Plastic Surgery in the News

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Index (Source: Clinics in Plastic Surgery) Wed, 30 Jun 2010 15:00:00 -0700

Revision Abdominoplasty and Proper Umbilical Positioning In the last decade, body contour surgery has advanced substantially. Abdominoplasty is the most frequent procedure in body contour aesthetic surgery. The surgeon who performs body rejuvenation procedures needs knowledge of anatomic, technical, and artistic concepts to assess and resolve the full spectrum of trunk deformities. The anatomical variations in abdomen types and the diversity of deformities make necessary a clear understanding so the surgeon can arrive at an accurate diagnosis and apply advanced techniques. (Source: Clinics in Plastic Surgery) Wed, 30 Jun 2010 15:00:00 -0700

Concepts on Correction of the Musculoaponeurotic Layer in Abdominoplasty The musculoaponeurotic layer of the abdominal wall should be corrected during abdominoplasty according to the specific deformity that the patient presents with. In this article, the anatomic basis of deformities and defects of the abdominal wall is described. Different degrees of deformities secondary to pregnancy are described as well as congenital muscle malposition. These conditions should be treated in specific ways so that the most efficient correction can be achieved and no recurrence will occur. In cases of associated incisional hernias, the â??â??components separation'â?? technique can be considered for abdominal wall reconstruction and 2 alternative techniques of dissection of myoaponeurotic components are described for the correction of specific defects. (Source: Clinics in Plast... Wed, 30 Jun 2010 15:00:00 -0700

SAFE Circumferential Liposuction with Abdominoplasty The SAFELipo technique allows for safe, consistent liposuction that does not damage flap blood supply and is easily taught to, and reproducible by, other surgeons. The fat separation used in the SAFELipo technique is performed without suction, which prevents suction avulsion injury to blood vessels by the cannula. Blood vessels then remain intact while free, separated fat is aspirated with small diameter cannulas. (Source: Clinics in Plastic Surgery) Wed, 30 Jun 2010 15:00:00 -0700

Traditional Abdominoplasty This article describes a full (Type IV) abdominoplasty with or without liposuction is performed. When extensive abdominal liposuction is performed in conjunction with a full abdominoplasty, it is also known as lipoabdominoplasty. The article also describes 10 â??special situationsâ?� in the abdominoplasty population. (Source: Clinics in Plastic Surgery) Wed, 30 Jun 2010 15:00:00 -0700

Anatomic Considerations in Abdominoplasty Knowledge of abdominal anatomy is key to achieving optimal results in abdominoplasty. With adequate knowledge of the anatomy, the surgeon can tailor his or her techniques to fit the needs of the patient while still maximizing the blood supply to the abdominal flaps and minimizing complications. (Source: Clinics in Plastic Surgery) Wed, 30 Jun 2010 15:00:00 -0700

Preface Abdominoplasty to the uninitiated may seem to be fairly simple: â??Draw an ellipse, cut it out, tighten up the abdominal wall, and close the defect.â?� In truth, abdominoplasty is very complex, requiring knowledge, artistry, judgment, and technical skill to accomplish well. Part of the complexity is that it is an â??anterior-onlyâ?� procedure performed on a â??cone-shapedâ?� circumferential lower trunk. The plastic surgeon has to create balance in removing vertical excess, reducing scar width, creating proper mons pubis contour, eliminating the umbilical defect, and positioning the umbilicus. The surgeon has to make adjustments and compromises because many of these goals run counter to each other. (Source: Clinics in Plastic Surgery) Wed, 30 Jun 2010 15:00:00 -0700

Forthcoming Issues (Source: Clinics in Plastic Surgery)<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Wed, 30 Jun 2010 15:00:00 -0700

Contents (Source: Clinics in Plastic Surgery) Wed, 30 Jun 2010 15:00:00 -0700

Contributors List (Source: Clinics in Plastic Surgery) Wed, 30 Jun 2010 15:00:00 -0700

[Vascular anomalies: Information documents.] Authors: Philandrianos C, Degardin N, Casanova D, Bardot J, Petit P, Bartoli JM, Magalon G Vascular anomalies are a complex pathological group. They are composed of hemangiomas and other vascular tumors and congenital vascular malformations: venous, lymphatic, arteriovenous and capillary malformations. The management of these anomalies is difficult and must involve an interdisciplinary approach. To help patients to understand their pathology, we have made some information documents. PMID: 20598795 [PubMed - as supplied by publisher] (Source: Annales de Chirurgie Plastique et Esthetique) Wed, 30 Jun 2010 15:00:00 -0700

Lateral Brow Lift: A Surgical Proposal Conclusion  Our technique is safe and versatile and produces good results, which makes it an excellent choice in the surgical armamentarium of facial rejuvenation. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-010-9537-3Authors Patricio Centurión, Clínica Montesur Av. El Polo 505 â?? Monterrico, Surco Lima PerúCarolina Romero, Clínica Montesur Av. El Polo 505 â?? Monterrico, Surco Lima Perú Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery) Wed, 30 Jun 2010 07:13:53 -0700

Experience Using the Thoracodorsal Artery Perforator Flap in Axillary Hidradentitis Suppurativa Cases This report presents a series of 16 cases managed between March 2006 and June 2008. All the patients had endured a long period of medical treatment and subsequently required surgery for long-term relief of symptoms. The functional and aesthetic outcomes were very satisfactory in all cases despite the final scar. The initial reconstructive aims were achieved for these patients. The authors consider the thoracodorsal artery perforator flap a useful option for the surgical treatment of axillary hidradenitis suppurativa. Content Type Journal ArticleCategory Case ReportsDOI 10.1007/s00266-010-9544-4Authors Carlos Laredo Ortiz, Hospital General Universitario de Alicante Méd. Adjunto Sección de Cirugía Plástica y Reconstructiva C/Maestro Alonso, 109 03010 Alicante SpainVirginia Ló...<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Wed, 30 Jun 2010 07:13:53 -0700

Severe burn injuries sustained whilst under inpatient psychiatric careâ??A worrying trend We have been concerned by a recent increasing trend that we have observed in the number of cases of self-inflicted burns in patients detained under section 3 of the UK Mental Health Act (2007). (Source: Burns : Journal of the International Society for Burn Injuries)<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Wed, 28 Jul 2010 21:31:54 -0700

Patient controlled sedation using a standard protocol for dressing changes in burns: Patientsâ?? preference, procedural details and a preliminary safety evaluation. Are studies always adequately powered and analyzed? We are very pleased for the interest shown by Dr. Mangano and co-workers in our publication â??Patient controlled sedation using a standard protocol for dressing changes in burns: Patientsâ?? preference, procedural details and a preliminary safety evaluationâ?� . We understand the scientific concern to have sufficiently powered studies in clinical as well as experimental studies. However, in the present context, in the early development phase of a clinical project like ours, such an aim, as suggested by Dr. Mangano et al. is both extensively costly, impractical and technically impossible to conduct. The reasons will be listed below. (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:54 -0700

Patient controlled sedation using a standard protocol for dressing changes in burns: Patientsâ?? preference, procedural details and a preliminary safety evaluation. Are studies always adequately powered and analyzed? We read with interest the article published by Dr. Nilsson and colleagues . While the authors are to be commended for their aim to conduct a preliminary study to evaluate different sedation protocols during dress change in burned patients, there are several issues with both the design of the study and the statistical analysis used. (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:54 -0700

Survival area of super-thin flaps We would like to make some comments on a letter written by Dr. Prakash entitled â??The pedicled super-thin flap for resurfacing defects due to burnâ?� . Based on their past clinical experience with pedicled super-thin flaps, Dr. Prakash states in his letter that â??Hyakusoku et al. failed to offer a rationale for the length and breadth of the flap that could be super-thinnedâ?�, and concluded that â??it should be raised in a length:breadth ratio of 1:1 and the rest of the length of flap should not be thinnedâ?�. We believe that these comments show a lack of knowledge and understanding of our flaps. (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:54 -0700

Apparent high chloraemia in persons with deep third-degree burns: Interference linked to topical treatment In recent years, we observed cases of abnormally high chloraemia in some patients hospitalised at the Burn Treatment Center, which are not consistent with the remaining aspects of the patient's hydro-electrolytic equilibrium. Disagreements are also observed between chloraemia measured by direct total arterial blood potentiometry (ABLâ?¢ 700, Radiometerâ?¢ blood gas analyser) and those measured by indirect potentiometry on plasmatic samples (Cobas Integra 800â?¢, Roche Diagnostics). (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:54 -0700

Authors reply on the comment to â??Platelet rich Plasma in burnsâ?� by Curinga et al Thank you for the comment on our article and the emphasis on the changes and effects of burn on the platelets itself. We agree with your statement that the increasing number of bedside kits available is somewhat irritating since they often do not explain the physiological impact. (Source: Burns : Journal of the International Society for Burn Injuries)<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Wed, 28 Jul 2010 21:31:54 -0700

Comments on â??Platelet-rich plasma in burnsâ?� Authorsâ?? should be congratulated for the review article â??Platelet-rich plasma in burnsâ?� by Pallua et al. , which is exhaustive and clear. With the present communication, we would like to add a few considerations based on ours and other most recent experience. (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:54 -0700

The role of an ingestible telemetric thermometer in preventing exertional heat stroke, for a patient with healed massive burns running the 2007 London marathon Adequate thermoregulation relies upon an intact dermis and epidermis . Cutaneous vessels dilate to dissipate heat (â??dry heat lossâ?� via conduction, convection and radiation) and constrict in order to retain heat. Dermal sweat glands are vital adnexal structures required for heat loss during exercise via evaporation (â??wet heat lossâ?�). It is generally believed that extensive thermal damage to the integumentary system impairs thermoregulation for a variety of reasons. (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:53 -0700

Management of second-degree burn induced by dry ice in a Christmas disease patient Christmas disease (also named haemophilia B) is a blood clotting disorder caused by a mutation of the Factor IX gene, leading to a deficiency of Factor IX. It is the least common form of haemophilia, rarer than haemophilia A. It is also called â??Christmas diseaseâ?? because Stephen Christmas was the first patient described with this disease. In addition, the first report of its identification was published in the Christmas edition of the British Medical Journal . (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:53 -0700

Unusual first presentation of metastatic pancreatic cancer as skin metastases in a burn patient Pancreatic cancer is one of top 5 causes of cancer related deaths in the Netherlands, but also in the U.S.A. and other Western European countries . In 2006, there were 2126 deaths due to pancreatic cancer in the Netherlands , on an estimated population of 16,500,000 people, this equals 0.1288 deaths per 1000 people. Due to the lack of early symptoms, most patients present with advanced disease and therefore only approximately 15â??20% of patients can be considered as candidate for a pancreatectomy according to Whipple. The 5-year overall survival rates of study populations after Whipple's operations have been reported to be 25â??30% for node negative and 5â??10% for node positive patients . (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:53 -0700

Secondary sclerosing cholangitis, following major burn injury Sclerosing cholangitis represents a spectrum of variably progressive cholestatic diseases of the intrahepatic and/or extrahepatic biliary system that can develop following a wide range of insults to the biliary tree . It is characterised by a progressive destruction of the intra- and extrahepatic biliary tree with inflammation, obliterative hepatic and biliary fibrosis, stricture formation that leads to biliary cirrhosis . (Source: Burns : Journal of the International Society for Burn Injuries)<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Wed, 28 Jul 2010 21:31:53 -0700

Mentosternal contracture treated with a massively expanded supraclavicular flap in a 25-year-old man: A case report Tissue expansion has become a major reconstructive modality in the past 30 years. Tissue expansion is a major treatment modality in the management of giant congenital nevi and secondary reconstruction of extensive burn scars, allowing sensate tissue of similar color, texture, and thickness to be used to resurface the affected areas. One must be prepared for complications when using tissue expanders, however, because complications are inherent in the process of expanding skin utilizing repeated filling of implanted foreign bodies . Mentosternal contractures are well-known complications after burns, scald injuries, and injuries with acid or lye. The cervical region is functionally and anatomically designed to achieve a maximum range in three-dimensional motion. Furthermore, the cervical area... Wed, 28 Jul 2010 21:31:53 -0700

Practical management of the burnt patient with epidermolysis bullosa Epidermolysis bullosa (EB) is a group of inherited bullous disorders characterised by blister formation in response to mechanical trauma. Care of burns patients with this disease can be difficult, in particular with respect to healing of the skin graft donor sites. A number of techniques, such as laying of the sheared epidermis as a graft, can help speed up healing time. (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:53 -0700

A fatal case of toxic shock syndrome associated with skin substitute The association of staphylococcus aureus with a syndrome called toxic shock syndrome (TSS) was made in 1978, although cases of patients with similar findings had been reported as far back as 1927 . The syndrome was characterised by: a high fever, headache, confusion, conjunctival hyperaemia, a scarlatiniform rash, subcutaneous oedema, vomiting, watery diarrhoea, oliguria, and a propensity to acute renal failure, hepatic abnormalities, disseminated intravascular coagulation, and severe prolonged shock. These findings were described in seven children. From five of these, phage-group-1 staphylococci were isolated. Interestingly the four girls included in the series may have been using tampons, no link was made with this at the time. (Source: Burns : Journal of the International Society for Bu... Wed, 28 Jul 2010 21:31:52 -0700

Two case reports: Electrothermal (aka contact) burns and the effects of current density, application time and skin resistance It is well known that an electric shock may cause death or some degree of burn damage to organs and body systems; the severity of the injury is dependent on many variables: type of current, level of applied voltage, duration of shock, body contact surface area, resistivity of skin involved, contact with water or metal conductor and current pathways through the body . (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:52 -0700

Adult respiratory distress syndrome or congestive heart failure in severe burn: A role for brain natriuretic peptide In patients with extensive burns several causes may underlie hypoxic respiratory failure and bilateral infiltrates on the chest X-ray in the first week afterburn: cardiogenic pulmonary edema as a result of congestive heart failure, pneumonia and/or adult respiratory distress syndrome (ARDS). In particular, it is a challenge to differentiate between ARDS and cardiogenic pulmonary edema in these patients because on the one hand the incidence of ARDS in burn shock appears higher than anticipated, whereas on the other hand there is an increased risk for cardiogenic pulmonary edema to develop as intensive fluid resuscitation is mandatory, while myocardial function is depressed as noted by Baxter et al. . Since these two diagnoses have very different treatment options, it is important to be able...<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Wed, 28 Jul 2010 21:31:52 -0700

Three cases of inner ear damage after electrical burns Electrical injury is a significant cause of mortality and morbidity, accounting for 1000 deaths per year and a far greater number of injuries . Electrical burns produce a spectrum of tissue injuries that range from obvious thermal destruction of tissue to the gradual onset of neurological defects even in the absence of apparent thermal injury. In spite of the ever increasing awareness and precautionary measures in both work and leisure environments, electrical injuries unfortunately are still happening. Until now, the exact pathophysiology of different types of burn along with electric trauma remains controversial due to different modalities depending on types and patterns of injuries . (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:52 -0700

The increasing trend in alcohol-related burns: It's impact on a tertiary burn centre Abstract: Introduction: The incidence of alcohol-related hospital admissions is a worldwide problem and currently costs the UK National Health Service approximately 4% of its annual budget. 40% of men and 22% of women drink over the recommended UK weekly allowance. The purpose of our study was to examine the trend in alcohol-related admissions to a tertiary burns unit over a 5-year period.Methodology: All patients admitted were documented for alcohol-related burn, and history of alcohol dependence.Results: 1293 patients admitted between 2003 and 2008 were included in the study. The number of alcohol-related burns were as follows: 2003: 6%; 2004: 10%; 2005: 16%; 2006: 9%; 2007: 19%; 2008: 19%. This increasing trend was highly significant (p (Source: Burns : Journal of the International Soci... Wed, 28 Jul 2010 21:31:52 -0700

Epidemiology of minor and moderate burns in rural Ardabil, Iran This study provides possible beneficial information for burn prevention in the Ardabil area and other similar settings. (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:51 -0700

Burns related to sunbed use Abstract: The quest for a year round tan has led to an increase in the use of artificial tanning devices, namely sunbeds. There has been much debate in the press recently regarding the dangers of sunbed use and calls for tighter regulation of the industry, particularly the licensing of unmanned tanning salons. The dangers of sunbed use have long been recognised and the body of evidence linking sunbed use to skin malignancy is growing, in fact this month the Lancet published a review from the International Agency for Research on Cancer classifying UV emitting tanning devices as carcinogenic to humans. At the Welsh Centre for Burns and Plastic Surgery we noticed a rise in the number of patients presenting with burns related to sunbed use and present our data surrounding this injury over the ...<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Wed, 28 Jul 2010 21:31:51 -0700

