Aref Nassar, Elia Kassouf, Marc Aoude, Nabil Hokayem
{"title":"Dural Exposure as a Rare Complication in Surgical Management of Temporalis Myositis Ossificans.","authors":"Aref Nassar, Elia Kassouf, Marc Aoude, Nabil Hokayem","doi":"10.1097/GOX.0000000000006563","DOIUrl":"10.1097/GOX.0000000000006563","url":null,"abstract":"<p><p>Myositis ossificans is a rare condition characterized by heterotopic bone formation in soft tissues, often following trauma. Although it can occur in the maxillofacial region, cases involving the temporalis muscle are infrequent. We report a case of a 33-year-old man who developed severe limitation of mouth opening due to myositis ossificans following closed trauma to the temporal region. Surgical excision was performed. The excision resulted in dural exposure and a small tear, requiring repair with a temporalis fascial graft. This case highlights a rare complication of myositis ossificans in the temporalis muscle, emphasizing the importance of a cautious surgical technique to avoid dural injury while achieving adequate removal of heterotopic ossification.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6563"},"PeriodicalIF":1.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11875601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557597","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}
Walter Lin, Ashley Titan, Veronique Doucet, Brian Pridgen, Bauback Safa
{"title":"Intercostal Nerve Transfer as a Novel Technique for Sensation Preservation in Gender-affirming Subcutaneous Mastectomy.","authors":"Walter Lin, Ashley Titan, Veronique Doucet, Brian Pridgen, Bauback Safa","doi":"10.1097/GOX.0000000000006565","DOIUrl":"10.1097/GOX.0000000000006565","url":null,"abstract":"<p><p>Chest-wall contouring surgery is an important step in the transitional journey of many transgender individuals who choose to undergo masculinization procedures. Traditional gender-affirming chest surgery does not include reinnervation of the nipple-areolar complex (NAC) or the mastectomy skin flaps and risks partial or complete denervation of these areas. Efforts to restore sensation have emerged leading to various sensory nerve transfer techniques including direct neurorrhaphy to the repositioned NAC or to underlying dermatosensory elements. Here, we describe a novel technique in which we perform a nerve transfer from the anterior lateral branch of the fourth intercostal nerve (of the breast parenchyma to be resected) to the anterior lateral branch of the third or second intercostal nerve in the mastectomy skin flap. There has been no increased risk of complications, and results so far are promising. As we continue to collect long-term outcome data, the effectiveness of NAC reinnervation using this technique will be presented in a forthcoming publication.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6565"},"PeriodicalIF":1.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11875568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557631","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}
Shuai Qiang, Jie Long, Han Chen, Songjie Li, Xin Dan, Yang Li, Xing Fan
{"title":"Submental Microneedles of Botulinum Toxin A for Double Chin After Neck Injection.","authors":"Shuai Qiang, Jie Long, Han Chen, Songjie Li, Xin Dan, Yang Li, Xing Fan","doi":"10.1097/GOX.0000000000006593","DOIUrl":"10.1097/GOX.0000000000006593","url":null,"abstract":"<p><p>Neck injections of botulinum toxin A (BTX-A) are an effective, minimally invasive approach to improve lower face sagging, especially in Asian populations. However, cases of worsened \"double chin\" have been observed postinjection, likely due to the platysma muscle type and limited anterior neck injection range, which may result in compensatory platysma contraction. Five female patients who developed aggravated double chin after BTX-A injections in the lower jaw and neck were treated with microneedle BTX-A injections (10-20 U in 3-4 rows with 0.5-1 cm between points). Effective submental lifting and double chin improvement were observed within 5-10 days, with no reports of voice changes or dysphagia. This microneedle BTX-A injection technique provides a safe, effective solution for enhancing the anterior neck region and can serve as an important adjunct to lower face antiaging treatments.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6593"},"PeriodicalIF":1.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11875569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557639","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}
Junzheng Wu, Xuefeng Su, Xuchuan Zhou, Bin Liu, Jingang Luo
{"title":"Super-fine Nail Art Brush: A Helpful Surgical Marking Pen for Preoperative Design of Double-eyelid Blepharoplasty.","authors":"Junzheng Wu, Xuefeng Su, Xuchuan Zhou, Bin Liu, Jingang Luo","doi":"10.1097/GOX.0000000000006583","DOIUrl":"10.1097/GOX.0000000000006583","url":null,"abstract":"","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6583"},"PeriodicalIF":1.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11875625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557649","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}
