Speciality
Spotlight

   




   

Surgery


   

 





Plastic
Surgery

       

  • E
    Gur, A Yeung, M Al-Azzawi, et al (Univ of Toronto)


    The Excised Preauricular Sinus in 14 Years of Experience : Is There a Problem ?


    Plast Reconstr Surg 102: 1405-1408, 1998.

          


    A few of the patients having a congenital pre-auricular sinus suffer from recurrent infections. In such cases surgical excision of the sinus tracts is required. Recurrence is very likely if the tract is not excised completely.

         


    The authors have reviewed 165 primary preauricular excision procedures in 146 patients over a period of 14 years.

          


    The recurrence rate was higher (15.79%) in patients who had active infection during surgery than in patients who did not have active infection (8.22%). The recurrence rate was higher (16.7%) in patients who had surgical drainage of an abscess before the
    procedure, and 8.16% in those who did not.

            


    Recurrence rates can be reduced by excising a piece of cartilage at the base of the tract and by demonstrating the sinus with dye injection and/or probing at the time of surgery.

           

  • Miscellaneous

    Isogai
    N, Landis W, Kim TH, et al [Harvard Med School,
    Boston]

    Formation
    of Phalanges and Small Joints by Tissue-Engineering


    J
    Bone Joint Surg Am 81-A:306-316, 1999

          

    Children
    with severely traumatized or congenitally abnormal
    joints may require multiple replacement joints as
    they grow. The
    engineering of new tissue by cell transplantation,
    where cells are placed on biodegradable polymer
    matrices, provides a novel approach to tissue in
    growth. Once the polymer is degraded, it leaves
    behind only naturally regenerated tissue.

          

    The
    use of an absorbable carrier for the cell lines has
    worked well, and the carrier used by these authors
    can be shaped readily into an accurate anatomic
    representation of the part[s] needed.

       

  • Kuzbari
    R, Worseg AP, Tairych G, et al [Univ of Vienna,
    Austria]

    Sliding Door Technique for the Repair of Midline
    incisional Hernias 

    Plast Reconstr Surg 101: 135-1242, 1998

         

    Sliding door technique that makes it possible to
    effect a tensionless and autologous repair of large
    hernias after midline laparotomy.

        

    In this technique the medical border of the rectus
    sheath is identified on both sides of the hernia.
    Rectus sheaths are dissected away from the muscles;
    Rectus sheaths, after being incised at the
    aponeuroses of the external oblique muscles, slide
    towards the midline. The posterior rectus sheaths
    are sutured. The rectus muscles are secured with
    overlapping sutures, and the released anterior
    layers of the rectus sheaths are sutured. Releasing
    the rectus sheaths from the pull of the external
    oblique muscles eliminates the most unyielding pull.

       

  • Santler G, Karcher H, Ruda C, et al [Univ Clinic for Dentistry, Graz, Austria]

    Fractures of the Condylar Process : Surgical Versus Nonsurgical Treatment

    J Oral Maxillofac Surg 57: 392-397, 1999, Pg.150



    Improved materials for osteosynthesis, including Kirschner wires, wires, miniplates and lag screws has made open surgical treatment more promising. 



    Patients treated nonsurgically were treated by maxillomandibular fixation [MMF] or without MMF. 



    Patients treated surgically or nonsurgically had no significant difference in mobility, joint problems, occlusion,and muscle pain or nerve disorders.



    Minimally invasive therapy for condylar process fractures remains the method of choice. 



    Condylar mandible has a tremendous capability for reparation, self-reconstruction, and remodeling.

       

  • Van Landuyt K, De Cordier BC, Monstrey SJ, et al (Univ Hosp of Gent, Belgium) 

    The Antecubital Fasciocutaneous Island Flap for Elbow Coverage

    Ann Plast Surg 41: 252-257, 1998 



    It can be difficult to reconstruct soft tissue defects in the periolecranon area, which are most often related to chronic inflammation of the olecranon bursa. 



    The defect after excision of the infected bursa cannot usually be closed primarily. The antecubital fasciocutaneous island flap is proposed for use in covering soft tissue defects in the area around the olecranon.



    The antecubital fasciocutaneous island flap is a useful technique for resurfacing of small to medium-sized soft tissue defects of the periolecranon area. 



    It provides thin, pliable, sensitive skin for transfer to the elbow in a single-stage procedure, without additional scarring around the defect. Flap harvest is relatively simple, with little impact on forearm contour.

