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Publisher: Springer-Verlag   (Total: 2335 journals)

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Showing 1201 - 1400 of 2335 Journals sorted alphabetically
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: 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: 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: 6, 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: 8, 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: 9, 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: 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: 28, 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: 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   (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: 43, 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: 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: 6, 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: 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: 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: 21, 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: 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: 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: 14, 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: 52, 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: 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: 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: 2, 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: 5, 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: 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: 14, 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: 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: 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: 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: 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: 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: 14, 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: 20, 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: 16, 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: 10, 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: 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)
J. of Physiology and Biochemistry     Hybrid Journal   (Followers: 3, SJR: 0.87, h-index: 33)

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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  [2335 journals]
  • Histological evaluation of the effects of 5-fluorouracil on partially
           divided flexor tendon injuries in rabbits
    • Authors: Shkelzen B. Duci; Hysni M. Arifi; Hasan R. Ahmeti; Suzana Manxhuka-Kerliu; Agon Y . Mekaj; Labinot Shahini; Fisnik Kurshumliu
      Pages: 1 - 10
      Abstract: Background The most frequent complication after flexor tendon repair is the development of adhesions. Our purpose was to investigate the effects of 5-fluorouracil (5-FU) on tendon adhesions in partially divided profundus flexor tendons (flexor digitorum profundus (FDPs)) following surgical repair and in partially divided FDPs without surgical repair. Methods The study was performed on the deep flexor tendons of the second and third digits of the right hind paws of rabbits. Results Results of the repair versus the nonrepair of zone two injuries were compared via histopathological evaluations of tendon adhesions. Based on the results observed in our experimental study, during histological evaluation, the adhesion was significantly greater in subgroup 1a in which the tendons were repaired surgically and not treated with 5-FU than those of subgroup 2a in which the tendons were repaired surgically and treated with 5-FU. There were no significant differences in histological evaluation of the tendons of subgroups 1b and 2b. Based on the results observed in our experimental study, we conclude that 5-FU did not affect on the creation of adhesion in partially divided flexor tendons that have not been surgically repaired. Conclusions A single topical application of 5-FU at a concentration of 25 mg/ml was effective in controlling peritendinous adhesions following surgical repair in this animal model. Level of Evidence: Not ratable.
      PubDate: 2017-02-01
      DOI: 10.1007/s00238-016-1237-z
      Issue No: Vol. 40, No. 1 (2017)
       
  • Electroneuromyographic study of orbicularis oculi muscle for evaluation of
           denervation after a transcutaneous inferior blepharoplasty with
           musculocutaneous flap
    • Authors: Fernando Vicente de Araujo; Leão Faiwichow; Cidia Vasconcellos; An Wang Ching; Marcel Vinicius Aguiar Menezes; Gustavo Henrique Araujo Pereira
      Pages: 11 - 16
      Abstract: Background Despite of the advances in plastic surgery, the approach to inferior eyelid is still considered a potential area for complications. Inferior transcutaneous blepharoplasty, without a canthal support, can lead to malposition of the inferior eyelid in 15 to 20 % of the individuals. The purpose of the study was to evaluate orbicularis oculi muscle function through electroneuromyographic studies of the face and inferior eyelid after inferior transcutaneous blepharoplasty with musculocutaneous flap. Methods Fifteen individuals, 30 eyelids, were submitted to inferior blepharoplasty with musculocutaneous flap and lateral canthopexy. Electroneuromyography with standard needles and facial nerve conductive studies were performed before and after surgery on both sides of the face. Statistical analysis was used. Results All the operated eyelids showed electroneuromyographic activity during voluntary contraction of orbicularis oculi muscle. Blink reflexes and facial nerve studies revealed no signs of denervation in both sides (p > 0.01). Functional and aesthetical results were considered satisfactory. Conclusions Electroneuromyographic studies after inferior transcutaneous blepharoplasty showed a viable muscle, functional and electrically active to inferior eyelid. Denervation was not evidenced. Level of Evidence: Level IV, prognostic study.
      PubDate: 2017-02-01
      DOI: 10.1007/s00238-016-1233-3
      Issue No: Vol. 40, No. 1 (2017)
       
