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Last Build Date: Mon, 28 Mar 2016 15:07:26 +0100

 



Early management in children with burns: Cooling, wound care and pain management

Sun, 27 Mar 2016 22:00:00 +0100

Each year approximately 240 children with burns are admitted to the three burn centers in the Netherlands which is 40% of all admissions [1]. Even in a relatively small country like the Netherlands, the first critical hours are often spent at the referring hospital, before transport to a specialized burn center. Adequate emergency management is crucial in all (burn) injuries. (Source: Burns : Journal of the International Society for Burn Injuries)

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Incidence of ventilator associated pneumonia in burn patients with inhalation injury treated with high frequency percussive ventilation versus volume control ventilation: A systematic review

Fri, 25 Mar 2016 23:00:00 +0100

With the advances in the burn wounds care, the epidemiology of infection has changed and pneumonia has become the most frequent infection in this population [1]. Inhalation injuries occur in up to one third of burn patients with many receiving mechanical ventilation [2]. In December 2013, the National Healthcare Safety Network published their report about device associated infections that occurred in the year 2012 in 4444 health care facilities across the U.S.A. (Source: Burns : Journal of the International Society for Burn Injuries)



Breast prosthesis infection and pets: a case report and review of the literature

Fri, 25 Mar 2016 23:00:00 +0100

Conclusion In the case of breast infection, surgical revision − with or without removal of the implant − is required in order to carry out a meticulous intraoperative cleaning. Antibiotherapy is always necessary in such cases. Particularly when patients presenting comorbidities are concerned, the focus must be put on avoiding close contact of the wound with pets. (Source: International Journal of Surgery Case Reports)



17 Healthy Habits That Help Keep You Young

Fri, 25 Mar 2016 20:24:57 +0100

Don't smoke, eat better, and exercise -- these are often referred to as the basics of longevity but the reality is a little more complex and a lot more fun. You still absolutely must quit the nasty habit of smoking, but feeling and looking younger for a long time depends on a few more easy tricks you can do during the day. Click Here to see the Complete List of Healthy Habits That Keep You Young Getting old doesn't have to be degenerative. "Small changes can lead to big, powerful shifts that can vastly improve [people's] health while overriding the effects of aging," says Amanda Rose Walsh, certified fitness trainer, boxing champion and yoga instructor. "I share with my clients and students simple ways they can improve their health and almost immediately THEY start to feel better." To sho...



Retroauricular full-thickness skin grafts in syndactyly repair: outcome and comparison with inguinal full-thickness skin grafts: retrospective (cross-sectional) study.

Fri, 25 Mar 2016 20:17:02 +0100

CONCLUSION: Due to the excellent pigmentation match and the inconspicuousness of the donor site, this study recommends the use of retroauricular full-thickness skin grafts for syndactyly repair. PMID: 27011298 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)



The effect of adipose stromal vascular fraction on transverse rectus abdominis musculocutaneous flap: an experimental study.

Fri, 25 Mar 2016 20:17:02 +0100

CONCLUSION: The adipose SVF cells were found out to improve the TRAM flap viability and decrease necrosis, especially in zone 3 and 4. PMID: 27010192 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)

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Distraction osteogenesis of the sternum for thoracic expansion in a severe case of jeune syndrome: a preliminary report.

Fri, 25 Mar 2016 20:17:02 +0100

Authors: Imai Y, Kitanishi R, Saiki Y, Takeda A, Tachi M Abstract Severe asphyxiating thoracic dystrophy (Jeune syndrome) is usually fatal. The authors used distraction osteogenesis in a severe case and achieved 45 mm distraction of the sternum and improvement in tidal volume, lung compliance, and mean airway pressure. PMID: 27009488 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)



Cleft Surgery Boosts Economy in Developing NationsCleft Surgery Boosts Economy in Developing Nations

Fri, 25 Mar 2016 18:34:07 +0100

Born in Ghana with a cleft lip and palate, baby Kodjo was on the brink of being drowned in a river by his family in a religious sacrifice until a passing villager intervened. Reuters Health Information (Source: Medscape General Surgery Headlines)



Monophasic Hyaluronic Acid Filler for Nasolabial FoldsMonophasic Hyaluronic Acid Filler for Nasolabial Folds

Fri, 25 Mar 2016 12:34:28 +0100

The addition of lidocaine to hyaluronic acid dermal fillers may help alleviate injection pain -- but is it safe? Plastic and Reconstructive Surgery (Source: Medscape Today Headlines)



Consensus on Changing Trends, Attitudes, and Concepts of Asian Beauty

Fri, 25 Mar 2016 09:43:03 +0100

Conclusions Facial esthetic treatments in Asians are not aimed at Westernization, but rather the optimization of intrinsic Asian ethnic features, or correction of specific underlying structural features that are perceived as deficiencies. Thus, overall facial attractiveness is enhanced while retaining esthetic characteristics of Asian ethnicity. Because Asian patients age differently than Western patients, different management and treatment planning strategies are utilized. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to Table of Contents or the online Instructions to Authors www.springer.com/00266. (Sourc...



Superficial circumfix iliac artery pure skin perforator-based super thin flap for hand and finger reconstruction

Thu, 24 Mar 2016 23:00:00 +0100

For hand and finger reconstruction, thin and flexible skin coverage is ideally required. A free flap is one of surgical options used for large defects. However, a flap that contains the fat layer is bulky. Several debulking surgeries are often needed aesthetically and functionally. To overcome this disadvantage, we herein report our experience of six cases of hand and finger reconstruction using a pure skin perforator (PSP) flap concept. A PSP flap is a thin skin flap that is vascularized by a perforator branch penetrated dermis. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)



The Bay Area’s Lieberman & Parikh Expanded the Team—and Available...

