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Showing 1201 - 1400 of 2336 Journals sorted alphabetically
J. of Community Genetics     Hybrid Journal   (Followers: 1, SJR: 0.727, h-index: 14)
J. of Community Health     Hybrid Journal   (Followers: 8, SJR: 0.921, h-index: 44)
J. of Comparative Physiology A: Neuroethology, Sensory, Neural, and Behavioral Physiology     Hybrid Journal   (Followers: 7, SJR: 1.087, h-index: 74)
J. of Comparative Physiology B : Biochemical, Systemic, and Environmental Physiology     Hybrid Journal   (Followers: 4, SJR: 1.126, h-index: 59)
J. of Compassionate Health Care     Open Access   (Followers: 1)
J. of Computational Analysis and Applications     Hybrid Journal   (SJR: 0.291, h-index: 19)
J. of Computational Electronics     Hybrid Journal   (Followers: 4, SJR: 0.511, h-index: 20)
J. of Computational Neuroscience     Hybrid Journal   (Followers: 20, SJR: 1.068, h-index: 60)
J. of Computer and Systems Sciences Intl.     Hybrid Journal   (SJR: 0.27, h-index: 13)
J. of Computer Science and Technology     Open Access   (Followers: 5, SJR: 0.437, h-index: 31)
J. of Computer Virology and Hacking Techniques     Hybrid Journal   (Followers: 7, SJR: 0.151, h-index: 2)
J. of Computer-Aided Molecular Design     Hybrid Journal   (Followers: 3, SJR: 0.995, h-index: 78)
J. of Computers in Education     Hybrid Journal   (Followers: 8)
J. of Computing in Higher Education     Hybrid Journal   (Followers: 13, SJR: 0.363, h-index: 21)
J. of Consumer Policy     Hybrid Journal   (Followers: 5, SJR: 0.704, h-index: 30)
J. of Contemporary Mathematical Analysis     Hybrid Journal   (SJR: 0.237, h-index: 5)
J. of Contemporary Physics (Armenian Academy of Sciences)     Hybrid Journal   (Followers: 11, SJR: 0.197, h-index: 6)
J. of Contemporary Psychotherapy     Hybrid Journal   (Followers: 5, SJR: 0.397, h-index: 23)
J. of Control Theory and Applications     Hybrid Journal   (Followers: 2, SJR: 0.359, h-index: 19)
J. of Control, Automation and Electrical Systems     Hybrid Journal   (Followers: 7, SJR: 0.231, h-index: 9)
J. of Crop Science and Biotechnology     Hybrid Journal   (Followers: 7)
J. of Cross-Cultural Gerontology     Hybrid Journal   (Followers: 5, SJR: 0.631, h-index: 29)
J. of Cryptographic Engineering     Partially Free   (Followers: 5, SJR: 0.989, h-index: 11)
J. of Cryptology     Hybrid Journal   (Followers: 2, SJR: 1.443, h-index: 55)
J. of Cultural Economics     Hybrid Journal   (Followers: 3, SJR: 0.539, h-index: 29)
J. of Database Marketing & Customer Strategy Management     Hybrid Journal   (Followers: 8, SJR: 0.149, h-index: 8)
J. of Derivatives & Hedge Funds     Hybrid Journal   (Followers: 7, SJR: 0.114, h-index: 5)
J. of Developmental and Physical Disabilities     Hybrid Journal   (Followers: 8, SJR: 0.574, h-index: 29)
J. of Digital Imaging     Hybrid Journal   (Followers: 9, SJR: 0.578, h-index: 35)
J. of Direct Data and Digital Marketing Practice     Hybrid Journal   (Followers: 8, SJR: 0.154, h-index: 6)
J. of Dynamical and Control Systems     Hybrid Journal   (Followers: 2, SJR: 0.4, h-index: 26)
J. of Dynamics and Differential Equations     Hybrid Journal   (SJR: 1.418, h-index: 31)
J. of Earth Science     Hybrid Journal   (Followers: 8, SJR: 0.483, h-index: 16)
J. of Earth System Science     Open Access   (Followers: 43, SJR: 0.448, h-index: 32)
J. of East Asian Linguistics     Hybrid Journal   (Followers: 5, SJR: 0.537, h-index: 20)
J. of Echocardiography     Hybrid Journal   (Followers: 4, SJR: 0.22, h-index: 3)
J. of Economic Growth     Hybrid Journal   (Followers: 23, SJR: 3.273, h-index: 63)
J. of Economic Interaction and Coordination     Hybrid Journal   (SJR: 0.263, h-index: 12)
J. of Economics     Hybrid Journal   (Followers: 10, SJR: 0.418, h-index: 23)
J. of Economics and Finance     Hybrid Journal   (Followers: 6, SJR: 0.272, h-index: 19)
J. of Educational Change     Hybrid Journal   (Followers: 7, SJR: 0.961, h-index: 21)
J. of Elasticity     Hybrid Journal   (Followers: 5, SJR: 0.851, h-index: 45)
J. of Electroceramics     Hybrid Journal   (SJR: 0.577, h-index: 57)
J. of Electronic Materials     Hybrid Journal   (Followers: 3, SJR: 0.609, h-index: 75)
J. of Electronic Testing     Hybrid Journal   (Followers: 2, SJR: 0.372, h-index: 27)
J. of Electronics (China)     Hybrid Journal   (Followers: 4, SJR: 0.112, h-index: 9)
J. of Elementary Science Education     Hybrid Journal   (Followers: 8)
J. of Engineering Mathematics     Hybrid Journal   (SJR: 0.347, h-index: 37)
J. of Engineering Physics and Thermophysics     Hybrid Journal   (Followers: 1, SJR: 0.288, h-index: 11)
J. of Engineering Research     Open Access   (SJR: 0.145, h-index: 5)
J. of Engineering Thermophysics     Hybrid Journal   (Followers: 2, SJR: 0.763, h-index: 9)
J. of Environmental Studies and Sciences     Partially Free   (Followers: 2)
J. of Ethology     Hybrid Journal   (Followers: 2, SJR: 0.609, h-index: 25)
J. of Evolution Equations     Hybrid Journal   (SJR: 0.826, h-index: 26)
J. of Evolutionary Biochemistry and Physiology     Hybrid Journal   (SJR: 0.145, h-index: 11)
J. of Evolutionary Economics     Hybrid Journal   (Followers: 8, SJR: 0.492, h-index: 52)
J. of Experimental and Theoretical Physics     Hybrid Journal   (Followers: 3, SJR: 0.458, h-index: 39)