  • De novo experience of resorbable woven mesh in immediate breast
           reconstruction post-mastectomy
    • Authors: Shiva Sharma; Susie Van Barsel; Mitchell Barry; Malcolm R. Kell
      Pages: 17 - 22
      Abstract: Background Implant based reconstruction (IBR) is the most common form of breastreconstruction. IBR has advantages; uncomplicated surgery, no donor site and goodaesthetic outcome. However, disadvantages include infection with implant loss andphysical limitation to the size of breast which can be used. The use of surgical matricesto increase the size of implants used has gained in popularity, however concernsregarding increased complication rates exists. Here we describe our initial experienceusing a resorbable mesh in post mastectomy patients. Methods Post mastectomy patients after cancer surgery or for risk reducing surgerywere examined. We examined our initial experience over an 18 month period ofpatients undergoing reconstruction with the use of resorbable mesh and implant basedreconstruction. Patients were followed for major or minor complications including flap necrosis, implant loss, haematoma, seroma and infection rates. Results Few major complications were encountered. There were no instances of flap necrosis or haematoma formation. However, 5 reconstructed breasts (n=74, 6.7%)resulted in loss of the implant due to infection. These losses were associated withpatients who were either current or ex-smokers, or in patients who had or wereundergoing either radiation or chemotherapy. Minor complications such as superficialwound infections were seen in 8 of 74 (10.8%) reconstructed breasts. The overallcomplication rate was 17.5%, or 13 of 74 reconstructed breasts. Conclusions The use of resorbable mesh provides excellent cosmetic outcomes withminimal complications. To avoid major complications discretion should be used inpatients with risk factors such as smoking and radiation therapy. Level of Evidence: Level IV, therapeutic study.
      PubDate: 2017-02-01
      DOI: 10.1007/s00238-016-1227-1
      Issue No: Vol. 40, No. 1 (2017)
       
  • Hypospadias reconstruction: 11-year follow-up study of outcomes and
           patient satisfaction
    • Authors: Ayad Harb; Felicity Page; Mohammad Nassimizadeh; Alan Park
      Pages: 23 - 28
      Abstract: Background Hypospadias is the most common congenital penile malformation, with ventral and proximal displacement of the urethral meatus. Relevant data on long-term outcomes and satisfaction following hypospadias reconstruction are scarce. The purpose of this study was to evaluate the 11-year surgical results and patient satisfaction ratings in a group of patients with hypospadias who underwent repair over a 6-year period. Methods Retrospective analysis was performed on 122 hypospadias patients operated on by a single surgeon at a single centre between August 2000 and December 2006. Information was collected through a review of patient notes, postal questionnaires and telephone contact with patients. Data collection included the patients’ functional results, cosmetic outcomes and satisfaction ratings. Satisfaction was rated on a 1–10 scale and responses were collected over a 2-month period. Results A total of 122 patients underwent hypospadias repair. The average age was 38 months (range 1–360 months). Two stage procedures were done in 56 patients, with 66 patients undergoing single stage repair. There was a total of 22 complications reported in separate patients (18 %). Functional and cosmetic outcomes were generally good. Overall patient satisfaction was high (8.7/10). Conclusions This is one of the largest outcome and patient satisfaction studies following hypospadias repair. The results provide a reliable indicator of complication rates and long-term outcomes and satisfaction rates. Hypospadias repair is associated with high patient satisfaction. The chief complaint among hypospadias patients is of penile shape and inadequate size. Longer prospective follow-up would be beneficial. Level of Evidence: Level IV, therapeutic study
      PubDate: 2017-02-01
      DOI: 10.1007/s00238-016-1231-5
      Issue No: Vol. 40, No. 1 (2017)
       