Hospitalised hot tap water scald patients following the introduction of regulations in NSW, Australia: Who have we missed? This study investigates trends in hot tap water scald injury hospitalisations following the introduction of these regulations.Hot tap water scald cases for 1999â??2007 were identified from hospitalisation data for all public and private hospitals in NSW. To investigate hot tap water scald hospitalisations over time, negative binomial regression analysis was performed.There were 845 hospitalisations for hot tap water scalds in NSW over the period of the study. Hospital admission rates for hot tap water scalds decreased by an estimated 6% (3.2â??8.5, 95%CI) per year since the introduction of regulations. While those most at risk were infants, toddlers and the elderly, almost a third of hospitalisations were for adults (25â??64 years). The majority of hot tap water scalds were sustained at ho... Wed, 28 Jul 2010 21:31:50 -0700

Muscle contractile properties in severely burned rats This study demonstrates dynamics of muscle atrophy and muscle contractile properties after severe burn; this understanding will aid in the development of approaches designed to reduce the rate and extent of burn induced muscle loss and function. (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:50 -0700

The application of glycerol-preserved skin allograft in the treatment of burn injuries: An analysis based on indications Conclusion: The selective and strategic use of the GPA in major burn patients ensures optimal benefits in the management of burns. It is versatile in various categories of burn wounds with minimal morbidity. (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:50 -0700

Absence of pathological scarring in the donor site of the scalp in burns: An analysis of 295 cases Conclusion: The harvest of thinner split graft from the scalp is a safe procedure. (Source: Burns : Journal of the International Society for Burn Injuries)<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Wed, 28 Jul 2010 21:31:49 -0700

Dried irradiated human amniotic membrane as a biological dressing for facial burnsâ??A 7-year case series Conclusion: Superficial partial thickness facial burns can be effectively treated with dried irradiated human amnion membrane. (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:49 -0700

Procutase® versus 1% silver sulphadiazine in the treatment of minor burns Abstract: The purpose of this randomised comparative study was to evaluate the use of silver sulphadiazine (SSD) 1% cream (Group A) with the use of Procutase® (Group B) in treating burns with a TBSA (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:49 -0700

Burns caused by alcohol-based fires in the household coal stove in Anhui Province, China Conclusion: Burns caused by alcohol-based fires in household coal stoves is a common thermal injury in the middle of Anhui Province in China with characteristic clinical presentation and calls for preventive educational intervention. (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:49 -0700

Perioperative use of cuffed endotracheal tubes is advantageous in young pediatric burn patients Abstract: Uncuffed endotracheal tubes traditionally have been preferred over cuffed endotracheal tubes in young pediatric patients. However, recent evidence in elective pediatric surgical populations suggests otherwise. Because young pediatric burn patients can pose unique airway and ventilation challenges, we reviewed adverse events associated with the perioperative use of cuffed and uncuffed endotracheal tubes. We retrospectively reviewed 327 cases of operating room endotracheal intubation for general anesthesia in burned children 0â??10 years of age over a 10-year period. Clinical airway outcomes were compared using multivariable logistic regression, controlling for relevant patient and injury characteristics. Compared to those receiving cuffed tubes, children receiving uncuffed tubes w... Wed, 28 Jul 2010 21:31:49 -0700

The severe burns patient with tracheostomy: Implications for management of dysphagia, dysphonia and laryngotracheal pathology Conclusion: Severe burn patients that have prolonged tracheostomy are likely to have a larger size burn, take longer to commence oral intake and achieve pre-morbid oral diet. These patients are also at risk for dysphagia, dysphonia and laryngotracheal pathology. (Source: Burns : Journal of the International Society for Burn Injuries)<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Wed, 28 Jul 2010 21:31:48 -0700

Extracorporeal shock waves, a new non-surgical method to treat severe burns Abstract: Extracorporeal shock wave treatment (ESWT) increases perfusion in ischaemic tissues, stimulates growth factors, decreases inflammation and accelerates wound healing. It is a safe technique classically used in urology and orthopaedic surgery with success, but there is still limited literature regarding its use in the management of burns.Purpose: The aim of this study is to analyse the effect of ESWT on deep partial/full thickness burns in patients attended at our emergency burn unit.Materials and methods: We performed two ESWT sessions in 15 patients with (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:48 -0700

Percutaneous collagen induction therapy: An alternative treatment for burn scars Conclusions: This pilot study shows that PCI appears to be a safe method for treating post-burn scarring without destroying the epidermis. The procedure can be repeated safely and is also applicable in regions where laser treatments and deep peels are of limited use. However, it is necessary to initiate an efficacy trial to prove the data of this pilot study. (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:45 -0700

Intralesional pentoxifylline as an adjuvant treatment for perioral post-burn hypertrophic scars This study aimed to evaluate changes in the elasticity of hypertrophic scars in the peribuccal area in burned patients, who presented with mouth-opening limitation. Eighteen patients were divided into two groups. The case group (n=10) was treated with PTF 1mgmlâ??1, while in the control group (n=8) no treatment was performed. Measurements of mouth opening (lip-to-lip and tooth-to-tooth distances in mm) were taken, before and after five therapeutic sessions with pentoxifylline with weekly intervals. The variations of these measures (Î?%) were calculated and submitted to statistical analyses. There was a significant improvement in the opening of the mouth, in vermilion distance (V=3.20mm) as much as the dental distance (DD=4.19mm) in the treated group, than in the control group. It was noted... Wed, 28 Jul 2010 21:31:45 -0700

Imipenem-resistant Pseudomonas aeruginosa strains carry metallo-β-lactamase gene blaVIM in a level I Iranian burn hospital Conclusion: We found that all MBL-producing isolates in this hospital carry blaVIM gene. This result is similar to the previous Iranian study and emphasizes the importance of VIM family of MBLs in Iran. Timely identification of these strains and strict isolation methods can prevent spread of this transferable gene to other Gram-negative bacteria and prevent the subsequent outbreak of high mortality. (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:45 -0700

Prevalence of multidrug-resistant organisms recovered at a military burn center Abstract: Infections caused by multidrug-resistant (MDR) pathogens are associated with significant morbidity and mortality in patients with burn injuries. We performed a 6-year antibiotic susceptibility records review from January 2003 to December 2008 to assess the prevalence of MDR isolates by pathogen at the US Army Institute of Surgical Research Burn Center. During the study period Acinetobacter baumannii (780 isolates [22%]) was the most prevalent organism recovered, followed by Pseudomonas aeruginosa (703 isolates [20%]), Klebsiella pneumoniae (695 isolates [20%]), and Staphylococcus aureus (469 isolates [13%]). MDR prevalence rates among these isolates were A. baumannii 53%, methicillin-resistant S. aureus (MRSA) 34%, K. pneumoniae 17% and P. aeruginosa 15%. Two isolates, 1 A. bauma...<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Wed, 28 Jul 2010 21:31:44 -0700

Reduction of plasma granzyme A correlates with severity of sepsis in burn patients Abstract: The risk of mortality is high in burn patients and correlates with age, burn area extent, and sepsis. Immunosuppression has been reported to occur after severe burn. Cytotoxic cells possess specialized granules containing perforin and a group of serine proteases (granzymes). Granzyme A is a serine protease constitutively expressed by γδ and NK cells, in agreement with their functional cytolytic potential. In vitro studies have shown that GrA may be released extracellularly during cytotoxic cell degranulation, indicating the activation of cytotoxic cells. The aim of our study was to determine plasma GrA activity in burned patients and to verify if decreased GrA levels were associated with poor prognosis.Specific GrA activity was tested in the plasma of burned and healthy subject... Wed, 28 Jul 2010 21:31:44 -0700

The role of fibrinogen in aggregation of platelets in burn injury Abstract: Spontaneous aggregation of platelets is considerably enhanced in the acute period after burn. The changes in indices-induced aggregation of platelets are non-uniform and not significant statistically. Thermal trauma is accompanied by the development of hyperfibrinogenemia and an increase in the level of oxidised fibrinogen. We studied the influence of fibrinogen concentration and the degree of its oxidation on aggregation of platelets. It was shown that the level of aggregation of platelets greatly depends on the concentration of fibrinogen (non-oxidised and oxidised) plasma. The possible mechanisms of these effects are investigated. (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:44 -0700

Videocapillaroscopy in postburn scars: In vivo analysis of the microcirculation Conclusion: Videocapillaroscopy showed â??in vivoâ?� a change in local microcirculation architecture using a microscope. Patients with hypertrophic burn scars showed a variety of microcirculatory changes, often clustered in a characteristic pattern of abnormally oriented, dilated capillaries and neoangiogenetic phenomena. This methodology is highly likely to be of value in the assessment and prognostication of burn outcome. (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:44 -0700

Laser Doppler Imaging prediction of burn wound outcome in children: Is it possible before 48h? Conclusions: LDI predicted burn wound outcome in children within 48h of the burn wound. Moderate degrees of movement, infection, whether first aid was administered and type of dressing did not impact on the accuracy of LDI. (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:44 -0700

Pathway genetic load allows simultaneous evaluation of multiple genetic associations Conclusion: Relative size and variability of aORs indicate greater power to detect genetic associations with PGL compared to the analysis of loci individually by multivariate logistic regression. (Source: Burns : Journal of the International Society for Burn Injuries)<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Wed, 28 Jul 2010 21:31:40 -0700

A reliable and valid outcome battery for measuring recovery of lower limb function and balance after burn injury Conclusion: This study shows that the TUG test and the TWF are reliable and valid in the burns population and along with the BSHS-B form a useful test battery for measuring recovery from LLBI. (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:40 -0700

Contribution of bacterial and viral infections to attributable mortality in patients with severe burns: An autopsy series This study is a retrospective review of all autopsy reports from patients with severe thermal burns treated at the US Army Institute of Research (USAISR) burn unit over 12 years. The review focused on those patients with death attributed to a bacterial or viral cause by autopsy report. Of 3751 admissions, 228 patients died with 97 undergoing autopsy. Death was attributed to bacteria for 27 patients and to virus for 5 patients. Bacterial pathogens associated with mortality included Pseudomonas aeruginosa, Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus. This association with mortality was independent of % total body surface area burn, % full-thickness burn, inhalation injury, and day of death post-burn. Bloodstream infection was the most common cause of bacteria related de... Wed, 28 Jul 2010 21:31:40 -0700

Treatment of post-burn neuropathic pain: Evaluation of pregablin We report our experience with pregabalin for the treatment of post-burn neuropathic pain. A retrospective review of patients treated with pregabalin in a burn outpatient clinic was undertaken. A numerical pain scale was administered to each patient prior to and after treatment to determine efficacy. Side effects and reasons for discontinuation were noted. Out of 24 patients 4 patients were lost to followup, 5 patients discontinued taking pregabalin and 2 patients had incomplete data for evaluation. Of the remaining 13 patients, 69% (11) had a reduction in pain score after treatment. In addition, 2 of the patients who discontinued use had a pain score which decreased to 0. Pregabalin is a well-tolerated, effective means of treating post-burn neuropathic pain. Time to achieve effective dosin... Wed, 28 Jul 2010 21:31:40 -0700

Topical negative pressure therapy: Does it accelerate neovascularisation within the dermal regeneration template, Integra? A prospective histological in vivo study Conclusion: The application of TNP dressings to dermal templates can reduce shearing forces, restrict seroma and haematoma formation, simplify wound care and improve patient tolerance. However, this study could not demonstrate that TNP accelerates neovascularisation as verified by the presence of histologically patent vascular channels. (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:39 -0700

Emotional associations with skin: Differences between burned and non-burned individuals Abstract: Introduction: The appearance of skin is crucial for our physical and psychological integrity, and is strongly associated with our emotional self-awareness. Burn victims have to cope with negative and even threatening sensations resulting from the changed appearance of their skin after injury and also linked to experiences during the treatment.The aim of this study was to analyse differences regarding the emotional associations with skin in burn victims (burn group) to persons not having subdued any burn (control group).Methods: In the first instance over 960 volunteers were recruited for the rating of emotional associations with skin in the control group and thereby a representative profile for non-injured individuals. In the second part, 44 burn patients of the Vienna Burn Cente...<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Wed, 28 Jul 2010 21:31:39 -0700

Use of Acticoatâ?¢ dressings in burns: What is the evidence? Abstract: The virtues of silver as an antimicrobial agent have been known for some time. Various silver containing dressings are currently used for the treatment of wounds. Introduced in the late 1990s, Acticoatâ?¢ is a nanocrystalline silver dressing developed to overcome some shortcomings of the older dressings by providing sustained release of silver up to 7 days. We aim to determine the level of evidence available in the literature in view of recent increased usage of Acticoatâ?¢.A Medline search was conducted to identify articles evaluating the use of Acticoatâ?¢ in burn wounds. A level of evidence adapted from the Oxford Centre for Evidence-Based-Medicine was assigned to each of these articles.Only one study was considered to be LOE 1, which is a multicentre randomised controlled tri... Wed, 28 Jul 2010 21:31:39 -0700

Mass casualty incidents with multiple burn victims: Rationale for a Swiss burn plan Abstract: Introduction: Mass casualty incidents involving victims with severe burns pose difficult and unique problems for both rescue teams and hospitals. This paper presents an analysis of the published reports with the aim of proposing a rational model for burn rescue and hospital referral for Switzerland.Methods: Literature review including systematic searches of PubMed/Medline, reference textbooks and journals as well as landmark articles.Results: Since hospitals have limited surge capacities in the event of burn disasters, a special approach to both prehospital and hospital management of these victims is required. Specialized rescue and care can be adequately met and at all levels of needs by deploying mobile burn teams to the scene. These burn teams can bring needed skills and enhan... Wed, 28 Jul 2010 21:31:38 -0700

Advert (Source: Burns : Journal of the International Society for Burn Injuries) Wed, 28 Jul 2010 21:31:38 -0700

Symposium To Explore Broadening Partnerships To Spur Medical Advances For War Injuries The USU-HJF Military Medicine Symposium will gather prominent civilian and military researchers and clinicians from across the United States to discuss current research and identify opportunities to collaborate and share information that could speed treatments to wounded warriors... Wed, 28 Jul 2010 05:00:00 -0700

New NICE Guidance On Weight Management Before, During And After Pregnancy Women should be encouraged to achieve a healthy weight before they become pregnant and advised that there is no need to 'eat for two' when pregnant. These are just two of the recommendations included in new public health guidance published by NICE on dietary and physical activity interventions for weight management before, during and after pregnancy... Wed, 28 Jul 2010 04:00:00 -0700

Link Between Obesity Rise And Disability Increase Among Elderly In Latin America And The Caribbean Thanks to rising obesity rates in Latin America and the Caribbean, elderly people there are becoming more likely to suffer from disabilities, according to a paper recently published by University of Texas Medical Branch at Galveston researchers in the American Journal of Epidemiology... Wed, 28 Jul 2010 00:00:00 -0700

Study Finds Interactive, Personalized Website Helps People Maintain Weight Loss The more people used an interactive weight management website, the more weight loss they maintained, according to a Kaiser Permanente Center for Health Research study published online in the open access Journal of Medical Internet Research. The National Institutes of Health-funded study evaluated an Internet-based weight maintenance intervention involving 348 participants... Wed, 28 Jul 2010 00:00:00 -0700

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

Universal Detection Technology Bioweapons Detection Kits Combat Black-Market Botox, Bioterrorists Universal Detection Technology (OTCBB: UNDT), a developer of early-warning monitoring technologies to protect people from bioterrorism and other infectious health threats, and provider of counter-terrorism consulting and training services, commented today on a recent study that said worldwide consumer demand for Botox was driving a black-market of fake versions of the cosmetic... Wed, 23 Jun 2010 00:00:00 -0700

Increases In Leptin May Promote Colorectal Cancer While researchers have known that obesity increases the risk for the development of colon cancer, the underlying molecular mechanisms have remained unclear... Wed, 21 Jul 2010 17:00:00 -0700

Gut Flora Study Gives Insight Into Obesity A UQ academic's research into whether nature or nurture influences the development of gut flora has been published in Nature and may hold the key to understanding obesity. Dr Florent Angly said the fundamental research was significant since some forms of obesity could be caused by the action of microbiota... Wed, 21 Jul 2010 05:00:00 -0700

Warning: Beach Umbrellas Do Not Block Out All Solar Radiation A team of researchers from the University of Valencia (UV) has proven that 34% of ultraviolet radiation filters through under beach umbrellas. According to what is published in the journal Photochemistry and Photobiology, umbrellas intercept the full direct flow that comes from the Sun, but not the diffused radiation that penetrates through from the sides... Wed, 21 Jul 2010 03:00:00 -0700

Join Neutrogena's Wave For Change And Help Raise Up To $200,000 For Disaster Relief, Education And Environmental Charities Understanding teens' determination and passion for change, Neutrogena, the #1 dermatologist-recommended skin care brand, is launching Wave for Change, a charitable campaign that makes it easy for teens everywhere to not only give back, but to choose how Neutrogena will support communities in need... Wed, 21 Jul 2010 03:00:00 -0700

