Journal of Advanced Plastic Surgery Research最新文献

{"title":"Scalp Contour Restoration with Tissue Expanders and Local Flaps","authors":"M. Massa","doi":"10.31907/2414-2093.2017.03.03","DOIUrl":"https://doi.org/10.31907/2414-2093.2017.03.03","url":null,"abstract":"Great defects of cranial contour due to neurosurgical intervention after traumatic event need to be reconstructed with the objective to cover the underlying delicate structure moreover to regain the natural head appearance. The cases presented were successfully repaired with the aid of tissue expanders placed in a subgaleal plane and subsequently the preparation of large rotation local flaps after cranioplasty. The procedure seems to be a safe and reliable technique, that allows to obtain a satisfactory functional and cosmetic result with low risk of major complications. Keywords: Tissue expander, cranioplasty, local flaps, cranial defects.","PeriodicalId":14956,"journal":{"name":"Journal of Advanced Plastic Surgery Research","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81598709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cartilage Perforation in Rhinophyma Treated with Diode Laser A Disastrous Complication","authors":"S. S. Shirol","doi":"10.31907/2414-2093.2017.03.04","DOIUrl":"https://doi.org/10.31907/2414-2093.2017.03.04","url":null,"abstract":"Rhinophyma is a slowly progressive, disfiguring, inflammatory disorder of nose, which represents the end stage of acne rosacea. Various modalities of treatments like dermabrasion, surgical excision, cryotherapy, electrocautery and lasers. Each modality has some limitations and advantages. Lasers are known for precise excision layer by layer and good aesthetic outcome. However, we present a patient of Rhinophyma treated with diode lasers with an unusual complication of lower lateral cartilage perforation. Level of Evidence: Level V, A report of rare complication. Keywords: Rhinophyma, Diode laser, Cartilage perforation, Complication, Laser.","PeriodicalId":14956,"journal":{"name":"Journal of Advanced Plastic Surgery Research","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90811592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facial Wasting Rehabilitation: A Personal Algorithm","authors":"R. Rauso","doi":"10.31907/2414-2093.2017.03.02","DOIUrl":"https://doi.org/10.31907/2414-2093.2017.03.02","url":null,"abstract":"Facial lipoatrophy, also known as facial wasting (FW), defined as flattening or indentation of normally convex facial contours, is the most distressing manifestation for HIV patients. It can be stigmatizing, severely affecting quality of life and self-esteem, and it may result in reduced antiretroviral adherence. Several surgical or non surgical techniques exists, however to restore facial features in HIV-related lipoatrophy fillers and structural fat graft seems2 to be the procedures most performed. In this article the authors present his experience in FW rehabilitation, and his decisional algorithm of choice. Keywords: Filler, facial lipoatrophy, structural fat graft, facial wasting, HIV.","PeriodicalId":14956,"journal":{"name":"Journal of Advanced Plastic Surgery Research","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74125238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Our Experience of Rejuvenation of Atrophied Web Spaces in Leprosy Patients with Fat Grafting","authors":"Somashekar Gejje","doi":"10.31907/2414-2093.2017.03.01","DOIUrl":"https://doi.org/10.31907/2414-2093.2017.03.01","url":null,"abstract":"Atrophied web spaces are a common finding in the hands of leprosy affected hands and decreases the aesthetic appearance of the hands. Autologous fat transfer is an option for restoring the contour of the atrophied web spaces as it based on the principle “replace like with like”. Free fat graft harvested from abdomen/thigh/buttock. Derma fat harvested from the groin crease was also used to correct web space atrophy. Study included the reabsorption quantification using high-resolution ultrasound and patient/surgeon satisfaction scale. Keywords: Web spaces, Fat Grafting, Atrophy, HRUS.","PeriodicalId":14956,"journal":{"name":"Journal of Advanced Plastic Surgery Research","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85815791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Study of Outcome of Limited Fasciectomy in Patients with Dupuytrens Contracture","authors":"Jainath Reddappa","doi":"10.31907/2414-2093.2016.02.11","DOIUrl":"https://doi.org/10.31907/2414-2093.2016.02.11","url":null,"abstract":"Background: Dupuytrens contracture is a fibro proliferative disorder of hand resulting in slowly progressive thickening and shortening of palmar fascia leading to finger flexion contractures. The disease usually affects the fourth and fifth fingers and common in elderly males. The disease progresses in 3 stages with varying clinical severity. The aim of treatment is to remove the contracture of the fascia, correct the flexion deformity and regain the finger function. The treatment options include nonsurgical and surgical methods. The surgical methods include fasciotomy, fasciectomy, dermofasciectomy. Fasciectomy is the commonly done surgical procedure and it can be either limited or radical fasciectomy. Aims and Objectives: To study the outcome of limited fasciectomy in patients with Dupuytrens contracture Observations: It is a prospective study conducted in this institute in 25 patients with Dupuytrens contracture operated by limited fasciectomy, between January 2013 and December 2015. All 25 patients of Dupuytrens contracture who presented to us were admitted, evaluated for their severity and operated by limited fasciectomy. Patients were followed up for a period of 6 months to 2 years and evaluated for finger extension and range of movements. 