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Publisher: Springer-Verlag   (Total: 2329 journals)

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Showing 1201 - 1400 of 2329 Journals sorted alphabetically
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: 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: 5, 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: 11)
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: 22, 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 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: 53, 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: 8, 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: 2, SJR: 0.439, h-index: 11)
J. of Marine Science and Technology     Hybrid Journal   (Followers: 2, 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: 11, SJR: 1.011, h-index: 71)
J. of Mathematical Chemistry     Hybrid Journal   (Followers: 4, SJR: 0.497, h-index: 45)
J. of Mathematical Fluid Mechanics     Hybrid Journal   (Followers: 7, 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: 5, 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: 4, 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: 3, SJR: 0.418, h-index: 15)
J. of Muscle Research and Cell Motility     Hybrid Journal   (Followers: 1, SJR: 1.264, h-index: 55)
J. of Nanoparticle Research     Hybrid Journal   (Followers: 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: 7, 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: 23)
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: 1, 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)
J. of Pharmacokinetics and Pharmacodynamics     Hybrid Journal   (Followers: 17, 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: 9, SJR: 0.704, h-index: 26)
J. of Physiology and Biochemistry     Hybrid Journal   (Followers: 3, SJR: 0.87, h-index: 33)
J. of Plant Biochemistry and Biotechnology     Hybrid Journal   (Followers: 6, SJR: 0.511, h-index: 20)
J. of Plant Biology     Hybrid Journal   (Followers: 12, SJR: 0.596, h-index: 22)
J. of Plant Growth Regulation     Hybrid Journal   (Followers: 2, SJR: 0.884, h-index: 57)

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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  [2329 journals]
  • Effects of montelukast on tendon healing in a murine model
    • Authors: Kaan Gideroğlu; Hüsamettin Çakıcı; Onur Hapa; Kutay E. Özturan; Ergun Bozdağ; Fahri Yılmaz; İbrahim Sağlam
      Pages: 171 - 176
      Abstract: Background Tendon injury induces a local inflammatory response characterized by the production of pro-inflammatory cytokines. The aim of this study is to investigate the effects of montelukast sodium on the healing of tendons through histological and biomechanical evaluations. Methods Forty-eight female Wistar albino rats were randomly assigned to an experimental group that received montelukast sodium (n = 24) and a control group (n = 24) that did not. Tendon injury was created in the Achilles tendon. The experimental group was injected intraperitoneally (IP) with 1 ml of 1 mg/kg montelukast sodium solution once a day prior to the surgery and during the experimental research. The control group was injected with saline solution. Two weeks later, eight rats in each group underwent a histological evaluation. In the fourth week, eight rats underwent a histological evaluation and the other eight rats went through a biomechanical evaluation. Results Based on the histological evaluation in the second week, it was observed that the severity of the inflammation was less in the experimental group that received montelukast sodium (p < 0.05). In terms of the formation of collagen, no significant difference was observed between the groups in the second and fourth weeks. Tendon breaking loads were 33.2 ± 10.95 and 38.8 ± 10.90 N for the montelukast group and the control group, respectively. However, the difference between the groups was found to be statistically insignificant (p > 0.05). Conclusions There was no negative effect on the healing of tendons due to injection of montelukast sodium. In addition, observing less inflammation in the experimental group in the earlier phase suggests that montelukast sodium may help in preventing tendon adhesion after reconstructive treatment. Level of Evidence: Not ratable.
      PubDate: 2017-06-01
      DOI: 10.1007/s00238-017-1283-1
      Issue No: Vol. 40, No. 3 (2017)
  • Tips for the surgical treatment of occipital nerve-triggered headaches
    • Authors: Edoardo Raposio; Giorgia Caruana
      Pages: 177 - 182
      Abstract: Background Literature from the last decade has shown a correlation between resection of the forehead and/or occipital muscles and relief from migraine headaches. Methods The study cohort was 13 patients presenting with well-defined occipital nerve-triggered headaches unresponsive to conservative treatment. We undertook a modified version of the currently used method of occipital migraine surgery. Patients completed questionnaires before and after surgery, and results were compared. Results To identify all trigger points, we used a constellation of symptoms referred to by the patient rather than injection of botulinum toxin type A. The entire procedure was carried out under local anesthesia. It also involved possible isolation of the lesser occipital nerve due to its potential compression sites. No flap was transposed for the purpose of covering isolated nerves. In 11 of 13 patients (85 %) in whom a dilated/aneurysmal occipital artery was found, the procedure was limited to ligation of the occipital artery, with no further undermining of muscles or neurolysis, which reduced the invasiveness of the procedure considerably. Conclusions The main differences between our procedure and the currently used method were that (i) extensive undermining or muscular resection was not necessary and (ii) no flap was transposed with the purpose of covering isolated nerves. Hence, our method could improve the currently used method while minimizing its invasiveness and shortening the duration of hospitalization. Level of Evidence: Level IV, therapeutic study.
