{"title":"Evaluation of 30-Days Venous Thromboembolism (VTE) Following Autologous Breast Reconstruction.","authors":"Hossein Masoomi, Blake P Colton, Erik S Marques","doi":"10.61882/wjps.15.1.62","DOIUrl":"10.61882/wjps.15.1.62","url":null,"abstract":"<p><strong>Background: </strong>Venous thromboembolism (VTE) is one of the known medical complications in autologous breast reconstruction (ABR) which is associated with a short and long-term morbidity as well as mortality. Identifying VTE risk factors is crucial for appropriate VTE prophylaxis measurements to lower this complication following ABR.</p><p><strong>Methods: </strong>Using American College of Surgeons National Surgery Quality Improvement Project database, we examined the clinical data of patients who underwent ABR from 2016-2020 in the US. The frequency of VTE, day of occurrences and risk factors associated with VTE were evaluated.</p><p><strong>Results: </strong>Overall, 11,847 patients underwent ABR in the study period. The overall VTE rate was 1.0%. Totally 117 patients experienced VTE with a total occurrence of 127. Postoperative day 1 and 2 were reported with the highest frequency of VTE (21/127). Using multivariate regression analysis, independent risk factors associated with a higher VTE rate were length of hospital stay>=5 d [adjusted odd's ratio (AOR), 3.29], operative time longer than 10 h (AOR,2.17), and immediate reconstruction (AOR,1.51). Although free flap breast reconstruction was associate with a higher VTE rate compared with pedicled flap reconstruction (1.2% vs. 0.8%); however, multivariate regressing analysis did not show this factor as an independent VTE risk factor.</p><p><strong>Conclusion: </strong>Being proactive to make the patients ready to discharge by POD-4 and having strategy to shorten the length of operation could help to lower the rate of VTE in ABR. Plastic surgeons should consider these factors and use appropriate prophylactic measures to minimize the risk of VTE development.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"15 1","pages":"62-70"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13336332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438267","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":"Advanced on Minimally Invasive Techniques in Facial Rejuvenation: A Comprehensive Review.","authors":"Amir Hossein Alaviyan","doi":"10.61882/wjps.15.1.3","DOIUrl":"10.61882/wjps.15.1.3","url":null,"abstract":"<p><p>Contemporary cosmetic surgical approaches to facial rejuvenation have undergone a significant transformation due to the integration of new technologies aimed at addressing age-related facial changes. Among the most commonly used minimally invasive techniques are neuromuscular blocking agents and injectable fillers. The scope of minimally invasive procedures encompasses a broad range of modalities, including nutritional and hormonal interventions, light- and laser-based therapies, minimal-incision surgeries, as well as botulinum toxin and dermal filler injections. This study specifically focuses on injectable techniques for facial rejuvenation. Botulinum toxin type A has demonstrated efficacy in softening hyper functional lines in both the upper and lower face, with notable improvements observed in areas such as the glabella, forehead, periorbital region, lips, and platysma muscle. More recently, hyaluronic acid and other injectable fillers have gained widespread use. These temporary fillers effectively diminish wrinkles and creases, enhance deep nasolabial folds, augment thin lips, and correct volume loss in periorbital hollows and other facial depressions or contour irregularities. A major paradigm shift has occurred in facial rejuvenation, with injectable, minimally invasive methods now offering solutions for age-related and acquired deformities of the head and neck-providing temporary yet effective corrections that were historically managed through more invasive surgical approaches.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"15 1","pages":"3-8"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13336338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438278","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":"Reconstruction of Hemi Fascial Scars Using Expanded Transposition Flap of Neck.","authors":"Kamran As'adi, Hossein Salehi","doi":"10.61882/wjps.15.1.57","DOIUrl":"10.61882/wjps.15.1.57","url":null,"abstract":"<p><strong>Background: </strong>Neck tissue expansion is a widely accepted method for facial scar reconstruction due to its optimal color and texture match.</p><p><strong>Methods: </strong>This retrospective study evaluated outcomes in 42 patients who underwent hemifacial scar reconstruction using tissue expanded transposition flaps from the ipsilateral neck.