Posts Tagged ‘deficiencies’

Secondary Rhinoplasty in Unilateral Cleft Nasal Deformity

The cleft-lip nasal deformity presents a formidable challenge in rhinoplasty surgery. A wide variety of techniques have been proposed for the correction of this problem, which is proof of the difficulty of this reconstructive problem. The approach outlined in this article amalgamates many cleft-lip rhinoplasty concepts into a single unified technique. This technique is designed to address the deficiencies present on the cleft side of the nose. (Source: Clinics in Plastic Surgery)

The anatomical basis of desensitisation in breast reconstruction: Comment on ‘Burn after breast reconstruction’ by Delfino S., et al. [Burns 34 (2008) 873–877]

We congratulate Delfino et al. on their succinct review of burns after different types of breast reconstruction . This highlights an often underrated complication in breast reconstructive surgery, namely desensitisation of the breast skin. They noticed that burns were confined to the surface of the transposed flaps or expanded mastectomy flaps and not the native non-flap skin, suggesting a pathological susceptibility to thermal injury of the flap skin. For each reconstructive technique, they posed hypotheses for the pathogenesis of this phenomenon. While there are deficiencies in both the afferent and efferent loops of the thermoregulatory pathway, we feel that the compromised afferent loop is the major contributory factor. (Source: Burns : Journal of the International Society for Burn Inj…