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Publisher: Springer-Verlag   (Total: 2341 journals)

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Showing 1201 - 1400 of 2341 Journals sorted alphabetically
J. of Combinatorial Optimization     Hybrid Journal   (Followers: 5, SJR: 1.093, h-index: 34)
J. of Communications Technology and Electronics     Hybrid Journal   (Followers: 2, SJR: 0.29, h-index: 16)
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: 8, 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: 2)
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: 24, 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: 6, SJR: 0.151, h-index: 2)
J. of Computer-Aided Molecular Design     Hybrid Journal   (Followers: 2, 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: 7, 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: 10, 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: 4, 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: 8, 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: 10, 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: 6, 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: 27, 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: 17, 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: 6, SJR: 0.851, h-index: 45)
J. of Electroceramics     Hybrid Journal   (SJR: 0.577, h-index: 57)
J. of Electronic Materials     Hybrid Journal   (Followers: 5, 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: 9)
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   (Followers: 1, 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: 42, 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: 35, 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: 22, 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: 6, 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: 7, 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: 6, SJR: 1.171, h-index: 57)
J. of Gastroenterology     Hybrid Journal   (Followers: 12, 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: 6, SJR: 1.64, h-index: 99)
J. of General Internal Medicine     Hybrid Journal   (Followers: 16, 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: 4, 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: 10)
J. of Grid Computing     Hybrid Journal   (Followers: 1, SJR: 1.414, h-index: 37)
J. of Hand and Microsurgery     Hybrid Journal   (Followers: 1)
J. of Happiness Studies     Hybrid Journal   (Followers: 23, 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: 7, 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: 11, 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 Council of Philosophical Research     Hybrid Journal  
J. of Indian Philosophy     Hybrid Journal   (Followers: 12, SJR: 0.127, h-index: 12)
J. of Indian Prosthodontic Society     Open Access   (Followers: 1, SJR: 0.164, h-index: 7)
J. of Industrial Microbiology and Biotechnology     Hybrid Journal   (Followers: 15, SJR: 0.966, h-index: 80)
J. of Industry, Competition and Trade     Hybrid Journal   (Followers: 8, 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: 54, SJR: 1.474, h-index: 55)
J. of Information Technology Teaching Cases     Hybrid Journal   (Followers: 9)
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: 9, 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: 3, 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: 31, 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: 13, 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: 3, 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: 2, SJR: 2.252, h-index: 83)
J. of Management and Governance     Hybrid Journal   (Followers: 13, 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: 4)
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: 20, SJR: 0.836, h-index: 123)
J. of Materials Science : Materials in Electronics     Hybrid Journal   (Followers: 5)
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: 4, 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: 15, SJR: 1.062, h-index: 20)
J. of Maxillofacial and Oral Surgery     Hybrid Journal   (Followers: 2)
J. of Mechanical Science and Technology     Hybrid Journal   (Followers: 6, 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: 22, 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: 2, 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: 8, 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: 16, 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: 11, SJR: 0.988, h-index: 69)
J. of Mountain Science     Hybrid Journal   (Followers: 4, 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: 3, 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: 4, 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: 3, 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: 15, 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: 5, 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: 21, 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: 2)
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: 4, SJR: 0.898, h-index: 65)
J. of Ornithology     Hybrid Journal   (Followers: 22)
J. of Orofacial Orthopedics / Fortschritte der Kieferorthopädie     Hybrid Journal   (SJR: 0.574, h-index: 33)
J. of Orthopaedic Science     Hybrid Journal   (Followers: 6, 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   (SJR: 0.331, h-index: 6)

