World Journal of Plastic Surgery最新文献

{"title":"Evaluation and Diagnostic-Treatment Approaches of Brachial Plexus Injuries in Adults.","authors":"Afsaneh Bagheri, Hossein Akbari, Peyman Akbari","doi":"10.61186/wjps.13.3.41","DOIUrl":"10.61186/wjps.13.3.41","url":null,"abstract":"<p><strong>Background: </strong>Brachial plexus injury (BPI), as one of the most devastating injuries in adults, has various negative consequences such as profound functional impairment, debilitating pain, significant mental health consequences, and economic impacts. We aimed to review the evaluation and diagnostic-treatment Approaches of BPI in adults through a review study.</p><p><strong>Methods: </strong>An electronic literature search was completed in Google Scholar, Springer, PubMed, and Science Direct databases from 1980 to 2023. Various keywords related to the purpose such as Brachial plexus, surgical strategy, adult were used.</p><p><strong>Results: </strong>1.2% of people with multiple traumas had BPIs. BPI is more common in young adult males. For brachial plexus palsy, preoperative evaluation of nerve root avulsion is helpful in surgical planning. . EMG is useful in confirming a diagnosis, localizing the lesion level, estimating the extent of axon loss, and determining whether the lesion is complete. There are different options available for BPI, such as coordinating care, rehabilitation and psychosocial support. In recent times, significant advancements have been made in surgical techniques for nerve repairs.</p><p><strong>Conclusion: </strong>Although it is often not possible to prevent damage to the brachial plexus, it is possible to reduce the risk of further problems after the injury by taking some measures.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 3","pages":"41-48"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813736","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 Impact of the COVID-19 Pandemic on Reconstructive Surgery and Training Programs in Sub-Saharan Africa: A Cross-Sectional Survey.","authors":"Mariama Ka, Ali Modarressi, Lionel Dumont","doi":"10.61186/wjps.13.2.11","DOIUrl":"10.61186/wjps.13.2.11","url":null,"abstract":"<p><strong>Background: </strong>In Sub-Saharan Africa, which already faces challenges due to a lack of surgeons and facilities, the COVID-19 pandemic could significantly disrupt surgical activities and training programs. \"2^nd Chance\", a non-governmental organization providing training program to enhance local reconstructive surgery capacity in this region since 2015, could play a crucial role in addressing these issues. We aimed to investigate the impact of the COVID-19 on the activity of sub-Saharan African reconstructive surgeons collaborating with \"2^nd Chance\" organization and evaluate its effect on the organization's training programs.</p><p><strong>Methods: </strong>In the course of 2022, an online cross-sectional survey was conducted among reconstructive surgeons working in sub-Saharan African countries and collaborating with \"2^nd Chance\". The survey consisted of 57 questions covering demographics, impacts of COVID-19 on personal life, clinical and training activities.</p><p><strong>Results: </strong>Of 469 surgeons eligible for the study, 240 were included and 51 responded. The impact of COVID-19 was felt personally in terms of health and stress. Clinical activities were severely affected, with some reporting higher mortality due to surgical cancellations and delays. Regarding training, there was a shift from practical to theoretical learning, though overall impact was moderate. One-third of participants were able to attend \"2^nd Chance\" workshops. Among the 17 planned workshops, 9 were successfully conducted, and 4 of them exclusively featured African trainers.</p><p><strong>Conclusion: </strong>The COVID-19 pandemic had substantial consequences on reconstructive surgery in sub-Saharan Africa, impacting more clinical practices than training programs. Collaboration between African and European trainers proved essential during the pandemic. In future pandemics, South-South collaborations should be prioritized.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 2","pages":"11-18"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081760","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":"Short-Term and Long-Term Therapeutic Results of Deep Flexor Tendon Repair in Zone II in Patients Referred to Imam Khomeini Hospital, Ahvaz, Southern Iran.","authors":"Payam Mohammadhoseini, Seyed Mohammad Mohammadi, Narjes Mousavi Nia","doi":"10.61186/wjps.13.1.82","DOIUrl":"10.61186/wjps.13.1.82","url":null,"abstract":"<p><strong>Background: </strong>Hand injury as an important concern for the surgeon and the patient requires proper and timely treatment to prevent complications such as infection and adhesions, and with a proper rehabilitation program, the patient returns to maximum function as soon as possible. We aimed to investigate the short-term and long-term treatment results of deep flexor tendon repair in in zone II.