World Journal of Plastic Surgery最新文献

{"title":"Iran's Significant Advances in Orthognathic Surgery Research.","authors":"Sahand Samieirad, Ricardo Grillo, Erfan Bardideh, Majid Hosseiniabrishami","doi":"10.61882/wjps.15.1.9","DOIUrl":"10.61882/wjps.15.1.9","url":null,"abstract":"<p><strong>Background: </strong>The aim of this article was to perform a bibliometric analysis of Iranian researchers in orthognathic surgery.</p><p><strong>Methods: </strong>A bibliographical search for orthognathic surgery literature on Iran was conducted on Wef of Science. Mendeley and Microsoft Excel were used for tabulation and data visualization. Some statistical tests were performed with a 95% confidence interval, considered significant.</p><p><strong>Results: </strong>From 7,535 articles, 86 included at least one Iranian author, making Iran the second highest contributor in the Middle East after Turkey. Notable topics beyond orthodontic treatment included cosmetic surgery, obstructive sleep apnea, blood clotting, and anesthesiology, with complications being the most studied. Emerging themes were Virtual Surgical Planning and technology. Statistical analysis showed a very high Pearson correlation between the number of ranked institutions and both the number of published articles (ρ=0.85) and the quantity of citations (ρ=0.80), and a moderate correlation with the H-index (ρ=0.46). No correlation was found between citations per document and the number of ranked institutions (ρ= -0.27).</p><p><strong>Conclusion: </strong>Iran is a leading country in the field of orthognathic surgery, both regionally and globally. This article provides valuable insights for Iranian researchers and academics, highlighting the potential of international collaboration and free open-source technology to advance knowledge in areas like Virtual Surgical Planning. Promoting global partnerships and utilizing innovative technologies can enhance patient outcomes and benefit practitioners in resource-limited regions worldwide.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"15 1","pages":"9-16"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13336343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148437427","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":"Spontaneous Bone Regeneration followed by Segmental Resection of Mandibular Unicystic Ameloblastoma with Primary Reconstruction in 12-Year-Old Girl: A Case Report.","authors":"Sara Pilehvar, Ashkan Golabkesh Afshar, Saleh Dadmehr, Alireza Shirzadeh, Shayan Yousefi, Sahand Samieirad","doi":"10.61882/wjps.15.1.80","DOIUrl":"10.61882/wjps.15.1.80","url":null,"abstract":"<p><p>The rare odontogenic tumor known as ameloblastoma presents serious problems for kids because of its aggressive nature and capacity to hinder development and function. In order to maximize results, the mural subtype of unicystic ameloblastoma necessitates precision surgical intervention and creative restorative techniques. A 12-year-old girl who presented with discomfort, swelling, and tenderness in her left mandible is described in this report. The patient was admitted to Velayat Hospital in Mashhad, Iran, in 2024 and received the necessary medical treatment there. Histopathological and radiographic analysis verified mural ameloblastoma. A segmental resection of the mandible was part of the treatment, with an emphasis on protecting vital anatomical features including the inferior alveolar nerve and periosteum. Allograft and xenograft materials were applied after a prefabricated plate was used to accomplish reconstruction. Frequent radiography follow-ups showed excellent mandibular continuity restoration and spontaneous bone regeneration. Occlusal modifications boosted functional outcomes, guaranteeing both functional and aesthetic rehabilitation. This example emphasizes the value of a customized strategy in the treatment of pediatric ameloblastoma, stressing the need to strike a balance between growth preservation and efficient tumor eradication. The treatment addressed the aggressive character of the tumor while reducing the chance of recurrence by combining precise surgical procedures with cutting-edge reconstructive strategies. Results were further improved by the use of adaptive dental measures and the preservation of important components. Managing pediatric ameloblastoma requires a customized, multidisciplinary treatment plan. This case demonstrates the efficacy of combining radical and conservative procedures to provide long-term growth, functional restoration, and minimal recurrence risk. Early diagnosis, meticulous surgical planning, and continuous postoperative monitoring enabled the positive results.