J. of Experimental Criminology     Hybrid Journal   (Followers: 40, SJR: 1.445, h-index: 28)
J. of Failure Analysis and Prevention     Hybrid Journal   (Followers: 5, SJR: 0.261, h-index: 15)
J. of Family and Economic Issues     Hybrid Journal   (Followers: 6, SJR: 0.396, h-index: 32)
J. of Family Violence     Hybrid Journal   (Followers: 31, SJR: 0.639, h-index: 56)
J. of Financial Services Marketing     Hybrid Journal   (Followers: 3, SJR: 0.273, h-index: 10)
J. of Financial Services Research     Hybrid Journal   (Followers: 16, SJR: 0.572, h-index: 36)
J. of Fixed Point Theory and Applications     Hybrid Journal   (SJR: 0.644, h-index: 13)
J. of Fluorescence     Hybrid Journal   (Followers: 3, SJR: 0.465, h-index: 56)
J. of Food Measurement and Characterization     Hybrid Journal   (SJR: 0.307, h-index: 4)
J. of Food Science and Technology     Hybrid Journal   (Followers: 5, SJR: 0.441, h-index: 29)
J. of Forest Research     Hybrid Journal   (Followers: 3, SJR: 0.495, h-index: 27)
J. of Forestry Research     Hybrid Journal   (Followers: 6, SJR: 0.304, h-index: 14)
J. of Fourier Analysis and Applications     Hybrid Journal   (Followers: 1, SJR: 1.18, h-index: 42)
J. of Friction and Wear     Hybrid Journal   (Followers: 6, SJR: 0.373, h-index: 7)
J. of Fusion Energy     Hybrid Journal   (Followers: 3, SJR: 0.387, h-index: 19)
J. of Gambling Studies     Hybrid Journal   (Followers: 4, SJR: 1.171, h-index: 57)
J. of Gastroenterology     Hybrid Journal   (Followers: 11, SJR: 1.651, h-index: 88)
J. of Gastrointestinal Cancer     Hybrid Journal   (Followers: 3, SJR: 0.304, h-index: 39)
J. of Gastrointestinal Surgery     Hybrid Journal   (Followers: 5, SJR: 1.64, h-index: 99)
J. of General Internal Medicine     Hybrid Journal   (Followers: 13, SJR: 1.804, h-index: 134)
J. of General Plant Pathology     Hybrid Journal   (SJR: 0.554, h-index: 22)
J. of Genetic Counseling     Hybrid Journal   (Followers: 5, SJR: 0.902, h-index: 39)
J. of Genetics     Open Access   (Followers: 4, SJR: 0.458, h-index: 28)
J. of Geodesy     Hybrid Journal   (Followers: 8, SJR: 2.173, h-index: 56)
J. of Geographical Sciences     Hybrid Journal   (Followers: 1, SJR: 0.8, h-index: 23)
J. of Geographical Systems     Hybrid Journal   (Followers: 3, SJR: 0.822, h-index: 39)
J. of Geometric Analysis     Hybrid Journal   (SJR: 1.491, h-index: 27)
J. of Geometry     Hybrid Journal   (Followers: 1, SJR: 0.272, h-index: 15)
J. of Global Optimization     Hybrid Journal   (Followers: 4, SJR: 0.992, h-index: 60)
J. of Global Policy and Governance     Hybrid Journal   (Followers: 8)
J. of Grid Computing     Hybrid Journal   (SJR: 1.414, h-index: 37)
J. of Hand and Microsurgery     Hybrid Journal   (Followers: 1)
J. of Happiness Studies     Hybrid Journal   (Followers: 17, SJR: 0.881, h-index: 39)
J. of Hematopathology     Hybrid Journal   (Followers: 4, SJR: 0.2, h-index: 13)
J. of Heuristics     Hybrid Journal   (Followers: 5, SJR: 1.308, h-index: 50)
J. of High Energy Physics     Hybrid Journal   (Followers: 19, SJR: 1.052, h-index: 153)
J. of Homotopy and Related Structures     Hybrid Journal   (SJR: 0.232, h-index: 2)
J. of Housing and the Built Environment     Hybrid Journal   (Followers: 6, SJR: 0.648, h-index: 28)
J. of Huazhong University of Science and Technology [Medical Sciences]     Hybrid Journal   (SJR: 0.344, h-index: 19)
J. of Ichthyology     Hybrid Journal   (Followers: 3, SJR: 0.304, h-index: 10)
J. of Immigrant and Minority Health     Hybrid Journal   (Followers: 10, SJR: 0.759, h-index: 37)
J. of Inclusion Phenomena and Macrocyclic Chemistry     Hybrid Journal   (Followers: 1, SJR: 0.331, h-index: 46)
J. of Indian Philosophy     Hybrid Journal   (Followers: 11, SJR: 0.127, h-index: 12)
J. of Indian Prosthodontic Society     Open Access   (SJR: 0.164, h-index: 7)
J. of Industrial Microbiology and Biotechnology     Hybrid Journal   (Followers: 14, SJR: 0.966, h-index: 80)
J. of Industry, Competition and Trade     Hybrid Journal   (Followers: 6, SJR: 0.327, h-index: 15)
J. of Infection and Chemotherapy     Hybrid Journal   (Followers: 1, SJR: 0.673, h-index: 46)
J. of Information Technology     Hybrid Journal   (Followers: 50, SJR: 1.474, h-index: 55)
J. of Information Technology Teaching Cases     Hybrid Journal   (Followers: 8)
J. of Infrared, Millimeter and Terahertz Waves     Hybrid Journal   (Followers: 2, SJR: 1.25, h-index: 36)
J. of Inherited Metabolic Disease     Hybrid Journal   (Followers: 2, SJR: 1.389, h-index: 77)
J. of Inorganic and Organometallic Polymers and Materials     Partially Free   (Followers: 8, SJR: 0.338, h-index: 33)
J. of Insect Behavior     Hybrid Journal   (Followers: 9, SJR: 0.569, h-index: 39)
J. of Insect Conservation     Hybrid Journal   (Followers: 10, SJR: 0.872, h-index: 43)
J. of Intelligent and Robotic Systems     Hybrid Journal   (Followers: 2, SJR: 0.629, h-index: 43)
J. of Intelligent Information Systems     Hybrid Journal   (Followers: 1, SJR: 0.691, h-index: 43)
J. of Intelligent Manufacturing     Hybrid Journal   (Followers: 4, SJR: 1.397, h-index: 54)
J. of Interventional Cardiac Electrophysiology     Hybrid Journal   (SJR: 0.93, h-index: 43)
J. of Intl. Business Studies     Hybrid Journal   (Followers: 28, SJR: 4.208, h-index: 130)
J. of Intl. Entrepreneurship     Hybrid Journal   (Followers: 9, SJR: 0.549, h-index: 23)
