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Must-read articles chosen by the Southeastern Society of Plastic and Reconstructive Surgeons:

 April 2019

Fenestration Improves Acellular Dermal Matrix Biointegration

Cottler, Patrick S.; Olenczak, J. Bryce; Ning, Bo; Seaman, Scott A.; Thuman, Jenna M.; Sun, Naidi; Piñeros-Fernandez, Angela; Hu, Song; DeGeorge, Brent R. Jr.; Campbell, Chris A.

Plastic and Reconstructive Surgery.  April 2019 - Volume 143 - Issue 4 - p 971-981

The authors report the results of an experimental study in a mouse model to study biointegration of acellular dermal matrix.  Mice were equipped with a skinfold window and serial photoacoustic microscopic imaging was used to provide a realtime assessment of the microvasculature.  Fibroblast migration, mean surface area vascular penetration, and mean oxygen saturation were all greater in fenestrated matrices than non-fenestrated, at two weeks and three weeks.  This study shows convincingly that fenestrations improve the revascularization and recellularization of acellular dermal matrices.

 

Link:https://journals.lww.com/plasreconsurg/Fulltext/2019/04000/Fenestration_Improves_Acellular_Dermal_Matrix.1.aspx

 

 

 

Experience With High-Volume Buttock Fat Transfer: A Report of 137 Cases

Pane, Thomas A.

Aesthetic Surgery Journal, Volume 39, Issue 5, May 2019, Pages 526-532

A single surgeon retrospective review of 137 patients who underwent high-volume buttock fat transfer, defined as 1000cc or more of fat per buttock.  Injections were all performed into the subcutaneous space, with care taken to reduce medial and intramuscular injection.  The patient reported satisfaction rate was 86% with the biggest dissatisfier being “wanted to be larger”.  There were no major complications and minor complications occurred in 10 patients, most of which related to the abdominal donor site.

 

Link: https://academic.oup.com/asj/article/39/5/526/5067487

 

False-Positive Rates for Nerve Conduction Studies and Ultrasound in Patients Without Clinical Signs and Symptoms of Carpal Tunnel Syndrome

John R. Fowler, Kevin Byrne, Tiffany Pan, Robert J. Goitz

 Journal of Hand Surgery, Volume 44, Issue 3, March 2019, Pages 181-185.

A prospective cohort study was performed on 40 patients who were referred for nerve conduction studies (NCS) for cubital tunnel syndrome or cervical radiculopathy, but who had no symptoms of carpal tunnel syndrome, with a CTS-6 score of 0.  NCS were positive for carpal tunnel in 43% of asymptomatic patients, and ultrasound was positive in 23% of asymptomatic patients.  Since studies with a low false-positive rate are generally preferred as confirmatory diagnostic tests, ultrasound may be a better confirmatory test for carpal tunnel syndrome than NCS.

 Link: https://www.jhandsurg.org/article/S0363-5023(18)30599-9/fulltext

 

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