Evidence map›Paper›PMID 29616177›Full record

ArticlePlastic and reconstructive surgery. Global open2018

Flat Incision Technique for Reconstructive Brow Surgery: A Wound Healing Model and Clinical Evaluation.

Dominik L Feinendegen, Mathias Tremp, J Camilo Roldán

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 5 citations in OpenAlex.

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  2. Review
  3. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Dominik L FeinendegenInstitute of Plastic, Reconstructive and Aesthetic Surgery, Zürich-Zollikon, Switzerland; Clinic of Plastic and Reconstructive Surgery, University Hospital Basel, Switzerland; Department of Cranio-Maxillofacial Plastic Surgery, University of Regensburg, Regensburg, Germany; Adult Aesthetic and Reconstructive Surgery of the Face at Aneasthesia Center at UKE, Hamburg, Germany; and Pediatric Facial Plastic Surgery and Craniofacial Anomalies at the Catholic Childrens Hospital Wilhelmstift, Hamburg, Germany.
Mathias TrempInstitute of Plastic, Reconstructive and Aesthetic Surgery, Zürich-Zollikon, Switzerland; Clinic of Plastic and Reconstructive Surgery, University Hospital Basel, Switzerland; Department of Cranio-Maxillofacial Plastic Surgery, University of Regensburg, Regensburg, Germany; Adult Aesthetic and Reconstructive Surgery of the Face at Aneasthesia Center at UKE, Hamburg, Germany; and Pediatric Facial Plastic Surgery and Craniofacial Anomalies at the Catholic Childrens Hospital Wilhelmstift, Hamburg, Germany.
J Camilo RoldánInstitute of Plastic, Reconstructive and Aesthetic Surgery, Zürich-Zollikon, Switzerland; Clinic of Plastic and Reconstructive Surgery, University Hospital Basel, Switzerland; Department of Cranio-Maxillofacial Plastic Surgery, University of Regensburg, Regensburg, Germany; Adult Aesthetic and Reconstructive Surgery of the Face at Aneasthesia Center at UKE, Hamburg, Germany; and Pediatric Facial Plastic Surgery and Craniofacial Anomalies at the Catholic Childrens Hospital Wilhelmstift, Hamburg, Germany.
Katholisches Kinderkrankenhaus Wilhelmstift · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSkin incision is considered to be placed at 90° in reference to the skin to get perfect wound edge adaptation. The incision on hair-bearing tissues, as the scalp, is considered to be bevelled at 45° to promote hair growth through the scar. There is no consensus about the preferred incision angle on the brow. The aim of this article was to demonstrate the feasibility of the "flat incision technique" for brow repositioning, where brow deformation results after forehead reconstruction. A wound-healing model for the bevelled incision is presented.

methodsBrow incisions are bevelled with an angle of 20°. The lower incision is placed inside the brow so that the upper 2 rows of hair are included; the dermis is completely transected and dissection is continued into the subdermal plane. The procedure is presented in a patient who underwent resection of the forehead due to melanoma.

resultsThe bevelled incision increases the surface area of dermal layer by a factor of 2 compared with the standard vertical skin incision at 90°. Loss of the dermal tissue integrity and continuity due to trauma hinders the recovery of cell migration and function, resulting in a more prominent scar formation. It appears reasonable that with the increased surface area of the dermal layers in the wound edges, the scar quality improves. The case study demonstrates the feasibility of the procedure.

conclusionThe bevelled 20° incision for brow repositioning and reshaping showed to be a viable and predictable procedure.

Identifiers

PMID29616177
PMCPMC5865913
OpenAlexW2789895205

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.