  • Danish translation and linguistic validation of the BODY-Q: a description
           of the process
    • Authors: Lotte Poulsen; Michael Rose; Anne Klassen; Kirsten K. Roessler; Jens Ahm Sørensen
      Pages: 29 - 38
      Abstract: Background Patient-reported outcome (PRO) instruments are increasingly being included in research and clinical practice to assess the patient point of view. Bariatric and body contouring surgery has the potential to improve or restore a patient’s body image and health-related quality of life (HR-QOL). A new PRO instrument, called the BODY-Q, has recently been developed specifically for this patient group. The aim of the current study was to translate and perform a linguistic validation of the BODY-Q for use in Danish bariatric and body contouring patients. Methods The translation was performed in accordance with the International Society For Pharmacoeconomics and Outcomes Research (ISPOR) and the World Health Organization (WHO) recommendations. Main steps taken included forward and backward translations, an expert panel meeting, and cognitive patient interviews. All translators aimed to conduct a conceptual translation rather than a literal translation and used a simple and clear formulation to create a translation understandable for all patients. Results The linguistic translation process led to a conceptually equivalent Danish version of the BODY-Q. The comparison between the back translation of the first Danish version and the original English version of the BODY-Q identified 18 items or instructions requiring re-translation. The expert panel helped to identify and resolve inadequate expressions and concepts of the translation. The panel identified 31 items or instructions that needed to be changed, while the cognitive interviews led to seven major revisions. Conclusions The impact of weight loss methods such as bariatric surgery and body contouring surgery on patients’ HR-QOL would benefit from input from the patient perspective. A thorough translation and linguistic validation must be considered an essential step when implementing a PRO instrument to another language and/or culture. A combination of the ISPOR and WHO guidelines contributed to a straightforward and thorough translation methodology well suited for a Danish translation of the BODY-Q. The described method of translation and linguistic validation can be recommended for future translations of PRO instruments in the field of plastic surgery. Level of Evidence: Not ratable.
      PubDate: 2017-02-01
      DOI: 10.1007/s00238-016-1247-x
      Issue No: Vol. 40, No. 1 (2017)
       
  • Evaluation of factors in seroma formation and complications in sentinel
           and radical lymph node dissections in skin cancer patients
    • Authors: Ladina Greuter; Holger Jan Klein; Farid Rezaeian; Pietro Giovanoli; Nicole Lindenblatt
      Pages: 39 - 46
      Abstract: Background Sentinel lymph node dissection (SLND) and radical lymph node dissection (RLND) represent standard surgical procedures in skin cancer patients. Complications may arise, with seroma formation being the most prevalent. Although both conservative and surgical approaches have been undertaken in effort to reduce the occurrence of postoperative seroma, none have been able to show a beneficial effect. Therefore, the aim of our study was to examine the rate of complications in RLNDs and SLNDs in respect to the influence of different preventative techniques on potential seroma formation. Methods We performed an evaluation of all SLNDs and RLNDs within a 2-year period at our hospital. The primary focus was seroma formation, with secondary points being infection, wound healing problems (WHP), and lymphedema, as well as the total length of hospital stay and revision surgery. Results Three hundred eighty-nine patients were recorded, of which 268 patients (69 %) underwent an SLND while 121 patients (31 %) underwent an RLND. Seroma in RLNDs occurred significantly more frequently with 46.3 % compared to SLNDs with only 11.6 %. Pressure and vacuum dressings were associated with a considerably higher chance of seroma formation, namely 3.5 and 2.1 times more than with a normal dressing. Other methods such as ligation, clipping, fibrin glue, or a sartorius flap showed no effects. Conclusions RLNDs are associated with a higher rate of seroma regardless of surgical or postoperative approach, whereas SLNDs only induce a few side effects. Further infections, wound healing problems, and lymphedema were significantly associated with seroma formation. Level of Evidence: Level IV, risk / prognostic study
      PubDate: 2017-02-01
      DOI: 10.1007/s00238-016-1242-2
      Issue No: Vol. 40, No. 1 (2017)
       
