Characteristic anhydrosugars produced by pyrolysis of hexoses, pentoses and deoxyhexoses were tentatively identified. Despite an unambiguous marker for uronic acids was not identified, THZ1 inhibitor the final method allowed to obtain, with minimal work-up, a detailed picture of polar pyrolysis products as those obtainable from carbohydrates, which can be easily used for identification purposes. (C) 2013 Elsevier B.V. All rights reserved.”
“The internal mammary artery perforator (IMAP) flap represents the evolution from axially pedicled flaps (deltopectoral flap) to perforator flaps. Both flaps are typically used

for neck and tracheostoma reconstruction in male patients. We present the case of a 68-year-old obese female patient with a right upper thoracic radionecrosis secondary to breast irradiation. Soft-tissue defect measured 12 x 18 cm. She also complained of left breast hypertrophy. Following radical debridement, a left IMAP flap extending from midline PRIMA-1MET order to the anterior axillary fold was raised, based on the second and fourth IMAP vessels. The flap was rotated 180 degrees on its second and fourth perforators to cover the defect and the left breast

was reshaped. The flap survived entirely and wound healing was uneventful. Ptosis and breast hypertrophy were corrected at the same time. The IMAP flap can be harvested all the way to the anterior axillary fold and used as a large propeller flap, which makes this flap suitable for contralateral thoracic reconstructions, even in female patients. (C) 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.”
“Implant breast reconstruction is a recommendable alternative for women who have undergone mastectomy and lack the necessary subcutaneous fat tissue for an autologous reconstruction. On the other hand, many women reject the morbidity of the donor site, prolonged recovery periods and muscular weakness associated with autologous reconstruction. Therefore,

muscle and skin expansion has become one of the most popular approaches used in breast reconstruction. Nevertheless, the expansion process may be hindered by events like seroma formation, implant rotation, moving learn more upward or downward altering the location or shape of the submammary crease, capsule contracture or extrusion. Since the advent of the anatomical expander, two-stage reconstruction with the expander/implant sequence has become the most popular choice in prosthetic breast reconstruction (PBR). The second surgical stage, in which the tissue expander is exchanged for the permanent implant, offers a unique opportunity for pocket work. Pocket work strategies and their indications should be known and applied by the surgeon who aims at optimising PBR aesthetic results.