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Publisher: Springer-Verlag   (Total: 2292 journals)

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Diabetologia Notes de lecture     Hybrid Journal  
Diabetology Intl.     Hybrid Journal   (Followers: 1, SJR: 0.273, h-index: 5)
Dialectical Anthropology     Hybrid Journal   (Followers: 8, SJR: 0.314, h-index: 9)
Die Weltwirtschaft     Hybrid Journal   (Followers: 2)
Differential Equations     Hybrid Journal   (Followers: 2, SJR: 0.364, h-index: 15)
Differential Equations and Dynamical Systems     Hybrid Journal   (Followers: 1, SJR: 0.63, h-index: 7)
Digestive Diseases and Sciences     Hybrid Journal   (Followers: 5, SJR: 1.19, h-index: 89)
Directieve therapie     Hybrid Journal  
Discrete & Computational Geometry     Hybrid Journal   (Followers: 2, SJR: 1.269, h-index: 40)
Discrete Event Dynamic Systems     Hybrid Journal   (Followers: 2, SJR: 0.42, h-index: 32)
Distributed and Parallel Databases     Hybrid Journal   (Followers: 4, SJR: 0.766, h-index: 30)
Distributed Computing     Hybrid Journal   (Followers: 2, SJR: 1.41, h-index: 31)
DNP - Der Neurologe und Psychiater     Full-text available via subscription  
Documenta Ophthalmologica     Hybrid Journal   (Followers: 2, SJR: 0.946, h-index: 40)
Doklady Biochemistry and Biophysics     Hybrid Journal   (Followers: 2, SJR: 0.2, h-index: 10)
Doklady Biological Sciences     Hybrid Journal   (SJR: 0.248, h-index: 10)
Doklady Botanical Sciences     Hybrid Journal  
Doklady Chemistry     Hybrid Journal   (SJR: 0.272, h-index: 12)
Doklady Earth Sciences     Hybrid Journal   (SJR: 0.48, h-index: 17)
Doklady Mathematics     Hybrid Journal   (SJR: 0.345, h-index: 13)
Doklady Physical Chemistry     Hybrid Journal   (SJR: 0.299, h-index: 12)
Doklady Physics     Hybrid Journal   (Followers: 1, SJR: 0.293, h-index: 17)
Douleur et Analg├ęsie     Hybrid Journal   (SJR: 0.113, h-index: 6)
Drug Delivery and Translational Research     Hybrid Journal   (Followers: 2, SJR: 0.607, h-index: 8)
Drug Safety - Case Reports     Open Access  
Drugs : Real World Outcomes     Hybrid Journal   (Followers: 1)
Dynamic Games and Applications     Hybrid Journal   (Followers: 2, SJR: 0.481, h-index: 5)
Dysphagia     Hybrid Journal   (Followers: 90, SJR: 0.822, h-index: 52)
e & i Elektrotechnik und Informationstechnik     Hybrid Journal   (Followers: 9, SJR: 0.279, h-index: 9)
e-Neuroforum     Hybrid Journal  
Early Childhood Education J.     Hybrid Journal   (Followers: 14, SJR: 0.466, h-index: 16)
Earth Science Informatics     Hybrid Journal   (Followers: 3, SJR: 0.282, h-index: 7)
Earth, Moon, and Planets     Hybrid Journal   (Followers: 7, SJR: 0.303, h-index: 29)
Earthquake Engineering and Engineering Vibration     Hybrid Journal   (Followers: 7, SJR: 0.482, h-index: 21)