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"15 1","pages":"80-89"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13336340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148437705","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":"Sharp Vs Blunt needle injection technique for Autologous Fat Grafting in Burn Scars: A Comparative study.","authors":"Kamran As'adi, Saman Tahmasbi","doi":"10.61882/wjps.15.1.48","DOIUrl":"10.61882/wjps.15.1.48","url":null,"abstract":"<p><strong>Backgrounds: </strong>Autologous fat grafting is a promising modality for burn scar improvement due to its potential for tissue regeneration. However, the effectiveness of injection methods remains debated. This study compares sharp versus blunt needle techniques for adipose tissue transplantation into burn scars.</p><p><strong>Methods: </strong>Nineteen patients with mature burn scars underwent split-scar fat grafting using both blunt and sharp needle injections. Fat was harvested, processed, and injected at 0.5 cc/cm² under anesthesia. Scars were clinically assessed using POSAS by both observers and patients at baseline and six months post-procedure. Statistical analyses compared changes in scar quality and complication rates between groups.</p><p><strong>Results: </strong>Both injection methods produced significant improvements in scar pliability, pigmentation, and overall appearance according to patient and observer POSAS scores. No statistically significant differences in efficacy or complication rates were found between sharp and blunt needle injections.</p><p><strong>Conclusions: </strong>This study confirmed that fat injection has been capable of improving the quality of burn scar, regardless of blunt Vs sharp needle technique with similar complication rates. However, sharp injection of fat in burn scar is technically easier and faster compared to blunt injection.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"15 1","pages":"48-56"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13336348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148437746","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":"Anti-skid Genioplasty Osteotomy by Pre-scoring with a Fissure Bur (Technical Note).","authors":"Ali Moradi, Ali Mirzaei, Ricardo Grillo, Sina Samieirad, Sahand Samieirad","doi":"10.61882/wjps.15.1.94","DOIUrl":"10.61882/wjps.15.1.94","url":null,"abstract":"<p><strong>Background: </strong>Starting a genioplasty osteotomy on the curved anterior mandible can cause the saw to skid. This poses a risk of deviating from the planned trajectory and potentially injuring the mental nerve. We propose a simple modification: pre-scoring the osteotomy line with a fissure bur to create shallow cortical tracks. These tracks act as a mechanical guide for the micro-saw.</p><p><strong>Methods: </strong>After bilateral exposure of the parasymphysis with visualization of the mental nerve, the planned osteotomy was marked beneath the foramina. A fissure bur was then used with copious irrigation to gently score the marked line, creating linear cortical tracks. A reciprocating or oscillating micro-saw was then introduced and advanced within these tracks to complete the osteotomy.</p><p><strong>Results: </strong>In a representative adult case, the saw engaged the bur-scored grooves without skidding, allowing the osteotomy to follow the planned path. The segment was mobilized and plated as intended. The pre-scoring step added approximately 2 minutes to the procedure and required no additional instruments. Transient lower-lip/chin hypoesthesia resolved by 8 weeks, and no re-operations were necessary.</p><p><strong>Conclusion: </strong>Pre-scoring provides a low-cost, easily adopted anti-skid step that improves initial directional control of the saw during genioplasty. This modification uses routine instruments and may enhance accuracy and safety near the mental nerve. However, meticulous retraction and irrigation remain essential.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"15 1","pages":"94-97"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13336337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438234","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":"A Giant Osteochondroma of Mandibular Coronoid that Mimicking Coronoid Hyperplasia: A Rare Clinical Case Report.","authors":"Moosa Mahmoudi, Kianoosh Mobasseri, Sara Samiei, Ali Labafchi","doi":"10.61186/wjps.14.1.105","DOIUrl":"10.61186/wjps.14.1.105","url":null,"abstract":"<p><p>Osteochondroma, the most common benign tumor in the axial and appendicular skeleton, presents a unique challenge when encountered in the craniofacial region. We report a rare case of a 35-year-old female with a massive osteochondroma located on the mandibular coronoid process, resulting in a 20-year history of progressive mouth opening limitation, facial asymmetry, and zygomatic deformity. Comprehensive diagnostic procedures, including panoramic radiography and computed tomography (CT) imaging, were employed to accurately assess the extent of the lesion. This case highlights the importance of CT scans and three-dimensional reconstructions in confirming the diagnosis, particularly when panoramic radiographs exhibit limitations. The patient underwent a successful extraoral approach for coronoidectomy and excision of the osteochondroma, addressing both the functional and cosmetic aspects of the condition. Postoperative evaluations revealed significant improvement in mouth opening capacity, with no signs of recurrence during a 12-month follow-up period.