J. of Intl. Migration and Integration / Revue de l integration et de la migration internationale     Hybrid Journal   (Followers: 12, SJR: 0.308, h-index: 13)
J. of Intl. Relations and Development     Hybrid Journal   (Followers: 20, SJR: 0.793, h-index: 22)
J. of Labor Research     Hybrid Journal   (Followers: 17, SJR: 0.394, h-index: 27)
J. of Logic, Language and Information     Hybrid Journal   (Followers: 7, SJR: 0.288, h-index: 25)
J. of Low Temperature Physics     Hybrid Journal   (Followers: 2, SJR: 0.531, h-index: 52)
J. of Machinery Manufacture and Reliability     Hybrid Journal   (Followers: 2, SJR: 0.203, h-index: 7)
J. of Mammalian Evolution     Hybrid Journal   (Followers: 5, SJR: 1.134, h-index: 37)
J. of Mammary Gland Biology and Neoplasia     Hybrid Journal   (Followers: 1, SJR: 2.252, h-index: 83)
J. of Management and Governance     Hybrid Journal   (Followers: 12, SJR: 0.805, h-index: 33)
J. of Management Control     Hybrid Journal   (Followers: 4, SJR: 0.605, h-index: 6)
J. of Marine Science and Application     Hybrid Journal   (Followers: 3, SJR: 0.439, h-index: 11)
J. of Marine Science and Technology     Hybrid Journal   (Followers: 3, SJR: 0.235, h-index: 19)
J. of Maritime Archaeology     Hybrid Journal   (Followers: 21, SJR: 0.228, h-index: 8)
J. of Market-Focused Management     Hybrid Journal   (Followers: 2)
J. of Marketing Analytics     Hybrid Journal   (Followers: 3)
J. of Material Cycles and Waste Management     Hybrid Journal   (Followers: 3, SJR: 0.449, h-index: 22)
J. of Materials Engineering and Performance     Hybrid Journal   (Followers: 22, SJR: 0.544, h-index: 40)
J. of Materials Science     Hybrid Journal   (Followers: 19, SJR: 0.836, h-index: 123)
J. of Materials Science : Materials in Electronics     Hybrid Journal   (Followers: 3)
J. of Materials Science : Materials in Medicine     Hybrid Journal   (Followers: 5)
J. of Mathematical Biology     Hybrid Journal   (Followers: 12, SJR: 1.011, h-index: 71)
J. of Mathematical Chemistry     Hybrid Journal   (Followers: 5, SJR: 0.497, h-index: 45)
J. of Mathematical Fluid Mechanics     Hybrid Journal   (Followers: 6, SJR: 1.22, h-index: 22)
J. of Mathematical Imaging and Vision     Hybrid Journal   (Followers: 3, SJR: 0.901, h-index: 53)
J. of Mathematical Modelling and Algorithms     Hybrid Journal   (Followers: 2, SJR: 0.414, h-index: 23)
J. of Mathematical Sciences     Hybrid Journal   (SJR: 0.272, h-index: 23)
J. of Mathematics Teacher Education     Hybrid Journal   (Followers: 13, SJR: 1.062, h-index: 20)
J. of Maxillofacial and Oral Surgery     Hybrid Journal   (Followers: 1)
J. of Mechanical Science and Technology     Hybrid Journal   (Followers: 5, SJR: 0.589, h-index: 26)
J. of Medical and Biological Engineering     Hybrid Journal   (Followers: 1, SJR: 0.387, h-index: 18)
J. of Medical Humanities     Hybrid Journal   (Followers: 20, SJR: 0.299, h-index: 18)
J. of Medical Systems     Hybrid Journal   (Followers: 1, SJR: 0.717, h-index: 44)
J. of Medical Toxicology     Hybrid Journal   (Followers: 4, SJR: 0.874, h-index: 28)
J. of Medical Ultrasonics     Hybrid Journal   (Followers: 2, SJR: 0.18, h-index: 13)
J. of Medicine and the Person     Hybrid Journal  
J. of Membrane Biology     Hybrid Journal   (Followers: 1, SJR: 0.738, h-index: 82)
J. of Micro-Bio Robotics     Hybrid Journal   (SJR: 0.28, h-index: 3)
J. of Microbiology     Hybrid Journal   (Followers: 7, SJR: 0.741, h-index: 43)
J. of Mining Science     Hybrid Journal   (Followers: 5, SJR: 0.317, h-index: 16)
J. of Molecular Evolution     Hybrid Journal   (Followers: 9, SJR: 0.952, h-index: 108)
J. of Molecular Histology     Hybrid Journal   (Followers: 2, SJR: 0.755, h-index: 48)
J. of Molecular Medicine     Hybrid Journal   (Followers: 15, SJR: 2.165, h-index: 113)
J. of Molecular Modeling     Hybrid Journal   (Followers: 4, SJR: 0.466, h-index: 50)
J. of Molecular Neuroscience     Partially Free   (Followers: 10, SJR: 0.988, h-index: 69)
J. of Mountain Science     Hybrid Journal   (Followers: 3, SJR: 0.418, h-index: 15)
J. of Muscle Research and Cell Motility     Hybrid Journal   (Followers: 1, SJR: 1.264, h-index: 55)
J. of Nanoparticle Research     Hybrid Journal   (Followers: 4, SJR: 0.583, h-index: 84)
J. of Natural Medicines     Hybrid Journal   (SJR: 0.602, h-index: 28)
J. of Near-Death Studies     Hybrid Journal   (Followers: 2)
J. of Nephrology     Hybrid Journal   (Followers: 5, SJR: 0.689, h-index: 55)
J. of Network and Systems Management     Hybrid Journal   (SJR: 0.466, h-index: 26)
J. of Neural Transmission     Hybrid Journal   (Followers: 2, SJR: 1.034, h-index: 86)
J. of Neuro-Oncology     Hybrid Journal   (Followers: 4, SJR: 1.274, h-index: 90)
J. of Neuroimmune Pharmacology     Hybrid Journal   (Followers: 1, SJR: 1.662, h-index: 45)
J. of Neurology     Hybrid Journal   (Followers: 13, SJR: 1.429, h-index: 105)
J. of NeuroVirology     Hybrid Journal   (Followers: 1, SJR: 0.979, h-index: 69)
J. of Nondestructive Evaluation     Hybrid Journal   (Followers: 9, SJR: 0.863, h-index: 27)
J. of Nonlinear Science     Hybrid Journal   (Followers: 1, SJR: 1.887, h-index: 42)
J. of Nonverbal Behavior     Hybrid Journal   (Followers: 4, SJR: 0.723, h-index: 47)
J. of Nuclear Cardiology     Hybrid Journal   (SJR: 1.024, h-index: 68)
