scholarly journals Frontoethmoidal Encephalomeningocele Revisited : The Convenience Of Teamwork Approach, A CaseSeries

1970 ◽  
Vol 1 (5) ◽  
Author(s):  
Nadia Kusumastuti ◽  
Siti Handayani ◽  
Mendy Hatibie ◽  
Enrina Diah ◽  
Kristaninta Bangun
Keyword(s):  
Reconstructive Surgery ◽  
Case Series ◽  
Plastic Surgeon ◽  
Congenital Defect ◽  
Single Stage ◽  
Surgical Correction ◽  
The Other ◽  
Defect Correction ◽  
Plastic And Reconstructive Surgery ◽  
Aesthetic Results

Background: Frontoethmoidal encephalomeningocele (FEEM) is a congenital defect of the skull which poses many problems to the patient as it results in many craniofacial and neural morbidities. While recently surgical correction of this disease is done in a single-stage procedure, many in Indonesia still perform twostage surgery which bears more risks and is technically difficult to achieve good aesthetic results. This case series intend to assess the feasibility and convenience of teamwork approach between plastic surgeon and neurosurgeon in correcting FEEM in a single-stage operation. Methods:We reviewed 8 patients with FEEM treated in Plastic and Reconstructive Surgery Division, Cipto Mangunkusumo Hospital Jakarta from November 2005 until March 2010. Four of the cases were secondary cases from Neurosurgery Department, and the other 4 cases were treated in single-stage operation, in teamwork with Neurosurgery Department, using the Chula technique. Results of each surgery was assessed using objective parameters, which are Intercanthal Distance (ICD) and Interorbital Distance (IOD); and also subjective parameters which is aesthetic improvement.Result: All of the patients showed significant improvements in ICD and IOD measurements. No complication was found intra and post-operatively. All patients, especially the ones treated with singlestage surgery show good aesthetic results. Conclusion: To achieve goals of defect correction and aesthetically pleasant appearance, single-stage surgery in teamwork with the neurosurgery department seems to be most suitable and convenient.

Metacarpal lengthening in children: comparison of three different techniques in 15 consecutive cases

2016 ◽  
Vol 42 (1) ◽  
pp. 51-56
Author(s):  
C. Dana ◽  
J.-C. Aurégan ◽  
A. Salon ◽  
S. Guéro ◽  
C. Glorion ◽  
...  
Keyword(s):  
Case Series ◽  
Single Stage ◽  
The Other ◽  
Extensor Mechanism ◽  
Two Stage ◽  
Level Of Evidence ◽  
Healing Index ◽  
Clinical Series ◽  
Therapeutic Study

Metacarpal lengthening is a useful procedure to address hand deficiencies in children. In this study, we aimed to compare the results of three different techniques from one consecutive clinical series of hand deficiencies. A total of 15 metacarpal lengthenings have been performed in 12 children aged from 9 to 14 years. The callotasis technique was used in seven cases, the two-stage distraction-graft technique in four cases and the single-stage lengthening in four cases. All the metacarpals healed with bone. The lengthening obtained was a mean of 13 mm (range 8–21 mm), a mean of 22 mm (range 13–32 mm) and a mean of 12 mm (range 9–15 mm), respectively, in the three different techniques. The healing index was longer for callotasis (81 days/cm) compared with the other techniques (41 days/cm and 46 days/cm, respectively). We observed one case of fracture after callotasis and one after distraction-graft. One patient underwent tenolysis of the extensor mechanism after single-stage lengthening. In conclusion, distraction graft and single-stage lengthening may be valuable alternatives to callotasis. Level of evidence: IV; therapeutic study; multi-case series

scholarly journals Imaging and printing in plastic and reconstructive surgery part 2: emerging techniques

2019 ◽  
Vol 2 (1) ◽  
pp. 69-77
Author(s):  
Michael P Chae ◽  
David J Hunter-Smith ◽  
Warren M Rozen
Keyword(s):  
Reconstructive Surgery ◽  
English Literature ◽  
Three Dimensional ◽  
Case Series ◽  
Tactile Feedback ◽  
Navigation Systems ◽  
Plastic And Reconstructive Surgery ◽  
Image Guided ◽  
Decision Making Processes ◽  
Added Benefit