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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  [2341 journals]
  • Freestyle local perforator flaps for facial reconstruction: clinical
           experience and complications
    • Authors: Mariagrazia Moio; Gisella Nele; Fabrizio Schönauer
      Pages: 97 - 102
      Abstract: Background Reconstruction of facial defects always represents a surgical challenge as functional and cosmetic outcomes must be taken into account more than any region of the body. The concept of freestyle perforator flaps has been developed to obtain a complete range of freedom in their movement to reach the defect. We present our clinical experience with facial perforator flaps, focusing on indications, surgical technique, and complications. Methods Thirty-one facial defects were reconstructed with freestyle local perforator flaps between January 2007 and November 2014. Doppler identification of perforator vessels preceded preoperative planning and the flap harvesting followed the dissection of perforator vessels. Results Twenty-two clinical cases had no complications. Four had venous congestion that resolved spontaneously, three had a distal 1/3 superficial necrosis, one suffered hematoma, and one had a 1/5 distal area of full thickness necrosis. Conclusions Freestyle perforator approach was applied to gain more freedom for facial reconstruction, allowing one-stage procedures and low donor site morbidity. Good anatomical understanding, precise planning, and meticulous technique can affect clinical results of perforator flaps in the face. A critical approach is essential to get better results. Level of Evidence: Level IV, therapeutic study.
      PubDate: 2017-04-01
      DOI: 10.1007/s00238-016-1244-0
      Issue No: Vol. 40, No. 2 (2017)
       
  • The influence of plastic surgeon age and gender on decision-making in
           breast reconstruction: a national survey of American plastic surgeons
    • Authors: Shruti C. Tannan; Shawna R. Kleban; Wendy M. Novicoff; Chris A. Campbell
      Pages: 103 - 110
      Abstract: There are numerous options for breast reconstruction after mastectomy, and the final reconstructive option is often influenced by patient preference. This study surveyed plastic surgeons regarding their personal preferences for breast reconstruction after mastectomy to identify the impact of gender and age on reconstructive preference. An anonymous online survey was distributed to plastic surgeons in the American Society of Plastic Surgeons member directory and current plastic surgery residents. Female surgeons were asked to select reconstructive options for themselves as patients, while male surgeons were asked to answer the same questions as if advising a loved one. After unilateral mastectomy, 60.2 % of respondents preferred implant-based reconstruction, increasing to 67.8 % after bilateral mastectomy. Top reasons for selecting implant-based reconstruction were recovery time (78.0 %) and hospital length of stay (54.5 %). In contrast, respondents who preferred abdominal flap-based autologous reconstruction cited the longevity (83.3 %) and the aesthetic appearance of the final result (82.7 %) as top reasons. Female surgeons were significantly more likely to choose implant-based reconstruction than male surgeons (68.7 vs. 56.6 %, p = 0.001). Younger male surgeons preferred autologous reconstruction (58.8 %). Plastic surgeons’ reconstructive choices parallel current patient-based surveys favoring breast reconstruction with implants. Respondents’ reasons for selecting one reconstructive method over another are consistent with prior patient-based surveys. Female plastic surgeons prefer implant-based reconstruction to a greater extent than male plastic surgeons. This survey identifies the need for further prospective study of physician perspectives of patient experiences. Level of Evidence: Not ratable.
      PubDate: 2017-04-01
      DOI: 10.1007/s00238-016-1229-z
      Issue No: Vol. 40, No. 2 (2017)
       
  • Microsurgical flaps in the treatment of thoracic radionecrosis: a case
           series
    • Authors: Valentin Yuste; Julio Delgado; Javier Garcia-Tirado; Fernando Albiñana; Javier Rodrigo
      Pages: 111 - 116
      Abstract: Background Radionecrosis of the thoracic wall is a late complication of radiotherapy mainly found in breast cancer patients. During the treatment of severe thoracic radionecrosis, the aggressive ablation of a large amount of damaged tissue is fundamental, making the use of healthy remote tissue provided by a free flap essential. However, most of the papers focusing in the reconstruction of this entity are dated or case reports. This article is intended to present the utility and results of reconstructive microsurgical techniques in these patients. Methods We carried out a retrospective review of the patients who underwent microsurgical reconstruction of extensive thoracic defects associated with radionecrosis in the period 2007 to 2012 in our centre. The variables studied were sex, age, size of the lesion, type of reconstructive procedure used, the postoperative evolution of the flap and the donor area, and the length of the hospital stay. Results Four patients with extensive thoracic defects associated with radionecrosis were included. After debridement, bone reconstruction was performed using a polytetrafluorethylene mesh, while soft tissue reconstruction was achieved using a free flap. One of the patients was reconstructed with a deep inferior epigastric perforator free (DIEP) flap and the rest with transverse myocutaneous gracilis (TMG) free flap. No flap-related complications were observed during the postoperative period. Conclusions The effects of radiation on soft tissues and bones are the cause of the increasing complexity of thoracic reconstruction. We believe that the use of free flaps to provide large amounts of tissue or cover particularly problematic areas can be an extremely useful tool for these patients. Level of Evidence: Level V, therapeutic study.
      PubDate: 2017-04-01
      DOI: 10.1007/s00238-016-1245-z
      Issue No: Vol. 40, No. 2 (2017)
       
