##Disclaimer##
Welcome
Following is an overview and personal opinion. Not a detailed discussion of all the pros and cons. Not a demonstration of technique. Not an assessment of competence and certainly not medical advice.
The management is described in increasing order of difficulty, from something a bystander may be able to do without specialised equipment, to more complex management that does need specialised equipment and monitoring.
All of this discussion assumes that ur casualty has one injury only. But chances are they they'll have more, for which you need a deeper understanding of how to deal with that.
Disclaimer:
Welcome
This is a topic overview and personal opinion. Not a detailed discussion of all the pros and cons. Not a demonstration of technique. Not an assessment of competence and certainly not medical advice.
The management is described in increasing order of difficulty, from something a bystander may be able to do without specialised equipment, to more complex management that does need specialised equipment and monitoring.
All of this discussion assumes that ur casualty has one injury only. But chances are they they'll have more, for which you need a deeper understanding of how to deal with that.
Next in the management of multiple injured patient comes the assessment of breathing or ventilation and that mostly comprises of looking after chest injuries of various types
The reason we worry about a patient's airway is because after catastrophic haemorrhage, that is the thing that can k*ll your patient the quickest.
If u r dealing with a conscious patient, they probably will tell you that they are able to breathe well.
Catastrophic haemorrhage means a lot of bleeding within a short span of time, an amount of bleeding that has to be stopped or at least stemmed before even the basic assessment and treatment of the patient can be done.
However important to realise that this could also be a slow trickle over an extended period of time. Something you regularly see across your screens at Israeli checkpoints up and down the Palestinian territories.
An overview of what constitutes the process of management of a multiply injured patient
Introduction to upcoming podcasts around the topic of management of traumatic injuries
00:00 Jacob
01:35 Welcome
02:18 Awaida et al. Staged mastopexy before NSM in breast reconstruction
02:14 Yusantharao, Nezarali et al. Direct to implant trends
04:07 Aquino et al. Congenital and acquired symmastia
05:12 Minelli et al. SMAS literature search and cadaveric dissection
06:49 Chahin and Habr. Upper breast border in augmentation mastopexy
07:42 Bosman et al. Preop indicators of effectiveness of surgery for De Quervian’s
08:36 Gomez-Eslava et al. Pain Sketches to Predict Pain after TMR in Amputees
09:15 CME Yamada et al. Auricular reconstruction
09:42 Wong, Hanson et al. Techniques for reconstruction after BCS
10:38 CME Davis et al. Acute burn care
12:56 Kinney et al. Plastic surgery patients and social media, via Amazon Turk platform
14:27 Skaldman et al. Biosensors
15:56 Tarashencko Neurobiological origin of the Hoffman-Tinnel sign
16:37 Lehenner et al. Microsurgery training model
17:27 Danino et al. Silone particle sin breast capsules
20:06 Sarangi, Persichetti et al. Factors affecting patient satisfaction after primary BA
20:58 Rothchild et al. Prejuvenation on TikTok
00:55 Empathy
02:04 Kening et al. Identification of Key Breast Features Using a Neural Network PRS.pdf
03:31 Cholok Momeni et al. Spatial Fidelity of Microvascular Perforating Vessels as Perceived by Augmented Reality Virtual Projections PRS.pdf
04:00 Falola et al. Augmented Reality Microsurgery_ Proof of Concept PRS.pdf
04:40 Podolsky et al. Development and Evaluation of a High-Fidelity Rhinoplasty Simulator PRS.pdf
05:05 EPR Paradox
06:01 Albaugh et al. Systematic Review of Nonsyndromic Craniosynostosis_ Genomic Alterations and Impacted Signaling Pathways PRS.pdf
07:48 Boyd Rohrich et al. Systematic Review of Capsular Contracture Management following Breast Augmentation_ An Update PRS.pdf
09:06 Cai et al. Adipose Component Transplantation PRS.pdf
09:37 Qi et al. New Enzyme-Free Method to Prep Decellularized Adipose-Derived Matrix ASJ.pdf
10:44 Zhu et al. Buccal Fat Pad Augmentation for Midfacial Rejuvenation ASJ.pdf
11:08 Jeong et al. The Volumetric Effect of Botulinum Toxin Type A Injection on the Parotid Gland_ A Randomized Controlled Trial PRS.pdf