      PubDate: 2017-06-01
      DOI: 10.1007/s00238-016-1249-8
      Issue No: Vol. 40, No. 3 (2017)
  • The V-shaped mini flap method for microform cleft lip repair
    • Authors: Naoshige Iida; Ayako Watanabe
      Pages: 183 - 186
      Abstract: Background We have devised a new operative technique for microform cleft lip repair via the use of a V-shaped flap method. From 2006 to 2015, nine patients with unilateral cleft lip diagnosed as mini-microform cleft lip or microform cleft lip by the classification of Yuzuriha and Mulliken, were recorded. Methods With our procedure, a V-shaped mini flap with the vermillion border serving as the vertex is inserted into the incised area along the vermillion border on the affected side, thereby allowing reliable correction of the vermillion border notch. When this procedure is applied to cases of microform cleft lip, the white lip’s linear mark is resected totally, followed by overlap suturing of the orbicularis oris muscle from the incised area to correct philtrum ridge deviation and nasal alar base lateral deviation. In cases of mini-microform cleft lip, the extent of resection of the skin and mucosa is reduced to the minimum necessary level to reduce the scar size as far as possible. Results This procedure was used for the treatment of microform cleft lip in six cases and mini-microform cleft lip in three cases. The mean age at operation was 13.3 months (range 6–45 months). There were no postoperative complications; moreover, no patient required additional surgery. Conclusions Regarding postoperative clinical findings, the scar was not evident because it was identical to the philtrum ridge. Furthermore, the cupid’s bow was symmetrical, and constriction at the vermillion’s free margin had been corrected. Level of Evidence: Level IV, therapeutic study.
      PubDate: 2017-06-01
      DOI: 10.1007/s00238-016-1262-y
      Issue No: Vol. 40, No. 3 (2017)
  • Thoracic outlet syndrome: evaluation of clinical features and long-term
           outcomes after scalenotomy
    • Authors: Mindaugas Jasinskas; Tautvydas Urbonas; Mindaugas Minderis
      Pages: 187 - 194
      Abstract: Background Thoracic outlet syndrome (TOS) is a very complicated and diverse pathology including a range of symptoms related to the upper limb, neck, head, and other symptoms. This study was aimed to evaluate the long-term results of anterior scalenotomy in patients with TOS. Methods We examined patients that were operated on 2007–2011. The rate of symptoms was evaluated from medical records. Changes in pain, tactile sensation, strength of a handgrip, muscle wasting and patient’s satisfaction were evaluated postoperatively. Results Seventy-seven patients returned to follow-up evaluation (23 patients were treated for bilateral plexopathy). The mean follow-up was 50.3 months. Preoperative complaints (%) were as follows: upper extremity pain (93.0), numbness/paresthesia (93.7), decrease in hand strength (90.0) and headaches (53.8). Postoperatively, upper extremity pain disappeared in 81.7, numbness in 86.7 and headaches in 42.9 % of cases. Hand strength increased from 16.1 to 19.68 kg on average. Patients’ satisfaction with the results was evaluated as (%) follows: excellent (50.0), good (33.0), fair (15.0) and poor (2.0). Conclusions Anterior scalenotomy is an effective operative method to treat TOS. Level of Evidence: Level IV, therapeutic study.