  • Role of FDG-PET/CT in stage 1–4 malignant melanoma patients
    • Authors: Mai Eldon; Ulrik Knap Kjerkegaard; Mette Heisz Ørndrup; Pia Sjøgren; Lars Bjørn Stolle
      Pages: 47 - 52
      Abstract: Background The number of patients diagnosed with malignant melanoma (MM) has increased over several years. Despite early diagnosis of MM and therefore better prognosis, the number of FDG-PET/CT scans (PET/CT) seems to be increasing. This study aimed to describe all MM patients who were PET/CT scanned in 2012 at a department of plastic surgery and to analyze the pattern of referral and outcome of PET/CT scans of these patients all back from early diagnosis of the patient in the period 2008–2012. Methods All patients with MM stages 1–4 (AJCC stages) and melanoma of unknown primary (MUP) who were PET/CT scanned in 2012 were included. This resulted in a study group of 58 patients with 109 PET/CT scans during the study period 2008–2012. Results Indications for referring stages 1 and 2 patients to PET/CT were usually based on subjective symptoms of disease, whilst patients in stages 3 and 4 were usually appointed to a PET/CT based on objective, radiological or histological signs of relapse. Approximately, two thirds of the PET/CT scans of stages 1 and 2 patients, respectively, were negative, which is twice as many compared to stages 3–4. Five patients were upgraded in stage because of a biopsy taken after PET/CT. The number of additional examinations triggered per PET/CT increased with the stages. Conclusions Some PET/CT scans of stages 1 and 2, MM patients might have been unnecessary considering the vague indications for referral and the relatively large number of negative scans. Earlier, there was no national guideline for the use of PET/CT scans of MM patients. Hopefully, the recently published guideline from The Danish Health Board will help optimize the cost-benefit of each PET/CT scan. Level of Evidence: Level IV, diagnostic study.
      PubDate: 2017-02-01
      DOI: 10.1007/s00238-016-1228-0
      Issue No: Vol. 40, No. 1 (2017)
       
  • Bipedicle transverse lumbar fasciocutaneous flap: a useful surgical
           technique for the cover of lumbar defects
    • Authors: Sultan Al-Shaqsi; Fathey ElSaid Ali
      Pages: 53 - 56
      Abstract: Abstract Lumbar defects constitute a challenging problem for practicing plastic surgeons. With an increase in spinal surgeries and a rising number of war victims, newer and better plastic solutions are required to cover wounds in the lumbar region. Vertically oriented paraspinal musculocutaneous flaps have been described for central lumbar back defects. This article describes a horizontally oriented bipedicle fasciocutaneous flap that can also be used to cover large transverse defects. The versatility of this flap in treating a case of a war victim is highlighted. Level of Evidence: Level V, therapeutic study.
      PubDate: 2017-02-01
      DOI: 10.1007/s00238-016-1216-4
      Issue No: Vol. 40, No. 1 (2017)
       
  • Wrap technique to cover exposed Achilles tendon with the soleus muscle
    • Authors: Tolga Türker; Kevin Lawson; Ethan Erik Larson
      Pages: 57 - 60
      Abstract: Abstract Numerous etiologies may lead to loss of Achilles tendon coverage. Currently, multiple coverage options are available to the reconstructive surgeon; however, described techniques may not meet every patient’s need. In this case report, we describe the use of a simple technique, utilizing the soleus to cover exposed Achilles by folding the muscle circumferentially around the tendon. The technique described is a local option, creates minimum morbidity, does not require microsurgical skills, and can be performed quickly. Level of Evidence: Level V, therapeutic study.
      PubDate: 2017-02-01
      DOI: 10.1007/s00238-016-1214-6
      Issue No: Vol. 40, No. 1 (2017)
       
