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  1. Article ; Online: Invited commentary on "Are dynamic procedures superior to static in treating the paralytic eyelid in facial paralysis?"

    Ibarra, Gorka / Hoz, Adriana de la

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2022  Volume 77, Page(s) 218

    MeSH term(s) Humans ; Facial Paralysis/surgery ; Eyelids/surgery ; Eyelid Diseases
    Language English
    Publishing date 2022-12-17
    Publishing country Netherlands
    Document type Journal Article ; Comment
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2022.11.039
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Invited commentary on "Ophthalmic features and management of 86 patients with cryptophthalmos - A refined classification to assist in surgical planning".

    Ibarra, Gorka / Hoz, Adriana de la

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2022  Volume 75, Issue 7, Page(s) 2266–2267

    MeSH term(s) Eyelids ; Humans ; Microphthalmos
    Language English
    Publishing date 2022-02-25
    Publishing country Netherlands
    Document type Journal Article ; Comment
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2021.11.117
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Invited commentary on "Clinical application of a reverse-island flap with two dorsal metacarpal arteries and dorsal metacarpal nerves in index- and middle-finger degloving injury repair and amputation reconstructione".

    Ibarra, Gorka / Crespo, Eduardo Hevia

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2022  Volume 76, Page(s) 56

    MeSH term(s) Humans ; Metacarpal Bones ; Degloving Injuries/surgery ; Surgical Flaps ; Hand ; Arteries/surgery ; Finger Injuries/surgery ; Treatment Outcome
    Language English
    Publishing date 2022-11-24
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2022.11.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Salvage Procedures for Facial Reanimation With Neurovascular Flaps When Previous Surgeries Failed: Is Homolateral Vessel or Nerve Depletion a Contraindication?

    Ibarra, Gorka / Lasso, Jose M

    Annals of plastic surgery

    2022  Volume 89, Issue 2, Page(s) 196–200

    Abstract: Background: Facial paralysis reconstruction can be difficult in extensive defects after complex facial or cranial base tumor resection and radiotherapy or when primary smile reanimation attempt has failed. The surgical challenge is more complicated when ...

    Abstract Background: Facial paralysis reconstruction can be difficult in extensive defects after complex facial or cranial base tumor resection and radiotherapy or when primary smile reanimation attempt has failed. The surgical challenge is more complicated when defects are associated with recipient vessels or nerves depletion. This scenario has not been well described in the literature, and the present article will address the alternatives that plastic surgeons may use in these circumstances.
    Methods: Seventy-five patients operated in the Hospital Gregorio Marañon between 2008 and 2020, for dynamic reconstruction of facial paralysis, were retrospectively evaluated, collecting data about previous facial nerve surgeries, radiotherapy, chemotherapy, recipient nerve for motor restoration and vessels used for free flaps, type of neurovascular free flap (NVFF), and functional score before and after the facial reanimation surgery. Patients presenting recipient vessel and/or nerve depletion after several facial surgeries requiring a variation from the common NVFF surgical protocol were included in this study.
    Results: Six cases (8%) with facial paralysis and absent recipient homolateral vessels or nerves after severe cranial base surgery, parotid malignancies, or schwannoma surgery were included. Two patients had an immediate functional reconstruction during the oncologic resection surgery, and 4 patients had a delayed reconstruction. Three patients had previous reconstruction with free flaps, and the vascular pedicles of previous flaps were used for the new NVFF. In the other 3 cases, interposition vein grafts to the contralateral recipient vessels were required to perform NVFF. Masseteric nerve in 4 cases, hypoglossal nerve and posterior branch of the deep temporal nerve in 1 case each, were used as recipient nerves. House-Brackmann score improved in all patients after surgery.
    Conclusions: Neurovascular free flap can be successfully performed to restore facial motion after depletion of homolateral recipient vessels or nerves after previous facial or cranial base surgeries. In these cases, interposition vascular grafts or the pedicle of previous flaps are essential to provide vascularization as well as an optimal orientation of flaps, to reach recipient nerves in a 1-step procedure.
    MeSH term(s) Contraindications ; Facial Nerve/surgery ; Facial Paralysis/surgery ; Free Tissue Flaps/transplantation ; Humans ; Reconstructive Surgical Procedures/methods ; Retrospective Studies
    Language English
    Publishing date 2022-01-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 423835-7
    ISSN 1536-3708 ; 0148-7043
    ISSN (online) 1536-3708
    ISSN 0148-7043
    DOI 10.1097/SAP.0000000000003061
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Editorial: risk factors for chest wall depression in breast reconstruction.