Nanoparticles In Ivy May Hold The Key To Making Sunscreen Safer And More Effective When Mingjun Zhang was watching his son play in the yard, he was hit with a burning question: "What makes the ivy in his backyard cling to the fence so tightly?" That simple question has led to a pioneering discovery that the tiny particles secreted from ivy rootlets can be used in many breakthrough applications in items such as military technologies, medical adhesives and d... Wed, 21 Jul 2010 00:00:00 -0700

Breast Augmentation: Taking the Next Step Wed, 19 Aug 2009 07:00:02 -0700

NHS Choices: Five Things You Need To Know About Skin Health Your skin protects you, heals itself and lasts a lifetime. Find how to give it some skin care in return, to help keep it looking and feeling its best. Acne doesn't just happen to teenagers There are lots of myths around acne, including the idea that it only happens to teenage skin. This is not true - acne can develop in adults too... Wed, 14 Jul 2010 01:00:00 -0700

Successful Drug Trial Results For Light Intolerant 'Shadow Jumpers' A new Australian drug has been shown to assist in protecting patients with a rare genetic disorder that makes their skin toxic to light and UV, and previously forced them to live in the shadows... Wed, 14 Jul 2010 00:00:00 -0700

New Laser From MicroLight Dramatically Reduces Post Operative Downtime, Pain & Scarring For Cosmetic Surgery Patients More than 12.5 million cosmetic procedures were performed in 2009 at a cost of $10 billion including 5.1 million reconstructive surgeries such as scar revisions, breast reconstructions, burn care, hand surgeries and correction of birth defects, according to the American Society of Plastic Surgeons... Wed, 12 May 2010 14:00:00 -0700

The Real Housewives Of New York City Know What Questions To Ask When Looking For A Plastic Surgeon The American Society for Aesthetic Plastic Surgery (ASAPS) applauds Ramona Singer, one of the 'Real Housewives of New York City', for emphasizing the importance of choosing a board certified plastic surgeon with appropriate hospital privileges in a recent episode of the reality show... Wed, 12 May 2010 12:00:00 -0700

Asian Men Lead in Cosmetic Surgery Increase Wed, 12 Aug 2009 07:00:02 -0700

Dermscan's Research To Support SpaCapsule's Weight Loss/Anti-Cellulite Benefits Simulated Environment Concepts (PINKSHEETS: SMEV), makers of the high pressurized dry water massage and relaxation station SpaCapsule, announced that international cosmetic and clinical research company, Dermscan Group is currently running clinical trials on the influence SpaCapsule has on weight-loss and cellulite reduction... Wed, 09 Jun 2010 11:00:00 -0700

Study Shows Once-Daily Morning Retinoid Acne Regimen Simplifies Treatment Without Sacrificing Results From the minute they wake until the minute they sleep, today's teenagers have busy, demanding schedules. Life may be hectic, but an acne care routine doesn't have to get in the way, according to a new study published in the July 2010 issue of Journal of Drugs in Dermatology... Wed, 07 Jul 2010 10:00:00 -0700

Canadians Confused And Conflicted Over Sun Protection Products While most Canadians know that sun exposure can cause skin cancer, many are confused over other damage the sun, and potentially sunscreens, can do to their bodies... Wed, 07 Jul 2010 00:00:00 -0700

[French innovations in plastic and reconstructive surgery of hand and limbs.] Authors: Schoofs M This unique manuscript reports the interviews of Pr Michel Merle and Jacques Baudet, two figures of the French plastic reconstructive and microsurgical surgery of the limbs. Their testimony shed lights into our past, explains our present and helps foresee our future. The lesson to take away from their story is that no mountain can be overcome in one day, but rather requires countless efforts, dedication and persistence. PMID: 20598420 [PubMed - as supplied by publisher] (Source: Annales de Chirurgie Plastique et Esthetique) Tue, 29 Jun 2010 15:00:00 -0700

Preventing the â??Bottoming out and Star-gazingâ?� Phenomenon in Inferior Pedicle Breast Reduction with an Acellular Dermal Matrix Internal Brassiere DiscussionDOI 10.1007/s00266-010-9539-1Authors João Carlos Sampaio Góes, Rua Campos Bicudo 98-conj. 111 Sao Paulo SP 04536-010 Brazil Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery) Tue, 29 Jun 2010 06:05:13 -0700

Easy Method for Reduction of Nipple Height Conclusion  The authorsâ?? surgical method is primarily aimed at reducing the nipple height and has some limitations in reducing the diameter of the nipple. However, circumferential resection of the nipple core effectively reduces muscle bulk in the remaining nipple and has a secondary effect of reducing nipple diameter. Content Type Journal ArticleCategory Innovative TechniquesDOI 10.1007/s00266-010-9543-5Authors Yeon Soo Kim, Inha University School of Medicine Department of Plastic Surgery 7-206 Sinheung-dong, Jung-gu Incheon 400-711 KoreaKun Hwang, Inha University School of Medicine Department of Plastic Surgery, Center for Advanced Medical Education by BK21 Project 7-206 Sinheung-dong, Jung-gu Incheon 400-711 Korea Journal Aesthetic Plastic SurgeryOnline I... Tue, 29 Jun 2010 06:05:12 -0700

Overcoming Body Dysmorphic Disorder A nose job to treat a mental health problem? Teeth whitening to overcome a severe anxiety disorder? These are just two procedures that people with body dysmorphic disorder (BDD) have traditionally turned to in order to deal with body-related concerns... Tue, 29 Jun 2010 04:00:00 -0700

Depression in the Cosmetic Surgery Patient This article attempts to deal with these questions, and in doing so we suggest possible means for managing depression in the cosmetic surgery patient.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Facial Plastic Surgery)<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Tue, 27 Jul 2010 21:22:44 -0700

Does Rhinoplasty Improve Nasal Breathing? This study suggests that rhinoplasty does improve nasal breathing.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Facial Plastic Surgery) Tue, 27 Jul 2010 21:22:44 -0700

Objective Measures in Aesthetic and Functional Nasal Surgery: Perspectives on Nasal Form and Function Facial plast Surg 2010; 26: 320-327DOI: 10.1055/s-0030-1262314ABSTRACTThe outcomes of aesthetic and functional nasal surgery are difficult to assess objectively because of the intricate balance between nasal form and function. Despite historical emphasis on patient-reported subjective measures, objective measures are gaining importance in both research and the current outcomes-driven health care environment. Objective measures currently available have several shortcomings that limit their routine clinical use. In particular, the low correlation between objective and subjective measures poses a major challenge. However, advances in computer, imaging, and bioengineering technology are now setting the stage for the development of innovative objective assessment tools for nasal surgery that ca... Tue, 27 Jul 2010 21:22:44 -0700

FILLERS-Q: An Instrument for Assessing Patient Experiences after Treatment with Facial Injectable Soft Tissue Fillers This article describes use of a new survey instrument, Facial Injectables: Longevity, Late and Early Reactions and Satisfaction Questionnaire (FILLERS-Q), in assessing patient response to facial injections of soft tissue fillers. FILLERS-Q is a 43-item questionnaire that captures patient demographics (4 items), patient satisfaction with treatment (10 items), procedure-related events (3 to 7 items), impact on relationships (9 to 15 items), and economic considerations related to dermal filler treatment (3 to 7 items). The results provide a “snapshot” of patients treated in an individual surgeon's practice.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Facial Plastic Surgery) Tue, 27 Jul 2010 21:22:44 -0700

Measuring Patient-Reported Outcomes in Facial Aesthetic Patients: Development of the FACE-Q The objective of this study was to develop the content of a set of patient-reported outcome (PRO) scales for use with facial aesthetic patients. A literature review, patient interviews, and input from experts working with facial aesthetic patients were used to develop a conceptual framework for the outcomes deemed important to facial aesthetic patients and to construct items and a set of preliminary PRO scales. The conceptual framework includes the following themes: satisfaction with facial appearance; health-related quality of life; recovery, early life impact, and adverse effects; and satisfaction with process of care. Separate scales were developed for all parts of the face (e.g., nose, ears, forehead, cheeks, etc.) rather than for particular facial procedures. This new PRO instrument, ... Tue, 27 Jul 2010 21:22:44 -0700

Economic Analysis of â??Liquidâ?� versus Surgical Face-lift: Are Large-Volume Facial Soft Tissue Filler Injection Treatments a Viable Alternative to Rhytidectomy? This study examines common scenarios for large-volume soft tissue filler facial rejuvenation and compares the costs of these treatments with those of traditional face-lift surgery.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Facial Plastic Surgery)<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Tue, 27 Jul 2010 21:22:44 -0700

Value-Based Purchasing Paradigms for Facial Plastic Surgery Facial plast Surg 2010; 26: 283-288DOI: 10.1055/s-0030-1262310ABSTRACTThe United States spends more per capita for health care than any other nation in the world. Unfortunately, this expenditure has not necessarily translated into improved patient outcomes. Technological advances coupled with an aging population have contributed to a steady increase in health care spending, projected to have reached $2.5 trillion in 2009. Until recently, facial plastic surgeons have not given attention to value-based purchasing and pay-for-performance paradigms, perceiving these quality agendas as primarily applicable to primary care physicians and chronic disease management. As the use of quality measure factors in physician reimbursement schemes for primary medical care becomes more prevalent, it is impe... Tue, 27 Jul 2010 21:22:44 -0700

CME Quiz Facial plast Surg 2010; 26: 281-282DOI: 10.1055/s-0030-1262317© Thieme Medical PublishersGet connected:Table of contents (Source: Facial Plastic Surgery) Tue, 27 Jul 2010 21:22:44 -0700

Continuing Medical Education Facial plast Surg 2010; 26: 279-279DOI: 10.1055/s-0030-1262307© Thieme Medical PublishersGet connected:Table of contents  |  Full text (Source: Facial Plastic Surgery) Tue, 27 Jul 2010 21:22:44 -0700

Reflections on Cost and Outcomes in Facial Plastic Surgery: Five Reasons to Measure Value Facial plast Surg 2010; 26: 275-277DOI: 10.1055/s-0030-1262308© Thieme Medical PublishersGet connected:Table of contents  |  Full text (Source: Facial Plastic Surgery)<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Tue, 27 Jul 2010 17:56:13 -0700

Reducing The Health Risks Of Obesity Without Serious Side Effects The drug rimonabant was developed as a treatment for obesity and its myriad of serious health consequences (for example, type 2 diabetes). Despite having its desired effects on weight, which it decreased, and on levels of glucose and fats in the blood, rimonabant was never approved for use in the US because of serious neurological side effects including depression and anxiety... Tue, 27 Jul 2010 02:00:00 -0700

Mons Pubis Ptosis: Classification and Strategy for Treatment Conclusion  The clinical classification and treatment guidelines reported are designed to provide simple procedures with minimal complications that have tremendously rejuvenated the mons. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-010-9552-4Authors Hamdy A. El-Khatib, Weill Cornell School of Medicine Doha State of Qatar Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery) Tue, 27 Jul 2010 01:07:04 -0700

Many Knee And Hip Replacement Patients Experience Weight Decrease After Surgery A Mount Sinai School of Medicine study has found that patients often exhibit a significant decrease in weight and body mass index (BMI) after undergoing knee or hip replacement surgery (arthroplasty). The study is the first of its type to correct for the annual increase in BMI typically found in North Americans between the ages of 29 to 73 years. The study was recently published in Orthopedics... Tue, 27 Jul 2010 01:00:00 -0700

Many Knee And Hip Replacement Patients Experience Weight Decrease After Surgery A Mount Sinai School of Medicine study has found that patients often exhibit a significant decrease in weight and body mass index (BMI) after undergoing knee or hip replacement surgery (arthroplasty). The study is the first of its type to correct for the annual increase in BMI typically found in North Americans between the ages of 29 to 73 years. The study was recently published in Orthopedics... Tue, 27 Jul 2010 01:00:00 -0700

Early Puberty Tied To Obesity In Girls A review of more than 100 studies found overweight girls tend to reach puberty earlier than their peers do. While some researchers have argued hitting puberty early in life makes a person at higher risk for metabolic syndrome and diabetes, Emily Walvoord, M.D., pediatric endocrinologist and review author, found such diseases are not linked to early puberty, but obesity... Tue, 27 Jul 2010 00:00:00 -0700

New Study Reveals VASER(R) Lipo to be the New Standard of Care for ... Tue, 25 Aug 2009 07:00:02 -0700

Botox Beauty 101 Tue, 25 Aug 2009 07:00:02 -0700

Noraâ??s lesion of the thumb and a differential diagnosis Abstract  In this paper, we report a rare case of a solitary osteochondromatous tumour on the volar tip of the thumb of a 47-year-old woman. An X-ray examination showed a heavily calcific mass close to the bone and an alteration of the bone, next to the lesion. A wide-margin biopsy was performed on this tumour and a histological examination was conducted, which showed the characteristics of a bizarre parosteal osteochondromatous proliferation of the bone (Noraâ??s lesion). The lesion was 0.8â??Ã?â??0.9 cm. This neoplasm has a high tendency for local recurrence, although metastatic behaviour has not yet been reported. Due to its possible recurrence, this lesion requires radical surgery and, at times, amputation is necessary. In this case, wound healing was uncomplicated ... Tue, 22 Jun 2010 10:32:46 -0700

Your Index Finger Is Your Measure! Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00266-010-9541-7Authors Burak Ersoy, Marmara University School of Medicine HaydarpaÅ?a 34668 Istanbul TurkeyMehmet Bayramiçli, Marmara University School of Medicine HaydarpaÅ?a 34668 Istanbul Turkey Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery) Tue, 22 Jun 2010 06:34:26 -0700

Impaired Wound Healing and Bilateral Mastectomy Flap Necrosis in a Patient With Locally Advanced Breast Cancer After Neoadjuvant Paclitaxel With Bevacizumab Content Type Journal ArticleCategory LetterDOI 10.1007/s00266-010-9535-5Authors Valentina Lazzati, European Institute of Oncology Department of Plastic and Reconstructive Surgery Via Ripamonti 435 20141 Milan ItalyJustyna ZygoÅ?, European Institute of Oncology Department of Plastic and Reconstructive Surgery Via Ripamonti 435 20141 Milan ItalyVisnu Lohsiriwat, European Institute of Oncology Department of Plastic and Reconstructive Surgery Via Ripamonti 435 20141 Milan ItalyPaolo Veronesi, European Institute of Oncology Department of Breast Surgery Milan ItalyJean Yves Petit, European Institute of Oncology Department of Plastic and Reconstructive Surgery Via Ripamonti 435 20141 Milan Italy Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthet...<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Tue, 22 Jun 2010 06:34:25 -0700

Controversial French Breast Implants Should Be Checked, UK Guidance A group of UK plastic surgeons has issued new guidance urging women who have the controversial French breast implants known as Poly Implant Prostheses, or PIPs, to have them checked in the next six months for signs of rupture or weakening... Tue, 22 Jun 2010 02:00:00 -0700

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

Gillies 2.0â??senses and Sherlock Holmes The latest iteration in the Sherlock Holmes movies arrived in America on Christmas Day. Digital effects allowed its director, Guy Ritchie, to have slow motion sequences that showed how Holmes used his senses to deduce facts about other characters. Holmes was a fictional detective, but we plastic surgeons are fortunate to have been taught Gillies' principle â??Observation is the basis of surgical diagnosis.â?? This was Gillies' first principle and the basis of his others. He believed that without a proper diagnosis surgical disaster loomed and went so far as to say, â??Mistakes in diagnosis due to inadequate examination are perhaps the commonest cause of indifferent treatmentâ??. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery) Tue, 20 Jul 2010 21:24:06 -0700

N.Y. Health Officials Increase Tanning Regulations; Colo. Extends Review Of Premium Increases; Some Small Mass. Businesses Dropping Coverage The Associated Press: "New York health officials are ramping up their regulation of more than 2,000 tanning salons and gyms offering indoor ultraviolet rays even as health advocates push for a law banning exposure by anyone under 18. ... Tue, 20 Jul 2010 03:00:00 -0700

Gene-Silencing Nanoparticles May Put An End To Pesky Summer Pest Summer just wouldn't be complete without mosquitoes nipping at exposed skin. Or would it? Research conducted by a Kansas State University team may help solve a problem that scientists and pest controllers have been itching to do for years... Tue, 20 Jul 2010 03:00:00 -0700

Risk Of Coronary Heart Disease Indicated By Increased Waistline And High Triglyceride Levels People with a larger waistline and high triglyceride levels are at increased risk of coronary heart disease, according to a research study published in CMAJ (Canadian Medical Association Journal... Tue, 20 Jul 2010 03:00:00 -0700

News From The American Academy Of Family Physicians, July/August 2010 American Academy of Family Physicians - Coca-Cola Alliance, Conflict of Interest or Ethical Relationship? In an essay addressing the recent controversy over the American Academy of Family Physicians accepting a large corporate donation from The Coca-Cola Company to fund patient education materials on obesity prevention, family physician and AAFP member Howard Brody, M.D., Ph.D... Tue, 20 Jul 2010 02:00:00 -0700

