scholarly journals Restoration of the Age Elongated Auricular Lobe

2020 ◽  
Vol 40 (8) ◽  
pp. 819-826
Author(s):  
Antonio Fuente-del-Campo ◽  
Lucas Lesta-Compagnucci
Keyword(s):  
Lateral Surface ◽  
Surgical Procedure ◽  
Facial Rejuvenation ◽  
Effective Procedure ◽  
Level Of Evidence ◽  
Medial Surface ◽  
Obvious Change

Abstract Background The ears increase in all dimensions over the years (eg, length, helix diameter, lobe length), but the most obvious change is the elongation or ptosis of the lobe. Its correction should be considered a part of facial rejuvenation. Objectives The authors presented the surgical procedure they have been utilizing to correct elongated earlobes. Methods The authors described a simple and effective procedure consisting of the curved resection of the excess tissue of the lobe at its lower end and its reconstruction through the utilization of 2 triangular flaps of skin, taken from the lateral surface of the lobe, rotated backwards, and sutured to the medial surface, leaving a zigzag hidden scar. Results The authors have utilized this surgical procedure over the last 16 years to correct ptosis of the earlobe as well as some of its other alterations due to aging. The results obtained are presented as well as the classification that the authors have utilized to qualify their degree of ptosis. Conclusions This procedure has yielded excellent results, with imperceptible scars, and is therefore very pleasing to patients and surgeon alike. Level of Evidence: 4

scholarly journals Multiple polyurethane implant punctures during fat grafting: case report and review of the literature

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Dmitry Batiukov ◽  
V. Podgaiski ◽  
D. Mikulich ◽  
S. Kalinin
Keyword(s):  
Case Report ◽  
Breast Reconstruction ◽  
Breast Augmentation ◽  
Surgical Procedure ◽  
Fat Grafting ◽  
Review Of The Literature ◽  
Level Of Evidence ◽  
Case Presentation ◽  
Tissue Ingrowth ◽  
First Case

Abstract Background Breast augmentation with implants continues to be the most popular aesthetic surgical procedure performed worldwide. Fat grafting may improve the results of breast augmentation and breast reconstruction with implants. However, fat grafting to the breast with implants carries the risk of implant puncture. To our best knowledge this is the first case in which polyurethane implant puncture during fat grafting is described. Case presentation We report multiple bilateral implant punctures with the cannula during fat grafting in a patient who previously underwent breast reconstruction with polyurethane implants. Conclusions Implants that promote tissue ingrowth may be more prone to puncture with the cannula during fat grafting. Specific planning and surgical maneuvers decrease the risk of implant puncture. Level of evidence Level V, case report.

Landmarks in Facial Rejuvenation Surgery: The Top 50 Most Cited Articles

2019 ◽  
Vol 40 (1) ◽  
pp. NP1-NP7
Author(s):  
Lucas Kreutz-Rodrigues ◽  
Daniel Shapiro ◽  
Samir Mardini ◽  
Karim Bakri
Keyword(s):  
Science Studies ◽  
The United States ◽  
Facial Rejuvenation ◽  
Educational Resource ◽  
Level Of Evidence ◽  
Neck Lift ◽  
Brow Lift ◽  
Study Country ◽  
Evidence Type ◽  
Surgery Research

Abstract Background Facial rejuvenation procedures are common in plastic surgery. Objectives The aim of this study was to report the 50 most cited articles in the field of aesthetic facial rejuvenation surgery and provide a simple educational resource for plastic surgeons. Methods The authors utilized the Web of Science Citation Index to identify the 50 most cited articles related to surgery for facial rejuvenation published from 1950 to 2019. Articles were classified according to their level of evidence, type of study, country of publication, and topic of interest: facelift, blepharoplasty, brow lift, neck lift, or combined areas. Results The mean number of citations per article was 137, and the majority of articles (n = 19) were published between 1990 and 1999. The most prevalent topic was facelift surgery (n = 24), followed by articles discussing combined procedures (n = 13), blepharoplasty (n = 6), brow lift (n = 4), and neck lift (n = 3). Most of the articles were classified as clinical (n = 26), followed by basic science studies (n = 12) and review articles (n = 12). Among the articles amenable to grading level of evidence (n = 26), most (n = 24) presented their findings utilizing level IV evidence. The nation of origin for most of the articles (n = 41) was the United States. Conclusions Articles addressing facelift surgery represented the largest proportion of peer-reviewed landmark publications in aesthetic facial surgery research. A simple educational resource is presented to encourage the appreciation of the research in this field.

