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Face the Case: Repairing a Large Eyelid Defect

Video Author: Kate Boehm, MD
Published on: 04.03.2019
Associated with: Plastic and Reconstructive Surgery – Global Open. 5(7):e1413, July 2017

In this #FacetheCase video, PRS Global Open Resident Ambassador Dr. Kate Boehm presents a 60-year-old male patient who had a 1-year history of irritation in the left eye. Examination revealed suspected cancerous changes in the tarsal conjunctiva of the upper eyelid. An excision biopsy showed squamous cell carcinoma in situ.

Expert Dr. William Chen discusses the author’s solution and how he would have addressed the issues presented.

Read the PRS Global Open #FacetheCase article, “Large Eyelid Defect Repair Using a Free Full-Thickness Eyelid Graft” by Khashayar Memarzadeh MD; Karl Engelsberg MD PhD; Rafi Sheikh MD; Malin Malmsjö MD

Keywords: plastic surgery; #FacetheCase; #PRSGlobalOpen; case report; eyelid; eyelid reconstruction

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Creator:
Duration: 2:05

This video demonstrates emergency preparedness and appropriate closed-loop communication during patient handoff. From “Demonstration of the Burns Algorithm in Simulation”.

Keywords: implant, pre-pectoral, post mastectomy, reconstruction, tissue expander, ADM, Dual plane

Creator:
Duration: 2:14

This video demonstrates assessment of airway, breathing, and circulation. From “Demonstration of the Burns Algorithm in Simulation”.

Keywords: implant, pre-pectoral, post mastectomy, reconstruction, tissue expander, ADM, Dual plane

Creator:
Duration: 3:11

This video demonstrates assessment of disability/ exposure, and multidisciplinary team involvement. From “Demonstration of the Burns Algorithm in Simulation”.

Keywords: implant, pre-pectoral, post mastectomy, reconstruction, tissue expander, ADM, Dual plane

Creator: Audrey Nguyen
Duration: 0:39

The surgeon is marking ptotic breasts in the preoperative area. It is important to mark the native IMF and the inferior border of the PMM, where the final scar will be. “A Technique for Optimizing Symmetry in Gender-Affirming Mastectomy”

Keywords: transgender surgery, mastectomy, nipple graft, top surgery

Creator: Audrey Nguyen
Duration: 0:58

The surgeon is marking asymmetric breasts in the preoperative area. For both sides, it is important to mark the native IMF and the inferior border of the PMM, where the final scar will be. “A Technique for Optimizing Symmetry in Gender-Affirming Mastectomy”

Keywords: transgender surgery, mastectomy, nipple graft, top surgery

Creator: Audrey Nguyen
Duration: 1:27

This video demonstrates the detailed intraoperative markings that are made by the surgeon. The markings over the midline are designed to minimize intraoperative tailor tacking. “A Technique for Optimizing Symmetry in Gender-Affirming Mastectomy”

Keywords: transgender surgery, mastectomy, nipple graft, top surgery

Creator: Audrey Nguyen
Duration: 2:12

This video shows the mastectomy, reconstruction, and nipple graft inset after the markings are finalized. “A Technique for Optimizing Symmetry in Gender-Affirming Mastectomy”

Keywords: transgender surgery, mastectomy, nipple graft, top surgery

Creator: Percy Rossell-Perry
Duration: 6:04

This video displays the surgical technique. “An innovative palatoplasty for Primary Cleft Palate repair”

Keywords: Primary palatoplasty;Unilateral uvuloplasty;Cleft palate

Creator: Susana Heredero
Duration: 3:03

This video displays step by step video tutorial explaining how the preoperative mapping of the profunda femoral artery perforator flap can be done using the open source software HOROS. “Virtual planning of profunda femoral artery and superficial circumflex iliac artery perforator flaps with a free share software”

Keywords: SCIP flap;PAP flap;perforator flaps;Computed Tomography Angiography;Surgery, Computer-Assisted

Creator: Susana Heredero
Duration: 1:47

This video displays step by step video tutorial explaining how the preoperative mapping of the superficial circumflex iliac artery perforator flap can be done using the open source software HOROS. “Virtual planning of profunda femoral artery and superficial circumflex iliac artery perforator flaps with a free share software”

Keywords: SCIP flap;PAP flap;perforator flaps;Computed Tomography Angiography;Surgery, Computer-Assisted

Creator: Jose Lasso
Duration: 1:30
This video displays a MRI showing the posterior neck defect, followed by accessory nerve testing, free latissimus dorsi flap under electrostimulation and postoperative flexo-extension of the neck. “Restoration of neck extension after severe oncological surgery of the posterior cervical trunk »

Keywords: Head extension, microsurgery, free flap, neurovascular flap;
Creator: Emmanuel Armando Flores González
Duration: 11:18
In this video our surgical technique is explicitly detailed, step-by-step for more clarity for the reader. “ A NEW SURGICAL APPROACH TO BODY CONTOURING

Keywords: 360 abdominoplasty-assisted liposuction
Creator: Chuan-Yuan Lin
Duration: 00:52
This video displays the employment of the Vacuum-Assisted Hydration (VAH) method with subsequent “the Back-and-Forth” method for reconstitution of injectable PDLLA.“ Vacuum-Assisted Hydration Before the Back-and-Forth Method: A Novel Method for Accelerating the Reconstitution of Injectable Poly-D,L-lactic Acid.”