Arthroscopic Hip Surgery May Fully Restore Function In Athletes Hip problems can sideline even the best athletes, but a new study led by orthopedic experts from Rush University Medical Center indicates that the use of minimally invasive arthroscopic surgery to treat painful disorders of the hip may give athletes who undergo the procedure another opportunity to resume their sport back at their pre-injury level of competition... Tue, 20 Jul 2010 00:00:00 -0700

Botox Tax opposed by industry professionals Tue, 18 Aug 2009 07:00:02 -0700

Answers to Questions on Silicone and Saline Breast Implants <p>A board-certified plastic surgeon answers your questions.</p><p>Contributor: Donna Talarico<br />Published: May 16, 2006</p> Tue, 16 May 2006 06:15:00 -0700

High-Performance Engineering Used To Design Facial Bone Replacements Scientists are using the engineering technology behind the creation of high-performance aircraft components to design 3-D models for the replacement of delicate and complex facial bones lost to cancer surgery or trauma... Tue, 13 Jul 2010 01:00:00 -0700

Bo-tax: Lawmakers weigh taxing cosmetic procedures Tue, 11 Aug 2009 07:00:02 -0700

Unacceptable Results with an Accepted Soft Tissue Filler: Polyacrylamide Hydrogel DiscussionDOI 10.1007/s00266-010-9529-3Authors Z. Paul Lorenc, Aesthetic Plastic Surgery 983 Park Avenue New York NY 10028 USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Tue, 06 Jul 2010 22:47:54 -0700

Covidien Expands V-Loc(TM) Family Of Absorbable Wound Closure Devices For Knotless Tissue Repair Covidien (NYSE: COV), a leading global provider of healthcare products, today announced the global launch of the V-Loc(TM) 90 device, expanding its family of V-Loc(TM) absorbable wound closure devices. This latest addition to Covidien's knotless wound closure product line received 510(k) clearance from the U.S. Food and Drug Administration (FDA) on May 11, 2010... Tue, 01 Jun 2010 02:00:00 -0700

Sugary Band-Aid May Help Heal Post-Operative Tissue A compound found in sunless tanning spray may help to heal wounds following surgery, according to new results published by plastic surgeons from NewYork-Presbyterian Hospital/Weill Cornell Medical Center in New York City and biomedical engineers at Cornell University in Ithaca, N.Y., where the novel compound was developed... Tue, 01 Jun 2010 02:00:00 -0700

Did Paula Abdul Get More Plastic Surgery? Thu, 27 Aug 2009 07:00:02 -0700

Heidi Montag Plans More Plastic Surgery in the Future Thu, 27 Aug 2009 07:00:02 -0700

Montag plans another boob job Thu, 27 Aug 2009 07:00:02 -0700

Patients choosing less-expensive options in plastic surgery Thu, 27 Aug 2009 07:00:02 -0700

Botox Linked To Weakened Ability To Experience Emotions US researchers suggest that people who have undergone Botox treatments not only change their appearance but may also have a weakened ability to experience emotions. Joshua Davis and Ann Senghas, professors of psychology from Barnard College at Columbia University in New York, and colleagues, wrote about their findings in a paper published online in the journal Emotions on 10 June... Thu, 24 Jun 2010 08:00:00 -0700

Scientists Find Unsuspected Molecular Link Between Obesity And Insulin Resistance A new understanding of insulin resistance and the action of diabetes drugs such as Avandia and Actos could pave the way for improved medications that are more selective and safer, say scientists from Dana-Farber Cancer Institute and The Scripps Research Institute... Thu, 22 Jul 2010 03:00:00 -0700

PsoriasisDX Genetic Test For Psoriatic Arthritis Now Available In Europe As A CE Marked In Vitro Diagnostic Medical Device Molecular dermatology research and development innovator DermaGenoma, Inc. today announced that the PsoriasisDX Genetic Test for Psoriatic Arthritis (PsA) is now available as a CE Marked product under the European In Vitro Diagnostic Directive. CE Marking is required for certain product groups to indicate conformity with the essential requirements set out in European Directives... Thu, 22 Jul 2010 01:00:00 -0700

Lannett Receives FDA Approval For Phentermine Hydrochloride Capsules USP 30 Mg Lannett Company, Inc. (NYSE AMEX: LCI) announced that it has received approval from the U.S. Food and Drug Administration (FDA) of its Abbreviated New Drug Application (ANDA) for Phentermine Hydrochloride Blue/White Seed Capsules USP, 30 mg, the generic equivalent of Sandoz, Inc.'s Reference Listed Drug (RLD) Phentermine Hydrochloride Capsules USP, 30 mg. According to Wolters Kluwer, U.S... Thu, 22 Jul 2010 01:00:00 -0700

Study Finds Reduced Physical Activity In Heart Patients Living With Kids A study conducted at the Montreal Heart Institute (MHI) has shown unexpectedly that living with children is linked to a reduction in physical activity. Carried out with 756 participants and led by Dr. Simon L... Thu, 22 Jul 2010 00:00:00 -0700

Study On Guppies Sheds Light On Long-Term Costs Of Early Rapid Growth And Weight Gain University of California, Riverside biologists working on guppies - small freshwater fish that have been the subject of long-term studies - report that rapid growth responses to increased food availability after a period of growth restriction early in life have repercussions in adulthood... Thu, 22 Jul 2010 00:00:00 -0700

Greater Risk Of Premature Birth In Overweight And Obese Moms A new study by researchers at McMaster University shows overweight and obese women face greater risks of preterm births. Their babies may suffer serious health problems from being born too soon, especially earlier than 32 weeks. "It looks like the heavier the woman, the higher the risk," said Dr. Sarah McDonald, associate professor in the Michael G... Thu, 22 Jul 2010 00:00:00 -0700

New Method Could Stop Shark Oil Being Used In Cosmetics And Vaccines A new method of analysing squalene and squalane, oils often used in the production of cosmetics and vaccines, can show whether they came originally from the liver oil of deepwater sharks or from olive oil... Thu, 20 May 2010 05:00:00 -0700

Breast Implants are Legal for Teens Thu, 20 Aug 2009 07:00:02 -0700

Combining Surgery For Removal Of Tissue And Reconstruction Benefits Patients Restoring people's health and returning them to their daily lives as soon as possible is the goal following any surgery. When a person's ability to eat and speak is affected, as with cancer in the mouth, surgery is particularly disruptive, creating a greater challenge... Thu, 17 Jun 2010 02:00:00 -0700

AmStem Reports Positive Early Results From SteMixxTM Consumer Study AmStem Corporation (OTCBB: AMST), a leading provider of biotherapeutic and cosmetic stem cell products, stem cell collection and storage expertise and access to nanotechnology vital to stem cell research, announced positive early results from its preliminary consumer study of SteMixx™. David Stark, President of AmStem International, Inc... Thu, 15 Jul 2010 18:00:00 -0700

ConvaTec Supports Development Of Guidelines For Appropriate Use Of Negative Pressure Wound Therapy In Spectrum Of Wound Healing ConvaTec, a world-leading developer and marketer of innovative medical technologies for community and hospital care, announced that it has provided support for the development of guidelines for the appropriate use of negative pressure wound therapy (NPWT) in the spectrum of wound healing... Thu, 15 Jul 2010 02:00:00 -0700

The Cause Of Parkinson's Disease May Be Revealed With The Help Of Skin Cells Researchers are applying new stem cell technology to use skin samples to grow the brain cells thought to be responsible for the onset of Parkinson's disease, the UK National Stem Cell Network (UKNSCN) annual science meeting heard... Thu, 15 Jul 2010 00:00:00 -0700

Top-Line Human Clinical Study Results Demonstrate Safety And Preliminary Effectiveness Of Cohera Medical's TissuGlu(R) Cohera Medical, Inc.® announced that top-line clinical study results demonstrate the safety and preliminary effectiveness of the company's lead surgical adhesive product, TissuGlu®... Thu, 13 May 2010 02:00:00 -0700

Plastic Surgery More Often Part of Wedding Plans Thu, 13 Aug 2009 07:00:02 -0700

Botox Eases Nerve Pain In Certain Patients Made popular for its ability to smooth wrinkles when injected into the face, Botox - a toxin known to weaken or paralyze certain nerves and muscles - may have another use that goes beyond the cosmetic... Thu, 10 Jun 2010 18:00:00 -0700

Study Suggests Link Between Scleroderma, Cancer In Certain Patients Patients with a certain type of scleroderma may get cancer and scleroderma simultaneously, Johns Hopkins researchers have found, suggesting that in some diseases, autoimmunity and cancer may be linked... Thu, 08 Jul 2010 01:00:00 -0700

Breast-removal surgery that preserves a lot Thu, 06 Aug 2009 07:00:02 -0700

Giving A "KICK" To Childhood Obesity, Canada Can someone eat for good health if they don't know how to cook? If you had never tasted a certain vegetable while growing up, would you try it on your own? After observing a lack of confidence with cooking skills among youth, the CONTACT - South Simcoe Community Information Centre put ingredients together to form the award winning program "Kids in the Community Kitchen (KICK)"... Sun, 25 Jul 2010 00:00:00 -0700

Dr. Jim Cain Receives Fellowship Certification In The Clinical Medical Specialty Of Aesthetics Medicine Dr. Jim Cain, III, founder and medical director of Innovative Aesthetics a cosmetic and medical aesthetics practice in Houston, Texas, has recently completed a two-year Aesthetics Medicine Fellowship with Dr. Sharon McQuillon of the Ageless Aesthetic Institute. The Fellowship Certification in Aesthetic Medicine is a certification program of the American Academy of Anti-Aging Medicine... Sun, 06 Jun 2010 00:00:00 -0700

Preventing the â??Bottoming Outâ?� and â??Star-gazingâ?� Phenomena in Inferior Pedicle Breast Reduction with an Acellular Dermal Matrix Internal Brassiere Conclusion  The use of an acellular dermal matrix internal brassiere is a safe and effective technique for preventing the â??bottoming outâ?� and â??star-gazingâ?� phenomena that occurs after inferior pedicle breast reduction. Longer-term follow-up will be required to assess the longevity of these results. Content Type Journal ArticleCategory Innovative TechniquesDOI 10.1007/s00266-010-9538-2Authors Rodger H. Brown, Baylor College of Medicine, Clinical Care Center Division of Plastic Surgery 6702 Fannin, CC610.00 Houston TX 77030 USAShayan Izaddoost, Baylor College of Medicine, Center for Aesthetic Surgery Division of Plastic Surgery 6624 Fannin, Suite 2260 Houston TX 77030 USAJamal M. Bullocks, Baylor College of Medicine, Center for Aesthetic Surgery Division of Pla... Sun, 04 Jul 2010 14:41:06 -0700

Aeolus Pharmaceuticals' AEOL 10150 Protects Lungs Against Mustard Gas Exposure In Animal Studies Aeolus Pharmaceuticals, Inc. (OTCBB: AOLS) reported that researchers from National Jewish Health and Lovelace Respiratory Research Institute have completed a second study confirming that AEOL 10150 protects lungs from whole mustard gas exposure in rats. Data were presented at the 4th Annual CounterACT Countermeasures Against Chemical Threats Network Research Symposium in San Francisco... Sun, 04 Jul 2010 00:00:00 -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

Commentary on â??Radiation-induced leiomyosarcoma following mastectomy: a case reportâ?� by Wain et al. Content Type Journal ArticleCategory Invited CommentaryDOI 10.1007/s00238-010-0434-4Authors Ian Jackson, Novi MI USA Journal European Journal of Plastic SurgeryOnline ISSN 1435-0130Print ISSN 0930-343X (Source: European Journal of Plastic Surgery)<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Sat, 26 Jun 2010 08:17:01 -0700

Maher M. Anous, Paul Content Type Journal ArticleCategory Book ReviewDOI 10.1007/s00238-010-0435-3Authors I. Jackson, Novi MI USA Journal European Journal of Plastic SurgeryOnline ISSN 1435-0130Print ISSN 0930-343X (Source: European Journal of Plastic Surgery) Sat, 26 Jun 2010 08:16:59 -0700

Decreased Meat Intake May Help Weight Loss And Maintain Healthy Bodyweight A team of European researchers have found that reducing meat consumption may be a key factor in losing weight and maintaining an healthy body weight. The researchers wrote in The American Journal of Clinical Nutrition that meat intake, because of its high energy and fat content might be linked to weight gain... Sat, 24 Jul 2010 08:00:00 -0700

Sugar Substitutes Help Reduce Caloric Intake Without Overeating Or Hunger: New Research A new study published in the August 2010 journal, Appetite, further demonstrates that people who consume low-calorie sweeteners are able to significantly reduce their caloric intake and do not overeat... Sat, 24 Jul 2010 00:00:00 -0700

Physicists Find Clues To The Origin And Evolution Of Wrinkles As a sign of aging or in a suit, wrinkles are almost never welcome, but two papers in the current issue of Physical Review Letters offer some perspective on what determines their size and shape in soft materials. Jiangshui Huang and colleagues at the University of Massachusetts, Amherst explore how wrinkles in a sheet adapt to an edge that prefers to be flat... Sat, 17 Jul 2010 00:00:00 -0700

Collagen Manufactured From Transgenic Tobacco Plants At Hebrew University A scientist at the Hebrew University of Jerusalem's Robert H. Smith Faculty of Agriculture, Food and Environment has succeeded in producing a replica of human collagen from tobacco plants - an achievement with tremendous commercial implications for use in a variety of human medical procedures... Sat, 12 Jun 2010 00:00:00 -0700

Fibrocell Science, Inc. Completes Enrollment And First Treatment Visits For Histology Study Of Azficel-T Fibrocell Science, Inc. (OTC Bulletin Board: FCSC), a biotechnology company focused on the development of autologous cell therapies for aesthetic, medical and scientific applications, announced the completion of enrollment of and first treatment visits for participants in its histology study (IT-H-001) of azficel-T. An autologous cell therapy, azficel-T is currently under review by the U.S... Sat, 10 Jul 2010 01:00:00 -0700

What Are The Signs And Symptoms Of Skin Tags? A symptom is something the patient feels and describes, while a sign is something other people, such as the doctor or nurse might notice. For example, fatigue may be a symptom while dilated pupils may be a sign. The hallmark symptoms of skin tags is a growth on the skin. The tag (growth) is generally small, although it may sometimes be up to half an inch or even more in diameter... Sat, 05 Jun 2010 00:00:00 -0700

What Are The Causes Of Skin Tags? What Are The Risk Factors For Skin Tags? Skin tags are very common and generally occur after midlife. They are said to be caused by bunches of collagen and blood vessels which are trapped inside thicker bits of skin. They are believed to be the result of skin rubbing against skin. That is why they are generally found in skin creases and folds... Sat, 05 Jun 2010 00:00:00 -0700

What Are The Treatment Options For Skin Tags? The hallmark symptom of skin tags is a growth on the skin. The tag (growth) is generally small, although it may sometimes be up to half an inch or even more in diameter. The skin tag may have a narrow stalk (peduncle)... Sat, 05 Jun 2010 00:00:00 -0700

'Geographic Signatures' Found In Beverages Enable The Tracking Of A Person's Movements The bottled water, soda pop, or micro brew-beer that you drank in Pittsburgh, Dallas, Denver or 30 other American cities contains a natural chemical imprint related to geographic location. When you consume these beverage you may leave a chemical imprint in your hair that could be used to track your travels over time, a new study suggests... Sat, 03 Jul 2010 00:00:00 -0700

Ultrasound diagnosis of breast implant rupture: beware the atypical presentation and interpret with care We report a 36-year-old lady that 16 years post-augmentation presented with a unilateral gradually swollen breast with no associated lymphadenopathy. Ultrasound examination reported implant rupture, and exchange of implants was subsequently performed, only to reveal serous fluid (negative to culture, cytology and microscopy) and a macroscopically intact implant. A review of the literature has revealed that other imaging modalities are, either in isolation or in combination, more sensitive and specific for implant rupture. We therefore aim to raise awareness of this in the hope that we can potentially prevent further unnecessary operations. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00238-010-0457-xAuthors Marcus J. Davis, Bedford Hospital NHS Trust Bedford UKS... Mon, 28 Jun 2010 08:57:12 -0700

Index (Source: Facial Plastic Surgery Clinics of North America) Mon, 26 Jul 2010 21:24:18 -0700