Thu, 24 Mar 2016 19:07:02 +0100

Lieberman & Parikh Facial Plastic Surgery added a new member in March: Moira Ljungquist, RN. She will help with patient care during procedures and administer Ultherapy®, fillers, and...(PRWeb March 24, 2016)Read the full story at http://www.prweb.com/releases/2016/03/prweb13288662.htm (Source: PRWeb: Medical Pharmaceuticals)



A combined peri-implant plastic surgery approach for implants in the esthetic zone using a novel technique: A series of 10 cases

Thu, 24 Mar 2016 15:15:54 +0100

Conclusions: In implant rehabilitation, in cases where there are insufficient hard and soft tissues in the esthetic zone, a combined peri-implant plastic surgery approach not only enables the ideal implant position where both function and esthetics are ensured but also provides effective protection of peri-implant tissue health. (Source: Quintessence International)



What Cost-Utility Analysis Can Teach Us About Facial Deformity

Thu, 24 Mar 2016 00:00:00 +0100

In the past 5 years, health care cost containment strategies have proliferated at an unprecedented rate in an effort to limit health care's gross domestic product footprint. The Medicare Authorization and CHIP Reauthorization Act (MACRA), which repealed the Sustainable Growth Rate Formula, includes far-reaching provisions to improve health care quality and value. For facial plastic surgery, these changes underscore the need to measure the value of facial reconstruction. Advances in facial plastic surgery optimize tissue perfusion in facial reconstruction and allow cost-based decision analysis for fracture management. But, how can we quantify the value of restoring a face? (Source: JAMA Facial Plastic Surgery)



The Cost of Facial Deformity—A Health Utility and Valuation Study

Thu, 24 Mar 2016 00:00:00 +0100

This study examines the impact of facial defects on quality of life and willingness to pay, as perceived by society, and highlights the quality of life penalty associated with facial defects and the value society places on their surgical reconstruction. (Source: JAMA Facial Plastic Surgery)



Assessment of the functional needs of subjects with dentofacial deformities using the index of orthognathic functional treatment needs (IOFTN)

Wed, 23 Mar 2016 23:00:00 +0100

To assess the functional needs of orthognathic patients treated in Isfahan University of Medical Sciences affiliated hospitals using the index of orthognathic functional treatment need(IOFTN). (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)



Fighting Facial Fat -- Doctor's In-depth Interview

Wed, 23 Mar 2016 03:43:10 +0100

Craig A. Vander Kolk, M.D., The Weinberg Women’s Center, Director of Cosmetic Surgery, Professor of Plastic Surgery at Johns Hopkins talks about a one of its kind non-surgical procedure to get rid of chin fat. (Source: Medical Headlines From Ivanhoe.com)



Reduction Malarplasty Using a Zygomatic Arch Lifting Technique

Tue, 22 Mar 2016 23:00:00 +0100

Broad or excessive malar protrusion is a trait associated with aggression and old age in Asian cultures. Although various methods of shifting the zygoma have been introduced for reduction malarplasty, soft tissue sagging and inadequate bony union still remain great challenges. We have devised an arch lifting technique that helps overcome these issues. An analysis of surgical outcomes is presented herein. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

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Aesthetic closure of the donor site of a radial forearm free flap with two local curved skin grafts.

Tue, 22 Mar 2016 20:27:01 +0100

Authors: Kim SM, Park JM, Yang HJ, Lee SK, Lee SK, Lee JH Abstract The authors have designed an aesthetic and effective coverage technique using local curved skin grafts along with vascular pedicles without additional skin incisions to solve the disadvantages of skin coverage problem of donor site defect after radial forearm free flap (RFFF) harvesting. This has, to the authors' knowledge, not been previously described. PMID: 26999429 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)



ACOG Scientific Integrity Deficiency in Recommendation for the Practice of Cosmetic-Plastic Gynecology Misleads Other Gynecological Societies, Inhibits Clinical Education and Research, and Jeopardizes Women's Health.

Tue, 22 Mar 2016 14:16:01 +0100

CONCLUSION: Recommendations issued by gynecologic societies relating to FGCS did not meet the scientific integrity norms for scientific quality, objectivity, credibility, and appropriate transparency. PMID: 26995886 [PubMed - in process] (Source: Journal of Reproductive Medicine)



Burnley mother has plastic surgery and hair extensions to look like her daughter

Tue, 22 Mar 2016 14:05:04 +0100

Janet Horrocks, 57, from Burnley, Lancashire, has spent a staggering £40,000 on cosmetic surgery and beauty procedures in a quest to look like her daughter, 35-year-old Jane. (Source: the Mail online | Health)



Advanced Dermatology and Cosmetic Surgery, (ADCS Clinics) Announces...

Tue, 22 Mar 2016 10:22:02 +0100

Advanced Dermatology and Cosmetic Surgery, the nation’s largest dermatology practice, acquires dermatology clinic in Northern Virginia.(PRWeb March 22, 2016)Read the full story at http://www.prweb.com/releases/2016/03/prweb13281273.htm (Source: PRWeb: Medical Pharmaceuticals)



A Vibration Device to Ease Pain During Facial InjectionA Vibration Device to Ease Pain During Facial Injection

Tue, 22 Mar 2016 09:07:39 +0100

A novel vibration device may be a safe and effective means of reducing injection-associated facial pain. ePlasty, Open Access Journal of Plastic Surgery (Source: Medscape Today Headlines)

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Index

Tue, 22 Mar 2016 06:13:02 +0100

Note: Page numbers of article titles are in boldface type. (Source: Clinics in Plastic Surgery)



Forthcoming Issues

Tue, 22 Mar 2016 06:13:02 +0100

Minimally Invasive Plastic Surgery for the Aging Face (Source: Clinics in Plastic Surgery)



Contents

Tue, 22 Mar 2016 06:13:02 +0100

Dennis C. Hammond (Source: Clinics in Plastic Surgery)

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Contributors

Tue, 22 Mar 2016 06:13:02 +0100

DENNIS C. HAMMOND, MD (Source: Clinics in Plastic Surgery)



Copyright

Tue, 22 Mar 2016 06:13:02 +0100

ELSEVIER (Source: Clinics in Plastic Surgery)



Complications in Breast Reduction

Tue, 22 Mar 2016 06:13:02 +0100

CLINICS IN PLASTIC SURGERY (Source: Clinics in Plastic Surgery)



