Source: Burns : Journal of the International Society for Burn Injuries) Sat, 13 Mar 2010 04:58:09 -0800 |
Routine radiography is not necessary for finding forgotten staples We appreciate Dr. Tang et al.??s comments on our article: ??Forgotten Staples? . They have mentioned that forgotten staples are problematic and may cause legal problems for the surgeons and the most important aspect of their comment is prevention of forgotten staples by means of routine radiography. (Source: Burns : Journal of the International Society for Burn Injuries) Sat, 13 Mar 2010 04:58:09 -0800 |
The treatment of hand burns: Timing of debridement and grafting We read with great interest the letter to the editor by van Zuijlen . It is nice to read that they mainly agree with our review , and that they also think that the timing of debridement and grafting is considered as one of the main issues concerning the treatment of burned hands and that there is still a discussion concerning the optimal timing. We think that the paragraph that expresses that wounds should be excised and covered as soon as burn depth can be determined exactly (usually on the second or third day after injury) is still right, because there is not enough literature available showing that late excision is better, but we agree with van Zuijlen that there are some cases or areas, where even a later debridement and more conservative approach might be useful for burn patients ; ne...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Sat, 13 Mar 2010 04:58:09 -0800 |
Also about forgotten staples We read with interest the recent two letters to the editor both entitled ??Forgotten staples? . Forgotten staples are really problematic. Some patients with this suffer are symptomatic and doctors can even be accused of medical negligence. Therefore much attention has been paid to this issue in our practice. We would like to share our experience in this respect. (Source: Burns : Journal of the International Society for Burn Injuries) Sat, 13 Mar 2010 04:58:09 -0800 |
Title to a text is author's prerogative Title should appropriately justify the text . An apt title to an article is a prime concern of the authors as it catches the attention and stays in the mind of the readers. An interesting case report by Suliman followed by a string of arguments and suggestion relating the title of the case report has prompted the author to undertake the present short research. There seems to be a difference in arriving at a particular title. Suliman was fascinated by the ??congenital?? aspect of burns sustained to the neonate, while Rao and Menezes with the ??iatrogenic?? aspect of the case . Kanchan ended up combining the two very valid aspects of the case ??iatrogenic?? and ??congenital?? to make the title technically more correct, that in no case can be considered a tautology to the title sugges... Sat, 13 Mar 2010 04:58:09 -0800 |
The treatment of hand burns: Timing of debridement and grafting We read with interest a review on the treatment of hand burns by Kamolz, which was recently published in this journal . This review covers a challenging area for the burn surgeon, as the hand is an important part of the body with respect to functional and aesthetic outcome. (Source: Burns : Journal of the International Society for Burn Injuries) Sat, 13 Mar 2010 04:58:09 -0800 |
An easy and safe pattern graft for facial burns The association and optimization of donor autograft sites, harvesting methods and cutaneous covering (autografts, allografts, artificial skin substitute?) allow to ensure early excision and grafting of burns. Facial burns occur, and when these require skin grafts, these are ideally taken from sites that have good color match, have not been used before, and are fashioned in sizes to cover the aesthetic units of the face and minimize the appearance of scars in the graft seams. (Source: Burns : Journal of the International Society for Burn Injuries) Sat, 13 Mar 2010 04:58:09 -0800 |
Water jet for early treatment of chemical burn The first necessity in the initial management of burn to remove from the wound the agent of burn and also any contaminants, clothes or foreign bodies. This is particularly important in chemical burns, because the agent may penetrate deeply into the skin and cause ongoing tissue destruction unless it is immediately and completely removed by washing or irrigation using saline or water. (Source: Burns : Journal of the International Society for Burn Injuries)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Sat, 13 Mar 2010 04:58:09 -0800 |
Prefabricated flap for multiple facial units reconstruction using a jejunal seromuscular patch as a vascular carrier Prefabricated flap is a versatile reconstructive option especially in patients with severe burns, because it can create new donor sites without limitation of natural vascular territories. In this method, a vascular carrier is implanted to a new skin territory. Following a period of maturation and neovascularization, the prefabricated flap can be transferred, based on the implanted pedicle. The very first attempt of prefabricated flap was reported by Washio in a canine model using an intestinal seromuscular patch as the vascular carrier. However, the development of various types of tissue transfer, such as muscle , fascia , and vascular pedicle alone, has precluded the usage of intestine in this clinical setting. (Source: Burns : Journal of the International Society for Burn Injuries) Sat, 13 Mar 2010 04:58:08 -0800 |
Lower limb functional outcome assessment following burn injury: A novel use for 3D laboratory-based movement analysis The primary concern of burn rehabilitation has shifted from survival to maximising functional outcome and improving the time-frame for return to work . In their review of burn rehabilitation outcomes Van Baar et al. reported that restrictions in range of motion (ROM) were experienced by up to 18.5% of adult burns patients, up to 5 years following injury. This emphasises the need for quantification of movement outcomes in burns patients, to enable therapists to plan optimal rehabilitation regimes with the aim of maximising long-term functional outcomes. (Source: Burns : Journal of the International Society for Burn Injuries) Sat, 13 Mar 2010 04:58:08 -0800 |
Burn injuries from in-car cigarette lighters Burns as a result of disposable cigarette lighters have been widely reported . However, cigarette lighters fitted in cars also have the potential to harm, especially in the paediatric population. Traditionally, 12V outlets have been used to power in-car cigarette lighters. Recently these devices have been used to power in-car entertainment facilities such as mobile DVD players, satellite navigation systems or mobile phone chargers. (Source: Burns : Journal of the International Society for Burn Injuries) Sat, 13 Mar 2010 04:58:08 -0800 |
Interleukin-8 is elevated in cerebrospinal fluid following high-voltage electrical injury with late-onset paraplegia suggesting neuronal damage at the microlevel as causative factor The patient, a 31-year-old male, sustained an electric burn injury (16kV, AC/DC) while working with electric power lines. He was acutely admitted to a national burn center in Southeast Sweden, where burns equalling 29% of the total body surface area were noted. The burns were located at the front of the abdomen, upper arms bilaterally, and the left hip region, and the lesions were estimated to be mainly of the dermal type, what was believed initially to be caused mainly by an electric flash. There were no obvious entry or exit sites of the electric current. However, myoglobin in plasma was elevated as a sign of muscular degradation, suggesting that at least some current had passed through the tissues. According to the paramedic report there was an episode of a few minutes of unconsciousnes...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Sat, 13 Mar 2010 04:58:08 -0800 |
The characteristics of elderly burns in Shanghai This study aims to analyse the epidemiologic characteristics of severe burn in the elderly in Shanghai and to discusses a possible prevention programme for this population.Methods: A retrospective review of all medical records of elderly patients (aged 60 and older) admitted with acute burns to the Burn Center of the RuiJin Hospital between January 1996 and December 2004 was carried out. Patient demographics, etiology of burn, mechanism of injury, burn extent, anatomical areas burned, number of operations, and outcomes were reviewed.Results: A total of 201 (5.8% of hospitalised patients) elderly patients (mean age (±SD) of 69.3±7.1 years (range 60??90 years)) were admitted. Majority of the patients were men (62.2%) and the most common etiologies were flames (52.7%) and scalds (39.8%). T... Sat, 13 Mar 2010 04:58:08 -0800 |
Epidemiology of hospitalized burn patients in a tertiary care hospital in South India Conclusions: In patients with burns, total body surface area involvement more than 30%, age more than 20 years, female gender and presence of facial injury are statistically significant, as predictors of poor outcome and risk of death. The strongest association was seen with facial injury, which increased the risk of death by fourfold. (Source: Burns : Journal of the International Society for Burn Injuries) Sat, 13 Mar 2010 04:58:08 -0800 |
Parent attitudes towards medical student attendance and interaction in the paediatric burns outpatient clinic Abstract: Medical student attendance in the Outpatient Department is not only essential for the teaching of paediatric burns, but is also important in the recruitment of promising individuals for the growth of our speciality. In 2008, 110 consecutive parents were asked to complete written surveys before the start of their clinic appointment. Only one parent per family could choose to complete the survey. The response rate was 100%. Parents from a diverse range of cultural, educational and socioeconomic were represented in this study. Eighteen parents (16.4%), 48 parents (46.3%) and 44 parents (40.0%) considered their child's burn to be severe, moderate and mild, respectively. One hundred and nine parents (99.1%) accepted the attendance of medical students. Forty-two parents (38.5%) preferr... Sat, 13 Mar 2010 04:58:08 -0800 |
Socioeconomic deprivation and burns Conclusion: This study confirms marked ethnic and socioeconomic disparities in burn injuries requiring hospital admission. This is unacceptable and preventable. We propose active targeting of burn prevention strategies at high-risk groups as a cost-effective way of reducing disparities. (Source: Burns : Journal of the International Society for Burn Injuries)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Sat, 13 Mar 2010 04:58:07 -0800 |
Burn imaging with a whole field laser Doppler perfusion imager based on a CMOS imaging array Abstract: Laser Doppler perfusion imaging (LDPI) has been proven to be a useful tool in predicting the burn wound outcome in an early stage. A major disadvantage of scanning beam LDPI devices is their slow scanning speed, leading to patient discomfort and imaging artifacts. We have developed the Twente Optical Perfusion Camera (TOPCam), a whole field laser Doppler perfusion imager based on a CMOS imaging array, which is two orders of magnitude faster than scanning beam LDPI systems. In this paper the first clinical results of the TOPCam in the setting of a burn centre are presented. The paper shows perfusion images of burns of various degrees. While our system encounters problems caused by blisters, tissue necrosis, surface reflection and curvature in a manner similar to scanning beam imag... Sat, 13 Mar 2010 04:58:07 -0800 |
