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Scalp Reconstruction after Malignant Tumor Resection: An Analysis and Algorithm.

Conclusion  Microsurgical reconstruction of moderate-to-extensive scalp defects remains a reliable method with overall low risks and satisfactory aesthetic results, while, according to our experience, muscle flaps show the best functional and aesthetic results. However, in cases of central scalp defects and in situations when a long vascular pedicle of the flap is important, the ALT flap seems to be the best solution.
PMID: 32206533 [PubMed] (Source: Hand Surgery)

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Low incidence of maxillary hypoplasia in isolated cleft palate.

Conclusions: There was a low incidence of MH despite complications after initial palate closure. Our results seem to suggest that age at palate closure, type of cleft palate, and type of surgical technique may not be associated with MH. Additionally, subsequent procedures and complications after primary palatoplasty such as VPI and palatal fistula may not restrict maxillary growth.
PMID: 32206667 [PubMed] (Source: Hand Surgery)

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Chronic complex persistent elbow instability: a consecutive and prospective case series and review of recent literature.

CONCLUSIONS: CCPEI is a challenging condition with an uncertain prognosis. The variability in patients' pathoanatomic conditions requires customized surgical treatment aimed at elbow stabilizer reconstruction when the ulnohumeral joint is preserved or aimed at joint replacement in case of severe articular degeneration. The time interval between the initial trauma and index surgical procedure significantly affects the feasibility of reconstructive procedures.
PMID: 32197771 [PubMed - as supplied by publisher] (Source: Hand Surgery)

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New Technique for Correcting Bony Deformity in Racquet Thumb.

CONCLUSIONS: This technique is simple, safe, and both cost- and time-effective and is a good option for the repair of racquet thumb.
PMID: 32149855 [PubMed - in process] (Source: Hand Surgery)

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Perioperative Pain Management in Hand and Upper Extremity Surgery.

Authors: Neumeister EL, Beason AM, Thayer JA, El Bitar Y
Perioperative pain management in surgery of the hand and upper extremity relies on a multimodal approach involving systemic, local, and presurgical considerations. A pain management plan should be tailored to each patient. Management of pain of patients undergoing upper extremity surgery begins before surgical intervention and continues postoperatively. Patient education, setting expectations, psychological interventions, and addressing risk factors associated with postoperative pain are critical to successful pain management. Intraoperative anesthesia is accomplished via a variety of means. Cryotherapy, transcutaneous electrical nerve stimulation, acupuncture, massage, and localized heat are used in concert with pha...

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Migraine Treatment.

Authors: Olla D, Sawyer J, Sommer N, Moore JB
Migraine headaches affect more than 35 million Americans and are ranked the third-highest cause of disability worldwide, resulting in decreased quality of life and serious economic consequences. There are 4 types of migraine headaches: frontal, temporal, occipital, and rhinogenic. Each type has a well-described trigger site. Migraines headaches often are refractory to medical therapy and may respond well to botulinum toxin type A. Migraine surgery is another option to release trigger sites. A systematic review of the migraine surgery literature found an average success rate of 90%, with elimination or greater than 50% improvement of migraine headaches after migraine surgery.
PMID: 32115055 [PubMed - in process] (Source: Han...

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Detecting scaphoid fractures in wrist injury: a clinical decision rule.

CONCLUSIONS: This dataset provided a simple clinical decision rule for scaphoid fractures following acute wrist injury that limits unnecessary immobilization and imaging with a decreased risk of missing a fracture compared to current clinical practice.
CLINICAL PREDICTION RULE: 1/(1 + EXP (-(0.649662618 × if man) + (0.51353467826 × if swelling anatomic snuffbox) + (-0.79038263985 × if painful palpation anatomic snuffbox) + (0.57681198857 × if painful ulnar deviation) + (0.66499549728 × if painful thumb compression)-1.685).
TRIAL REGISTRATION: Trial register NTR 2544,
PMID: 32125528 [PubMed - as supplied by publisher] (Source: Hand Surgery)

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Unethical science: be mindful about it and avoid it.

Authors: Dumontier C
PMID: 32122236 [PubMed - as supplied by publisher] (Source: Hand Surgery)

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