    Rivera, Andres / Ibarra, Gorka / Gascon, Dafne

    Gland surgery

    2022  Volume 11, Issue 10, Page(s) 1588–1589

    Language English
    Publishing date 2022-10-24
    Publishing country China (Republic : 1949- )
    Document type Editorial ; Comment
    ZDB-ID 3016969-0
    ISSN 2227-8575 ; 2227-684X
    ISSN (online) 2227-8575
    ISSN 2227-684X
    DOI 10.21037/gs-22-525
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Invited commentary on "Reflections on a patient-centered approach to treatment of blow-out fractures: Why the wisdom of the past must guide our decision making".

    Ibarra, Gorka / Brabyn, Philip / de la Hoz, Adriana

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2022  Volume 75, Issue 8, Page(s) 2871–2872

    MeSH term(s) Decision Making ; Humans ; Orbital Fractures ; Patient-Centered Care
    Language English
    Publishing date 2022-06-14
    Publishing country Netherlands
    Document type Journal Article ; Comment
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2022.06.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Sarcoidosis Presenting as Late Seroma Mimicking Breast Implant-Associated Anaplastic Large Cell Lymphoma.

    Ibarra, Gorka / Vallejo, Alfonso / Rivera, Andres / Fernandez-Ibarburu, Borja / Garcia-Ruano, Angela

    Annals of plastic surgery

    2021  Volume 87, Issue 4, Page(s) 415–420

    Abstract: Abstract: Late seroma related to breast silicone implants is a rare complication. Interest for its characterization has grown after its association with the recently described breast implant-associated anaplastic large cell lymphoma. The differential ... ...

    Abstract Abstract: Late seroma related to breast silicone implants is a rare complication. Interest for its characterization has grown after its association with the recently described breast implant-associated anaplastic large cell lymphoma. The differential diagnosis includes infectious diseases, mechanical and traumatic causes, tumors, postpartum seroma, and inflammatory, allergic, or idiopathic causes.Sarcoidosis has been associated with breast silicone implants over the last decades, but it has never been reported as a cause of breast effusion. We describe a rare presentation of sarcoidosis as a late breast implant seroma simulating the clinical features and radiologic findings of breast implant-associated anaplastic large cell lymphoma and highlight that sarcoidosis can be suspected by the presence of nonnecrotizing epithelioid granulomas in the cytology, with a characteristic inverted ratio of CD4/CD8 T cells.The aims of this article are to review the current evidence about sarcoidosis related to silicone implants and breast cancer, provide a new alternative in the differential diagnosis of late seroma, and advise the scientific community how early implant removal can improve the disease.
    MeSH term(s) Breast Implants/adverse effects ; Breast Neoplasms/diagnosis ; Female ; Humans ; Lymphoma, Large-Cell, Anaplastic/diagnosis ; Lymphoma, Large-Cell, Anaplastic/etiology ; Sarcoidosis ; Seroma/diagnosis ; Seroma/etiology
    Language English
    Publishing date 2021-01-27
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 423835-7
    ISSN 1536-3708 ; 0148-7043
    ISSN (online) 1536-3708
    ISSN 0148-7043
    DOI 10.1097/SAP.0000000000002684
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Chylous leak after axillary clearance in a patient with duplicity of the axillary vein.

    Ibarra, Gorka / Rivera, Andres / Fernandez-Ibarburu, Borja / Gurpegui, David / Capdevila, Ignacio

    European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology

    2020  Volume 46, Issue 9, Page(s) 1770–1771

    MeSH term(s) Axilla ; Axillary Vein ; Chyle ; Humans ; Thoracic Duct
    Language English
    Publishing date 2020-07-03
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 632519-1
    ISSN 1532-2157 ; 0748-7983
    ISSN (online) 1532-2157
    ISSN 0748-7983
    DOI 10.1016/j.ejso.2020.07.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Anatomic and histomorphometric study of the nerve to the vastus lateralis in cadaver for its clinical application in facial reanimation.

    Lasso, Jose M / Ibarra, Gorka / Rivera, Andres / Fernandez-Ibarburu, Borja / Olivares, Martin / de la Cruz, Ignacio / Gomez-Navarro, Yesica / Garcia, Maria

    Microsurgery

    2023  Volume 43, Issue 4, Page(s) 365–372

    Abstract: Background: The innervated vastus lateralis flap (IVLF) is a barely used possibility for facial palsy reconstruction because of its thickness compared to the gracilis, latissimus dorsi, and pectoralis minor flaps. The aim of this study is to perform a ... ...