11:48 Ohana et al. The Platysma Contraction Pattern in Healthy Adults_ A Vector Analysis Study PRS.pdf
12:08 Calomeni et al. Platysma Muscle Contraction Pattern and Its Relationship to Platysmal Banding USS study ASJ.pdf
13:06 Huang et al. Comparative Study of the Morphological Characteristics of Perforators of the Transverse and Descending Branches of the Lateral Circumflex Femoral Artery(LCFA) in Anterolateral Thigh(ALT) Flap Surgery.pdf
14:06 Du et al. Distally Based ALT Flap Algorithm for Unexpected Situations during Soft-Tissue Defect Reconstruction around the Knee PRS.pdf
14:33 Dahmus et al. Smooth vs Textured Expanders ASJ.pdf
15:41 Nelson Cordeiro et al. Textured versus Smooth Tissue Expanders_ A Comparison of Complications in 3526 Breast Reconstructions PRS.pdf
16:18 Vega Morelli et al. USS guided Deep Back Liposuction ASJ.pdf
17:01 Grotting et al. Delta Plication of midface ASJ.pdf
“Any one can preach ethics, until you get punched in the teeth”
00:23 Disclaimer
00:58 Ethics of surgical practice
13:27 JPRAS
14:14 Guiotto et al. Neo-umbilical reconstruction
15:47 Shah et al. ADMs to resurface RFFF donor site
17:23 Smit et al. Smart surgical glasses for cleft surgery training in under-developed world
18:52 Chin et al. Long term outcomes of sphincter pharyngoplasty
20:48 Anders-Rodriguez et al. HR ultrasound to study Depressor anguli oris
22:28 Jovic et al. Economic burden of desquamating derma conditions in a large centre
23:15 3D Telemedicine collaborative. Ghana 3D telemedicine MDT
26:04 PRS and Sforza et al. S-PEC block for BA (an RCT)
26:53 Pre/retro-pectoral implant placement by Hassan et al. and Kim et al.
27:21 Flores et al. Gram +ve bacteria in 100 revised implants (Prospective study)
29:15 Chang et al. CD248 regulation of capsule formation
30:01 Falkner et al. Human vs bovine dermal matrices
31:08 Goodyear et al. Early TMR improves neuroma risk
32:39 Hendren-Santiago et al. In-house 3D printing for craniofacial model creation
33:22 Elmer et al. Crowdsourcing analysis of how public chooses a plastic surgeon
00:05 Death of Humanity
11:45 One minute silence
12:45 Al Hashimi et al. Efficacy of TXA in facelift
13:29 Bui et al. Spacer grafts for lower bleeps in patients with exophthalmos
14:24 Kolasinski, Kolenda et al. BIA-ALCL rate in their practice
15:21 Paranzino et al. Drain-less abdominopalsty
16:05 Hayano et al. New photo numeric scale to assess peri-oral region
16:49 von Fritschen. Implementation of the German implant registry
17:13 Hall Findlay et al. Before and after measurements of patients undergoing various aesthetic breast surgery operations
19:04 Palacios et al. AI language systems in plastic surgery
19:27 Yuan et al. Anthropomorphic study of the Asian forehead
20:30 AI modelling to predict periprosthetic infection
21:43 Karp et al. Superomedial pedicle for BBR
22:15 Lu et al. Machine learning for drug discovery for CC
24:48 Haddock et al. Process analysis of DIEAP flaps to improve timing and complications
26:17 McGuire et al. Lessons learnt from 30 year s of breast implant surgery
26:45 Rohrich et al. Dorsal component assessment for primary rhino
26:58 Zhang et al. Predictive factors for outcomes in sub mucous clefts
27:55 Lee et al. Lower limb trauma updates
29:02 End
00:55 Major Trauma, a minor introduction :)
ASJ review:
10:45 Shino Bay et al. Radiesse
11:11 Janssen, Waterhouse et al. Hemostatic net for facelifts
13:35 Seth et al. ChatGPT4
14:43 Miller et al. No. of scrubbed personnel affecting infection rate in IBR with ADM
18:03 Haruthyunyan et al. Estimation of lipo volume by prop USS
18:41 Jabbari et al. Opioids need post BBR
19:20 Glicksman et al. Update on BII at 1 year follow up
19:38 Benito-Ruiz. How to measure for BA
PRS review:
24:23 Safran et al. Intra-op TXA to prevent seroma after breast reconstruction
25:23 Choi, Karp et al. BBR with positive histology
26:38 CME Lower limb amputation
26:48 dePinal CRPS
27:28 Wu et al. DIEAP op duration and risk of complications
28:01 Robauld et al. Fillet flaps of Lower limb
28:18 Rohrich. Liquid rhinoplasty
28:29 Gritti. Lip shortening
28:41 Tailor et al. Virtual planning for maxillectomy
29:14 Kinesio taping to reduce edema after lipo
00:14 ASJ, Anderson et al. Risk of adverse scars after eyelid procedures
02:34 Zhen Song et al. Modified cartilaginous framework for severe saddle nose deformity
03:28 Messa and Messi. Explantation with mastopexy and volume restoration
