Plastic and reconstructive surgery
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Plast. Reconstr. Surg. · Oct 2014
Nonendoscopic deactivation of nerve triggers in migraine headache patients: surgical technique and outcomes.
Low efficacy, significant side effects, and refractory patients often limit the medical treatment of migraine headache. However, new surgical options have emerged. Dr. Bahman Guyuron and others report response rates between 68 and 95 percent after surgical deactivation of migraine trigger sites in select patients. In an effort to replicate and expand migraine trigger-site deactivation surgery as a treatment option, the authors' group and others have developed nonendoscopic algorithms. The exclusion of endoscopic techniques may be useful for surgeons with little experience or limited access to the endoscope and in patients with challenging anatomy. ⋯ Therapeutic, IV.
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Plast. Reconstr. Surg. · Oct 2014
Case ReportsThe volar forearm fasciocutaneous extension: a strategy to maximize vascular outflow in post-burn injury hand transplantation.
Patients with circumferential extremity burns may have a deficiency of cutaneous veins, which presents a challenge for both autologous reconstruction and vascularized composite allotransplantation. The authors present a 44-year-old, left-hand-dominant man with metacarpal level amputation of his left hand secondary to burn injury. ⋯ The patient underwent unilateral left hand transplantation with an allograft designed to include a volar forearm fasciocutaneous extension supplied by the radial artery and including the basilic vein to permit augmented venous drainage by means of anastomosis at the antecubital fossa. The volar forearm fasciocutaneous extension can increase vessel caliber and possibly improve reliability in the setting of hand transplantation and should be considered following severe burn injury.
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Plast. Reconstr. Surg. · Sep 2014
Utility of screening for obstructive sleep apnea syndrome in children with craniofacial disorders.
Children with craniofacial disorders are at increased risk for obstructive sleep apnea syndrome. Methods for diagnosing obstructive sleep apnea syndrome in this population remain controversial. Sleep studies are the criterion standard but are impractical for all patients. The utility of obstructive sleep apnea syndrome questionnaires such as the Pediatric Sleep Questionnaire is unknown in children with craniofacial disorders. The authors hypothesized that the Pediatric Sleep Questionnaire would be a sensitive tool for detecting obstructive sleep apnea syndrome in children with craniofacial abnormalities. ⋯ Diagnostic, II.
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Plast. Reconstr. Surg. · Sep 2014
Influence of training institution on academic affiliation and productivity among plastic surgery faculty in the United States.
Educational processes that encourage a career in academic plastic surgery remain unclear. The authors' study aim was to examine the impact of training institution on the pursuit of a career in academic plastic surgery. ⋯ Identification of educational processes that encourage a career in academic practice may improve resident mentorship and resident interest in academic plastic surgery.