Trapeze-flap plasty: Effective method for postburn neck contracture elimination Abstract: The new method for postburn neck contracture management is presented. The method is found to be most effective when using the local flap procedures on patients who cannot undergo complex and long surgical procedures that are aimed at both contracture elimination and neck skin restoration (children, elderly patients, patients with inadequate donor sites, and patients with cosmetically acceptable scar appearance). The method consists of the opposite transposition of trapezoid scar-fascial flaps which are prepared one on each antero-lateral neck surface. Both flaps include scars, fat, platysma and deep cervical fascia. As a result of the trapeze-flap plasty, the anterior surface of the neck is lengthened approximately by 100??200%, the contracture is eliminated and mentocervical an... Sat, 13 Mar 2010 04:58:07 -0800 |
Use of bone anchors for flap fixation in burned patients Conclusion: Mitek anchors are a useful tool in plastic surgery. Suture anchors are used when coverage poses a risk of shearing away from the bone or adequate periosteum and soft tissue is not available for standard suture techniques. The anchor system provides a simple, fast, and efficient technique for flap fixation. (Source: Burns : Journal of the International Society for Burn Injuries) Sat, 13 Mar 2010 04:58:07 -0800 |
The use of theraputic plasma exchange (TPE) in the setting of refractory burn shock This study examines the physiologic effects of theraputic plasma exchange (TPE) in the setting of refractory burn shock and attempts to identify variables that correlate with the eventual need for TPE.Methods: A retrospective analysis was conducted of 40 patients over 24 months with >20% TBSA burns who experienced complicated resuscitations. TPE was utilized in 21 patients when the patients?? total resuscitation volumes exceeded 1.2 times the amount predicted by the modified Baxter formula (3cm3 LR/kg/%TBSA). Nineteen matched, contemporaneous patients served as controls. Demographic, injury severity, and acute clinical variables were abstracted for comparison between the two groups. Additionally, the TPE group was analyzed for blood lactate levels, mean arterial pressure (MAP) and urine o...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Sat, 13 Mar 2010 04:58:06 -0800 |
Burn severity and post-burn infertility in men Abstract: Burn wounds are a common cause of much morbidity and misery, especially in low- and medium-income countries. A number of studies show that severe burns cause infertility from poor sperm production.The pathways leading to such infertility are not well understood, and it is not known how the severity of injury affects this post-burn infertility (PBI). We evaluated the relationship between sperm parameters and indices of burn severity, such as burn surface area and depth in 19 adults.Total sperm counts ranged from 0 to 160million/ml, with a mean of 19.58±7.52million/ml. About 60% of the subjects had total counts of 20million/ml or less, falling into the clinically oligospermic range. We found only a weak correlation between infertility and both burn depth and burn surface area. The... Sat, 13 Mar 2010 04:58:05 -0800 |
Hypercalcaemia and acute renal failure after major burns: An under-diagnosed condition Abstract: Background: Hypercalcaemia has been shown to occur in about 20% of patients with major burns requiring prolonged intensive care unit (ICU) treatment, and it may be associated with renal failure. Having observed the early onset of hypercalcaemia, the study aimed to determine the frequency and timing of this condition in a European patient cohort.Methods: A retrospective cohort study on a prospectively collected, computerised database of the 225 burn-injury ICU admissions between 2001 and 2007 was undertaken. The inclusion criteria included: burns >20% of the body surface area (BSA) or in-hospital stay >20 days. Hypercalcaemia was defined as an ionised plasma calcium (Ca2+) concentration >1.32mmoll??1 (or total corrected calcium=[Ca]c>2.55mmoll??1). Four emblematic cases are repo... Sat, 13 Mar 2010 04:58:05 -0800 |
How would you like your tea, vicar? Discussion/conclusion: Hot beverages can cause significant scald injuries especially in the paediatric population. We demonstrated the potential for a full thickness burn despite cooling for 10min or the addition of cold milk. Thus the complacent attitude surrounding beverages under such conditions should be abolished. Our work also reiterates the need for education amongst caregivers regarding the handling of hot beverages in order to reduce the number of household injuries. (Source: Burns : Journal of the International Society for Burn Injuries) Sat, 13 Mar 2010 04:58:05 -0800 |
Actinidia deliciosa (kiwifruit), a new drug for enzymatic debridement of acute burn wounds Abstract: Background: Actinidia deliciosa (kiwifruit) is used as a meat tenderizer. It acts rapidly and efficiently to soften meat, liquefying it if allowed to work for more than a few hours. Observing this effect and the lack of studies addressing this subject in the literature, the authors sought to investigate the use of this natural remedy in an animal model for eschar separation and debridement.Methods: Thirty-five male rats were divided randomly into three groups. Under general anaesthesia, a limited standard full-thickness burn was produced on the back of each rat. For the intervention group (G1, 15 rats), the wounds were covered with fresh kiwifruit; for control groups 2 and 3 (G2, 15 rats; G3, five rats), the dressing was a neutral ointment (Emulsifier 1220). Weekly wound observat... Sat, 13 Mar 2010 04:58:05 -0800 |
Processing efficacy in relation to microbial contamination of skin allografts from 723 donors Abstract: The Siena Skin Bank, established in 2000, processes skin from more than 130 cadaveric donors per year (about 400,000cm2) and distributes it for transplants to treat burns and other types of skin loss. More than 1,500,000cm2 of homologous skin has been transplanted to date. At the Siena Skin Bank we conducted a retrospective study of our data to assess microbial contamination of skin specimens from 723 donors banked in the period 2000??2007. Our aim was to determine factors deleterious for skin quality, to optimize skin banking procedures and to reduce corrective actions. The factors analyzed were: type of donor (multi-organ, multi-tissue, live or cadaver), cause of death, time elapsing between death and procurement, different procurement centres and operator experience. Of the 7...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Sat, 13 Mar 2010 04:58:05 -0800 |
Descriptive and inferential statistical methods used in burns research Conclusion: Descriptive analysis and basic statistical techniques account for most of the statistical tests reported. This information should prove useful in deciding which tests should be emphasised in educating burn care professionals. These results highlight the need for burn care professionals to have a sound understanding of basic statistics, which is crucial in interpreting and reporting data. Advice should be sought from professionals in the fields of biostatistics and epidemiology when using more advanced statistical techniques. (Source: Burns : Journal of the International Society for Burn Injuries) Sat, 13 Mar 2010 04:58:05 -0800 |
Macrophage migration inhibitory factor??A potential diagnostic tool in severe burn injuries? Abstract: Serum macrophage migration inhibitory factor (MIF) and procalcitonin (PCT) concentrations as well as leucocyte numbers were evaluated in a retrospective study with 23 patients with severe burn injuries. The MIF and PCT concentrations as well as the number of leucocytes (LEU) were monitored over a period of 5 days. The total body surface area (TBSA) and sepsis-related organ failure assessment (SOFA) scores were also evaluated. The MIF, PCT concentrations and leucocyte counts were profoundly increased in all patients with severe burn wounds. At the time of admission into the intensive care unit, no significant differences were observed for the MIF and PCT levels between patients with a TBSA60% (Group 2). After 48h, however, the MIF and PCT levels reached very high levels in a subgr... Sat, 13 Mar 2010 04:58:04 -0800 |
The treatment of deep dermal hand burns: How do we achieve better results? Should we use allogeneic keratinocytes or skin grafts? Abstract: The treatment of deep dermal burns has a broad spectrum and has been subject to discussion over the past years. The treatment of hand burns is challenging due to the high requirements to aesthetic and functional outcome. 27 patients, 7 women and 20 men with deep dermal hand burns with a mean age of 41.3±16.5 and a mean TBSA of 15%±19.6% were treated either with allogeneic cryopreserved keratinocytes or with split skin grafts. Long-term follow-up revealed no statistical significant differences between the two groups concerning Vancouver Scar Scale as well as hand function judged by the DASH score; however there was a tendency to higher VSS scores and impaired aesthetic results in the keratinocyte group. Allogeneic keratinocytes are a suitable armentarium for the treatment of dee... Sat, 13 Mar 2010 04:58:04 -0800 |
The use of AlloDerm on major burn patients: AlloDerm prevents post-burn joint contracture Abstract: In efforts to prevent and reduce joint contracture and scar formation after burn, we used the acellular human dermis (AlloDerm®) as a dermal replacement in the acute stage. A total of 64 patients received AlloDerm® graft selectively on joint areas during the study period from March, 2005 to July, 2007. From January to March, 2008, a total of 31 patients returned to our burn center to examine the functional results by measuring range of motion of joints. Additionally, the quality of grafted skin condition criteria of skin elasticity, scar thickness, trans-epidermal water loss, melanin and erythema level was measured in a total of 11 patients among them. By analyzing the limitation level of 55 joints excluding hand areas, we found that 24 joints (43.6%) showed no limitations, 12 ... Sat, 13 Mar 2010 04:58:04 -0800 |
Biological background of dermal substitutes Abstract: Dermal substitutes are of major importance in treating full thickness skin defects, both in acute and chronic wounds. In this review we will outline specific requirements of three classes of dermal substitutes:Biological and clinical requirements will be translated to composition, physical structure, immunological properties and cell??matrix interactions of the various materials.Important properties like pore size, cell adhesion sites (e.g. RGD sequences), crosslinking, degradability and the presence of a basement membrane will be discussed for each of the different classes of materials. (Source: Burns : Journal of the International Society for Burn Injuries)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Sat, 13 Mar 2010 04:58:04 -0800 |
Chemical burns: Pathophysiology and treatment Abstract: Chemical burns continue to pose a variety of dilemmas to the clinician managing such cases. Assessment of burn depth is often difficult and the decision whether to excise the wound early is not always clear-cut. In this updated review, common agents are classified and the basic principles of management and specific recommendations are examined. The complications arising from exposure to these chemicals and the supportive measures needed during treatment are also described. (Source: Burns : Journal of the International Society for Burn Injuries) Sat, 13 Mar 2010 04:58:04 -0800 |
ISBIEXCA_210x280_b.pdf (Source: Burns : Journal of the International Society for Burn Injuries) Sat, 13 Mar 2010 04:58:04 -0800 |
Tackling Childhood Obesity With Get Up, Get Out And Go! Getting children involved in finding ways to become more physically active can not only make them more aware of local recreational opportunities, but can even help increase their own physical activity. That's the result of a study examining the role of seven national parks in contributing to the health of today's youth... Sat, 13 Mar 2010 00:00:00 -0800 |
