Abstract:
BACKGROUND:Tissue expansion has evolved reconstruction surgery by providing a great source of additional tissue for large skin defects. Nevertheless, wide application of tissue expander reconstruction is challenging due to high complication rates and uncertainty about final outcomes. Recently, endoscopy has shown promise in reconstructive surgeries using tissue expander placement. AIMS:This study aimed to compare outcomes between open and endoscopic-assisted neck tissue expander placement in reconstruction of post-burn facial scar deformities. METHODS:Through a randomized clinical trial, 63 patients with facial burn scars were assigned to an open group or endoscopic group for placement of 81 tissue expanders. The complication rate, operative time, length of hospital stay, and time to full expansion were compared between the two groups. RESULTS:Thirty-one patients were assigned to the open group and 32 patients to the endoscopic group. The average operative time was significantly reduced in the endoscopic group compared with the open group (42.2 ± 3.6, 56.5 ± 4.5 min, p < 0.05). The complication rate was significantly lower in the endoscopic group than the open group (6 vs. 16, p < 0.05). Hospital stay was also significantly diminished from 26.3 ± 7.7 h in open group to 7.4 ± 4.5 h in endoscopic group (p < 0.0001). There was a significant reduction in time to full expansion in the endoscopic group as compared with the open group (93.5 ± 10.2 vs. 112.1 ± 14.2 days, p = 0.002). CONCLUSION:Endoscopic neck tissue expander placement significantly reduced operative time, the postoperative complication rate, length of hospital stay, and time to achieve full expansion and allowed early initiation of expansion and remote placement of the port in relation to the expander pocket. LEVEL OF EVIDENCE I:This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
journal_name
Aesthetic Plast Surgjournal_title
Aesthetic plastic surgeryauthors
As'adi K,Emami SA,Salehi SH,Shoar Sdoi
10.1007/s00266-016-0644-7subject
Has Abstractpub_date
2016-08-01 00:00:00pages
526-34issue
4eissn
0364-216Xissn
1432-5241pii
10.1007/s00266-016-0644-7journal_volume
40pub_type
杂志文章,随机对照试验abstract::A case of a patient with a suspicious glandular node found during reduction mammaplasty is described. The preoperative search for such nodes, the management of cases on which a suspicious node is found intraoperatively, and a situation on which the diagnosis of breast cancer is made during histology are discussed. Whe...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-001-0014-x
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:Capsular contracture can be an ongoing problem in breast augmentation even with good surgical technique. In the author's practice, a higher incidence of capsular contracture was observed with the use of a periareolar incision than with an inframammary incision. METHODS:A review of breast augmentations perfo...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-007-9061-2
更新日期:2008-03-01 00:00:00
abstract:UNLABELLED:Autologous fat grafting is commonly performed in reconstructive breast surgery as well as in aesthetic breast augmentation surgery. Nevertheless, little is known about the interaction between fat grafts and cancer. A 36-year-old patient had undergone bilateral breast augmentation with autologous fat grafting...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-015-0605-6
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:The aesthetic relevance of the chin and its relatively simple correction through different approaches make genioplasty one of the most performed aesthetic procedures of the face. Sliding genioplasty is extremely rewarding, particularly when performed as an adjunction to rhinoplasty, rhytidectomy, or jaw surg...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-015-0518-4
更新日期:2015-10-01 00:00:00
abstract::Micrografting for hair restoration has become increasingly popular because of the natural results it can achieve. The procedure is often performed under local anesthesia or local anesthesia with sedation. To achieve adequate anesthesia, supraorbital and supratrochlear nerve blocks are often performed as well as infilt...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF02275575
更新日期:1996-01-01 00:00:00
abstract::In the upcoming Twenty-first Century, we will find many surgical methods and devices that come to fulfill one of the main objectives of the aesthetic plastic surgery: to reduce scars, especially in facial surgery. Endoscopy is one of those methods. In my experience of the last two years, I have used this technique, so...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669900073
更新日期:1997-01-01 00:00:00