Complications in Periocular Rejuvenation Thorough preoperative evaluation with meticulous surgical planning to achieve facial aesthetic balance between the forehead, eyelids, and midface is imperative to avoid or decrease potential functional and/or cosmetic complications in cosmetic periocular surgery. Before performing surgery, the physician should be aware of the patient's history of dry eyes, previous facial trauma, previous injection of Botox Cosmetic, history of previous laser-assisted in situ keratomileusis, and past facial surgery. A full evaluation should be performed on the upper eyelid/brow region to assess for the presence of brow ptosis, brow/eyelid asymmetry, dermatochalasis/pseudodermatochalasis, eyelid ptosis, and deep superior sulcus. On the lower eyelid/cheek examination, special attention should be directed to ... Mon, 26 Jul 2010 21:24:18 -0700

Rejuvenation of the Upper Eyelid This article focuses on surgical rejuvenation of the upper eyelid with an emphasis on the eyelid anatomy, aging of the eyes, clinical evaluation, surgical technique, and postoperative complications. The paradigm has shifted to a more conservative resection of skin, muscle, and fat to preserve fullness to the upper eyelid that portrays youthfulness. (Source: Facial Plastic Surgery Clinics of North America) Mon, 26 Jul 2010 21:24:18 -0700

Management of the Asian Upper Eyelid Relating the rejuvenation of the eye in terms of the Asian face, this article covers the unique set of strategies for this population that include understanding cultural and aesthetic aspects of the Asian patient, anatomy of the Asian patient, and techniques that would be appropriate based on these cultural and anatomic considerations. Along with strategic planning, a detailed surgical technique is presented with graphic examples, in addition to a brief guide to postoperative care. (Source: Facial Plastic Surgery Clinics of North America)<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Mon, 26 Jul 2010 21:24:18 -0700

Periocular Anatomy and Aging This article discusses the anatomy of the periocular region in terms of how the parts interact and what happens anatomically with aging. Detailed function of the anatomic area is also presented. Periocular anatomy, the lacrimal system, and orbital anatomy are first discussed, followed by characteristics of aging. (Source: Facial Plastic Surgery Clinics of North America) Mon, 26 Jul 2010 21:24:18 -0700

Periocular Rejuvenation: Lower Eyelid Blepharoplasty with Fat Repositioning and the Suborbicularis Oculi Fat Treatment of the aging lower eyelid is determined by the anatomic variables noted for each surgical candidate. Although surgeons have traditionally considered dermatochalasis, fat pseudoherniation, and eyelid position as the main treatment objectives in lower blepharoplasty, the vector of the infraorbital rim and the anterior plane of the cornea, tear trough, and aging in the midface also merit critical consideration. In this article, indications and technical aspects, the transconjunctival and external approaches, fat excision versus fat repositioning, and suborbicularis oculi fat lifting and fat transplantation are discussed and the authors' preference for the various methods of lower blepharoplasty is presented. Common adjunct procedures used to supplement lower blepharoplasty techniqu... Mon, 26 Jul 2010 21:24:18 -0700

Autologous Fat and Fillers in Periocular Rejuvenation Facial volume loss is an important component of facial aging, especially in the periocular region. The authors evaluate the normal and aging anatomy of the periocular region and then discuss volume restoration of this region using hyaluronic acid, calcium hydroxylapatite, and autologous fat transfer. Preoperative assessment, operative technique, postoperative care, and complications are addressed. (Source: Facial Plastic Surgery Clinics of North America) Mon, 26 Jul 2010 21:24:18 -0700

The Brow and Forehead in Periocular Rejuvenation This article discusses anatomy, preoperative evaluation and considerations, surgical techniques, and complications in rejuvenation of forehead and brow. (Source: Facial Plastic Surgery Clinics of North America) Mon, 26 Jul 2010 21:24:17 -0700

Midface Restoration in the Management of the Lower Eyelid This article reviews the techniques used by the authors to rejuvenate the midface and lower eyelid, and illustrates a comprehensive approach to management of this complex facial region. (Source: Facial Plastic Surgery Clinics of North America)<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Mon, 26 Jul 2010 21:24:17 -0700

Preface The revolution and evolution in periorbital rejuvenation has had no rival in facial plastic and reconstructive surgery in the past decade. Volumization and fat preservation have led the changes in our approach to the periorbita. It is now almost universally accepted that the full lid and periorbita represent a more youthful and healthy appearance. The evolution in the management of the lower lid started with the mobilization and suspension of the suborbicularis osculi fat (SOOF) and the repositioning of the orbital fat and has progressed to the use of autologous fat and synthetic fillers to address the nasal-jugal groove and shallow periorbita. (Source: Facial Plastic Surgery Clinics of North America) Mon, 26 Jul 2010 21:24:17 -0700

Forthcoming Issues (Source: Facial Plastic Surgery Clinics of North America) Mon, 26 Jul 2010 21:24:17 -0700

Contents (Source: Facial Plastic Surgery Clinics of North America) Mon, 26 Jul 2010 21:24:17 -0700

Contributors List (Source: Facial Plastic Surgery Clinics of North America) Mon, 26 Jul 2010 21:24:17 -0700

SIEA flap leads to an increase in abdominal seroma rates compared to DIEP flap for breast reconstruction In this study, we evaluated the peri-operative abdominal drain volumes and length of hospital admission between our superficial inferior epigastric artery (SIEA) and deep inferior epigastric artery perforator (DIEP) patients to determine whether SIEA flaps were associated with increased post-operative abdominal drainage and length of hospital stay. We studied consecutive patients who had breast reconstruction using either a free SIEA (seven) or DIEP (28) flaps. All patients had abdominal drains inserted, and cumulative drainage measurements were taken every 24&nbsp;h. Data on patient's age, BMI, length of hospital stay, smoking history, and abdominal fluid drainage were collected. Statistical analyses were performed using a t test (Mannâ??Whitney). A statistically significant differen...<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Mon, 26 Jul 2010 14:08:40 -0700

The treatment of soft tissue defects of the lower leg after traumatic open tibial fractureâ??comment Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00238-010-0467-8Authors Andrew G. Batchelor, Spire Hospital Jackson Avenue Leeds LS8 1NT UK Journal European Journal of Plastic SurgeryOnline ISSN 1435-0130Print ISSN 0930-343X (Source: European Journal of Plastic Surgery) Mon, 26 Jul 2010 14:08:37 -0700

Innovative technique using heterogenous collagen and intermingled autologous split-thickness skin graft for coverage of raw areas in deep burns with paucity of donor site as a life-saving measure Abstract  Burns injuries are extremely complex and elicit physiological and metabolic interactions involving all major organ systems. These pathological changes occur in a time dependent manner. In the last decades, burn care has improved, so the trend in the current treatment extends beyond the preservation of life. Thus, ultimate goal is complete rehabilitation of the burn victims. To investigate the effectiveness of the use of heterogenous collagen and intermingled autologous split-thickness skin for early coverage of raw areas in deep burns with paucity of donorsite as a life saving measure. A total of 10 subjects between the age group of 5 to 30 years (mean age 22 years) who sustained deep burns with total burn area from 60% to 80% (mean 72 %) and full thickn... Mon, 26 Jul 2010 14:08:36 -0700

Prepubertal unilateral gynecomastia: a report of two cases Conclusions  Atypical presentations of gynecomastia are often not recognized, with little attention to breast development in prepubertal non-obese children. Since prepubertal gynecomastia could be a sign of possible underlying diseases, a thorough examination and further research is recommended. If there is no causal treatment, surgical resection is the therapy of first choice. Peripheral liposuction and surgical resection of the gland tissue are the mainstay of treatment. In summary, we describe two cases of prepubertal unilateral gynecomastia with a normal endocrine workup. Further research is needed to establish the pathophysiologic mechanisms of prepubertal gynecomastia, since underlying etiology in most cases remains unclear. Content Type Journal ArticleCategor... Mon, 26 Jul 2010 14:08:36 -0700

Reduction mammaplasty as a secondary therapy option for chronic pain after lumpectomy in the breast: a case report Abstract  Chronic breast pain after surgery can have a profoundly negative impact on the physical and psychosocial function of patients. Treatment options are still in development, and no method hitherto described 100% pain relief. A 45-year-old woman suffering from chronic pain following breast surgery, who underwent reduction mammaplasty that lead to 100% pain relief, is presented. We suggest that mammaplasty could be a valuable treatment option in treating carefully selected patients with chronic breast pain. To our knowledge, this is the first report of mammaplasty for the treatment of chronic breast pain following breast surgery. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00238-010-0480-yAuthors Fercan Kömürcü, KA Rudolfstiftung Department of... Mon, 26 Jul 2010 14:08:36 -0700

Controlled muscle division during flap surgery: a simple technique Abstract&nbsp;&nbsp;Tissue transfer for breast reconstruction surgery using latissimus dorsi and transverse rectus abdominis myocutaneous flaps requires a degree of muscle cutting. Whether free or pedicled flaps are performed, muscles are divided and cauterised to obtain the desired tissue volume. Standard techniques of muscle cutting include monopolar or bipolar diathermy, whose electrical impulses mimic action potentials causing excessive muscle twitching. This can lead to irregular planes of dissection, potential damage to delicate perforating vessels, and difficult haemostasis. We propose localised infiltration of 0.25% bupivicaine into the muscle prior to diathermy division. This technique reliably prevents excess muscle twitching and permits controlled dissection in the desired...<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Mon, 26 Jul 2010 14:08:35 -0700

Cellceutix Corporation Selects Destum Partners To Partner Psoriasis Compound Cellceutix Corporation (OTCBB: CTIX) is pleased to announce that it has selected Destum Partners to assist in finding a development partner for its psoriasis compound, KM-133. Cellceutix management has carefully evaluated which direction to take in the development of KM-133 and has concluded that this is the best way to create shareholder value... Mon, 26 Jul 2010 05:00:00 -0700

Key Enzyme Repairs Sun-Damaged DNA Researchers have long known that humans lack a key enzyme -- one possessed by most of the animal kingdom and even plants -- that reverses severe sun damage. For the first time, researchers have witnessed how this enzyme works at the atomic level to repair sun-damaged DNA. The discovery holds promise for future sunburn remedies and skin cancer prevention... Mon, 26 Jul 2010 01:00:00 -0700

A Layperson's Psychological Take on Fake Breasts <p>Food for thought on the real reasons why women get breast augmentation.</p><p>Contributor: M G<br />Published: Apr 25, 2005</p> Mon, 25 Apr 2005 20:44:00 -0700

The Benefits of Saline Implants Mon, 24 Aug 2009 07:00:02 -0700

Droopy eyelids, bags and crow`s feet Mon, 24 Aug 2009 07:00:02 -0700

Methods of Voice Reconstruction This article reviews methods of voice reconstruction. Nonsurgical methods of voice reconstruction include electrolarynx, pneumatic artificial larynx, and esophageal speech. Surgical methods of voice reconstruction include neoglottis, tracheoesophageal puncture, and prosthesis. Tracheoesophageal puncture can be performed in patients with pedicled flaps such as colon interposition, jejunum, or gastric pull-up or in free flaps such as perforator flaps, jejunum, and colon flaps. Other flaps for voice reconstruction include the ileocolon flap and jejunum. Laryngeal transplantation is also reviewed.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Mon, 21 Jun 2010 21:21:00 -0700

Esophagus and Hypopharyngeal Reconstruction This article reviews the literature on esophageal reconstruction. The most common methods used are gastric pull-up, pectoralis major flap, colon interposition, fasciocutaneous flaps (radial forearm free flap or anterolateral thigh flap), and free jejunum and colon flaps. The stricture rates, fistula rates, morbidity, and mortality of each flap are reviewed.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Mon, 21 Jun 2010 21:21:00 -0700

Lower Lip Reconstruction Using a Functioning Gracilis Muscle Free Flap Seminars in Plastic Surgery 2010; 24: 212-218DOI: 10.1055/s-0030-1255338ABSTRACTThe lips are highly visible structures on the face, providing oral competence and expressing emotion. The reconstruction of large full-thickness defects of the lips is a formidable challenge for the plastic surgeon. The most challenging defect of the lower lip is full thickness, larger than two thirds. Such an extensive defect requires either staged reconstruction or a flap of distant tissue. We consider that the gracilis muscle, due to its anatomic and functional features, is the ideal flap for reconstruction of the lips. A functioning gracilis matches all the requisites and allows normal movements that are uniform to all of the lip. The new commissure is symmetric and moves simultaneously with the residual co... Mon, 21 Jun 2010 21:21:00 -0700

Intraoral Reconstruction Using Local and Regional Flaps Seminars in Plastic Surgery 2010; 24: 198-211DOI: 10.1055/s-0030-1255337ABSTRACTChoosing a pedicled flap to reconstruct an intraoral defect depends on the size and the anatomic position of the tissue defect. The goals are to restore form and function and minimize donor site morbidity. Regional pedicled flaps available for intraoral reconstruction are the buccal fat pad flap, facial artery musculomucosal flap, platysma, pectoralis major, temporalis muscle flap, and trapezius flaps. We give a concise illustration of anatomy, our harvesting technique, indications, and eventual pitfalls for each of the six flaps.[...]© Thieme Medical PublishersGet connected:Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery) Mon, 21 Jun 2010 21:21:00 -0700

Highlights of Archives of Facial Plastic Surgery [Highlights of Archives of Facial Plastic Surgery] Mon, 19 Jul 2010 18:02:37 -0700

Implications of Chinese Face Reading on the Aesthetic Sense [Special Topics] <p>Chinese face reading is an ancient art that has been developed over centuries, not only in China but over the wider area of Asia owing to China's cultural dominance in Asia during its imperial rule. Similar to feng shui, Chinese face reading is based on a philosophy held by Chinese people all over the world that expresses itself in contemporary daily life and practices by coloring people's choices, likes, and dislikes. It is inevitable that the aesthetic sense is also affected by face reading principles, especially among those who are most familiar with them. An understanding of these principles and beliefs would help surgeons better understand their Asian patients' requests and perhaps allow them to better communicate appropriate suggestions accordingly.</p> Mon, 19 Jul 2010 18:02:37 -0700

Experience in East Asian Facial Recontouring: Reduction Malarplasty and Mandibular Reshaping [Original Article] <p><b>Objective</b> To review my experience in both malar reduction and mandibular reshaping techniques to establish optional, effective, and reliable surgical procedures. A square-shaped face is considered aesthetically unfavorable among East Asians; therefore, reduction malarplasty and mandibular reshaping are becoming more acceptable for aesthetic facial skeleton recontouring.</p> <p><b>Methods</b> The techniques of zygoma arch infracture or mandibular angle reduction were used until 2 alternative techniques were introduced in 2002: the wedge-section osteotomy in the malar complex and inclined-fullness osteotomy in the mandibular angle and margin. Both osteotomies were selected according to personal experience and communication with patients. The wedge-section zygoma osteotomy was performed in the lower zygomatic body via an intraoral approach and greenstick infracture of the posterior zygomatic arch through a tiny preauricular incision. The prominent malar complex could be reduced by being pressed inward and was stabilized only by surgical suture or self-stabilization without any fixation, and the latter method was chosen in my recent cases. For the lower face, I designed an inclined-fullness osteotomy to address the mandibular angle and margin along the diagonal of marked projection of the mental foramen on the margin of the mandible and the projection of mandibular foramen on the ramus. The surgical indications, major complications, and levels of patient satisfaction for the different techniques were compared, and thus the pros and cons of wedge-section osteotomy and mandibular reshaping vs conventional procedures were analyzed.</p> <p><b>Results</b> A total of 585 patients who had undergone either reduction malarplasty or mandibular reshaping in the craniofacial center at the Shanghai Ninth People's Hospital from May 1988 through December 2008 were reviewed in this study. Intraoral incision was the dominant method of access in both types of osteotomies. Wedge-section malarplasty osteotomy was more effective and reliable compared with other conventional methods. More than half of the patients in cases of the mandibular reshaping have undergone surgery that included both reduction of the mandibular angle and shaving of the mandibular margin.</p> <p><b>Conclusion</b> As optimal strategy for aesthetic facial contouring surgery in East Asians, reduction malarplasty and mandibular reshaping were proven to be safe, effective, and easily handled techniques for modifying the square-shaped face.</p> Mon, 19 Jul 2010 18:02:37 -0700

Combined Anchor Suture With External Upper Eyelid Blepharoplasty in Asian Patients [Original Article] <p><b>Objective</b> To study the effect of an anchor fixation stitch in combination with the external incision technique in Asian upper blepharoplasty.</p> <p><b>Methods</b> Combined with an upper eyelid blepharoplasty using a conventional external incision procedure, an anchor stitch was used to fixate the dermal layer of the pretarsal skin and the upper edge of the tarsal plate. The procedure was performed in 72 patients with creaseless eyes (50 cases) or with laxity of the upper eyelids due to aging (22 cases). The patients were followed up for 6 to 12 months. The upper eyelid folds were evaluated by the surgeons and by the patients, and the outcome was graded as excellent, good, fair, or poor.</p> <p><b>Results</b> Of the 72 patients, 52 (72%) had excellent results and 20 (28%) had good results; no patients had fair or poor results. There were no cases of crease loss after 6 to 12 months of follow-up. All patients were satisfied with the results.</p> <p><b>Conclusions</b> The findings show that the combined anchor suture with external surgery is a reliable approach to Asian upper eyelid blepharoplasty both in young creaseless eyelids and in eyelids with laxity due to aging. We suggest that the anchor suture could be used as a routine procedure in Asian blepharoplasty.</p> Mon, 19 Jul 2010 18:02:37 -0700

