Component separation is a technique used to provide adequate coverage for midline abdominal wall defects such as large ventral hernia. This surgical based on subcutaneous lateral dissection, fasciotomy the rectus abdominis muscle, and dissection plane between external internal oblique muscles with medial advancement of block that includes muscle its fascia. release allows fascia closure up 20-cm wide in area. Since original description, components underwent multiple modifications ultimate...

Temporal hollowing is a depression within the soft tissues overlying temporal fossa, sometimes seen after surgical dissection for access to facial skeleton. Surgeons have successfully used bone grafts, hydroxyapatite, methyl methacrylate, and autogenous tissue correct deformity. A systematic review of literature demonstrated that most popular technique correction seems be use nonbiologic materials. These materials been but are associated with some complications. There has growing experience...

Background: Over the past decade, plastic surgery programs have continued to evolve with addition of 1 year training, increase in minimum number required aesthetic cases, and gradual replacement independent positions integrated ones. To evaluate impact these changes on a survey was sent residents program directors. Methods: A 37 question at all Accreditation Council for Graduate Medical Education–approved training United States. 13 directors same institutions. Both surveys were analyzed...

Background Breast augmentation is one of the most commonly performed aesthetic surgery procedures worldwide. Bacterial contamination paramount concern due to its role in biofilm formation and capsular contracture. Plastic surgeons have adopted a variety perioperative interventions efforts reduce implant contamination, however definitive evidence supporting these practices lacking. Objective The goal this study was assess current practice patterns aimed at reducing implant-related infections...

Background: As elective nonreconstructive breast surgery increases in popularity, there is greater demand for accurate multi-institutional data on minor and major postoperative complications.

Three-dimensional printing of patient-specific models is being used in various aspects craniomaxillofacial reconstruction. Printing typically outsourced to off-site vendors, with the main disadvantages increased costs and time for production. Office-based 3-dimensional has been proposed as a means reduce delays, but remains largely underused because perception among surgeons that it futuristic, highly technical, prohibitively expensive. The goal this report demonstrate feasibility ease...

Background: Trans male gender affirming surgery is becoming more available resulting in an increase patients undergoing these procedures. There are few reports evaluating the outcomes of procedures transgender population. This study was performed to provide patient-centric insight on self-image and other concerns that arise during surgical transition. Methods: A 22-question survey sent 680 trans patients. The broken down into following sections: demographics, timing type procedures,...

Combined ventral hernia repair and panniculectomy (VHR/PAN) is controversial, the safety profile including anticipated complications has been questioned. We present a retrospective case series review of patients from University Maryland Medical Center to help surgeons counsel on risks benefits this procedure.A database was collected using current procedural terminology codes for VHR/PAN. The patient-specific variables that were studied include following: sex, body mass index (BMI), smoking,...

The purpose of this study was to compare clinical outcomes incisional hernia repair in solid organ transplant patients using non-cross-linked porcine acellular dermal matrix (PADM), human derived (HADM) and synthetic mesh.A retrospective review who underwent with PADM after pancreas and/or renal at the University Maryland Medical Center from 2008 2012 conducted. Repair type, postoperative infection, recurrence, mesh removal, length follow-up were recorded. Results compared our previously...

The advantages of endothelialization a stent surface in comparison with the bare metal and drug-eluting stents used today include reduced late-stent restenosis in-stent thrombosis. In this article, we study effect topology functionalization tantalum (Ta) cyclic-(arginine-glycine-aspartic acid-d-phenylalanine-lysine) (cRGDfK) on attachment, spreading, growth vascular endothelial cells. Self-assembled nanodimpling Ta surfaces was performed using one-step electropolishing technique. Next,...

There is a paucity of patient-reported outcome measures for facial trauma reconstruction. To measure satisfaction and health-related quality life (HRQOL), following repair traumatic fractures, we used the FACE-Q, set instruments designed aesthetic surgery. As step toward validating scales trauma, evaluated their reliability. This prospective study patients primary fractures at level 1 center from 2016 to 2018. Six FACE-Q with relevance population were completed by 1-month postoperative...

The safety of concurrent panniculectomy during ventral hernia repair remains a widely debated topic. This study aims to compare outcomes in obese patients who undergo with versus alone.An 8-year retrospective cohort was performed on underwent repair. Patients were divided into those and did not. Postoperative complications compared between these groups.A total 223 analyzed: 122 the group 101 repair-only group. Median follow-up duration 141 days. had more surgical-site occurrences (57 percent...

Condylar fractures are the most common injury seen in pediatric mandibular trauma. These injuries often cannot be adequately stabilized by conservative techniques such as splinting. The condyle fracture requires a period of intermaxillary fixation. Because characteristics developing dentition, circumdental wiring is not possible. Surgeons commonly achieve interdental stabilization connection circum-mandibular wire and second placed through drill hole piriform aperture. This method can...

Posttraumatic enophthalmos resulting from medial orbital wall fractures presents a complex challenge. Access to this area through traditional incisions is limited, making visualization of the fracture site difficult. This can be ameliorated by transcaruncular approach, but with potential for complications both access and reconstructive materials. The authors sought new technique where correction would based on augmenting soft tissue volume, rather than reducing volume bony cone. was...

As the demand for cosmetic surgery continues to rise, plastic programs and training core curriculum have evolved reflect these changes. This study aims evaluate perceived quality of current in terms case exposure educational methods.A 16-question survey was sent graduates who completed their at a U.S. program 2017. The assessed graduates' surgery, teaching modalities employed overall competence. Case complexity characterized by minimum number cases needed graduate feel confident performing...

The utility of postoperative mandibulomaxillary fixation (MMF) after open reduction and internal (ORIF) mandible fractures is debated. purpose this study to analyze if patients undergoing ORIF with MMF have improved outcome compared those treated alone.A retrospective was performed on who underwent isolated mandibular fractures. Patients were divided into placed in postoperatively (ORIF MMF) not only). Postoperative complications follow-up compliance compared.A total 238 identified. Of...

Journal of Craniofacial Surgery: May 2012 - Volume 23 Issue 3 p 943 doi: 10.1097/SCS.0b013e31824b9c33

INTRODUCTION: Ventral hernia repair with simultaneous panniculectomy is associated high wound complication rates.1 Some surgeons believe negative-pressure therapy (NPT) after primary closure of the surgical incision may lower complications. Although NPT has been shown to decrease complications in sternal and groin incisions, benefit ventral unknown not studied.2–4The purpose this study retrospectively analyze if patients undergoing have improved outcomes NPT. METHODS: An eight-year...

INTRODUCTION: There has been an increasing interest in the applications of three-dimensional (3D) printing plastic surgery.1,2 A physical 3D model provides visualization complex defects that supersede digital imaging and can be used as a template for preoperative planning surgical education.3,4With advent affordable quality reliable printers, office-based become possible. We describe our experience with management comminuted mandible fractures. The distorted topography bony surface...