Eplasty Pub Date : 2022-08-02 eCollection Date: 2022-01-01

H Harvak Hajebian, Igor Burko, Salomon I Puyana, Mary K Van Wert, Abigail Chaffin, David A Jansen

引用次数: 0

Immediate Application of Biodegradable Temporizing Matrix To a Muscle Free Flap for Complex Soft Tissue Reconstruction. 生物可降解基质即刻应用于复杂软组织重建的无肌瓣。

Eplasty Pub Date : 2022-07-21 eCollection Date: 2022-01-01

Sachin Teelucksingh, Chad Chang, John Henton, Christopher John Lewis

引用次数: 0

Restoring Breast Volume in High BMI Patients: A Single-Center Review of Breast Reconstruction Using Hyperinflated Saline Implants. 在高BMI患者中恢复乳房体积:使用高充气盐水植入物进行乳房重建的单中心回顾。

Eplasty Pub Date : 2022-07-21 eCollection Date: 2022-01-01

Milind D Kachare, Swapnil D Kachare, Bradley J Vivace, Omar Elfanagely, Brooke Barrow, Adam O'Toole, Alyssa M Simpson, Rachel Safeek, Joshua H Choo, Terry M McCurry, Bradon J Wilhelmi

{"title":"Restoring Breast Volume in High BMI Patients: A Single-Center Review of Breast Reconstruction Using Hyperinflated Saline Implants.","authors":"Milind D Kachare, Swapnil D Kachare, Bradley J Vivace, Omar Elfanagely, Brooke Barrow, Adam O'Toole, Alyssa M Simpson, Rachel Safeek, Joshua H Choo, Terry M McCurry, Bradon J Wilhelmi","doi":"","DOIUrl":"","url":null,"abstract":"Background: Breast reconstruction in the obese patient is often fraught with poor patient satisfaction due to inadequate volume restoration. The off-label hyperinflation of saline implants is a direct yet controversial solution to this problem, with limited studies in the literature. This study sought to determine the safety and efficacy of this technique for breast reconstruction.Methods: A retrospective chart review was performed to identify all patients with a body mass index (BMI) greater than or equal to 30 kg/m2 who underwent breast reconstruction between the years 2013 to 2020 with saline implants filled beyond the manufacturer's maximum recommended volume.Results: The 21 patients identified had an average age of 49 years. The mean BMI was 39.5 kg/m2. A total of 42 implants were placed; 34 were 800 mL, 4 were 750 mL, and 4 were 700 mL. The average overfill volume was 302 mL (138%). Mean follow-up was 65.0 months. Of these, 1 (4.8%) patient with a history of chest wall radiotherapy underwent reoperation for unilateral implant exposure 27 days after the index procedure, no patient sustained spontaneous leak or rupture, and 1 patient had unilateral deflation following emergent central line and pacemaker placement 2 years after the implant was placed for an unrelated cardiovascular event.Conclusions: Hyperinflation of saline implants beyond the maximum recommended volume may be considered for volume replacement in obese patients undergoing implant-based breast reconstruction. This practice is well tolerated, has a complication rate comparable to using implants filled to the recommended volume, and has the potential to restore lost breast volume in the obese patient post mastectomy.","PeriodicalId":11687,"journal":{"name":"Eplasty","volume":" ","pages":"e30"},"PeriodicalIF":0.0,"publicationDate":"2022-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9361388/pdf/eplasty-22-e30.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40634697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of Fasciocutaneous Superomedial Thigh Flap in Reconstruction of Fournier Gangrene Defects. 股内侧筋膜皮瓣重建富尼尔坏疽缺损的疗效观察。