Breast Reduction in the Burned Breast

Tue, 22 Mar 2016 06:13:02 +0100

Mammary hypertrophy can occur in the postburn breast. Patients with burned breasts exhibit the same symptoms of symptomatic macromastia as patients with unburned breasts. The extent of the deformity, the location of the deformity, and the status of the surrounding soft tissue are all assessed before embarking on any surgical plan, which then proceeds in a conservative stepwise fashion. Although many plastic surgeons are reluctant to operate on burned breasts for fear of devascularizing the skin graft or nipple areolar complex, reduction mammaplasty in this group of patients is safe and carries minimal risk if key concepts are followed. (Source: Clinics in Plastic Surgery)



3D printing method offers new approach to fixing damaged cartilage

Tue, 22 Mar 2016 00:00:00 +0100

A new advance in 3D printing technology could lay the groundwork for new approaches to repairing cartilage damaged by arthritis and other injuries.Scientists have found a way to produce cartilage tissue by 3D bioprinting an ink containing human cells, with successful animal tests having been completed. It is hoped that the method could be applied to the creation of precise printed implants for knees, noses and ears.Creating the new ink Led by the Wallenberg Wood Science Center in Sweden, the research team created the new ink by mixing polysaccharides from brown algae and tiny cellulose fibrils from wood or made by bacteria, as well as human chondrocytes - cells that build up cartilage.In doing so, it became possible to print living cells in a specific shape and have the substance retain it...

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A Novel Supra-Brow Combined with Infra-Brow Lift Approach for Asian Women

Mon, 21 Mar 2016 23:00:00 +0100

Conclusions This new brow lift technique via a supra-brow combined with an infra-brow approach provided a simple and safe surgical repair of lateral brow ptosis, upper eyelids hooding, and crows’ feet in Asian women. The surgical outcomes were predictable and the scars were inconspicuous. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. (Source: Aesthetic Plastic Surgery)



[Breast reconstruction with profunda artery perforator flap: A prospective study of 30 consecutive cases].

Mon, 21 Mar 2016 23:00:00 +0100

CONCLUSION: PAP flap is a good option when abdominal flap harvesting is not possible. The donor-site is well tolerated, with low morbidity. The indication is for patients with small to medium breast volume. PMID: 27016179 [PubMed - as supplied by publisher] (Source: Annales de Chirurgie Plastique et Esthetique)



Quality of information for women seeking breast augmentation in the Internet.

Sat, 19 Mar 2016 20:35:02 +0100

Conclusions This is the first assessment of online patient information on BA using the EQIP tool. This analysis demonstrated several shortcomings in the quality of information provided to BA candidates. There is an immediate need for better informative and educational websites regarding BA procedures that are compatible with international quality standards for plastic surgery. PMID: 26985701 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)



Breast free flap complications related to haematoma formation - do the risks of multiple antithrombotics outweigh the benefits today?

Sat, 19 Mar 2016 20:35:02 +0100

Conclusion The current study highlights the use of multiple antithrombotics as a risk factor for haematoma reoperation. Liberal use of drains and evacuation of breast haematomas are, therefore, indicated together with limitation of antithrombotic agents. The highly variable use of antithrombotic agents worldwide call for evidence-based guidelines in standardised free flap breast reconstruction. PMID: 26985624 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)

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Porcine acellular dermis-based breast reconstruction: complications and outcomes following adjuvant radiotherapy

Sat, 19 Mar 2016 00:00:00 +0100

(Source: European Journal of Plastic Surgery)



Spatial analysis of pediatric burns shows geographical clustering of burns and ‘hotspots’ of risk factors in New South Wales, Australia

Sat, 19 Mar 2016 00:00:00 +0100

Burns are a significant cause of morbidity and mortality worldwide, and children are disproportionately affected. More than half of the disability-adjusted life years lost to burns occur among those aged 0–14 years [1]. Those with non-fatal burns often experience substantial physical and psychological morbidities [2], undergo surgical interventions and extended periods of rehabilitation [2]. Therefore, pediatric burns impose a high financial cost on the healthcare system, and a significant personal burden to affected individuals. (Source: Burns : Journal of the International Society for Burn Injuries)



Investigating the phenomenology of imagery following traumatic burn injuries

Sat, 19 Mar 2016 00:00:00 +0100

Burn injuries may be followed by a painful rehabilitation, functional limitations, disfigurement and body image issues, work and financial problems, lifestyle changes, sexual problems, mixed or negative reactions from others, and loss of interpersonal relationships [1–9]. Despite these challenges, many burn survivors experience posttraumatic growth (PTG) [10] following their injury, reporting personal growth and transformation (e.g., becoming more resourceful, resilient, and religious/spiritual), taking up new interests, defining themselves in a more meaningful way, and developing new outlooks [2,4,9,11,12]. (Source: Burns : Journal of the International Society for Burn Injuries)



Attitudes on first aid for paediatric burns: Pilot survey of a developed city state

Sat, 19 Mar 2016 00:00:00 +0100

Worldwide, injuries caused by burns are prevalent and carry with them significant morbidity and mortality [1,2]. The World Health Organisation reports that 322,000 deaths each year are caused by fire, with further death from complications and other burn-related injuries as well as morbidity undergoing hospital admission [3]. Children are a vulnerable cohort and paediatric burns can similarly result in death and devastating long-term effects such as physical [4] and psychological scars [5,6]. (Source: Burns : Journal of the International Society for Burn Injuries)

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Axillary Silicone Granulomas in Patients With Melanoma

Sat, 19 Mar 2016 00:00:00 +0100

We describe 2 cases of women with breast implants who developed palpable subcutaneous lesions in the axillary region during follow-up of melanoma. In both cases, the ultrasound study showed diffuse hyperechoic signals forming the characteristic snowstorm sign in the subcutaneous tissue. Ultrasound proved to be a key diagnostic tool for ruling out melanoma-related disease, such as in-transit metastases and regional lymph node metastases. (Source: Actas Dermo-Sifiliograficas)



An Overview of Vascular Adverse Events Associated with Facial Soft Tissue Fillers: Recognition, prevention, and treatment