  • Finger proximal interphalangeal joint gap arthroplasty
    • Authors: Mohamed Elsaid Abdelshaheed; Ahmed Abdel-Galil Khalil; Reda Abdallah Younis; Ahmed Mohamed Bahaa El-Din Moustafa; Samy Ahmed Mahmoud Shehabeldin
      Pages: 117 - 122
      Abstract: Background The proximal interphalangeal (PIP) joint plays an important role in both grasp and pinch. In terms of mobility and stability, an intact PIP joint plays an important role in isolated finger function as well as the function of the entire hand. Currently, there are only a few surgical management protocols: arthrodesis, arthroplasty without joint replacement and arthroplasty with prosthetic replacement. This study aims to evaluate the gap arthroplasty technique as an alternative method for PIP joint reconstruction and to identify its advantages and disadvantages. Methods This interventional prospective study was conducted in a university hospital setting. We performed PIP joint gap arthroplasty using a dynamic traction device system after resection of the ankylotic area. The assessed outcome parameters were pain relief and range of motion (ROM) at 6 months, post-operatively. Results The results showed a complete pain relief, excellent passive ROM (in mean 65°) and a good active ROM (in mean 41°). This allows the patient to move the four ulnar fingers together without interruption from the injured finger. Overall patient satisfaction was very good. Conclusions Gap arthroplasty is an easy and effective technique for the PIP joint, and it does not require expensive materials as do artificial joint procedures. However, further studies are needed to conduct a long-term functional evaluation. Level of Evidence: Level IV, therapeutic study.
      PubDate: 2017-04-01
      DOI: 10.1007/s00238-016-1243-1
      Issue No: Vol. 40, No. 2 (2017)
       
  • 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
      Pages: 123 - 126
      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: 2017-04-01
      DOI: 10.1007/s00238-016-1251-1
      Issue No: Vol. 40, No. 2 (2017)
       
  • Metastatic melanoma (stage III) and lymph node dissection at a university
           hospital facility
    • Authors: Ulrik K Kjerkegaard; Pia Sjøgren; Lars B Stolle
      Pages: 127 - 132
      Abstract: Background Malign melanoma continues to present a severe health problem, and the incidence is still raising. Nodal status and ulceration of the primary melanoma are strong prognostic factors. The main treatment of node-positive melanomas (stage III) is complete lymph node dissection. The aim of this study was to describe the outcome in patients with stage III melanoma who underwent completion lymphadenectomy at a department of plastic surgery. Methods Retrospectively, we included all patients who underwent complete lymph node dissection in the period from 2008 to 2012 subsequent to a positive sentinel node biopsy or palpable metastasis from a cutaneous malign melanoma. Primary outcomes were disease-free survival and melanoma-specific survival. Results We included 150 patients with an average age of 57 (16–82) years. Melanoma thickness was 3.1 (0.53–15) mm. Ulceration of primary tumor was present in 35 %. Complete lymph node dissection was performed in the neck, axilla, inguinal region, and aberrant region. There was no difference in occurrence of nodal metastases comparing the regions. Seroma was most frequent in the axilla (23.5 %) and inguinal region (18.9 %). Lymphedema occurred in the inguinal region (15.1 %) and the axilla (4.7 %), and wound infection occurred in the inguinal region (30.2 %), the axilla (15.3 %), and the neck (11.1 %). The 5-year nodal recurrence rate was 16.9 % [95 % CI 8.2–33.1 %] and the 5-year rate of distant metastases was 48.3 % [95 % CI 36.5–61.8 %]. Overall survival was 51.8 % [95 % CI 35.6–65.8 %]. More than two nodal metastases worsened the prognosis (reference: <2 lymph nodes). Level of Evidence: Level IV, risk/prognostic study.
      PubDate: 2017-04-01
      DOI: 10.1007/s00238-016-1234-2
      Issue No: Vol. 40, No. 2 (2017)
       