Earthquake Science     Hybrid Journal   (Followers: 8, SJR: 0.418, h-index: 9)
East Asia     Hybrid Journal   (Followers: 7, SJR: 0.18, h-index: 9)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 9, SJR: 0.362, h-index: 27)
EcoHealth     Hybrid Journal   (Followers: 2, SJR: 0.88, h-index: 26)
Ecological Research     Hybrid Journal   (Followers: 8, SJR: 0.847, h-index: 43)
Economia e Politica Industriale     Hybrid Journal  
Economia Politica     Hybrid Journal   (SJR: 0.375, h-index: 6)
Economic Botany     Hybrid Journal   (Followers: 8, SJR: 0.527, h-index: 44)
Economic Bulletin     Hybrid Journal   (Followers: 4)
Economic Change and Restructuring     Hybrid Journal   (Followers: 1, SJR: 0.264, h-index: 9)
Economic Theory     Hybrid Journal   (Followers: 9, SJR: 2.557, h-index: 34)
Economic Theory Bulletin     Hybrid Journal   (Followers: 2)
Economics of Governance     Hybrid Journal   (Followers: 2, SJR: 0.408, h-index: 14)
Ecosystems     Hybrid Journal   (Followers: 19, SJR: 1.909, h-index: 93)
Ecotoxicology     Hybrid Journal   (Followers: 9, SJR: 1.333, h-index: 56)
Education and Information Technologies     Hybrid Journal   (Followers: 84, SJR: 0.366, h-index: 16)
Educational Assessment, Evaluation and Accountability     Hybrid Journal   (Followers: 19, SJR: 0.374, h-index: 15)
Educational Psychology Review     Hybrid Journal   (Followers: 17, SJR: 2.776, h-index: 61)
Educational Research for Policy and Practice     Hybrid Journal   (Followers: 8, SJR: 0.273, h-index: 9)
Educational Studies in Mathematics     Hybrid Journal   (Followers: 11, SJR: 0.825, h-index: 32)
Educational Technology Research and Development     Partially Free   (Followers: 74, SJR: 1.785, h-index: 52)
Electrical Engineering     Hybrid Journal   (Followers: 15, SJR: 0.336, h-index: 18)
Electrocatalysis     Hybrid Journal   (SJR: 0.883, h-index: 10)
Electronic Commerce Research     Hybrid Journal   (Followers: 3, SJR: 0.582, h-index: 16)
Electronic Markets     Hybrid Journal   (Followers: 5, SJR: 0.411, h-index: 8)
Electronic Materials Letters     Hybrid Journal   (Followers: 3, SJR: 1.407, h-index: 15)
Elemente der Mathematik     Hybrid Journal   (Followers: 1)
Emergency Radiology     Hybrid Journal   (Followers: 4, SJR: 0.678, h-index: 25)
Emission Control Science and Technology     Hybrid Journal   (Followers: 1)
Empirica     Hybrid Journal   (Followers: 3, SJR: 0.319, h-index: 16)
Empirical Economics     Hybrid Journal   (Followers: 8, SJR: 0.489, h-index: 31)
Empirical Software Engineering     Hybrid Journal   (Followers: 7, SJR: 1.285, h-index: 39)
Employee Responsibilities and Rights J.     Hybrid Journal   (Followers: 3, SJR: 0.361, h-index: 15)