Repair of Unsatisfactory Double Eyelid After Double-Eyelid Blepharoplasty in Asian Patients [Original Article] <p><b>Objectives</b> To summarize the types and causes of unsatisfactory double eyelid results after double-eyelid blepharoplasty in Asian patients and to explore the corrective methods.</p> <p><b>Methods</b> Various methods are used to repair different types of unsatisfactory double-eyelid results following double-eyelid blepharoplasty. The basic principles are that scar adhesions should be released as much as possible, the normal anatomic structure is restored, the radian of the double eyelid is adjusted, and the position of the double eyelid is relocated.</p> <p><b>Results</b> After 3 months to 5 years of follow-up, most patients who initially had unsatisfactory double-eyelid results after double-eyelid blepharoplasty were satisfied with the results of corrective surgery.</p> <p><b>Conclusion</b> It is important to avoid complications at the first double-eyelid blepharoplasty because corrective surgery is difficult.</p> Mon, 19 Jul 2010 18:02:37 -0700

Tumbling Cartilage Flap and Free Auricular Composite Tissue Transplantation for Correcting Mild and Moderate Forms of Constricted Ear [Original Article] <p><b>Objective</b> To report a new surgical approach that results in a natural size and contour of the external malformed constricted ear.</p> <p><b>Methods</b> A total of 62 consecutive patients with constricted ear underwent surgery between July 1, 2005, and December 31, 2007. Depending on the features and severity of the deformity, the methods of tumbling cartilage flap (CF), free auricular composite graft, or a combination of these 2 techniques were applied.</p> <p><b>Results</b> A total of 45 patients were treated with the method of tumbling CF. Twelve were treated with an auricular composite graft from the contralateral ear, and in 5 patients a combination of the 2 methods was used. In all cases, there was an improvement in the size, shape, and symmetry of the ears, and most patients were satisfied with the outcome. Complications were rare, and there was no donor site deformity.</p> <p><b>Conclusions</b> The technique of tumbling CF and free auricular composite graft provides a simple and promising treatment for constricted ears. Furthermore, this technique is easy to apply with a predictable good outcome.</p> Mon, 19 Jul 2010 18:02:37 -0700

Augmentation Rhinoplasty With Expanded Polytetrafluoroethylene and Prevention of Complications [Original Article] <p><b>Objective</b> To optimize the long-term results and reduce complications of augmentation rhinoplasty using expanded polytetrafluoroethylene (e-PTFE).</p> <p><b>Methods</b> There are certain key principles. The implant should be shaped to conform to the contour of the underlying nasal structure. It should be formed in a gentle curve, without twisting the implant, to preserve mechanical stability as well as to maintain aesthetic appearance. A strict sterile technique during the procedure and a good aseptic technique in the postoperative period are important to prevent infection. External fixation of the implant helps stabilize it.</p> <p><b>Results</b> Based on the above principles, 1700 patients underwent augmentation rhinoplasty with e-PTFE from 1999 to 2009. The criteria evaluated included complications and postoperative results: (1) bleeding volume, (2) postoperative swelling of the nose, and (3) pathologic and aesthetic outcomes. Extrusion of the prosthesis developed in 3% of cases; malposition of the prosthesis in 3%; slight bleeding and swelling in 80%; moderate bleeding and swelling in 18%; severe bleeding and swelling in 2%; and infection in 1%. Ninety-three percent of the patients reported aesthetic satisfaction.</p> <p><b>Conclusion</b> In this study, adherence to these operative principles played an important role in reducing complications, in preserving the stability of the position of the prosthesis, and in maintaining the aesthetic contour of the nose.</p> Mon, 19 Jul 2010 18:02:37 -0700

A New Nose Tip-Defining Technique for Asians Using Autologous Cartilage Prefabricated With Octyl-2-Cyanoacrylate Adhesive [Original Article] <p><b>Objectives</b> To form and test a prefabricated, 3-dimensional tip graft structure from autologous cartilage pieces and octyl-2-cyanoacrylate adhesive (Dermabond). Displacement and instability of grafted cartilage are common drawbacks of endonasal tip surgery, and we evaluated the feasibility and efficacy of octyl-2-cyanoacrylate adhesive for clinical use.</p> <p><b>Methods</b> Three New Zealand rabbits were examined in this study. We cut auricular cartilage into pieces of approximately 1&nbsp;<font FACE="arial,helvetica">x</font>&nbsp;2 cm and glued them together with octyl-2-cyanoacrylate. Three months after subcutaneous implantation in the rabbits, we histopathologically analyzed foreign body reactions, histotoxic effects, and the structure of the regenerative tissue in the implanted cartilage. Furthermore, from human patients we harvested small pieces of autologous cartilage and cemented them together with octyl-2-cyanoacrylate adhesive to prefabricate 3-dimensional tip grafts, which we then inserted into the nasal tips of patients via an endonasal approach to project and contour the nasal tip. The changes in tip definition of 42 Asian patients were analyzed.</p> <p><b>Results</b> Octyl-2-cyanoacrylate adhesive interacts well with cartilage tissues with no systemic or local adverse effects. Its ability to bond cartilage instantaneously allows for the fabrication of intricate cartilage implant components. The aesthetic results in 42 cases were excellent, and the implants were both safe and effective.</p> <p><b>Conclusion</b> Our results demonstrate that octyl-2-cyanoacrylate can be safely used in endonasal tip surgery to produce excellent cosmetic outcomes in Asian subjects.</p> Mon, 19 Jul 2010 18:02:37 -0700

Pressure Necrosis of Septal Cartilage Associated With Bilateral Extended Spreader Grafts in Rhinoplasty [Original Article] <p><b>Objective</b> To investigate septal cartilage compressive changes as a result of bilateral extended spreader grafts (ESGs), which are commonly used in rhinoplasty. The buckling, rupturing, or necrosis of the recipient site leads to nasal tip structural deformity. These pathologic changes associated with bilateral ESGs warrant the clinician's attention and in-depth basic and clinical research.</p> <p><b>Methods</b> The basic experimental study involves New Zealand rabbits, randomly assigned to groups A, B, C, and D, with group A as a reference. The right auricular cartilage was harvested and transplanted into a corresponding anatomic location of the left ear. The compressive effect was studied by gross observation and microscopic examination with hematoxylin-eosin staining after 3 months. In a clinical experiment, revision rhinoplasty surgical procedures were performed in 10 human patients 6 months to 1 year after placement of bilateral ESGs. The compressive changes of septal cartilages between the ESGs were observed intraoperatively.</p> <p><b>Results</b> In group A of the rabbits, no pathologic change was noted, but 2 cases of attenuation were observed in group B (33.3%), 6 cases of central fracture (100%) with 1 case of perforation (16.7%) in group C, and 6 cases of different degrees of defects in group D (100%). Clinical intraoperative observations revealed 1 case of defects and necrosis (10%), 4 cases of attenuations and cracks (40%), and 5 cases of attenuations (50%).</p> <p><b>Conclusions</b> Septal cartilage compressive necrosis leading to structural damage by bilateral septal ESGs is a clinically significant complication of rhinoplasty. Owing to its affect on the viability of the original septal cartilages, we believe the unilateral ESG with columellar strut is preferred, especially in Asian patients.</p> Mon, 19 Jul 2010 18:02:37 -0700

Preservation of Canine Composite Facial Flaps Using UW Solution [Original Article] <p><b>Objective</b> To evaluate the effect of University of Wisconsin (UW) solution on composite facial flaps in dogs to offer a preservation time limit for clinical application.</p> <p><b>Methods</b> The experiment included 2 parts. In part 1, 32 half facial flaps were cold stored for 12, 24, 36, and 48 hours in UW solution (experimental group) or normal saline (control group). In part 2, 8 flaps that had been cold stored in UW solution for 24 (group A, n&nbsp;=&nbsp;3), 36 (group B, n&nbsp;=&nbsp;3), and 48(group C, n&nbsp;=&nbsp;2) hours were autotransplanted.</p> <p><b>Results</b> After preservation in part 1, the viability of each tissue type (skin, mucosa, muscle, blood vessel, nerve, and gland) in the experimental groups was better than that in the control group. Muscle viability decreased more quickly than did the viability of other tissue. In the experimental groups, the viability of all tissue preserved for 12 and 24 hours was better than that of tissue preserved for 36 and 48 hours. After 48 hours of preservation, tissue had good structure and integrity in the experimental group but showed degeneration in the control group. In part 2, the flap survival percentages were 100%, 100%, and 99.7% in group A; 93.2%, 95.7%, and 94.1% in group B; and 87.2% and 86.1% in group C. Six months after surgery, the dogs in group A showed contraction potential and corneal reflex.</p> <p><b>Conclusion</b> Twenty-four hours could be considered a reference time for clinical application of UW solution flap preservation.</p> Mon, 19 Jul 2010 18:02:37 -0700

A Simple, Minimally Invasive Method for Creation of the Superior Palpebral Fold in Asians With the Modified Continuous Buried Tarsal Stitch: A Joint Assessment From Toronto, Ontario, Canada, and Chengdu, China [Surgical Technique] <p>A simple, minimally invasive stitch method to construct the superior palpebral fold in Asian upper eyelids is described. With the use of a clear 6-0 monofilament polypropylene suture and a continuous stitch and by securing multiple consecutive transcutaneous intratarsal fixations, we were able to produce a consistent, natural result with high success rates and no noticeable scarring in 1648 cases over a 9-year period at 2 surgical centers in Toronto, Ontario, Canada, and Chengdu, China.</p> Mon, 19 Jul 2010 18:02:37 -0700

Modified Y-V Epicanthoplasty With Raised Medial Canthus in the Asian Eyelid [Surgical Technique] <p>To explore an epicanthoplasty with a good aesthetic effect and a small scar we designed a modified Y-V epicanthoplasty to raise and enlarge the medial canthus. From January 2006 to April 2009, 68 patients were treated with this method, using a simple procedure to eliminate the medial epicanthal fold of the upper eyelid. Scarring of the medial canthal area has not been a problem with this technique because we designed incisions along the eyelashes and the skin-mucosal junctions. By raising the point of the new medial canthus to a particular physiological position, the angle of medial canthus is enlarged to reveal the lacrimal lake. Our technique is a simple, graded procedure that leaves no visible scar.</p> Mon, 19 Jul 2010 18:02:37 -0700

Portrait of Elizabeth of Austria, Wife of King Charles IX of France, by a Follower of Francois Clouet [Beauty] Mon, 19 Jul 2010 18:02:37 -0700

Portrait of Elizabeth of Austria, Wife of King Charles IX of France, by a Follower of Francois Clouet [Beauty] (Source: Archives of Facial Plastic Surgery)<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Mon, 19 Jul 2010 17:02:37 -0700

Modified Y-V Epicanthoplasty With Raised Medial Canthus in the Asian Eyelid [Surgical Technique] To explore an epicanthoplasty with a good aesthetic effect and a small scar we designed a modified Y-V epicanthoplasty to raise and enlarge the medial canthus. From January 2006 to April 2009, 68 patients were treated with this method, using a simple procedure to eliminate the medial epicanthal fold of the upper eyelid. Scarring of the medial canthal area has not been a problem with this technique because we designed incisions along the eyelashes and the skin-mucosal junctions. By raising the point of the new medial canthus to a particular physiological position, the angle of medial canthus is enlarged to reveal the lacrimal lake. Our technique is a simple, graded procedure that leaves no visible scar. (Source: Archives of Facial Plastic Surgery) Mon, 19 Jul 2010 17:02:37 -0700

A Simple, Minimally Invasive Method for Creation of the Superior Palpebral Fold in Asians With the Modified Continuous Buried Tarsal Stitch: A Joint Assessment From Toronto, Ontario, Canada, and Chengdu, China [Surgical Technique] A simple, minimally invasive stitch method to construct the superior palpebral fold in Asian upper eyelids is described. With the use of a clear 6-0 monofilament polypropylene suture and a continuous stitch and by securing multiple consecutive transcutaneous intratarsal fixations, we were able to produce a consistent, natural result with high success rates and no noticeable scarring in 1648 cases over a 9-year period at 2 surgical centers in Toronto, Ontario, Canada, and Chengdu, China. (Source: Archives of Facial Plastic Surgery) Mon, 19 Jul 2010 17:02:37 -0700

Preservation of Canine Composite Facial Flaps Using UW Solution [Original Article] Conclusion Twenty-four hours could be considered a reference time for clinical application of UW solution flap preservation. (Source: Archives of Facial Plastic Surgery) Mon, 19 Jul 2010 17:02:37 -0700

Pressure Necrosis of Septal Cartilage Associated With Bilateral Extended Spreader Grafts in Rhinoplasty [Original Article] Conclusions Septal cartilage compressive necrosis leading to structural damage by bilateral septal ESGs is a clinically significant complication of rhinoplasty. Owing to its affect on the viability of the original septal cartilages, we believe the unilateral ESG with columellar strut is preferred, especially in Asian patients. (Source: Archives of Facial Plastic Surgery) Mon, 19 Jul 2010 17:02:37 -0700

A New Nose Tip-Defining Technique for Asians Using Autologous Cartilage Prefabricated With Octyl-2-Cyanoacrylate Adhesive [Original Article] Conclusion Our results demonstrate that octyl-2-cyanoacrylate can be safely used in endonasal tip surgery to produce excellent cosmetic outcomes in Asian subjects. (Source: Archives of Facial Plastic Surgery)<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Mon, 19 Jul 2010 17:02:37 -0700

Augmentation Rhinoplasty With Expanded Polytetrafluoroethylene and Prevention of Complications [Original Article] Conclusion In this study, adherence to these operative principles played an important role in reducing complications, in preserving the stability of the position of the prosthesis, and in maintaining the aesthetic contour of the nose. (Source: Archives of Facial Plastic Surgery) Mon, 19 Jul 2010 17:02:37 -0700

Tumbling Cartilage Flap and Free Auricular Composite Tissue Transplantation for Correcting Mild and Moderate Forms of Constricted Ear [Original Article] Conclusions The technique of tumbling CF and free auricular composite graft provides a simple and promising treatment for constricted ears. Furthermore, this technique is easy to apply with a predictable good outcome. (Source: Archives of Facial Plastic Surgery) Mon, 19 Jul 2010 17:02:37 -0700

Repair of Unsatisfactory Double Eyelid After Double-Eyelid Blepharoplasty in Asian Patients [Original Article] Conclusion It is important to avoid complications at the first double-eyelid blepharoplasty because corrective surgery is difficult. (Source: Archives of Facial Plastic Surgery) Mon, 19 Jul 2010 17:02:37 -0700

Combined Anchor Suture With External Upper Eyelid Blepharoplasty in Asian Patients [Original Article] Conclusions The findings show that the combined anchor suture with external surgery is a reliable approach to Asian upper eyelid blepharoplasty both in young creaseless eyelids and in eyelids with laxity due to aging. We suggest that the anchor suture could be used as a routine procedure in Asian blepharoplasty. (Source: Archives of Facial Plastic Surgery) Mon, 19 Jul 2010 17:02:37 -0700

Experience in East Asian Facial Recontouring: Reduction Malarplasty and Mandibular Reshaping [Original Article] Conclusion As optimal strategy for aesthetic facial contouring surgery in East Asians, reduction malarplasty and mandibular reshaping were proven to be safe, effective, and easily handled techniques for modifying the square-shaped face. (Source: Archives of Facial Plastic Surgery)<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Mon, 19 Jul 2010 17:02:37 -0700

Implications of Chinese Face Reading on the Aesthetic Sense [Special Topics] Chinese face reading is an ancient art that has been developed over centuries, not only in China but over the wider area of Asia owing to China's cultural dominance in Asia during its imperial rule. Similar to feng shui, Chinese face reading is based on a philosophy held by Chinese people all over the world that expresses itself in contemporary daily life and practices by coloring people's choices, likes, and dislikes. It is inevitable that the aesthetic sense is also affected by face reading principles, especially among those who are most familiar with them. An understanding of these principles and beliefs would help surgeons better understand their Asian patients' requests and perhaps allow them to better communicate appropriate suggestions accordingly. (Source: Archives of Facial Plasti... Mon, 19 Jul 2010 17:02:37 -0700

Highlights of Archives of Facial Plastic Surgery [Highlights of Archives of Facial Plastic Surgery] (Source: Archives of Facial Plastic Surgery) Mon, 19 Jul 2010 17:02:37 -0700