  • Antibiotic prophylaxis with cefazolin in reducing the infection rate of
           non-melanocytic skin tumors: a randomized clinical trial
    • Authors: Rodrigo Dreher; Juliana L. C. Tenório; Ygor A. Ferrão; Pedro B. Ely
      Pages: 133 - 136
      Abstract: Background Surgical wound infections are a significant problem and may interfere with healing. There is no uniform data in the literature regarding the rate of infection among the resection of skin tumors and the benefit of antibiotic prophylaxis. This study evaluated the effectiveness of antibiotic prophylaxis with cefazolin in resections of nonmelanocytic skin tumors and whether the histological type and ulceration is related to the rate of wound infection. Methods Two hundred and twenty-seven patients undergoing non-melanocytic skin tumor resection were randomly divided into two groups: group I without antibiotic prophylaxis of surgical site infection, and group II with intravenous cefazolin prophylaxis.
      Authors looked for surgical wound infection during a month of follow-up. Comparison intra and extra groups were made considering the tumor histology, and if it was ulcerated or not to surgical site infection. Results The infection rate in the sample was 25 lesions (12.01 %). Antibiotic prophylaxis proved to be effective in ulcerative lesions, and the infection rate was reduced from 12 cases (30 %) to 3 cases (9.85 %) (p Fisher = 0.04; RRR = 0.61; NNT = 4.80) but was not associated with reduced infection rates in any histological type. Conclusions Antibiotic prophylaxis was effective in preventing wound infection in ulcerated non-melanocytic skin tumor. Level of Evidence: Level I, therapeutic study.
      PubDate: 2017-04-01
      DOI: 10.1007/s00238-016-1240-4
      Issue No: Vol. 40, No. 2 (2017)
       
  • “The magic finger technique” a simplified approach for more symmetric
           results in alar base resection
    • Authors: A. Emre Ilhan; Basak Caypinar Eser; Betul Cengiz
      Pages: 137 - 142
      Abstract: Alar base surgery is one of the most important and challenging steps of aesthetic rhinoplasty. While an ideally shaped alar base is the goal in a desired nose, nearly all patients have asymmetric nostrils preoperatively. Ethnicity, trauma, cocaine use, or previous rhinoplasties are some factors affecting the width and shape of the nasal base. After the conclusion of all planned rhinoplasty sequences and closure of the mid-columellarincision, we mark the midline inferior to the columella at the nasolabial junction and use acaliper to measure an equal distance from the mid-columellar point to the alar creases on eachside, and mark the medial points of the alar creases. Next we draw on the natural creasesbilaterally extending to 3 o’clock on the right side and 9 o‘clock on the left side as the limit ofthe lateral excisions to avoid scarring. We then gently depress the alae and alar-facial grooveswith the index finger and allow the formation of new creases superior to the original alarcreases in order to detect excess skin to remove. After marking, the resection was performed with a no. 15 blade. The excision was closed using 6-0 Prolene sutures. We aimed to describe a simple technique for making asymmetric resections in which theapplication of pressure by a finger reveals excess skin in both nostril sill and nostril flareindependently for each alar base. With these asymmetric excisions from the right and left alar bases, a more symmetric nostrils and nasal base can be achieved. Level of Evidence: Level IV, therapeutic study.
      PubDate: 2017-04-01
      DOI: 10.1007/s00238-016-1239-x
      Issue No: Vol. 40, No. 2 (2017)
       