  • Nodular fasciitis of the head and neck: case report and review of
           literature
    • Authors: Xinni Xu; O-Wern Low; Hui Wen Ng; Jane Lim; Thiam Chye Lim; Wei Chen Ong
      Pages: 61 - 66
      Abstract: Abstract Nodular fasciitis is a benign tumour arising from the proliferation of fibroblasts and myofibroblasts. A relatively rare occurrence in the head and neck, we present a case of nodular fasciitis located over the left zygoma of a patient. To expound on this, a review of literature was performed on cases of nodular fasciitis that have been previously reported. The objective of this study was to review the incidence, average demographic, characteristics and the outcome of management of patients with nodular fasciitis in the head and neck. We found a total of 46 cases of nodular fasciitis in the head and neck. The average size of the lesion was 2.16 cm. Majority of the head and neck nodular fasciitis (63.0 %) was located in the oral cavity, 28.3 % was on the facial region and the remaining 8.7 % was located on the neck. Of the 13 lesions present on the face, most of them were located over the midface (zygoma, parotid or cheek), with only three cases present on the mentum and none over the forehead. The incidence of associated trauma is 18.5 %. Nodular fasciitis in the head and neck region have been well documented in literature and should be considered as a differential for lesions in the head and neck region. With proper work-up and approach, this benign condition can be managed appropriately with good overall prognosis and minimal morbidity. Level of Evidence: Level V, therapeutic study.
      PubDate: 2017-02-01
      DOI: 10.1007/s00238-016-1238-y
      Issue No: Vol. 40, No. 1 (2017)
       
  • Post-irradiation morphea of the breast: does this pose an issue for
           reconstruction'
    • Authors: Bilal Rafique; Niall McInerney; Gearoid Fitzgerald; Deirdre O’Hanlon; Jennifer Gilmore; Edward Jason Kelly
      Pages: 67 - 70
      Abstract: Abstract Radiotherapy is a critical component in the treatment of breast cancer, which is the leading cause of cancer death in women. Morphea, or localized scleroderma, is a rare dermatologic disorder characterized by dermal fibrosis and collagen deposition. Most cases of Morphea arise de novo. The aetiology is poorly understood but there are increasing cases in the literature of radiation-induced morphea (RIM) following external beam radiotherapy in breast cancer patients. Its development has functional and cosmetic consequences. Treatment options are limited, with few reports of successful surgical management or formal breast reconstruction. We outline three cases of radiation-induced morphea (RIM) of the breast all of which were successfully treated with excision and flap reconstruction both free and pedicled: two, in the form of latissimus dorsi reconstruction and one, muscle only flap covered with a split skin graft. Level of Evidence: Level V, therapeutic study.
      PubDate: 2017-02-01
      DOI: 10.1007/s00238-016-1226-2
      Issue No: Vol. 40, No. 1 (2017)
       
  • Pneumomediastinum, pneumothorax and subcutaneous emphysema following
           cryoinsufflation for the treatment of hidradenitis suppurativa
    • Authors: A. Kramer; I. Metanes; N. Eyal; L. Brizgalin; S. Halabi; L. Har-Shai; Y. Har-Shai
      Pages: 71 - 74
      Abstract: Abstract The treatment of hidradenitis suppurativa is challenging. Recently, cryoinsufflation was described for treating this perplexing condition. We hereby report the occurrence of pneumomediastinum, pneumothorax, and extensive subcutaneous emphysema following the treatment of sternal hidradenitis suppurativa by cryoinsufflation. These complications were gradually resolved spontaneously under careful observation. Notwithstanding that the trapped gas in the subcutaneous and lung tissues in our patient gradually reabsorbed spontaneously, we are now in the opinion that cryoinsufflation in the thorax area should be performed under deep sedation or general anesthesia, with close observation of the patient including overnight hospitalization and monitoring by oximetry. Alternatively, the use of different cryosurgery techniques such as contact or intralesional methods could be considered. Level of evidence: Level V, risk study
      PubDate: 2017-02-01
      DOI: 10.1007/s00238-016-1230-6
      Issue No: Vol. 40, No. 1 (2017)
       