      PubDate: 2017-06-01
      DOI: 10.1007/s00238-016-1255-x
      Issue No: Vol. 40, No. 3 (2017)
  • The over-Wise mammoplasty: a modified Wise pattern for large superficial
           breast tumors
    • Authors: Lena Carstensen
      Pages: 195 - 202
      Abstract: Background Large breast tumors in the upper quadrants of the breast pose a great challenge to the oncoplastic surgeon. Standard mammoplasty techniques cannot be used, and replacement techniques with local flaps may be too small or too risky. We present a safe and simple modification of the standard Wise pattern that allows for large resections including skin in the upper quadrants. Methods From 2011 to 2014, a series of women with large tumor areas in the upper lateral quadrant were treated with breast-conserving surgery and the over-Wise mammoplasty. Pre- and postoperative data were recorded and cosmetic and oncologic outcome evaluated. Results Thirteen women were operated on using the over-Wise technique, all with a cosmetically satisfactory result. The complication rate in the affected breast was 7.7 %. Conclusions The over-Wise mammoplasty offers a simple solution to a complex problem, in that it allows very large resections of superficial tumors in the upper quadrants, with minimal risk and excellent cosmetic results. Level of evidence: Level IV, therapeutic study.
      PubDate: 2017-06-01
      DOI: 10.1007/s00238-016-1236-0
      Issue No: Vol. 40, No. 3 (2017)
  • Predictability of anthropomorphic measurements in implant selection for
           breast reconstruction: a retrospective cohort study
    • Authors: Egidio Riggio; Ilaria Ardoino; Caroline E. Richardson; Elia Biganzoli
      Pages: 203 - 212
      Abstract: Background Preoperative implant planning for breast reconstruction is often at risk of being changed perioperatively. This study examined which factors are associated with a change of implant selection. Methods Women who had unilateral two-stage breast reconstruction between 2002 and 2007 were studied. Inclusion criteria were photographic evidence of preoperative skin markings indicating breast dimensions and a selected implant model. Multivariable logistic regression was used to identify variables associated with a changed selection. Results Among the 496 women studied, 308 preoperative implant choices (62.1%) were changed during surgery. A change in plan was significantly associated with symmetrization surgery involving contralateral reduction mammaplasty (OR = 1.92; 95% CI, 1.12 to 3.29) and contralateral mastopexy (OR = 2.26; 95% CI, 1.29 to 3.96), but not with BMI. The required implant width changed more than 0.5 cm in 70 cases (14.1%) while height changed more than 0.5 cm in 215 cases (43.2%). The likelihood of a change was high for large preoperative widths (OR = 9.66 for 15.5 cm) and small preoperative heights (OR = 2.97 for 10.5 cm). At a mean follow-up of 16.6 months, patient satisfaction was good or average in 92.1% of cases and 5.9% of implants had been replaced with another model, indicating that the perioperative implant selection was usually appropriate. Conclusions This study documents the frequency with which implant choices, despite accurate preoperative planning, are changed perioperatively as a result of relatively small differences in anthropomorphic measurements. Perioperative recalculation of breast dimensions may have an advantage in terms of patient reoperation rates. Changes in width were less frequent than changes in height and projection. Contralateral surgery, large width, and small height were the most influential factors. Level of Evidence: Level IV, risk / prognostic study.
      PubDate: 2017-06-01
      DOI: 10.1007/s00238-016-1261-z
      Issue No: Vol. 40, No. 3 (2017)
  • Current practises in primary breast augmentation: a continental European
           vs UK primary survey
    • Authors: Ishan Radotra; Obi Onyekwelu; Kanellos Gesakis; Jeyaram Srinivasan
      Pages: 213 - 222
      Abstract: Background Breast augmentation has gained widespread popularity since its inception. During recent decades, several techniques have developed. Debates concerning the superiority of a particular technique for achievement of optimal results exist. In this primary survey, we evaluate a selection of UK and European Aesthetic surgeons for their preferred techniques and practises of breast augmentation and the influence of patient choice on their favoured surgical approach. Methods A 10-item questionnaire was sent to 715 European Aesthetic Surgeons by e-mail with a cover letter including the link using SurveyMonkey©. Contact details were obtained from respective national registries. Statistical analysis was carried out using SPSS 20. Results One hundred aesthetic surgeons from Europe including Greece, Italy, UK, Switzerland, Denmark, Malta and Ireland made up the respondents. Of the 27 surgeons practicing in the UK, the majority (96.4 %) use the inframammary approach, with a single respondent from UK indicating preference for the periareolar incision. However, of the 68 surgeons outside the UK, including Ireland and Continental Europe, a significant proportion (28.4 %) utilise the periareolar incision. Majority of the UK surgeons (56 %) place the breast implant in the subglandular plane whilst in Continental Europe, the preference in 50 % of the responders is for the dual plane pocket (p = 0.016). Most patients (54.3 %) express a preference for a certain incision with surgeons tending to comply with patients’ wishes. When they do not, it is mostly due to unrealistic patient expectations (in 63.3 % of cases). The duration of oral antibiotics varies from 2 days (5.2 % of responders) to 1 week (25.9 % of responders). Conclusions UK aesthetic surgeons prefer the inframammary incision and subglandular plane compared with alternative approaches undertaken by other Continental European counterparts. There remains an unestablished common approach for primary breast augmentation. In the current climate of division with UK leaving Europe, there remains a need for multiple Aesthetic Surgery Societies to collaborate, in order to produce robust multicentred data. Level of Evidence: Not ratable.
