Tessier Clefts
PDF Tessier Clefts By Patricia Bacon Smith Introduction I’ve compiled this information about Tessier clefts to help concerned family members and individuals better understand these conditions. I’ve interchanged anatomical language with lay terms throughout and have reworked Dr. Tessier’s original diagrams. They are displayed here with permission of the publisher. Any errors or omissions are mine. **Keep in mind that Dr. Tessier’s classification system describes the various clefts in the face, but his system does not explain why or how these clefts occur. I invite researchers to fil... περισσότερα »
Children with Unicoronal Synostosis Who Have Undergone Craniofacial Reconstruction in Infancy
CollapseArticle Tools Facial Asymmetry in Children with Unicoronal Synostosis Who Have Undergone Craniofacial Reconstruction in Infancy Louise Öwall, Tron A. Darvann, Per Larsen, Hanne D. Hove, Nuno V. Hermann, Lars Bøgeskov and Sven Kreiborg Objective: Quantitatively assess 3D spatially detailed soft-tissue facial asymmetry in children who had undergone craniofacial reconstruction for Unicoronal Synostosis (UCS), and compare the facial asymmetry to control patients. It was hypothesized that there would be no significant differences in the facial asymmetry between the groups. Desig... περισσότερα »
Free tarsomarginal graft for large congenital coloboma repair
in patients with Tessier number 10 clefts via British Association of Plastic Surgeons Publication date: August 2016 *Source:*Journal of Plastic, Reconstructive & Aesthetic Surgery, Volume 69, Issue 8 Author(s): Yao Fu, Chunyi Shao, Wenjuan Lu, Jin Li, Xianqun Fan AimThe aim of this study was to evaluate the long-term outcome when a free tarsomarginal graft is used to repair a large congenital coloboma in patients with a Tessier number 10 cleft.Materials and methodsThis was a retrospective, interventional case series. The medical records were reviewed for five children (six eyes) diag... περισσότερα »
The management of temporomandibular joint ankylosis : Matthews device arthroplasty,Interpositional arthroplasty
presents superior long-term mouth opening than interpositional arthroplasty in the management of temporomandibular joint ankylosis via British Association of Plastic Surgeons Publication date: August 2016 *Source:*Journal of Plastic, Reconstructive & Aesthetic Surgery, Volume 69, Issue 8 Author(s): Rafael Denadai, Cassio Eduardo Raposo-Amaral, Celso Luiz Buzzo, Cesar Augusto Raposo-Amaral BackgroundThe aim of this study is to describe the surgical outcomes of a single-institution experience in the surgical management of temporomandibular joint ankylosis, comparing interpositional art... περισσότερα »
Neurorrhaphy in facial nerve reconstruction
Exploration of more effective neurorrhaphy in facial nerve reconstruction: A comparison focusing on the difference of neural window size and condition of the neurorrhaphy site via British Association of Plastic Surgeons Publication date: August 2016 *Source:*Journal of Plastic, Reconstructive & Aesthetic Surgery, Volume 69, Issue 8 Author(s): Kentaro Ono, Yuhei Yamamoto, Ryuji Shichinohe, Naoki Murao, Akihiko Oyama, Emi Funayama, Hiroshi Furukawa Background and aimVarious techniques have been introduced for reconstruction of the facial nerve. An improved method of neurorrhaphy to ach... περισσότερα »
Vascularized Pedicle Bone Grafts
Treatment of Kienböck’s Disease Using a Fourth Extensor Compartmental Artery as a Vascularized Pedicle Bone Graft via British Association of Plastic Surgeons *Source:*Journal of Plastic, Reconstructive & Aesthetic Surgery Author(s): Il- Jung Park, Hyoung-Min Kim, Jae-Young Lee, Youn-Tae Roh, Do-Yeol Kim, Neung-Han Jeon, Yong-Deok Kim, Soo-Hwan Kang BackgroundVascularized bone grafts for the treatment of Kienböck’s disease may facilitate revascularization and remodeling of the avascular lunate. The aim of this study was to evaluate the radiological and clinical results obtained when a ... περισσότερα »
The possible adverse effects of peri-operative blood transfusion
Restrictive use of perioperative blood transfusion does not increase complication rates in microvascular breast reconstruction via British Association of Plastic Surgeons Publication date: August 2016 *Source:*Journal of Plastic, Reconstructive & Aesthetic Surgery, Volume 69, Issue 8 Author(s): Anne C. O'Neill, Marina Barandun, Jieun Cha, Toni Zhong, Stefan O.P. Hofer IntroductionWith increasing appreciation of the possible adverse effects of peri-operative blood transfusion, restrictive policies regarding use of blood products have been adopted in many surgical specialties. Although ... περισσότερα »
Microvascular complications
