thePlasticsPaper - June 19th

A Letter from P'Fella

Justin Bieber's Facial Nerve Palsy

Twitter was chirping this week after Justin Bieber's unfortunate diagnosis of Ramsay-Hunt Syndrome. It resulted in a pretty significant right-sided facial palsy.  

Bieber released a video online to explain the diagnosis and the clinical findings provide an excellent opportunity for teaching.

Other examples in the past include Angelina Jolie's BRCA diagnosis. In this nature publication, the authors state "Angelina Jolie effect includes a 250% increase in referrals of women with a family history of breast cancer in the UK, increases in rates of BRRM, and health insurance reimbursement for BRCA testing".

The Angelina Jolie effect: Contralateral risk-reducing mastectomy trends in patients at increased risk of breast cancer - Scientific Reports

Scientific Reports - The Angelina Jolie effect: Contralateral risk-reducing mastectomy trends in patients at increased risk of breast cancer

NatureNarendra Nath Basu

It just goes to show that celebrities do have the power to educate.

Study on Sunday

Delay Phenomenon (+Weekly Quiz)

A series of theories have been proposed to describe the delay phenomenon.  Each of these has been encompassed in a "unifying theory" by Pearl in 1981.

1. Increase axial blood flow by removing blood flow from the periphery.
2. Increase tolerance to ischaemia by "training for hypoxia"
3. Increased adrenergic state in the initial delay operation reduces minimises the effect of raised vasoconstrictor concentration during the second operation.
4. Reducing sympathetic fibres by dividing skin flap borders increases vasodilation and intra-flap shunting of non-nutritive blood.
5. Converts choke vessels to "true anastomosis" permanently within 3 days.

Upcoming Events

14 Webinars, Conferences, and Courses

1. iBreastBook Webinar - Implants vs Flaps, Virtual, June 25
2. Australian ASPS Congress - Goldcoast, June 2022
3. Aesthetics In-Service Exam - Virtual, June 2022.
4. PLASTA x RSM Summer Congress 2022 - July 9th
5. ISAPS World Congress - Istanbul, July 2022
6. ICCPCA Cleft Congress - Edinburgh, July 2022
7. ASSH Annual Meeting - Boston, September 2022.
8. BAAPS Annual Conference 2022 - London, September 2022.
9. European Society of Craniofacial Surgery - Oxford, September 2022.
10. BAPRAS Celtic Meeting - Dunblane, Scotland, September 2022
11. Plastic Surgery, The Meeting - Boston, October 2022.
12. AEC Limb Reconstruction - Virtual, October 2022
13. BAPRAS 2022 Congress - November 2022.

Tweets of the Week

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New Feature

Key Points and Summary Cards

P'Fella has improved the way you can navigate through an article.

Up until now, the articles were designed for those who enjoyed reading the content at a leisurely pace. Most likely at home. Now, you can read the content when you are in a rush. Maybe in-between cases or patients when you really need to find information quickly. Check it out below.

Articles of the Week

Top-Picks

1. Shigeyoshi et al. Hemodynamics and Vascular Histology of Keloid Tissues and Anatomy of Nearby Blood Vessels, Plastic and Reconstructive Surgery - Global Open: June 2022 - Volume 10 - Issue 6 - p e4374
2. Rasha et al. Augmentation Mastopexy: A Five-step Standardized Strategy Approach, Plastic and Reconstructive Surgery - Global Open: June 2022 - Volume 10 - Issue 6 - p e4349
3. Kehrer et al. Step-by-step guide to ultrasound-based design of alt flaps by the microsurgeon – Basic and advanced applications and device settings. JPRAS.