Endocrine     Hybrid Journal   (Followers: 6, SJR: 0.878, h-index: 57)
Endocrine Pathology     Hybrid Journal   (Followers: 2, SJR: 0.638, h-index: 31)
Energy Efficiency     Hybrid Journal   (Followers: 12, SJR: 0.732, h-index: 14)
Energy Systems     Hybrid Journal   (Followers: 11, SJR: 1.176, h-index: 7)
Engineering With Computers     Hybrid Journal   (Followers: 5, SJR: 0.433, h-index: 30)
Entomological Review     Hybrid Journal   (Followers: 3, SJR: 0.144, h-index: 5)
Environment Systems & Decisions     Hybrid Journal   (Followers: 2)
Environment, Development and Sustainability     Hybrid Journal   (Followers: 29, SJR: 0.419, h-index: 29)
Environmental and Ecological Statistics     Hybrid Journal   (Followers: 5, SJR: 0.458, h-index: 32)
Environmental and Resource Economics     Hybrid Journal   (Followers: 18, SJR: 1.632, h-index: 54)
Environmental Biology of Fishes     Hybrid Journal   (Followers: 4, SJR: 0.725, h-index: 58)
Environmental Chemistry Letters     Hybrid Journal   (Followers: 2, SJR: 0.741, h-index: 28)
Environmental Earth Sciences     Hybrid Journal   (Followers: 12, SJR: 0.724, h-index: 63)
Environmental Economics and Policy Studies     Hybrid Journal   (Followers: 6, SJR: 0.524, h-index: 4)
Environmental Evidence     Open Access   (Followers: 1)
Environmental Fluid Mechanics     Hybrid Journal   (Followers: 2, SJR: 0.437, h-index: 24)
Environmental Geochemistry and Health     Hybrid Journal   (Followers: 2, SJR: 1.013, h-index: 36)
Environmental Geology     Hybrid Journal   (Followers: 11)
Environmental Health and Preventive Medicine     Hybrid Journal   (Followers: 3, SJR: 0.522, h-index: 19)
Environmental Management     Hybrid Journal   (Followers: 32, SJR: 0.942, h-index: 66)
Environmental Modeling & Assessment     Hybrid Journal   (Followers: 10, SJR: 0.533, h-index: 31)
Environmental Monitoring and Assessment     Hybrid Journal   (Followers: 9, SJR: 0.685, h-index: 52)
Environmental Science and Pollution Research     Hybrid Journal   (Followers: 14, SJR: 0.885, h-index: 46)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 4, SJR: 1.4, h-index: 17)
Epileptic Disorders     Hybrid Journal   (SJR: 0.608, h-index: 38)
EPJ A - Hadrons and Nuclei     Hybrid Journal   (Followers: 1, SJR: 1.287, h-index: 63)
EPJ B - Condensed Matter and Complex Systems     Hybrid Journal   (Followers: 3, SJR: 0.731, h-index: 89)
EPJ direct     Hybrid Journal  
EPJ E - Soft Matter and Biological Physics     Hybrid Journal   (Followers: 1, SJR: 0.641, h-index: 62)
EPMA J.     Open Access   (SJR: 0.284, h-index: 6)
ERA-Forum     Hybrid Journal   (Followers: 2, SJR: 0.128, h-index: 3)
Erkenntnis     Hybrid Journal   (Followers: 13, SJR: 0.621, h-index: 16)
Erwerbs-Obstbau     Hybrid Journal   (SJR: 0.206, h-index: 9)