scholarly journals Which factors influence treatment decision in fragility fractures of the pelvis? - results of a prospective study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Ludwig Oberkircher ◽  
Julia Lenz ◽  
Benjamin Bücking ◽  
Daphne Eschbach ◽  
René Aigner ◽  
...  
Keyword(s):  
Prospective Study ◽  
Surgical Procedure ◽  
Treatment Decision ◽  
Fragility Fractures ◽  
Pain Level ◽  
Level Of Evidence ◽  
Treatment Pathways ◽  
Predominantly Female ◽  
A Prospective Study ◽  
Fracture Types

Abstract Background The aim of the present study was to describe specific characteristics of patients suffering from pelvic fragility fractures and evaluate factors that might influence treatment decisions which may optimize treatment pathways and patient mobility in the future. Methods A prospective study with patients suffering from fractures of the pelvis and aged 60 years or above was performed between 2012 and 2016. Data acquisition took place at admission, every day during hospitalization and at discharge. Results One hundred thirty-four patients (mean age of 79.93 (± 7.67) years), predominantly female (84%), were included. Eighty-six patients were treated non-operatively. Forty-eight patients underwent a surgical procedure. The main fracture types were B2 fractures (52.24%) and FFP IIb fractures (39.55%). At the time of discharge, pain level (NRS) could be significantly reduced (p <  0.001). Patients who underwent a surgical procedure had a significantly higher pain level on day three and four compared to the non-operative group (p = 0.032 and p = 0.023, respectively). Significant differences were found in the mobility level: patients treated operatively on day four or later were not able to stand or walk on day three as compared to non-operatively treated patients. Regarding B2 fractures, a significantly higher mobility level difference between time of admission and discharge was found in patients treated with a surgical procedure compared to patients treated non-operatively (p = 0.035). Conclusions Fracture type, mobility level and pain level influence the decision to proceed with surgical treatment. Especially patients suffering from B2 fractures benefitted in terms of mobility level at discharge when treated operatively. Level of evidence II

scholarly journals A New Instrument For Rhinoplasty: The Osteotom With Lighting Guide Transilluminating Osteotomy

2019 ◽  
Vol 99 (5) ◽  
pp. 318-322
Author(s):  
Tolga Ersözlü
Keyword(s):  
Soft Tissue ◽  
Surgical Procedure ◽  
Soft Tissues ◽  
Level Of Evidence ◽  
New Instrument ◽  
Reliable Instrument ◽  
Osteotomy Line ◽  
Aesthetic Rhinoplasty ◽  
And Control

Rhinoplasty remains one of the most commonly performed aesthetic surgical procedure that demands a meticulous intraoperative precision as well as maximum precaution and control. Nasal osteotomy is a key component to shape the bony vault in aesthetic rhinoplasty, but it is also the so versatile, dangerous, and difficult to learn. The present study aims to evaluate the usefulness of our locator instrument for beginners which is called transilluminating osteotome. The use of transilluminating osteotome instead of guided lateral nasal osteotome is a reliable instrument since it facilitates the localization of osteotome and osteotomy line beneath the soft tissue with a limited damage to the surrounding soft tissues. Level of Evidence: III

scholarly journals Developmental dysplasia of the hip screening programme in Chile