{"title":"Waist Remodeling Without Incision, With Ultrasound-guided Monocortical Fracture: Report of 220 Patients.","authors":"Renato Ramírez Donders, Javiera Ramirez Saenz","doi":"10.1097/GOX.0000000000006595","DOIUrl":"10.1097/GOX.0000000000006595","url":null,"abstract":"<p><p>In rib reshaping, it is known that the waist plays a role in defining the structure and harmony of the body. There are techniques as part of the costal remodeling that allow for achieving a narrower and more defined waist and generate a harmonious transition from the waist to the hip in the body of the patients. Waist remodeling without incision, with ultrasound-guided monocortical fracture (RibXcar), is a noninvasive technique that does not leave scars and helps sculpt the desired shape of the waist. The technique was applied to 220 patients who voluntarily consented under informed consent. Sociodemographic data were collected from an initial evaluation. Likewise, waist measurements were taken from patients preoperatively and 6 months after the intervention. RibXcar is safe; no serious complications were evidenced, and minor complications due to pain were adequately treated. As for the results, it was found that body measurements of the waist before the operation and 6 months after evidenced a reduction of between 6 and 11 cm less in the diameter of the waist after the application of the technique. RibXcar is an innovative, safe, and aesthetically pleasing technique without scarring or serious complications.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6595"},"PeriodicalIF":1.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11875567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557690","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}
Akatsuki Kondo, Hiroki Umezawa, Marie Taga, Rei Ogawa
{"title":"Vulvovaginal Reconstruction With a Modified Pedicled Anterolateral Thigh Flap.","authors":"Akatsuki Kondo, Hiroki Umezawa, Marie Taga, Rei Ogawa","doi":"10.1097/GOX.0000000000006581","DOIUrl":"10.1097/GOX.0000000000006581","url":null,"abstract":"<p><p>This case report presents a novel approach for vulvovaginal reconstruction using a modified pedicled anterolateral thigh (ALT) flap. The patient was a 62-year-old woman with a history of vulvar squamous cell carcinoma and radiation therapy, after which the cancer recurred. Total vulvectomy was performed with preservation of the urethra and vaginal introitus. The resulting defect was reconstructed using a boomerang-shaped ALT flap measuring 16 × 7 cm. The flap was harvested via intramuscular dissection and transposed into the vulvar defect through a subcutaneous tunnel. The excess skin was de-epithelialized and used to fill the defect around the urethra. Six months postoperatively, the patient had recovered successfully with satisfactory cosmetic and functional results. The advantages of the ALT flap include its versatility, long vascular pedicle, and the ability to harvest it from a nonirradiated area. The modified technique used a boomerang-shaped design and careful placement of the perforators. This technique eliminates the disadvantages associated with fenestrated and split ALT flaps, provides well-vascularized tissue, restores function, minimizes donor-site morbidity, and achieves a natural-looking aesthetic result. The modified pedicled ALT flap is a safe and effective method for vulvovaginal reconstruction, particularly in patients with a history of radiation therapy or large, complex vulvar defects.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6581"},"PeriodicalIF":1.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11875612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557689","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}
{"title":"Emergency Lateral Canthotomy Followed by Orbital Septum Release for Traumatic Retrobulbar Hemorrhage: 2 Case Reports.","authors":"Yosuke Ochi, Shimpei Ono, Rei Ogawa","doi":"10.1097/GOX.0000000000006582","DOIUrl":"10.1097/GOX.0000000000006582","url":null,"abstract":"<p><p>Retrobulbar hemorrhage can increase intraorbital pressure, thereby elevating intraocular pressure (IOP), inducing ischemia, and/or threatening the optic nerve. Emergent decompression is needed to preserve visual function. Multiple decompression methods that are favored by different clinical departments have been reported. Here, we report 2 emergency room cases of retrobulbar hemorrhage that were treated first with lateral canthotomy and inferior cantholysis (LC/IC) under local anesthesia followed an hour later by wide orbital septum release under general anesthesia. LC/IC permits the quickest possible decompression after injury, thus temporarily reducing IOP. Orbital septum release consolidates the decompression by permitting hematoma drainage and identification and hemostasis of the bleeding point. In our cases, IOP dropped from 55 and 52 mm Hg to 14 mm Hg in both cases, and corrected visual acuity improved from light perception/counting fingers to 20/20. Notably, LC/IC was only conducted 7 and 4 hours postinjury. This counters the commonly held view that decompression should occur within 2 hours of injury to achieve visual recovery. Thus, even though LC/IC followed by orbital septum release requires 2 surgical steps, it can result in excellent visual outcomes after retrobulbar hemorrhage.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6582"},"PeriodicalIF":1.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11875615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557606","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}
Aulon Jerliu, Iulianna C Taritsa, Jose Foppiani, Daniela Lee, David Hersh, Samuel J Lin, Christopher D Hughes