Team Approach Provides Better Care For Children With Cleft Lip And Palate Children with a cleft lip or cleft palate are more likely to receive recommended age-appropriate health care when that care is provided by an interdisciplinary team rather than an individual provider. In a study encompassing three states, Arkansas, Iowa and New York, 24% of participants were not receiving team care... (Source: Cleft Palate News From Medical News Today) Sat, 13 Mar 2010 00:00:00 -0800 |
What Is Heat Rash? What Is Prickly Heat? What Causes Heat Rash? Heat rash, also known as prickly heat, sweat rash and miliaria, is an itchy, red skin rash that often causes a stinging or prickling sensation. It is common in infants but can affect adults too, especially during hot, humid weather. Heat rash develops when sweat ducts become blocked and perspiration is trapped under the skin. This causes irritation and results in the rash... Sat, 06 Mar 2010 23:00:00 -0800 |
Aesthetic Plastic Surgery Welcomes New Editor-in-Chief Content Type Journal ArticleCategory EditorialDOI 10.1007/s00266-010-9477-yAuthors Catherine Foss, ISAPS Hanover NH USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery) Mon, 22 Feb 2010 22:18:43 -0800 |
Bilateral carpal tunnel syndrome in a 7-year-old girl with Hurler??s syndrome Abstract This is a case report of bilateral carpal tunnel syndrome in a 7-year-old girl with Hurler??s syndrome successfully managed with standard carpal tunnel releases. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00238-010-0403-yAuthors Amy J. Greenwood, Frenchay Hospital Department of Plastic and Reconstructive Surgery Bristol UKJacqueline E. Rees-Lee, Frenchay Hospital Department of Plastic and Reconstructive Surgery Bristol UKSimon Lee, Frenchay Hospital Department of Plastic and Reconstructive Surgery Bristol UK Journal European Journal of Plastic SurgeryOnline ISSN 1435-0130Print ISSN 0930-343X (Source: European Journal of Plastic Surgery) Mon, 22 Feb 2010 22:17:37 -0800 |
Analysis of Patient-Determined Preoperative Computer Imaging [Original Article] <p><b>Objective </b> To compare patients' goals in aesthetic rhinoplasty with aesthetic ideals by analyzing changes requested through computer imaging during the initial consultation.</p>
<p><b>Methods </b> The frontal and lateral views of 20 consecutive female rhinoplasty patients were analyzed retrospectively before and after using image manipulation software. Indexes from the frontal view included the ratio of alar base width to dorsal length and the ratio of alar base width to interpupillary distance. On the lateral view, parameters included the nasolabial angle, nasofacial angle, and tip projection (Goode ratio). Ideal parameters were based on descriptions by Powell and Humphreys.</p>
<p><b>Results </b> The ideal and patient-determined proportions were compared using a paired 2-tailed <i>t</i> test. The mean nasolabial angle falls within the ideal range before and after image manipulation. However, the Goode ratio and the ratio of alar base width to interpupillary distance were statistically similar to ideal values only after image manipulation. The nasofacial angle and the ratio of alar base width to dorsal length showed a trend toward the ideal ratio.</p>
<p><b>Conclusions </b> Patients' preferences were similar to the ideal in 3 of 5 parameters, and the remaining parameters approached the ideal. These parameters are useful in creating satisfying proportions in aesthetic rhinoplasty and reconstructive surgery within our population. Rather than population-based normative data or ideals based on fashion models or Greek statuary, these are proportions requested by patients. Computer imaging software, used by a growing number of aesthetic surgeons, holds a wealth of data regarding common patient preferences.</p> Mon, 21 Sep 2009 12:51:22 -0700 |
The Treatment of Nasal Fractures: A Changing Paradigm [Original Article] <p><b>Objectives </b> To compare the efficacy of closed vs open treatment of nasal fractures, and to suggest an algorithm for nasal fracture management that includes closed and open techniques.</p>
<p><b>Methods </b> Retrospective study of 86 patients with nasal fractures who received either closed treatment (41 patients) or open treatment (45 patients) between January 1, 1997, and December 30, 2007. Fractures were classified as 1 of 5 types. Revision rates were calculated for each group. Preoperative and postoperative photographs were rated, if available, and patients were interviewed about aesthetic, functional, and quality of life issues related to surgical treatment.</p>
<p><b>Results </b> The revision rate for all fractures was 6%. The revision rate for closed vs open treatment was 2% vs 9%, respectively. Many closed treatment cases were classified as type II fractures, whereas most open treatment cases were classified as type IV fractures. There was no statistical difference in revision rate, patient satisfaction, or surgeon photographic evaluation scores between the closed and open treatment groups when fractures were treated in the recommended fashion.</p>
<p><b>Conclusions </b> Patients who undergo open or closed treatment have similar outcomes if the surgical approach is well matched to the individual fracture. Our treatment algorithm provided consistent aesthetic and functional results while minimizing the need for revision procedures.</p> Mon, 21 Sep 2009 12:51:22 -0700 |
Margin Reflex Distance in Different Ethnic Groups [Original Article] <p><b>Objective </b> To determine the normal range for eyelid margin reflex distance (MRD) in adults according to their ethnicity, age, and sex.</p>
<p><b>Methods </b> A prospective study of eyelid measurements in 112 consecutive adult African American, Asian, white, and Latino patients was compared using <i>t</i> test analysis. Measurements of MRD were collected by a single examiner across 5 months. Patients with conditions disposing to eyelid height changes were excluded.</p>
<p><b>Results </b> The MRD showed statistically significant variance among select ethnic groups. There was no statistical significance between sexes within each ethnic group.</p>
<p><b>Conclusions </b> Variance in MRD exists among ethnic groups. This information and further data on ethnicity and sex variance of eyelid measurements can be used for both diagnostic purposes and surgical treatment of patients for optimal results.</p> Mon, 21 Sep 2009 12:51:22 -0700 |
Correction of Pollybeak and Dimpling Deformities of the Nasal Tip in the Contracted, Short Nose by the Use of a Supratip Transposition Flap [Original Article] <p><b>Objective </b> To discuss our experiences with the use of a supratip transposition flap to simultaneously correct pollybeak deformity and nasal tip dimpling.</p>
<p><b>Design </b> From April 1, 2007, through August 31, 2008, 10 Asian women with a contracted, short nose that exhibited nasal tip dimpling were retrospectively included in this study. By use of an open approach, the osteocartilaginous framework was elongated first. If the pollybeak and dimpling deformities of the nasal tip were found after the closure of the transcolumellar incision, a supratip transposition flap was designed to correct the combined deformities over the supratip and nasal tip areas. Finally, bilateral marginal incisions were closed.</p>
<p><b>Results </b> The follow-up period ranged from 2 to 16 months, with an average of 5 months. No immediate complications were noted in this small series. Four of 10 patients required minor flap revisions, with satisfactory results attained thereafter. All patients were satisfied with the aesthetic result after scar maturation.</p>
<p><b>Conclusions </b> The use of the supratip transposition flap not only corrects pollybeak deformity but also resolves dimpled nasal tip depression. The techniques presented herein add to the armamentarium of revision rhinoplasty surgeons, especially those dedicated to the treatment of the Asian patient who undergoes rhinoplasty.</p> Mon, 21 Sep 2009 12:51:22 -0700 |
Comparison of Incision Closures With Subcuticular and Percutaneous Staples [Original Article] <p><b>Objective </b> Incision closures should yield safe, effective healing with excellent cosmesis. Subcuticular absorbable staples may combine the advantages of subcuticular suturing with the efficiency of percutaneous stapling. This study compares absorbable subcuticular staples with percutaneous metal staples as a means of incision closure in facial rejuvenation surgery.</p>
<p><b>Methods </b> Sixteen patients undergoing endoscopic eyebrow-lift and/or rhytidectomy were studied. Each patient had 50% of their temporal and postauricular skin incisions closed with subcuticular staples oversewn with 5-0 plain gut and the remaining 50% closed with percutaneous metal staples. Incisions were evaluated intraoperatively and at regular intervals for 1 year postoperatively. Intraoperative assessments included device handling, bleeding, tension, and cosmesis. Postoperative assessments included incision integrity, inflammation, and cosmesis. Patients were also interviewed regarding incision appearance and comfort.</p>
<p><b>Results </b> During the early postoperative period, metal staples produced greater incisional erythema and crusting. Subcuticular staples produced better tissue eversion, less erythema, equivalent if not superior comfort, and shorter office visits. These differences faded over time. The need to properly engage the subcuticular stapler in the dermis was the principal impediment to optimal stapler use.</p>
<p><b>Conclusions </b> Subcuticular staples represent a safe, comfortable, and potentially more rapid alternative to percutaneous staples. Modifications of the subcuticular stapler device are required before its full potential can be realized.</p> Mon, 21 Sep 2009 12:51:22 -0700 |
Meta-analysis of Surgical Techniques for Preventing Parotidectomy Sequelae [Original Article] <p><b>Objective </b> To conduct a meta-analysis of the literature on surgical methods for the prevention of Frey syndrome and concave facial deformity after parotidectomy.</p>
<p><b>Methods </b> A PubMed search through February 2008 identified more than 60 English-language studies involving surgical techniques for prevention of these parameters. Analyzed works included 15 retrospective or prospective controlled studies reporting quantitative data for all included participants for 1 or more of the measured parameters in patients who had undergone parotidectomy. Report quality was assessed by the strength of taxonomy recommendation (SORT) score. Data were directly extracted from reports and dichotomized into positive and negative outcomes. The statistical significance was then calculated.</p>
<p><b>Results </b> The mean SORT score for all studies was 2.34, and the mean SORT score for all the analyzed studies was 1.88. Meta-analysis for multiple techniques to prevent symptomatic Frey syndrome, positive starch-iodine test results, and contour deformity favored intervention with a cumulative odds ratio (OR) of 3.88 (95% confidence interval [CI], 2.81-5.34); OR, 3.66 (95% CI; 2.32-5.77); and OR, 5.25 (95% CI, 3.57-7.72), respectively.</p>
<p><b>Conclusion </b> Meta-analysis of operative techniques to prevent symptomatic Frey syndrome, positive starch-iodine test results, and facial asymmetry suggests that such methods are likely to reduce the incidence of these complications after parotidectomy.</p> Mon, 21 Sep 2009 12:51:22 -0700 |
Profilometric and Morphometric Response of Murine Skin to Cosmeceutical Agents [Original Article] <p><b>Objective </b> To investigate whether topical antiaging compounds can reduce wrinkle depth as noted at replica profilometry with comparable changes in histologic findings in hairless mice.</p>