J. of Nutrition, Health and Aging     Hybrid Journal   (Followers: 19, SJR: 0.919, h-index: 60)
J. of Obstetrics and Gynecology of India     Hybrid Journal   (Followers: 6, SJR: 0.214, h-index: 6)
J. of Occupational Rehabilitation     Hybrid Journal   (Followers: 15, SJR: 0.811, h-index: 51)
J. of Ocean Engineering and Marine Energy     Hybrid Journal   (Followers: 1)
J. of Ocean University of China (English Edition)     Hybrid Journal   (Followers: 1, SJR: 0.237, h-index: 11)
J. of Oceanography     Hybrid Journal   (Followers: 9, SJR: 0.796, h-index: 52)
J. of Ocular Biology, Diseases, and Informatics     Hybrid Journal   (SJR: 0.183, h-index: 11)
J. of Optical and Fiber Communications Reports     Hybrid Journal   (Followers: 3)
J. of Optics     Hybrid Journal   (Followers: 8, SJR: 0.214, h-index: 8)
J. of Optimization Theory and Applications     Hybrid Journal   (Followers: 3, SJR: 0.898, h-index: 65)
J. of Ornithology     Hybrid Journal   (Followers: 21)
J. of Orofacial Orthopedics / Fortschritte der Kieferorthopädie     Hybrid Journal   (SJR: 0.574, h-index: 33)
J. of Orthopaedic Science     Hybrid Journal   (Followers: 5, SJR: 0.708, h-index: 48)
J. of Paleolimnology     Hybrid Journal   (Followers: 5, SJR: 0.984, h-index: 64)
J. of Parasitic Diseases     Hybrid Journal   (Followers: 2, SJR: 0.298, h-index: 9)
J. of Pediatric Neuropsychology     Hybrid Journal   (Followers: 3)
J. of Pest Science     Hybrid Journal   (Followers: 2, SJR: 1.341, h-index: 28)
J. of Pharmaceutical Health Care and Sciences     Open Access  
J. of Pharmaceutical Innovation     Hybrid Journal   (Followers: 8, SJR: 0.524, h-index: 17)
J. of Pharmaceutical Investigation     Hybrid Journal   (Followers: 1, SJR: 0.331, h-index: 6)
J. of Pharmacokinetics and Pharmacodynamics     Hybrid Journal   (Followers: 18, SJR: 0.708, h-index: 46)
J. of Phase Equilibria and Diffusion     Hybrid Journal   (Followers: 18, SJR: 0.433, h-index: 36)
J. of Philosophical Logic     Hybrid Journal   (Followers: 8, SJR: 0.704, h-index: 26)

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Journal Cover European Journal of Plastic Surgery
  [SJR: 0.203]   [H-I: 16]   [7 followers]  Follow
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 1435-0130 - ISSN (Online) 0930-343X
   Published by Springer-Verlag Homepage  [2336 journals]
  • Multilayer costal grafts to prevent cartilage deformation: an experimental
    • Authors: Giovanni Ravasio; Riccardo Gazzola; Giuseppe Cottone; Luciano Lanfranchi; Franz Wilhelm Baruffaldi Preis
      Pages: 401 - 408
      Abstract: Background Cartilage grafting is a common procedure in nasal reconstruction or dorsal augmentation. Costal cartilage is usually preferred to conchal or septal cartilage when a larger amount of graft is required, although this cartilage type is often complicated by postoperative warping. To overcome this complication, we suggest the use of multilayer costal grafts. This study aims to compare single-layer and multilayer costal grafts concerning angle of warpage, cartilage viability, and architectural changes in the animal model. Methods Twelve costal grafts were harvested from a fresh Landrace pig cadaver; six were shaped in single-layer grafts and six into a multilayer structure, both having the same thickness. These grafts were implanted in subcutaneous dorsal skin pockets of six athymic nude rats. After 8 weeks, the animals were euthanized and the grafts removed. Pictures of the cartilages were acquired. The samples were processed and stained for histological (hematoxylin and eosin, Alcian blue, Von Kossa, Masson-Goldner trichrome, and Verhoeff/Van Gieson stains) and immunohistochemical (GFAP) analyses. Results A higher grade of deformation was observed in the single-layer group compared to the multilayer one (5.2° vs 0.3°). Multilayer cartilage showed significantly higher chondrocyte density (70.4 vs 44.9 cells per field at 40×) and the lowest loss of nuclei in chondrocyte lacunae percentage (0.03 vs 3.2 %). Single-layer grafts also showed sporadic inflammatory cell infiltration, not found in multilayer ones. Conclusions Multilayer grafts showed a decreased degree of warping as well as an increased viability and should be considered as a valuable alternative in nasal reconstruction. Level of evidence: Not ratable
      PubDate: 2016-12-01
      DOI: 10.1007/s00238-016-1224-4
      Issue No: Vol. 39, No. 6 (2016)
  • Nose clefts: own experience of treatment with different types of
           congenital nasal anomalies
    • Authors: Marta Fijałkowska; Bogusław Antoszewski
      Pages: 409 - 414