Predictors and consequences of intraoperative microvascular problems in autologous breast reconstruction via British Association of Plastic Surgeons *Source:*Journal of Plastic, Reconstructive & Aesthetic Surgery Author(s): Anne C. O'Neill, Siba Haykal, Shaghayegh Bagher, Toni Zhong, Stefan Hofer IntroductionMicrovascular complications can have devastating consequences in breast reconstruction. Due to the relatively low rate of complications it can be difficult to identify significant predictors of failure. This study explores the importance of intraoperative microvascular problems in... περισσότερα »
The gracilis muscle flap
Extending the use of the gracilis muscle flap in perineal reconstruction surgery via British Association of Plastic Surgeons Publication date: August 2016 *Source:*Journal of Plastic, Reconstructive & Aesthetic Surgery, Volume 69, Issue 8 Author(s): Stephen J. Goldie, Riyadh Almasharqah, Quentin A. Fogg, William Anderson Reconstruction of the perineum is required following oncological resections. Plastic surgical techniques can be used to restore the aesthetics and function of the perineum. The gracilis myocutaneous flap provides a substantial skin paddle, with minimal donor site mor... περισσότερα »
The gastrocnemius muscles
Anatomical aspects of the gastrocnemius muscles: A study in 47 fresh cadavers via British Association of Plastic Surgeons Publication date: August 2016 *Source:*Journal of Plastic, Reconstructive & Aesthetic Surgery, Volume 69, Issue 8 Author(s): Katarina Andjelkov, Tatjana C. Atanasijevic, Vesna M. Popovic, Marcos Sforza, Connor J. Atkinson, Ivan Soldatovic BackgroundThis study offers objective dimensions of the gastrocnemius muscle and analyzes correlations between dimensional variables, with a view to providing guidance on the proportions of a healthy gastrocnemius muscle for both... περισσότερα »
Aesthetic and functional donor-site closure : Free groin flap,The anterolateral thigh flap
Free groin flap for aesthetic and functional donor-site closure of the anterolateral thigh flap via British Association of Plastic Surgeons Publication date: August 2016 *Source:*Journal of Plastic, Reconstructive & Aesthetic Surgery, Volume 69, Issue 8 Author(s): Dedi Tong, Yuanbo Liu, Lehao W. Wu, Shan Zhu, Jin Zhu, Shanlin Chen Background and aimBetter methods for anterolateral thigh flap donor-site reconstruction are desirable in cases when direct closure is impossible. Multiple surgical strategies have been attempted, and each has its shortcomings. The use of a contralateral fre... περισσότερα »
Local fasciocutaneous perforator versus free Gracilis flap reconstruction
A prospective randomized cost billing comparison of local fasciocutaneous perforator versus free Gracilis flap reconstruction for lower limb in a developing economy via British Association of Plastic Surgeons Publication date: August 2016 *Source:*Journal of Plastic, Reconstructive & Aesthetic Surgery, Volume 69, Issue 8 Author(s): Islam Abdelrahman, Amr Moghazy, Ashraf Abbas, Moustafa Elmasry, Osama Adly, Mohamed Elbadawy, Ingrid Steinvall, Folke Sjoberg Distal half leg complex wounds are usually a formidable problem that necessitates either local or free flap coverage. The aim of th... περισσότερα »
The PAVE (peeling-assisted volume-enhancing) lift
: A retrospective 6-year clinical analysis of a combined approach for facial rejuvenation via British Association of Plastic Surgeons Publication date: August 2016 *Source:*Journal of Plastic, Reconstructive & Aesthetic Surgery, Volume 69, Issue 8 Author(s): Kai Oliver Kaye, Hans-Eberhard Schaller, Patrick Jaminet, Phillipp Gonser The peeling-assisted volume-enhancing (PAVE) lift is a single-stage approach that combines superficial musculoaponeurotic system (SMAS) plication techniques with fat grafting and different peeling agents. To evaluate the safety of this approach, we analyzed... περισσότερα »
Central artery perforator propeller flap for nasal and medial canthal defects
Central artery perforator propeller flap for nasal and medial canthal defects via British Association of Plastic Surgeons Publication date: August 2016 *Source:*Journal of Plastic, Reconstructive & Aesthetic Surgery, Volume 69, Issue 8 Author(s): Yahya Baltu, Hakan Uzun, Utku Can Dölen, Mustafa Özyurtlu IntroductionNon-melanoma skin cancer is the most common type of skin cancer of the nasal dorsum and the medial canthal region, which is caused by chronic sun exposure. Limited adjacent tissue and the need for aesthetically pleasing result make the reconstruction of these regions very ... περισσότερα »
Influential and motivational factors upon a career in plastic surgery
How to train plastic surgeons of the future via British Association of Plastic Surgeons Publication date: August 2016 *Source:*Journal of Plastic, Reconstructive & Aesthetic Surgery, Volume 69, Issue 8 Author(s): Christopher R. Davis, Alexander E.J. Trevatt, Rory B. McGoldrick, Francesca E. Parrott, Pari-Naz Mohanna IntroductionPlastic surgery is a competitive and over-subscribed career choice despite minimal medical school exposure. We quantify factors influencing career interest in plastic surgery, speciality appeal and workforce planning. These findings optimise and refine evidence... περισσότερα »
