Plastic and reconstructive surgery
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Plast. Reconstr. Surg. · Dec 2011
Nonhuman primate model of fibula vascularized composite tissue allotransplantation demonstrates donor-recipient bony union.
Vascularized composite tissue allotransplantation has demonstrated clinical success with standard immunosuppression in hand and upper extremity transplantation. The authors developed a fibular vascularized composite tissue allotransplantation model in nonhuman primates to investigate healing and rejection patterns of bone and associated tissues. ⋯ In contrast to successes in extremity vascularized composite tissue allotransplantation, the authors' nonhuman primate fibular vascularized composite tissue allotransplantation model showed early skin loss, replacement of donor bone marrow, and chronic rejection. Donor-recipient bone union did occur and supports the potential for reconstruction of bony continuity defects using isolated vascularized bone allotransplants.
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Plast. Reconstr. Surg. · Dec 2011
ReviewAn update on facial transplantation cases performed between 2005 and 2010.
Since 2005, 13 facial allotransplantation cases have been performed worldwide. The major indications for these facial allotransplantations were neurofibromatosis and trauma injuries, including animal bites, burns, falls, and shotgun blasts. ⋯ This report provides a useful overview of the technical aspects of face transplantation; however, the reports on long-term functional and aesthetic outcomes will help to define the future of face transplantation.
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Plast. Reconstr. Surg. · Dec 2011
Use of desmopressin for unremitting epistaxis following septorhinoplasty and turbinectomy.
Cauterization, nasal packing, and topical and/or injection of intranasal vasoconstrictors have been the mainstay of treatment for epistaxis following outpatient nasal surgery. In this study, the authors report the clinical outcomes in a cohort of patients with postoperative epistaxis managed with a single dose of intravenous desmopressin. ⋯ Unremitting postoperative epistaxis following outpatient nasal surgery can be successfully controlled by a protocol using intravenous desmopressin without the need for alternative maneuvers.
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Plast. Reconstr. Surg. · Dec 2011
Case ReportsEfficient design of split anterolateral thigh flap in extremity reconstruction.
Irregularly shaped and three-dimensional soft-tissue defects in the extremities are difficult to cover precisely and efficiently. One strategy is to use the anterolateral thigh flap with two perforators and split the flap into two subunits based on separate perforators. The subunits can be rearranged into various geometric configurations to cover defects with nonelliptical shapes. Such a strategy emphasizes harvesting an elliptical anterolateral thigh flap with a narrower width to allow for primary closure in most cases. This avoids the need for skin grafting and reduces donor-site morbidity. ⋯ Therapeutic, V.
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Plast. Reconstr. Surg. · Dec 2011
Editorial Biography Historical ArticleSo you want to be like Leonardo da Vinci or Michelangelo? Which one are you?