06:02 Gilbert et al. Alternative techniques of abdominal wall plication
06:58 Ya-Wei Lai et al. AFG in female genital area
07:34 Nishikawa et al. Early complications of HA fillers, review of 41k patients
08:47 Love et al. Women’s motivations for having lip fillers resulting in anatomical distortions
09:37 ASJ Editorial. ChatGPT
11:08 Bletsis et al. Survey of Dutch plastic surgeons
13:03 Letters to editor, ASJ
13:18 PRS. Becherer et al. Four breast implant registries
14:59 Bellamy & Rohrich. Septal extension vs Columellar strut graft for nasal tip stability
15:49 Pietruski & Majac. Małe eyebrow and eyelid anthropomorphic analysis
16:22 Moorfield et al. Veins of the lip wrt filler injections
17:16 Munhoz et al. Subfascial axillary hybrid BA
18:51 Timberlake. “Molecular scalpels” use of CRISPR/CAS in paediatric craniofacial surgery
19:32 Special Topic: Role of high resolution portable ultrasound devices in plastic surgery
00:06 - Intro
00:36 - Disclaimer
01:25 - Masterton et al. on using Microsoft’s HoloLens
05:02 - State of Augmented reality in plastic surgery
07:23 - Min et al. Perfusion of DIEAP flap perforators across midline
08:52 - Hall et al. Short scar augmentation mastopexy 12year data
11:20 - Rohrich et al. Straightening the nasal septum
11:31 - Sowa et al. Adipose derived products for prevention of radiation injury
13:16 - Pacinlioglu et al. Skin micro needling with or without cupping, either once or as 3 sessions
14:16 - Sawai et al. Adipose derived products for peripheral nerve repair within a conduit
Acellular dermal matrices come with many names, like regeneration templates, scaffolds and from a variety of sources. They are considered to provide soft tissue thickness and support in selected aesthetic and reconstructive cases. What makes them apart from the other techniques in the reconstructive ladder? or just, what makes them? Is that enough to justify the, usually hefty, price tag?
These questions and a few more. We talk about in this episode of this podcasts for plastic surgeons. Please send your feedback to twitter handle @drmcheema or just DM.
Timecodes:
00:41 Disclaimer
00:27 Special topic: The making of an ADM
11:20 Recent literature. Pre vs subpectoral implants with ADM
14:08 Zhu et al.
15:31 Schnur sliding scale
20:26 Appels et al.
20:50 Descamps et al.
21:31 Zhu et al. again
23:15 Breast III trial. Alloderm vs Dermamatrix
25:13 MSKCC paper on implant capsule pathologies
25:35 Gene expression in implant capsules
29:58 functional MRI for Breast Implant Illness
One of the most common aesthetic surgery operations, is the probably the most hotly contested one in its every aspect- patient selection, implant selection, incision, operative details, post care, secondary cases, long term sequelae. And that is truly because we would like to offer our patients, the very best care- based on the very best evidence- by letting it augment our own knowledge and experience. This episode is intended to raise the curtain from this magical universe.
Then is a brief review of selected literature from this month and first impressions. May be you'd like to add to the conversation, correct something, or just want to leave a feedback. Please do so replying to Twitter handle @drmcheema
Timecodes:
00:39 Disclaimer
01:23 Intro
01:57 Special topic: Silicon, Silicone and elstomers
08:26 Recent literature (PRS journal). Symptoms suggestive of BII in FDA’s MAUDE database
14:02 Neissen et al. Paper about BII in BMJ Open
17:04 Correction of a reference (in previous episode)
17:32 Breast-Q comparison of autologous vs alloplastic recon.
18:59 Animation deformity after subpectoral implant based recon
20:18 Breast-Q scores after SSM vs NSM and recon
21:16 Maxwell et al. RF assisted lipolysis
21:54 Opiods and skeletal muscle relaxant usage (incomplete)
22:36 Botulinum toxin for scars- systematic rv
23:29 Gluteal aesthetics
24:36 Antiretrovirals for improved skull bone healing
25:14 Electrodiagnotics, CTS-6 scores and clinical symptoms
UK BCC guidelines: Fact or fiction? 😋 We look at the current UK BCC guidelines as well as the evidence behind some of their important recommendations. Do you know how many RCTs are they based on? Or what cohort of patients does the evidence come from? How current is "current"? We explore all these.
And also whizz through some of the interesting papers in this month's PRS journal... Coapting sensory nerves for DIEP flaps and doing needle aponeurectomies, just like old times 😃