Eplasty Pub Date : 2022-07-12 eCollection Date: 2022-01-01

Özcan Öcük, Fatma Hilal Yağın, Orhan Gazi Dinç, Cemal Fırat

{"title":"Effectiveness of Fasciocutaneous Superomedial Thigh Flap in Reconstruction of Fournier Gangrene Defects.","authors":"Özcan Öcük, Fatma Hilal Yağın, Orhan Gazi Dinç, Cemal Fırat","doi":"","DOIUrl":"","url":null,"abstract":"Background: Fournier gangrene (FG) is a necrotizing fasciitis involving perianal and abdominal regions. It progresses quickly and requires urgent intervention. With the use of vacuum-assisted closure (VAC) treatment applied during clinical follow-up and the use of superomedial thigh flap in the region, the treatment is completed with an effective, functional, and rapid approach. This study examines the clinical details of this method for reconstruction.Methods: The study included 15 patients who underwent superomedial thigh flap in VAC treatment reconstruction for tissue defect after FG debridement from 2016 to 2020. The patients were examined in the form of clinical evaluation with hospital admission and surgical evaluation in the postop process.Results: In patients with wound maturation and sufficient granulation, superomedial thigh flap application followed by VAC treatment soon after shortened the operation time, shortened the postop drain time, and provided effective treatment of dead space. An aesthetic and functional result was obtained with the proximity of the flap to the area. In addition, due to the sensory branches present in the flap, a sensory result was obtained according to the ratio of flap size.Conclusions: Superomedial thigh flap provides a practical, effective, and fast solution to the tissue defect that occurs after FG debridement. Effective results can be obtained when combined with VAC therapy.","PeriodicalId":11687,"journal":{"name":"Eplasty","volume":" ","pages":"e26"},"PeriodicalIF":0.0,"publicationDate":"2022-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9361348/pdf/eplasty-22-e26.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40634700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

En Masse Excision and Curettage for Periarticular Gouty Tophi of the Hands. 手部关节周围痛风性痛风的整体切除刮除。

Eplasty Pub Date : 2022-07-12 eCollection Date: 2022-01-01

Matthew Doscher, Bryan G Beutel, Andrew Lovy, Brandon Alba, Charles Melone

{"title":"En Masse Excision and Curettage for Periarticular Gouty Tophi of the Hands.","authors":"Matthew Doscher, Bryan G Beutel, Andrew Lovy, Brandon Alba, Charles Melone","doi":"","DOIUrl":"","url":null,"abstract":"Background: Despite increasing disease prevalence, there remains a paucity of data examining surgical treatments for gouty tophi. This article assesses en masse excision and curettage of articular tophi involving the hands and shows that carefully planned and precisely executed surgery can consistently alleviate pain, preserve function, and enhance the aesthetics of afflicted hands.Methods: A retrospective review was conducted of all consecutive patients who underwent surgical excision of tophaceous deposits from the upper extremity. All patients had an established diagnosis of gout and had been treated with urate-lowering medication. All tophi were substantive in size and were causing significant digital joint dysfunction and disfigurement with variable skin ulcerations.Results: The study group included 12 patients with 24 tophaceous deposits excised from the metacarpal and interphalangeal joints; 2 deposits were also concomitantly excised from the wrist and 2 from the elbow. The study group included 8 men and 4 women, with an average age of 67 years. Follow-up evaluation ranged from 2 to 15 years. All patients underwent successful tophus excision with restoration of tendon excursion and joint mobility without wound complications. All regained high levels of function, and all reported satisfaction with their outcome. On follow-up for as long as 15 years, recurrence has not been observed and secondary surgery has not proved necessary.Conclusions: This study indicates that surgical excision of articular tophi of the hands can provide long-term improvement in function and aesthetics with minimal risk of wound complications or recurrence.","PeriodicalId":11687,"journal":{"name":"Eplasty","volume":" ","pages":"e25"},"PeriodicalIF":0.0,"publicationDate":"2022-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9361386/pdf/eplasty-22-e25.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40634699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Electrical Shunting Prevents the Decline of Galvanotaxis After Monophasic Pulsed Microcurrent Stimulation in Human Dermal Fibroblasts. 电分流防止单相脉冲微电流刺激后人皮肤成纤维细胞的流原性下降。