      PubDate: 2017-06-01
      DOI: 10.1007/s00238-016-1253-z
      Issue No: Vol. 40, No. 3 (2017)
  • Quality of life improves early after gender reassignment surgery in
           transgender women
    • Authors: Ebba K. Lindqvist; Hannes Sigurjonsson; Caroline Möllermark; Johan Rinder; Filip Farnebo; T. Kalle Lundgren
      Pages: 223 - 226
      Abstract: Background Few studies have examined the long-term quality of life (QoL) of individuals with gender dysphoria, or how it is affected by treatment. Our aim was to examine the QoL of transgender women undergoing gender reassignment surgery (GRS). Methods We performed a prospective cohort study on 190 patients undergoing male-to-female GRS at Karolinska University Hospital between 2003 and 2015. We used the Swedish version of the Short Form-36 Health Survey (SF-36), which measures QoL across eight domains. The questionnaire was distributed to patients pre-operatively, as well as 1, 3, and 5 years post-operatively. The results were compared between the different measure points, as well as between the study group and the general population. Results On most dimensions of the SF-36 questionnaire, transgender women reported a lower QoL than the general population. The scores of SF-36 showed a non-significant trend to be lower 5 years post-GRS compared to pre-operatively, a decline consistent with that of the general population. Self-perceived health compared to 1 year previously rose in the first post-operative year, after which it declined. Conclusions To our knowledge, this is the largest prospective study to follow a group of transgender patients with regards to QoL over continuous temporal measure points. Our results show that transgender women generally have a lower QoL compared to the general population. GRS leads to an improvement in general well-being as a trend but over the long-term, QoL decreases slightly in line with that of the comparison group. Level of evidence: Level III, therapeutic study.
      PubDate: 2017-06-01
      DOI: 10.1007/s00238-016-1252-0
      Issue No: Vol. 40, No. 3 (2017)
  • Erratum to: Quality of life improves early after gender reassignment
           surgery in transgender women
    • Authors: Ebba K. Lindqvist; Hannes Sigurjonsson; Caroline Möllermark; Johan Rinder; Filip Farnebo; T. Kalle Lundgren
      Pages: 227 - 227
      PubDate: 2017-06-01
      DOI: 10.1007/s00238-016-1259-6
      Issue No: Vol. 40, No. 3 (2017)
  • Lunate implant arthroplasty: analysis of physical function and patient
    • Authors: Noortje J. Visser; Robert S. de Wijn; Thybout M. Moojen; Reinier Feitz
      Pages: 229 - 234
      Abstract: Background Avascular necrosis of the lunate has been the topic of debate for the last century. A relatively new treatment for a symptomatic patient with a Lichtman stage IIIB or stage IV is lunate pyrocarbon implant arthroplasty. The purpose of this study is to document the clinical outcomes and evaluate the results of this new modality. Methods A retrospective cohort study of patients with a symptomatic Kienböck’s disease stage IIIB treated by lunate pyrocarbon implant arthroplasty stabilized with a tendon graft. Presurgical and postsurgical assessment was performed including a questionnaire, X-ray, goniometric measurements, and grip strength. Results Between 2010 and 2013, 16 patients with a mean follow-up of 24 months were treated. Average VAS score improved from 5 to 2.6 and average PRHWE score from 58 to 24. The average flexion extension arc and wrist deviation arc were decreased 26 and 14 degrees. The average grip strength increased from 23 to 29. Most patients were very satisfied about the operation; 14 out of 16 would undergo the same procedure again, given the same circumstances. Conclusions Both the subjective and objective results are comparable to previous reported data of conventional treatments, and it may therefore be a suitable alternative to proximal row carpectomy (PRC). The implant lifespan is not known, but it could postpone the need for salvage procedures in young patients. Further research is needed to provide long-term outcomes and help guide future treatment of patients with Kienböck’s disease. Level of evidence: Level IV, therapeutic study.