</p><p><strong>Results: </strong>Patient records were reviewed for demographic data, surgical variables, and complications. The majority (95.2%) had burn-induced scars; a single expander was used in 92.9% of cases, while three patients required two expanders. The mean expansion duration was 115.86 days. Major complications occurred in 9.5% of patients, and minor complications in 14.3%; extrusion and infection were most common.</p><p><strong>Conclusion: </strong>Transfer of expanded neck skin as transposition flap, is demonstrated to be a reliable reconstructive technique for complete resurfacing of hemifacial scars with minimal contour deformities and optimal final scar.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"15 1","pages":"57-61"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13336342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148437755","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":"Partial Agenesis of the Lower Lateral Cartilage in Aesthetic Rhinoplasty: A Case Report.","authors":"Seyed Yavar Shams Hojjati, Reza Sharifi, Tania Yeganeh, Sepehr Shirzadeh","doi":"10.61882/wjps.15.1.90","DOIUrl":"10.61882/wjps.15.1.90","url":null,"abstract":"<p><p>Congenital absence of nasal cartilage elements is a rare finding in patients undergoing elective rhinoplasty. We report a case of a 27-year-old woman with no prior trauma, respiratory complaints, or syndromic features, who presented for aesthetic rhinoplasty. Intraoperatively, congenital agenesis of the left middle and lateral crura of the lower lateral cartilage (LLC) was identified. Reconstruction was performed using septal cartilage harvested during submucosal resection. The patient had an excellent aesthetic and functional outcome. This case highlights the importance of surgeon preparedness for unexpected congenital anomalies, even in cosmetic settings.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"15 1","pages":"90-93"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13336331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148437769","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}
Adrian Ranferi Gil-Rabanales, Victor Hugo Garzón-Ortega, Daniela Téllez-Palacios, Fernando Fernández Varela-Gómez, Hernando Alberto Vázquez-Sánchez, Priscila Alejandra Thebar-Moreno
{"title":"Aesthetic and Functional Outcomes of Reduction Mammoplasty for Gigantomastia: Insights from a Multidimensional Patient-Reported Analysis Using BREAST-Q.","authors":"Adrian Ranferi Gil-Rabanales, Victor Hugo Garzón-Ortega, Daniela Téllez-Palacios, Fernando Fernández Varela-Gómez, Hernando Alberto Vázquez-Sánchez, Priscila Alejandra Thebar-Moreno","doi":"10.61882/wjps.15.1.31","DOIUrl":"10.61882/wjps.15.1.31","url":null,"abstract":"<p><strong>Background: </strong>Breast hypertrophy significantly impairs quality of life, causing musculoskeletal pain, poor posture, and psychological distress, including reduced self-esteem. Reduction mammoplasty offers a surgical approach to mitigate these challenges. We evaluated patient satisfaction with aesthetic and functional outcomes following the procedure at a specialized referral center.</p><p><strong>Methods: </strong>This retrospective, cross-sectional analysis was conducted on 16 patients who underwent reduction mammoplasty for gigantomastia in the Hospital General \"Dr. Manuel Gea González\" Mexico City, Mexico from January 1, 2022, to July 31, 2024. Data from medical records included demographics (age, BMI), surgical indications, resected tissue weight, and BREAST-Q responses assessing satisfaction with breast appearance, surgical outcomes, and psychosocial, physical, and sexual well-being.</p><p><strong>Results: </strong>Patients had a mean age of 46.5 years, with 43.7% classified as obese. Physical discomfort was the primary surgical indication (62.5%), and 62.5% had 501-1000 g of tissue resected. High satisfaction was reported for surgical outcomes (87.5%) and physical well-being (93.7%), yet dissatisfaction was notable with breast appearance (56.2%), psychosocial well-being (100%), and sexual well-being (81.2%). Satisfaction with the surgeon was 87.5%, and with other staff, 62.5%.</p><p><strong>Conclusion: </strong>Reduction mammoplasty effectively improves physical health and surgical satisfaction; however, persistent dissatisfaction with aesthetic and psychosocial outcomes highlights the need for enhanced preoperative counseling. Tailored discussions could better align patient expectations with achievable results, improving overall care.