감염 Infection

[BACKGROUND] Free flap breast reconstruction (FFBR) is a well-established technique for postmastectomy rehabilitation. However, chronic immunosuppressive therapy may compromise wound healing, increase infection susceptibility, and adversely…

[BACKGROUND] Solid organ transplant recipients are at increased risk of developing head and neck squamous cell carcinoma (HNSCC). These patients often require free flap reconstruction; however, data on outcomes in this immunosuppressed popu…

High-energy open tibial fractures with segmental bone loss and extensive soft-tissue necrosis remain limb-threatening, especially when only one recipient artery is patent. We report a 37-year-old man with a Gustilo-Anderson type IIIB open d…

Consequences of Strep A infections can be severe including shock, sepsis, significant tissue destruction, and death. The primary aim of the study was to identify any consistent patterns regarding presentation, patient demographics, and outc…

[BACKGROUND] Chronic anal fissures are a painful condition characterized by a tear in the anal mucosa. Botulinum toxin injection is a minimally invasive treatment option, but long-term effectiveness in recurrent or persistent cases remains …

This article chronicles a 30 year evolution in breast augmentation, highlighting advances in implants, techniques, and anatomic understanding while reaffirming foundational surgical principles. It traces the transition from subglandular to …

[PURPOSE] Pediatric spine surgery closure poses unique challenges owing to smaller body habitus, limited soft-tissue coverage, and high rates of congenital and neuromuscular deformities. Plastic surgeons are increasingly being consulted for…

[BACKGROUND] Implant-based breast reconstruction (IBBR) is the predominant reconstructive modality following mastectomy, accounting for more than 80% of all breast reconstruction procedures. Preventing subclinical infection at the time of i…

[PURPOSE] To report a rare presentation of periocular necrotizing fasciitis (NF) following a surgical site infection after aesthetic rhinoplasty. [CASE PRESENTATION] We present two otherwise healthy patients who developed periocular swelli…

[BACKGROUND AND OBJECTIVES] Endoscopic surgery offers a minimally invasive alternative to microsurgical resection for intraventricular lesions such as colloid cysts, with potential advantages in morbidity and recovery. Although microsurgery…

At our breast reconstruction center, we have, over time, developed a focused program to increase access to care for low-resource patients. This program includes outreach clinics, physician extenders, care coordinators, and telehealth utiliz…

[BACKGROUND] Microsurgical breast reconstruction has traditionally required extended postoperative hospitalization for flap monitoring and patient recovery. We conducted this study to identify factors associated with early discharge and ass…

Vasopressor-induced digital ischemia is an uncommon but severe complication of life-preserving therapy in critically ill patients, arising from profound peripheral vasoconstriction that can progress from reversible hypoperfusion to irrevers…

[INTRODUCTION] Device manufacturers generally recommend using concordant tissue expanders (TE) and implants during staged implant-based breast reconstruction (IBBR). In practice, discordant pairings may occur due to availability, patient or…

[OBJECTIVE] The aim of this study was to assess the clinical use and therapeutic efficacy of computed tomography angiography (CTA) in guiding emergency microsurgical resection of ruptured cerebral arteriovenous malformations (AVMs) in pedia…

Effective wound closure in breast surgery achieves a compromise between safety and aesthetic outcomes. This systematic review evaluates the effect of 2-octyl cyanoacrylate (2-OCA) tissue adhesive (Dermabond) as a primary means of skin closu…

[BACKGROUND] Polyacrylamide hydrogel, commercially referred to as Amazingel, was prohibited for use in China in 2006 owing to its associated high complication rates. Conventional techniques for its removal are frequently insufficient to ach…

[PURPOSE] Head and neck free flap (HNFF) surgery is essential in reconstructive surgery, addressing complex defects with tailored approaches. Despite high success rates, complications remain significant, influenced by patient comorbidities,…

Post-bariatric abdominoplasty is associated with a high risk of bleeding and wound complications due to extensive tissue resection and impaired tissue quality. Tranexamic acid (TXA) reduces perioperative bleeding in multiple surgical discip…

Abdominally based free flap breast reconstruction offers excellent long-term outcomes, but donor-site morbidity remains a concern. Lower back pain is a prevalent musculoskeletal condition that may impair core stability and abdominal donor-s…