Sat, 19 Mar 2016 00:00:00 +0100

Minimally invasive facial cosmetic surgery procedures have seen an exponential increase in numbers over the past decade. The most commonly performed procedures are neuromodulators and soft tissue fillers. Although soft tissue fillers have a high safety and predictability profile, these procedures have been recently associated with serious and dire adverse events. This manuscript will discuss some of the vascular complications associated with facial soft tissue fillers. Management and prevention of these adverse events will also be discussed. (Source: Journal of Oral and Maxillofacial Surgery)



. . . Nothing Is So Credulous as Misery

Fri, 18 Mar 2016 18:19:30 +0100

No abstract available (Source: Annals of Plastic Surgery)



Course Review: The Institute of Surgery and Innovation Hand and Forearm Course

Fri, 18 Mar 2016 18:19:30 +0100

Abstract: The Hand and Forearm Course organized by the Institute of Surgery and Innovation is a highly interactive 3-day practical course held at Nottingham City Hospital held twice a year in September and March. Its aim is to teach aspiring plastic and orthopedic surgeons the surgical techniques required to treat hand trauma, with an emphasis on soft tissue and bony injuries using fresh-frozen hand and forearm specimens. (Source: Annals of Plastic Surgery)

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Book Review: Hair Restoration, An Issue of Facial Plastic Surgery Clinics of North America

Fri, 18 Mar 2016 18:19:30 +0100

No abstract available (Source: Annals of Plastic Surgery)



Fat Grafting for Recontouring Sunken Upper Eyelids With Multiple Folds in Asians—Novel Mechanism for Neoformation of Double Eyelid Crease

Fri, 18 Mar 2016 18:19:30 +0100

Conclusions: Fat grafting for sunken upper eyelids with multiple folds has been reported in the literature. However, temporal effects and complications, such as nodulation and irregularity, have often occurred. A new method, MAFT, demonstrated its reliability as a modality for sunken upper eyelids with multiple folds in Asians. Moreover, MAFT might serve as an alternative for neoformation of double eyelids in these candidates. (Source: Annals of Plastic Surgery)



Effect of Reduction Mammaplasty on Sexual Activity

Fri, 18 Mar 2016 18:19:30 +0100

Conclusions: We found that macromastia adversely affected female sexual function but reduction mammaplasty eliminated this adverse effect. We also found that the partners’ erectile function and intercourse satisfaction reduced after the operation. This reduction may be due to psychological effects. (Source: Annals of Plastic Surgery)



Sexual Function and Depression Outcomes Among Breast Hypertrophy Patients Undergoing Reduction Mammaplasty: A Randomized Controlled Trial

Fri, 18 Mar 2016 18:19:30 +0100

Conclusions: Reduction mammaplasty positively affected sexual function and depression levels in breast hypertrophy patients. (Source: Annals of Plastic Surgery)



Central Pedicle Reduction in Gigantomastia Without Free Nipple Graft

Fri, 18 Mar 2016 18:19:30 +0100

Conclusion: We were able to reduce all of the breasts safely, without using the free nipple grafting technique, even in very large breasts. This study shows that the central pedicle horizontal scar reduction technique is a very safe and effective method for use in massive reductions. Therefore, we strongly recommend using the central pedicle reduction mammaplasty technique in cases of gigantomastia. (Source: Annals of Plastic Surgery)

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Exposure to Varying Strain Magnitudes Influences the Conversion of Normal Skin Fibroblasts Into Hypertrophic Scar Cells

Fri, 18 Mar 2016 18:19:30 +0100

Abstract: Mechanical strain is a key contributor in the pathogenesis of hypertrophic scarring, whose optimal stretch magnitudes to initiate the differentiation of normal skin fibroblasts into aberrant fibroblasts phenotype remains largely unresolved. Influence of varying cyclic strain magnitudes on cultured human normal skin fibroblasts and its transformation into hypertrophic scar fibroblast–like phenotype is investigated in this study. Cultured fibroblasts isolated from hypertrophic scar and normal skin tissue were subjected to cyclic mechanical stretching under individual 10%, 15%, and 20% strain magnitudes at a frequency of 0.1 Hz for 24 hours. Stretched normal skin fibroblasts demonstrated significantly increased rates of cell proliferation, and also apparently oriented away nearly ...



Volar Stabilization of the Distal Radioulnar Joint for Chronic Instability Using the Pronator Quadratus

Fri, 18 Mar 2016 18:19:30 +0100

Abstract: In cases of chronic distal radioulnar joint (DRUJ) instability without DRUJ arthritis, reconstruction of the mechanical integrity of the radioulnar ligaments of the triangular fibrocartilage complex has been considered an ideal surgical treatment. However, reconstructive methods have several disadvantages. We evaluated volar stabilization of the DRUJ for chronic instability using the pronator quadratus (PQ) to determine whether it provided (1) proper stability, (2) restored wrist function, (3) was relatively convenient, and (4) was associated with a low complication rate.  Altogether, 21 patients with chronic DRUJ instability (12 men, 9 women) with a mean age of 34 years (range, 17–65 years) were enrolled in the study. The diagnostic criteria were as follows: 3 months after...



Practical Repair Method for Unilateral Cleft Lips: Straight-Line Advanced Release Technique

Fri, 18 Mar 2016 18:19:30 +0100

Conclusions: To acquire a natural and balanced shape in unilateral cleft lip repair, we recommend the novel StART. (Source: Annals of Plastic Surgery)



Effects of Cleft Width and Veau Type on Incidence of Palatal Fistula and Velopharyngeal Insufficiency After Cleft Palate Repair

Fri, 18 Mar 2016 18:19:30 +0100

Conclusions: This retrospective review is one of the first from the United States to explore the associations between measured cleft width and outcomes after palatoplasty. Overall rates of palatal fistula and VPI were low, corroborating previous studies showing good outcomes with the 2-flap palatoplasty. After adjusting for multiple variables including Veau type, cleft width was associated with higher VPI rates but not with fistula formation. Cleft width is a unique preoperative factor that should be considered and studied as a potential predictor of outcomes. (Source: Annals of Plastic Surgery)



Clinical Application of Different Surgical Navigation Systems in Complex Craniomaxillofacial Surgery: The Use of Multisurface 3-Dimensional Images and a 2-Plane Reference System

