Erratum to "surgical management of the Tessier 7 cleft: A review and presentation of 5 cases" [JPRAS open. Volume 22, December 2019, pages 9-18].

[This corrects the article DOI: 10.1016/j.jpra.2019.07.004.].

Utilizing the lateral excess for autologous augmentation in massive weight loss patients.

The number of patients in need of a mastopexy with autologous augmentation after massive weight loss (MWL) increases along with the increasing number of bariatric surgeries. The primary aim of this paper was to visualize how we utilize the lateral excess of the breast for auto augmentation. The secondary aim was to assess the outcome using the LOPOSAM technique in a larger study population. This retrospective study included 72 MWL patients aged 40±9 years undergoing a bilateral LOPOSAM procedure, between March 2015 and April 2018. All patients had undergone a weight loss of more than 15 BMI units, had a BMI of less than 30 kg/m2 at the time of surgery and functional problems due to excess or lax skin. Patient demographics, comorbidities, cause of MWL, operative time and complications were recorded. The mean weight loss was 58±18 kg or 21±6 BMI units. The mean operative time was 97±39 minutes. The surgical goal was achieved in all patients. Three patients (4%) experienced hematomas requiring surgical intervention. The utilization of the lateral excess of the breast for auto augmentation in MWL patients is visualized. The long term results using the LOPOSAM mastopexy technique shows that the technique is quick, safe and with a low rate of complications.

Surgical management of the Tessier 7 cleft: A review and presentation of 5 cases.

INTRODUCTION: Several variations on the surgical technique for macrostomia repair have been described in the literature. There has been controversy regarding the preferred method for commissuroplasty and skin closure for optimal functional and aesthetic results. The aim of this study is to present these techniques and the most described methods up to date.Further, five patients operated with a combination of techniques are presented. MATERIAL AND METHODS: PRISMA guidelines were followed for literature review.Five consecutive patients with unilateral macrostomia operated during a period of one and a half years at our craniofacial department were included in this study. RESULTS: 31 studies on macrostomia repair were obtained. The layered closure technique is widely described with several variations on closure of the inner mucosa, orbicularis muscle, commissure and skin. The inner mucosal layer is in most cases sutured with a straight line closure technique. The muscle is most often duplicated and sutured with upper branches overlapping lower branches. The skin is in most cases sutured with either a z- or a w-plasty with variations.The five presented patients all had satisfactory functional and aesthetic results at follow-up. CONCLUSION: Many variations of surgical techniques for macrostomia repair have been presented in the past. We believe that each case of macrostomia needs to be assessed with a tailored surgical plan in order to create the best results. A combination of different techniques with Bütow and Botha's and Kaplan's technique as a starting point, is believed to give satisfactory functional and aesthetic results.

Simple Reshaping of the Breast in Massive Weight Loss Patients: Promising Preliminary Results.

BACKGROUND: The challenging breast reshaping after massive weight loss (MWL) has been increasingly performed as the number of bariatric surgery procedures increase worldwide. The breasts often appear wide, lateralized, and deflated, with significant ptosis. OBJECTIVES: The aim of this article is to share our initial experience using the lower pole subglandular advancement mastoplasty (LOPOSAM) technique to reshape the breasts in MWL patients and to elaborate the technical details and simplicity of the method in the attached video. MATERIALS AND METHODS: We performed 30 LOPOSAM procedures in 15 MWL women aged 24 to 63 years from February to September 2015. We used a wise pattern mark-up and a superior based pedicle for the relocation of the nipple areola complex. The key step for the autoaugmentation was an inferior and central mound based parabola-shaped flap, which was placed in a subglandular pocket to reshape the breast and lift the inframammary crease. RESULTS: The median operation time for the LOPOSAM procedure was 81 minutes (range, 35-160 minutes) by 2 surgeons. The median weight loss was 64 kg (range, 45-103) and 22 body mass index units (range, 16-33) per patient. The median follow-up was 240 days (range, 105 Powered by Editorial Manager and ProduXion Manager from Aries Systems Corporation to 345). The surgical goal was achieved in all cases. Four complications occurred in 3 patients, 1 major, a hematoma-requiring surgery and 3 minor wound dehiscence. The self-reported patient satisfaction was high, 13 were very satisfied with the result, 1 satisfied, and 1 less satisfied. CONCLUSIONS: The LOPOSAM technique is quick and simple to perform, and the preliminary results are promising. However, a longer follow-up is needed to confirm this.

[Dacryocystitis in a three-week-old girl]. / Dakryocystitis hos en tre uger gammel pige

Dacryocystocele is a rare disease, which can be difficult to distinguish from haemangioma, dermoid cyst or encephalocele. Proper diagnosis and treatment is important as the risk of complications is high. A newborn baby with dacryocystitis was referred to a department of plastic surgery with a bluish tumour in the medial corner of the eye. The girl was treated with i.v. antibiotics and the dacryocystocele disappeared in 20 days. Knowledge of the disease is important so patients quickly can be treated medically and possibly surgically in order to avoid fatal complications.

Nasal Reconstruction in a Child after a Dog Bite-9 Years Later.

An 8-year-old boy had the caudal part of his nose bitten off by a dog. Nasal reconstruction with a forehead flap was performed initially with success, and 9 years later, the reconstructed nose was found to have grown equally in size with the underlining tissue, resulting in a continuous satisfactory cosmetic result.