  • Pseudoaneurysm of superficial and deep arch of the hand after penetrating
           wound
    • Authors: Asra Hashmi; Adam Schumaier; Faraz Ali Khan; Tolga Gursel; Guillermina Nava
      Pages: 75 - 78
      Abstract: Abstract Pseudoaneurysm of the hand is often the result of focal penetrating trauma. The goal of this report is to describe a rare case of a patient with a pseudoaneurysm of the superficial palmar arch, and deep arch, and her subsequent surgical treatment. A 67-year-old patient sustained an accidental laceration to her palm, with a kitchen knife. The patient was initially treated in the Emergency Department, with a simple repair of a 1 cm laceration. No imaging was obtained at that time. The patient subsequently developed a large, pulsatile, painful mass in her palm near the site of injury, and presented to Emergency Department again for evaluation. Using a color flow Doppler US, the patient was initially diagnosed with a pseudoaneurysm of the superficial palmar arch. Superficial aneurysm was treated with two thrombin injections, after which a CT angiogram was obtained that showed a pseudoaneurysm in the deep arch. The patient was subsequently taken to the operating room, and both pseudoaneurysms were successfully resected and repaired. The patient did well after surgery, with no lasting sensory or motor deficits to the hand, and patency of superficial and deep arch, as well as, well flow to the digital arteries. To our knowledge, this is the only case reporting post-traumatic pseudoaneurysm of superficial and deep arch. Although, a rare phenomenon, pseudoaneurysm of the superficial palmar arch and deep arch can coexist. Level of Evidence: Level V, diagnostic/therapeutic study.
      PubDate: 2017-02-01
      DOI: 10.1007/s00238-016-1235-1
      Issue No: Vol. 40, No. 1 (2017)
       
  • Simultaneous total upper and lower lip reconstruction during a
           humanitarian surgical mission to Africa
    • Authors: Arthur Charpentier; Gottfried Lemperle
      Pages: 79 - 82
      PubDate: 2017-02-01
      DOI: 10.1007/s00238-016-1232-4
      Issue No: Vol. 40, No. 1 (2017)
       
  • Combined cutaneous z-plasty and z-tenotomy for correction of claw toe
           deformity
    • Authors: Theodore Pezas; Khurram Khan; Lucy Cogswell
      Pages: 83 - 84
      PubDate: 2017-02-01
      DOI: 10.1007/s00238-016-1204-8
      Issue No: Vol. 40, No. 1 (2017)
       
  • De-epithelialized dorsal digital turnover flap for coverage of volar
           digital lesions: a modified technique
    • Authors: Jefferson Braga Silva; Renato Matta Ramos; Pedro Salomão Piccinini
      Abstract: Abstract Volar digital injuries represent a challenge to hand surgeons. Anatomical studies demonstrate the existence of dorsal digital branches of the ulnar and radial arteries at predictable and regular distances from the PIP joint, bilaterally. Moreover, as there are also small veins that accompany the arterial branches, we designed a novel de-epithelialized dorsal finger turnover flap, which can be performed on the ulnar and radial sides of fingers where it is important to maintain the paratenon to support the dorsal skin flap. A 21-year-old female presented with traumatic injury to the middle phalanx of the third finger associated with loss of substance and damage to the flexor tendons in zone II. The dorsal part of the finger was used to provide coverage for a volar injury. There was no scar retraction or functional limitation of the reconstructed finger. This novel, de-epithelialized dorsal finger turnover flap can be safely used for coverage of volar finger lesions, due to a reliable and well-described arterial supply, with no skin necrosis of the donor site, post-surgical infection, or scarring complications. Level of Evidence: Level V, therapeutic study.
      PubDate: 2017-02-10
      DOI: 10.1007/s00238-017-1280-4
       
  • Tuberous breast correction by using a single-stage “star-like”
           incision: an innovative technique
    • Abstract: Background Tuberous breast deformity is a congenital anomaly affecting young women. Several surgical techniques have been developed, but in many cases, they have not led to the expected results or have led to significant complications. The purpose of our study is to evaluate the efficacy of treating tuberous breast deformity with an innovative “star-like” incision technique. Methods Between 2009 and 2013, 25 patients with a tuberous breast deformity underwent surgery at our department. All patients were managed with a star-like incision of the gland and the placement of a subfascial silicone gel implant in a single-stage surgical procedure. An areolar reduction was also performed. Results Our results, with a maximum follow-up of 4 years, were satisfying. There were no surgical or later complications. The new breasts had a natural shape, correct symmetry, a normal-sized areola, reduced evidence of the “double-bubble" deformity, good mammary projection, and resolved ptosis. Conclusion Advantages of the star-like incision technique include lower breast pole restructuring in the volume, length, and shape, suitable breast implant coverage, and proper correction of areola size and herniation. The technique is safe and achieves satisfactory, long-lasting results. Level of Evidence: Level IV, descriptive study
      PubDate: 2017-02-09
      DOI: 10.1007/s00238-017-1278-y
       
