Journal of plastic, reconstructive & aesthetic surgery : JPRAS
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A skin graft is the simplest way to reconstruct an area of skin loss. To improve the chance of successful take, shearing forces and haematoma formation between the bed and the graft must be reduced. To achieve this, many surgeons use a tie-over dressing to secure the graft. ⋯ Importantly, there were no cases of injury to the tendons or neurovascular structures in those cases where the graft was secured by quilting. Our technique for securing the graft by quilting is less time-consuming compared with a tie-over dressing. Therefore, we no longer use tie-over dressings to secure full-thickness grafts in the hand.
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J Plast Reconstr Aesthet Surg · Sep 2010
Case ReportsRemoval of a tungsten carbide wedding ring with a diamond tipped dental drill.
Tungsten carbide (WC) is an incredibly hard inorganic compound that has recently become fashionable in the manufacture of men's jewellery, particularly wedding rings. It is a common misconception that these rings are unable to be cut and emergency treatment to remove them necessitates the amputation of the finger trapped within. We present a case of such a ring being successfully removed with the use of a diamond tipped dental drill with restoration of function and preservation of the finger. This is a previously undocumented method of removal of this type of ring in the English language literature.
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J Plast Reconstr Aesthet Surg · Sep 2010
Customised fabricated implants after previous failed cranioplasty.
Reconstruction of cranial defects can be reasonably considered a failure if an aesthetically obvious cranial contour deformity persists after surgery. Such unsatisfactory outcome often results from variable resorption of bone grafts or infection, requiring removal of implant. In considering further treatment for such failed cases, the use of alloplastic implants is frequently warned as imprudent due to their theoretically increased potential for infection; however, the validity of such caution has never been substantiated. ⋯ All implants produced a precise fit, with a reduction in operating time and satisfactory cosmesis having been achieved. Infection that required removal of implant occurred in three patients (9.7%), and one patient developed a dural tear, requiring repair. Customised fabricated alloplastic implants provide a safe, accurate and efficient way of restoring normal cranial contours in patients with cranial defects who have had previous failed cranioplasties.
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J Plast Reconstr Aesthet Surg · Sep 2010
Case ReportsNecrotising fasciitis in both calves caused by Aeromonas caviae following aesthetic liposuction.
Liposuction is the most widely performed cosmetic procedure in the world, and is considered safe and without serious complications. However, necrotising fasciitis has been documented as a rare complication following abdomen and thigh liposuction. ⋯ Non-cosmetic physicians are generally unfamiliar with liposuction-induced complications, and may not suspect necrotising fasciitis due to its rarity. However, awareness of its clinical features is critical since early diagnosis and prompt surgical debridement can prevent significant morbidity and even death.
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J Plast Reconstr Aesthet Surg · Sep 2010
Long-term results of posterior suturing with postauricular fascial flap otoplasty.
Posterior suturing with postauricular fascial flap otoplasty has previously been shown to be associated with a significantly reduced rate of complications and better aesthetic outcome when compared with the anterior scoring and posterior suturing techniques. This study evaluates the long-term results of this technique. ⋯ In conclusion posterior suturing with braided polyester permanent sutures covered with a postauricular fascial flap results in longevity of postoperative appearance and symmetry with low clinical recurrence rates and with excellent patient and parent satisfaction.