{"title":"A Bulky Dressing Immobilization for the Congenital Hand Differences in Children.","authors":"Xiaowei Ni, Guang Yang","doi":"10.61186/wjps.13.2.92","DOIUrl":"10.61186/wjps.13.2.92","url":null,"abstract":"","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 2","pages":"92-94"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081737","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":"Comparison of Functionality Level, Disability and Quality of Life in Subjects with Peripheral Nerve Repair in the Upper Extremity.","authors":"Hossein Akbari, Amir Saraee, Leila Mirzaei, Mahsa Abolfazli, Hossein Bagheri, Peyman Akbari","doi":"10.61186/wjps.13.2.68","DOIUrl":"10.61186/wjps.13.2.68","url":null,"abstract":"<p><strong>Background: </strong>Peripheral nerve damage is a very important factor in patients' quality of life and functionality for various reasons. We aimed to compare the functionality level, disability and quality of life in subjects with peripheral nerve repair in the upper extremity.</p><p><strong>Methods: </strong>This cross-sectional study was conducted on patients with nerve injuries in 2019. Among those patients, Eighty-five were selected as the sample. The instruments used in this study included the health-related quality of life standard questionnaire (SF-36), and the disability of the arm, shoulder and hand questionnaire (DASH-38). Data were analyzed by SPSS software version 22 and one-way ANOVA and Kruskal-Wallis statistical tests.</p><p><strong>Results: </strong>Results of the Kruskal-Wallis test showed that the disability score in the groups of patients was not significant. In addition, according to the results of the one-way ANOVA test, the quality of life score was not significant among the patient groups.</p><p><strong>Conclusion: </strong>Considering that peripheral nerve damage has a significant impact on patients' quality of life and functionality, apart from more research on the subject, it is necessary to provide support for patients to improve their quality of life.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 2","pages":"68-73"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081739","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}
Nader Pazyar, Sedigheh Sananzadeh, Reza Yaghoobi, Nima Bakhtiari
{"title":"Comparison of Intralesional Vitamin D with Intralesional Triamcinolone Acetonide in the Treatment of Keloids.","authors":"Nader Pazyar, Sedigheh Sananzadeh, Reza Yaghoobi, Nima Bakhtiari","doi":"10.61186/wjps.13.2.44","DOIUrl":"10.61186/wjps.13.2.44","url":null,"abstract":"<p><strong>Background: </strong>Hypertrophic scars and keloids are disorders caused by the excessive growth of connective tissue, associated with the accumulation of collagen and cellular matrix components. These scars are caused by abnormal wound healing and can have a great impact on patients' lives. Therefore, we aimed to compare the effect of intralesional injection of vitamin D with triamcinolone acetonide in the treatment of keloid.</p><p><strong>Methods: </strong>This study was a one-sided blind clinical trial, conducted on 22 patients (44 samples) with keloid. It was a randomized, blinded clinical trial, conducted in Imam Khomeini Hospital in Ahvaz, Iran in 2022. In each group, triamcinolone or vitamin D was injected at the lesion site with an interval of three weeks and an average of 6 sessions. The patients were re-evaluated 3 months after the end of the treatment in terms of recurrence.</p><p><strong>Results: </strong>By examining the VSS scale in each of the groups, this scale decreased significantly in both groups after the intervention (P=0.001), which was greater in the group receiving triamcinolone (P=0.001).</p><p><strong>Conclusion: </strong>It seems that the injection of vitamin D at the site of the lesion helps to treat it, but the effectiveness of the usual triamcinolone treatment was still higher, it is suggested to use vitamin D as an adjunctive treatment in these patients.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 2","pages":"44-52"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081740","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":"Reverse Turnover Pedicled Latissimus Dorsi Muscle Flap for the Repair of Radiation Ulcer in the Back: A Case Report.","authors":"Lu Fang, Huaisheng Wang","doi":"10.61186/wjps.13.2.87","DOIUrl":"10.61186/wjps.13.2.87","url":null,"abstract":"<p><p>Cases of radioactive back ulcers caused by radiation therapy have not been reported. This paper reports a matter of a 55-year-old male patient suffering from chronic back radiation ulcer after coronary stent implantation. Through the repeated and complete expansion of the rear radiation ulcer wound, the back radiation ulcer wound was successfully repaired with the reverse turnover pedicled latissimus dorsi muscle flap, and the clinical effect was satisfactory.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 2","pages":"87-91"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081748","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}
Ricardo Grillo, Sahand Samieirad, Omid Alizadeh, Seyed Hossein Hosseini Zarch, Rozita Khodashahi, Navid Kazemian, Maria da Graça Naclério-Homem