Background: In the second of a two-part series, we evaluate emerging three-dimensional (3D) imaging and printing techniques based on computed tomography angiography (CT) and magnetic resonance angiography (MRA) for use in plastic and reconstructive surgery. Method: A review of the published English literature dating from 1950 to 2017 was taken using databases such as PubMed, MEDLINE®, Web of Science and EMBASE. Results: Image-guided navigation systems using fiducial markers have demonstrated utility in numerous surgical disciplines, including perforator-based flap surgery. However, these systems have largely been superseded by augmented reality (AR) and virtual reality (VR) technologies with superior convenience and speed. With the added benefit of tactile feedback, holograms also appear promising but have yet to be developed beyond the prototypic stage. Aided by a growing volume of digitalised clinical data, machine learning (ML) poses significant benefits for future image-based decision-making processes. Conclusion: Most studies of image-guided navigation systems, AR, VR, holograms and ML have been presented in small case series and they remain to be analysed using outcomes-based validation studies. However, together they illustrate an exciting future where clinicians will be armed with intuitive technologies for surgical planning and guidance.

scholarly journals Obituary for Dr. José Guerrerosantos: A Teacher Who Continues to Live in the Works of His Disciples

2018 ◽  
Vol 2 (3) ◽  
pp. 148-149
Keyword(s):  
Plastic Surgery ◽  
Reconstructive Surgery ◽  
Aesthetic Surgery ◽  
Plastic Surgeon ◽  
Flap Surgery ◽  
Founding Father ◽  
Plastic And Reconstructive Surgery ◽  
Medical College ◽  
The University ◽  
State Of Art

Legend of plastic surgery, the great founder has gone. José Guerrerosantos, M.D. (Fig 1), was not only a Director and Plastic Surgeon in Charge, The Jalisco Plastic and Reconstructive Surgery Institute; Professor and Chairman of the Division of Plastic and Reconstructive Surgery, University of Guadalajara Medical College, Guadalajara, Mexico. He was a founding father of the Instituto Jalisciense de Cirugia Reconstructiva (The Jalisco Plastic and Reconstructive Surgery Institute), a hospital affiliated with the University of Guadalajara, Jalisco, Mexico [1]. One of his scientific “children” – Manual of Aesthetic Surgery (editors: Fisher JC, Guerrerosantos J, Gleason M) (Fig 2) is a state of art textbook [2], an immortal masterpiece, which continues to navigate next generations of plastic surgeons in the extremely responsible field of surgery. The sacred Manual, which is a testament for surgeons of different subspecialties. Also, contribution of Professor José Guerrerosantos to the flap of tongue is really helped to lift a flap surgery to the new heights. Professor Guerrerosantos was born as a son of Mexico and will continue to live in his creations, our minds, and the works of his disciples. And it`s very symbolic, that his students and disciples named and still names him the same name as a Jesus was called… “a Teacher”…

scholarly journals Organizing a microsurgery workshop for residents

2020 ◽  
pp. 379-385
Author(s):  
Marin Andrei ◽  
Lungu Adrian ◽  
Nicoleta Amalia Dobrete ◽  
Georgiana Gabriela Marin ◽  
Olimpia Dima Simona ◽  
...  
Keyword(s):  
Plastic Surgery ◽  
Reconstructive Surgery ◽  
Plastic Surgeon ◽  
Traumatic Injuries ◽  
Plastic And Reconstructive Surgery ◽  
Different Types ◽  
Tissue Transplant ◽  
Important Branch

Microsurgery represents an important branch in Plastic and Reconstructive Surgery. It involves fine skills which doctors need to repair nerves, vessels and thus being able to perform replantation and transplantation of different types of tissue. After traumatic injuries, a plastic surgeon is capable of either coverage of the exposed noble tissue or can perform the replantation of the amputated limb using microsurgery. This field can be very challenging at the beginning, but very rewarding in the end.  The utility microsurgery is quite vast; however, the skills to perform such surgery require a lot of training beforehand. Before doing any replantation or other tissue transplant in humans, it would be recommended that a surgeon should have a basic microsurgical course completed and afterwards several hours of practice in front of the microscope. Last but not least, one should also test the skills acquired in vivo, in order to improve and perform the correct manoeuvres from the beginning. In order to do this, a plastic surgery trainee must therefore have a dedicated laboratory where he/she can practice this art. This place should be quiet, equipped with microscopes and microsurgery instruments and authorized to perform experiments on live animals.

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