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Journal Cover   European Journal of Plastic Surgery
  [SJR: 0.171]   [H-I: 14]   [2 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  [2292 journals]
  • Folded breast implant’s pointed edge causing thinning of the skin
    • PubDate: 2015-06-24
       
  • Angioleiomyoma arising from a digital artery with demonstrable
           intra-operative anatomy
    • Abstract: Abstract Angioleiomyoma is a rare benign tumour of smooth muscle cells derived from the tunica media of vascular walls, classically described as originating from veins. There are sporadic case reports documenting the occurrence of angioleiomyoma in the digits. We review the existing literature and report an angioleiomyoma occurring in the radial digital artery of a 42-year-old man and add to evidence of arterial origin with demonstrable intra-operative anatomy. Angioleiomyoma should form part of the differential diagnosis for subcutaneous masses occurring in the digit. Level of Evidence: Level V, diagnostic study.
      PubDate: 2015-06-24
       
  • Plasma rich in growth factors (PRGF) for the treatment of androgenetic
           alopecia
    • Abstract: Background Androgenetic alopecia (AGA) is a common hair disorder that affects both men and women all over the world. Although it is far from being a life-threatening disease, the psychosocial impact of AGA can provoke stress and a significant decrease in life quality. The objective of this retrospective study is to investigate the safety and efficacy of autologous plasma rich in growth factors (PRGF) for the treatment of AGA. Methods One hundred patients were included in this study. They followed two intradermal cycles of PRGF every 4 weeks. Macrophotographs and trichograms were performed at baseline and at 4 months after the first treatment in order to evaluate the overall improvement and determine the anagen/telogen hair ratio, respectively. Results Patients showed an overall increase in hair density. Trichogram analysis showed that anagen hair follicles increased significantly at 6.2 percentage points (p < 0.05) comparing to baseline levels, while a decrease of 5.1 points (p < 0.05) was observed among telogen ones. No adverse effect was reported by any patient. Conclusions Although more randomized clinical studies are needed, our data suggest that PRGF has a positive therapeutic effect on androgenetic alopecia showing no adverse effects related to the treatment protocol. Level of Evidence: Level III, therapeutic study.
      PubDate: 2015-06-21
       
  • ISAPS plastic surgery statistics—a closer look
    • PubDate: 2015-06-20
       
  • Sequelae of radiotherapy-induced coronary artery disease in breast
           reconstruction
    • PubDate: 2015-06-19
       
  • A rare case of eccrine spiradenoma—treatment and management
    • Abstract: Abstract A young male patient presented with multiple swellings on his chest and the nape of his neck. Physical examination revealed multiple small papulonodular swellings measuring 0.5 × 0.5 cm to 2 × 2 cm, that were soft without discharge with no surrounding skin changes or induration. Skin biopsy samples were diagnosed as benign adnexal neoplasm consistent with eccrine spiradenoma, trichoepithelioma, and cylindroma, i.e., Brooke–Spiegler syndrome. Having confirmed this to be a case of eccrine spiradenoma, surgical excision was performed and the raw area was covered with a split thickness skin graft taken from the right thigh and sutured over the raw area. The sternal lesion was circumferentially excised and the wound was primarily closed by Z-plasty. Surgical excision is considered the gold standard for the treatment of these cases, with low rates of recurrence. Around 50 such cases have been reported in the literature to date. Although eccrine spiradenomas are usually solitary and small, the findings in our case underscore the fact that a variety of presentations are possible. With strict clinical suspicion and histological criteria, the correct diagnosis can be achieved, especially when combined with pertinent clinical information and laboratory studies. Level of Evidence: Level V, therapeutic study.
      PubDate: 2015-06-17
       
  • Multidisciplinary management of risk-reducing mastectomy and immediate
           reconstruction: treatment algorithm and patient satisfaction
    • Abstract: Background Mutations in breast cancer type 1 and type 2 (BRCA 1/2) genes have been identified in populations expressing a strong family history of breast and ovarian cancers and account for 5–10 % of cases of breast cancer. The options for reconstruction in this cohort can be challenging because of the young age at which many patients present the sizeable defect and the psychosocial effect it has on their lives. A multidisciplinary one-stop clinic (MDOSC) is fundamental to their management Methods Our study included 91 patients, from July 2007 to July 2012, who underwent RRM with immediate autologous or implant-based reconstruction within our department. Women were invited to participate in the study post surgery and completed a validated Breast-Q questionnaire detailing their experience in a number of domains including body image and perception, sexuality, and cosmetic outcome. Patients were also invited to attend an individual interview for further analysis of patient experience and expectations. Results Using the questionnaire responses and private interview content, a detailed analysis of BRCA patient experience was achieved. The main concerns identified included expectations regarding the outcome and the dissatisfaction rates, less than 20 %, correlated with postoperative complication rates. Patients emphasized the importance of careful preoperative consultation with a multidisciplinary team, and >90 % cited a desire to recommend RRM with immediate reconstruction to other patients that met similar criteria. Conclusions RRM with immediate reconstruction is a good option for this unique group of patients; BRCA positive and overall patient satisfaction is high. Our study also highlights the significance of a multidisciplinary team working toward improving patient experience and outcome as well as managing patient expectations prior to surgery. Level of Evidence: Level III, risk/prognostic study.
      PubDate: 2015-06-09
       
