Anatomical basis of dimple creation - A new technique: Our experience of 100 cases

Lari, AR; Panse, Nikhil

doi:10.4103/0970-0358.96593

Cited by 11 publications

(12 citation statements)

References 8 publications

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“…Lari described a similar procedure in which bolsters were placed on the skin and intraorally and left for 7 days. 5 Over time, the suture fixation may fail; however, the procedure can be repeated.…”

Section: Disscusionmentioning

confidence: 99%

Impact of Intraoperative Vasopressor Use in Free Tissue Transfer for Head, Neck, and Extremity Reconstruction

Kelly

Reynolds²,

Crantford³

et al. 2014

Annals of Plastic Surgery

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General anesthesia induces hypotension and this is commonly treated intraoperatively with administering vasopressors. Microsurgeons are hesitant to use vasopressors due to the potential risk of inducing vasoconstriction and flap necrosis. The aim of this study was to determine the frequency of intraoperative vasopressor utilization in patients undergoing free tissue transfer reconstruction and to determine its impact on patient outcomes. An IRB-approved retrospective review was performed for 47 consecutive patients undergoing free tissue transfer for head, neck, and extremity reconstruction at Wake Forest Baptist Health over a 3-year period. Free flap survival was 97%, with 3% of patients having total flap necrosis and 17% with partial flap necrosis. The frequency of intraoperative vasopressor use was 53.2%. There was no significant difference in the frequency of total or partial flap necrosis between patients who received intraoperative vasopressors and those who did not. Similarly, there was no statistical significance in the rate of arterial or venous thrombosis between the 2 groups (P = 0.095 and P = 0.095, respectively). The use of vasopressors did not significantly increase postoperative complications. The timing of vasopressor administration did not affect outcomes. Intraoperative vasopressors are used more frequently than previously realized during free tissue transfer for reconstructive surgery. The use of intraoperative vasopressors does not appear to adversely affect outcomes of free tissue transfer. Further investigation and larger study size are needed to analyze the timing of drug administration, dose, and type of vasopressor to better understand the impact of intraoperative vasopressor use in free tissue transfer outcomes.

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Section: Disscusionmentioning

confidence: 99%

Impact of Intraoperative Vasopressor Use in Free Tissue Transfer for Head, Neck, and Extremity Reconstruction

Kelly

Reynolds²,

Crantford³

et al. 2014

Annals of Plastic Surgery

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“…[1][2][3][4][5][6] Excessive scarring secondary to foreign body reaction or infection with abscess formation is also uncommon but can result in disfigurement. [1][2][3] In general, open techniques have more risk of complications because more tissue is resected, in contrast to closed techniques with little tissue defect. [1][2][3][4][5][6] Nonabsorbable sutures that are kept for a long time tend to have an increased potential risk of complications than that of absorbable sutures because they increase the risk of foreign body reaction and provide an access point for food debris, dental plaques, and oral actinomyces.…”

Section: Discussionmentioning

confidence: 99%

“…Compared to other techniques-particularly, open technique-no tissue is resected, and no suture (whether permanent or absorbable) is left behind, thus minimizing risk of hematoma and infection. 3 Poor condition of the oral and dental tissue increases the risk of infection as well. Actinomyces are gram-positive filamentous bacteria that are commensals in the oral cavity.…”

Section: Discussionmentioning

confidence: 99%

Actinomycotic Sinus of the Buccal Mucosa: A Rare Complication of Cheek Dimple Creation

AbdullGaffar¹,

Ghandoor²,

Ahli³

2014

Aesthetic Surgery Journal

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Even though actinomyces are common oral commensals, actinomycosis is an uncommon oral infection. Cheek dimple creation is a common surgical procedure with rare complications. Bacterial infection with abscess formation and foreign body reaction were reported. We report a rare example-and, to our knowledge, the first-of oral actinomycosis after cheek dimple creation. A young woman complained of a chronic tender nodule of the right buccal mucosa with pus discharge after surgery for cheek dimple creation. Histologic examination showed a sinus tract with actinomyces microorganisms. This complication can be mimicked by other oral or dental sinus-forming lesions, can be chronic and insidious, and could therefore clinically be missed or mistreated. This might delay the diagnosis and cause scarring and disfigurement. The treatment of choice is early recognition and complete surgical excision to avoid irreversible complications and prevent recurrence. Awareness of this potential complication by aesthetic surgeons, oral clinicians, and dentists is important. Patients' adherence to preventive measures and plastic surgeons' application of inclusion criteria and contraindications, as well as their choice of best technique per patient, should help minimize such a problem in a simple and safe aesthetic procedure. Level of evidence: 5

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“…With refinement in surgical technique, there is an increasing demand for dimple creation surgery. In one center in Maharashtra (India), authors have reported creation of 100 dimples in the period 2006–2010 …”

Section: Dimple Surgerymentioning

confidence: 99%

“…In one center in Maharashtra (India), authors have reported creation of 100 dimples in the period 2006-2010. 42…”

Section: Dimple Surgerymentioning

confidence: 99%

Skin dimples

2014

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Skin dimples are a common occurrence in children. Besides being of cosmetic significance, they may give an important clue to an underlying genetic or metabolic problem. A simplified location-based algorithmic approach to diagnose the underlying cause of skin dimples is presented. Clinical significance of medically important dimples, especially sacral dimples, its association with occult spinal dysraphism, and a cost-effective diagnostic strategy for its imaging is discussed.

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Anatomical basis of dimple creation - A new technique: Our experience of 100 cases

Cited by 11 publications

References 8 publications

Impact of Intraoperative Vasopressor Use in Free Tissue Transfer for Head, Neck, and Extremity Reconstruction

Impact of Intraoperative Vasopressor Use in Free Tissue Transfer for Head, Neck, and Extremity Reconstruction

Actinomycotic Sinus of the Buccal Mucosa: A Rare Complication of Cheek Dimple Creation

Skin dimples

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