2021 ◽  
Vol 15 (1) ◽  
pp. 35-41
Author(s):  
Matías F. Sepúlveda ◽  
Juan A. Pérez ◽  
Esteban A. Saban ◽  
Luis E. Castañeda ◽  
Dalia F. Sepúlveda ◽  
...  
Keyword(s):  
Surgical Procedure ◽  
Acetabular Dysplasia ◽  
Screening Programme ◽  
Screening Program ◽  
Hip Dislocation ◽  
Developmental Dysplasia ◽  
Level Of Evidence ◽  
The Mean ◽  
National Databases ◽  
Dysplasia Of The Hip

Purpose Developmental dysplasia of the hip (DDH) encompasses a wide pathological spectrum, from mild acetabular dysplasia to complete congenital hip dislocation at birth. Screening policies have been implemented in an effort to effectively identify and treat patients with DDH. Since 2009 there has been a national DDH programme in Chile. The current study evaluates the results of the programme in patients born between 2010 and 2015. Methods Records of patients hospitalized from 1st January 2010 to 31st December 2019 were retrieved from national databases. Those born from 1st January 2010 to 31st December 2015 who underwent a procedure for DDH under general anaesthesia during their first five years of life were selected. Sex, first surgical procedure and age at first surgical procedure were analyzed. The incidence of DDH that required major surgical treatment was calculated. Results A total of 961 children born from 1st January 2010 to 31st December 2015 underwent a procedure for DDH during their first five years of life. The number of major procedures was significantly lower than the number of minor procedures (269 vs 692). The incidence of major procedures was 0.18 per 1000 live births. Girls underwent a higher number of procedures than boys (831 vs 130), whereas 39.2% of the boys and 26.2% of the girls had major procedures. The mean age at the time of the first procedure was 15.35 months (sd 10.09; range 0.03 to 55.92 months). Conclusion The present study suggests that the Chilean National DDH Screening Program is an appropriate programme with substantial benefits with respect to public health. Level of evidence II

Tensioning of the radioscaphocapitate and long radio-lunate ligaments for dynamic radiocarpal instability

2018 ◽  
Vol 43 (4) ◽  
pp. 369-374
Author(s):  
Carin Rubensson ◽  
Torsten Johansson ◽  
Lars Adolfsson
Keyword(s):  
Surgical Procedure ◽  
Wrist Pain ◽  
Level Of Evidence ◽  
Radiocarpal Joint ◽  
Post Traumatic ◽  
Pain At Rest

During 1994–2003, we treated 20 patients with post-traumatic radial-sided wrist pain and dynamic radiocarpal instability. After arthroscopy confirmed no disruption of the radioscaphocapitate ligament and an increased laxity of the ligament, we passed a strip of the radioscaphocapitate ligament through the long radio-lunate ligament. The rationale of this procedure was to increase tension of the two ligaments and to close the space of Poirier. Eighteen patients were assessed after 1–3.7 years (mean 2.5 years). Four patients were symptom-free and 11 patients were markedly improved. Fourteen patients were followed for 11–15 years; four patients were symptom-free and eight patients were markedly improved. Two reported unchanged symptoms and none was worse in the follow-up. Based on our findings, we suggest a cause of post-traumatic radial-sided wrist pain is laxity of the radiocarpal joint. We conclude that our surgical procedure increases tension in the radioscaphocapitate and long radio-lunate ligaments and decreases wrist pain at rest and during activity. Level of Evidence: IV

scholarly journals Proposed Treatment Protocols for Facial Rejuvenation using a Novel Absorbable Polydioxanone Monofilament Threadlift in Koreans: Empirical Perspectives of Aesthetic Physicians and Surgeons

2020 ◽  
Author(s):  
Doo-Yeoul Chang ◽  
Hyoung-Moon Kim ◽  
Tae Hwan Ahn ◽  
Sang Bong Lee ◽  
Hyoung-Jin Moon
Keyword(s):  
Current Treatment ◽  
Facial Rejuvenation ◽  
Empirical Treatment ◽  
Level Of Evidence ◽  
Treatment Protocols ◽  
Anatomical Characteristics ◽  
The Face ◽  
Practical Guidelines ◽  
The Aesthetic ◽  
Treatment Procedures