      PubDate: 2017-06-01
      DOI: 10.1007/s00238-016-1248-9
      Issue No: Vol. 40, No. 3 (2017)
  • Common characteristics of functional and adverse outcomes in acute
           lower-extremity trauma reconstruction
    • Authors: Iris A. Seitz; Justine C. Lee; Suela Sulo; Varun Shah; Manoj Shah; Matthew L. Jimenez; Loren S. Schechter
      Pages: 235 - 244
      Abstract: Background Injury to the lower extremity is one of the most common traumatic injuries encountered in both combat and civilian situations. Improvements in sterile technique, the use of antibiotics, bony fixation, and microvascular reconstruction have shifted the management paradigm from predominantly amputation to limb salvage. We reviewed acute lower-extremity reconstruction in a single suburban trauma center and identified common characteristics of functional and adverse outcomes. Methods The records of patients treated at a level I trauma center for lower-extremity injuries and requiring plastic surgery consultation or intervention were reviewed. Common demographic and clinical characteristics for three functional outcomes (range of motion, return to work, and ambulation) and three adverse outcomes (venous thromboembolism, rehospitalization, and operative revision) were compared. Results Of the 4039 patients treated for a lower-extremity traumatic injury over a 6-year period, 92 (2.3%) patients met the inclusion criteria. Severity of injury was a common determinant of outcome. On long-term follow-up, the majority of patients were ambulatory (n = 50), albeit frequently with some deficit in range of motion or gait disturbance. When modifiable characteristics were evaluated, an increased length of time to soft-tissue coverage was associated with both an increased incidence of venous thromboembolism and range-of-motion deficit. Conclusions Delayed definitive soft-tissue coverage of lower-extremity traumatic wounds is associated with thromboembolic events and range-of-motion deficits. Involvement of a plastic surgeon in a multi-disciplinary trauma team could expedite definitive wound coverage and improve clinical outcomes of lower-extremity trauma. Future research evaluating the impact of early plastic surgery involvement on outcome measures is necessary. Level of Evidence: Level IV, risk/prognostic study
      PubDate: 2017-06-01
      DOI: 10.1007/s00238-016-1268-5
      Issue No: Vol. 40, No. 3 (2017)
  • Upper-third ear reduction with a posterior approach
    • Authors: Carlos Cuesta-Romero; José María García-Sánchez
      Pages: 245 - 248
      Abstract: Anomalies in the complex topography of the pinna are often associated with disproportionate distances between the dimensions of its thirds, even with respect to the middle third of the face, forming macrotias that must be identified. If such correction is not carried out properly, the original deformation may even worsen in the postoperative period. For the reconstruction of auricular defects, different techniques have been described, involving excisions of the skin and cartilage with advancements, in order to regain a proportionate morphology. In the present work, we report a specific technique for the reduction of the upper third with a posterior approach, based on resection of the scapha and remodeling of the posterior skin surplus, associated with combined techniques of otoplasty to prevent the stigmata from previous surgery. Level of Evidence: Level V, therapeutic study.