      Abstract: Background Nose cleft is a rare congenital malformation. According to the Tessier classification, it can appear as a part of craniofacial cleft numbers 0, 1, 2, or 3. However, it can also be observed as an isolated nose cleft. The aim of this study was to present our experience in the treatment of isolated cleft nasal deformity. Methods A retrospective study of all patients with isolated nose cleft treated at our clinic between years 1995 and 2015 was undertaken. The collected data included age, sex, type of cleft, coexisting malformations, and methods of treatment. Results Over a period of 20 years, 28 patients with isolated cleft nasal deformity (11 males and 17 females)were treated. In the examined group, there were 21 patients with median nose cleft and seven with cleft of the ala nasi. Patients from the median nose cleft group were operated on in two or three stages. In the first stage, a procedure involving soft tissue and nose cartilage was performed, while in the second phase, rhinoplasty with osteotomy was performed. One patient had his treatment accomplished in three stages. Patients from the ala nasi cleft group underwent procedures performed with methods of local plasty or flap rotation. Conclusions Nose clefts are characterized by a variable clinical picture (midline cleft vs ala nasi cleft and total cleft vs partial cleft). The nose cleft is not always a part of craniofacial clefts as isolated forms of such malformations can also occur. This type of congenital anomaly requires always an individual treatment plan. Level of Evidence: Level IV, therapeutic study.
      PubDate: 2016-12-01
      DOI: 10.1007/s00238-016-1220-8
      Issue No: Vol. 39, No. 6 (2016)
  • Forehead lipoma excision: a comparative study of open versus endoscopic
    • Authors: Hui Wen Ng; Yew Ming Samuel Ho; Siyun Michelle Ho; Sze-Wei Matthew Yeo; Thien Chong Marcus Wong
      Pages: 415 - 420
      Abstract: Background Endoscopic excision of forehead lipoma is increasingly utilized for its inconspicuous scarring, good intraoperative visualization and low complication rates. Currently, studies comparing outcomes from endoscopic and open excision of forehead lipomas are lacking. This retrospective study compares the surgical outcomes of the two techniques. Methods The authors retrospectively reviewed medical records of all patients who had undergone forehead lipoma excision at a single institution between 2010 and 2015. Data collected included patient demographics, lesion size, mean operative time and postoperative complications. A comparison was made between the two groups of patients. Results Sixty-two patients underwent excision of their forehead lipoma (38 endoscopic and 24 open excisions). Patient groups were similar in terms of sex ratios, size of lesion, choice of anaesthesia, mean operative time and duration of follow-up. Swelling beyond 1 week in the endoscopic group was 1/38 (2.6 %) compared to 4/24 (16.7 %) in the open excision group (p = 0.07). Postoperative scalp numbness in the endoscopic group was 2/38 (5.2 %) versus 2/24 (8.3 %) in the open excision group (p = 0.64). Incidence of haematoma in the endoscopic group was 1/38 (2.6 %) compared to 2/24 (4.2 %) in the open excision group (p = 1). All 38 patients in the endoscopic group were satisfied with their scars compared with 4/24 (16.7 %) in the open excision group who reported dissatisfaction (p = 0.02). Conclusions Complication rates of both surgical techniques are similar. Given that the endoscopic technique results in cosmetically superior outcomes, with no increase in morbidity, the authors recommend the use of endoscopic technique for forehead lipoma excision. Level of Evidence: Level III, therapeutic study.
      PubDate: 2016-12-01
      DOI: 10.1007/s00238-016-1225-3
      Issue No: Vol. 39, No. 6 (2016)
  • Influence of postoperative vasoactive agent administration on free flap
    • Authors: Dimitra Kotsougiani; Cornelia M. Banz; Caroline A. Hundepool; Thomas Kremer; Ulrich Kneser; Marcus Lehnhardt; Leila Harhaus
      Pages: 421 - 428
      Abstract: Background The use of vasoactive agents (VAs) in free flap reconstruction remains controversial due to the potential risk of free flap failure. Most of the existing literature has focussed on intraoperatively administered VAs in free flap procedures. However, hypotension frequently requires VA support, both intraoperatively and in the first postoperative days. The objective of this study was to analyse the influence of postoperatively administered VAs on thromboembolic complications. Methods A retrospective study was performed including all patients undergoing free flap reconstruction between February 2010 and June 2012. Logistic regression analysis identified predictors for postoperative VA administration and whether its use was a prognostic risk factor for the outcome parameters of revision surgery or free flap loss due to vascular compromise of the venous or arterial anastomosis. Results A total of 209 free flap procedures were performed, with an overall survival rate of 94.3 %. In 19.7 % of the free flap procedures performed, postoperative VA administration was noted. Predictors for postoperative VA administration were intraoperative VAs, age ≥50, ASA ≥3, hypertension and peripheral vascular disease. Postoperative VA administration was found to be a significant risk factor for the outcome parameter of revision surgery, particularly in the perforator free flaps used for lower extremity reconstruction. However, there was no significant correlation between the postoperative use of VAs and free flap loss. Conclusions We have demonstrated an association between postoperative VA administration and an increased revision rate in free flaps. Appropriate flap selection, close free flap monitoring and optimally adjusted anticoagulation therapy are recommended in patients receiving VA support during the early postoperative free flap period. Level of Evidence: Level III, risk/prognostic study.
