Introduction: In reconstruction of post-traumatic craniofacial defects Palacos R-40 is mostly used by neurosurgeons and by maxillofacial surgeons after tumor removal with consequently noticeable irregularities on the shape of the cranial region and face. We harvested customized adipodermal (AD) graft in low inguinal region and use it as an inlay autologous graft for surface irregularities correction with a 100% survival and without noticeable reduction of the graft volume.
Material And Methods: Between 2009 and 2015, an adipodermal gaft was used in 5 cases of craniofacial post-traumatic defects, 3 of which were due to Palacos R-40 cranial reconstruction and 2 connected to maxillofacial tumor removal and post-traumatic reconstruction.
Results: There were no complications and a satisfactory aesthetic result was achieved in all cases.
Conclusion: The inguinal inlay autologous AD graft is, due to our best knowledge, an original single-stage procedure for those typical cranial grove-like defects correction. It gives a wide option of different shapes with relatively easy to proceed and predictable result.
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http://dx.doi.org/10.5455/medarh.2016.70.217-218 | DOI Listing |
J Clin Med
August 2024
Department of Plastic, Reconstructive and Aesthetic Surgery, Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale (EOC), 6900 Lugano, Switzerland.
Surgical dissection and partial detachment of the temporalis muscle during neurosurgical procedures might result in a temporal depression known as "temporal hollowing". Reconstructive procedures to correct this condition include the implantation of synthetic materials (e.g.
View Article and Find Full Text PDFObjective: To describe our surgical technique and outcomes of glans augmentation with autologous adipodermal or acellular dermal matrix (ADM) interposition grafts for fat atrophy of the neophallus following penile implant insertion.
Methods: We retrospectively reviewed the outcomes of glans augmentation in phalloplasty patients presenting with fat atrophy following penile prosthesis insertion. Glans augmentation is performed by making a small posterior coronal incision to preserve the shaft-to-glans dermal blood supply.
Gland Surg
May 2022
Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, DC, USA.
Background: Nearly 80% of women who undergo post-mastectomy reconstruction opt for implant-based reconstruction. Preservation of the nipple-areolar complex (NAC) in nipple-sparing mastectomy (NSM) significantly improves patient satisfaction; however in women with macromastia or breast ptosis, NAC preservation carries an increased risk of nipple ischemia. Traditional options have included free nipple grafts or a staged reconstruction, however in patients with aggressive or multifocal breast cancer, this is not feasible due to the need for timely oncologic resection.
View Article and Find Full Text PDFPlast Reconstr Surg
May 2021
From McGill University and the Division of Surgical Oncology, Jewish General Hospital.
Background: Prepectoral breast reconstruction is being increasingly popularized, largely because of technical advances. Patients with ptotic breasts and active cancer require mastectomies through a mastopexy excision pattern to achieve proper pocket control in a prepectoral single-stage operation. This article presents a single-surgeon experience with direct-to-implant, prepectoral reconstruction following skin-reducing mastectomies.
View Article and Find Full Text PDFPlast Reconstr Surg
May 2020
From Mosharrafa Plastic Surgery and the Comprehensive Breast Care Center of Arizona.
Background: Direct-to-implant breast reconstruction continues to grow in popularity among reconstructive breast surgeons and patients alike. Women with large breasts and ptosis are often thought not to be candidates for nipple sparing or direct-to-implant reconstruction. The authors utilized a single-stage, nipple-sparing, direct-to-implant reconstruction with simultaneous mastopexy, while the nipple-areolar complex was kept viable on an inferiorly based adipodermal flap in a single stage.
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