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 1","pages":"105-111"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200176","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":"Hidden Risks Unearthed: A Case of von Willebrand Disease Overlooked by Automated Preoperative Screening.","authors":"Ana Cristina Seabra Robalo Gomes Jorge, Adelana Santos Stahl, Adrien Daigeler, Stéphane Stahl","doi":"10.61186/wjps.14.1.85","DOIUrl":"10.61186/wjps.14.1.85","url":null,"abstract":"<p><p>The rise of standardized self-assessment tools and AI-driven preoperative evaluations lacks full acknowledgment of their limitations. A male patient with gynecomastia developed a hematoma post-liposuction and subcutaneous mastectomy, revealing undisclosed von Willebrand Disease. Thorough in-person anamnesis surpasses self-administered questionnaires by capturing implicit cues and deeper patient insights.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 1","pages":"85-92"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200195","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":"The Effect of Zataria multiflora Nanoemulsion Gel on Rat Surgical Wound Healing.","authors":"Alireza Ganjipour, Ebrahim Nasiri-Formi, Soheil Azizi, Jafar Akbari, Hooshang Akbari, Seyyed Mohammad Hassan Hashemi","doi":"10.61186/wjps.14.1.33","DOIUrl":"10.61186/wjps.14.1.33","url":null,"abstract":"<p><strong>Background: </strong>We aimed to determine the effect of <i>Zataria multiflora</i> Nanoemulsion gel on surgical wound healing.</p><p><strong>Methods: </strong>This experimental study was conducted in the years 2021-2022 at the Animal Research Center of Mazandaran University of Medical Sciences, northern Iran. Forty two male Westar rats were randomly divided into six groups (n=7). After a surgical incision of full thickness with a 3 cm diameter, they were treated for 21 days with diltiazem 2% (positive control), placebo, and <i>Z. multiflora</i> emulsions and nanoemulsions at 2% and 4%, respectively. Macroscopic parameters of wound area and contraction, as well as pathological factors such as granulation, angiogenesis, epithelialization, collagen organization, bacterial colony, inflammation, creatine and epidermal thickness, hair follicles, and lymphatic ducts, were examined.</p><p><strong>Results: </strong>The mean wound size and contraction of the placebo group differed significantly from the other groups on all days, and on some days, the results indicated more favorable effects of nanoemulsions than Diltiazem. Based on the microscopic findings, the average scores on the seventh day were nearly different (<i>P</i>= 0.051); however, all groups scored higher than the placebo group. On the 21^st day, the best results were related to the 4% Nanoemulsion (242.5), 2% Nanoemulsion (159.4), and 4% emulsion (159.3), followed by diltiazem (154.60), 2% emulsion (146.5), and placebo (70.7).</p><p><strong>Conclusion: </strong><i>Z. multiflora</i> emulsions and nanoemulsions at 2% and 4% could be effective in healing surgical wounds, and the use of 4% Nanoemulsion yields the best results. This is recommended for use in clinical trial studies.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 1","pages":"33-42"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200198","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":"The Results of Transperineal Surgery for Rectal Prolapse (10-Year Experience).","authors":"Alireza Ariapour, Adel Zeinalpour, Mohammadreza Nikshoar, Mmad Hosein Dashti Rahmatabadi, Mohammad Pishgahi, Seyed Mohsen Towliat, Fakhri Anaraki Firooz","doi":"10.61186/wjps.14.2.122","DOIUrl":"10.61186/wjps.14.2.122","url":null,"abstract":"<p><strong>Background: </strong>The Altemeier procedure for rectal prolapse offers excellent results in all age groups with minimal complications and allows for short hospital stays and recovery periods. We aimed to evaluate the results of transperineal surgery for rectal prolapse.</p><p><strong>Methods: </strong>In this case series study, 74 patients underwent perineal rectal prolapse surgery using Altemeier method and coloanal anastomosis at Ayottollah Taleghani Hospital, Tehran from 2013 to 2023 were enrolled.</p><p><strong>Results: </strong>Overall, 48 patients were female (64.8%) and the mean age was 52 years (range 18 to 80). Common symptoms were constipation (62.1%), fecal incontinence (76.95%), rectal bleeding (41.85%), and difficult defecation (9.45%). The Jorge and Wexner incontinence score before and after the operation was 13.5 and 5.5, respectively, and no statistically significant difference was observed (P=0.41). No mortality was reported after surgery.