{"title":"Two Cases of COVID-Related Osteonecrosis of the Jaws: A New and Worrying Entity Is Emerging.","authors":"Ricardo Grillo, Sahand Samieirad, Omid Alizadeh, Seyed Hossein Hosseini Zarch, Rozita Khodashahi, Navid Kazemian, Maria da Graça Naclério-Homem","doi":"10.61186/wjps.13.1.96","DOIUrl":"10.61186/wjps.13.1.96","url":null,"abstract":"<p><p>Many people were affected by COVID-19 in its severe form. Some intercurrences are still emerging. We here report two cases of COVID-related osteonecrosis of the jaws (CRONJ). Two retrospective cases were admitted into Imam Reza Hospital, Mashhad, Iran with suspected CRONJ. One patient escaped from hospital while the other showed a positive result after our proposed treatment. A new aftermath to COVID-19 infections is emerging. Maxillofacial and orthopedic surgeons should be aware of this situation. CRONJ should be on the suspect list in patients with COVID-19. Measures that are useful in the treatment carried out, as well as some measures recommended in the literature, were discussed. Surgical treatment of CRONJ appears to be an effective alternative, especially in the more aggressive cases.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 1","pages":"96-102"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916956","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}
Mohammad Bahadoram, Esma'il Akade, Seyed Ehsan Mohammadianinejad, Shana Ahadi, Mohammad Davoodi
{"title":"Treatment Challenges in Hemifacial Spasm: The Role of Magnetic Resonance Imaging.","authors":"Mohammad Bahadoram, Esma'il Akade, Seyed Ehsan Mohammadianinejad, Shana Ahadi, Mohammad Davoodi","doi":"10.61186/wjps.13.3.14","DOIUrl":"10.61186/wjps.13.3.14","url":null,"abstract":"<p><p>Hemifacial spasm (HFS) is an important condition for plastic surgeons to understand, as it significantly affects patients' quality of life and can complicate aesthetic and reconstructive procedures. Magnetic resonance imaging (MRI) has become vital in diagnosing HFS, assessing neurovascular relationships, and planning treatment. Transverse MRI scans often show an upward displacement of the inferior pons at the facial nerve attachment point, signaling neurovascular compression (NVC) in HFS. Important anatomical features for neurosurgeons include cerebellar atrophy and a \"small posterior fossa,\" which can lead to HFS by narrowing fluid spaces. The posterior fossa is often more congested in HFS patients, and anatomical flatness may exacerbate lateral deviation of the vertebrobasilar arteries. Additionally, evaluating sigmoid sinus dominance and other anatomical variations is crucial for surgical planning, particularly in cases of arterial hypertension that may affect medullary compression.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 3","pages":"14-22"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814277","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}
Ankur Khajuria, Isao Koshima, Benjamin Fink, Yutong Zou, Dinithi Liyanage, Francesca Ruccia, Ruben Y Kannan
{"title":"Artesian Perforator Concept.","authors":"Ankur Khajuria, Isao Koshima, Benjamin Fink, Yutong Zou, Dinithi Liyanage, Francesca Ruccia, Ruben Y Kannan","doi":"10.61186/wjps.13.2.74","DOIUrl":"10.61186/wjps.13.2.74","url":null,"abstract":"<p><p>In this article, we describe the 'Artesian Perforator Concept', based on the idea that in clinical practice, there are multiple plexuses between perforasomes in addition to the supra-fascial direct and indirect linking vessels that are present within deeper soft tissue, which form part of a deeper vascular reservoir, the equivalent of a vascular 'aquifer'. We then demonstrate the use of this concept clinically for a 45-year-old male patient with median sternotomy wound dehiscence who was reconstructed using the Internal Mammary Artery Perforator and Lateral Thoracic Artery Perforator flaps.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 2","pages":"74-76"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081738","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}
Lugo Beltran Ignacio, Guitian González Marisol, Ornelas-Flores María Cristina, Uribe Briceño David Armando, Delcid Morazán Allan Fernando
{"title":"Pharyngoesophageal Reconstruction with A Tubed Radial Forearm Free Flap: A Case Report.","authors":"Lugo Beltran Ignacio, Guitian González Marisol, Ornelas-Flores María Cristina, Uribe Briceño David Armando, Delcid Morazán Allan Fernando","doi":"10.61186/wjps.13.2.77","DOIUrl":"10.61186/wjps.13.2.77","url":null,"abstract":"<p><p>Hypopharyngeal carcinoma is one of the most aggressive primary head and neck cancers, often managed through partial or total laryngopharyngectomy. Reconstruction after such surgeries remains a challenging procedure that often requires the use of free flaps. A 63-year-old male patient with in-situ squamous cell carcinoma of the left vocal cord treated with total pharyngolaryngectomy and primary reconstruction with a left radial forearm free flap, complicated by flap necrosis, which ended up in dismantling and gastrostomy. He was referred to the Plastic and Reconstructive Surgery Department at Centro Medico Nacional 20 de Noviembre, Mexico in 2023 to assess the reconstructive