1 Koichi Ueda, MD, PhD Yuka Shigemura, MD Mai Hara, MD Takashi Nuri, MD, PhD Hiroyuki Iwanaga, MD Department of Plastic and Reconstructive Surgery Osaka Medical College Takatsuki, Osaka, Japan Sir: T usual choices for reconstruction of nasal alar defects are a nasolabial flap or a composite chondrocutaneous ear graft. For reconstruction of small full-thickness defects of the ala, the nasolabial...

Abstract Introduction Scar contracture bands after burns are a persistent problem that cause discomfort and physical aesthetic limitation. Standard treatment for in burn scars involves therapy, stretching, splinting laser treatment, as well surgical releases with local/distant flaps grafting. A minimally invasive transcutaneous approach the release of scar was initiated our institution 6 years ...

Objectives: Flexion contracture in fingers of hands is a complication of Dupuytren's contracture and cannot be stopped by the progressive course. The aim of this study was to review the effect of splinting in corrective of contracture after Dupuytren's contracture surgery. Methods: To carry out this research, a kind of systematic evidence-based review process (Duffy 2005) was used. For data...

BACKGROUND Hypertrophic scarring caused by sternotomy is prevalent among Asians. The effectiveness of silicone gel in scar prevention may influence the decision of surgeons and patients regarding its routine use during the postoperative period. METHODS The authors conducted a randomized, placebo-controlled, double-blind, prospective clinical trial. The susceptibility to scar development varie...

Background. Post-midsternotomy hypertrophic scars can lead to remarkable morbidities such as pigmentation alteration, pain, tenderness, induration, itching, and erythema so that they may be cosmetically and emotionally unacceptable to the patient undergoing midsternotomy. Initially, wound healing is induced rapidly with re-epithelialization, whereas tissue remodeling occurs several months later...

BACKGROUND Various techniques are used for performing breast reduction. Wise-pattern and vertical scar techniques are the most commonly employed approaches. However, a vertical scar in the mid-lower breast is prominent and aesthetically less pleasant. In contrast, a semicircular horizontal approach does not leave a vertical scar in the mid breast and transverse scars can be hidden in the infram...

BACKGROUND Among the various methods for correcting nasal deformity, the composite graft is suitable for the inner and outer reconstruction of the nose in a single stage. In this article, we present our technique for reconstructing the ala and columella using the auricular chondrocutaneous composite graft. METHODS From 2004 to 2011, 15 cases of alar and 2 cases of columellar reconstruction em...

Radical resection of primary or solitary secondary malignant sternal tumours is indicated in patients without metastases. Sternal reconstruction may be indicated in large defects to prevent pulmonary complications, to achieve protection of intra-thoracic organs and to obtain a good aesthetic result. In this article, a modified surgical technique is described to fill and reconstruct large defect...