</p><p><strong>Methods: </strong>This retrospective study was performed on 34 patients with 45 injured fingers in the zone II referred to Ahvaz Imam Khomeini Hospital, Ahvaz, Iran during 2017-2019. The results of deep flexor tendons repair in two groups, immediate and delayed primary repair were assessed.</p><p><strong>Results: </strong>The mean age of the patients was 27.76 years. There was no significant remarkable between male and female in the incidence of complications such as infection, tendon rupture and adhesions. 29.4% (n=10) had poor outcome, 8.8% (n=3) had fair outcome, 29.4% (n=10) had good outcome and 32.4% (n=11) had excellent outcomes. 26.5% had adhesion and infection rate was 11.8%.</p><p><strong>Conclusion: </strong>Among surgeons, there is consensus for the primary repair of tendon injury, but there was no significant difference between the results of immediate and delayed primary repair. Although physiotherapy has been suggested as an effective factor in improving hand function, its positive effect on the range of motion of the fingers has not been proven.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 1","pages":"82-86"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916863","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":"Satisfaction Level of Patients with the Outcome of Genioplasty.","authors":"Farnoosh Razmara, Newsha Sadat Ghorani, Nima Dehghani, Xaniar Mahmoudi","doi":"10.61186/wjps.13.2.58","DOIUrl":"10.61186/wjps.13.2.58","url":null,"abstract":"<p><strong>Background: </strong>We aimed to assess the satisfaction level of patients with the outcome of genioplasty and the influential parameters in this respect.</p><p><strong>Methods: </strong>This retrospective study was conducted on 70 patients between 18 to 59 years, who underwent genioplasty in the Oral and Maxillofacial Surgery Department at Shariati and Sina Hospitals, Tehran, Iran, between 2010 and 2020. Patient records were evaluated and a questionnaire was filled out over the phone to assess the influential parameters on the satisfaction level of patients with the outcome of genioplasty. Data were analyzed by PASS 11 (alpha=0.1).</p><p><strong>Results: </strong>Seventy patients were evaluated including 56 (80%) females and 14 (20%) males. Forty patients (52.6%) had no complaint with regard to the outcome of genioplasty. Postoperative chin deviation (not correcting the initial complaint) (10.52%), postoperative pain in the chin area (10.52%), and lower lip paresthesia (9.21%) were the most common patient complaints. The minimum and maximum satisfaction scores were 22 and 80, respectively. Number of follow-up sessions had a significant effect on satisfaction with the outcome of genioplasty (P=0.076). Patients who underwent advancement genioplasty alone had the highest level of long-term satisfaction with the outcome while those who underwent setback genioplasty alone had the lowest level of long-term satisfaction.</p><p><strong>Conclusion: </strong>Advancement genioplasty had the highest rate of patient satisfaction, and chin asymmetry in the frontal view was the most common patient complaint after genioplasty.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 2","pages":"58-68"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081758","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":"Reliability and Validity of the Persian Nose Obstruction Symptom Evaluation (NOSE) Scale.","authors":"Hesam Jahandideh, Maryam Biglari Abhari, Maryam Arab, Maryam Roomiani, Alireza Mohebbi, Bita Fazeli","doi":"10.61186/wjps.13.2.25","DOIUrl":"10.61186/wjps.13.2.25","url":null,"abstract":"<p><strong>Background: </strong>The nasal obstruction symptom evaluation (NOSE) scale is a valid and specific questionnaire for evaluating nasal obstruction. The present study aimed to assess the validity of the Persian version of the NOSE questionnaire.</p><p><strong>Methods: </strong>The present study is a cross-sectional study conducted from December 2018 to April 2019. In the study group, eligible individuals referred to one clinic and Firoozgar Hospital, Tehran, Iran (a tertiary referral center) were asked to complete the questionnaire once on the first visit and once 3 months after the surgery. In the control group, healthy adults (above 18 years old) were selected among staff, students, residents, or relatives of the project executors. The NOSE questionnaire has 5 questions and a quality chart. The results were compared with the short form of the 12-item GHQ-12 questionnaire that had previously been translated and validated. SPSS 20 software was used to calculate Cronbach's alpha and intra-class correlation coefficient and to examine the convergent and discriminative validities.