      PubDate: 2017-06-01
      DOI: 10.1007/s00238-016-1264-9
      Issue No: Vol. 40, No. 3 (2017)
  • Umbilical reconstruction with the bow tie flap
    • Authors: Gisella Nele; Annalena Di Martino; Mariagrazia Moio; Fabrizio Schönauer
      Pages: 249 - 254
      Abstract: The umbilicus can be absent in congenital malformations that are associated to umbilical agenesia such as bladder exstrophy, gastroschisis or omphalocele or it can be excised during surgical procedures such as umbilical herniorrhaphy, abdominoplasty and laparotomy. We report a new technique for umbilical reconstruction, using a “bow tie”-shaped flap, partially made of scar tissue. We treated three female patients with absent umbilicus as a consequence of congenital malformations or previous surgical treatments. This method provided a good conical shape to the neoumbilicus with adequate depth and a wide external ring. Follow-up at 2 years showed that a satisfactory shape was maintained. Previously described techniques for neoumbilicoplasty were unsatisfying or seemed too complex in our hands. The reported technique is easy and simple, with good, stable and natural aesthetic results, and it can be effectively used for umbilical reconstruction in all primary or secondary cases of umbilical absence. Level of evidence: Level V, therapeutic study.
      PubDate: 2017-06-01
      DOI: 10.1007/s00238-016-1218-2
      Issue No: Vol. 40, No. 3 (2017)
  • Long term follow-up on prepectoral ADM-assisted breast reconstruction:
           evidences after 4 years
    • Authors: Giorgio Berna; Simon J. Cawthorn
      Pages: 255 - 258
      Abstract: Prepectoral implant-based breast reconstruction is on the rise because of the advantages related to preservation of the pectoralis major muscle. Indeed, this reconstructive procedure improves the aesthetic outcomes and the postoperative recovery time, avoiding the risk of breast animation and deformity. On the other hand, the subcutaneous implant positioning has higher risk of capsular contracture and for this reason, the subpectoral breast reconstruction has been preferred for many years; but the introduction of a pre-shaped acellular dermal matrix (ADM) which allows a complete implant coverage led to the onset of the new prepectoral technique, solving the problem of a stiff periprosthetic capsule formation. In fact, the use of ADMs in breast reconstruction has been shown to decrease the capsular contracture formation. Nevertheless, no long-term outcomes have been reported with the use of a pre-shaped ADM for prepectoral breast reconstruction. The authors present the first ten patients who had a prepectoral ADM-assisted breast reconstruction showing no evidences of capsular contracture after a median follow-up of 4 years. Level of Evidence: Level V, therapeutic study.
      PubDate: 2017-06-01
      DOI: 10.1007/s00238-017-1285-z
      Issue No: Vol. 40, No. 3 (2017)
  • An unusual pre-ligamentous thenar motor branch of the median nerve
    • Authors: Mohammad M. Al-Qattan; Khalid Al-Zahrani
      Pages: 259 - 262
      Abstract: The pre-ligamentous variant of the thenar motor branch (TMB) of the median nerve is extremely rare. In all previously reported cases, the branch arose from the radial or antero-radial aspect of the median nerve in the distal forearm and then pierced the antebrachial fascia to reach the thenar muscles. We report on a case in which the pre-ligamentous TMB not only arose from the ulnar side of the median nerve but it also remained deep to both the antebrachial fascia and the transverse carpal ligament until it reached the thenar muscles. The course of this variant puts the TMB at significant risk of injury during both open and endoscopic carpal tunnel release. Level of Evidence: Level V, risk study.
      PubDate: 2017-06-01
      DOI: 10.1007/s00238-016-1271-x
      Issue No: Vol. 40, No. 3 (2017)
  • Pragmatic clinical trials: translating research into practice
    • Authors: Krishna S. Vyas; Sibi Rajendran; Samir Mardini
      Pages: 263 - 264
      PubDate: 2017-06-01
      DOI: 10.1007/s00238-016-1258-7
      Issue No: Vol. 40, No. 3 (2017)
  • Accidental injection of autologous fat into the breast implant: a case
           report highlighting radiological findings
    • Authors: Levent Celik; Rahmi Cubuk; Gozde Arslan; Mehmet Mahir Atasoy; Levent Celik
      Abstract: Autologous fat grafting is a popular technique for breast augmentation and improving breast contour depressions. It is a technique that involves using the patient’s own adipose tissue to be applied on a subcutaneous area to increase total fat volume. Intraimplant fat is an unexpected finding after autologous fat grafting. A 51-year-old asymptomatic female who underwent breast augmentation with silicone implants and secondary breast augmentation with autologous fat grafting presented with unidentified cluster of radiolucencies superimposed to left implant on screening mammogram. Corresponding MRI revealed intraimplant fat intensities. This case represents a previously unreported intraimplant injection of fat with resultant intracapsular rupture and highlights the radiological findings of intracapsular implant rupture. Level of Evidence: Level V, diagnostic study.