Fri, 18 Mar 2016 18:19:30 +0100

Conclusion: Navigation systems offer highly valuable intraoperative assistance in complex craniomaxillofacial surgery. Not only can these systems pinpoint deep-seated lesions as neurosurgeons or otolaryngologists do, but they can also use a simple 2-plane reference system for accurate bone alignment. Moreover, advancements in multisurface 3-D models provide us more reliable intuitive image guidance. The application of electromagnetic technology, with its smaller reference obviation of the line-of-sight problem, makes the manipulation of craniomaxillofacial surgery more comfortable. (Source: Annals of Plastic Surgery)

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A Secure Technique for Microvascular Anastomosis in Arteries with Intimal Dissection: Intimal Sleeve Fold-Over Technique

Fri, 18 Mar 2016 18:19:30 +0100

Conclusions: A secure intima-to-intima contact can be achieved using this technique. This technique can provide an alternative method to intimal dissection when the length of the artery is limited. (Source: Annals of Plastic Surgery)



Efferent Lymphatic Vessel Anastomosis: Supermicrosurgical Efferent Lymphatic Vessel-to-Venous Anastomosis for the Prophylactic Treatment of Subclinical Lymphedema

Fri, 18 Mar 2016 18:19:30 +0100

Conclusions: Efferent lymphatic vessel anastomosis allowed lymph flow bypass after filtration by the superficial inguinal LN through a skin incision along the inguinal crease, and was effective to prevent development of symptomatic lymphedema in subclinical lymphedema cases. (Source: Annals of Plastic Surgery)



Excision With Interpositional Nerve Grafting: An Alternative Technique for the Treatment of Morton Neuroma

Fri, 18 Mar 2016 18:19:30 +0100

Conclusions: Excision and interpositional nerve grafting is an effective treatment for Morton neuroma as it alleviates pain, numbness and restores sensation with minimal morbidity and complications. (Source: Annals of Plastic Surgery)



Dorsal Intercostal Artery Perforator Propeller Flaps: A Reliable Option in Reconstruction of Large Meningomyelocele Defects

Fri, 18 Mar 2016 18:19:30 +0100

This study proves the reliability of DIAP propeller flaps in the reconstruction of myelomeningocele defects. (Source: Annals of Plastic Surgery)



An Experimental Study of Particulate Bone Graft for Secondary Inlay Cranioplasty Over Scarred Dura

Fri, 18 Mar 2016 18:19:30 +0100

Conclusions: Particulate bone graft ossifies inlay cranial defects over scarred dura although inferior to placement over normal dura. Clinically, particulate bone graft may be used for secondary inlay cranioplasty. (Source: Annals of Plastic Surgery)

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Prevention of Lymphedematous Change in the Mouse Hindlimb by Nonvascularized Lymph Node Transplantation

Fri, 18 Mar 2016 18:19:30 +0100

In this report, we investigate dynamic modulation of lymphatic flow and the microscopic changes of lymphatic regeneration using a lymphedema mouse model that was treated with nonvascularized lymph node transplantation. To evaluate the effect of lymph node transplantation in this model, paw volume was measured using a water displacement plethysmometer; an indocyanine green fluorescence-sensitive camera system was used. The improvement of edema was evident in the paw of the transplantation group. The abnormal fluorescence image pattern gradually improved and disappeared 4 weeks postoperatively in the transplantation group. Uptake in the transplanted lymph node was observed 4 weeks postoperatively. This finding suggested that the transplanted lymph node was engrafted. A collateral pathway was...



Conditioned Media From Adipose-Derived Stromal Cells Accelerates Healing in 3-Dimensional Skin Cultures

Fri, 18 Mar 2016 18:19:30 +0100

Abstract: Wound healing involves a number of factors that results in the production of a “closed” wound. Studies have shown, in animal models, acceleration of wound healing with the addition of adipose-derived stromal cells (ADSC). The cause for the positive effect which these cells have on wound healing has not been elucidated. We have previously shown that addition of ADSC to the dermal equivalent in 3-dimensional skin cultures accelerates reepithelialization. We now demonstrate that conditioned media (CM) from cultured ADSC produced a similar rate of healing. This result suggests that a feedback from the 3-dimensional epithelial cultures to ADSC was not necessary to effect the accelerated reepithelialization. Mass spectrometry of CM from ADSC and primary human fibroblasts revealed d...



Promise and Limitations of Big Data Research in Plastic Surgery

Fri, 18 Mar 2016 18:19:30 +0100

Conclusions: Databases are a powerful tool for plastic surgery outcomes research. It is critically important to understand their benefits and limitations when designing research projects or interpreting studies whose data have been drawn from them. For plastic surgeons, National Surgical Quality Improvement Project has a greater number of publications, but Tracking Operations and Outcomes for Plastic Surgeons Program is the most applicable database for plastic surgery research. (Source: Annals of Plastic Surgery)



Bartsocas-Papas Syndrome: A Case Report and Review of the Literature

Fri, 18 Mar 2016 18:19:30 +0100

We report the difficulties of reconstruction and ongoing plastic surgical management in an 8-year-old child with BPS. With increasingly sophisticated resuscitation and supportive techniques, it is possible that more patients with BPS will survive beyond the neonatal period. This raises new challenges with reconstruction highlighted by this case with a difficult balance between trying to overcome some of the profound effects of the syndrome versus diminishing quality of life for the child by repeated and often unsuccessful surgical procedures. (Source: Annals of Plastic Surgery)



When the Gastrointestinal Conduit for Total Esophageal Reconstruction Is Not an Option: Review of the Role of Skin Flaps and Report of Salvage With a Single-Stage Tubed Anterolateral Thigh Flap

Fri, 18 Mar 2016 18:19:30 +0100

Abstract: This review adds to the limited body of literature describing the use of skin flaps for reconstruction of the esophagus and includes a report of a successful 1-stage, intrathoracic reconstruction of the cervical and thoracic esophagus after failed gastrointestinal conduit. Already widely used for reconstruction of the pharynx and cervical esophagus, the versatile anterolateral thigh flap can be considered an option for more extensive defects of the cervical and thoracic esophagus in this challenging patient population when gastric, jejunal, or colon conduits are not available. The authors believe the anterolateral thigh flap should be considered in 1-stage anatomic reconstruction of the cervical and thoracic esophagus in the absence of feasible gastrointestinal conduits. (Source:...