20 of the 25 patients who were operated by limited fasciectomy had complete release of the contractures with normal wound healing and complete extension of fingers. No recurrence of disease was seen in all of these patients on regular follow up and active physiotherapy. Normal range of finger movements were present. 5 of the patients had minor surgical complications in the form of flap necrosis, partial skin graft loss and wound dehiscence, which resolved with conservative dressings and splinting and 2 of these patients developed flexion contractures at 6 months of followup. Conclusion: Limited fasciectomy is effective in all severity of Dupuytrens contractures with complete relief of symptoms and complete extension of fingers. No recurrence of contractures were seen in 92% of these patients. Limited fasciectomy being less morbid compared to radical fasciectomy or dermofasciectomy is a preferred surgical option in patients with Grade 1 and grade 2 Dupuytrens contractures. Keywords: Dupuytrens contracture, Limited fasciectomy, Recurrence and outcome.","PeriodicalId":14956,"journal":{"name":"Journal of Advanced Plastic Surgery Research","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77324054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Autologous Fat Grafting in Management of Patients with Progressive Hemifacial Atrophy","authors":"Jainath Reddappa","doi":"10.31907/2414-2093.2016.02.10","DOIUrl":"https://doi.org/10.31907/2414-2093.2016.02.10","url":null,"abstract":"Background: Progressive hemi facial atrophy or Romberg disease is a rare neurocutaneous syndrome characterized by slow progressive atrophy on one side of face involving skin, subcutaneous and connective tissue. Various methods have been described for soft tissue augmentation in patients with progressive hemi facial atrophy. Autologous fat, dermofat, fascial grafts have been used for grade 1,2 and 3 atrophy. Free flaps, cartilage and bone grafts are described for grade 3 and 4 atrophy. Aims and objectives: To study efficacy of autologous fat graft in patients with grade 1, 2 and 3 hemi facial atrophy. Strategies to reduce fat absorption and to calculate approximate amount of fat required required by facial mask template. Observations: It is a prospective study conducted in Department of plastic surgery, Bangalore Medical college and Research Institute, Bangalore in 10 patients with grade 2 and 3 Progressive hemi facial atrophy. All patients with stable non-progressive atrophy were graded for severity of disease and face-mask templates were prepared by pro-sthodontists to know approximate amount of fat required for injection. Fat was aspirated by low-pressure small suction cannulas manually and infiltrated at multiple points and in multiple planes after sedimentation and separation of fat. Five of the patients with grade 2 and 3 of patients with grade 3 atrophy were satisfied with symmetric face and with emotional betterment. Two patients needed repeat fat grafting after 2 years of follow-up. Conclusion: Autologous fat grafting is a simple and safe method for augmentation of soft tissue in patients with grade 1, 2 and 3 Progressive hemi facial atrophy. Aspiration of fat with low-pressure small cannulas and infiltrating in multiple planes improves fat survival. Preparing face-mask templates gives an idea of approximate volume of fat required. Keywords: Progressive hemifacial atrophy, Autologous fat grafting, Face-mask templates, Strategies for decreased fat absorption.","PeriodicalId":14956,"journal":{"name":"Journal of Advanced Plastic Surgery Research","volume":"91 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77979621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intra-operative Use of Liposomal Bupivacaine and its Effect on Post-operative Pain in Breast Augmentation","authors":"Steven A. Clark","doi":"10.31907/2414-2093.2016.02.09","DOIUrl":"https://doi.org/10.31907/2414-2093.2016.02.09","url":null,"abstract":"Introduction: Liposomal bupivacaine (Exparel©, Pacira Pharmaceuticals, Inc., Parsippany, NJ) is a local anesthetic, approved by the FDA for introduction into surgical sites for post-operative analgesia in October of 2011. Pharmaceutical advertisements claim that Exparel© relieves pain up to 72 hours, and that patients may require less pain medication during their recovery. Currently there is limited data with few non-industry funded, controlled studies concerning its efficacy. Methods: A single center, prospective open-label study was conducted over a year period comparing bupivacaine with epinephrine to liposomal bupivacaine, in regards to patient post-operative pain scores and narcotic usage on patients undergoing breast augmentation. All studied patients had breast augmentation with identical surgical technique. Studied patients had sub-muscularly placed saline implants performed by a single surgeon at one surgical facility. Results: Thirty-two patients of 40 successfully participated in the study (11 in the control group and 21 in the experimental group). Patients who received liposomal bupivacaine reported lower pain scores which was statistically significant at p=0.02, however patients who received liposomal bupivacaine required more narcotics at 72 hours than patients in the control group. Statistical analysis showed a trend that patients who received liposomal bupivacaine used less hydrocodone post-operatively (p=0.05). Conclusions: Patients