abstract::Active antiretroviral therapy has reduced the mortality of patients with acquired immune deficiency syndrome (AIDS) and increased both the quality of life and the longevity of patients infected with human immunodeficiency virus (HIV). The long-term effects of HIV infection are increasingly observed, particularly chang...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-009-9467-0
更新日期:2010-08-01 00:00:00
abstract:BACKGROUND:Brachioplasties often culminate in unsightly scars that are a source of disappointment to patients. We aimed to evaluate the results of M-Y axilloplasty following massive weight loss. PATIENTS:We performed a retrospective assessment of our technique for brachioplasty with an M-Y axilloplasty in 159 female p...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-018-1133-y
更新日期:2018-08-01 00:00:00
abstract::Augmentation mammaplasty is generally associated with a high degree of patient satisfaction, but many studies now suggest that silicone gelfilled implants leak and that free gel migrates. A series of saline-filled augmentations is presented with technique that results in a small and inconspicuous incision and superior...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01577868
更新日期:1979-12-01 00:00:00
abstract::We have treated rhinophyma by a variety of methods during the past 35 years. We describe our current management, which has given the most satisfactory results and fewest problems. ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01571333
更新日期:1983-01-01 00:00:00
abstract:BACKGROUND:Simulation training has become an integral part of plastic surgery postgraduate curricula. It facilitates the acquisition of skills in a safe environment that can be later transferred to real-life settings. A variety of models have been described covering some aspects of the specialty better than others. The...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/s00266-020-02089-z
更新日期:2021-01-22 00:00:00
abstract::This paper presents a simple protocol to define the anatomic parameters for creating aesthetic augmented breasts using round silicone implants. This study completes our previous publication on augmentative breast surgery. We discuss the need for correct submuscular dissection and explain how to obtain the correct posi...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002660010155
更新日期:2001-11-01 00:00:00
abstract::The authors treated a case of bilateral accessory axillary breast tissue. Excision with histologic examination confirmed the diagnosis of fibroadenoma. Treatment left the woman with incision scars (3.5 cm) in the axillary pyramid, a location often not seen during a patient's normal movements. Thus, despite a minor aes...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-010-9505-y
更新日期:2010-10-01 00:00:00
abstract::The operation for the forehead lift is reviewed considering the experience acquired in recent years in order to facilitate its safe execution. Particular attention is given to the removal of factors limiting the free upward movement of the frontal flap, such as preparation of the meso temporalis. The treatment of the ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01570258
更新日期:1976-12-01 00:00:00
abstract:BACKGROUND:Direct brow lift surgery remains popular among Asian women despite its disadvantages. The traditional direct brow lift by a supra-brow incision is not suitable for Asian women because of their unique facial features, such as higher eyebrows, wider upper eyelids, and more orbital fat. Therefore, we designed a...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-016-0632-y
更新日期:2016-06-01 00:00:00
abstract::Complications during or after blepharoplasty operations are described. These range from errors in assessing the patient's psychological state and the state of their health, through the more common physical sequelae of bleeding with haematoma formation, ectropion, hypertrophy of scars, etc., to complications affecting ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01570269
更新日期:1976-12-01 00:00:00
abstract::This report describes the management of a 28-year-old female patient who had herniation of part of her left breast through a defect in the superficial fascia of the anterior thoracic wall. Closure of the defect was associated with correction of the deformity. To the best of our knowledge, this is the first report desc...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-008-9142-x
更新日期:2008-05-01 00:00:00
abstract::Classical open surgical contouring and sculpturing of the body has required significant scarring with long incisions and wide depressed scars. During the last decade, a small number of European surgeons have pioneered techniques for suction lipectomy. Illouz introduced the concept of lipolysis and blunt cannula extrac...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01575248
更新日期:1984-01-01 00:00:00