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Asymptomatic Deep Peroneal Vein Thrombosis During Free Fibula Flap Harvest: A Review of the Literature, Strategies for Preoperative Assessment, and an Algorithm for Reconstruction

Fri, 18 Mar 2016 18:19:30 +0100

Abstract: The free fibula flap is the preferred reconstructive method for oncologic defects of the mandible. Arterial inflow of the extremity is routinely evaluated with several modalities; however, venous screening is rarely performed. Patients with cancer are at elevated risk of occult deep venous thrombosis (DVT). An asymptomatic thrombus encountered during free fibula reconstruction is a serious concern. Although such cases have been reported, we suspect the incidence of DVT during fibula free flap harvest is underappreciated. This monograph uses a case example to review risk factors for occult DVT, present a strategy for preoperative assessment, and provide a reconstructive algorithm to for mandibular reconstruction in such instances. (Source: Annals of Plastic Surgery)



Concomitant Lipoma and Ganglion Causing Ulnar Nerve Compression at the Wrist: A Case Report and Review of Literature

Fri, 18 Mar 2016 18:19:30 +0100

We present a rare case of ulnar nerve compression caused by concurrent lumps—a lipoma and a ganglion at the wrist, with no prior report cited in the English literature. This case illustrates the possibility of dual concurrent pathologies causing ulnar neuropathy and the importance of not missing one. (Source: Annals of Plastic Surgery)



Origin, Reality, and Clinical Importance of the Arcade of Struthers, an Anatomic Study: Retraction

Fri, 18 Mar 2016 18:19:30 +0100

No abstract available (Source: Annals of Plastic Surgery)



Alleviation of Neuropathic Scar Pain Using Autologous Fat Grafting

Fri, 18 Mar 2016 18:19:30 +0100

No abstract available (Source: Annals of Plastic Surgery)



Surgical Management of Pharyngocutaneous Fistula After Total Laryngectomy: Erratum

Fri, 18 Mar 2016 18:19:30 +0100

No abstract available (Source: Annals of Plastic Surgery)

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Pedicle versus free flap reconstruction in patients receiving intraoperative brachytherapy.

Fri, 18 Mar 2016 08:40:02 +0100

Conclusions In the setting of IOBT, free flaps are associated with an increased risk of having complications and requiring operative revisions. PMID: 26983038 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)



Effectiveness of degradable and non-degradable implants to close large septal perforations in an experimental model.

Fri, 18 Mar 2016 08:40:02 +0100

Conclusions The non-absorbable implant; dimethylsiloxane facilitates a better closure of the nasal septum. PMID: 26982891 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)



Restoration of finger and thumb movement using one-stage free muscle transplantation.

Fri, 18 Mar 2016 08:40:02 +0100

CONCLUSION: Using one-stage free muscle transplantation to restore finger and thumb movement simultaneously is an effective method for functional restoration following traumatic multi-muscle loss. PMID: 26982676 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)



Ultrasonographic characteristics of volar-lateral ligament constrains after proximal interphalangeal joint injuries.

Fri, 18 Mar 2016 08:40:02 +0100

Conclusion Ultrasonographic visualisation of VP motion characterised posttraumatic constrained conditions of the volar-lateral ligaments. Knowledge of the manner of ligament damages might be useful to set treatment strategies for PIP joint injuries. PMID: 26981745 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)

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Gesture-Controlled Interface for Contactless Control of Various Computer Programs with a Hooking-Based Keyboard and Mouse-Mapping Technique in the Operating Room.

Fri, 18 Mar 2016 05:20:01 +0100

Authors: Park BJ, Jang T, Choi JW, Kim N Abstract We developed a contactless interface that exploits hand gestures to effectively control medical images in the operating room. We developed an in-house program called GestureHook that exploits message hooking techniques to convert gestures into specific functions. For quantitative evaluation of this program, we used gestures to control images of a dynamic biliary CT study and compared the results with those of a mouse (8.54 ± 1.77 s to 5.29 ± 1.00 s; p < 0.001) and measured the recognition rates of specific gestures and the success rates of tasks based on clinical scenarios. For clinical applications, this program was set up in the operating room to browse images for plastic surgery. A surgeon browsed images from three diffe...



Obesity Determines the Immunophenotypic Profile and Functional Characteristics of Human Mesenchymal Stem Cells From Adipose Tissue

Fri, 18 Mar 2016 00:00:00 +0100

This study explores the immunophenotypic profile of hASCs obtained from lean and obese individuals and its potential relationship with the altered plasticity of hASCs observed in obesity. In this context, an altered pattern of cell surface marker expression in obese-derived hASCs in both undifferentiated and differentiated stages is demonstrated. Differences in proliferation, migration, and differentiation capacity of hASCs from obese adipose tissue correlated with alterations in cell surface expression. Remarkably, altered plasticity observed in obese-derived hASCs was maintained in the absence of hypoxia, suggesting that these cells might be obesity conditioned. (Source: Stem Cells Translational Medicine)



[Tissue expansion in children: Indications and management of complications. A 10-year experience].

Thu, 17 Mar 2016 23:00:00 +0100

CONCLUSION: Tissue expansion in paediatric patients remains an efficient therapy in order to achieve a satisfactory reconstruction. Despite a high complication rate, good results can be obtained even in those complicated cases as long as they are well managed and anticipated. We also think that specific paediatric material would help to reduce supervention of some complications. PMID: 27006337 [PubMed - as supplied by publisher] (Source: Annales de Chirurgie Plastique et Esthetique)



3.3% Overall Revision Rate After Septorhinoplasty3.3% Overall Revision Rate After Septorhinoplasty

Thu, 17 Mar 2016 17:13:53 +0100

About 3% of patients will undergo revision after a primary septorhinoplasty, a new retrospective cohort analysis shows. Reuters Health Information (Source: Medscape General Surgery Headlines)

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Facegram – Objective Quantitative Analysis in Facial Reconstructive Surgery

Thu, 17 Mar 2016 00:00:00 +0100

Publication date: Available online 16 March 2016 Source:Journal of Biomedical Informatics Author(s): Ana Gerós, Ricardo Horta, Paulo Aguiar Evaluation of effectiveness in reconstructive plastic surgery has become an increasingly important asset in comparing and choosing the most suitable medical procedure to handle facial disfigurement. Unfortunately, traditional methods to assess the results of surgical interventions are mostly qualitative and lack information about movement dynamics. Along with this, the few existing methodologies tailored to objectively quantify surgery results are not practical in the medical field due to constraints in terms of cost, complexity and poor suitability to clinical environment. These limitations enforce an urgent need for the creation of a new system...