Alveolar bone grafting with simultaneous cleft lip rhinoplasty
Alveolar bone grafting with simultaneous cleft lip rhinoplasty via British Association of Plastic Surgeons *Source:*Journal of Plastic, Reconstructive & Aesthetic Surgery Author(s): Young-Eun Kim, Jihyeon Han, Rong-Min Baek, Baek-Kyu Kim BackgroundOptimal timing for cleft lip rhinoplasty is controversial. Definitive rhinoplasty is deferred until facial skeletal growth is completed. Intermediate rhinoplasty is performed after stabilization of the grafted alveolar bone, because the grafted bone tends to be absorbed over several months postoperatively, distorting the nasal profile. Here, ... περισσότερα »
Muenke syndrome: Max Muenke included midface hypoplasia as part of the clinical syndrome caused by the Pro250Arg FGFR3 mutation
Assessing the midface in Muenke syndrome: A cephalometric analysis and review of the literature via British Association of Plastic Surgeons *Source:*Journal of Plastic, Reconstructive & Aesthetic Surgery Author(s): Fares Samra, Andrew R. Bauder, Jordan W. Swanson, Linton A. Whitaker, Scott P. Bartlett, Jesse A. Taylor BackgroundMax Muenke included midface hypoplasia as part of the clinical syndrome caused by the Pro250Arg FGFR3 mutation that now bears his name. Murine models have demonstrated midface hypoplasia in homozygous recessive mice only, with heterozygotes having normal midfac... περισσότερα »
Right- versus left-sided facial paralysis
Quality of life differences in patients with right- versus left-sided facial paralysis: Universal preference of right-sided human face recognition via British Association of Plastic Surgeons *Source:*Journal of Plastic, Reconstructive & Aesthetic Surgery Author(s): Nam Gyu Ryu, Byung Woo Lim, Jae Keun Cho, Jin Kim IntroductionWe investigated whether experiencing right- or left-sided facial paralysis would affect an individual's ability to recognize one side of the human face using hybrid hemi-facial photos by preliminary study. Further investigation looked at the relationship between ... περισσότερα »
Microtia reconstruction using a novel three-flap technique improves auriculocephalic angle
Microtia reconstruction using a novel three-flap technique improves auriculocephalic angle via British Association of Plastic Surgeons *Source:*Journal of Plastic, Reconstructive & Aesthetic Surgery Author(s): Liu Jiafeng, Sun Jiaming, Li Xiaodan BackgroundSkin grafting is needed for traditional auricular reconstruction. As the skin grafts contract, the post-operative framework is distorted. This leads to a decrease in the auriculocephalic angle. The objective of this study was to test a new method to cover the reconstructive framework using three skin flaps and a larger tissue expand... περισσότερα »
Cervical metastases from thyroid carcinoma during neck dissection
Incidental via European Annals of Otorhinolaryngology, Head and Neck Diseases Publication date: Available online 26 July 2016 *Source:*European Annals of Otorhinolaryngology, Head and Neck Diseases Author(s): S. Périé, F. Torti, M. Lefevre, N. Chabbert-Buffet, A. Jafari, J. Lacau St Guily ObjectivesTo quantify and discuss the prevalence of unsuspected thyroid lymph node metastases discovered in specimens from neck dissection for head and neck squamous cell carcinoma (HNSCC) and discuss the impact on patient management.Study designRetrospective study between May 2004 and January 2007.... περισσότερα »
Quality control of house dust mite extracts by broad-spectrum profiling of allergen-related enzymatic activities
Quality control of house dust mite extracts by broad-spectrum profiling of allergen-related enzymatic activities: Abstract Background Diagnosis and immunotherapy of allergy against mites is based on complex extracts from large-scale cultures. However, the analysis of their composition using specific antibodies is limited. By taking advantage of the prevailing enzymatic nature of mite allergens, we have developed a broad-spectrum biochemical method for the standardisation of native mite products. Methods Microplate-based assays have been implemented for thirteen *Dermatophagoides pt... περισσότερα »
Systemic mastocytosis presenting as occupational IgE-mediated anaphylaxis to pine processionary caterpillar
Article in Press Cristina Morales-Cabeza, MD[image: email]Press enter key to Email the author[image: email]Press enter key to Email the author , Alicia Prieto-García, MD, PhD , Sara Acero, MD , Borja Bartolomé-Zavala, PhD , José Mário Morgado, MSc , Almudena Matito, MD, PhD , Laura Sánchez-Muñoz, MD, PhD , Iván Alvarez-Twose, MD DOI: http://dx.doi.org/10.1016/j.anai.2016.07.002 [image: show]Article Info - Abstract - Full Text - Images - References Mastocytosis is characterized by the accumulation of clonal mast cells (MCs) in organs such as skin, bone marrow (BM), a... περισσότερα »