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"15 1","pages":"31-36"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13336346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438221","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":"Patient's Customized Prosthesis would be a Better Alternative Choice than Macro-plate as a Reconstruction Method in Resected Mandible: A Case Report.","authors":"Ashkan Golabkesh Afshar, Sara Pilehvar, Navid Kazemian, Majid Hosseini Abrishami, Shayan Yousefi, Sahand Samieirad","doi":"10.61882/wjps.15.1.71","DOIUrl":"10.61882/wjps.15.1.71","url":null,"abstract":"<p><p>Ameloblastoma, a benign but locally aggressive neoplasm, frequently requires substantial surgical resection to avert recurrence, potentially leading to considerable mandibular abnormalities. This case report examines a 31-year-old female patient diagnosed with a multilocular ameloblastoma, originally treated with marginal excision and subsequent reconstruction utilizing a conventional plate. The patient was admitted to Velayat Hospital in Mashhad, Iran, in 2024 and received the necessary medical treatment there. Complications, including as plate exposure and jaw deviation, arose a year later, requiring further operation. The patient underwent a second operation to remove the defective plate and to insert a bespoke digital reconstructive plate. The customized plate was engineered to conform to her distinct anatomical configuration, guaranteeing accurate alignment and enhanced biomechanical efficacy. The post-operative recovery was positive, with restored mandibular alignment, enhanced function, and no recurrence of problems. This case demonstrates the effectiveness of tailored digital reconstruction plates in managing intricate mandibular abnormalities, yielding improved results in functionality, aesthetics, and patient comfort.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"15 1","pages":"71-79"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13336333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148437702","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}
Shahriar Haddady-Abianeh, Javad Rahmati, Ali Yavari, Changiz Delavari, Masih Taghipour Arani, Hojjat Molaei
{"title":"Comparison of Two Surgical Techniques for Endoscopic Brow Lift: Bone Tunnel Fixation Versus Temporary Tape Fixation: A Clinical Trial.","authors":"Shahriar Haddady-Abianeh, Javad Rahmati, Ali Yavari, Changiz Delavari, Masih Taghipour Arani, Hojjat Molaei","doi":"10.61882/wjps.15.1.23","DOIUrl":"10.61882/wjps.15.1.23","url":null,"abstract":"<p><strong>Background: </strong>We compared two endoscopic brow lift fixation techniques in a 2023 randomized clinical trial: bone tunnel fixation versus temporary tape fixation. The primary objective was to evaluate the stability of the brow lift over time.</p><p><strong>Methods: </strong>Patients were randomly assigned to either the bone tunnel group or the tape fixation group, where a mesh tape was secured to the scalp and removed 7-10 days post-surgery. In total, 36 individuals participated in the study, including 18 patients in the Taping group and 18 patients in the Bony Fixation group. Pre-operative eyebrow measurements were taken, and patients were followed up at one and nine months to assess outcomes.</p><p><strong>Results: </strong>While the bone tunnel technique required a significantly longer surgical time, it was more effective at maintaining the brow lift in both the medial and lateral regions of the eyebrow after nine months. Complication rates were similar between the two groups.</p><p><strong>Conclusion: </strong>Bone tunnel fixation provides superior long-term stability for endoscopic brow lift compared to temporary tape fixation, despite the longer procedure duration. Further research with extended follow-up is recommended to confirm long-term outcomes.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"15 1","pages":"23-30"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13336341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438299","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}
Victoria G Zeyl, Ashish Y Mahajan, Scott N Loewenstein
{"title":"Neurotized Free Anterolateral Thigh Flap for Large Tissue Defect and Joint Exposure in the Setting of Olecranon Bursitis: A Case Report.","authors":"Victoria G Zeyl, Ashish Y Mahajan, Scott N Loewenstein","doi":"10.61882/wjps.15.1.98","DOIUrl":"10.61882/wjps.15.1.98","url":null,"abstract":"<p><p>Elbow wounds secondary to septic olecranon bursitis are a challenging problem to treat. Neurotized fasciocutaneous free anterolateral thigh (ALT) flaps provide a reliable soft tissue coverage option with the opportunity to provide protective sensation to a common pressure point. Free flaps can provide coverage when alternative options lower on the reconstructive ladder are unavailable. A 69-year-old man with rheumatoid arthritis presented with septic olecranon bursitis requiring serial debridement resulting in significant soft tissue loss and bone exposure. A free ALT, with fascial tacking sutures, was used for reconstruction with subsequent neurotization resulting in successful resolution of bursitis and persistent fluid drainage. Neurotized free ALT flaps provide durable soft tissue coverage for a challenging area to treat while also providing sensory protection to a pressure point area.