  • Functional evaluation of the restored mucosa after nasal reconstruction
           with a forehead-galea flap
    • Authors: Maria A. Bocchiotti; Luca Spaziante; Erind Ruka; Giancarlo Pecorari; Massimiliano Garzaro; Giuseppe Riva; Mia Rossi; Stefano Bruschi
      Abstract: Background Recovery of the internal mucosal lining is the most problematic step in nasal reconstruction. Restoration of both aesthetic and functional components should be the goal to be pursued. For this purpose, we performed a study for functional evaluation of the restored mucosa after nasal reconstruction. Methods From April 2009 to May 2016, 10 patients in whom the galea was used to reconstruct the nasal lining were selected from our casuistic of nasal reconstruction. In order to visualize the nasal and nasopharyngeal cavity, an antero-posterior rhinoendoscopy was performed in all patients. Additionally, patients were asked to complete a visual analogue scale (VAS) evaluation regarding nasal obstruction. Active anterior rhinomanometry analysis, olfactometry analysis and a cytologic examination were also conducted. Results Near-normal results in nasal obstruction evaluation were reported subjectively by patients. Near-normal inspiratory values were obtained using rhinomanometry. Average values of TDI (threshold, discrimination and identification), a comprehensive olfactometric parameter, were essentially normal. Cytological sampling examination did not reveal any substantial abnormal variation. Conclusions Based on our morphological and functional results, we can assert that the forehead flap in association with galea for lining is a safe and practical surgical technique in total nasal reconstruction. Level of Evidence: Level V, prognostic study
      PubDate: 2017-01-31
      DOI: 10.1007/s00238-017-1275-1
       
  • Evaluation of discriminative sensibility recovery in patients with
           buccinator myomucosal flap oral cavity reconstructions
    • Authors: Luigi Angelo Vaira; Olindo Massarelli; Roberta Gobbi; Damiano Soma; Giovanni Dell’aversana Orabona; Pasquale Piombino; Giacomo De Riu
      Abstract: Background Sensitive restoration is the primary aim of oral reconstructive surgery. Discriminative sensibility is an important index of innervation density of a tissue. Instruments normally used to assess this type of skin sensibility are bulky and difficult to introduce in the oral cavity, even in healthy patients with a normal mouth opening. This study was intended to evaluate the recovery of static and dynamic two-point discrimination sensitivity of the reconstructed areas of the oral cavity. Methods Surgical staples, calibrated in predetermined width (from 1 to 30 mm) and introduced in the oral cavity with a Mayo needle holder, were used to evaluate two-point discrimination recovery in 57 patients who underwent reconstructive surgery with buccinator myomucosal flaps. Tests were conducted both on the reconstructive flap and on the non-operated contralateral side. The latter also included the non-operated cheek. Results All of the considered flaps showed a recovery of tactile sensitivity. The overall average discriminative threshold value assessed on this sample was 9.11 ± 2.46 mm for the static and 6.56 ± 2.46 mm for the dynamic. Conclusions The use of surgical staples allows easy assessment of tactile sensitivity in all oral cavity areas, even in operated patients who often present lockjaw or microstomia. In our series, buccinator myomucosal flaps demonstrate a much greater recovery of the sensation compared to results found in the literature on fasciocutaneous free flaps, even those reinnervated. Level of Evidence: Level III, prognostic study
      PubDate: 2017-01-23
      DOI: 10.1007/s00238-017-1277-z
       
  • Acknowledgment to reviewers—2016
    • PubDate: 2017-01-14
      DOI: 10.1007/s00238-017-1274-2
       
 
 
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