  • The hybrid approach in modern gluteoplasty and a proposed decision-making
           algorithm
    • Authors: Charalambos K. Rammos; Joseph P. Hunstad; Bill G. Kortesis
      Pages: 143 - 148
      Abstract: The gluteal region is an important aesthetic symbol of the body and represents a major component of sexual attraction. Buttocks descent and atrophy are common presenting complaints for patients seeking elective improvement of their body. Gluteal surgery has a recent history of technique evolution, with various reported methods and refinements, including autologous tissue and alloplastic materials. It has been gaining popularity, and an exponential growth in buttocks procedures has been recorded in the recent years. Modern comprehensive gluteal rejuvenation must address both gluteal atrophy and ptosis. Gluteal implants can give a rounded and enhanced appearance to the buttocks while lifting in the form of excisional techniques can address the ptosis. These techniques may be applied together in one surgical procedure or performed in a staged sequence. This report describes the combination of lifting and enhancement techniques to achieve improvement in the gluteal region. An algorithm, to assist with decision making, based on the gluteal deformity encountered, is also proposed. Two separate clinical examples are described, a patient with gluteal implants with synchronous buttocks lift and a patient with pursestring gluteoplasty followed by gluteal implants at a later time. Level of Evidence: Level V, therapeutic study.
      PubDate: 2017-04-01
      DOI: 10.1007/s00238-016-1246-y
      Issue No: Vol. 40, No. 2 (2017)
       
  • Question mark ear deformity-revisited
    • Authors: Mohammad M. Al-Qattan; Noha M. Al-Qattan
      Pages: 149 - 152
      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: 2017-04-01
      DOI: 10.1007/s00238-016-1260-0
      Issue No: Vol. 40, No. 2 (2017)
       
  • Reconstruction of an extensive iliac thigh defect with a giant combined
           thigh perforator free flap
    • Authors: Saito Masami; Kimura Naohiro; Kanasyoji Mari; Saiga Atsuomi; Ueda Kazuki
      Pages: 153 - 156
      Abstract: Cases with vast skin defects that cannot be covered by a single flap use the combination of two neighboring flaps. An extensive iliac thigh degloving injury was reconstructed with the combined flap formed by the anterolateral thigh flap and the tensor fasciae latae perforator flap, resulting in a functionally and aesthetically good outcome. This combined flap has minimum donor site morbidity and can be thinned as required. The combined flap consisting of the anterolateral thigh flap and the tensor fasciae latae perforator flap is considered suitable for the repair of massive skin soft tissue defects. Level of Evidence: Level V, therapeutic study.
      PubDate: 2017-04-01
      DOI: 10.1007/s00238-016-1266-7
      Issue No: Vol. 40, No. 2 (2017)
       
  • Laser significantly improved a debilitating lymphaticovenous malformation:
           a case report
    • Authors: Charlotte Defty; Catherine L. Leng; Maxwell S. C. Murison
      Pages: 157 - 160
      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: 2017-04-01
      DOI: 10.1007/s00238-016-1254-y
      Issue No: Vol. 40, No. 2 (2017)
       
  • Flexor pollicis longus reconstruction using the “demi-tendon”
           technique
    • Authors: A. F. Egan; E. C. Francis; P. J. Regan
      Pages: 161 - 164
      Abstract: We report the case of a delayed flexor pollicis longus tendon rupture post distal radius fracture and its reconstruction using the “demi-tendon” technique. This technique has been well described in relation to delayed closed flexor digitorum profundus injuries as a method to facilitate primary repair. In this instance, it is a novel application of the technique which, to date, has not been described as a method of primary tennorrhaphy for a closed rupture of the flexor pollicis longus tendon. Level of Evidence: Level V, therapeutic study.
      PubDate: 2017-04-01
      DOI: 10.1007/s00238-016-1273-8
      Issue No: Vol. 40, No. 2 (2017)
       
  • Innovative uses of disposable gloves in plastic surgery
    • Authors: Amitabh S. Thacoor; Diaa Othman
      Pages: 165 - 168
      PubDate: 2017-04-01
      DOI: 10.1007/s00238-016-1250-2
      Issue No: Vol. 40, No. 2 (2017)
       