      PubDate: 2016-12-01
      DOI: 10.1007/s00238-016-1223-5
      Issue No: Vol. 39, No. 6 (2016)
  • Three-dimensional soft tissue analysis of the hand: a novel method to
           investigate effects of acromegaly
    • Authors: Inge A. Hoevenaren; M. A. E. M. Wagenmakers; S. H. P. P. Roerink; R. T. Netea-Maier; D. J. O. Ulrich; Thomas J. J. Maal
      Pages: 429 - 434
      Abstract: Background Acral overgrowth is a highly common clinical sign in patients with active acromegaly. To what extent this overgrowth persists after long-term remission of acromegaly is largely unknown. Using the new imaging technique of three-dimensional (3D) stereophotogrammetry, it is possible to accurately investigate soft tissue changes of the hand. The aim of the recent study was to compare the 3D soft tissue characteristics of the hands of patients in long-term remission of acromegaly to those of a healthy pair matched control group. Methods A case-control study was performed at a tertiary referral center. Twelve patients in remission of acromegaly (58 % male, mean age 58.3 years, mean BMI 29.6 kg/m2) were compared to twelve age-, gender-, ethnicity-, and BMI-matched control subjects. Of each individual, 3D photographs of both hands were acquired and analyzed using a 3D computer software program. Results The patients in long-term remission of acromegaly have overgrowth of soft tissue of the hand compared to matched control subjects, with a larger length and width of the hand (p = 0.0025, p = 0.0017, respectively). Furthermore, the diameters measured at the proximal interphalangeal (PIP) joints of the individual fingers are larger in the acromegaly patients. Conclusions Significant soft tissue overgrowth of the hand persists in former acromegaly patients, even after long-term remission. Analysis of 3D hand photographs is an accurate and easy tool to evaluate the acral soft tissue patterns in acromegaly. Level of Evidence: Level III, diagnostic study.
      PubDate: 2016-12-01
      DOI: 10.1007/s00238-016-1217-3
      Issue No: Vol. 39, No. 6 (2016)
  • Versatility of lateral arm flap for hand reconstruction—a clinical
    • Authors: Qutaibah Al-Kandari; Abeer Kalandar; Hisham Burezq
      Pages: 435 - 440
      Abstract: Background The lateral arm free flap (LAFF) has several advantages in hand reconstruction due to multiple factors. We aimed to show the versatility of LAFF in treating hand defects. Methods A retrospective analysis of all LAAF for hand reconstruction carried out at our institutions between August 2006 and August 2012 was undertaken. Clinical records were reviewed with respect to patients’ age and gender, size and location of defect, type and size of flaps, and complications. Results Twenty-four hand defects were reconstructed using LAFF. These included 15 cutaneous flaps, 8 fascial flaps, and 1 osteocutaneous flap. All flaps survived well except for one case that developed arterial insufficiency and required anastomotic revision. Primary closure of the donor site was possible in all patients. No complications occurred during the healing procedure. Conclusions The free lateral arm flap is a versatile and reliable option for defect coverage at the hand for small- and medium-size defects. It can be raised as a cutaneous, fascial, or osteocutaneous flap. Several advantages favor the use of lateral arm flap in hand reconstruction. These include preservation of major arm blood vessels, its constant vascular anatomy, long pedicle, and low donor site morbidity. Level of Evidence: Level IV, therapeutic study.
      PubDate: 2016-12-01
      DOI: 10.1007/s00238-016-1211-9
      Issue No: Vol. 39, No. 6 (2016)
  • Complications caused by injection of dermal filler in Danish patients
    • Authors: Charlotte Caspara Uth; Jens Jørgen Elberg; Claus Zachariae
      Pages: 441 - 448
      Abstract: Background The usage of dermal fillers has increased significantly in recent years. Soft tissue augmentation with fillers helps to diminish the facial lines and to restore volume and fullness in the face at a relatively low cost. With the increasing number of treatments, the number of complications is likely to increase as well. Methods A total of 37 patients with complications were collected retrospectively during a period of 13 years using original data files. Information on the type, date, number and location of the injections, type and date of complications, treatment, bacteria, and pathology were registered. Results The most commonly injected material in this series was Polyacrylamide (35.1 %) and Hyaluronic Acid (18.9 %). Most of the patients had filler injected in the lips (54.1 %), periorally (40.5 %), and in the cheek area (29.7 %). The median period between filler injection and complications was 2 years (range 1 day–8 years). The most common reported complications were edema (81 %), noduli (67.7 %), infections (54.1 %), discoloration (51.4 %), and granuloma formation (48.6 %). Surgical removal of the filler material was attempted in four patients. Conclusions With the increased use of dermal fillers and the derived complications, there is a need to determine the optimal treatment for those patients, as a wrong treatment strategy can lead to scarring. This study suggests general recommendations for the referral and treatment of patients with more severe complications associated with dermal filler injection. Level of Evidence: Level IV, therapeutic study.
      PubDate: 2016-12-01
      DOI: 10.1007/s00238-016-1205-7
      Issue No: Vol. 39, No. 6 (2016)
  • An original technique for the correction of congenital inverted conchal
           bowl deformity in an adult
    • Authors: Omer Ahmed Osmani; Richard Matthews
      Pages: 449 - 452
      Abstract: Abstract Common congenital deformities of the ear include varying degrees of prominent ears and of microtia. Inverted conchal bowl is a very rare congenital deformity. In this condition, the anterior concavity of the concha is replaced by convexity, resulting in an abnormal appearance, as well as functional problems in the of use earpiece devices. This condition has been reported only once in a series of four paediatric cases, wherein a cartilage scoring technique, suitable for pliable cartilage in that age group, is described. No cases have been reported in an adult. We describe a simple and effective technique of managing this rare deformity in an adult, for the first time. The principle of the technique is the use an autologous cartilage graft. Level of Evidence: Level V, therapeutic study.