Portrait of Elizabeth of Austria, Wife of King Charles IX of France, by a Follower of Francois Clouet [Unknown Section Name (other)] (Source: Archives of Facial Plastic Surgery)<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Mon, 19 Jul 2010 17:02:37 -0700

Modified Y-V Epicanthoplasty With Raised Medial Canthus in the Asian Eyelid [Unknown Section Name (research-article)] To explore an epicanthoplasty with a good aesthetic effect and a small scar we designed a modified Y-V epicanthoplasty to raise and enlarge the medial canthus. From January 2006 to April 2009, 68 patients were treated with this method, using a simple procedure to eliminate the medial epicanthal fold of the upper eyelid. Scarring of the medial canthal area has not been a problem with this technique because we designed incisions along the eyelashes and the skin-mucosal junctions. By raising the point of the new medial canthus to a particular physiological position, the angle of medial canthus is enlarged to reveal the lacrimal lake. Our technique is a simple, graded procedure that leaves no visible scar. (Source: Archives of Facial Plastic Surgery) Mon, 19 Jul 2010 17:02:37 -0700

A Simple, Minimally Invasive Method for Creation of the Superior Palpebral Fold in Asians With the Modified Continuous Buried Tarsal Stitch: A Joint Assessment From Toronto, Ontario, Canada, and Chengdu, China [Unknown Section Name (research-article)] A simple, minimally invasive stitch method to construct the superior palpebral fold in Asian upper eyelids is described. With the use of a clear 6-0 monofilament polypropylene suture and a continuous stitch and by securing multiple consecutive transcutaneous intratarsal fixations, we were able to produce a consistent, natural result with high success rates and no noticeable scarring in 1648 cases over a 9-year period at 2 surgical centers in Toronto, Ontario, Canada, and Chengdu, China. (Source: Archives of Facial Plastic Surgery) Mon, 19 Jul 2010 17:02:37 -0700

Preservation of Canine Composite Facial Flaps Using UW Solution [Unknown Section Name (research-article)] Conclusion Twenty-four hours could be considered a reference time for clinical application of UW solution flap preservation. (Source: Archives of Facial Plastic Surgery) Mon, 19 Jul 2010 17:02:37 -0700

Pressure Necrosis of Septal Cartilage Associated With Bilateral Extended Spreader Grafts in Rhinoplasty [Unknown Section Name (research-article)] Conclusions Septal cartilage compressive necrosis leading to structural damage by bilateral septal ESGs is a clinically significant complication of rhinoplasty. Owing to its affect on the viability of the original septal cartilages, we believe the unilateral ESG with columellar strut is preferred, especially in Asian patients. (Source: Archives of Facial Plastic Surgery) Mon, 19 Jul 2010 17:02:37 -0700

A New Nose Tip-Defining Technique for Asians Using Autologous Cartilage Prefabricated With Octyl-2-Cyanoacrylate Adhesive [Unknown Section Name (research-article)] Conclusion Our results demonstrate that octyl-2-cyanoacrylate can be safely used in endonasal tip surgery to produce excellent cosmetic outcomes in Asian subjects. (Source: Archives of Facial Plastic Surgery)<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Mon, 19 Jul 2010 17:02:37 -0700

Augmentation Rhinoplasty With Expanded Polytetrafluoroethylene and Prevention of Complications [Unknown Section Name (research-article)] Conclusion In this study, adherence to these operative principles played an important role in reducing complications, in preserving the stability of the position of the prosthesis, and in maintaining the aesthetic contour of the nose. (Source: Archives of Facial Plastic Surgery) Mon, 19 Jul 2010 17:02:37 -0700

Tumbling Cartilage Flap and Free Auricular Composite Tissue Transplantation for Correcting Mild and Moderate Forms of Constricted Ear [Unknown Section Name (research-article)] Conclusions The technique of tumbling CF and free auricular composite graft provides a simple and promising treatment for constricted ears. Furthermore, this technique is easy to apply with a predictable good outcome. (Source: Archives of Facial Plastic Surgery) Mon, 19 Jul 2010 17:02:37 -0700

Repair of Unsatisfactory Double Eyelid After Double-Eyelid Blepharoplasty in Asian Patients [Unknown Section Name (research-article)] Conclusion It is important to avoid complications at the first double-eyelid blepharoplasty because corrective surgery is difficult. (Source: Archives of Facial Plastic Surgery) Mon, 19 Jul 2010 17:02:37 -0700

Combined Anchor Suture With External Upper Eyelid Blepharoplasty in Asian Patients [Unknown Section Name (research-article)] Conclusions The findings show that the combined anchor suture with external surgery is a reliable approach to Asian upper eyelid blepharoplasty both in young creaseless eyelids and in eyelids with laxity due to aging. We suggest that the anchor suture could be used as a routine procedure in Asian blepharoplasty. (Source: Archives of Facial Plastic Surgery) Mon, 19 Jul 2010 17:02:37 -0700

Experience in East Asian Facial Recontouring: Reduction Malarplasty and Mandibular Reshaping [Unknown Section Name (research-article)] Conclusion As optimal strategy for aesthetic facial contouring surgery in East Asians, reduction malarplasty and mandibular reshaping were proven to be safe, effective, and easily handled techniques for modifying the square-shaped face. (Source: Archives of Facial Plastic Surgery)<div id="medworm"><p><b><i>MedWorm Sponsor Message:</i></b> Have a look at these <a rel="nofollow" target="_blank" href="http://www.blueskyscrubs.com/categories/Scrub-Hats/">scrub hats</a> - a design for for every medical professional. blue sky scrubs are pleased to offer the finest medical apparel products in the world.</p></div> Mon, 19 Jul 2010 17:02:37 -0700

Implications of Chinese Face Reading on the Aesthetic Sense [Unknown Section Name (research-article)] Chinese face reading is an ancient art that has been developed over centuries, not only in China but over the wider area of Asia owing to China's cultural dominance in Asia during its imperial rule. Similar to feng shui, Chinese face reading is based on a philosophy held by Chinese people all over the world that expresses itself in contemporary daily life and practices by coloring people's choices, likes, and dislikes. It is inevitable that the aesthetic sense is also affected by face reading principles, especially among those who are most familiar with them. An understanding of these principles and beliefs would help surgeons better understand their Asian patients' requests and perhaps allow them to better communicate appropriate suggestions accordingly. (Source: Archives of Facial Plasti... Mon, 19 Jul 2010 17:02:37 -0700

Asian Facial Plastic Surgery [Unknown Section Name (research-article)] (Source: Archives of Facial Plastic Surgery) Mon, 19 Jul 2010 17:02:37 -0700

Highlights of Archives of Facial Plastic Surgery [Unknown Section Name (in-brief)] (Source: Archives of Facial Plastic Surgery) Mon, 19 Jul 2010 17:02:37 -0700

[Unknown Section Name (other)] (Source: Archives of Facial Plastic Surgery) Mon, 19 Jul 2010 17:02:37 -0700

Highlights of Archives of Facial Plastic Surgery [Highlights of Archives of Facial Plastic Surgery] Mon, 18 Jan 2010 12:52:15 -0800

Reconstruction of the Nasal Septum Using Polydioxanone Plate [Original Article] <p><b>Objectives&nbsp;</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&nbsp;</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&nbsp;</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&nbsp;</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&nbsp;</b> To evaluate whether mandibular distraction osteogenesis relieves tongue-based airway obstruction in patients with severe micrognathia.</p> <p><b>Design&nbsp;</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&nbsp;</b> Ten of 11 patients avoided tracheotomy. Two of 2 patients who had already undergone tracheotomies were successfully decannulated.</p> <p><b>Conclusion&nbsp;</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&nbsp;</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&nbsp;</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&nbsp;</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&nbsp;</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&nbsp;</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&nbsp;</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&nbsp;</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>&nbsp;&lt;&nbsp;.001).</p> <p><b>Conclusions&nbsp;</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&nbsp;</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&nbsp;</b> The force required to close the eyelids in human cadavers (n&nbsp;=&nbsp;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&nbsp;</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&nbsp;&plusmn;&nbsp;128 mN) than for the ePTFE eyelid sling (1347&nbsp;&plusmn;&nbsp;318 mN).</p> <p><b>Conclusions&nbsp;</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&nbsp;</b> To quantify tissue tearing force at various anchoring points on the face.</p> <p><b>Methods&nbsp;</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&nbsp;</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>&nbsp;&lt;&nbsp;.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>&nbsp;&lt;&nbsp;.05). The force for the fascia of the sternocleidomastoid was 3.89 kg vs 5.57 kg for the mastoid fascia (<i>P</i>&nbsp;&lt;&nbsp;.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>&nbsp;&lt;&nbsp;.05).</p> <p><b>Conclusion&nbsp;</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&nbsp;</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&nbsp;</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&nbsp;=&nbsp;15) and a control group (n&nbsp;=&nbsp;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&nbsp;</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&nbsp;</i>&lt;&nbsp;.001, <i>P&nbsp;</i>&nbsp;=&nbsp;.003, <i>P&nbsp;</i>&nbsp;=&nbsp;.009, <i>P&nbsp;</i>&nbsp;=&nbsp;.009, and <i>P&nbsp;</i>&nbsp;=&nbsp;.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&nbsp;</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

The Importance of Primary Rhinoplasty at the Time of Initial Unilateral Cleft Lip Repair [Commentary] Mon, 18 Jan 2010 12:52:15 -0800

Endoscopic Brow-lift in the Male Patient [Surgical Technique] <p><b>Objective&nbsp;</b> To report our experience with the endoscopic brow-lift in male patients at a university-affiliated outpatient surgery center.</p> <p><b>Methods&nbsp;</b> Retrospective case series.</p> <p><b>Results&nbsp;</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&nbsp;</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&mdash;in the appropriately selected patient&mdash;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

Current Trends in Facial Resurfacing: A Survey of American Academy of Facial Plastic and Reconstructive Surgery Members [Research Letters] Mon, 18 Jan 2010 12:52:15 -0800

Revision Surgery in Otolaryngology [Book and Multimedia Review] Mon, 18 Jan 2010 12:52:15 -0800

Atlas of Oculofacial Reconstruction: Principles and Techniques for the Repair of Periocular Defects [Book and Multimedia Review] Mon, 18 Jan 2010 12:52:15 -0800

Eyelid and Periorbital Surgery [Book and Multimedia Review] Mon, 18 Jan 2010 12:52:15 -0800

Sir Edward Coley Burne-Jones's Hope [Beauty] Mon, 18 Jan 2010 12:52:15 -0800

Repair of a Calvarial Defect With Biofactor and Stem Cell-Embedded Polyethylene Glycol Scaffold [Unknown Section Name (research-article)] <p><b>Objective</b> Segmental bony defects resulting from congenital facial anomalies, facial trauma, infection, or oncologic surgical resection represent a common and significant clinical problem. Currently, these defects are reconstructed with autologous or allogeneic bone grafts or prosthetic devices. These options are limited by bone supply for grafting, donor site morbidity, risk of infection, and extrusion. This study investigated the in vivo osteogenic capability of polyethylene glycol-diacrylate (PEG-DA) and a protease-sensitive PEG matrix metalloproteinases (PEG-MMP), photoencapsulated with mesenchymal stem cells (MSCs) and bone morphogenetic protein (BMP)-2, in healing a critical-size rat calvarial defect.</p> <p><b>Methods</b> Both PEG-DA and PEG-MMP scaffolds photoencapsulated with rat MSCs (rMSCs) and/or BMP-2 were implanted into a critical-size defect. Microcomputed-tomographic (micro-CT) analysis was completed 1, 4, and 8 weeks after implantation. Bone growth was histologically evaluated. The micro-CT data were analyzed using ASPIProVM software to calculate the percentage of closure of cranial defects.</p> <p><b>Results</b> Both PEG-MMP and PEG-MMP + BMP2 showed significantly enhanced bone compared with controls. Polyethylene glycol-diacrylate seemed to inhibit bone growth regardless of biofactor and rMSCs. The addition of rMSCs did not enhance bone regeneration.</p> <p><b>Conclusion</b> Polyethylene glycol sensitive to proteolysis significantly improved bone repair in a critical-size calvarial defect.</p> Mon, 17 May 2010 13:32:29 -0700

Comparison of Techniques Used to Support the Nasal Tip and Their Long-term Effects on Tip Position [Unknown Section Name (research-article)] <p><b>Objectives</b> To examine the indications for the use of septal extension grafts, columellar struts, and tongue-and-groove techniques to provide support and set the tip position during rhinoplasty, and to compare the strength of their support and analyze their long-term effects on tip position.</p> <p><b>Methods</b> The medical records and photographs of patients who underwent external septorhinoplasty during a 2-year period were analyzed. Forty patients had photographs from short-term follow-up (&lt;12 weeks) and were included in the study. The short-term and long-term (&gt;52 weeks) tip positions were compared to determine the maintenance of tip position with each technique. Each stabilization technique was performed on 5 fresh cadavers, and the resistance to displacement of the tip was measured and compared.</p> <p><b>Results</b> Objective measurements in the cadaver analysis show increased resistance to tip displacement with the use of caudal septal extension grafts and tongue-and-groove techniques. There was no difference in the maintenance of tip position between the techniques in analysis of the patients who have undergone rhinoplasty.</p> <p><b>Conclusions</b> Many factors influence the maintenance of tip position in patients who have undergone rhinoplasty. One should consider using a stabilization technique to help resist displacement of the nasal tip. Clinical and operative findings, as well as secondary effects, are used to help determine which technique should be used.</p> Mon, 17 May 2010 13:32:29 -0700

Error in Byline in: William Hogarth's The Painter and His Pug: Defining the 'Line of Beauty' [Correction] Mon, 17 May 2010 13:32:29 -0700

Daily Facial Stimulation to Improve Recovery After Facial Nerve Repair in Rats [Unknown Section Name (research-article)] <p><b>Objective</b> To establish whether daily mechanical stimulation improves functional recovery of whisking after facial nerve transection injury and repair in rats.</p> <p><b>Methods</b> Forty rats underwent facial nerve transection injury and repair and subsequent quantitative facial movement testing. Animals were randomized into 2 experimental groups (n&nbsp;=&nbsp;20 each). Both groups received daily 5-minute manual stimulation of their whiskers, with one group undergoing whisker protraction and the other, whisker retraction. Rats were tested on postoperative weeks 1, 4 through 8, and 15 via a validated, quantitative whisking kinematics apparatus. Whisks were counted and analyzed for whisking amplitude, velocity, and acceleration.</p> <p><b>Results</b> Animals receiving manual stimulation by passive protraction of their whiskers demonstrated significantly improved functional recovery at multiple time points during the 15 weeks compared with historical controls (<i>P</i>&nbsp;&lt;&nbsp;.005; 1-tailed <i>t</i> test). Recovery was similar in the protraction and retraction groups, trending toward better whisking recovery in the protraction group.</p> <p><b>Conclusions</b> Daily mechanical whisker stimulation via either protraction or retraction significantly improves recovery of whisking after facial nerve transection and repair. This finding supports the role of early soft-tissue manipulation after facial nerve repair and may have clinical implications for the postoperative management of patients after facial nerve manipulations.</p> Mon, 17 May 2010 13:32:29 -0700

Computer-Assisted Design and Manufacture of Implants in the Late Reconstruction of Extensive Orbital Fractures [Unknown Section Name (research-article)] <p><b>Objective</b> To evaluate the use of computer-assisted designed and manufactured (CAD/CAM) orbital wall and floor implants for late reconstruction of extensive orbital fractures.</p> <p><b>Methods</b> We performed a retrospective data review on 29 patients treated for extensive orbital fractures from January 1, 1997, through December 31, 2007, at the University College London Hospitals. The use of a CAD/CAM technique based on cross-sectional computed tomographic scans, generating an accurate stereolithographic model, enabled surgeons and technicians to plan and create the best dimension and position of the implant. Sheet titanium was then pressed to shape from a design outlined on a counterdie of the new reconstructed model.</p> <p><b>Results</b> Twenty-nine patients with late enophthalmos due to complex orbital fractures underwent successful reconstruction surgery. Enophthalmos was corrected in all patients. Diplopia was improved in 14 patients, and extraocular movement was improved in 13.</p> <p><b>Conclusions</b> The CAD/CAM implants represent a financially viable method for secondary reconstruction of the orbit. This method enables the surgeon to plan the operation in detail, facilitates the surgical procedure, and can help to improve the outcome.</p> Mon, 17 May 2010 13:32:29 -0700