    Abstract Background: The innervated vastus lateralis flap (IVLF) is a barely used possibility for facial palsy reconstruction because of its thickness compared to the gracilis, latissimus dorsi, and pectoralis minor flaps. The aim of this study is to perform a precise description of the intramuscular distribution of the nerve motor branches and its relationship with the vascular pedicle in order to harvest a segmental muscle flap with the best contractile strength to restore facial reanimation.
    Methods: The study was performed on 16 adult cadaver thighs identifying the vastus lateralis muscle and the distribution and relationships of its neurovascular pedicle and branches. We evaluated where the nerve pierced the muscle and the course of the nerve within it. Transverse segments of the nerve were obtained from the proximal and distal ends of the nerve and stained using anti-ChAT (Choline acetyltransferase) antibodies which are specific of motor neurons.
    Results: A nerve for the vastus lateralis from the posterior division of the femoral nerve divided into 2 branches in 56% of cases; the principal branch coursed along the vascular pedicle and pierced the muscle more proximally than the respective vessels, and a minor branch that pierced the muscle 25-60 mm proximally. There were 3 main intramuscular branches. The nerve length (mean 132.65 ± 22.89 mm) allowed to reach the contralateral side of the face in almost all cases (95%). The mean ChAT positive fibers was 351.0 ± 92.4/mm
    Conclusion: We propose the IVLF as a one-step surgical flap for facial paralysis reanimation due to the constant neurovascular pattern and lengthy pedicle. The amount of motor fibers in several segments of the nerve is appropriate to produce a powerful contraction for dynamic reconstruction.
    MeSH term(s) Adult ; Humans ; Quadriceps Muscle/innervation ; Surgical Flaps/blood supply ; Facial Paralysis/surgery ; Facial Paralysis/etiology ; Femoral Nerve ; Cadaver ; Facial Nerve/surgery
    Language English
    Publishing date 2023-01-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605524-2
    ISSN 1098-2752 ; 0738-1085
    ISSN (online) 1098-2752
    ISSN 0738-1085
    DOI 10.1002/micr.31005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Prone position pressure sores in the COVID-19 pandemic: The Madrid experience.

    Ibarra, Gorka / Rivera, Andres / Fernandez-Ibarburu, Borja / Lorca-García, Concepción / Garcia-Ruano, Angela

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2020  Volume 74, Issue 9, Page(s) 2141–2148

    Abstract: Background: In the context of the COVID-19 pandemic, prone position (PP) has been frequently used in the intensive care units to improve the prognosis in patients with respiratory distress. However, turning patients to prone imply important ... ...

    Abstract Background: In the context of the COVID-19 pandemic, prone position (PP) has been frequently used in the intensive care units to improve the prognosis in patients with respiratory distress. However, turning patients to prone imply important complications such as pressure ulcers. The aim of this paper is to describe the prevalence and characteristics of prone-positioning pressure sores (PPPS) and analyze the related risk factors.
    Methods: A case-control study was performed in Gregorio Maranon hospital in Madrid during the COVID-19 pandemic between April and May 2020. We enrolled 74 confirmed COVID-19 patients in critical care units with invasive mechanical ventilation who were treated with pronation therapy. There were 57 cases and 17 controls. Demographic data, pronation maneuver characteristics and PPPS features were analyzed.
    Results: In the case group, a total number of 136 PPPS were recorded. The face was the most affected region (69%). Regarding the severity, stage II was the most frequent. The main variables associated with an increased risk of PPPS were the total number of days under pronation cycles, and PP maintained for more than 24 h. The prealbumin level at admission was significantly lower in the case group. All of the ulcers were treated with dressings. The most frequent acute complication was bleeding (5%).
    Conclusions: According to our study, PPPS are related to the characteristics of the maneuver and the previous nutritional state. The implementation of improved positioning protocols may enhance results in critical patient caring, to avoid the scars and social stigma that these injuries entail.
    MeSH term(s) Adult ; Aged ; COVID-19/complications ; COVID-19/therapy ; Case-Control Studies ; Critical Care/methods ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Patient Positioning/adverse effects ; Patient Positioning/methods ; Pressure Ulcer/diagnosis ; Pressure Ulcer/epidemiology ; Pressure Ulcer/etiology ; Prevalence ; Prone Position ; Respiration, Artificial ; Risk Factors ; Severity of Illness Index ; Spain
    Language English
    Publishing date 2020-12-26
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2020.12.057
    Database MEDical Literature Analysis and Retrieval System OnLINE

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