<p><b>Methods </b> Commercial retinoic acid cream, a peptide lotion, and a soy cream were applied to the dorsal skin for 4 weeks. Silicone-negative replicas of treated and untreated skin surface were photographed and evaluated for traditional features of surface roughness. Skin samples were processed using histomorphometry and immunohistochemistry of proliferating cell nuclear antigen. Quantitative light microscopic data were acquired for estimating replication of epidermal keratinocytes, epidermal thickness, and depth of dermal collagen bundles.</p>
<p><b>Results </b> Data were analyzed by comparing means with 1-way analysis of variance, and significant changes in all measurements were noted. Augmented keratinocyte proliferation and thickening of viable epidermis were observed with all 3 compounds, although a greater effect was found in the retinoic acid and peptide treatment groups. A similar trend was noted with respect to widening of the collagen layer. Epidermal surface roughness manifested maximum smoothing after treatment with the peptide compound.</p>
<p><b>Conclusion </b> The pronounced effects noted with all 3 compounds indicate that topical agents other than retinoic acid may have comparative stimulating effects on the skin in nonirradiated mice.</p> Mon, 21 Sep 2009 12:51:22 -0700 |
Use of the Remnant Ear for Reconstruction in Lobule-Type Microtia [Original Article] <p><b>Objective </b> To present in detail a reconstruction technique using the remnant ear in lobule-type microtia. </p>
<p><b>Methods </b> By comparing the location of residual ear and the contralateral normal ear, we classified 3 different types of the remnant ear. Three techniques of transposition were applied to adjust the location of the reconstructed ear.</p>
<p><b>Results </b> The reconstructed earlobes not only looked real but also were symmetrical with the contralateral normal ears.</p>
<p><b>Conclusion </b> The remnant ear is a key factor—in addition to the framework and covering skin—in ear reconstruction in microtia.</p> Mon, 21 Sep 2009 12:51:22 -0700 |
The Use of Ultrasonic Shears for the Harvest of Perforator Free Flaps [Surgical Technique] <p>A retrospective chart review was performed at a university medical center to evaluate the use of ultrasonic shears for the harvest of perforator free flaps over an 18-month period. The anterolateral thigh (ALT) was the perforator free flap site selected for the study. The site of origin and the number of musculocutaneous perforator vessels that were dissected using ultrasonic shears were recorded, and ALT flap viability and wound-healing complications were evaluated to assess safety. Seventeen patients underwent harvest of ALT perforator free flaps. Successful dissection of musculocutaneous perforators was achieved in 96% (27 of 28) of the descending branch perforators and in 100% (9 of 9) of the transverse branch perforators. Flap viability was 100% (17 of 17). We found that ultrasonic shears were effective and safe to use for harvesting perforator free flaps. According to these preliminary findings, the use of ultrasonic shears appears promising, yet further prospective analysis is needed.</p> Mon, 21 Sep 2009 12:51:22 -0700 |
Alar Rim Grafting in Rhinoplasty: Indications, Technique, and Outcomes [Original Article] <p><b>Objective </b> To determine the potential indications for placement of cartilaginous alar rim grafts in primary and revision septorhinoplasty.</p>
<p><b>Methods </b> Retrospective medical chart analysis of all patients undergoing septorhinoplasty from March 2003 through June 2004 in a private facial plastic and reconstructive surgery center and a tertiary teaching hospital. Patients who received alar rim grafts were identified. The indications for placement of the alar rim grafts were deduced from their preoperative evaluation and intraoperative assessment as noted in their comprehensive operative notes. Preoperative and postoperative digital photographs as well as postoperative medical records were analyzed for alar contour, pertinent patient complaints, and complications.</p>
<p><b>Results </b> During the 15-month study period, 150 patients underwent septorhinoplasty performed by the senior author. Of these patients, 31 received alar rim grafts. The most frequent indications for placement of alar rim grafts were cephalic malposition of the lower lateral cartilage with inadequate alar support (9 patients [29%]), correction of alar flare (9 patients [29%]), and correction of dynamic alar margin collapse (8 patients [26%]). At a mean 6-month follow-up, there were no graft displacements or extrusion.<b></b></p>
<p><b>Conclusion </b> Alar rim grafting is a simple and versatile approach to providing additional support to the external nasal valve and for improving nasal base contour.</p> Mon, 21 Sep 2009 12:51:21 -0700 |
Reconstruction of the Nasal Septum Using Polydioxanone Plate [Original Article] <p><b>Objectives </b> To evaluate the usefulness of resorbable polydioxanone plate attached to nasal septal cartilage in external septoplasty, to assess its mechanical stability until healing of cartilage fragments, and to describe the surgical technique and clinical experience.</p>
<p><b>Design </b> External septoplasty with polydioxanone plate has been performed in 396 patients since 1996. Indications were severe septal deformities (usually posttraumatic). Surgery included removal of the quadrilateral cartilage and division into straight fragments, which were sutured to resorbable polydioxanone plate and replaced as a free graft. If the nasal septal cartilage was partly or completely missing because of prior surgery or trauma, the missing cartilage was supplanted with auricular conchal cartilage. The study settings were Medicent Linz, Linz, Austria, and the Ear, Nose, and Throat Department, General District Hospital Steyr, Steyr, Austria.</p>
<p><b>Results </b> Functional and cosmetic outcomes were satisfactory. All patients experienced varying degrees of improvement in nasal blockage. There were no immediate (bleeding, septal hematomas, inflammatory reactions, or necrosis) or long-term (septal perforation, thickening of the nasal septum, or rejection of the implant) complications.</p>
<p><b>Conclusion </b> Use of polydioxanone plate attached to nasal septal cartilage facilitates surgical correction of severe septal deformities and supports the nasal dorsum until healing.</p> Mon, 18 Jan 2010 12:52:15 -0800 |
Mandibular Distraction Osteogenesis Used to Treat Upper Airway Obstruction [Original Article] <p><b>Objective </b> To evaluate whether mandibular distraction osteogenesis relieves tongue-based airway obstruction in patients with severe micrognathia.</p>
<p><b>Design </b> Retrospective medical review spanning a 7-year period in a tertiary care hospital. The inclusion criterion was defined as micrognathia associated with a severe tongue-based obstruction. The patients included 11 neonates and infants (mean age, 4.3 months) and 2 pediatric patients (mean age, 5.4 years). Two patients had already received tracheotomies, 11 had not. The intervention was bilateral mandibular osteotomies with distraction osteogenesis. The outcome measures were avoidance of tracheotomy and decannulation.</p>
<p><b>Results </b> Ten of 11 patients avoided tracheotomy. Two of 2 patients who had already undergone tracheotomies were successfully decannulated.</p>
<p><b>Conclusion </b> Mandibular distraction osteogenesis is an acceptable treatment alternative to tracheotomy in select pediatric patients with micrognathia and severe tongue-based obstruction.</p> Mon, 18 Jan 2010 12:52:15 -0800 |
Temporal Branch of the Facial Nerve and Its Relationship to Fascial Layers [Original Article] <p><b>Objectives </b> To eliminate the inconsistency in the nomenclature, to anatomically and definitively describe the topographic relationship of the temporal branch of the facial nerve to the fascial layers and the fat pads, and to create an effective algorithm to define the safest approaches and planes for surgical procedures in this area.</p>
<p><b>Methods </b> The study was performed using 18 hemifacial cadaveric specimens. In 12 hemifacial specimens, the facial halves were coronally sectioned and dissected. In 6 hemifacial specimens, planar dissection was performed layer by layer.</p>
<p><b>Results </b> The temporal branch of the facial nerve that traversed inside the deep layers of the temporoparietal fascia and the superficial musculoaponeurotic system coursed along the zygomatic arch as 1 (14.3%), 2 (57.1%), 3 (14.3%), and 4 (14.3%) twigs in the specimens. The temporoparietal fascia had no attachment to the zygomatic arch and continued caudally as the superficial musculoaponeurotic system. Adhesions were between the temporoparietal fascia and the superficial layer of the deep temporal fascia around the zygomatic arch. In most specimens, the superficial layer of the deep temporal fascia continued as the parotideomasseterica fascia, and a deep layer abutted the posterosuperior edge of the zygomatic arch.</p>
<p><b>Conclusion </b> An easy and safe surgical approach in this area is to elevate the superficial layer deep to the intermediate fat pad directly on the deep layer of the deep temporal fascia descending to the periosteum along the zygomatic arch.</p> Mon, 18 Jan 2010 12:52:15 -0800 |
Orbicularis Suspension Flap and Its Effect on Lower Eyelid Position: A Digital Image Analysis [Original Article] <p><b>Objective </b> To evaluate changes in lower eyelid position using digital image analysis in patients who have undergone an orbicularis suspension flap combined with blepharoplasty.</p>
<p><b>Methods </b> A total of 68 patients (136 eyes) underwent a lower eyelid orbicularis oculi suspension flap combined with blepharoplasty. Digital image analysis was used to standardize each patient's preoperative and postoperative photographs for accurate objective comparison. The photographs were analyzed for lower eyelid position.</p>
<p><b>Results </b> The mean (SD) preoperative standardized distance from the center of the pupil to the lower eyelid margin (MRD2) in all procedures was 5.53 (0.74) mm. The mean (SD) postoperative standardized MRD2 was 5.22 (1.0) mm. There was a statistically significant difference in MRD2 position such that the postoperative MRD2 position decreased or the lower eyelid position was elevated by an average of 0.31 mm in comparison to the preoperative position (<i>P</i> < .001).</p>
<p><b>Conclusions </b> A well-performed suspension flap can elevate the lower eyelid position to a more natural and anatomically appropriate position. By resuspending the ptotic orbicularis muscle, the suspension flap also reinforces the underlying attenuated orbital septum. Such cases may not achieve the optimum level of rejuvenation if isolated lower eyelid blepharoplasty is performed.</p> Mon, 18 Jan 2010 12:52:15 -0800 |
Force Requirements for Artificial Muscle to Create an Eyelid Blink With Eyelid Sling [Original Article] <p><b>Objective </b> To determine the force requirements, optimal vector, and appropriate materials of a novel eyelid sling device that will be used to rehabilitate eyelid closure (blink) in congenital or acquired permanent facial paralysis with an artificial muscle.</p>
<p><b>Methods </b> The force required to close the eyelids in human cadavers (n = 6) were measured using a load cell system. The eyelid sling using either expanded polytetrafluoroethylene (ePTFE) or temporalis muscle fascia was implanted. The ideal vector of force and placement within the eyelid for a natural eyelid closure were compared.</p>
<p><b>Results </b> The eyelid sling concept was successful at creating eyelid closure in a cadaver model using an upper eyelid sling attached to the distal tarsal plate. Less force was necessary to create eyelid closure using a temporalis muscle fascia sling (627 ± 128 mN) than for the ePTFE eyelid sling (1347 ± 318 mN).</p>