options for the hypopharynx and cervical esophagus defect. A tubular right radial forearm free flap was designed forming the anterior wall of the hypopharynx and cervical esophagus and a posterior wall for the external defect. Twelve months after his surgery, he continues tolerating oral intake without signs of stenosis or tumor recurrence. The objective in this case was based on restoring the continuity of the digestive tract and swallowing function, as well as providing skin coverage of the defects, and preventing serious complications. The radial forearm free flap has versatility in the tubular construction and a low leak rate, as well as an adequate skin island size. Conclusion: The pharyngoesophageal reconstruction with a tubed forearm free flap has favorable outcomes for restoring the gastrointestinal tract without further complications.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 2","pages":"77-81"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346689/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081744","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}
Ali Goljanian Tabrizi, Matin Ghazizadeh, Zahra Rootivand
{"title":"Harmonizing Beauty and Function: A Comprehensive Exploration of Patient Satisfaction in Rhinoplasty.","authors":"Ali Goljanian Tabrizi, Matin Ghazizadeh, Zahra Rootivand","doi":"10.61186/wjps.13.1.43","DOIUrl":"10.61186/wjps.13.1.43","url":null,"abstract":"<p><strong>Background: </strong>Rhinoplasty has become a globally prevalent esthetic procedure, necessitating precise facial analysis and comprehensive preoperative planning for favorable postoperative outcomes. We aimed to assess patient satisfaction levels concerning nasal appearance following rhinoplasty.</p><p><strong>Methods: </strong>A case series interventional study was conducted involving 52 subjects referred to Rhinoplasty Clinics of Taleghani Hospital, Tehran, Iran from Mar 2021 to Mar 2022. Patients' satisfaction levels were evaluated using a concise checklist before and three months after surgery.</p><p><strong>Results: </strong>The mean age of the patients was 29.23 ± 7.26 years, with 19 (36.5%) being male. Statistically significant improvements were observed in all assessed factors, including nasal obstruction, nasal size, hump presence, nasal bridge width, nasal tip bulbosity, nasal deviation, radix, nostril asymmetry, and tip ptosis (P < 0.001). These findings reveal a consistent pattern of patients' satisfaction levels predominantly shifting from moderate to low across various aspects of nasal appearance post-rhinoplasty.</p><p><strong>Conclusion: </strong>The study demonstrated a significant enhancement in patients' satisfaction with their nasal appearance following rhinoplasty, indicated by statistically significant changes across all assessed factors. However, certain aspects exhibit more limited enhancement.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 1","pages":"43-49"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140917671","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":"Efficacy of Surgery-First Approach in the Management of Severe Skeletal Class III Malocclusion: A Case Report.","authors":"Seyyed Hamidreza Aboutorabzadeh, Mahboobe Dehghani, Amirmohammad Moradpour, Iman Shiezadeh, Ashkan Golabkesh Afshar, Sahand Samieirad","doi":"10.61186/wjps.13.3.96","DOIUrl":"10.61186/wjps.13.3.96","url":null,"abstract":"<p><p>The surgery-first approach (SFA) is gaining popularity in orthognathic surgery because it makes treatment duration shorter and more satisfying for patients. However, its effectiveness in complex cases isn't fully understood. Here, we describe a rare case where SFA was used to fix problems caused by missing posterior teeth and a deep bite, which made traditional pre-surgery orthodontic treatment impractical. A 34-year-old woman had facial asymmetry, bite issues, and trouble chewing due to a misaligned jaw. X-rays showed the problem, confirming that orthognathic surgery was needed. Planning for the surgery involved moving the upper jaw forward and the lower jaw backward, using specific bone-cutting techniques. The surgery, done with the patient under general anesthesia, went well. Orthodontic brackets were added during surgery which was aided by an orthodontist to make follow-up orthodontic treatment easier. The patient recovered uneventfully and saw improvements in how her face looked, how her teeth fit together, and how well she could chew. Later, more orthodontic work fine-tuned her bite, making sure the changes lasted and kept her satisfied. This case shows how combining orthodontics with the surgery-first method can be successful in orthognathic surgery. It brings benefits like shorter treatment times and immediate improvements in appearance. Our results match other recent studies that also found good outcomes with the surgery-first approach and quicker recovery times. While more research is needed, our case adds to the evidence that SFA can lead to successful orthognathic surgery results.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 3","pages":"96-103"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813493","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}