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ASPS Clinical Practice Guideline summary on breast reconstruction with expanders and implants

Alderman, A; Gutowski, K; Ahuja, A; Gray, D.
Plastic & Reconstructive Surgery – October 2014 – Volume 134 – Issue 4 – p 648e–655e

portada - PRS - Vol. 132; No. 2 (2013) In March of 2013, the Executive Committee of the American Society of Plastic Surgeons approved an evidence-based guideline on breast reconstruction with expanders and implants, as developed by a guideline-specific work group commissioned by the society’s Health Policy Committee. The guideline addresses ten clinical questions: patient education, immediate versus delayed reconstruction, risk factors, radiation therapy, chemotherapy, hormonal therapy, antibiotic prophylaxis, acellular dermal matrix, monitoring for cancer recurrence, and oncologic outcomes associated with implant-based reconstruction.

Publicado: . En: Artículos recomendados. #

Quality of life following total mastectomy with and without reconstruction versus breast conserving surgery for breast cancer: a case controlled cohort study

Howes, B. et als.
Journal of Plastic, Reconstructive & Aesthetic Surgery, 2016-09-01, Volúmen 69, Número 9, Pages 1184-1191

portada - JPRAS - Vol. 69; No. 9 (2016)Patient reported outcomes and quality of life following mastectomy are not well understood. This study evaluates the quality of life following surgery for breast cancer and compares outcomes following breast conserving surgery versus total mastectomy with or without reconstruction.
A case-controlled cross-sectional study was conducted using the validated BREAST-Q™ questionnaire and a study-specific questionnaire to determine patient’s views about surgical outcomes. Questionnaires were completed by patients following breast-conserving surgery and total mastectomy with or without reconstruction and by controls without breast cancer. A one-way ANOVA was used to compare mean BREAST-Q™ scores between groups and post hoc analysis using Tukey’s and Kruskal–Wallis tests.

Publicado: . En: Artículos recomendados. #

Facial transplantation

Russo, J; Genden, E.
Facial Plastic Surgery Clinics of North America, 2016-08-01, Volúmen 24, Número 3, Pages 367-377

portada - Facial Plastic Surgery Clinics of North America - Vol. 24; No. 3 (2016)Reconstruction of severe facial deformities poses a unique surgical challenge: restoring the aesthetic form and function of the face. Facial transplantation has emerged over the last decade as an option for reconstruction of these defects in carefully selected patients. As the world experience with facial transplantation grows, debate remains regarding whether such a highly technical, resource-intensive procedure is warranted, all to improve quality of life but not necessarily prolong it. This article reviews the current state of facial transplantation with focus on the current controversies and challenges, with particular attention to issues of technique, immunology, and ethics.

Publicado: . En: Artículos recomendados. #

Antibiotic use in facial plastic surgery

González-Castro, J; Lighthall, J. G.
Facial Plastic Surgery Clinics of North America, 2016-08-01, Volúmen 24, Número 3, Pages 347-356

portada - Facial Plastic Surgery Clinics of North America - Vol. 24; No. 3 (2016)Prophylactic antibiotic use in facial plastic surgery is a highly controversial topic primarily due to the lack of evidence in support of or against antibiotic use. In this section the authors present the available literature on the most commonly performed procedures within facial plastic surgery in an attempt to see if the data support or contradict the need for antibiotic prophylaxis in facial plastic surgery.

Publicado: . En: Artículos recomendados, Propuesta del editor. #

Nicolò Manuzzi (1639–1717) and the first report of the indian rhinoplasty

Sykes, P. J; Santoni-Rugiu, P; Mazzola, R.
Journal of Plastic, Reconstructive & Aesthetic Surgery, 2010-02-01, Volúmen 63, Número 2, Pages 247-250

portada - JPRAS - Vol. 63; No. 2 (2008)

The Venetian adventurer Nicolò Manuzzi composed a detailed manuscript about the Moghul Empire late in the 17th century towards the end of his life. It contained an accurate description of the Indian Rhinoplasty. Although it was returned to Europe from India early in the 18th century it was never published. Had it been disseminated amongst the surgeons of the day we can speculate that the ‘BL’ letter to the Gentleman’s Magazine in 1794 would not have been such a surgical ‘bombshell’ but more a damp squib!
This paper records Manuzzi’s story which finally came to light when his manuscript was translated into English and published in 1907. We believe that these details are not well known amongst plastic surgeons.

Publicado: . En: Historia, artes y personalidades. #

Sitio web de Cirugía Plástica y Caumatología obtiene Sello de Calidad de Infomed

CNICM - portada sitio & sello calidad Infomed   sello calidad - Infomed

LA HABANA, 31 de agosto de 2016 – Centro Nacional de Información de las Ciencias Médicas (CNICM)

El Centro Nacional de Información de Ciencias Médicas otorgó, por vez primera, el Sello de Calidad de Infomed Cuba a los mejores sitios web de la red de portales especializados. Cirugía Plástica y Caumatología obtiene dicho reconocimiento, avalado por la calidad de la información científica de los contenidos, el acceso libre de costos y su actualización sistemática. Felicitamos a los editores, especialistas y residentes, que contribuyen a su desarrollo día a día.

Comité editorial

Publicado: . En: Noticias de la Sociedad. #

Pressure ulcers and perineal reconstruction

Larson, J; Altman, A; Bentz, Michael L; Larson, D.
Plastic & Reconstructive Surgery – January 2014 – Volume 133 – Issue 1 – p 39e–48e

portada - PRS - Vol. 132; No. 2 (2013)As close as the buttocks and the perineum are anatomically, the clinical settings and the solutions to wound problems in these areas are quite different. The ubiquitous “pressure ulcer” presents more commonly as a clinical management problem than a reconstruction issue. On the other hand, the perineal defect is almost always a reconstruction challenge following tumor ablation. For these reasons, the authors have chosen to separate this Continuing Medical Education offering into two parts. The first part addresses the pressure ulcer, while the latter discusses the perineum.

Publicado: . En: Propuesta del editor. #

Population analysis of the perfect breast: a morphometric analysis

Mallucci, P; Branford, O.

Plastic & Reconstructive Surgery – September 2014 – Volume 134 – Issue 3 – p 436–447

portada - PRS - Vol. 132; No. 2 (2013)The authors previously identified key objective parameters that define the aesthetic ideal of the breast in a study of 100 models with natural breasts. In this follow-up article, the opinion of the general public on ideal breast proportions was surveyed.
One thousand three hundred fifteen respondents were asked to rank the attractiveness of images of four women with varying breast sizes. Each of the women’s breasts were morphed into four different proportions. One of the key features was the upper pole–to–lower pole percentage proportion, corresponding to ratios of 35:65, 45:55, 50:50, and 55:45. Rankings were analyzed according to population demographics. Effects of age, sex, nationality, and ethnicity were evaluated. The responses of 53 plastic surgeons were included.

Publicado: . En: Artículos recomendados. #

Gluteal augmentation with fat grafting

Toledo, L.
Clinics in Plastic Surgery, 2015-04-01, Volúmen 42, Número 2, Pages 253-261

portada - Clinics in Plastic Surgery - Vol. 42; No. 2 (2015)The author started injecting large quantities of fat in the breasts, thighs, and buttocks in 1985. The Brazilian Buttock technique was first presented in 1987; since then, the author has been writing and lecturing about it worldwide. In the past few years, the technique became very popular; it has changed the ideal of beauty in many countries. Recently, the author started using adipose-derived stem cell–based therapies for buttock augmentation to improve the results of fat graft survival.

Publicado: . En: Artículos recomendados, Propuesta del editor. #

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