<p><b>Conclusions </b> The force and stroke required to close an eyelid with the eyelid sling are well within the attainable range of the electroactive polymer artificial muscle (EPAM). This may allow the creation of a realistic and functional eyelid blink that is symmetric and synchronous with the contralateral, normally functioning blink. Future aims include consideration of different sling materials and development of both the EPAM device and an articulation between the EPAM and sling. The biocompatibility and durability studies of EPAM in a gerbil model are under way. The successful application of artificial muscle technology to create an eyelid blink would be the first of many potential applications.</p> Mon, 18 Jan 2010 12:52:15 -0800 |
Biomechanical Analysis of Anchoring Points in Rhytidectomy [Original Article] <p><b>Objective </b> To quantify tissue tearing force at various anchoring points on the face.</p>
<p><b>Methods </b> This is a prospective anatomic study using 4 fresh cadavers of persons aged 60 to 70 years at the time of death, for a total of 8 sides. Standardized 1-cm distances were measured at the various anchor points, and a single 0 Prolene suture loop was tied at each standardized anchoring point. Steady force was applied perpendicular to the plane of the face with a digital hanging scale. The scale was pulled until the suture ruptured the tissue at the anchoring point. The values at which the tissue ruptured were recorded, averaged, and compared.</p>
<p><b>Results </b> The average tissue force was 7.01 kg for the root of the zygoma vs 3.44 kg for the temporalis fascia (<i>P</i> < .05). The average tissue force was 5.50 kg for infralobular tissue vs 4.09 kg for tissue of the superficial musculoaponeurotic system located 1 cm anterior to the infralobular tissue (<i>P</i> < .05). The force for the fascia of the sternocleidomastoid was 3.89 kg vs 5.57 kg for the mastoid fascia (<i>P</i> < .05). There was a statistically significant difference between vertical bites of the temporalis fascia at 1.90 kg vs horizontal bites of the temporalis at 5.01 kg (<i>P</i> < .05).</p>
<p><b>Conclusion </b> The tissue tearing force varies by location on the face as well as suture orientation.</p> Mon, 18 Jan 2010 12:52:15 -0800 |
Nimodipine and Acceleration of Functional Recovery of the Facial Nerve After Crush Injury [Original Article] <p><b>Objective </b> To establish whether nimodipine, a calcium channel blocker, accelerates or otherwise improves functional recovery of whisking after facial nerve crush injury in the rat.</p>
<p><b>Methods </b> Thirty rats underwent exposure of the left main trunk of the facial nerve followed by a standard crush injury and subsequent quantitative facial movement testing. Animals were randomized into an experimental group (n = 15) and a control group (n = 15). Four days prior to facial nerve manipulation, experimental animals underwent subcutaneous implantation of a nimodipine-secreting pellet. All animals were tested preoperatively and on postoperative days 2, 8 to 17, 20, 22, 24, and 31 using a validated, quantitative whisking kinematics apparatus. Whisks were analyzed for amplitude, velocity, and acceleration.</p>
<p><b>Results </b> Animals receiving nimodipine demonstrated significantly better whisking on 5 days (postoperative days 9, 11 to 13, and 20) compared with control animals (<i>P </i>< .001, <i>P </i> = .003, <i>P </i> = .009, <i>P </i> = .009, and <i>P </i> = .009, respectively; 1-tailed <i>t</i>test). Overall, the nimodipine-treated animals showed earlier recovery compared with the untreated animals.</p>
<p><b>Conclusions </b> We demonstrate that nimodipine improves recovery of whisking after facial nerve crush. This finding corroborates the semiquantitative findings of others, and provides complete whisking kinematic data on its effects. Given the low adverse effect profile of nimodipine, there may be clinical implications in its administration in patients experiencing facial nerve injury.</p> Mon, 18 Jan 2010 12:52:15 -0800 |
Endoscopic Brow-lift in the Male Patient [Surgical Technique] <p><b>Objective </b> To report our experience with the endoscopic brow-lift in male patients at a university-affiliated outpatient surgery center.</p>
<p><b>Methods </b> Retrospective case series.</p>
<p><b>Results </b> From 1995 to 2007, a total of 244 endoscopic brow-lift procedures were performed, 21 of which involved men. Thirteen of the male patients had receding hairlines or some degree of baldness. Two male patients had postoperative complications; 1 male patient had temporal branch neurapraxia that resolved; and 1 male patient had in-office scar revision.</p>
<p><b>Conclusions </b> We have found that the endoscopic brow-lift procedure is well suited for male facial rejuvenation. Furthermore, our combined stair-step approach and suture suspension technique provides consistent results and high satisfaction regardless of the patient's hairline.</p> Mon, 18 Jan 2010 12:52:15 -0800 |
Arguing the Ethics of Facial Transplantation [Ethics and Public Policy] <p>While 7 face transplants have been performed around the world, to date, there remains debate regarding the validity of this procedure. We submit that performing a facial transplant—in the appropriately selected patient—is technically defensible and ethically sound. By outlining the technical and ethical boundaries of the debate, responding to the key arguments against the procedure, and describing its motivations and potential benefits, we state our justification of facial transplantation.</p> Mon, 18 Jan 2010 12:52:15 -0800 |
The Technical and Anatomical Aspects of the World's First Near-Total Human Face and Maxilla Transplant [Original Article] <p><b>Objective </b> To discuss the technical and anatomical analysis and design of an osteocutaneous allograft transplant incorporating the donor maxilla and the execution of the operative protocol during the transplant.</p>
<p><b>Methods </b> The Cleveland Clinic reported the world's first successful combined face and maxilla transplant in December 2008. Unlike the 3 prior face transplants, this surgical procedure was done as a salvage operation in a patient who had undergone 23 major reconstructive procedures. The additional complexity due to significant postoperative scarring and recipient vessel depletion presented a unique challenge in this case. The extensive 3-dimensional losses of facial structures in multiple tissue planes required a Le Fort III osteomyocutaneous allotransplant incorporating the donor maxilla.</p>
<p><b>Results </b> We report the first successful transfer of a complete bony framework and soft-tissue envelope. The allograft has shown excellent integration and no long-term rejection. The traditional conception based on anatomical studies suggested that this transfer would require independent dissection of the internal maxillary vascular system. This was not required in our patient whose allograft was based solely on the facial arterial system and its arcades.</p>
<p><b>Conclusions </b> Successful near-total face and maxilla allograft transplant can be accomplished based on the facial arterial system and its arcades. This presents a novel method for reconstructing massive facial injuries with significant involvement of the facial skeleton.</p> Mon, 16 Nov 2009 12:51:21 -0800 |
Long-term Use and Follow-up of Irradiated Homologous Costal Cartilage Grafts in the Nose [Original Article] <p><b>Objective </b> In 1993, Kridel and Konior published a preliminary report (in the <i>Archives of Otolaryngology–Head and Neck Surgery</i>) on the use of irradiated homologous costal cartilage (IHCC) or homograft cartilage in the nose. This is a follow-up study to share our experience in answering fundamental questions: (1) What are the major long-term complications of IHCC, and are they any greater than with the use of the patient's own cartilage? (2) Is IHCC a reliable and safe implant? (3) Does IHCC resorb over time? (4) What measures are implemented in our practice to minimize the sequelae?</p>
<p><b>Design </b> We performed a retrospective review of patient medical charts in a university-affiliated private practice setting. A total of 357 patients underwent primary or revision rhinoplasty using IHCC grafts with postoperative follow-up duration ranging from 4 days to 24 years (mean [SD], 13.45 [2.83] years). A total of 1025 IHCC grafts and 373 other grafts (including 218 autogenous cartilage [AC] grafts) were used. A total of 201 grafts were dorsal onlay grafts, and 74 of them have been further followed up since the previous report. The grafts were evaluated for warping, infection, infective resorption, noninfective resorption, mobility, and extrusion. Patient satisfaction evaluation was performed in 42 patients.</p>
<p><b>Results </b> The total complication rate related to IHCC grafts was 3.25%, which included 10 warped grafts of 941 palpable or superficial IHCC grafts (1.06%), 9 infections of 1025 IHCC grafts (0.87%), 5 cases of infective resorption of 1025 IHCC grafts (0.48%), 5 noninfective resorptions of 943 palpable IHCC grafts (0.53%), and 3 cases of graft mobility of 941 palpable grafts (0.31%). Nine cases of local infection were treated and could have arisen from any of the 1025 IHCC grafts as well as from the 373 other grafts. Among the 9 cases of infection, in 2 patients IHCC grafts were used alone, and in 7 patients IHCC grafts were used in combination with other types of graft materials; therefore, the actual infection rate related to the pure use of IHCC was 2 of 1025 or 0.2%. Of the 218 AC grafts used at the same operative intervention along with IHCC grafts, 3 grafts (1.37%) underwent minimal resorption. The overall comparative resorption rates were 1.01% (IHCC) vs 1.37% (AC). The complication rate in conjunction with the use of 162 IHCC s in 53 cases of septal perforation repair was 2.46% (4 cases), including only 1 case of infection, 1 case of mobility of the graft, 1 case of warping, and 1 case of infective resorption (0.61% for all). Of the 25 AC grafts used in septal perforation cases, there were 2 cases of noninfective resorption (8%). The overall comparative complication rates in septal perforation cases were 2.46% for IHCC vs 8% for AC, which indicated a 3.25-times higher complication with the AC than with IHCC. No allergic reaction or systemic disease was reported by patients as a result of use of the IHCC. Irradiated homograft cartilage also proved to be a reliable graft in 2 patients with progressive autoimmune diseases over 2.08 years and 10 years of follow-up. The average rates of patient satisfaction increased during a mean follow-up of 7.87 years, from 91.31% to 94.18%, in 4 categories, including nasal appearance, nasal breathing, nasal symptoms, and quality of life.</p>
<p><b>Conclusions </b> Based on careful and extensive review of the data, we have concluded that IHCC is well tolerated as a grafting material in rhinoplasty and yields superb functional, structural, and cosmetic results in the most complex and challenging operative cases necessitated by previous unsuccessful nasal surgery, septal perforations, and even in autoimmune diseases that led to nasal deformity. Not only did very few complications occur following the use of 1025 IHCC grafts in 357 patients after 386 rhinoplasties over 24 years (rate, 3.25%), but the rate of complications was no greater than rhinoplasty complication rates when AC grafts are used. The results indicate safety and reliability and justify the convenient use of IHCC grafts for primary and revision rhinoplasty without creating donor site morbidity. Irradiated homograft cartilage grafts are quite stable in the nose and maintain structural contour and support in most cases. Irradiated homograft cartilage grafts should be considered as an alternative or even a primary grafting material when the patient does not have adequate quantities of septal or auricular cartilage remaining to provide the correction or when the shape or quality of such an AC does not adequately provide the structure required. Autogenous rib cartilage is also an alternative material but also increases operative and anesthesia time and adds potential morbidity. The use of IHCC is both cost- and time-effective.</p> Mon, 16 Nov 2009 12:51:21 -0800 |