      PubDate: 2016-12-01
      DOI: 10.1007/s00238-016-1207-5
      Issue No: Vol. 39, No. 6 (2016)
  • Bowtie technique—a novel approach to correct the widened ventral labia
           majora after male-to-female gender reassignment surgery
    • Authors: D. G. Liang; J. R. Dusseldorp; C. van Schalkwyk; P. A. Haertsch
      Pages: 453 - 458
      Abstract: Abstract Male-to-female gender reassignment surgery is a procedure that has evolved significantly since its inception. To create an aesthetic and functional vagina is the primary focus. Despite its evolutions, second stage revisions are frequently utilised to correct labial and clitoral hood defects (e.g. loss of clitoral hood, widening of the ventral labia major and exposure of the anterior commissure). Our objective is to present a simple and effective surgical step in the male-to-female gender reassignment operation in order to reduce the need for second stage interventions. The Bowtie technique is performed as the last step to the male-to-female gender reassignment procedure and aims to emphasise the clitoral hood, reduce the space of the ventral labia major and diminish the exposure of the anterior commissure. Having been performed by the senior author since 1992, outcomes have been satisfactory with no need for secondary procedures in those patients for the described defects. The Bowtie technique is a beneficial addition in male-to-female reconstructive surgery, which allows for the procedure to be performed in one stage without the need to correct common post-operative aesthetic defects. Level of Evidence: Level V, therapeutic study.
      PubDate: 2016-12-01
      DOI: 10.1007/s00238-016-1191-9
      Issue No: Vol. 39, No. 6 (2016)
  • Signet ring adenocarcinoma of the colon presenting as an orbital
    • Authors: Charlotte R. Foster; Adam J. Cohen
      Pages: 459 - 462
      Abstract: Abstract A 67-year-old woman was referred after MRI imaging revealed an infiltrative, diffusely enhancing left intraconal lesion. Ophthalmic examination revealed a left proptosis, resistance to globe retropulsion, and restriction of extraocular motility in all fields of gaze. The result of a biopsy via an orbitotomy was consistent with signet ring adenocarcinoma. PET scanning was significant for lytic vertebral and rib lesions and activity within the cecum. Colonoscopy confirmed the diagnosis of stage 4 colonic adenocarcinoma. Although colon carcinoma presenting as an extraconal orbital metastasis has been reported, this is the first reported case of signet ring adenocarcinoma of the colon presenting as an intraconal orbital metastasis without eyelid involvement. Orbital metastatic disease from known primary malignancies is uncommon and in particular from carcinomas arising from the gastrointestinal tract. When metastatic orbital disease is found, studies have reported that as high as 42 % of these patients have an undiagnosed primary malignancy. This allows orbital surgery to play a role detecting as yet undiagnosed carcinomas. Level of Evidence: Level V, diagnostic study.
      PubDate: 2016-12-01
      DOI: 10.1007/s00238-016-1222-6
      Issue No: Vol. 39, No. 6 (2016)
  • The facial artery musculomucosal flap in the reconstruction of the
           cocaine-induced hard palate fistula
    • Authors: Alexandra Bucknor; Adam Sawyer; Duncan Atherton
      Pages: 463 - 466
      Abstract: Abstract The versatility of the facial artery musculomucosal (FAMM) flap has been employed in the reconstruction of a number of defects in the head and neck region. Closure of the cocaine-induced palatal fistula is complex, in particular because of the poor quality local tissue. To date, the FAMM flap has yet to be reported in this situation. We describe our experience with one such case, detailing our rationale for choosing the FAMM flap, intra-operative technique, and recommendations for other surgeons with similar cases. Level of Evidence: Level V, therapeutic study.
      PubDate: 2016-12-01
      DOI: 10.1007/s00238-016-1206-6
      Issue No: Vol. 39, No. 6 (2016)
  • Ischaemic peripheral polyneuropathy in the upper limb as a result of steal
           phenomenon in an arteriovenous malformation
    • Authors: Felicity Page; A. Harb; G. Titley
      Pages: 467 - 470
      Abstract: Abstract We present the case of a 38-year-old right-hand-dominant female with a longstanding extensive high flow arteriovenous malformation (AVM) affecting the left hand and forearm. The patient’s main complaints were altered sensation in the left hand and difficulty with co-ordination. Clinical examination revealed reduced global sensibility in the hand and evidence of a vascular steal phenomenon resulting in a cold thumb and small finger without trophic changes. Subsequent nerve conduction studies identified peripheral neuropathy affecting the median, ulnar and radial nerves. There was no evidence of entrapment neuropathy and the findings were attributed to nerve ischemia as a result of the steal phenomenon. This case represents an unusual complication of an AVM of the upper limb which has not been reported previously to our knowledge. Patients with complex AVMs presenting with atypical peripheral neuropathies should be assessed for the possibility of steal phenomenon. Level of Evidence: Level V, risk/prognostic study.