  • Apocynin and dimethyl sulfoxide synergistically protect against
           
    • Abstract: Background Acute ischemia and reperfusion in extremities ignite a complicated inflammatory cycle and lead to damage in the extremities and target tissues. Methods Rats were randomly divided into four groups. Each experimental group contained eight rats. Group 1 was the sham surgery group. Group 2 was the control I/R group with intraperitoneal serum physiologic (SP) treatment. Group 3 was the I/R group with vehicle treatment (8% DMSO). Group 4 was the I/R group with 20 mg/kg apocynin (vehicle 8% DMSO). The potential protective effects of apocynin and vehicle (DMSO) in the rat hind limb ischemia-reperfusion model were evaluated by measuring the levels of plasma pro-inflammatory cytokines and oxidative stress markers in muscle tissue. Results The results revealed that both apocynin and vehicle (DMSO) alone increased the antioxidative capacity of ischemic tissue and reduced the levels of plasma proinflammatory cytokines compared to control I/R group. There was a statically more significant effect in the apocynin (vehicle 8% DMSO)-treated group 4. Conclusions We observed that apocynin and DMSO synergistically prevent the I/R injury in rat hind limb ischemia-reperfusion injury model and meaningfully decrease the inflammatory parameters. Level of Evidence: Not ratable.
      PubDate: 2017-04-21
       
  • Delayed prosthetic breast reconstruction without the use of acellular
           dermal matrix
    • Authors: Paul A Mittermiller; Rahim S Nazerali; Simone W Glaus; Marcelina G Perez; Anna Luan; David M Kahn; Gordon K Lee
      Abstract: Background Since the widespread adoption of acellular dermal matrices (ADM) in immediate breast reconstruction, many surgeons have applied the same techniques to delayed reconstruction. To counteract this trend, we present a method of performing delayed prosthetic breast reconstruction without the use of ADM. This approach produces excellent aesthetic outcomes while eliminating the cost of relatively expensive ADM. Methods A retrospective review was performed on patients who underwent delayed implant-based breast reconstruction without ADM at a single institution between 2001 and 2013. Results A total of 31 patients met inclusion criteria. In our cohort, radiation therapy was performed on 14 patients (45%). Expanders were filled intraoperatively to a median volume of 150 cm3, and median permanent implant size was 500 cm3. Operative time averaged 62 minutes for unilateral expander insertion and 92 minutes for bilateral insertion. After expander placement, complications requiring reoperation occurred in five patients (16%), of which four (75%) had prior radiation therapy. Permanent implants were placed in 29 patients (94%), and six of these patients (21%) underwent additional procedures. Thirteen patients without prior radiation (76%) and eight patients with prior radiation (57%) did not undergo any unplanned surgical interventions during the reconstructive process. Conclusions Our study shows delayed breast reconstruction can be successfully performed without ADM. Since delayed reconstruction is generally performed less frequently than immediate reconstruction, plastic surgeons are advised to critically review their techniques, as the operation should be approached differently. While ADM may have specific benefits in immediate reconstruction, those benefits do not directly translate in delayed reconstruction. Level of Evidence: Level IV, risk/ prognostic study.
      PubDate: 2017-03-31
      DOI: 10.1007/s00238-017-1300-4
       