Abstract Background Aesthetic physicians and surgeons should consider differences in anthropometric and anatomical characteristics between Asians and Caucasians in performing facial rejuvenation procedures using absorbable threadlifts in Koreans. Objectives This paper was prepared to propose empirical treatment protocols for Korean aesthetic physicians and surgeons. Methods A panel of five Korean experts on the aesthetic uses of an absorbable polydioxanone (PDO) monofilament threadlift (Mint Lift®; HansBiomed Co Ltd., Seoul, Korea), thus termed as “the Mint Consensus Group,” was convened to recommend practical guidelines for empirical treatment with the Mint Lift®. Results To summarize, our recommendations are as follows: First, the entry and exit points should be determined considering anatomical characteristics of the face (Level of evidence III). Second, treatment procedures may vary depending on indications (Level of evidence III). Conclusions Here, we propose empirical treatment protocols for facial rejuvenation using a novel absorbable PDO monofilament threadlift in Koreans. But more evidence-based efforts should be made to update the current treatment protocols.

scholarly journals Facial Rejuvenation With Fat Grafting and Fillers

2021 ◽  
Vol 41 (Supplement_1) ◽  
pp. S31-S38
Author(s):  
J Sarah Crowley ◽  
Elizabeth Kream ◽  
Sabrina Fabi ◽  
Steven R Cohen
Keyword(s):  
Calcium Hydroxyapatite ◽  
Fat Grafting ◽  
Facial Rejuvenation ◽  
Volume Loss ◽  
Level Of Evidence ◽  
Tissue Replacement ◽  
Dermal Thickness ◽  
The Face ◽  
Modality Approach ◽  
A New Technique

Abstract Facial rejuvenation requires a multi-modality approach to address the sun damage, volume loss, and thinning of skin that occurs with aging. With age, the collagen fibrils that provide strength become fragmented and fibroblasts connections become weak, leading to skin laxity and loss of youthful skin. Fillers can lead to a more youthful appearance by providing volumetric support. Synthetic fillers such as hyaluronic acid products, calcium hydroxyapatite, polylactic acid, and polymethylmethacralate have bio-stimulatory affects, ranging from small effects on fibroblast production to prolonged stimulatory effects on dermal thickness and blood supply. Fat grafting is also an ideal technique for facial rejuvenation because it is readily available, natural, and has regenerative effects. This review describes a new technique of fat grafting for the face called Injectable Tissue Replacement and Regeneration that specifically addresses the different anatomic compartments of the face with volume loss. With this brief review, we aim to evaluate the currents trends of fat grafting and fillers in the management of facial rejuvenation, including the cellular changes that occur with facial aging, the bio-stimulatory effects of fillers, and the anatomic replacement of tissue with fat grafting. &gt;Level of Evidence: 4

Nonsurgical Tear Trough Volumization: A Systematic Review of Patient Satisfaction

2021 ◽  
Author(s):  
Enrique Gorbea ◽  
Sarah Kidwai ◽  
Joshua Rosenberg
Keyword(s):  
Systematic Review ◽  
Patient Satisfaction ◽  
Facial Rejuvenation ◽  
Filler Material ◽  
Filler Materials ◽  
Complication Rates ◽  
Level Of Evidence ◽  
Filler Injection ◽  
Tear Trough ◽  
Tear Trough Deformity

