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A novel microsurgery robot mechanism with mechanical motion scalability for intraocular and reconstructive surgery.
[BACKGROUND] Intraocular surgery and reconstructive surgery are challenging microsurgery procedures that require two types of motion: precise motion and larger motion. To effectively perform the requisite motion using a robot, it is necessa…
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Externally Monitored Versus Conventional Buried Flaps in Laryngopharyngeal Reconstruction.
[OBJECTIVES] To compare the surgical outcomes of externally monitored and conventional buried flaps with the goal of determining the usefulness of external monitoring of buried flaps. [METHODS] In this case-control study with propensity sc…
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Long-term follow-up of a severely traumatized leg treated with ipsilateral fracture-united fibular transfer in a patient with amputation of the contralateral leg: a case report.
Extensive bone loss associated with severe vascular injury remains a challenge for lower extremity reconstruction. The fibular free flap has been utilized for many decades to reconstruct long-segment tibial defects. We present an unusual sc…
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Comparative Analyses of Inflammatory Response and Tissue Integration of 14 Hyaluronic Acid-Based Fillers in Mini Pigs.
[PURPOSE] Hyaluronic acid (HA)-based dermal fillers have been approved for various clinical indications, both cosmetic and medical. Previous studies that have assessed the performance of HA dermal fillers have primarily focused on evaluatin…
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Treatment of Linear Morphea (en Coup de Sabre) with Micronized Acellular Dermal Matrix Filler: A Case Report.
En coup de sabre variant of linear morphea (LM) is a rare sclerotic skin disorder characterized by disfiguring linear depression of the frontal or frontoparietal forehead. Current attempts for cosmetic correction of atrophic lesions must be…
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Survey of Dermatologic Procedures in Transgender Adults.
[BACKGROUND] Dermatologists have the opportunity to provide medically necessary procedures, including laser hair removal, to transgender patients for gender affirmation. Further research is required to better assess the unique dermatologic …
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Changes in Muscle Mass after Botulinum Toxin Injection in Children with Spastic Hemiplegic Cerebral Palsy.
We aimed to evaluate muscle mass changes after injection of botulinum toxin (BoNT) in children with spastic hemiplegic cerebral palsy (CP). Children aged between 2 and 12 years who were diagnosed with hemiplegic CP with spastic equinus foot…
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Safety verification for polysorbate 20, pharmaceutical excipient for intramuscular administration, in Sprague-Dawley rats and New Zealand White rabbits.
Human serum albumin (HSA) has been widely used as a pharmaceutical excipient in Botulinum toxin serotype A (BoNT/A) products that are indicated for use in therapeutics and cosmetics. However, HSA as a human-derived material has some concern…
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Desensitization of human breast progenitors by a transient exposure to pregnancy levels of estrogen.
Full term pregnancy at an early age is the only factor known to consistently protect against breast cancer. Because hormone receptor positive progenitors in the human breast relay endocrine signaling, we here sought to determine whether an …
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Correction of a nasal soft triangle deficiency as a complication of augmentation rhinoplasty.
The soft tissue triangle is an easily recognizable subunit of the nose. Therefore, deformities in this region resulting from trauma or complications after cosmetic surgery can have serious cosmetic impacts. Various reconstruction choices ex…
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Association between preoperative neutrophil-lymphocyte ratio and mortality after plastic and reconstructive surgery.
Predictive factors associated with postoperative mortality have not been extensively studied in plastic and reconstructive surgery. Neutrophil-lymphocyte ratio (NLR), a systemic inflammation index, has been shown to have a predictive value …
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A Nationwide Analysis of Early and Late Readmissions following Free Tissue Transfer for Breast Reconstruction.
[BACKGROUND] Traditionally, surgical quality outcomes are assessed using a 30-day postoperative window. For breast cancer patients undergoing free tissue transfer for breast reconstruction, we sought to describe the distribution of and spe…
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Comparison between Conventional Blind Injections and Ultrasound-Guided Injections of Botulinum Toxin Type A into the Masseter: A Clinical Trial.
The aim of the study was to propose a more efficient and safer botulinum toxin type A (BoNT-A) injection method for the masseter by comparing the conventional blind injection and a novel ultrasonography (US)-guided injection technique in a …
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A case report of Madelung's disease.
Madelung's disease (MD) otherwise known as Launois-Bensaude syndrome, multiple symmetrical lipomatosis, or benign symmetric lipomatosis, is a rare disease characterized by abnormal diffuse lipomatosis in proximal upper limbs and neck. Here,…
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Efficient reduction of fibrous capsule formation around silicone breast implants densely grafted with 2-methacryloyloxyethyl phosphorylcholine (MPC) polymers by heat-induced polymerization.
Implants based on silicone elastomers, polydimethylsiloxane (PDMS), have been widely used for breast augmentation and reconstruction, but excessive foreign body reactions around implants often cause serious side effects such as capsular con…
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Bipolar or monopolar electrosurgery in blepharoplasty: A comparison of surgical outcomes and patient satisfaction.
