Summary: Pyogenic flexor tenosynovitis (PFT), also known as septic or suppurative tenosynovitis, is a closed-space infection of the hand’s tendon sheath that necessitates timely diagnosis and treatment. The treatment consists antibiotic therapy often combined with prompt surgical most common approach closed irrigation technique, which involves inserting 16-gauge angiocatheter in proximal aspect sheath, leaving distal end Brunner incision open during process. However, this method has its own...

Summary: Facial synkinesis manifests as involuntary muscle movements alongside volitional facial actions and is typically managed with a combination of neuromuscular retraining, botulinum toxin injections, in some cases, selective neurectomy. Some patients describe persistent neck tightness or pain at the level mandibular angle horizontally towards midline, similar to anatomic course posterior belly digastric (PBD) stylohyoid muscles. There are limited studies exploring involvement PBD...

Objective To describe the natural history, reconstructive solutions, and functional outcomes of those men undergoing pubectomy urinary reconstruction after prostate cancer treatment. Patients Methods This study retrospectively identified 25 patients with a diagnosis urosymphyseal fistula (UF) following therapy who were treated pubectomy. describes this cohort. Results All had history pelvic radiotherapy for cancer. The median (interquartile range [IQR]) time from treatment to UF was 11 (6,...

Abstract Background and Objectives The purpose of this study is to present our experience using free fillet flaps reconstruct massive oncologic defects the upper lower extremity. Methods A retrospective chart review was performed include patients who underwent resection followed by reconstruction from July 2001 October 2018. Patient demographics, clinical surgical characteristics, postoperative complications were reviewed. Results In total, 12 identified included in study. Mean age 48.9...

Abstract Background Facial rejuvenation procedures are common in plastic surgery. Objectives The aim of this study was to report the 50 most cited articles field aesthetic facial surgery and provide a simple educational resource for surgeons. Methods authors utilized Web Science Citation Index identify related published from 1950 2019. Articles were classified according their level evidence, type study, country publication, topic interest: facelift, blepharoplasty, brow lift, neck or...

A 51-year-old right-handed man presented with swelling in the left wrist. MRI showed rice bodies and culture confirmed invasive mycobacterial tenosynovitis due to Mycobacterium avium complex.

Omentum flap is a viable reconstructive option for complex chest wall and mediastinal reconstruction. The impact of vasoconstrictors the laminar pattern blood flow associated with left ventricular assist devices (LVADs) on outcomes reconstructions has not been thoroughly evaluated.

PURPOSE: Perineal and pelvic defects resulting from radical surgical resection, exenteration, sacrectomy, recurrent cancer resections are frequently large present a reconstructive challenge. These often require flap reconstruction to close skin defect, obliterate the or sacrectomy cavities, reconstruct vaginal canal.1,2 One of most common used flaps for is inferiorly based vertical abdominis myocutaneous (VRAM) flap.3 This has reliable vascularity can be easily prepared, providing...

Total and permanent loss of facial nonfacial fat is a rare side effect immune checkpoint inhibitors (ICIs). Consequently, effective treatment modalities for patients remain undefined. Here, we discuss the surgical patient with both ICI-related acquired generalized lipodystrophy (AGL). We additionally performed comprehensive literature review (Cochrane, Embase, MEDLINE) to summarize what known about available treatments this complication. A 66-year-old female diagnosed metastatic lung...

Background: Reporting the 50 most cited manuscripts on virtual surgical planning (VSP) for craniofacial surgery, thereby providing a comprehensive review of landmark papers. Methods: The Web Science Citation Index was used to identify VSP in surgery. These were classified by level evidence, type study, topic interest, and anatomic site. Results: mean number citations 126.3 ± SD 51.7. Twenty clinical papers: 9 reviews, 21 workflow or technology. common evidence (LoE) 4 ( n = 12), followed 3...

PURPOSE: The implantable Cook Swartz Doppler is a commonly used, reliable technique for free flap monitoring. device removed once microvascular monitoring no longer necessary. Occasionally there difficulty retrieving the and use of further tension avoided due to concerns about disrupting anastomosis. In these cases, metallic filament cut at skin level portion retained in soft tissues. Magnetic resonance imaging (MRI) often strongly indicated postoperative followup patients who may be treated...

PURPOSE: Hemipelvectomy procedures result in massive soft tissue defects.1,2 The standard reconstructive approach is to reconstruct the defect with anterior or posterior hemipelvectomy flaps; however, certain oncologic situations can preclude use of local flaps.3,4 In such cases, a suitable alternative provide sufficient coverage fillet flaps, which are defined as pedicled free flaps harvested from amputated parts.5 purpose this study present our institution’s experience using both and...

Introduction: Implantable Doppler devices are reliable adjuncts used for free flap monitoring. Occasionally, the probe/wire is not removed and remains in soft tissues. The clinical safety of retained probes compatibility with magnetic resonance imaging (MRI) have been studied. We present a series implantable examining clinic outcomes, MRI, effect on MRI image quality. Methods: A retrospective review was conducted patients who had an device monitoring between July 2007 August 2018. Routine...

Introduction: The purpose of this study is to produce a bibliometric review the 30 most cited articles related 6 major domains body contouring—abdominoplasty, thighplasty, brachioplasty, gluteoplasty, lift, and liposuction—for resident fellow education. Methods: authors utilized Web Science Citation Index identify surgery for contouring published from 1975 2020. Articles were classified according their level evidence, type study, country publication. Results: A total 336 reviewed compile our...

INTRODUCTION: Massive sacral defect resulting from total sacrectomy presents a reconstructive challenge,1 and in some cases, the use of vertical or transverse Rectus Abdominis Muscle (RAM) flap may not provide enough soft tissue to reconstruct it. The Fleur-de-lys technique has been described cases autologous breast reconstruction for thoracic wound defects.2,3 aim this study is describe surgical combination Transversal (TRAM) with Vertical (VRAM) flap, which assumes form “Fleur-de-lys”,...