      PubDate: 2016-12-01
      DOI: 10.1007/s00238-016-1202-x
      Issue No: Vol. 39, No. 6 (2016)
  • Median poststernotomy dehiscence reconstruction—a new classification for
           selection of the best procedure
    • Authors: Diana Monteiro; Ricardo Horta; José Amarante; Pedro Silva; Álvaro Silva
      Pages: 471 - 472
      PubDate: 2016-12-01
      DOI: 10.1007/s00238-016-1210-x
      Issue No: Vol. 39, No. 6 (2016)
  • Variations in surgeon position for palmar hand surgery
    • Authors: Alexander Armstrong; Ankur Pandya
      Pages: 473 - 474
      PubDate: 2016-12-01
      DOI: 10.1007/s00238-016-1197-3
      Issue No: Vol. 39, No. 6 (2016)
  • Question mark ear deformity-revisited
    • Authors: Mohammad M. Al-Qattan; Noha M. Al-Qattan
      Abstract: Abstract We report on two unusual cases of Cosman (question mark) ear; both required modifications of the standard techniques for surgical correction. The first patient presented with a unilateral question mark ear and concurrent ear prominence and bulging of the cartilage of the anti-helix. Simultaneous correction was done using a combination of cartilage suturing/scoring (for the prominence and the cartilage bulge) as well as Al-Qattan’s “v-y skin flap-cartilage graft-z-plasty” technique (for the correction of the ear cleft deformity). The second patient had aurico-condylar syndrome with bilateral ear deformity and complete separation of ear lobes from the external ear. Staged transposition followed by Al-Qattan’s technique resulted in a satisfactory outcome. Level of evidence: Level V, therapeutic study.
      PubDate: 2016-11-29
      DOI: 10.1007/s00238-016-1260-0
  • Erratum to: Quality of life improves early after gender reassignment
           surgery in transgender women
    • Authors: Ebba K. Lindqvist; Hannes Sigurjonsson; Caroline Möllermark; Johan Rinder; Filip Farnebo; T. Kalle Lundgren
      PubDate: 2016-11-21
      DOI: 10.1007/s00238-016-1259-6
  • Laser significantly improved a debilitating lymphaticovenous malformation:
           a case report
    • Authors: Charlotte Defty; Catherine L. Leng; Maxwell S. C. Murison
      Abstract: Abstract Lymphaticovenous malformations are rare congenital anomalies leading to oozing, ulceration and recurrent infections. They are managed by a specialist multi-disciplinary team with compression garments, symptomatic treatments and options such as percutaneous sclerotherapy and debulking procedures. Limited literature exists on the use of laser to seal the lymphatic vesicles. We present a 14 years old with a debilitating lymphaticovenous malformation of the hand for whom the risk of amputation was reduced by the use of carbon dioxide laser. Level of evidence: Level V, therapeutic study.
      PubDate: 2016-11-17
      DOI: 10.1007/s00238-016-1254-y
  • Obituary—Ivo Pitanguy (1923–2016)
    • Authors: Horacio F. Mayer
      PubDate: 2016-11-10
      DOI: 10.1007/s00238-016-1256-9
  • Current practises in primary breast augmentation: a continental European
           vs UK primary survey
    • Authors: Ishan Radotra; Obi Onyekwelu; Kanellos Gesakis; Jeyaram Srinivasan
      Abstract: Background Breast augmentation has gained widespread popularity since its inception. During recent decades, several techniques have developed. Debates concerning the superiority of a particular technique for achievement of optimal results exist. In this primary survey, we evaluate a selection of UK and European Aesthetic surgeons for their preferred techniques and practises of breast augmentation and the influence of patient choice on their favoured surgical approach. Methods A 10-item questionnaire was sent to 715 European Aesthetic Surgeons by e-mail with a cover letter including the link using SurveyMonkey©. Contact details were obtained from respective national registries. Statistical analysis was carried out using SPSS 20. Results One hundred aesthetic surgeons from Europe including Greece, Italy, UK, Switzerland, Denmark, Malta and Ireland made up the respondents. Of the 27 surgeons practicing in the UK, the majority (96.4 %) use the inframammary approach, with a single respondent from UK indicating preference for the periareolar incision. However, of the 68 surgeons outside the UK, including Ireland and Continental Europe, a significant proportion (28.4 %) utilise the periareolar incision. Majority of the UK surgeons (56 %) place the breast implant in the subglandular plane whilst in Continental Europe, the preference in 50 % of the responders is for the dual plane pocket (p = 0.016). Most patients (54.3 %) express a preference for a certain incision with surgeons tending to comply with patients’ wishes. When they do not, it is mostly due to unrealistic patient expectations (in 63.3 % of cases). The duration of oral antibiotics varies from 2 days (5.2 % of responders) to 1 week (25.9 % of responders). Conclusions UK aesthetic surgeons prefer the inframammary incision and subglandular plane compared with alternative approaches undertaken by other Continental European counterparts. There remains an unestablished common approach for primary breast augmentation. In the current climate of division with UK leaving Europe, there remains a need for multiple Aesthetic Surgery Societies to collaborate, in order to produce robust multicentred data. Level of Evidence: Not ratable.
      PubDate: 2016-11-09
      DOI: 10.1007/s00238-016-1253-z
  • Epidemiology of pediatric burn injuries in Kosovo
    • Authors: Hysni M. Arifi; Shkelzen B. Duci; Zejn A. Buja; Violeta K. Zatriqi; Havushe I. Ramadani; Ngadhnjim H. Arifi; Hasan R. Ahmeti
      Abstract: Background Burns are the third most common cause of mortality in children and adolescents. Many burns that occur in the first two decades of life are accidental and preventable. The objective of this study was to describe the epidemiology of burn-related injuries in children up to 15 years old in Kosovo. Methods This was a retrospective study that included 628 patients with burns, younger than 15 years old who were admitted to the Clinic of Plastic Surgery, University Clinical Center of Kosovo, between 1 January 2006 and 31 December 2015. The patients were categorized into three age groups: 0–3, 4–7, and 8–15 years old. Data on the gender, age, cause, burn size and depth, duration of hospitalization, and treatment were collected and analyzed. Results During the study period, in our population, burns in children were predominantly in boys with 374 cases (59.6 %), while 254 patients were girls (40.4 %). Scalding was the most common type of burn with 566 cases or 90.2%.The median TBSA burned was 18.8% with a range of 1–70%. Duration of treatment ranged from 0 to 81 days. The mean hospitalization was 32.2 days. Conclusions A high rate of childhood burns in Kosovo requires hospital admissions and prolonged hospital stays. To reduce pediatric burns in Kosovo, a burn-prevention strategy and program should be developed. Level of Evidence: Level IV, risk / prognostic study
      PubDate: 2016-11-09
      DOI: 10.1007/s00238-016-1251-1
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