</p><p><strong>Results: </strong>The results obtained are consistent with the results of the primary research when developing the questionnaire and the results of studies conducted with different versions of the questionnaire in different languages and cultures. Analysis of research data showed that the Persian version of the NOSE questionnaire has acceptable internal consistency, repeatability, convergent validity, and discriminant validity.</p><p><strong>Conclusion: </strong>The Persian version of the NOSE questionnaire has good validity and reliability.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 2","pages":"25-31"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081747","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":"Assessing the Utility of Oral and Maxillofacial Surgery Posters as Educational Aids in Dental Education for Undergraduate Students: Is it Useless or Helpful?","authors":"Seyed Mohammad Ali Seyedi, Navid Kazemian, Omid Alizadeh, Zeinab Mohammadi, Maryam Jamali, Reza Shahakbari, Sahand Samieirad","doi":"10.61186/wjps.13.1.57","DOIUrl":"10.61186/wjps.13.1.57","url":null,"abstract":"<p><strong>Background: </strong>Educational posters play a crucial role in education, information dissemination, and awareness. Their visual appeal efficiently communicates condensed yet vital information on significant topics, making them valuable for teaching sequential concepts. We aimed to assess the effectiveness of educational posters in the oral and maxillofacial surgery department for student education.</p><p><strong>Methods: </strong>The study was carried out during the fall semester of 2022 at Mashhad Dental School, Mashhad, Iran utilizing a questionnaire-based approach. The questionnaire gathered demographic information and assessed students' perspectives on educational posters. Statistical analysis was performed using SPSS version 23 with a significance level set at 0.05.</p><p><strong>Results: </strong>This study was conducted on 70 students (35 females and 35 males). Gender-based analysis demonstrated significant differences in beauty, adaptability, and learning, with male students scoring lower than females (<i>P</i> values = 0.036 and 0.031, respectively). Further analysis by academic year unveiled higher beauty and adaptability scores among third-year students compared to second-year students, showing statistical significance (<i>P</i> value = 0.035). A two-by-two comparison highlighted that the average beauty score of third and fifth-year students surpassed that of second-year students (<i>P</i> values = 0.041 and 0.038, respectively). In summary, higher academic years correlated with superior performance, emphasizing the potential impact of educational posters on academic outcomes.</p><p><strong>Conclusion: </strong>Posters in the oral and maxillofacial surgery department received commendable ratings in various areas, positively impacting the teaching and learning process.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 1","pages":"57-64"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916809","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":"Modification in Contralateral Breast Flap in Delayed Autologous Breast Reconstruction.","authors":"Hojjat Molaei","doi":"10.61186/wjps.13.1.103","DOIUrl":"10.61186/wjps.13.1.103","url":null,"abstract":"","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 1","pages":"103-105"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916937","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":"Topical Tretinoin in the Management of Thick-skinned Rhinoplasty Patients.","authors":"Hamidreza Rastiboroujeni, Mehdi Bakhshaee, Mohamad Reza Afzalzadeh, Yalda Nahidi","doi":"10.61186/wjps.13.1.50","DOIUrl":"10.61186/wjps.13.1.50","url":null,"abstract":"<p><strong>Background: </strong>Despite the increasing popularity of cosmetic surgeries, some patients still experience skin problems, particularly those with thick nasal skin. Isotretinoin is a commonly used drug for severe acne, and its effects on rhinoplasty aesthetic results have recently been studied. This placebo-controlled clinical trial aimed to investigate the effects of topical tretinoin gel on the cosmetic outcomes of rhinoplasty in patients with thick nasal skin.</p><p><strong>Methods: </strong>Forty-nine individuals were randomly allocated to either the treatment group or the control group in Mashhad, Iran from 2019 to 2021. The treatment group received topical tretinoin gel (0.05%) beginning on the 31st postoperative day and continued for six months, while the control group received a usual dermatological recommendation as a placebo. Patients were assessed during the first, third, and sixth months after the intervention, and their cosmetic results were evaluated by an expert surgeon and dermatologist.