      PubDate: 2017-05-22
      DOI: 10.1007/s00238-017-1319-6
  • Continuous veno-venous haemodiafiltration in burns patients: a role in
    • Authors: Jonathan James Cubitt; Janakan Anandarajah; Meryl Webb; Andrew J. Williams; William A. Dickson; Peter J. Drew
      Abstract: Background A burn injury results in the release of proinflammatory cytokines and catecholamines, causing a hypermetabolic state which may lead to hyperpyrexia (>40 °C). This risk is increased with concomitant sepsis. Hyperpyrexia is associated with a high mortality. Continous veno-venous haemodiafiltration (CVVHDF) can be used to reduce the circulating cytokines thereby reducing the cause of the hyperpyrexia. CVVHDF use has been well documented in sepsis and SIRS in the ITU population. In our Burns Centre, CVVHDF is routinely used to treat patients with persistent hyperpyrexia. The aim of this study was to evaluate the role of CVVHDF in burns patients with hyperpyrexia. Methods A retrospective analysis was carried out of all patients admitted to the Burns ITU between 2005 and 2012 who received CVVHDF for hyperpyrexia. The medical notes and electronic database was used to collect data on indication, renal function, duration and outcome. Results Five hundred seventy patients were admitted over the time period. Sixty-one patients received CVVHDF overall and of these 32 were for hyperpyrexia alone. In these patients, there was a significant reduction in temperature within 3 h of initiating CVVHDF (p < 0.0001). The cumulative predicted mortality using Modified Baux score was seven patients. In our group 2 patients died, possibly implying a survival benefit. Conclusions CVVHDF can be successfully used to regulate the temperature in burns patients with hyperpyrexia. Level of evidence: Level IV, therapeutic study.
      PubDate: 2017-05-18
      DOI: 10.1007/s00238-017-1318-7
  • Our experience with an unusual age distribution of patients with isolated
           burns of the foot
    • Authors: Shy Stahl; Eyal Gur; Arik Zaretski; David Leshem; Yoav Barnea
      Abstract: Background Isolated burns of the foot are rare and carry significant morbidity, with prolonged bed rest, slow healing time, and loss of workdays. We suspected a disproportionate age distribution of patients presenting with isolated burns of the foot in a catchment area. Methods The medical records of all patients with second- or third-degree isolated foot burns admitted to our medical center between 1/1998 and 12/2008 were reviewed. The 125 suitable consecutive patients (94 males) were divided into four age groups (0–17, 18–21, 22–39, and >40 years). Results Most patients were in the age group of mandatory military recruits (18–21 years; p < 0.007). Most patients in all groups were males (p < 0.006). Scald burns were the most common etiology in all age groups (p < 0.001) but comprised only 33.3% in the 18–21-year group (p < 0.021 compared to the other groups). Hot oil burns (p < 0.023) and exhaust pipe burns (p < 0.045) were significantly more prevalent in the 18–21-year group compared to the other groups. Around 30% of the 18–21-year group, 4.2% of the 0–17-year group, 12.5% of the 22–39-year group, and 17.9% of the >40-year group underwent skin grafting (p < 0.049). Children had the shortest hospitalization time (p < 0.007). Over 82% of the >40-year-old patients had comorbidities (p < 0.002 vs. other groups), of which diabetes mellitus was most common. Conclusion Isolated foot burns in otherwise healthy 18- to 21-year-olds, especially among those in military service, warrant special attention by military medical and psychological personnel. Level of Evidence: Level IV, risk / prognostic study
      PubDate: 2017-05-17
      DOI: 10.1007/s00238-017-1320-0
  • Nurse-led counselling and replacement therapy is effective for smoking
           cessation in oral cancer patients
    • Authors: Mia C. W. Steffenssen; Ingrid Klemp; Mette Nielsen; Vivi Bakholdt; Jørn-Bo Thomsen; Jens Ahm Sørensen
      PubDate: 2017-05-13
      DOI: 10.1007/s00238-017-1314-y
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