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Plastic Surgery

Paper vs Electronic Records?, 3 Must-Knows on Scars, Wounds, & Keloids

Also: The Sunday quiz, Key Notes review, & 3 featured articles.

thePlasticsPaper

BIA-ALCL: Risk Factors, Diagnosis, & Management

BIA-ALCL (Breast Implant-Associated Anaplastic Large Cell Lymphoma) features include delayed seroma and swelling, with diagnosis relying on imaging and CD30 immunohistochemistry. En-bloc resection is critical, with chemotherapy or radiotherapy for advanced cases.

BreastCosmetic

Professor or Surgeon?, Hand Trauma Highlights, & AI in Surgery

Also: Seymour fracture anatomy, flexor teno tips, & evidence on ring avulsions.

thePlasticsPaper

Special Edition 'Closing Up 2024': Your Year in Plastic Surgery, Wrapped.

7 million minutes of learning across 190 countries. Discover the trends, top articles, and moments that shaped your year in plastic surgery with 'Closing Up 2024.'

Cleft Lip: Classification, Clinical Features, & Surgical Repair

Cleft lip results from incomplete fusion of embryologic structures, leading to lip and nasal deformities. It is classified by laterality and completeness. Repair occurs at 3–6 months using techniques like Millard’s and Fisher’s subunit repair to restore function, symmetry, & aesthetics.

PaediatricsHead and Neck

100-Step DIEP Flap, Research Overload, & 2025 Plans

Also: Abdominal DIEP flap harvesting image, CT angio tips, and radiotherapy evidence in breast recon.

thePlasticsPaper

Overview of Oncological Breast Reconstruction: Methods, Assessment, & Management

Oncological breast reconstruction aids recovery post-mastectomy or lumpectomy, using autologous tissue, implants, or both. Decision-making involves preoperative assessment, radiation plans, and patient preferences.

Breast

Keloids: Causes, Clinical Features, & Treatment

Keloids are fibrotic scars extending beyond the original wound, driven by genetic predisposition, inflammation, and abnormal fibroblast activity. Treatment involves non-surgical options like lasers and silicone sheeting, pharmaceuticals like corticosteroids, or surgery with adjuvant therapy.

Skin and Soft TissuePrinciples

DIEP Flap Reconstruction: Anatomy, Key Surgical Steps, & Complications

The DIEP flap is a gold standard for autologous breast reconstruction, offering superior vascularity and minimal donor-site morbidity.

BreastMicrosurgery

Everything Botox: 1973 Monkey Trials, Best Techniques, Duration & More!

Also: Season 2 of the podcast is coming, a new fellow joins our team, and this week’s Sunday quiz.

thePlasticsPaper

Botulinum Toxin: Mechanisms, Clinical Applications, & Injection Techniques

Botulinum toxin is a versatile neurotoxin that inhibits acetylcholine release, causing temporary muscle paralysis. FDA-approved for migraines, hyperhidrosis, and bladder issues, it’s also used off-label for facial aesthetics and pain. Proper technique and anatomy knowledge ensure effective outcomes.

Cosmetic

4 Muscle Flaps in Reconstructive Surgery, Textbook Feedback, & new Sunday Quiz

Also: The original LD flap publication from 1908, donor site morbidity for muscle flaps, & 3 recommended articles.

thePlasticsPaper

Pigmented Lesions in 2024: Spitz, Melanoma, Breslow (& Tips for a Skin MDT)

Also: Winner of the Sunday quiz, technique tips on Mohs surgery vs standard excision, & giant CMN identification.

thePlasticsPaper

6 Traits of Patients Who Sue Surgeons, Trending Nipple Fillers, & Cosmetic Breast Insights

Also: The Sunday quiz, breast reduction technique tip, & 3 recommended reads.

thePlasticsPaper

Trigger Finger: Anatomy, Clinical Features, & Management

Trigger finger, or stenosing tenosynovitis, occurs when the flexor tendon is trapped at the A1 pulley, leading to pain during finger movement. Common risk factors include manual labor, older age, and diabetes. Treatment options range from splinting and corticosteroids to surgical A1 pulley release.

Upper Limbs

Complex Regional Pain Syndrome: Clinical Features, Diagnosis, and Treatment

Complex Regional Pain Syndrome (CRPS) is a chronic neuropathic pain disorder. It involves dysregulation of the nervous system with sensory, motor, and autonomic disturbances. Diagnosis is clinical, and treatment is multidisciplinary, including physical therapy, medications, and surgical options.

Skin and Soft TissueLower LimbPrinciples

Infantile Haemangioma: Classification, Diagnosis, & Management

Infantile haemangiomas (IHs) are caused by dysregulated vasculogenesis and angiogenesis, and can be superficial or deep. Diagnosis is primarily clinical but may include imaging and histology. Treatments include propranolol, laser therapy, and surgery for complications.

Skin and Soft TissuePaediatrics

Pressure Sores: Causes, Clinical Assessment, & Management

Pressure sores are localized skin and tissue injuries over bony prominences, caused by prolonged pressure, shear, friction, and moisture. Treatment varies by stage, from conservative care to debridement, antibiotics, and reconstruction.

Skin and Soft TissueLower Limb

Baseline neutrophil lymphocyte ratio predicts survival in soft-tissue sarcoma: 17-year cohort study

Griffiths, Arango, Smith, Wade JPRAS 2022. PMID: 34955395.

Med Students No Longer Learn Plastic Surgery, 200+ Job Applications, & Everything Nerves!

Also: The Sunday quiz, podcast feedback, & nerve articles.

thePlasticsPaper

Penile Reconstruction: Anatomy, Causes, & Management

Penile reconstruction addresses tissue loss from trauma, fibrosis, cancer, and infection. The primary goal is to construct a phallus with a neo-urethra for standing urination and sufficient bulk for a prosthesis. Techniques include glans, shaft, and scrotal reconstruction.

Skin and Soft TissueMicrosurgery

Wound Dressings: Healing, Dressing Types & How To Chose.

Wound dressings vary from non-occlusive to occlusive, with antimicrobial options like silver dressings. Dressing choice depends on wound factors, and adjuncts like NPWT can enhance healing.

Skin and Soft TissuePrinciples

Young Doctors Refuse to Burn Out, Flap Tips, & Must Read Articles on Infections

Also: The Sunday quiz, pressure sores illustration, & osteomyelitis article feature.

thePlasticsPaper

Osteomyelitis: Clinical Features, Investigations, & Management

Osteomyelitis is a bone infection caused by bacteria or fungi, often due to trauma, surgery, or local soft tissue infection. Acute cases present with pain, fever, and swelling, while chronic cases involve persistent pain and reduced mobility. Management includes antibiotics and surgical debridement.