  • Free flap engraftment despite early pedicle thrombosis due to antithrombin
           deficiency
    • Abstract: Abstract Early pedicle occlusion following microvascular flap transfer is the major cause for flap loss, which is most often surgery-associated and occurs usually within the first 48 h postoperatively. In unusual postoperative courses, patient-associated factors (e.g. thrombophilic disposition) have to be investigated. We present a case of posttraumatic reconstruction of a full-thickness skin defect of the foot in a healthy young man with a microvascular flap. At day 4 after surgery, a complete pedicle occlusion of the flap occurred resulting in a removal of the flap. Six days after transfer of another flap, a complete pedicle occlusion occurred as well in the second flap. The second flap survived due to engraftment through neovascularization. Retrospectively, antithrombin deficiency was detected. This case presents flap survival resulting from early engraftment after total pedicle occlusion, indicating the importance of a thorough and focused medical history and specific preoperative investigation if patient history is suspect for coagulopathy. Level of Evidence: Level V, risk/prognostic study
      PubDate: 2015-06-05
       
  • A blinking periorbital prosthesis using surface electromyographic signals
           of the orbicularis oculi muscle
    • Abstract: Background Recent advances in human–machine interface technology have enabled the development of multifunctional, primarily orthopedic myoelectric prostheses. We developed a noninvasive blinking periorbital prosthesis that can synchronize with blinking of the intact eyelid by using surface electromyographic signals of the orbicularis oculi muscle. Methods Myoelectric potentials of the orbicularis oculi muscle while blinking were measured with surface electrodes on the eyelid in four healthy adults. Possible cross talk introduced via the electrodes was also measured and assessed to determine whether cross talk would affect surface electromyographic measurements while blinking. Results The amplitude of the surface myoelectric potential of the orbicularis oculi muscle was sufficiently high for the practical use of blinking prostheses. Our blinking model was successfully synchronized with blinks of the subjects’ eyelids under experimental conditions without cross talk between the orbicularis oculi muscle and other muscles. Conclusions Although our study revealed several problems, the use of surface electromyographic signals could be a promising and useful technique for synchronizing blinking of the prosthetic eyelid with blinking of the intact eyelid. Level of Evidence: Level V, therapeutic study.
      PubDate: 2015-06-03
       
  • Implant exposure repaired combining the use of acellular dermal matrix and
           lateral thoracodorsal flap
    • PubDate: 2015-06-02
       
  • Hypertrophic scar as an areola graft in nipple-areola reconstruction
    • PubDate: 2015-06-01
       
  • Contralateral axillary silicone lymphadenopathy, following skin sparing
           mastectomy and immediate reconstruction with latissimus dorsi myocutaneous
           flap and implant
    • PubDate: 2015-06-01
       
  • Fibro-osseous pseudotumour of the digit: the importance of correct
           diagnosis
    • Abstract: Abstract Fibro-osseous pseudotumour of the digit (FOPT) is a rare, benign lesion of proliferating spindled myofibroblasts found in the soft tissue of the distal aspect of the digits. Misdiagnosis as malignant neoplasms such as osteosarcomas results in needlessly aggressive surgery and hinders reconstruction. We report the case of a 6-year-old girl presenting with an enlarging lesion of the left hallux for over a year, causing elevation of the medial nail fold of the left big toe over the distal phalanx. An incisional biopsy was undertaken revealing a lesion histopathologically consistent with a diagnosis of fibro-osseous pseudotumour. Accurate diagnosis through clinical reasoning and histopathology prevented digit amputation. Level of evidence: Level V, diagnostic study
      PubDate: 2015-06-01
       