abstract::Implants placed in subperiosteal pockets may erode more deeply into the mandible than those placed above the periosteum. Those positioned supraperiosteally are more likely to shift and certainly are more mobile when pressure is put on the chin. Implants extending laterally far enough to produce a graceful flow of chin...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01570247
更新日期:1976-12-01 00:00:00
abstract:BACKGROUND:Very large breasts associated with ptosis frequently present a challenge to the plastic surgeon in choosing the ideal procedure to obtain a satisfactory result. A free nipple graft, which for many represents the best option in these conditions, has many disadvantages. METHODS:The author's method of a superi...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-009-9316-1
更新日期:2009-05-01 00:00:00
abstract::The authors present their experience in two-team work in subcutaneous mastectomy, where the mastologists are responsible for the pathology of the breast and the plastic surgeon is responsible for the aesthetics and some of the complications arising from their aesthetical work. They make a minute study of existing oper...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01577956
更新日期:1978-12-01 00:00:00
abstract:BACKGROUND:In the surgical treatment of breast ptosis, the plastic surgeon's main challenge is to mobilize the nipple-areola complex (NAC) over long distances, preserving its sensitivity. Herein, we aimed to evaluate the NAC sensitivity following a periareolar dermis release in patients undergoing surgical correction o...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00266-020-01835-7
更新日期:2020-10-01 00:00:00
abstract::The liposuction technique has changed greatly over the years. In 1989, the authors presented subdermal superficial liposuction which treats the superficial fat layer and yields better skin retraction. With this technique the surgeon can treat thin adipose layers to obtain better results in more cases than the traditio...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/BF00209305
更新日期:1995-01-01 00:00:00
abstract::Although posterior closure of male pattern baldness is usually accomplished in two procedures when using extensive scalp-lifting, there is the occasional patient who will require three operations because of very poor scalp laxity. A newly developed horseshoe-shaped tissue expander was designed for these patients so th...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF02273884
更新日期:1991-10-01 00:00:00
abstract:BACKGROUND:Dermatix is a Food and Drug Administration (FDA)-registered substantial equivalent to silicone gel sheeting for the prevention and management of hypertrophic scars and keloids. METHODS:A 90-day prospective study evaluated the efficacy of Dermatix, silicone gel sheeting, and a combination of these treatments...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-006-0218-1
更新日期:2007-09-01 00:00:00
abstract::To ensure the best results from aesthetic breast augmentation, preoperative evaluation and adequate patient information are essential. However, assessment of the underlying thoracic shape often is neglected. Patients with obvious deformities are aware of the problematic reconstruction, whereas patients with mild or mo...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-010-9520-z
更新日期:2010-10-01 00:00:00
abstract::Lower blepharoplasty is a challenging aesthetic procedure. Despite advances in clinical and neuroanatomical studies related to orbicularis oculi muscle innervation, no study has examined its histopathological aspects in different lower blepharoplasty procedures. This study aimed to assess changes in the pretarsal musc...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-018-01305-1
更新日期:2019-06-01 00:00:00
abstract::Soft tissue filler injections are the second most common non-surgical procedure performed by the plastic surgeon. Embolization of intravascular material after facial injection is a rare but terrifying outcome due to the high likelihood of long-term sequela such as blindness and cerebrovascular accident. The literature...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/s00266-016-0728-4
更新日期:2017-02-01 00:00:00
abstract:BACKGROUND:In patients with a thin soft tissue breast envelope, lower pole implant palpability is a postoperative sequela that concerns patients. Anatomically, the lower aspect of the breast near the inframammary fold lacks sufficient soft tissue to cover the breast implant after augmentation. METHODS:A transareolar i...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-018-1215-x
更新日期:2018-12-01 00:00:00
abstract::Liposuction or its modifications have become accepted therapy for hyperhidrosis. During the nearly 20 years since its introduction, the actual anatomic removal of sweat glands has not been investigated. In this study, three patients underwent axillary liposuction and histologic examination of the aspirates. Apocrine s...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-006-0192-7
更新日期:2007-01-01 00:00:00