  • Craniometric analysis of the nasal skeleton and midface in Caucasian
           population
    • Authors: Can Ozturk; Cemile Nurdan Ozturk; Safak Uygur; Thomas Barrett Sullivan; Mehmet Bozkurt; Franziska Huettner; Risal Djohan; Francis A. Papay
      Abstract: Background Our goal was to obtain nasal bone and nasal pyramid morphometric measurements in Caucasian skulls and analyze variation in different age groups and gender. Methods Ninety caucasian skulls were grouped according to three age groups: group I (20–40), II (41–64), and III (>65). The basion (B)-nasion (N), B-anterior nasal spine (ANS), B-supradentale (SD), N-ANS, ANS-SD, and length and width of each nasal bone, height, width, and angle of the pyriform aperture were measured. Comparisons were done between age groups, males and females, between left/right sides. Results The distance between B-N, B-ANS, and B-SD was greater when group I was compared with group II and III in both genders with the exception that the B-N distance in male population was slightly (0.2 mm) longer in group I. There was a statistically significant directly proportional relationship between B-N and B-ANS (p < 0.001, rho 0.54), B-N and B-SD (p = 0.001, rho 0.34), and B-ANS and B-SD (p < 0.001, rho 0.90) distances in all skulls independent of age and gender. The mean nasal bone lengths were; nasal bone length at midline (F: 20.07/19.67/21.20 mm, M:23.07/22.33/23.13 mm in groups I/II/III, respectively), at lateral suture lines (F:23.9/24.93/24.33 mm, M: 27.03/26.95/27.93 mm in groups I/II/III, respectively). Conclusion This study not only supports the existing literature that the midface and the nasal skeleton show variation with age and gender but also adds valuable information about the nasal bone and related parameters. Nasal and midfacial surgeries should be done with particular attention to different morphology in different age and gender groups in order to provide the patient with an improved physiologic and normal result. Level of Evidence: not ratable.
      PubDate: 2017-03-31
      DOI: 10.1007/s00238-017-1303-1
       
  • Ultrastructural effects of topical dimethyl sulfoxide on collage fibers
           during acute skin expansion in a human ex-vivo model
    • Authors: Edoardo Raposio; Nicolò Bertozzi
      Abstract: Background Despite some studies confirming the effectiveness of dimethyl sulfoxide (DMSO) on acute skin expansion, the precise mechanism through which it quickens tissue expansion is yet unknown. No studies have been carried out to date to thoroughly investigate the ultrastructural effects of DMSO on intraoperative tissue expansion. The aim of the present study was to test the ex vivo ultrastructural effects of topical 60% DMSO on dermal collagen fibers of acutely expanded human cutaneous flaps. Methods Specimens were obtained and ultrastructurally examined from two groups of ex vivo cutaneous flaps from the anterior thigh: group A (experimental) DMSO-treated and acutely expanded flaps, and group B (control), acutely expanded flaps. Results A statistically significant difference was observed between groups A and B, with respect to the width of dermal collagen fibers, distance between dermal collagen fibers, and percentage of area not occupied by collagen fibers. Conclusions These findings demonstrate how DMSO affects collagen cross-linkage in the surrounding dermis, decreasing the mechanical resistance of the acutely expanded skin in this ex-vivo model, supporting its use in intra-operative tissue expansion. Level of Evidence: Not ratable.
      PubDate: 2017-03-31
      DOI: 10.1007/s00238-017-1301-3
       
  • Erratum to: Acknowledgment to reviewers—2016
    • Authors: Horacio F. Mayer
      PubDate: 2017-03-15
      DOI: 10.1007/s00238-017-1299-6
       
  • Platelet biology and the rationale of PRP therapy in chronic wounds
    • Authors: Domantas Rainys; Gediminas Samulėnas; Mantas Kievišas; Eglė Samulėnienė; Loreta Pilipaitytė; Rytis Rimdeika
      Abstract: For the past four decades, platelets have been thought to function only in hemostatic processes. With reference to recent research, today, it is known that platelets also play important roles in tissue regeneration and immunological processes. The keystone of the use of platelet-rich plasma (PRP) for the treatment of chronic wounds lays in the molecular composition of thrombocytes, which are rich in growth factors and other biologically active substances. PRP forms a matrix for cells and thus promotes wound healing processes. Harvesting PRP is relatively uncomplicated, minimally invasive, and potentially available for each patient. In this review, we provide an overview of the biology of the thrombocyte to better understand the effects of PRP. Additionally, we reviewed published studies, analyzing the effectiveness of PRP for the treatment of chronic wounds. Level of evidence: Not ratable.
      PubDate: 2017-02-18
      DOI: 10.1007/s00238-017-1279-x
       
 
 
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