Keywords: fillers, biomaterials, technology, methodology, poly-D,L-lactic acid, VAH
Creator: Khaled Ahmed Reyad
Duration: 00:09
This video demonstrates a 37-year-old male patient with combined median and ulnar nerves at 5 cms above the distal crease. He underwent nerve repair with immediate tendon transfer (group II). This video is after only three months displaying nearly full thumb adduction and opposition. “Verification of importance of immediate tendon transfer in combination with group fasicular nerve repair versus nerve repair only in low combined ulnar and median nerve injury on hand functions.”

Keywords: nerve injury, tendon transfer, ulnar, median
Creator: Haşim Eray Copcu
Duration: 6:00
This video displays preparation of supercharged mechanical stromal-cell transfer (MEST). All steps of the process are presented in detail in this video: Lipoharvesting, first centrifuge, mixing of PPP with condensed fat, adinizing, second centrifuge, obtaining of total stromal-cells (TOST), analyzing of stromal-cells and finally mixing of TOST with PRP for Supercharged MEST. “Supercharged Mechanical Stromal-cell Transfer (MEST)”

Keywords: PRP, SVF, TOST, mechanical, stormal cell, plasma, PPP
Creator: Sarah Sherif Raafat
Duration: 3:01
This video demonstrates after alar wedge resection was completed, alar rim was dissected using Stevens-Iris scissors to form a narrow tunnel. The tunnel was formed subcutaneously directly along alar flare margin. The prepared graft was then inserted from alar wedge excision point along the created tunnel to be sandwiched in alar margin soft tissue. The skin is then closed by simple interrupted 5/0 polypropylene sutures. For demonstration purpose, the contralateral side is closed without graft insertion to show the difference. The same procedure is then repeated on the other side. “ Alar Flare Preservation Using the Sandwich Technique as an Adjunct to Alar Base Reduction ”

Keywords: alar, base, reduction, rhinoplasty
Creator: Miguel Gomez Bravo, MD
Duration: 4:59
In this #FacetheCase video, PRS Global Open Resident Ambassador Dr. Murilo Secanho presents A 31-year-old healthy woman who underwent autologous gluteal augmentation with fat grafting and abdominal liposuction. Following the procedure, she experienced significant bilateral foot drop and paresthesia and was wheelchair-bound.

Watch as expert Dr. Miguel Gomez Bravo discusses the article and its results.

Read the March 2018 PRS Global Open #FacetheCase article, “Bilateral Sciatic Neuropathy following Gluteal Augmentation With Autologous Fat Grafting” by Vasileios Vasilakis, MD, Malack Hamade, BS, Steven A. Stavrides, PA-C, and Thomas A. Davenport, MD, FACS.

Keywords: #FacetheCase; #PRSGlobalOpen; neuropathy; fat grafting; gluteal augmentation; gluteoplasty; abdomino liposuction; hematoma; sciatic nerve;
Creator:
Duration: 00:54
This video displays the study process of the Indocyanine green angiography (ICGA) precise marking for indeterminate burn excision. “ Indocyanine Green Angiography Precise Marking for Indeterminate Burn Excision: A Prospective, Multi-centered, Double-blinded Study”

Keywords: Indocyanine green;Burns;Angiography;Prospective Studies;Double-blind Method
Creator: George Emmanuel Sali
Duration: 00:54
This video displays a intra-operative video demonstrates the complete flap dissection in a 73-year-old male with a 21 X 11 mm defect of the ala involving the free margin. The large degree of craniocaudal movement possible is demonstrated, as well as the early post-operative result at 3 weeks. “Levator labii superior alaeque nasi (LLSAN)-nasalis myocutaneous island flap: An 84-case experience with a novel technique”
Creator: Jeffrey Janis, MD
Duration: 3:04
In this #FacetheCase video, PRS Global Open Resident Ambassador Dr. Macarena Vizcay presents a 31-year-old woman with a history of prior resection of endometrial tissue around her Pfannenstiel incision presented 5 years later with recurrence of pain and a mass associated with menses despite maximal medical treatment for endometriosis. Computed tomography showed an infiltrative soft tissue mass. En bloc resection of the mass and total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed.

Watch as expert Dr. Jeffrey Janis discusses the article and its results.

Read the January 2020 PRS Global Open #FacetheCase article, “Bridging Acellular Dermal Matrix in Abdominal Wall Repair following Radical Resection of Recurrent Endometrioma” by Paige N. Hackenberger, Stephen J. Poteet and Jeffrey E. Janis.

Keywords: plastic surgery; breast; #FacetheCase; #PRSGlobalOpen;