ChatGPT in Plastic and Reconstructive Surgery.

 Chat Generative Pre-Trained Transformer (ChatGPT) is a versatile large language model-based generative artificial intelligence. It is proficient in a variety of tasks from drafting emails to coding to composing music to passing medical licensing exams. While the potential role of ChatGPT in plastic surgery is promising, evidence-based research is needed to guide its implementation in practice.

Nerve wrapping for recurrent compression neuropathy: A systematic review.

Background: The recurrence of symptoms following primary nerve compression surgery can occur in up to 25% of cases. Nerve wrapping can be utilised for revision surgery. An ideal barrier should minimise the chance of fibrosis, scarring and allow for adequate nerve gliding.

Epirubicin extravasation: consequences of delayed management.

Epirubicin is an anthracycline chemotherapy agent used for treatment of several cancers including oesophageal, breast and gastric. Extravasation is a well-recognised and serious complication of any intravenous therapies but especially chemotherapeutic agents. Signs of the injury can be subtle and without prompt recognition and treatment there can be extensive tissue damage and depending on location of injury this can result in significant functional loss.

Herbal medications and plastic surgery: a hidden danger.

Herbal medicine is a multibillion-pound industry, and surveys suggest that ~10% of the UK population uses herbal supplements concurrently with prescription medications. Patients and health care practitioners are often unaware of the adverse side effects of herbal medicines. In addition, because many of these herbal supplements are available over the counter, many patients do not disclose these when listing medications to health care providers.

Modified camitz opponensplasty for severe thenar wasting secondary to carpal tunnel syndrome: case series.

The Camitz procedure is a simple tendon transfer for patients who have loss of opposition in longstanding carpal tunnel syndrome. Historically, the Camitz procedure restored abduction only. However, through modification with the use of a pulley, the ideal axis of opposition can be achieved.

Hand anomalies in Russell Silver syndrome.

Russell Silver syndrome (RSS) is a genetic disorder of unknown aetiology. The disorder is clinically and genetically heterogeneous, and various modes of inheritance and genetic abnormalities have been described. A large number of clinical features are associated with this condition.

Superiorly based facial artery musculomucosal flap for large anterior palatal fistulae in clefts.

Objective: An anterior hard palate fistula for which more than one attempt at repair using local tissue has failed is a difficult complication in cleft surgery. Prior to alveolar bone grafting, cleft patients have an open anterior maxillary arch that allows passage of a pedicled flap from cheek to hard palate. The superiorly based facial artery musculomucosal flap passed through the clefted alveolus is one of the newer techniques to solve this difficult problem.

Experience with Bio-Alcamid, a new soft tissue endoprosthesis.

Unlabelled: Bio-Alcamid (Polymekon, Italy) is a relatively new, injectable soft tissue endoprosthesis that is recommended for correcting soft tissue defects and contour deformities. It consists of 96% water and 4% synthetic polymeric polyalkylimide, and once injected becomes enclosed within a thin collagen capsule.

Materials And Method: We have treated a selected series -- 34 patients, 57 anatomical sites treated in 64 treatment sessions, with a range of 2.

Locoregional silicone spread after high cohesive gel silicone implant rupture.

A 45-year-old patient had routine cosmetic bilateral breast augmentation 6 years previously using cohesive gel implants. She presented 4 years later with a breast lump and multiple axillary lymph nodes. Exploration revealed that the breast implant had a large tear at the posterior wall of the shell with intra-capsular leakage of silicone.

Acute exacerbation of macroglossia leading to necrosis of the anterior third of the tongue.

Macroglossia is defined as an enlarged tongue that protrudes beyond the teeth or the alveolar ridge in the resting position. Macroglossia may be classified into generalised and localised based on the extent of tongue involvement. Each of these groups can be subdivided into congenital, inflammatory, traumatic, metabolic and neoplastic lesions [Myer III CM, Hotaling AJ, Reilly JS.

Sympathetic paraganglioma presenting with Horner's syndrome in a child.

Paragangliomas of the head and neck arise from collections of cells from the neural crest associated with cranial or sympathetic nerves. Such lesions are rare in children. The majority of paragangliomas in the paediatric age groups have been familial, occurring in association with an adrenal pheochromocytoma.

Role of staged endoprosthetic revision with flap cover for limb salvage in endoprosthetic failure.

Endoprosthetic replacement (EPR) is commonly required for limb salvage in bone malignancies. Endoprosthetic failure is a term used to denote mechanical failure or infection usually requiring removal of the prosthesis. Treatment of infection consists of EPR revision with or without placement of a temporary spacer.