  • Utility of chest X-ray and abdominal ultrasound for stage III cutaneous
           malignant melanoma
    • Abstract: Background Current Danish Melanoma Guidelines suggest that stage III cutaneous malignant melanoma receive chest X-ray and abdominal ultrasound to exclude lung and liver metastases. The aim of this study was to examine the sensitivity, specificity, and negative predictive value of chest X-ray and abdominal ultrasound in excluding lung and liver metastases in stage III cutaneous malignant melanoma disease. Methods A retrospective study was conducted on stage III malignant melanoma patients who underwent wide local excision and complete lymph node dissection from 1 January 2009 to 31 December 2012. Patients were identified by procedure codes and cross-checked with the Danish National Pathology Database. Results Ninety patients were included. All patients had chest X-ray and abdominal ultrasound performed. Five chest X-rays raised suspicion of lung metastases and four ultrasounds of liver metastases. One patient had pleural metastases. Additional imaging and biopsies ruled out metastases in eight of nine cases. Eighty patients had normal imaging, and among these, two had metastases in the lungs and two in the liver at 1-year follow-up. For chest X-ray and abdominal ultrasound, sensitivity, specificity, and negative predictive value were estimated to be 33/0, 95/95, and 98/98 %, respectively. Conclusions The present study showed little correlation between imaging findings and metastases, suggesting that chest X-ray and abdominal ultrasound might be doubtable in excluding lung and liver metastases in stage III cutaneous malignant melanoma patients. Level of Evidence: Level IV, prognostic study
      PubDate: 2015-06-01
       
  • Concurrent Poland’s syndrome and gynaecomastia: achieving the
           balance using lipomodelling
    • Abstract: Abstract The occurrence of both Poland’s syndrome and gynaecomastia in the same patient is extremely rare. This is only the second report in the medical literature. These distinct deformities of the chest wall have very different aetiologies. Poland’s syndrome is a heterogeneous congenital condition thought to be a consequence of a developmental hypoxic insult between 6 and 8 weeks of gestation as the upper limb and chest musculature develops. It encompasses a spectrum of congenital anomalies, characterised by hypoplasia or agenesis of the pectoralis muscles, breast, nipple areolar complex, soft tissue and upper limb skeletal anomalies. It is usually unilateral. Gynaecomastia by contrast is the benign enlargement of breast tissue in males. Aetiology in adult patients includes systemic disease, hormone imbalances and drugs, and may be unilateral or bilateral. We report the case of a 46-year-old man who presented with chest wall asymmetry. The Poland’s syndrome affecting his right chest had only become apparent with the development of a contralateral gynaecomastia. Surgery was performed with liposuction and nipple-preserving skin reduction of the gynaecomastia. The harvested fat from the breast was used with additional abdominal wall fat and transferred to the right chest defect caused by Poland’s syndrome. This is the first time that lipomodelling has been reported in the reconstruction of Poland’s syndrome using fat transferred from the contralateral breast. Level of Evidence: Level V, therapeutic study.
      PubDate: 2015-06-01
       
  • Single stage immediate prosthetic breast and nipple-areolar complex
           reconstruction with simultaneous contralateral symmetrisation
    • Abstract: Abstract The authors present a case report of a patient with two foci carcinoma of the left breast. The selected therapeutic surgical indication was a left skin sparing mastectomy with amputation of the nipple-areolar complex, immediate breast reconstruction and contralateral breast reduction for symmetrisation. The redundant skin of the right areola was used as a spiral graft to reconstruct the left areola. The reconstruction of the left amputated breast was immediately obtained by placing a permanent anatomical breast implant in a subpectoral position in the superior half and in a retro-dermoadipose flap position in the inferior half (dual plane technique). The weight difference between the mastectomy side and the reduction side gave the calculated implant size of the procedure. This one stage technique achieved a good end-result considering symmetry and shape. The 3.5 years follow-up revealed no complications, no recurrence and aesthetic quality. Level of Evidence: Level V, therapeutic study.
      PubDate: 2015-06-01
       