who received liposomal bupivacaine reported improved pain scores compared to bupivacaine with epinephrine. The improved pain score was minimal, and did not translate into a significantly lower usage of narcotics post-operatively. Our data suggests that that liposomal bupivacaine only provides improved pain relief for 48 hours and not the advertised 72 hours. Keywords: Post-operative pain, Pain score, Non-industry funded.","PeriodicalId":14956,"journal":{"name":"Journal of Advanced Plastic Surgery Research","volume":"158 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74497405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Overview of Single Hospital Based Study on Industrial Related Accidental Injuries Needing Plastic Surgical Solutions","authors":"Sharan Hiremath, Somashekar Gejje, Snehalata Hiremath, A. Hongal","doi":"10.31907/2414-2093.2016.02.08","DOIUrl":"https://doi.org/10.31907/2414-2093.2016.02.08","url":null,"abstract":"Industrial accidents are the major cause of industrial injuries. In 1956, a WHO group defined an accident as “an unpremeditated event resulting in recognizable damage. Causes of industrial injuries are classified as injury due to mechanical failure, injury due to defective material, injury due to electronic failure and injury due to faulty design of equipment and injury due to environmental condition. General Principles of managing industrial related injuries are: Elimination/Substitution, Engineering Control, Administrative Controls, Work Practice Controls, Personal Protective Equipment PPE. However every year throughout the world there are many industrial accidents and the world is paying heavily for that (i.e., for accidents and injuries) in terms of both human suffering and huge economic loss. A proper health care system should, therefore, be provided for control and prevention of industrial accidents among workers during their working period. Hence, in developing an efficient health care system, proper information on the status of occupational accidents/injuries in the industry are prime factors to be gathered. Keywords: Industry, Injuries, Reconstruction.","PeriodicalId":14956,"journal":{"name":"Journal of Advanced Plastic Surgery Research","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87723047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Acute Hand Burns","authors":"C. N. Yogishwarappa, M. Ishwar, A. Vijayakumar","doi":"10.31907/2414-2093.2016.02.07","DOIUrl":"https://doi.org/10.31907/2414-2093.2016.02.07","url":null,"abstract":"Hands are the most commonly involved body part in burns. In greater than 90% cases, the burns are severe and carry with them a significant risk of morbidity even though the mortality associated is relatively less. Hand burns present challenges to the treating surgeon on many fronts. One is the assessment of severity and depth of the injury itself, where, clinical examination remains the gold standard. The other is the choice and performance of the most appropriate surgical procedure to provide optimal outcomes in terms of function and aesthetics. The one challenge with most impact is probably that of post-operative care and rehabilitation to preserve function at a level where the patient can carry on with activities of daily living at the least. The need for reconstructive surgery also arises at a later date to address issues like post-burn contractures and unstable scars. In this review, we present the approach to management of hand burns in the acute setting with consideration to both conservative and surgical modalities. Keywords: Hand burns, Laser Doppler imaging, Fasciotomy, Splinting, Allografts.","PeriodicalId":14956,"journal":{"name":"Journal of Advanced Plastic Surgery Research","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85359364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Angiofibrolipoma of the Tendon Sheath","authors":"N. Mariappan, Ritu Singh, T. Gayathri","doi":"10.31907/2414-2093.2016.02.02","DOIUrl":"https://doi.org/10.31907/2414-2093.2016.02.02","url":null,"abstract":"Background: Lipoma is a benign tumor composed of mature white adipocytes and it is the most common soft tissue mesenchymal neoplasm. It is well separated from the surrounding tissues by a thin fibrous capsule. Lipomas occur in any part of the body that has fat tissues. 13% of such tumors are seen in the head and neck region. Angiofibrolipoma is a variant of lipoma with a prominent vascular component: Angiofibrolipoma is a subtype of lipoma composed of fibrocytes, capillaries and mature adipocytes. These tumors occur in the forearm, followed by trunk and in the extremities of young individuals. Its occurrence is very rare in the head and neck region. They are benign tumors that cause symptoms depending on their size and location. It is important to bear in mind this clinical entity in the differential diagnosis of the swellings that arise in relation to the tendon sheath. Patient and method: A patient with a recurrent swelling in the right wrist region was taken up for surgery with a clinical diagnosis of a fibrous tumor. Result: Histopathological diagnosis revealed the tumor as a rare variant of lipoma. Conclusion: This report highlights the fact that angiofibrolipoma should be considered in the differential diagnosis of swellings in different regions of the body. Keywords: Angiofibrolipoma, Tendon sheath, Synovial membrane, Soft tissue tumors.","PeriodicalId":14956,"journal":{"name":"Journal of Advanced Plastic Surgery Research","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88878283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}