Measurements of Orbital Volume Change Using Computed Tomography in Isolated Orbital Blowout Fractures [Original Article] <p><b>Objectives </b> To measure the orbital volume of unilateral pure blowout fractures with computed tomography before and after surgery and to compare 3-dimensional (3-D) imaging systems.</p>
<p><b>Methods </b> Twenty-four patients were evaluated with facial computed tomographic scans before and after surgery. Both the orbital volume and the displaced soft tissue volume were measured by 2 operators using 2 different 3-D software programs (Vitrea; Vital Images Inc, Minnetonka, Minnesota; and Dextroscope; Bracco AMT Inc, Princeton, NJ).</p>
<p><b>Results </b> The mean (SD) normal orbital volumes calculated by Vitrea and Dextroscope were 25.5 (2.4) mL and 24.8 (3.0) mL, respectively. The average preoperative orbital volumes were 28.3 (2.3) mL and 27.6 (3.1) mL, while the postoperative volumes were 25.8 (2.5) mL and 24.9 (3.0) mL. Vitrea showed that the average volume of displaced orbital soft tissue was 2.8 (1.9) mL before surgery and that it was reduced to 0.3 (1.3) mL after surgery, while Dextroscope showed that the average displaced orbital soft tissue was 2.9 (1.4) mL before surgery and that it was reduced to 0.1 (1.2) mL after surgery. There was no statistical difference between the 3-D analysis programs.</p>
<p><b>Conclusions </b> Consistent volume measurements can be obtained using different 3-D image analysis programs. Measuring preoperative and postoperative volume changes and postoperative reduction can ensure a good surgical result and thereby decrease the incidence of enophthalmos. </p> Mon, 16 Nov 2009 12:51:21 -0800 |
Minimally Invasive Ear Reshaping With a 1450-nm Diode Laser Using Cryogen Spray Cooling in New Zealand White Rabbits [Original Article] <p><b>Background </b> Otoplasty is the current standard of care for treating prominent ears, a psychologically and sometimes functionally disabling disorder. The technically demanding procedure carries many risks such as poor aesthetic outcome, need for revision surgery, and need for general anesthesia. This study investigates the use of laser irradiation combined with cryogen skin cooling and stenting to reshape cartilage in the ears of New Zealand white rabbits.</p>
<p><b>Methods </b> In this prospective, randomized, internally controlled animal study, the right ears of 9 rabbits were mechanically deformed with a jig and then irradiated with a 1450-nm diode laser combined with cryogen skin cooling (14 J/pulse with cryogen spray for 33 milliseconds per cycle and a 6-mm spot size). The left ear served as the control. The ears were splinted for 1, 3, or 4 weeks. The rabbits were then given a lethal dose of intravenous pentobarbital, and the splints were removed and ears examined and photographed. Light and confocal microscopy were performed on the specimens.</p>
<p><b>Results </b> Shape change was observed in all 9 treated rabbit ears, while none of the control ears (stenting alone) showed significant change. Qualitatively, reshaped ears were stiffer after 4 weeks of splinting than after 1 or 3 weeks. None of the rabbits showed evidence of skin injury nor did they show signs of postprocedural pain. Findings from histologic analysis in the treated areas showed evidence of an expanded chondrocyte population in the region of laser irradiation, along with some perichondrial thickening and some fibrosis of the deep dermis. Confocal microscopy revealed minimal cellular death at 1 week and none thereafter.</p>
<p><b>Conclusions </b> Cartilage reshaping using laser energy can be performed safely transcutaneously using cryogen spray cooling in rabbits. This animal model has similarity to human ears with regard to skin and cartilage thickness and is a stepping stone toward developing minimally invasive laser auricle reshaping in humans.</p> Mon, 16 Nov 2009 12:51:21 -0800 |
Defining the Facial Extent of the Platysma Muscle: A Review of 71 Consecutive Face-lifts [Original Article] <p><b>Objective </b> To delineate the superior (facial) extent of the platysma muscle.</p>
<p><b>Methods </b> A total of 142 facial halves were examined from 71 consecutive deep-plane rhytidectomies performed over a period of 3 months. The platysma muscle was identified and isolated during the procedure. The superior extent of the platysma was measured along the line created by the angle of the mandible to the malar eminence, also known as the malar mandibular line.</p>
<p><b>Results </b> On average, the platysma extended 3.98 cm along the malar mandibular line, superiorly from the inferior border of the mandible. The platysma was located 3.09 cm inferiorly from the malar eminence along the malar mandibular line. On average, the platysma muscle occupied 56% of the malar mandibular line.</p>
<p><b>Conclusion </b> The platysma muscle may have a more significant facial extension than previously described.</p> Mon, 16 Nov 2009 12:51:21 -0800 |
Reconstruction of the Mandible and the Maxilla: The Evolution of Surgical Technique [Special Topics] <p>The upper and lower jaws play an essential role in mastication, articulation, and cosmetic form. The mandible provides support for tongue position and elevation of the larynx during swallowing, while the maxilla provides support for the nasal structures as well as an opposing structure to the mandible during mastication. The evolution of mandibular and maxillary reconstruction dates back to the early 19th century. Before the introduction of free tissue transfer, a variety of local flaps, regional flaps, and prosthetics were introduced, yet each was met with eventual failure. Since the introduction of free tissue transfer, mandibular and maxillary reconstruction has become as much of an art as it has a science. Whether the mandibular or the palatomaxillary defects are a result of trauma, congenital deformity, or tumor extirpation, the resultant effect often disrupts both form and function. With these considerations taken together, jaw reconstruction is a unique undertaking in which the artistic reconstruction of the facial skeleton is met with the science of reestablishing the mechanics of mastication. The site, size, and associated soft-tissue defects represent the 3 most important factors in determining the impact of a given defect on function and aesthetics. There is also an inherent difference between defects that are sustained in a controlled fashion, such as during cancer ablation, and those that result from trauma. The consideration of these complexities in jaw reconstruction is reflected in the wide variety of approaches and techniques that have evolved over the past century.</p> Mon, 15 Mar 2010 12:51:35 -0700 |
Quantitative Comparison Between Microperforating Osteotomies and Continuous Lateral Osteotomies in Rhinoplasty [Original Article] <p><b>Objective </b> To determine the difference in nasal bone narrowing between 2 techniques: the low lateral intranasal perforating osteotomy technique and the low lateral continuous osteotomy technique.</p>
<p><b>Methods </b> A retrospective analysis of preoperative and postoperative photographs to determine the changes of the dorsal width of the nose (width of plateau of the nose, or dorsal nasal highlight) and the ventral width (junction of the flattened surface of the maxilla and the ascending nasal process of the maxilla).</p>
<p><b>Results </b> Twenty patients underwent continuous osteotomies, and 40 underwent intranasal perforating osteotomies. The continuous osteotomy technique had a preoperative to postoperative decrease in the ventral width of 7.0% (<i>P</i> < .01). The perforating osteotomy technique had a decrease in the ventral width of 3.6% (<i>P</i> < .001). Neither technique resulted in a statistically significant change in dorsal width (<i>P</i> < .25). There was no significant difference in ventral and dorsal narrowing when comparing continuous osteotomies to perforating.</p>
<p><b>Conclusions </b> Both the continuous and perforating osteotomy technique resulted in a decrease in the ventral nasal bone width. No statistical difference was found between continuous and perforating osteotomy techniques in the amount of nasal bone narrowing (<i>P</i> < .25).</p> Mon, 15 Mar 2010 12:51:35 -0700 |
Lip Augmentation Using Sternocleidomastoid Muscle and Fascia Grafts [Original Article] <p><b>Objective </b> To report a new technique for long-term cosmetic lip augmentation and demonstrate that sternocleidomastoid (SCM) muscle and fascia grafts have long-term persistence.</p>
<p><b>Methods </b> Measurements of vermilion show and lip projection were taken from before and after photographs of 25 consecutive patients who underwent SCM muscle and fascia augmentation of the lips with concurrent cervicofacial rhytidectomy and were compared with a control group of 25 cervicofacial rhytidectomy patients who did not undergo lip augmentation. All patients had a minimum follow-up period of 1 year.</p>
<p><b>Results </b> At a mean follow-up period of 2 years, mean upper and lower lip vermilion show increased 20% to 24% from baseline (<i>P</i> < .001), and mean upper and lower lip projection increased by 0.90 to 0.99 mm from baseline (<i>P</i> < .001).</p>
<p><b>Conclusions </b> Lip augmentation with SCM muscle and fascia grafts results in long-term enhancement of vermilion show and lip projection. The surgeon must account for some degree of postoperative graft resorption and atrophy when determining the size of the grafts to be transplanted. With careful patient selection and surgical technique, SCM muscle and fascia implantation is a valuable tool when treating the aging lip.</p> Mon, 15 Mar 2010 12:51:35 -0700 |
Snip Conjunctivoplasty for Postoperative Conjunctival Chemosis [Original Article] <p><b>Objective </b> To describe a surgical technique to treat postoperative conjunctival chemosis.</p>
<p><b>Design </b> Case report.</p>
<p><b>Results </b> Two cases of postoperative chemosis in which the conventional methods failed were successfully treated by snip conjunctivoplasty, without recurrence.</p>
<p><b>Conclusion </b> Snip conjunctivoplasty is a simple and effective surgical approach to treat refractory postoperative chemosis.</p> Mon, 15 Mar 2010 12:51:35 -0700 |
Reconstruction of the Nasal Septum Using Perforated and Unperforated Polydioxanone Foil [Original Article] <p><b>Objective </b> To present our experience of reconstruction of the nasal septum using perforated and unperforated foils, particularly with respect to functional and aesthetic sequelae.</p>
<p><b>Methods </b> A retrospective medical record review of a prospectively conducted case series was undertaken of all consecutive patients who underwent septal reconstruction using polydioxanone foil in a 4-year period. Procedures included septorhinoplasty and isolated septoplasty via external and endonasal approaches using corporeal and extracorporeal techniques. The polydioxanone foils were in battens or sheets.</p>