Borrowed beauty? Understanding identity in Asian facial cosmetic surgery

Thu, 17 Mar 2016 00:00:00 +0100

This article integrates narrative and systematic review methods. In March 2014, we searched databases including PubMed, Philosopher’s Index, Web of Science, Sociological Abstracts, and Communication Abstracts using key terms “cosmetic surgery,” “ethnic*,” “ethics,” “Asia*,” and “Western*.” The study included all types of papers written in English that discuss the debate on rhinoplasty and blepharoplasty in East Asians. No limit was put on date of publication. Combining both narrative and systematic review methods, a total of 31 articles were critically appraised on their contribution to ethical reflection founded on the debates regarding the surgical alteration of Asian features. Sources of knowledge were drawn from four main disciplines, including the humanities, med...



The accuracy of different methods for diagnosing septal deviation in patients having septorhinoplasty — a prospective study

Thu, 17 Mar 2016 00:00:00 +0100

To determine the diagnostic accuracy of different diagnostic tests in predicting nasal septum deformity during preoperative planning for septorhinoplasty. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)



Transposed Corrugator Supercilii Muscle–Tendon Unit Flap

Thu, 17 Mar 2016 00:00:00 +0100

This cadaver study assesses the feasibility of a transposed flap consisting of the corrugator supercilii muscle–tendon unit to repair a paralyzed medial ectropion. (Source: JAMA Facial Plastic Surgery)



Letter to the Editor #2: Description of the Burn Model System National Database sample

Wed, 16 Mar 2016 00:00:00 +0100

Almost 3500 adults and over 2000 children with burn have provided information about their health and function to the Burn Injury Model System (BMS) Centers Program, and the de-identified datasets can be shared with researchers interested in burn. Consistent with the distribution of burn in the population, the majority (72%) of individuals the BMS follows are male. Average age for adults is 42 years and average age for children is 7 years. Most adults (68%) are White/Caucasian followed by African American (15%) and Hispanic (11%). (Source: Burns : Journal of the International Society for Burn Injuries)



Chylous Fistula after sentinel lymph biopsy

Wed, 16 Mar 2016 00:00:00 +0100

Chyle leaks or fistulas are a well described complication of neck dissection or mediastinal surgeries. The thoracic duct or the right lymphatic duct are the main structures disrupted. There are lesser described subclavian lymphatic ducts that drain the lymph from the axillae and upper extremities bilaterally. Rarely these may be disrupted during axillary lymph node dissection that could lead to a chyle leak. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)



The free scapular flap with latissimus muscle reduces fistulas in mandibular reconstruction

Wed, 16 Mar 2016 00:00:00 +0100

The free scapular chimeric flap is a less common choice for facial reconstruction. Our aim in this study was to evaluate the versatility and safety of the flap, the procedure for a two-team approach, the safety of the osteotomies, and the possibility of dental implants as well as donor site sequelae and complications. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)



Perforator-based island flap with a peripheral muscle patch for coverage of sacral sores

Wed, 16 Mar 2016 00:00:00 +0100

Despite numerous therapeutic advances, the treatment of pressure sores remains a challenge. The increased use of perforator flaps enables surgeons to minimize donor site morbidity by sparing the underlying muscle. In the presence of focal deep spaces, however, the inclusion of muscle would be beneficial. This goal of this study was to introduce a method for including a muscle patch at the periphery of a perforator-based island flap for coverage of sacral pressure sores.Between March 2010 and February 2015, 26 cases of stage IV sacral sores were reconstructed using perforator-based island flaps with a peripheral muscle patch. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)



A new strategy for total auricular reconstruction using prelamination of extended retroauricular flap with tissue expansion

Wed, 16 Mar 2016 00:00:00 +0100

To accomplish total ear reconstruction with aesthetic appearance is a great challenge for plastic surgeons worldwide due to insufficient skin coverage. A retroauricular fascia flap and skin graft technique are commonly used, but the results are unsatisfied due to color mismatch, severe edema, and donor site morbidity. Here, we will describe a novel strategy for total ear reconstruction, utilizing an extended retroauricular flap prelaminated with tissue expansion to obtain enough skin for ear reconstruction. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

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Closed mallet thumb injury: Our experience of 10 cases treated with surgery and a systematic review

Wed, 16 Mar 2016 00:00:00 +0100

This retrospective study reports 10 cases of closed mallet thumb injury treated with surgery and compares the clinical outcomes achieved with those of previously described cases which were treated with either conservative therapy or surgery. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)



“The Pedicled Hypothenar Perforator Flap: Indications and Clinical Application“

Wed, 16 Mar 2016 00:00:00 +0100

We present a possible approach to planning and harvesting of pedicled hypothenar perforator flaps for the reconstruction of such defects. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)



The Contralateral Breast Flap in Autologous Breast Reconstruction

Wed, 16 Mar 2016 00:00:00 +0100

Utilization of the contralateral breast flap is an old and perhaps sometimes overlooked tool in autologous breast reconstruction. In carefully selected patients, in whom the opposite breast has to be reduced anyway because of hypertrophy, such method remains as a valid alternative. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)