</p><p><strong>Conclusion: </strong>The long-term recurrence rate after Altemier's procedure was low. This method has a reasonable recurrence rate compared to other techniques, and is a good option for younger patients without underlying disease. Further multicenter studies with larger sample sizes are needed to evaluate the outcomes of transperineal surgery for rectal prolapse.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 2","pages":"122-125"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186465","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":"Comparing the Effect of 0.75% Ropivacaine and 2% Lidocaine on Intraoperative Bleeding and Postoperative Pain of Third Molar Surgery: A Double Blinded, Split Mouth Study.","authors":"Sahand Samieirad, Elmira Pourafshar, Farid Shiezadeh, Majid Hosseini Abrishami","doi":"10.61186/wjps.14.1.10","DOIUrl":"10.61186/wjps.14.1.10","url":null,"abstract":"<p><strong>Background: </strong>We aimed to compare the effect of 0.75% ropivacaine and 2% lidocaine with 1:100,000 epinephrine on intraoperative bleeding and postoperative pain following mandibular third molar surgery.</p><p><strong>Methods: </strong>In this split-mouth clinical trial, 60 patients required bilateral impacted third molar of the mandible were prepared for operation in the Department of Maxillofacial Surgery of Mashhad Dental Faculty, Mashhad, Iran. Surgery was performed randomly on one side using ropivacaine and on the other side with lidocaine with epinephrine. The intraoperative bleeding, the postoperative pain (at 3, 6, 12, 18, and 24 hours after the operation), and the difficulty of the surgery were measured in each group and compared.</p><p><strong>Results: </strong>In all postoperative time intervals, the pain was lower in the ropivacaine group than in the lidocaine group. The rate of intraoperative bleeding in the ropivacaine group was lower than in the lidocaine group. In the lidocaine group, pain initially increased and reached its maximum value after three hours, but decreased after the sixth hour and reached its minimum value 24 hours after surgery. In the ropivacaine group, the pain increased initially and was at its peak at 3 and 6 hours, after which it decreased and reached its lowest value at 24 hours.</p><p><strong>Conclusion: </strong>Postoperative pain was less in the 0.75% ropivacaine group than in the 2% lidocaine with 1:100,000 epinephrine group during all postoperative periods. Also, the amount of bleeding during the operation was less in the ropivacaine group.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 1","pages":"10-16"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200177","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":"Evaluating the Feasibility of Clinical Studies on Cleft Lip and Palate Patients Based on the Hospital Records.","authors":"Reza Vaghardoost, Noor Ahmad Latifi, Abolfazl Abbaszadeh, Shahram Roustaei, Mahdiye Tavakoli","doi":"10.61186/wjps.14.1.28","DOIUrl":"10.61186/wjps.14.1.28","url":null,"abstract":"<p><strong>Background: </strong>Policy makers, researchers and health care professionals are faced daily with the challenge of how to prioritize their activities and actions in different areas of their responsibilities. In the field of health, their decisions are often influenced by the reality of population needs on the one hand and limited resources on the other. The correctness of decisions is completely dependent on the quality and accuracy of information from the target population. Patient registries, have for decades been an important source of data needed to evaluate clinical practice, evaluate health service delivery, and assess policy implications at the local, regional, national, and international levels.</p><p><strong>Method: </strong>Based on the research objectives, fourteen registration forms consisting of 790 variables were designed. The data of cleft lip and palate patients who underwent surgery in Hazrat Fatemeh Hospital during the year 2022, in Tehran, Iran, were collected and entered into the registration system, and then the amount of recorded data was assessed based on the research objectives.</p><p><strong>Results: </strong>Only 28% of the data of cleft lip and palate patients were recorded in the clinical files during their hospital stay, and 72% of the required data are not recorded. However, the accuracy of the recorded data and their validity has not been evaluated.</p><p><strong>Conclusion: </strong>In order to obtain the necessary data for the designed objectives, the data recorded in the hospital are not sufficient and accurate, and a registry is needed to record accurately the data of cleft lip and palate patients.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 1","pages":"28-32"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200180","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}