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July 2018 Journal Picks

Wednesday, July 11, 2018   (0 Comments)
Posted by: Ashley Ryberg
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Must-read articles chosen by the Southeastern Society of Plastic and Reconstructive Surgeons: July 2018


To Admit or Not to Admit: That is the Cleft Lip Question. Confirming the Safety of Outpatient Cleft Lip Repair

Fahradyan, Artur, M.D.; Galdyn, Izabela, M.D.; Azadgoli, Beina, M.S.; Tsuha, Michaela, B.S.; Urata, Mark M., M.D., D.D.S.; Francis, Stacey H., M.D.

Plastic and Reconstructive Surgery: July 2018 - Volume 142 - Issue 1 - p 159–168.

A very thorough review of 546 infants undergoing cleft lip repair at six centers with 30 different surgeons.  Outpatient surgery represented 81% of cases.  There were equivalent rates of readmission and ED visits between the outpatient and inpatient groups, with all readmissions or ED visits occurring 36 hours or more after surgery.  Authors conclude that, in the absence of major comorbidity, outpatient cleft lip surgery is safe and could yield a significant cost savings.




The Impact of Once- versus Twice-Daily Enoxaparin Prophylaxis on Risk for Venous Thromboembolism and Clinically Relevant Bleeding

Pannucci, Christopher J., M.D., M.S.; Fleming, Kory I., M.P.H.; Agarwal, Jayant, M.D.; Rockwell, W. Bradford, M.D.; Prazak, Ann Marie, Pharm.D., B.C.P.S.; Momeni, Arash, M.D.

Plastic and Reconstructive Surgery: July 2018 - Volume 142 - Issue 1 - p 239–249.

The study pooled data from two prospective trials and compared 94 patients who received once-daily enoxaparin (40 mg) for the duration of an inpatient stay for a variety of plastic surgery procedures to 118 patients who received twice-daily enoxaparin.  Twice-daily enoxaparin was associated with a significant decrease in 90-day acute venous thromboembolism and a non-statistically significant increase in 90-day clinically relevant bleeding  from 3.2 percent to 6.8 percent.




A Novel Method for Lower Blepharoplasty: Repositioning of the Orbital Septum Using Inverted T-Shaped Plication

Changsik Pak, MD  Sangjun Yim, MD  Heeyeon Kwon, MD  Yujin Myung, MD Baek-Kyu Kim, MD  Chan-Yeong Heo, MD, PhD  Jae Hoon Jeong, MD, PhD

Aesthetic Surgery Journal, Volume 38, Issue 7, 13 June 2018, Pages 707–713.

A convincing descriptive review of 93 patients with lower lid fat herniation and tear trough deformity who underwent lower lid blepharoplasty with septal plication.  An inverted T-shaped plication was used in mild and moderate cases, and an X-shaped plication was used in severe cases.  In moderate and severe cases, septal repositioning was performed simultaneously.  No permanent lid malposition or ectropion was observed in the series.



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