  • Free and pedicle flaps in lower extremity trauma
    • Abstract: Abstract Improvements in microsurgical techniques and perioperative management have led to more attempts at limb salvage surgery after severe extremity trauma. Although some microsurgery-trained orthopedic surgeons will perform extremity soft tissue reconstruction, many rely on plastic surgeons or hand surgeons. However, the orthopedic trauma surgeon often remains the principle decision maker in the follow-up of these patients. Therefore, orthopedic surgeons should have a clear understanding of the planning and execution of flap reconstruction of the traumatized extremities. Collaboration with the microsurgery team will also improve planning of orthopedic procedures and facilitate a better understanding of the expected outcomes after tissue transfer. This becomes especially important when considering, debridement, early amputation versus extensive soft tissue reconstruction and when discussing these alternatives with patients and family as well as postoperative course. The goals of this article are to provide orthopedic trauma surgeons with an understanding of the selection, planning, and execution of tissue transfers for posttraumatic extremity reconstruction and to review their successes and outcomes in the literature. Communication between teams involved in reconstruction of the traumatized extremity and an understanding of limitations are paramount to successful outcomes after reconstruction. Level of Evidence: Not ratable.
      PubDate: 2015-06-01
       
  • The use of triamcinolone combined with surgery in major ear keloid
           treatment: a personal two stages approach
    • Abstract: Background Keloid is a fibroproliferative disorder characterized by an abnormal deposition of collagen within a wound. Despite an increased understanding of wound healing and collagen metabolism, the exact cause, the clinical behavior, and gold standard of treatment for keloids remain an enigma. There is no one right way of treatment, the results are variable, and the management of ear keloids can be difficult and frustrating both for patients and physicians. Traditional techniques include intralesional steroids, topical applications of silicone, vitamins, and segmental excision by lasers or surgery. The purposes of this article are to review the literature concerning the current therapies as well as to present the authors’ experience in the treatment of major ear keloids. Methods Twenty-seven consecutive black race patients (18 cases and 9 controls) underwent surgery for major keloids of the external ear at the Plastic and Reconstructive Surgery Unit of University of Palermo. The authors performed the radical excision and intralesional triamcinolone acetonide injection intraoperative and 1 month after surgical treatment. Results No complications were noticed in the early postoperative period, and no recurrence was noticed in all the patients. Conclusions The radical excision and the intralesional triamcinolone acetonide injection appear to be a successful option of treatment for major ear keloids. Compared to other methods, it does not necessitate several stages of treatment, moreover, it has the advantages to lower the risk of recurrence, the healing process is rapid, and improvement of quality of life is significant. Level of evidence: Level IV, therapeutic study
      PubDate: 2015-06-01
       
  • Erratum to: The reconstructive challenges of electrical burns to the
           scalp: a case series
    • PubDate: 2015-06-01
       
  • Thickness of calvarium and diploic space in children ages 0 to 17 as
           assessed by computed tomography
    • Abstract: Background The thickness of the calvarium and presence of the diploic space in children can aid surgical planning for split-thickness calvarial bone grafting when needed in calvarial reconstruction. However, the normal anatomical characteristics of calvarial thickness and the diploic space in children are poorly defined. Methods Computed tomography scans of pediatric heads over a 2-year period were culled from a large, urban pediatric referral hospital. Subjects with a craniofacial/developmental abnormality or history of surgery were excluded. 104 scans met inclusion criteria. Each skull was marked at 40 locations over the frontal, parietal, and occipital bones. At each location, thickness measurements of the calvarium and the diplöe were taken. Results The left posterior parietal region was thicker than the right in both skull and diploic thickness. Over 90 % of subjects had diplöe demonstrable on CT in the frontal and posterior parietal regions by age 3–5. In all ages, the diplöe was thickest in the frontal bone and in posterolateral parts of the parietal bones. Conclusions The skull and the diplöe are bilaterally symmetric except in the posterior parietal region, where the left is thicker than the right. The presence of a diplöe in surgically important regions can be reliably demonstrated using CT by age 3–5. Level of Evidence Level IV, diagnostic study.
      PubDate: 2015-06-01
       
 
 
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