<p><b>Results </b> Fifty patients underwent septal reconstruction using unperforated (first 26 patients) or perforated (next 24 patients) polydioxanone foil. Median total postoperative follow-up was 51.5 months (range, 34-60 months) for unperforated foil and 20.5 months (range, 12-31 months) for perforated foil. All the patients were reviewed for assessment of appearance and function. Forty-three patients had satisfactory results, needing no further treatment. Three patients required minor septal or tip revision surgery. Four patients experienced moderate saddling of the dorsum (all involved unperforated polydioxanone foil) and underwent successful revision surgery using auricular cartilage grafts.</p>
<p><b>Conclusions </b> Synthetic materials are a useful alternative to autologous tissues during reconstruction of the nasal septum. To our knowledge, we present the largest single-center series of septal reconstructions using unperforated and perforated polydioxanone foils—shown to be useful in the correction of complex septal deformity. However, the unperforated form seems to be associated with a significant risk of postoperative saddling, and we warn against its use in this context. No such complications were observed with the use of thin, 0.15-mm perforated polydioxanone foil, which we exclusively recommend for this application. The use of this implant warrants further evaluation.</p> Mon, 15 Mar 2010 12:51:35 -0700 |
Irradiated Homologous Rib Grafts in Nasal Reconstruction [Original Article] <p><b>Objective </b> To assess the long-term efficacy of irradiated homologous rib grafts (IHRGs) for both augmentation and support function in rhinoplasty in general and for specific recipient sites within the nose.</p>
<p><b>Design </b> A retrospective study was conducted at an academic medical center to evaluate the loss of volume and support function of IHRGs in 9 specific recipient sites in the nose.</p>
<p><b>Results </b> We studied 66 patients, with a total of 177 IHRGs, dating back 9 years, with an average follow-up of 51 months. The rate of resorption increased with duration of follow-up. Complete resorption was found in 1 IHRG, and moderate resorption was observed in 55 IHRGs (31%). Resorption was characterized by a loss of support function rather than a loss of volume. Moderate resorption had a negative clinical outcome for shield grafts only.</p>
<p><b>Conclusions </b> Irradiated homologous rib grafts were safe to use in rhinoplasty. In cases requiring a shield graft, IHRGs should be avoided.</p> Mon, 15 Mar 2010 12:51:35 -0700 |
Desired Position, Shape, and Dynamic Range of the Normal Adult Eyebrow [Original Article] <p><b>Objective </b> To determine the resting and aesthetically desired position of the eyebrows and the range of eyebrow mobility.</p>
<p><b>Methods </b> Photographs were taken of 40 adult subjects in 5 poses: eyes open and eyes closed, maximum brow elevation and brow contraction, and brow positioned optimally by the subject. The height of the brow was measured relative to the orbital rim and surrounding structures in 6 locations: the medial brow, above the medial canthus, midpupil, lateral canthus, brow peak, and brow tail.</p>
<p><b>Results </b> Women desired the lower border of the brow to fall just below the orbital rim at the medial canthus, at the rim at the midpupillary line and several millimeters above the rim at the lateral canthus. Men desired a lower brow with a lower tail and a less accentuated peak. The brow peak in both women and men was just medial to the lateral canthus. Range of movement was greater medially in men and at the brow tail in women.</p>
<p><b>Conclusions </b> The aesthetic position of the medial and central brow is relatively low. The brow peak should be just medial to the lateral canthus. Surgeons planning forehead and brow surgery should consider these parameters to avoid creating an unnatural brow appearance.</p>
<p><b>Trial Registration </b> clinicaltrials.gov Identifier: NCT00347308 .</p> Mon, 15 Mar 2010 12:51:35 -0700 |
Desired Position, Shape, and Dynamic Range of the Normal Adult Eyebrow [Original Article] Conclusions The aesthetic position of the medial and central brow is relatively low. The brow peak should be just medial to the lateral canthus. Surgeons planning forehead and brow surgery should consider these parameters to avoid creating an unnatural brow appearance.
Trial Registration clinicaltrials.gov Identifier: NCT00347308. (Source: Archives of Facial Plastic Surgery) Mon, 15 Mar 2010 11:51:35 -0700 |
Irradiated Homologous Rib Grafts in Nasal Reconstruction [Original Article] Conclusions Irradiated homologous rib grafts were safe to use in rhinoplasty. In cases requiring a shield graft, IHRGs should be avoided. (Source: Archives of Facial Plastic Surgery)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Mon, 15 Mar 2010 11:51:35 -0700 |
Reconstruction of the Nasal Septum Using Perforated and Unperforated Polydioxanone Foil [Original Article] Conclusions Synthetic materials are a useful alternative to autologous tissues during reconstruction of the nasal septum. To our knowledge, we present the largest single-center series of septal reconstructions using unperforated and perforated polydioxanone foils—shown to be useful in the correction of complex septal deformity. However, the unperforated form seems to be associated with a significant risk of postoperative saddling, and we warn against its use in this context. No such complications were observed with the use of thin, 0.15-mm perforated polydioxanone foil, which we exclusively recommend for this application. The use of this implant warrants further evaluation. (Source: Archives of Facial Plastic Surgery) Mon, 15 Mar 2010 11:51:35 -0700 |
Lip Augmentation Using Sternocleidomastoid Muscle and Fascia Grafts [Original Article] Conclusions Lip augmentation with SCM muscle and fascia grafts results in long-term enhancement of vermilion show and lip projection. The surgeon must account for some degree of postoperative graft resorption and atrophy when determining the size of the grafts to be transplanted. With careful patient selection and surgical technique, SCM muscle and fascia implantation is a valuable tool when treating the aging lip. (Source: Archives of Facial Plastic Surgery) Mon, 15 Mar 2010 11:51:35 -0700 |
Quantitative Comparison Between Microperforating Osteotomies and Continuous Lateral Osteotomies in Rhinoplasty [Original Article] Conclusions Both the continuous and perforating osteotomy technique resulted in a decrease in the ventral nasal bone width. No statistical difference was found between continuous and perforating osteotomy techniques in the amount of nasal bone narrowing (P < .25). (Source: Archives of Facial Plastic Surgery)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Mon, 15 Mar 2010 11:51:35 -0700 |
Reconstruction of the Mandible and the Maxilla: The Evolution of Surgical Technique [Special Topics] The upper and lower jaws play an essential role in mastication, articulation, and cosmetic form. The mandible provides support for tongue position and elevation of the larynx during swallowing, while the maxilla provides support for the nasal structures as well as an opposing structure to the mandible during mastication. The evolution of mandibular and maxillary reconstruction dates back to the early 19th century. Before the introduction of free tissue transfer, a variety of local flaps, regional flaps, and prosthetics were introduced, yet each was met with eventual failure. Since the introduction of free tissue transfer, mandibular and maxillary reconstruction has become as much of an art as it has a science. Whether the mandibular or the palatomaxillary defects are a result of trauma, co... Mon, 15 Mar 2010 11:51:35 -0700 |
Thank You to Our Reviewers [Reviewers List] (Source: Archives of Facial Plastic Surgery)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Mon, 15 Mar 2010 11:51:35 -0700 |
Government Called To Action On Obesity And Climate Change, Australia Australian politicians must act quickly to combat the rise of obesity and its life-threatening disease consequences, and the great threats to health from global climate change, according to a letter published in the Medical Journal of Australia. The letter has been endorsed by 300 medical and health practitioners, including 40 professors of medicine and health sciences... Mon, 15 Mar 2010 02:00:00 -0700 |
Exercising Just Got Easier For Busy People, Study Shows If you're the type of person who invokes the "not enough time" clause when it comes to exercising, it's time to find a new excuse. Researchers who have been studying interval training have found that it not only takes less time than what is typically recommended, but the regimen does not have to be "all out" to be effective in helping reduce the risk of such diseases at Type 2 diabetes... Mon, 15 Mar 2010 01:00:00 -0700 |
What Is Prader-Willi Syndrome? What Causes Prader-Willi Syndrome? Prader-Willi syndrome, also known as PWS is an uncommon genetic disorder (present at birth) in which seven genes (or subsets) on chromosome 15 are deleted or unexpressed. Patients with PWS may have physical, mental and behavioral problems - the main one being an unrelenting feeling of hunger... Mon, 15 Mar 2010 00:00:00 -0700 |
Study Identifies Racial And Ethnic Disparities In Surgical Care Minority patients in New York City appear less likely than white patients to have surgeries performed by surgeons or at facilities that have handled large numbers of similar procedures in the past, according to a report in the February issue of Archives of Surgery, one of the JAMA/Archives journals... Mon, 15 Feb 2010 23:00:00 -0800 |
Study Examines Outcomes After Bariatric Surgery Revisions Revisional bariatric surgery appears to be associated with a higher risk of complications than the initial procedure, according to a report in the February issue of Archives of Surgery, one of the JAMA/Archives journals. Surgical treatment is currently the only effective approach for long-term weight loss in the severely obese, according to background information in the article... Mon, 15 Feb 2010 23:00:00 -0800 |
Botulinum Toxin Injection May Help Prevent Some Types Of Migraine Pain A preliminary study suggests the same type of botulinum injection used for cosmetic purposes may be associated with reduced frequency of migraine headaches that are described as crushing, vicelike or eye-popping (ocular), but not pain that is experienced as a buildup of pressure inside the head, according to a report in the February issue of Archives of Dermatology, one of the ... Mon, 15 Feb 2010 23:00:00 -0800 |
Botulinum Toxin Injection May Help Prevent Some Types Of Migraine Pain A preliminary study suggests the same type of botulinum injection used for cosmetic purposes may be associated with reduced frequency of migraine headaches that are described as crushing, vicelike or eye-popping (ocular), but not pain that is experienced as a buildup of pressure inside the head, according to a report in the February issue of Archives of Dermatology, one of the ... (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today) Mon, 15 Feb 2010 23:00:00 -0800 |
Study Examines Outcomes After Bariatric Surgery Revisions Revisional bariatric surgery appears to be associated with a higher risk of complications than the initial procedure, according to a report in the February issue of Archives of Surgery, one of the JAMA/Archives journals. Surgical treatment is currently the only effective approach for long-term weight loss in the severely obese, according to background information in the article... (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today) Mon, 15 Feb 2010 23:00:00 -0800 |
Saline Implants' Risks, Benefits Essential Info for Health Literate Women <p>Breast projection is a legitimate wish of some women. They may be aware of the risks and costs of a saline implant. It must be possible for every woman who takes a considered decision to opt for reconstruction surgery, to have her wish fulfilled.</p><p>Contributor: Jenny Tansey<br />Published: May 27, 2005</p> Fri, 27 May 2005 14:36:00 -0700 |