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"15 1","pages":"98-101"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13336330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148437453","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":"Investigating the Relationship between Pneumatized Middle Turbinate and Anterior Ethmoid Roof Dimensions Using CBCT Images.","authors":"Arezoo Mirshekari, Abdolaziz Haghnegahdar, Seyed Ghasem Mirbaba, Sarina Hassanpour Dargah","doi":"10.61882/wjps.15.1.37","DOIUrl":"10.61882/wjps.15.1.37","url":null,"abstract":"<p><strong>Background: </strong>Understanding the anatomical relationship between the pneumatized middle turbinate (PMT) and ethmoid roof structures is crucial for minimizing complications in endoscopic sinus surgery. We aimed to evaluate the association between PMT and the dimensions of the anterior ethmoid roof using cone-beam computed tomography (CBCT) imaging.</p><p><strong>Methods: </strong>A retrospective, cross-sectional study was conducted on 249 CBCT scans obtained at a maxillofacial radiology center. All images were acquired using a NewTom VGi scanner (QRsrl, Verona, Italy) with a 15 × 15 cm field of view and 1-mm slice thickness. Measurements were taken from coronal sections displaying the infraorbital nerve canal. Key anatomical points, including the medial and lateral ethmoid roof points (MERP and LERP) and the cribriform plate (CP), were identified. The width and height of these structures were measured. PMT was classified as lamellar, bulbous, or extensive. Statistical analyses included chi-square, t-test, and Pearson correlation tests.</p><p><strong>Results: </strong>A significant relationship was found between the axial dimensions of PMT and the anterior ethmoid roof width (AER) in both genders (<i>P</i><0.05). Differences in ethmoid roof dimensions were statistically significant between PMT types. In males, vertical PMT dimensions were correlated with CP and AER height. AER width was greater in males than females, particularly in cases with PMT.</p><p><strong>Conclusion: </strong>A close anatomical relationship exists between PMT and ethmoid roof dimensions, especially AER width. Recognition of these variations is essential for surgical planning and avoiding complications in sinus and skull base surgery.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"15 1","pages":"37-47"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13336334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438246","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":"Ameloblastic Fibro-Odontoma in a 16-Month-Old Male: A Case Report and Literature Review.","authors":"Touraj Vaezi, Ali Mirzaei, Alireza Ebrahimpour","doi":"10.61882/wjps.15.1.17","DOIUrl":"10.61882/wjps.15.1.17","url":null,"abstract":"<p><p>Ameloblastic fibro-odontoma (AFO) is a rare benign mixed odontogenic tumor characterized by both soft tissue proliferation and dental hard tissue formation. This case report presents a 16-month-old male with AFO in the anterior mandible, representing one of the youngest documented cases. The patient presented with progressive facial swelling first noted at 10 months of age. Clinical examination revealed facial asymmetry with non-tender buccal expansion, while CT imaging demonstrated a well-defined 23×28mm lytic lesion with internal calcifications in the right parasymphyseal region. Treatment consisted of conservative surgical enucleation and curettage under general anesthesia, with extraction of involved teeth. Histopathological analysis confirmed the diagnosis of AFO, showing islands of ameloblastic epithelium within mesenchymal stroma and evidence of dentin and cementum formation. A literature review of AFO cases in children under 5 years (2014-2024) yielded eight cases with equal gender distribution and no clear predilection for maxilla versus mandible. All reported cases showed lesional expansion, and most were treated with enucleation and curettage with no recurrence noted during follow-up periods. The patient recovered uneventfully with resolution of facial asymmetry and showed no signs of recurrence at six-month follow-up. This case highlights that AFO could manifest at an exceptionally young age, expanding the recognized age range and underscoring the effectiveness of conservative surgical management for this rare odontogenic tumor.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"15 1","pages":"17-22"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13336336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438211","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}