      



 

   

Speciality Spotlight

   

   
Surgery
   

 

Plastic Surgery
       

  • E Gur, A Yeung, M Al-Azzawi, et al (Univ of Toronto)
    The Excised Preauricular Sinus in 14 Years of Experience : Is There a Problem ?
    Plast Reconstr Surg 102: 1405-1408, 1998.
          
    A few of the patients having a congenital pre-auricular sinus suffer from recurrent infections. In such cases surgical excision of the sinus tracts is required. Recurrence is very likely if the tract is not excised completely.
         
    The authors have reviewed 165 primary preauricular excision procedures in 146 patients over a period of 14 years.
          
    The recurrence rate was higher (15.79%) in patients who had active infection during surgery than in patients who did not have active infection (8.22%). The recurrence rate was higher (16.7%) in patients who had surgical drainage of an abscess before the procedure, and 8.16% in those who did not.
            
    Recurrence rates can be reduced by excising a piece of cartilage at the base of the tract and by demonstrating the sinus with dye injection and/or probing at the time of surgery.
           

  • Miscellaneous
    Isogai N, Landis W, Kim TH, et al [Harvard Med School, Boston]
    Formation of Phalanges and Small Joints by Tissue-Engineering
    J Bone Joint Surg Am 81-A:306-316, 1999
          
    Children with severely traumatized or congenitally abnormal joints may require multiple replacement joints as they grow. The engineering of new tissue by cell transplantation, where cells are placed on biodegradable polymer matrices, provides a novel approach to tissue in growth. Once the polymer is degraded, it leaves behind only naturally regenerated tissue.
          
    The use of an absorbable carrier for the cell lines has worked well, and the carrier used by these authors can be shaped readily into an accurate anatomic representation of the part[s] needed.
       

  • Kuzbari R, Worseg AP, Tairych G, et al [Univ of Vienna, Austria]
    Sliding Door Technique for the Repair of Midline incisional Hernias 
    Plast Reconstr Surg 101: 135-1242, 1998
         
    Sliding door technique that makes it possible to effect a tensionless and autologous repair of large hernias after midline laparotomy.
        
    In this technique the medical border of the rectus sheath is identified on both sides of the hernia. Rectus sheaths are dissected away from the muscles; Rectus sheaths, after being incised at the aponeuroses of the external oblique muscles, slide towards the midline. The posterior rectus sheaths are sutured. The rectus muscles are secured with overlapping sutures, and the released anterior layers of the rectus sheaths are sutured. Releasing the rectus sheaths from the pull of the external oblique muscles eliminates the most unyielding pull.
       

  • Santler G, Karcher H, Ruda C, et al [Univ Clinic for Dentistry, Graz, Austria]
    Fractures of the Condylar Process : Surgical Versus Nonsurgical Treatment
    J Oral Maxillofac Surg 57: 392-397, 1999, Pg.150

    Improved materials for osteosynthesis, including Kirschner wires, wires, miniplates and lag screws has made open surgical treatment more promising. 

    Patients treated nonsurgically were treated by maxillomandibular fixation [MMF] or without MMF. 

    Patients treated surgically or nonsurgically had no significant difference in mobility, joint problems, occlusion,and muscle pain or nerve disorders.

    Minimally invasive therapy for condylar process fractures remains the method of choice. 

    Condylar mandible has a tremendous capability for reparation, self-reconstruction, and remodeling.
       

  • Van Landuyt K, De Cordier BC, Monstrey SJ, et al (Univ Hosp of Gent, Belgium) 
    The Antecubital Fasciocutaneous Island Flap for Elbow Coverage
    Ann Plast Surg 41: 252-257, 1998 

    It can be difficult to reconstruct soft tissue defects in the periolecranon area, which are most often related to chronic inflammation of the olecranon bursa. 

    The defect after excision of the infected bursa cannot usually be closed primarily. The antecubital fasciocutaneous island flap is proposed for use in covering soft tissue defects in the area around the olecranon.

    The antecubital fasciocutaneous island flap is a useful technique for resurfacing of small to medium-sized soft tissue defects of the periolecranon area. 

    It provides thin, pliable, sensitive skin for transfer to the elbow in a single-stage procedure, without additional scarring around the defect. Flap harvest is relatively simple, with little impact on forearm contour.
      

 

By |2022-07-20T16:43:44+00:00July 20, 2022|Uncategorized|Comments Off on Plastic Surgery

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