Although significant progress has been made in recent years in plastic and reconstructive surgery procedures, there are still many issues to be solved. Thus, autologous fat transplantation is one of the promising treatments for soft tissue augmentation and facial rejuvenation, due to the lack of incisional scarring and complications associated with foreign materials. However, unpredictable problems and a low rate of graft survival due to partial necrosis occur. Recent research has led to the development of new adipose tissue transplantation techniques, with promising results, without establishing a standard protocol.

Carpal tunnel syndrome is a sensitive neuropathy of the upper limb caused by chronic compression of the median nerve. The presented study focused on highlighting the value of morphological changes of the median nerve - shown by MRI in the management of carpal tunnel syndrome. The study group included 23 patients, adults, treated in the Plastic Surgery Clinic of the County Emergency Clinical Hospital in Constanta - prospective study. Magnetic resonance imaging allowed accurate measurement of the median nerve diameter and showed significant decreases in most cases, which suggested an advanced stage of the disease - morphological changes being corroborated with clinical ones. This imagistic investigation opens a new way in establishing the surgical indication, which is required in case of reduction of the nerve diameter by at least 1.5mm at the site of compression. The criterion of diameter decrease can be a benchmark in order to establish a therapeutic algorithm in carpal tunnel syndrome.