Analysis of FDA-Approved Orthopaedic Devices and Their Recalls

Wed, 16 Mar 2016 00:00:00 +0100

Conclusions: Given that 510(k)-cleared devices were 11.5 times more likely to be recalled than PMA-approved devices, it is concerning that most orthopaedic devices are cleared through the 510(k) process with limited clinical trials data. Clinical Relevance: When orthopaedic surgeons are considering using a new device clinically in their patients, it is important for them to consider how the new device was approved by the FDA. If the device was approved by the 510(k) pathway, then it may have been approved without additional clinical studies confirming efficacy or safety. (Source: JBJS)



Dermoscopy in the assessment of pigmented lesions: NICE guideline NG14, 2015

Tue, 15 Mar 2016 00:00:00 +0100

Dermoscopy describes the in vivo microscopic inspection of skin lesions using polarised or non-polarised light. It can make the diagnosis of melanoma 9-15 times more likely than the naked eye alone.1 A meta-analysis of 12 studies and 6535 lesions by the National Institute for Clinical Excellence (NICE) revealed a sensitivity and specificity of 88% for dermoscopy compared to 70% and 82% for clinical examination.2 When converted to a hypothetical group of 1000 lesions, the benign lesions selected for biopsy was 18% with the naked eye and 12% with dermoscopy; the melanomas not selected for biopsy (missed) was 12% for dermoscopy and 30% for the naked eye. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

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Is Social Media Driving Cosmetic Surgery Among Millennials?Is Social Media Driving Cosmetic Surgery Among Millennials?

Mon, 14 Mar 2016 15:16:48 +0100

AAFPRS President Edwin F. Williams III, MD, warns against the influence of social media on young patients. Medscape Plastic Surgery (Source: Medscape General Surgery Headlines)



Giving thanks – Addressing the worldwide plastic surgeon shortage

Mon, 14 Mar 2016 04:19:17 +0100

Today it is Thanksgiving, a national holiday here in America. Almost 500 hundred years ago, the Pilgrims sat down with their Native American neighbours to celebrate the harvest. Now Thanksgiving has multiple memes having morphed into a day for watching parades and American football on television, feasting on turkey with friends and family and preparing for Black Friday's shopping mania. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)



Announcements April 2016

Mon, 14 Mar 2016 00:00:00 +0100

(Source: Aesthetic Plastic Surgery)



Severe fat embolism in perioperative abdominal liposuction and fat grafting

Sun, 13 Mar 2016 00:00:00 +0100

Conclusion Fat embolism syndrome usually occurs in young people. Treatment is based mainly on the infusion of fluids and vasoactive drugs, mechanical ventilation, and triggering factor correction (early fixation of fractures or suspension of liposuction). The multiorgânico involvement indicates a worse prognosis. (Source: Brazilian Journal of Anesthesiology)



It's Scarily Easy To Get A Surprise Medical Bill, Even When You're Insured

Fri, 11 Mar 2016 20:52:12 +0100

WASHINGTON -- The American health care system is confounding under the best of circumstances. But frustration can reach a boiling point when a patient thinks she's followed all the rules and still gets hit with a huge surprise bill. That's what happened to Lisa Bettendorf in 2012. She had to pay almost $10,000 even though she said the doctors told her their treatment would be covered. Bettendorf injured herself in a fall caused by fainting. "I had a fricking hole in my face that I could stick my tongue through," she said. So she visited the emergency department at a nearby hospital that was in her insurance plan's network. "I was very aware that you had to be in-network and you had to ask the right questions when you were getting medical care," said Bettendorf, who lives outside San F...



Ultrasonic surgery reduces pain, swelling after chin surgery

Fri, 11 Mar 2016 17:50:06 +0100

For patients undergoing plastic surgery of the chin (genioplasty), the use of ultrasonic 'piezosurgery' equipment reduces trauma, pain, and swelling, compared to traditional surgical drills, reports a study. (Source: ScienceDaily Headlines)



Ultrasonic surgery reduces pain and swelling after chin surgery

Fri, 11 Mar 2016 05:00:00 +0100

(Wolters Kluwer Health) For patients undergoing plastic surgery of the chin (genioplasty), the use of ultrasonic 'piezosurgery' equipment reduces trauma, pain, and swelling, compared to traditional surgical drills, reports a study in the The Journal of Craniofacial Surgery. The journal is published by Wolters Kluwer. (Source: EurekAlert! - Medicine and Health)



Inhalation injury after exposure to indoor fire and smoke: The Brazilian disaster experience

Fri, 11 Mar 2016 00:00:00 +0100

Burns are a major global public health problem. It is estimated that over 300,000 people die from burns each year worldwide. Most accidents occur at home or in the workplace, affecting mainly men and children [1]. Due to the progress made in the care of severely burned patients, burn-related mortality has decreased in recent years, whereas inhalation injury has become the leading cause of death among these patients [2]. The mortality rates related only to smoke inhalation are low (0–11%); however, the mortality rates related to smoke inhalation combined with skin burns may reach 90% [3]. (Source: Burns : Journal of the International Society for Burn Injuries)

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Cyclic volatile methylsiloxanes in human blood as markers for ruptured silicone gel-filled breast implants.

Fri, 11 Mar 2016 00:00:00 +0100

Authors: Rosendahl P, Hippler J, Schmitz OJ, Hoffmann O, Rusch P Abstract The replacement of medical-grade silicone with industrial-grade silicone material in some silicone gel-filled breast implants (SBI) manufactured by Poly Implant Prothèse and Rofil Medical Nederland B.V., reported in 2010, which resulted in a higher rupture tendency of these SBI, demonstrates the need for non-invasive, sensitive monitoring and screening methods. Therefore a sensitive method based on large volume injection-gas chromatography coupled to mass spectrometry (LVI-GC/MS) was developed to determine octamethylcyclotetrasiloxane (D4), decamethylcyclopentasiloxane (D5), and dodecamethylcyclo-hexasiloxane (D6) in blood samples from women with intact (n = 13) and ruptured SBI (n = 11). With dichlo...



Woman reveals horror after a facelift left her looking like she'd been in a 'car crash'

Thu, 10 Mar 2016 11:15:42 +0100

Lin Fox, 48, from North London, spent more than £4,000 on the procedure in the hopes of turning back the clock. Instead it left her looking battered and bruised with threads poking out of her face. (Source: the Mail online | Health)