Eplasty Pub Date : 2022-07-12 eCollection Date: 2022-01-01

Mikiko Uemura, Masaharu Sugimoto, Yoshiyuki Yoshikawa, Rieko Inoue

{"title":"Electrical Shunting Prevents the Decline of Galvanotaxis After Monophasic Pulsed Microcurrent Stimulation in Human Dermal Fibroblasts.","authors":"Mikiko Uemura, Masaharu Sugimoto, Yoshiyuki Yoshikawa, Rieko Inoue","doi":"","DOIUrl":"","url":null,"abstract":"Background: Electrical stimulation (ES) therapy is recommended for healing pressure injuries. Monophasic pulsed microcurrent stimulation promotes the migration of human dermal fibroblasts (HDFs) to the cathode, and ES potentially accelerates pressure injury healing. A reverse current is generated after ES in the human body; however, the effects of the electrical shunt in preventing the reverse current from migrating are unclear. Therefore, this study aimed to investigate the effects of an electrical shunt on the migration of HDFs.Methods: In the shunt groups, HDFs were electrically stimulated (0, 200, 400, and 600 µA) for 8 hours, and an electrical shunt was used to remove the electricity after ES. HDFs were observed under time-lapse microscopy for 24 hours. The migration ratio toward the cathode was calculated for each dish.Results: The migration ratio was significantly higher in the 200-µA group than in the other groups. HDFs migrated toward the anode after ES in the non-shunt groups with greater than 400 µA ES; however, HDFs did not migrate toward the anode with electrical shunting.Conclusions: A post-ES electrical shunt is important in preventing a decline in the migration effect of ES.","PeriodicalId":11687,"journal":{"name":"Eplasty","volume":" ","pages":"e27"},"PeriodicalIF":0.0,"publicationDate":"2022-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9361395/pdf/eplasty-22-e27.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40634694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Auricular Cartilage Composite Graft for Glans Reconstruction After Squamous Cell Carcinoma of the Penis. 耳软骨复合移植用于阴茎鳞状细胞癌后龟头重建。

Eplasty Pub Date : 2022-06-30 eCollection Date: 2022-01-01

Masakatsu Hihara, Takashi Yamauchi, Natsuko Kakudo, Michika Fukui, Toshihito Mitsui, Yuki Matsuoka, Atsuyuki Kuro, Kenji Kusumoto

引用次数: 0

Littler Neurovascular Island Flap in the Loss of Pulp Substance of the Thumb. 小神经血管岛状皮瓣在拇指髓质缺损中的应用。

Eplasty Pub Date : 2022-06-30 eCollection Date: 2022-01-01

Aharram Aharram, Sadougui Mohammed, Moncef Aamahtil, Mohammed Benhamou, Amghar Jawad, Omar Agoumi, Daoudi Abdelkrim

引用次数: 0

Iodinated Contrast Media Extravasation Injuries: Should Osmolality and the Pattern of Distribution Affect Management?: A Literature Review and Case Report Comparison. 碘造影剂外渗损伤:渗透压和分布模式是否影响治疗?文献综述与病例报告比较。

Eplasty Pub Date : 2022-06-30 eCollection Date: 2022-01-01

Robert Thomas, Liam Vermaak, Gareth Price

{"title":"Iodinated Contrast Media Extravasation Injuries: Should Osmolality and the Pattern of Distribution Affect Management?: A Literature Review and Case Report Comparison.","authors":"Robert Thomas, Liam Vermaak, Gareth Price","doi":"","DOIUrl":"","url":null,"abstract":"Background: Contrast media extravasation injuries are uncommon, and both conservative and surgical management approaches have been previously described. Over time the use of lower osmolar contrast solutions has prompted fewer complications, whereas the use of automated infusion systems has increased the overall incidence. Local radiology departments frequently have their own protocols for the initial management of extravasation injuries, but if the injury is considered more severe or results in soft tissue compromise, the plastic surgery department is often consulted. Surgical management options depend on the nature of the agent and the degree of extravasation. Stab incisions of the overlying skin followed by the application of pressure have been described for injuries which are more severe.Methods: Two cases were compared in the context of the prevailing literature. One of these was a large volume extravasation of an iodine-based imaging contrast agent with a diffuse distribution pattern, rendering it unsuitable for this method of evacuation. This is contrasted with a case with a more discrete collection better suited to acute evacuation.Results: This review found that current literature does not account for distribution patterns of extravasation medium in the decision-making process around surgical intervention.Conclusions: A review of the relevant literature suggests that the pattern of distribution should be accounted for when considering surgical management.","PeriodicalId":11687,"journal":{"name":"Eplasty","volume":" ","pages":"e23"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9280047/pdf/eplasty-22-e23.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40571746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Marjolin Ulcers of the Scalp Post Trauma and of the Neck Post Radiation, Diagnosis, and Reconstruction. 创伤后头皮及放疗后颈部的马卓林溃疡，诊断及重建。

Eplasty Pub Date : 2022-06-21 eCollection Date: 2022-01-01

Richard Simman, Jennifer Caudil

引用次数: 0

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