Abstract Background Nonsurgical rejuvenation of the tear trough area via the use of injectable filler material has become a popular procedure in facial rejuvenation. This procedure offers immediate, albeit temporary, results with minimal recovery time. Objectives The aim of this systematic review was to report on patient satisfaction and complication rates to further guide practitioners. Methods PubMed, Cochrane, and Scopus libraries were queried for articles containing relevant terms. Articles with more than 5 patients who reported on satisfaction and/or complications from the procedure were included for review. In addition to these variables, we noted other aspects of injection, including filler material, technique, and needle or cannula delivery. Studies that did not otherwise fulfill inclusion criteria for statistical analysis but reported on intravascular injection–related complications were cited. Results Initial query resulted in 1655 studies which were assessed for duplicates and inclusion/exclusion criteria. After screening, 28 articles were included for analysis. In total, 1956 patients were captured who had been injected with 1 of 4 materials: hyaluronic acid (1535), calcium hydroxyapatite (376), autologous fibroblast/keratin gel (35), and collagen-based filler (10). Short- and long-term satisfaction rates were 84.4% and 76.7%, respectively. Minor complications were common (44%). Secondarily, we found the use of cannula for filler injection of this region to be associated with a lower rate of ecchymosis (7% vs 17%, P &lt; 0.05). Conclusions Filler injection volumization of tear trough deformity is an effective technique for facial rejuvenation associated with high patient satisfaction. Multiple filler materials offer acceptable satisfaction and complication profiles. Level of Evidence: 4

scholarly journals Anterior Shoulder Instability: A Systematic Review of the Quality and Quantity of the Current Literature for Surgical Treatment

2018 ◽  
Vol 6 (11) ◽  
pp. 232596711880598 ◽  
Author(s):  
Haley Glazebrook ◽  
Blair Miller ◽  
Ivan Wong
Keyword(s):  
Systematic Review ◽  
Surgical Procedures ◽  
Shoulder Instability ◽  
Full Text ◽  
Surgical Procedure ◽  
Literature Search ◽  
Treatment Recommendation ◽  
Anterior Shoulder Instability ◽  
Level Of Evidence ◽  
Grade Of Recommendation

Background: Anterior shoulder instability is the most common sequela of shoulder dislocation and can result in repeated dislocations or subluxation of the glenohumeral joint. Anterior shoulder instability can be treated conservatively or surgically with several procedures. Purpose: To date, arthroscopic Bankart is the most common surgical procedure for the treatment of anterior shoulder instability. No previous studies have compared all anterior shoulder surgical procedures. In this study, the authors performed a systematic review of journal articles describing all surgical procedures for anterior shoulder instability to determine the scientific evidence and level of recommendation. Study Design: Systematic review; Level of evidence, 4. Method: A comprehensive literature search was conducted (July 19, 2016) with 4 reputed databases: PubMed, EMBASE, the Cochrane databases, and Web of Science. The articles found in the literature search were screened by 2 reviewers on the basis of their titles, abstracts, and full text. Data were extracted from relevant studies, and potentially relevant records were selected for full-text review. Included articles were classified according to their scientific quality (level of evidence, 1-5). The studies were then combined for each surgical procedure, and a grade of recommendation was assigned for each procedure: grade A, treatment recommendation based on level 1 evidence studies; B, based on level 2 or 3 evidence studies; C, based on level 4 or 5 evidence and could represent conflicting results; or I, insufficient evidence to recommend a treatment. As such, the grade of recommendation provides a summary score for the quality and quantity of available literature to support the surgical procedures reviewed here. Results: The systematic literature review generated 11,281 articles. After screening, 655 articles were included. Results revealed 31 surgical procedures for shoulder instability following dislocation: 10 surgical procedures were given an A or B recommendation; 11, a C recommendation; and 10, an I recommendation. Conclusion: This review identified many surgical procedures to treat anterior shoulder instability. Ten of these surgical procedures had an abundant amount of published articles to describe their safety and efficacy. Arthroscopic Bankart and open Bankart were the most commonly reported procedures that cite satisfactory postoperative outcomes and limited complications. Publications on the other surgical procedures were less common. Surgeons should be careful when recommending surgery, and they should choose the appropriate surgical procedure based on evidence-based literature.

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