Rotation of mammary implants one year after the primary augmentic mammary plastic surgery

2018 ◽  
Vol 0 (1) ◽  
pp. 70-74 ◽  
Author(s):  
V. G. Mishalov ◽  
V. V. Khrapach ◽  
L. Yu. Markulan ◽  
O. V. Khrapach ◽  
O. I. Zakhartseva
Keyword(s):  
Plastic Surgery ◽  
One Year ◽  
Mammary Implants

Evaluation of the Vertical Movement of Ribeiro’s Dermolipoglandular Mammary Flap One Year After Mammaplasties in Post-Bariatric Patients

2019 ◽  
Vol 40 (1) ◽  
pp. NP21-NP31 ◽  
Author(s):  
Rodrigo P Sizenando ◽  
Marco Túlio C Diniz ◽  
Paulo Roberto da Costa ◽  
Luiz Gustavo S Manhães
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Plastic Surgery ◽  
Breast Tissue ◽  
Vertical Movement ◽  
Level Of Evidence ◽  
Significance Level ◽  
Areola Complex ◽  
Ptotic Breast ◽  
One Year

Abstract Background In 1971, Ribeiro isolated a segment in the inferior pole of the ptotic breast, nourished by muscular perforating vessels, and moved it cranially to the posterior region of the remaining detached breast tissue, where it was fixed to the pectoral fascia. This maneuver created a flap with autologous implant function, independent from the rest of the breast’s support, that maintained long-term mammary projection. Objectives The objectives of this study were to measure the vertical movement of this flap 1 year after mammaplasty and to evaluate the factors involved. Methods The sample included 13 patients who had previously undergone bariatric surgery. The position of a titanium marker attached to the Ribeiro flap was compared on chest radiographs taken 1 day and 1 year after the mammaplasty. The significance level was set at 5%. Results All of the titanium markers moved 0.6 cm to 4.1 cm caudally during the study period (average, 2.4 cm ± 1.02 cm). The greater the weight loss after the plastic surgery, the further the marker’s descent. Weight loss between bariatric surgery and plastic surgery, the vertical dimension of the ptotic breast tissue immediately before plastic surgery, the vertical extent of the nipple-areola complex elevation during mammaplasty, the Ribeiro flap thickness and volume, and the breast volume after mammaplasty were not associated with the vertical movement of the flap. Conclusions The Ribeiro flap employed in mammaplasty of patients who previously underwent bariatric surgery undergoes ptosis that is exacerbated by weight loss after mammaplasty. Level of Evidence: 4

3 Peer-Produced Induction Material for Foundation Year One Doctors in Plastic Surgery – A Quality Improvement Project

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
L Dwyer-Hemmings ◽  
L Salfity
Keyword(s):  
Quality Improvement ◽  
Plastic Surgery ◽  
Quality Care ◽  
Smooth Transition ◽  
Junior Doctors ◽  
Free Text ◽  
Post Intervention ◽  
Improvement Project ◽  
One Year ◽  
Surgery Department

Abstract Introduction Induction programmes are recommended for all junior doctors starting new posts and are mandatory for foundation year one doctors (FY1s). Constraints on time and staff mean these guidelines are not always met. This project aimed to improve the efficiency, effectiveness, and timeliness of care by designing and distributing peer-produced induction material to FY1s starting placements in plastic surgery. Method A quality-improvement methodology was utilised. Online questionnaires assessed FY1 experiences in several domains using five-point Likert scales and free-text answers. This information was used to design induction material. Material was distributed to incoming FY1 cohorts, the questionnaire was repeated, and material updated and redistributed. Results Three quality improvement cycles were performed over a one-year period. Four FY1s were surveyed pre-intervention, and four post-intervention. Post-intervention, there was a statistically significant improvement in understanding of responsibilities (+2.2, p < 0.01) and departmental structure (+2.0, p = 0.018). FY1s felt confident in starting (4.75±0.5), prepared for on-calls (4.75±0.5), and satisfaction was high (4.75±0.5) Conclusions Peer-produced induction material for FY1s can improve understanding of responsibilities and structure within a plastic surgery department. This will increase confidence of new starters and facilitate smooth transition of staff, enabling the provision of high-quality care by enhancing its efficiency, effectiveness, and timeliness.

scholarly journals HUMANITARIAN MISSION OF PLASTIC SURGERY SERVICE ONE YEAR EXPERIENCE FROM MILITARY HOSPITAL TO CAMP ZAATARI: ABOUT 1643 CASES

