Percutaneous Fasciotomies versus Traditional Keystone Flap: Evaluating Tension in Complex Wound Closure.

Background: The keystone flap is a popular reconstructive option for closure of cutaneous defects. Traditionally, this is a perforator-based fasciocutaneous advancement flap that uses both skin incision and fascial release. We propose a limited skin incision technique that utilizes percutaneous fasciotomies to accomplish wound closure.

Pre-expanded Internal Mammary Artery Perforator Flap.

Internal mammary artery (IMA)-based pedicled perforator flaps can be used to reconstruct defects of the neck and anterior chest wall. Pre-expansion causes a possible delay phenomenon, improves flap survival, and decreases donor site morbidity. It also increases the area that can be covered.

Simple computed tomography-based calculations of orbital floor fracture defect size are not sufficiently accurate for clinical use.

Purpose: The precise computed tomography-based calculation of the size of an orbital floor (OF) fracture defect is tedious and time-consuming. The aims of this study were to evaluate the accuracy of simple, rapid methods of calculating OF fracture defect size and to determine their suitability for clinical use.

Materials And Methods: A retrospective review of the electronic medical records of patients with OF fractures presenting to Baylor Scott and White Hospital between October 2009 and April 2013 was performed.

Emigrant psychoanalysts in the USA and the FBI archives.

Interest in the fate of the German psychoanalysts who had to flee Hitler's Germany and find refuge in a new nation, such as the United States, has increased. The "émigré research" shows that several themes recur: (1) the theme of "loss" of one's culture, homeland, language, and family; and (2) the ambivalent welcome these émigrés received in their new country. We describe the political-social-cultural context that existed in the United States during the 1930s, 1940s, and 1950s.