</p><p><strong>Results: </strong>There were no significant differences in baseline features between the two groups. The median score given by the surgeon was not significantly different between the groups. However, the median score given by the dermatologist was significantly higher in the treatment group during the first, third, and sixth months (<i>P</i><0.001). Patient satisfaction scores were also significantly higher in the treatment group during the third and sixth months compared to the control group. (<i>P</i>=0.02 and 0.01, respectively).</p><p><strong>Conclusion: </strong>Topical tretinoin gel could effectively reduce acne in patients with thick nasal skin after rhinoplasty and increase patient satisfaction in the early months following surgery. However, it did not significantly affect final cosmetic outcomes.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 1","pages":"50-56"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916985","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":"Healing Effect of <i>Hypericum perforatum</i> in Burn Injuries.","authors":"Zahra Sadat Hamedi, Amir Manafi, Seyedeh-Sara Hashemi, Davood Mehrabani, Anahita Seddighi, Nader Tanideh, Maral Mokhtari","doi":"10.61186/wjps.13.3.57","DOIUrl":"10.61186/wjps.13.3.57","url":null,"abstract":"<p><strong>Background: </strong>Burn injury is still the leading cause of mortality and morbidity in burn patients. We comapred healing effect of <i>Hypericum perforatum</i>, silver sulfadiazine and alpha ointments on burn injuries in rat model.</p><p><strong>Methods: </strong>Sixty female Sprague-Dawley rats in an animal experimental study were randomly divided to 5 equal groups as <i>H. perforatum</i>, silver sulfadiazine and (SSD), alpha, gel base and the burn injury left untreated. Wounds were assessed macroscopically and histologic after burn injury and on days 7^th, 14^th and 21^st after treatments.</p><p><strong>Results: </strong>Burn wounds decreased in size on day 7^th in <i>H. perforatum</i> group (<i>P</i><0.01). Regarding scoring the inflammation, re-epithelialization, angiogenesis, formation of granulation tissue and number of macrophage, the best scores were visible in <i>H. perforatum</i> group, and the worst in the gel base and the burn injury left untreated (<i>P</i><0.01).</p><p><strong>Conclusions: </strong><i>H. perforatum</i> was shown to significantly induce re-epithelialization, angiogenesis and granulation tissue and decrease the inflammation resulting into a healing process in burn wounds. As <i>H. perforatum</i> is inexpensive and an easily available herbal medicine, it can be considered as a therapeutic of choice to ameliorate burn injuries.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 3","pages":"57-65"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814184","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":"An Open Source Framework for Free Precise Digital Facial Analysis.","authors":"Danuze Peixoto, Henrique Tostes, Willian Aguilar, Sahand Samieirad, Ricardo Grillo","doi":"10.61186/wjps.13.3.111","DOIUrl":"10.61186/wjps.13.3.111","url":null,"abstract":"<p><p>In the dynamic landscape of digital healthcare and facial aesthetics, there is a rising demand for tools combining precision and accessibility. This article explores an innovative approach emphasizing accuracy and accessibility in facial aesthetic procedures through individualized planning and open-source software utilization. Digital facial analysis was conducted using facial photogrammetry capturing 16 simultaneous images in 0.4 seconds. The images were 3D reconstructed with Blender® software, incorporating selected points, angles, and measurements for facial analysis. Customizable points allowed individualized protocols, and additional measurements, such as the cervicomental angle, were included. Combinations of measurements were automated for comprehensive analysis. The data enabled the generation of a detailed digital facial analysis report, providing a precise and objective assessment. The approach demonstrated potential applications in maxillofacial surgery, plastic surgery, and simulation of dermal fillers and facial implants. Photogrammetry proved comparable to CT scans, eliminating human interference and enhancing accuracy. In the context of high patient expectations and evolving beauty standards, digital facial analysis offers valuable insights for aesthetic procedures. The integration of data into virtual surgical planning software enhances accuracy, but careful individualized planning and informed consent are crucial to manage expectations and legal considerations. This study underscores the role of open-source software, specifically Blender®, in democratizing access to advanced facial analysis tools. Blender's combination of precision and accessibility represents a paradigm shift, fostering innovation and personalized outcomes in facial aesthetic procedures.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 3","pages":"111-114"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814412","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}