2020 ◽  
Vol 8 (3) ◽  
pp. 655-660
Author(s):  
Ghita Belmaati Cherkaoui ◽  
◽  
Sara Lahsaini ◽  
Abdenacer Moussaoui ◽  
Mohamed amine Ennouhi ◽  
...  
Keyword(s):  
Plastic Surgery ◽  
Military Hospital ◽  
Humanitarian Mission ◽  
One Year

scholarly journals 325 Pretibial Injury and 1 Year Mortality

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
D Peberdy
Keyword(s):  
Plastic Surgery ◽  
Cohort Analysis ◽  
Frail Patients ◽  
Retrospective Cohort Analysis ◽  
Hospital Patients ◽  
The Difference ◽  
Student’S T ◽  
One Year ◽  
The Uk ◽  
Surgery Department

Abstract Aim Frailty is increasingly recognised as an important factor for patients under the care of surgical departments. Pre-tibial injury is a common presenting problem to plastic surgery units across the UK. We wanted to assess the 1-year mortality of this patient cohort presenting to our unit. Method Retrospective cohort analysis of prospectively maintained clinical database across a calendar year from June 2017 to June 2018. This was perforemd at a UK Regional Plastic Surgery Centre analysinig patients presenting to the Royal Devon and Exeter Hospital. Patients were scored as either frail (Rockwood ≥ 5) or Non-Frail (Rockwood ≤ 4) taken from initial clinical assessment proformas. Results A total of 85 patients were included in the study. Mean age was 76.4 (± 18 years), and mean Rockwood Frailty Score of 3.4. Across all patients presenting to the plastic surgery department with pre-tibial injury there was a 20% (17/85) mortality at one year. In frail patients 1 year mortality was 47.6% (10/21). In Non-Frail patients 1 year mortality was 10.9% (7/64). The difference in mortalitly at 1 year was found to be significantly different in Frail vs Non-Frail patients with P = 0.00009 in an unpaired Student's t Test. Conclusions Frailty is a common condition in patients presenting with pre-tibial injury. This is a significant predictor of 1 year mortality in patients presenting with pre-tibial injury. Standardised evidence-based pathways of care for these patients could help optimise their management. Opportunities for MDT involvement in their care may improve outcomes.

scholarly journals Microtia reconstruction: our experiences of first 10 cases in Bangladesh

1970 ◽  
Vol 1 (2) ◽  
pp. 14-19
Author(s):  
MS Khondoker ◽  
R Awwal ◽  
MM Sarker ◽  
SH Khundkar
Keyword(s):  
Plastic Surgery ◽  
Costal Cartilage ◽  
Three Dimensional ◽  
Ear Reconstruction ◽  
Two Stage ◽  
College Hospital ◽  
Auricular Reconstruction ◽  
Medical College ◽  
Second Stage ◽  
One Year

Varying degrees of congenital ear deformity (microtia) occurs 1 in about 8000 to 10,000 live births. One of the greatest challenges in plastic surgery is total auricular reconstruction as it demands precise technique as well as artistic creativity. In Bangladesh, recent advancement in the technique of carving and sculpting rib cartilage  and better training for achieving finer anatomic details has given a break through in the surgical management of  deformed ear. Between January 2009 and January 2010, total ear reconstruction was done with a two-stage method using  autogenous costal cartilage in the Department of Plastic Surgery, Dhaka Medical College Hospital, Dhaka. In the first stage, lobule rotation, fabrication of the cartilage framework and its implantation were performed. In  the second stage, elevation of the auricle and formation of the tragus were done. A total of 10 cases with microtia comprising different age group have been operated. All of them underwent stage I operation; among them 8 patients went through stage II procedure while the other 2 are waiting for the same. Results: 10 patients, ranging in age between 8 and 25 years, were operated on using autogenous costal cartilage between 2009 and 2010. Six patients were males and four were females. Unilateral microtia was present in all of these patients (7 right, 3 left). Eight cases were with Grade III microtia; the remaining 2 cases presented with Grade II microtia. The follow-up period was one month to one year. Seven among 8 cases presented acceptable ear contour after second stage ear reconstruction. The cranioauricular angle of the reconstructed ears was also similar to that of the opposite ears. Unfavourable result was deformation of the constructed helix which occurred in one case. Though it is impossible to reconstruct an ear that appears exactly as the opposite one, the new ears which were  made were of correct size and in normal position with impressive finer three dimensional details that achieved patient’s satisfaction as well as surgeon’s professional gratification.Key words: Microtia; Two stage auricular reconstruction; Autologous costochondral cartilageBDJPS 2010; 1(2): 14-19

Paediatric hand fractures

2013 ◽  
Vol 38 (8) ◽  
pp. 898-902 ◽  
Author(s):  
K. Young ◽  
A. Greenwood ◽  
A. MacQuillan ◽  
S. Lee ◽  
S. Wilson
Keyword(s):  
Retrospective Study ◽  
Plastic Surgery ◽  
Open Fractures ◽  
Hand Injuries ◽  
Fracture Incidence ◽  
Paediatric Trauma ◽  
Hand Fractures ◽  
Surgical Fixation ◽  
One Year ◽  
Physeal Fractures