[BACKGROUND] An electrosurgery unit (ESU) is the mainstay of bleeding control in blepharoplasty. There are two different types of ESUs: monopolar (m-ESU) and bipolar (b-ESU). [AIMS] We used m- and b-ESUs in upper, lower, and combined bleph…
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2011 ACGME Duty Hour Limits had No Association With Breast Reconstruction Complications.
[BACKGROUND] In 2011, the Accreditation Council for Graduate Medical Education (ACGME) instituted further duty hour restrictions in response to concerns over long work hours and sleep deprivation in trainees and their effects on patient out…
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Minimizing tissue damage due to filler injection with systemic hyperbaric oxygen therapy.
Recently, there is a growing interest of hyperbaric oxygen therapy in many fields of medicine. We had a 43-year-old female patient presented with severe necrosis of the nose, philtrum, and upper lip due to retrograde arterial occlusion afte…
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The nature of rehabilitation services provided to children with cerebral palsy: a population-based nationwide study.
[BACKGROUND] Cerebral palsy (CP) is a serious neurodevelopmental disorder that occurs in childhood and requires a range of treatments over a person's lifetime. The aims of this study were to investigate the nature of the rehabilitation trea…
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Progressive Cervical Spondylotic Myelopathy Caused by Tic Disorders in a Young Adult with Tourette Syndrome.
Involuntary movement of the cervical spine can cause damage to the cervical spinal cord. Cervical myelopathy may occur at an early age in involuntary movement disorders, such as tics. We report the case of a 21-year-old man with Tourette sy…
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Complication of Ruptured Poly Implant Prothèse Breast Implants Combined with AQUAfilling Gel Injection: A Case Report and Literature Review.
[INTRODUCTION] We describe the first case of a patient who received AQUAfilling gel (Biomedica, Prague, Czech Republic) after augmentation with Poly Implant Prothèse (PIP) breast implants and later developed breast deformity with bilateral …
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A Facial Plastic and Reconstructive Surgery Training Module Using Surgical Simulation for Capacity Building.
[OBJECTIVE] To introduce 3 novel intensive facial plastic and reconstructive surgery teaching modules for surgical capacity building using simulation in a low-middle income country. [DESIGN] Prospective cohort study. [SETTING] University-…
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Using Mobile Text and Media to Complement Teaching in a Facial Reconstruction Training Module in Haiti.
[OBJECTIVES] (1) To describe electronic communication between global surgeons and trainees in a low-middle income country (LMIC) and to gauge appeal of the WhatsApp platform (2) To introduce a novel intensive ear reconstruction teaching mod…
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Computer-Aided Design, 3-D-Printed Manufacturing, and Expert Validation of a High-fidelity Facial Flap Surgical Simulator.
[IMPORTANCE] Facial flap procedures may be difficult for surgical trainees to conceptualize and challenging for supervising surgeons to allow entrustment early in training. Simulation outside of the operating room may accelerate and enhance…
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Forehead reconstruction using modified double-opposing rotation-advancement flaps for severe skin necrosis after filler injection.
Varying degrees of complications can occur after hyaluronic acid filler injections. Tissue necrosis due to interruption of the vascular supply is an early complication that can be severe. If the site of tissue necrosis due to the filler inj…
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Neck rejuvenation using a multimodal approach in Asians.
[BACKGROUND] A multimodal approach is essential for neck rejuvenation because many factors contribute to the aging of the neck. [OBJECTIVES] We evaluated the effect of combined therapy using microfocused ultrasound with visualization (MFU-…
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Cost of Rehabilitation Treatment of Patients With Cerebral Palsy in Korea.
[OBJECTIVE] To investigate rehabilitation treatment cost of patients with cerebral palsy (CP) according to age. [METHODS] We analyzed the cost of rehabilitation treatment from 2007 to 2013 for patients diagnosed with CP by sourcing data fr…
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Clinical Effects on Skin Texture and Hydration of the Face Using Microbotox and Microhyaluronicacid.
[BACKGROUND] Improving skin texture in the face is a popular procedure in older women. Procedures using stabilized hyaluronic acid (S-HA) to improve skin texture should be distinguished from volumizing procedures. The intradermal injection …
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Percutaneous Autologous Fat Injection Following 2-Layer Flap Lower Blepharoplasty for the Correction of Tear Trough Deformity.
Tear trough deformity has been an area that has received much attention in terms of esthetic improvements. Fat transposition has been commonly used for the treatment of tear trough deformity. As some patients have had minimal improvement by…
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Corrective Septorhinoplasty in Acute Nasal Bone Fractures.
[OBJECTIVES] Closed reduction is generally recommended for acute nasal bone fractures, and rhinoplasty is considered in cases with an unsatisfactory outcome. However, concomitant rhinoplasty with fracture reduction might achieve better surg…