Journal of plastic, reconstructive & aesthetic surgery : JPRAS
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J Plast Reconstr Aesthet Surg · Feb 2020
Observational StudyEffect of neck extension on ultrasonographic optic nerve sheath diameter as a surrogate for intracranial pressure in patients undergoing palatoplasty: A prospective observational study.
Palatoplasty is performed with neck extension in patients with a cleft palate. The neck extension required for a better surgical view during palatoplasty can affect intracranial pressure. We evaluated the effect of neck extension on intracranial pressure by measuring the optic nerve sheath diameter using ultrasonography during palatoplasty. ⋯ In comparison with the optic nerve sheath diameter measured at 10 min after anesthetic induction in the supine position (T1), the mean optic nerve sheath diameters were significantly increased at 10 min after neck extension before preparing for a sterile field (T2), at the end of surgery with neck extension (T3), and at 10 min after the supine position (T4; 4.19 ± 0.26, 5.20 ± 0.29, 4.38 ± 0.36, and 4.35 ± 0.30 mm, respectively). However, hemodynamic and respiratory variables were not significantly different at all time points. We found that the optic nerve sheath diameter, an indicator of intracranial pressure, was increased during palatoplasty with neck extension, which suggests that the position may affect the intracranial pressure of patients with a cleft palate.
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J Plast Reconstr Aesthet Surg · Feb 2020
Time from submission to publication in plastic surgery journals: The story of accepted manuscripts.
Publication of research in highly regarded journals is a laborious journey that requires a considerable amount of effort and time. The objective of this article is to obtain insight into the time required for articles to be accepted and published in the top six plastic surgery journals and to study the effects of article characteristics on their publication time. ⋯ Our study highlights the time taken for publication and the differences between plastic surgery journals and study characteristics. Most journals have demonstrated a quicker turnaround time during the last 13 years. Online publication has greatly decreased the time between acceptance and in-print publication. We advocate for improving certain areas of this timeline, but this improvement should not be at the expense of review quality.
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J Plast Reconstr Aesthet Surg · Jan 2020
Letter Case ReportsThe muscle sparing latissimus dorsi (MSLD) flap for secondary breast reconstruction based on reverse flow from intercostal vessels.
The muscle-sparing latissimus dorsi (MSLD) flap is a modification by Saint Cyr of the traditional latissimus dorsi flap. While the flap is commonly based on the thoracodorsal artery pedicle, flap design based on reversed flow from the serratus branch has also been well documented. ⋯ We present three female patients we were able to use the MSLD flap for reconstruction based on reversed flow via the descending branch of the thoracodorsal artery supplied by intercostal perforators. All patients had satisfactory aesthetic outcomes with a minimum of 6 month's follow-up.
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J Plast Reconstr Aesthet Surg · Dec 2019
Comparative StudyRetrospective cohort-based comparison of intraoperative liposomal bupivacaine versus bupivacaine for donor site iliac crest analgesia during alveolar bone grafting.
Bone grafting of alveolar clefts is routinely performed with cancellous bone harvested from the iliac crest. Graft site morbidity is frequently seen, with early postoperative pain being one of the most common complaints. Liposomal bupivacaine (LB) has been demonstrated to provide improvement in postoperative pain for patients undergoing bunionectomy or hemorrhoidectomy, which may translate to patients requiring iliac crest bone graft harvest. ⋯ Reduced pain scores and increased postoperative activity highlight the potential of LB to improve postoperative pain management in children undergoing iliac crest bone harvest for alveolar bone grafting.