Cyclophosphamide desensitization
Article in Press Successful cyclophosphamide desensitization in a pediatric patient with systemic lupus erythematosus and anaphylaxis after initial exposure Yoomie J. Lee, MD[image: email]Press enter key to Email the author , Jennifer Toh, MD , Elina Jerschow, MD , Jenny Shliozberg, MD Montefiore Medical Center, Bronx, New York DOI: http://dx.doi.org/10.1016/j.anai.2016.06.029 [image: show]Article Info - Abstract - Full Text - References Cyclophosphamide is a nitrogen mustard alkylating agent used to treat malignant tumors and autoimmune diseases. Hypersensitivity to cyclo... περισσότερα »
Phonatory Strategies of Vocalists in Singing Diatonic Scales
Article in Press Phonatory Strategies of Male Vocalists in Singing Diatonic Scales With Various Dynamic Shapings Allan Vurma[image: correspondence]Press enter key for correspondence information[image: email]Press enter key to Email the author Estonian Academy of Music and Theatre, Tatari 13, 10116 Tallinn, Estonia DOI: http://dx.doi.org/10.1016/j.jvoice.2016.06.018 [image: show]Article Info - Abstract - Full Text - Images - References Summary This work aimed to investigate glottal adduction in the case of the singing of diatonic D major ascending scales with different dyna... περισσότερα »
Evaluation of Voice Acoustics as Predictors of Clinical Depression Scores
Article in Press Nik Wahidah Hashim , Mitch Wilkes , Ronald Salomon , Jared Meggs , Daniel J. France[image: correspondence]Press enter key for correspondence information[image: email]Press enter key to Email the author DOI: http://dx.doi.org/10.1016/j.jvoice.2016.06.006 [image: show]Article Info - Abstract - Full Text - References SummaryObjective The aim of the present study was to determine if acoustic measures of voice, characterizing specific spectral and timing properties, predict clinical ratings of depression severity measured in a sample of patients using the Ha... περισσότερα »
Two established emergency cricothyroidotomy techniques
Surgicric 2: A comparative bench study with two established emergency cricothyroidotomy techniques in a porcine model. Chrisman L, King W, Wimble K, Cartwright S, Mohammed KB, Patel B Br J Anaesth. 2016 Aug;117(2):236-42 Authors: Chrisman L, King W, Wimble K, Cartwright S, Mohammed KB, Patel B Abstract BACKGROUND: 'Can't Intubate, Can't Oxygenate' is a rare but life threatening event. Anaesthetists must be trained and have appropriate equipment available for this. The ideal equipment is a topic of ongoing debate. To date cricothyroidotomy training for anaesthetists has concentrated ... περισσότερα »
Palliative Care in the Emergency Department
As the geriatric population increases in the United States, there is an increase in number of visits to emergency departments for end-of-life and palliative care. This provides the emergency physician with a unique opportunity to alleviate and prevent further suffering in this vulnerable population. Competency in communication strategies that support shared decision making and familiarity with medicolegal terminology increase physician confidence about addressing complaints at the end of life. Familiarity with evidence-based recommendations for symptom management of pain at the end ... περισσότερα »
Neurologic Emergencies in the Elderly
Neurologic diseases are a major cause of death and disability in elderly patients. Due to the physiologic changes and increased comorbidities that occur as people age, neurologic diseases are more common in geriatric patients and a major cause of death and disability in this population. This article discusses the elderly patient presenting to the emergency department with acute ischemic stroke, transient ischemic attack, intracerebral hemorrhage, subarachnoid hemorrhage, chronic subdural hematoma, traumatic brain injury, seizures, and central nervous system infections. This article ... περισσότερα »
Geriatric Resuscitation
The geriatric population makes up a large portion of the emergency patient population. Geriatric patients have less reserve and more comorbid diseases. They are frequently on multiple medications and are more likely to require aggressive treatment during acute illness. Although it may not be obvious, it is important to recognize the signs of shock as early as possible. Special care and monitoring should be used when resuscitating the elderly. The use of bedside ultrasound and monitoring for coagulopathies are discussed. Clinicians should be constantly vigilant and reassess throughou... περισσότερα »
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