Predictors of Satisfaction With Facial Plastic Surgery: Results of a Prospective Study [Unknown Section Name (research-article)] <p><b>Objective</b> To identify demographic and psychological factors that predict satisfaction or dissatisfaction with outcomes among patients undergoing facial plastic surgery.</p> <p><b>Methods</b> All patients presenting to the Center for Facial Cosmetic Surgery at the University of Michigan between January 1, 2007, and January 1, 2008, were asked to participate. Patients answered an initial baseline survey consisting of demographic information and an assessment of their baseline level of optimism/pessimism in addition to a surgery-specific outcome questionnaire both preoperatively and 4 to 6 months postoperatively.</p> <p><b>Results</b> Fifty-one patients (mean [SD] age, 53 [13.0]; 69% female; 98% white) participated. Patients over the mean age of 53 years were more satisfied with their results than those under the mean age (<i>P</i>&nbsp;=&nbsp;.01). Patients currently being treated for depression were more satisfied with surgical outcomes than those not being treated (<i>P</i>&nbsp;=&nbsp;.05). No correlation was identified between baseline optimism/pessimism or other baseline factors and patients' perceived surgical outcomes. Surgeons were decidedly less positive in their assessment of the outcome than patients.</p> <p><b>Conclusion</b> Despite a priori hypotheses that patients treated for depression might be more pessimistic and rate their satisfaction lower than other patients, patients treated for depression show a trend toward greater satisfaction from facial plastic surgical procedures than those not treated for depression.</p> Mon, 17 May 2010 13:32:29 -0700

The Double Hatchet Flap: A Workhorse in Head and Neck Local Flap Reconstruction [Unknown Section Name (research-article)] <p>A double triangular flap, or hatchet flap, with a partial cutaneous pedicle, has great versatility for facial reconstruction, yet there has been little published discussion regarding the potential applications and/or modifications of the flap. A total of 483 cutaneous malignant neoplasms have been excised and repaired by the senior author (C.C.M.) using a modified bilateral hatchet flap; 366 of the neoplasms were located in the head and neck region. The flap has been used to reconstruct defects in the scalp, eyebrow, lower eyelid, nasal tip, cheek, chin, arms, and torso, with no cases of flap loss. The design of the flap and our modification will be discussed in detail, along with a description of 4 representative cases.</p> Mon, 17 May 2010 13:32:29 -0700

Young Physician Survey: What Are the New Facial Plastic Surgeons Up To? [Letters to the Editor] Mon, 17 May 2010 13:32:29 -0700

Chondrocyte Viability in Human Nasal Septum After Morselization [Letters to the Editor] Mon, 17 May 2010 13:32:29 -0700

Combined Transconjunctival Release and Midface-lift for Postblepharoplasty Ectropion Repair [Letters to the Editor] Mon, 17 May 2010 13:32:29 -0700

A Reference Section Update for "Orbicularis Suspension Flap and Its Effect on Lower Eyelid Position" [Letters to the Editor] Mon, 17 May 2010 13:32:29 -0700

Microsurgical Reconstruction of the Head and Neck [Unknown Section Name (book-review)] Mon, 17 May 2010 13:32:29 -0700

John Singer Sargent's Helen Sears [Unknown Section Name (other)] Mon, 17 May 2010 13:32:29 -0700

[Unknown Section Name (other)] Mon, 17 May 2010 13:32:28 -0700

Highlights of Archives of Facial Plastic Surgery [Unknown Section Name (in-brief)] Mon, 17 May 2010 13:32:28 -0700

Leslie G. Farkas: Pioneer of Modern Craniofacial Anthropometry [Unknown Section Name (research-article)] Mon, 17 May 2010 13:32:28 -0700

Otoplasty Using a Modified Anterior Scoring Technique: Standardized Measurements of Long-term Results [Unknown Section Name (research-article)] <p><b>Objective</b> To evaluate long-term results of otoplasty using standardized measurements.</p> <p><b>Methods</b> We performed a retrospective study of patients who underwent otoplasty using a modified anterior scoring technique combined with postauricular fixation sutures. Two hundred twenty-two consecutive patients (421 primary otoplasties) were included. Each auricle was examined before surgery, after surgery, and at a long-term follow-up visit, and the distance between the lateral helical rim and the mastoid surface was measured at 3 points. In addition, patient satisfaction was evaluated using a questionnaire.</p> <p><b>Results</b> Seventy-two percent of 222 patients were examined at a long-term follow-up visit. Follow-up of 301 auricles was on average 6.25 years (range, 44-106 months). The mean preoperative measurements among all auricles were 23.3 mm at the uppermost point of the helix, 28.6 mm at the middle, and 25.9 mm at the lobule; these values were 14.2, 14.0, and 16.1 mm, respectively, at the end of the operation and 16.0, 17.5, and 17.4 mm, respectively, 6 years later. Long-term data revealed a median 2-mm lateralization of the auricle. The aesthetic result of otoplasty was rated as "very good" by 71.8% of patients and as "good" by 19.4% of patients; 6.9% of patients thought the result was "satisfactory" and 1.9% "unsatisfactory." Complete recurrence of the protrusion was seen in 7 ears (2.3%) and partial recurrence within the upper third of the pinna in 26 ears (8.6%).</p> <p><b>Conclusions</b> Otoplasty using a modified anterior scoring technique combined with postauricular fixation sutures provides long-term improved results in 91.2% of cases. Complications and sequelae are few, and rates are comparable to those of other long-term studies. A 2-mm lateralization of the auricle may be expected. Standardized measurements of the auricle are important because they supplement the overall aesthetic evaluation of the corrected ear and provide an objective baseline for long-term follow-up.</p> Mon, 17 May 2010 13:32:28 -0700

Alar Soft-Tissue Techniques in Rhinoplasty: Algorithmic Approach, Quantifiable Guidelines, and Scar Outcomes From a Single Surgeon Experience [Unknown Section Name (research-article)] <p><b>Objectives</b> To describe various techniques, including alar base reduction, alar flaring reduction, and alar hooding reduction and present a decision-making treatment algorithm and quantifiable guidelines for soft-tissue excision, along with scar outcomes from a single-surgeon practice. The soft tissue of the nasal tip, ala, and nostrils is important in overall nasal tip dynamics. Excisional alar contouring is an essential part of many successful cosmetic rhinoplasty outcomes.</p> <p><b>Methods</b> The various soft-tissue excision techniques are described in detail and an algorithm is provided. Quantitative analysis of excision parameters was performed using statistical analysis. Finally, qualitative scar analysis was performed and scar outcomes were statistically derived.</p> <p><b>Results</b> Seventy-four patients were female and 26 were male. Of the procedures reviewed, 47% involved alar soft-tissue excision. Alar base reduction was performed in 46 patients (46%). Alar flare reduction was performed in 16 patients (16%). Alar hooding reduction was performed in 2 patients (2%). Mean scar outcome scores ranged from 0.55 to 0.69.</p> <p><b>Conclusions</b> Alar soft-tissue techniques are often necessary to achieve a balanced outcome and superior results when performing rhinoplasty surgery. Therefore, they should be an integral part of every rhinoplasty evaluation and surgical plan as indicated.</p> Mon, 17 May 2010 13:32:28 -0700

Mitek Anchor-Augmented Static Facial Suspension [Unknown Section Name (research-article)] <p><b>Objective</b> To evaluate the efficacy of the Mitek minianchor suture system as an adjunctive procedure for static facial suspension and assess its ability to improve functional and aesthetic outcomes in patients with complete facial paralyses.</p> <p><b>Methods</b> A retrospective review of 5 patients who underwent adjunctive static facial suspension with the Mitek GII minianchor suture system at a tertiary care academic center. A bone anchor in the maxilla connected to 2 suture arms was used. One suture arm elevated the oral commissure on the paralyzed side. The second suture arm adjusted for upper lip segment asymmetry and Cupid's bow deviation, or lateralized the external nasal valve. Outcome was evaluated by photodocumentation and clinical examination.</p> <p><b>Results</b> There was an average of 76.9% improvement in vertical symmetry of the oral commissure (range, 43%-100%), an average of 65.0% improvement in horizontal deviation of the Cupid's bow (range, 50%-100%), and an average of 85.3% improvement in symmetry of upper lip segments (range, 67%-100%). All patients experienced improvement in oral-nasal competency.</p> <p><b>Conclusions</b> The Mitek minianchor suture system is a safe and effective adjunctive method to improve facial symmetry and oral-nasal competency in patients with facial paralyses. Its multivector design approximates the ideal positions of key anatomical points of the midface during static facial suspension surgery.</p> Mon, 17 May 2010 13:32:28 -0700

[Unknown Section Name (other)] Mon, 15 Mar 2010 12:51:35 -0700

Thank You to Our Reviewers [Unknown Section Name (other)] Mon, 15 Mar 2010 12:51:35 -0700

Highlights of Archives of Facial Plastic Surgery [Unknown Section Name (in-brief)] Mon, 15 Mar 2010 12:51:35 -0700

The Next Decade [Unknown Section Name (research-article)] Mon, 15 Mar 2010 12:51:35 -0700

Bioethics and Humanism in Head and Neck Cancer [Unknown Section Name (research-article)] Mon, 15 Mar 2010 12:51:35 -0700

Reconstruction of the Mandible and the Maxilla: The Evolution of Surgical Technique [Unknown Section Name (research-article)] <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 [Unknown Section Name (research-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>&nbsp;&lt;&nbsp;.01). The perforating osteotomy technique had a decrease in the ventral width of 3.6% (<i>P</i>&nbsp;&lt;&nbsp;.001). Neither technique resulted in a statistically significant change in dorsal width (<i>P</i>&nbsp;&lt;&nbsp;.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>&nbsp;&lt;&nbsp;.25).</p> Mon, 15 Mar 2010 12:51:35 -0700

Lip Augmentation Using Sternocleidomastoid Muscle and Fascia Grafts [Unknown Section Name (research-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>&nbsp;&lt;&nbsp;.001), and mean upper and lower lip projection increased by 0.90 to 0.99 mm from baseline (<i>P</i>&nbsp;&lt;&nbsp;.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 [Unknown Section Name (research-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 [Unknown Section Name (research-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&mdash;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

Lateral Nasal Wall Suspension Using a Bone-Anchored Suture Technique [Unknown Section Name (other)] Mon, 15 Mar 2010 12:51:35 -0700

Irradiated Homologous Rib Grafts in Nasal Reconstruction [Unknown Section Name (research-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 [Unknown Section Name (research-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

Challenges and Rewards [Unknown Section Name (research-article)] Mon, 15 Mar 2010 12:51:35 -0700

Rhinoplasty: Craft and Magic [Unknown Section Name (book-review)] Mon, 15 Mar 2010 12:51:35 -0700

William Hogarth's The Painter and His Pug: Defining the "Line of Beauty" [Unknown Section Name (other)] Mon, 15 Mar 2010 12:51:35 -0700

New Way To Discover Drugs That Aid Regenerative Medicine Professor Fiona Watt gave the Anne McLaren Memorial Lecture at the UK National Stem Cell Network annual science meeting and detailed a new approach to screening for drugs that target stem cells. To begin with, this is being developed for adult skin stem cells, giving hope for new drugs to promote wound healing and aid the use of stem cells to, for example, treat severe burns... Mon, 12 Jul 2010 01:00:00 -0700

White Phosphorus Burns On An 18-Year Old Civilian Injured During Israeli Attack A Case Report in the Lancet details the horrific burns suffered by an 18-year-old male civilian during the Israeli attack on the occupied Palestinian territory during January 2009. The report is by Dr Loai Nabil Al Barqouni, Al Quds University, Abu-Deis, Jerusalem, oPt, and colleagues... Mon, 05 Jul 2010 01:00:00 -0700

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

Surgeons Warn Against Cosmetic Foot Surgery The American Orthopaedic Foot and Ankle Society is warning patients to avoid "foot facelifts." Cosmetic foot surgery includes narrowing the foot to better fit high heels; shortening the second toe so it's not longer than the big toe and making the little toe shorter and skinnier to accommodate high heels... Fri, 25 Jun 2010 02:00:00 -0700

Breast Ptosis Managed by Mastopexy Using the Triple Flaps Procedure Abstract  Breast ptosis is a highly unattractive appearance of the breast. In the mind, it is associated with aging, multiple pregnancies, lactation, and senile changes. Its correction by mastopexy presents one of the greatest challenges to the breast surgeon aiming at a pleasant full conical shape and stability of the results. The authors present their mastopexy procedure using a triple-flap method based on the principle of a superior pedicle flap mammaplasty. The technique, presented in detail, basically consists of a superior pedicle dermaglandular flap that carries the nippleâ??areola complex between outer and inner flaps. The outer flap is rotated inward and upward behind the main superior pedicle to give fullness to the breast and fixed to the chest wall. The inner fl... Fri, 23 Jul 2010 04:20:31 -0700

More Than Half Of All ACL Reconstructions Could Be Avoided Anterior cruciate ligament (ACL) injuries are common injuries to the knee, primarily affecting young people who practise sport and often treated with surgical reconstruction. A research group from Lund University has now shown that 60 per cent of these operations could be avoided, without negatively affecting treatment outcomes... Fri, 23 Jul 2010 02:00:00 -0700

Pennington Biomedical Research Institute And Compellis Pharmaceuticals Complete Phase I Study Of Novel And Patented Obesity Therapy Compellis Pharmaceuticals, Inc., an early-stage pharmaceutical company developing novel mechanism-based therapeutics for the treatment of obesity, announced with its collaborator Pennington Biomedical Research Institute at Louisiana State University, that they have successfully completed a human Phase I pilot clinical trial... Fri, 23 Jul 2010 02:00:00 -0700

European Medicines Agency Confirms Positive Benefit-Risk Balance Of Topical Formulations Of Ketoprofen Following a review of topical formulations of ketoprofen, the European Medicines Agency's Committee for Medicinal Products for Human Use (CHMP) has concluded that the benefit-risk balance of these medicines continues to be positive... Fri, 23 Jul 2010 01:00:00 -0700

Better Bandages, Food Packaging, Fresher Shoes, Thanks To New Antibacterial Material A new form of paper with the built-in ability to fight disease-causing bacteria could have applications that range from anti-bacterial bandages to food packaging that keeps food fresher longer to shoes that ward off foot odor. A report about the new material, which consists of the thinnest possible sheets of carbon, appears in ACS Nano, a monthly journal... Fri, 23 Jul 2010 01:00:00 -0700

Fighting Fat With Chili Pepper Ingredient: New Evidence Capsaicin, the stuff that gives chili peppers their kick, may cause weight loss and fight fat buildup by triggering certain beneficial protein changes in the body, according to a new study on the topic. The report, which could lead to new treatments for obesity, appears in ACS' monthly Journal of Proteome Research... Fri, 23 Jul 2010 01:00:00 -0700

Improved Survival In More Muscular Heart Failure Patients University of Alberta research has discovered heart failure patients with more muscle have the potential to increase their length of life. Antigone Oreopoulos, a researcher from the U of A's School of Public Health, studied 140 patients with heart failure. Study participants underwent a special scan to measure their muscle mass and body fat... Fri, 23 Jul 2010 01:00:00 -0700

Novel Anti-Diabetes Mechanism Uncovered By Scripps Research Institute And Dana-Farber Scientists In a joint study, scientists from The Scripps Research Institute and the Dana-Farber Cancer Institute at Harvard University have uncovered a novel mechanism that dramatically increases insulin sensitivity and reduces the risk of developing type 2 diabetes and cardiovascular disease. These findings offer a potent new target in the continuing search for new and improved anti-diabetic treatments... Fri, 23 Jul 2010 00:00:00 -0700

AMRI Announces Phase I Study Of Novel Drug For Obesity Treatment AMRI (NASDAQ: AMRI) has commenced enrollment for a Phase I study of ALB-127158(a), a novel MCH1 receptor antagonist offering a potential new approach for the treatment of obesity. The announcement was made yesterday during a presentation by AMRI's Dr. Peter Guzzo, director, discovery research and development, at the 6th Obesity and Diabetes Drug Development Summit in Arlington, VA... Fri, 23 Jul 2010 00:00:00 -0700

Study Examines Factors That May Help Predict Whether Patients Will Be Satisfied With Facial Plastic Surgery A study of patients undergoing elective facial plastic surgery suggests that older patients and those currently being treated for depression may be more likely to be satisfied with the results of their procedures, whereas overall optimism and pessimism do not appear related to satisfaction with surgical outcomes, according to a report in the May/June issue of Archives of Facial... Fri, 21 May 2010 00:00:00 -0700

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

Nitric BioTherapeutics Initiates Phase II Onychomycosis Study Nitric BioTherapeutics, Inc. (Nitric Bio) announced the initiation of a Phase II clinical trial of the company's proprietary drug/device combination, which delivers terbinafine via the process of iontophoresis for the treatment of onychomycosis. Onychomycosis is commonly known as toenail fungus... Fri, 16 Jul 2010 01:00:00 -0700

The non surgical face lift: What is a microcurrent facial? Fri, 14 Aug 2009 07:00:02 -0700

CNN.com - Health - Beauty Plastic Surgery CNN.com - Health - Beauty Plastic Surgery. How to safely get a tattoo removed ... Cosmetic surgery boom revamps doctors' offices. When doctors can't say ' ...