{"title":"The Not Fade Away Phenomenon: 2 Cases of Delayed Nonabsorption of Biodegradable Fixation in Craniosynostosis.","authors":"Aulon Jerliu, Iulianna C Taritsa, Jose Foppiani, Daniela Lee, David Hersh, Samuel J Lin, Christopher D Hughes","doi":"10.1097/GOX.0000000000006588","DOIUrl":"10.1097/GOX.0000000000006588","url":null,"abstract":"<p><p>Bioresorbable plating systems have been more recently developed as an alternative to metal osteofixation systems and can be used for craniosynostosis operations. To date, the bioresorbable materials used for osteofixation have been used clinically with excellent safety outcomes and good patient outcomes without major plate-induced complications. In this report, we present 2 cases in which bioresorbable materials failed to degrade following operations for craniosynostosis in a chronic manner mandating removal and revision. We also provide a review of the existing literature regarding bioresorbable fixation and evidence of failure to degrade. Based on the clinical courses and pathological findings, it is likely that material factors, combined with the metabolic resorptive capacity and the patient host immune system, contributed to the failure of resorption. Treatment with the removal of implant debris has proven to be effective in other reports, and both patients ultimately progressed with acceptable clinical outcomes. Evaluating rare complications associated with these systems will help provide evidence to inform future product development and refinement. As the field of craniofacial surgery continues to evolve, the use of new materials and technologies promises to enhance patient outcomes, reduce complications, and expand the scope of surgical interventions.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6588"},"PeriodicalIF":1.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11875582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557655","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}
Steven P Davison, Molly Ellor, Courteney Hedicke, Jennifer Groth, Karl Grimmer
{"title":"Comparison of Tranexamic Acid Administration Methods in Rhytidectomy: A Prospective, Randomized, Double-blind Study.","authors":"Steven P Davison, Molly Ellor, Courteney Hedicke, Jennifer Groth, Karl Grimmer","doi":"10.1097/GOX.0000000000006559","DOIUrl":"10.1097/GOX.0000000000006559","url":null,"abstract":"<p><strong>Background: </strong>Tranexamic acid (TXA) is an antifibrinolytic agent with promising benefits in facial rejuvenation surgery. The best way to administer this medication for therapeutic value is currently unknown. This study compared outcomes for facelift patients given TXA intravenously versus locally in tumescent solution.</p><p><strong>Methods: </strong>Sixty rhytidectomy patients were randomized to receive 1 g of TXA intravenously or 150 mg of TXA in facial tumescent. Blood loss and surgeon-assigned bleeding rate were recorded intraoperatively for each side of the face. On postoperative day 7, patients assessed surgical satisfaction and bruising and swelling levels, and the surgeon graded ecchymosis and edema. Time to drain removal and complication incidence were also documented.</p><p><strong>Results: </strong>Mean blood loss was 25.86 mL for intravenous (IV) TXA patients versus 30.00 mL for local patients (<i>P</i> = 0.23) on side 1. On side 2, average blood loss was 30.00 mL in the IV group and 35.54 mL in the local group (<i>P</i> = 0.51). The median bruising and swelling rating was 2 for IV patients and 3 for local patients (<i>P</i> = 0.14). The groups had equivalent median blood loss scores, satisfaction ratings, ecchymosis and edema ratings, and complication rates. Mean days to drain removal were lower in the IV TXA group (1.16 versus 2.04 d, <i>P</i> = 0.04). The local TXA group had significantly more variation in patient satisfaction (<i>P</i> = 0.04) and time to drain removal (<i>P</i> < 0.001).</p><p><strong>Conclusions: </strong>IV administration of TXA may have a slight advantage over local infiltration as it decreases days to drain removal and yields more precise outcomes for patient satisfaction and time to drain removal.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6559"},"PeriodicalIF":1.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11875600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557563","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}
{"title":"Considerations for Proper Use of Hyaluronidase in the Management of Hyaluronic Acid Fillers.","authors":"Kyu-Ho Yi, Jovian Wan, Song Eun Yoon","doi":"10.1097/GOX.0000000000006566","DOIUrl":"10.1097/GOX.0000000000006566","url":null,"abstract":"<p><p>Effective management of complications from hyaluronic acid (HA) fillers is crucial in aesthetic medicine. This article examined the role of hyaluronidase in addressing adverse effects associated with HA fillers, such as nodules, vascular occlusions, and excessive volume. It highlights the enzyme's ability to degrade HA, thereby resolving issues that may arise from filler treatments. The discussion includes practical aspects of using hyaluronidase, such as recommended dosing, injection techniques, and potential risks. The benefits of hyaluronidase, including its rapid action in dissolving problematic fillers and its role in improving patient outcomes, are explored. The article also addresses limitations and safety considerations to provide a comprehensive understanding of hyaluronidase in the context of filler complications. By offering insights into the application and effectiveness of hyaluronidase, this article aimed to enhance practitioners' ability to manage HA filler-related issues effectively and ensure optimal results in aesthetic procedures.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6566"},"PeriodicalIF":1.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11875574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557592","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}