The treatment of soft-tissue defects of the lower leg after a traumatic open tibial fracture Abstract The treatment of large soft-tissue defects of the lower leg remains a challenge. The timing of the operation, the most suitable type of tissue, and the decision between local or free flap coverage still remains under discussion. Fifty-two patients were treated with local or free flap coverage after a traumatic soft-tissue defect of the lower leg. We compared the results after treatment with local versus free flaps and fasciocutaneous flaps versus musculocutaneous flaps. In the case of primary reconstruction, we also compared the results regarding the timing of the operation: patients treated within 72 h after the trauma versus patients treated after 72 h. Thirty-five patients (67%) have been treated because of posttraumatic soft-tissue defects and, theref... Fri, 26 Feb 2010 07:43:09 -0800 |
10 Myths About Breast Cancer Busted <p>Ten of the most common myths about breast cancer exposed here. Some of them may surprise you, and others you just be aware of.</p><p>Contributor: Megan Mathews<br />Published: May 19, 2006</p> Fri, 19 May 2006 03:14:00 -0700 |
Acne Drug Prevents HIV Breakout Johns Hopkins scientists have found that a safe and inexpensive antibiotic in use since the 1970s for treating acne effectively targets infected immune cells in which HIV, the virus that causes AIDS, lies dormant and prevents them from reactivating and replicating... Fri, 19 Mar 2010 14:00:00 -0700 |
Causes Found For Stiff Skin Conditions By studying the genetics of a rare inherited disorder called stiff skin syndrome, researchers at the Johns Hopkins University School of Medicine have learned more about scleroderma, a condition affecting about one in 5,000 people that leads to hardening of the skin as well as other debilitating and often life-threatening problems... Fri, 19 Mar 2010 13:00:00 -0700 |
CMACE Publishes Information On Obesity In Pregnancy The Centre for Maternal and Child Enquiries (CMACE) reveals results from a survey on NHS maternity provision for obese women and publishes guidelines at a conference today. In 2008, CMACE undertook a survey of maternity service provision for women with obesity on the NHS as part of their national programme on obesity in pregnancy... Fri, 19 Mar 2010 04:00:00 -0700 |
Extreme Obesity Affecting More Children At Younger Ages Extreme obesity is affecting more children at younger ages, with 12 percent of black teenage girls, 11.2 percent of Hispanic teenage boys, 7.3 percent of boys and 5.5 percent of girls now classified as extremely obese, according to a Kaiser Permanente study of 710,949 children and teens that appears online in the Journal of Pediatrics... Fri, 19 Mar 2010 03:00:00 -0700 |
Surgeon Re-attaches Teen's Arm After Boating Accident Kristen Kilpatrick could see the whirling propeller approaching after her fishing boat lurched forward, plunging her into the cold lake. "The motor creates this weird funneling and it just sucks you in. I just curled up into a little ball," the Texas Christian University sophomore recalled... Fri, 19 Mar 2010 02:00:00 -0700 |
Obesity Boot Camps Not The Answer; But Gym Class Is. Obesity boot camps are not the answer to the nation's waistline problem, says Deborah J. Wray, associate professor in the department of kinesiology at Texas Christian University in Fort Worth... Fri, 19 Mar 2010 01:00:00 -0700 |
Surgeon Re-attaches Teen's Arm After Boating Accident Kristen Kilpatrick could see the whirling propeller approaching after her fishing boat lurched forward, plunging her into the cold lake. "The motor creates this weird funneling and it just sucks you in. I just curled up into a little ball," the Texas Christian University sophomore recalled... (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Fri, 19 Mar 2010 01:00:00 -0700 |
Improvements in Transaxillary Breast Augmentation Conclusion Transaxillary augmentation mammaplasty without routine endoscopic assistance is a safe method with predictable results and a high rate of patient satisfaction. The transaxillary technique offers the advantage of locating the surgical scar off the breast. It requires closer supervision during the first few postoperative months compared with the submammary or periareolar technique because it is more difficult to place and maintain implants at the proper level using the transaxillary approach. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9437-6Authors Igor Niechajev, Lidingö-kliniken Torsvägen 30 181 32 Lidingö, Stockholm Sweden Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesth... Fri, 19 Feb 2010 21:48:53 -0800 |
Inferior Pedicle Autoaugmentation Mastopexy After Breast Implant Removal Conclusion The advantages of the technique presented here are that it minimizes the skin scar in cases using vertical mammaplasty techniques and optimizes the breast shape after breast implant removal in patients who do not want a new implant. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-010-9471-4Authors Johannes Franz Hönig, Paracelsus Clinic Hannover Hannover GermanyHans Peter Frey, Clinic im Loewen-Center Luzern Luzern SwitzerlandFrank Michael Hasse, Paracelsus Clinic Hannover Hannover GermanyJens Hasselberg, Paracelsus Clinic Hannover Hannover Germany Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery) Fri, 19 Feb 2010 21:48:53 -0800 |
Psychological Profile of Taiwanese Female Cosmetic Surgery Candidates: Understanding Their Motivation for Cosmetic Surgery Conclusions The results of this study indicate that the Taiwanese female CS candidates did not have higher body image dissatisfaction or greater body image investment than the control group. However, body area dissatisfaction was the only significant predictor for the likelihood of having CS, a feature not previously recognized in Asian CS candidates. The higher self-esteem of the CS candidates opposes the view that low self-esteem is a principal motivating factor for CS. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9461-6Authors Hung-Chi Chen, E-Da Hospital/I-Shou University Department of Plastic and Reconstructive Surgery No. 1 Yi-Da Road, Jiau-Shu Tsuen, Yan-Chau Shiang Kaohsiung County Taiwan, ROCVasu Karri, E-Da Hospital/I-Shou U... Fri, 19 Feb 2010 21:48:51 -0800 |
Strong Period Pain And Excess Weight In Childhood Increase Risk Of Endometriosis Queensland Institute of Medical Research (QIMR) scientists have identified a new link between strong period pain experienced in adolescence and early adulthood and the risk of endometriosis. Researchers from QIMR's Gynaecological Cancer Laboratory have found having strong period pain often at an early age doubles a woman's risk of developing endometriosis... Fri, 12 Mar 2010 23:00:00 -0800 |
Cutting Obesity In Black, Latino New Yorkers A $6 million grant from the National Heart, Lung and Blood Institute (NHLBI) has funded the creation of ORBIT: Obesity Related Behavioral Intervention Trials to focus on reducing obesity and obesity-related deaths in New York City's African-American and Latino communities... Fri, 12 Mar 2010 23:00:00 -0800 |
Exploring Diabetes' Link To Eating Disorders Diabetics, under the gun to better manage their disease by controlling their food intake and weight, may find themselves in the sticky wicket of needing treatment that makes them hungry, researchers said. Attempts to maintain healthy blood sugar levels and prevent weight gain may suggest an eating disorder when the disease and its treatment are to blame, said Dr... Fri, 12 Mar 2010 23:00:00 -0800 |
The Results Are In: Users Of BodyMedia's Wearable Body-Monitoring Technology Lose 3 Times More Weight With obesity in America reaching alarming levels -- across our adult and youth populations -- results from a clinical trial unveiled by BodyMedia confirm that participants who used BodyMedia's wearable body-monitoring technology either in conjunction with a group weight loss program or as part of their own self-directed program lost up to three times more weight than individual... Fri, 12 Mar 2010 01:00:00 -0800 |
Adolescent Bariatric Surgery Center Passes Surgical Milestone Few treatments are available to help obese adolescents who are unable to lose weight and are already suffering from obesity-related health problems. Laparoscopic adjustable gastric banding (LAGB), an option for adults in the United States since 2001, is showing promise for teens... Fri, 12 Feb 2010 00:00:00 -0800 |
Advancements In Skin Care At AAD Annual Meeting Presented By P&G Beauty & Grooming Research presented by P&G Beauty & Grooming scientists at the 68th Annual Meeting of the American Academy of Dermatology (Miami Beach, FL, March 5-9) examines skin care science from multiple perspectives, offering insights into how ingredient formulations, care regimens and gene expressions impact skin condition... Fri, 05 Mar 2010 05:00:00 -0800 |
Advancements In Skin Care At AAD Annual Meeting Presented By P&G Beauty & Grooming Research presented by P&G Beauty & Grooming scientists at the 68th Annual Meeting of the American Academy of Dermatology (Miami Beach, FL, March 5-9) examines skin care science from multiple perspectives, offering insights into how ingredient formulations, care regimens and gene expressions impact skin condition... (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today) Fri, 05 Mar 2010 05:00:00 -0800 |
Sizing Up Nanotechnology: How Nanosized Particles May Affect Skin Care Products The rapidly growing field of nanotechnology and its future use in cosmetic products holds both enormous potential and potential concern for consumers. Currently, major cosmetic manufacturers have imposed a voluntary ban on the use of nanoparticles in products while they await a ruling from the Food and Drug Administration (FDA) regarding the safety of this technology... Fri, 05 Mar 2010 03:00:00 -0800 |
Sizing Up Nanotechnology: How Nanosized Particles May Affect Skin Care Products The rapidly growing field of nanotechnology and its future use in cosmetic products holds both enormous potential and potential concern for consumers. Currently, major cosmetic manufacturers have imposed a voluntary ban on the use of nanoparticles in products while they await a ruling from the Food and Drug Administration (FDA) regarding the safety of this technology... (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Get the very latest Swine Flu news via the MedWorm <b><a rel="nofollow" target="_blank" href="http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29&t=Swine+Flu&f=infectiousdiseases&r=Any&o=d">Swine Flu RSS news feed</a></b> - updated hourly from thousands of authoritative health and news sources.</p></div> Fri, 05 Mar 2010 03:00:00 -0800 |
More Than Skin Deep - Inside The Beauty Lab Scientists at L'Oréal, in hot pursuit of the hidden elements of beauty, seem well on their way to disputing the old adage, "beauty is only skin deep." In fact, their work indicates that what makes hair curly or straight and skin smooth or rough, is much deeper... Fri, 05 Mar 2010 00:00:00 -0800 |
More Than Skin Deep - Inside The Beauty Lab Scientists at L'Or?©al, in hot pursuit of the hidden elements of beauty, seem well on their way to disputing the old adage, "beauty is only skin deep." In fact, their work indicates that what makes hair curly or straight and skin smooth or rough, is much deeper... (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today) Fri, 05 Mar 2010 00:00:00 -0800 |
More Than Skin Deep Scientists at L'Or?©al, in hot pursuit of the hidden elements of beauty, seem well on their way to disputing the old adage, "beauty is only skin deep." In fact, their work indicates that what makes hair curly or straight and skin smooth or rough, is much deeper... (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today) Fri, 05 Mar 2010 00:00:00 -0800 |