Internal Pedicle Shaping to Improve Aesthetic Results in Reduction Mammaplasty

AbstractAcellular dermal matrices are biological materials of porcine, bovine, or human origin used as scaffold for reconstructive purpose in plastic surgery; these materials are well-tolerated and safely integrated in host tissues without causing resorption, contracture, and encapsulation thanks to their low antigenicity.Recently, human acellular dermal matrix has been used as a filler in breast-conserving surgery to improve aesthetic results. Adequate knowledge of biomaterials properties, appropriate skill, and careful compliance with some specific recommendations are mandatory in order to optimize outcomes and obtain a work of success.

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Comment on an Intraoperative Measurement Method of Breast Symmetry Using Three-Dimensional Scanning Technique in Reduction Mammaplasty

Aesthetic Plastic Surgery ◽

10.1007/s00266-021-02284-6 ◽

2021 ◽

Author(s):

Bishara S. Atiyeh ◽

Fadl Chahine

Keyword(s):

Measurement Method ◽

Reduction Mammaplasty ◽

Three Dimensional ◽

Breast Symmetry ◽

Scanning Technique

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A volar approach to on-top plasty for correction of radial polydactyly: a case series of 21 patients

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193420981852 ◽

2021 ◽

pp. 175319342098185

Author(s):

Xia Fang ◽

Ping-tak Chan ◽

Shengbo Zhou ◽

Xinyi Dai ◽

Ruiji Guo ◽

...

Keyword(s):

Case Series ◽

Functional Results ◽

Metacarpophalangeal Joint ◽

Contralateral Side ◽

Average Score ◽

Pinch Strength ◽

Level Of Evidence ◽

Volar Approach ◽

Flexion Extension ◽

Aesthetic Results

Correction of unequal radial polydactyly in which neither thumb duplicates possess both well-developed proximal and distal components, remains challenging. Current techniques using on-top plasty techniques require circumferential incisions, often resulting in postoperative swelling and dorsal scars. We described our experience using a volar approach to achieve better aesthetic and functional results. Twenty-one patients underwent this surgery between 2008 and 2018, with a mean follow-up of 5.1 years. The mean flexion–extension arc for the metacarpophalangeal joint was 75° and that of the interphalangeal joint was 43°. Mean percentage of key, tripod and tip pinch strength were 77%, 79% and 77%, respectively, when compared with the contralateral side. The Vancouver Scar Scale showed an average score of 1.2. We conclude from our study that the volar approach to on-top plasty is a good technique for the correction of unequal radial polydactyly, with good functional and aesthetic results. Level of evidence: IV

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Hand Surgery in Saudi Arabia

Journal of Hand and Microsurgery ◽

10.1055/s-0040-1718976 ◽

2020 ◽

Author(s):

Abdullah E. Kattan ◽

Mohammad M. Al-Qattan

Keyword(s):

Saudi Arabia ◽

Orthopedic Surgery ◽

Significant Contribution ◽

Hand Surgery ◽

Fellowship Program ◽

Novel Mutations ◽

Work Related ◽

The Past ◽

Aesthetic Results ◽

Hand Defects

AbstractHand surgery is a unique field that incorporates multiple specialties, aiming to provide the patient with a best possible functional and aesthetic results. Hand surgeons deal with different pathologies that require skills in several aspects of surgery. The field of hand surgery has evolved significantly over the past decades across the globe. This specialty has also been evolving in Saudi Arabia over the past 25 years. Some of the services offered to patients include specialized centers for brachial plexus, peripheral nerve, and pediatric hand surgery as well as centers for work-related hand injuries. There has also been significant contribution to the hand surgery literature from the hand surgeons working in Saudi Arabia, with hundreds of papers published in journals pertaining to hand surgery, orthopedic surgery, and plastic surgery, as well as the publication of several novel mutations causing congenital hand defects in journals concerned with genetics. The recent approval of a hand and microsurgery fellowship program in Saudi Arabia will also help boost this field in the country and the region.

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