This retrospective study reviews the demographics, morphology and management of paediatric hand fractures. Notes of all children with hand injuries attending a plastic surgery paediatric trauma clinic over a one-year period were reviewed. Non-bony injuries were excluded. A total of 303 fractures in 283 patients were included. Fracture incidence rose after the age of seven, peaking at 14 years of age; 76% of fractures occurred in males. Sporting injuries accounted for 47% of fractures. Physeal fractures were present in 39% of cases. Open fractures accounted for only 4% of all fractures. Management was primarily conservative. Only 5% of cases required surgical fixation; 6% of patients experienced complications.

scholarly journals “Oriental anthropometry” in plastic surgery

2008 ◽  
Vol 41 (02) ◽  
pp. 116-127
Author(s):  
Vasco Senna-Fernandes
Keyword(s):  
Plastic Surgery ◽  
Surgical Planning ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Acupuncture Points ◽  
The Aesthetic ◽  
One Year ◽  
Human Body Surface ◽  
Numeric Rating

ABSTRACT Background : According to Chinese medicine, the acupuncture-points′ (acupoints) locations are proportionally and symmetrically distributed in well-defined compartment zones on the human body surface Oriental Anthropometry” (OA). Acupoints, if considered as aesthetic-loci, might be useful as reference guides in plastic surgery (PS). Aim: This study aimed to use aesthetic-loci as anatomical reference in surgical marking of Aesthetic Plastic Surgery. Method: This was an observational study based on aesthetic surgeries performed in private clinic. This study was based on 106 cases, comprising of 102 women and 4 men, with ages varying from 07 to 73 years, and with heights of between 1.34 m and 1.80 m. Patients were submitted to aesthetic surgical planning by relating aesthetic-loci to conventional surgical marking, including breast surgeries, abdominoplasty, rhytidoplasty, blepharoplasty, and hair implant. The aesthetic-surgical-outcome (ASO) of the patients was assessed by a team of plastic surgeons (who were not involved in the surgical procedures) over a follow-up period of one year by using a numeric-rating-scale in percentage (%) terms. A four-point-verbal-rating-scale was used to record the patients′ opinion of therapeutic-satisfaction (TS). Results: ASO was 75.3 ± 9.4% and TS indicated that most patients (58.5%) obtained “good” results. Of the remainder, 38.7% found the results “excellent”, and 2.8% found them “fair”. Discussion and Conclusion : The data suggested that the use of aesthetic-loci may be a useful tool for PS as an anatomical reference for surgical marking. However, further investigation is required to assess the efficacy of the OA by providing the patients more reliable balance and harmony in facial and body contours surgeries.

scholarly journals Plastic surgery "tourism" complications presenting to an NHS hospital – A one year retrospective study

2012 ◽  
Vol 10 (8) ◽  
pp. S68
Author(s):  
Nicholas Segaren ◽  
Kumaran Shanmugarajah ◽  
Sheraz Markar ◽  
Neil Segaren ◽  
Onur Gilleard ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Plastic Surgery ◽  
One Year

scholarly journals The use in plastic of chronic and acute perforations of the nasal septum of transplant materials processed by the Alloplant technology

2020 ◽  
Vol 19 (2) ◽  
pp. 21-27
Author(s):  
V. V. Dvoryanchikov ◽  
◽  
V. P. Tipikin ◽  
M. A. Shelikhovskaya ◽  
V. S. Isachenko ◽  
...  
Keyword(s):  
Plastic Surgery ◽  
Nasal Septum ◽  
Functional Results ◽  
Treatment Method ◽  
Results Of Treatment ◽  
Septum Perforation ◽  
Nose And Paranasal Sinuses ◽  
Materials Used ◽  
One Year ◽  
Age Range

In recent decades, among diseases of the nose and paranasal sinuses, an increase in the number of people with perforations of the nasal septum has been noticeable. To date, the most effective method of treating perforations is operational. Currently, surgeons’ work on closing defects of the nasal septum does not always end with a positive result due to the fact that the transplant materials used in plastic surgery of perforations are often rejected some time after surgery and the perforations reappear. In our study, we treated 80 patients with septum defects in the age range from 18 to 63, for whom septum perforation was closed using transplant materials: fascia treated with Alloplant technology and allogeneic cartilage treated with Alloplant technology and without application. The septum defect closure performance was determined after 1 month and 1 year after surgery. The study revealed that plastic surgery of nasal septum perforations using transplant materials processed using Alloplant technology using the anatomical, clinical, and functional results of treatment one month and one year after surgery has a more effective method than the classical treatment method and leads to fast and full return of all functions of the mucous membrane of the nasal cavity.

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