World Journal of Plastic Surgery最新文献_第2页

Various Flaps Used for Reconstruction of Pressure Injuries: A Narrative Review. 各种皮瓣用于压迫性损伤的重建：叙述回顾。

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World Journal of Plastic Surgery Pub Date : 2025-01-01 DOI: 10.61186/wjps.14.1.3

Shima Bani Assad, Peyman Sadri

引用次数: 0

Enhancing Repigmentation in Vitiligo: A Comparative Clinical Trial of Microneedling with Topical 5-Fluorouracil, Fluocinolone, and Microneedling Alone. 微针与5-氟尿嘧啶、氟西诺酮和单独微针治疗白癜风的临床比较研究

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World Journal of Plastic Surgery Pub Date : 2025-01-01 DOI: 10.61186/wjps.14.1.64

Nader Pazyar, Nasrin Kheirkhah, Reza Yaghoobi, Nima Bakhtiari

{"title":"Enhancing Repigmentation in Vitiligo: A Comparative Clinical Trial of Microneedling with Topical 5-Fluorouracil, Fluocinolone, and Microneedling Alone.","authors":"Nader Pazyar, Nasrin Kheirkhah, Reza Yaghoobi, Nima Bakhtiari","doi":"10.61186/wjps.14.1.64","DOIUrl":"10.61186/wjps.14.1.64","url":null,"abstract":"Background: Vitiligo, a pigmentary skin disorder, poses therapeutic challenges due to its progressive nature and varied treatment responses. We aimed to investigate the efficacy of a novel approach, combining microneedling with topical 5-Fluorouracil (5-FU), compared with microneedling with Fluocinolone and microneedling alone for treating vitiligo lesions.Methods: A single-blinded clinical trial was conducted from Aug 2022 to Feb 2023 at Ahvaz University of Medical Sciences, Ahvaz, Iran. Twenty patients with persistent vitiligo lesions were randomly assigned to three treatment groups. Microneedling was performed using Dermapen cartridge 36 once a week for 12 wk. In patch A, 5% 5-FU cream was applied immediately after microneedling; in patch B, patients used fluocinolone 0.025% cream twice daily; and in patch C, microneedling was performed alone. Clinical repigmentation was evaluated using the G-score scale, and treatment side effects were recorded.Results: Microneedling combined with 5-FU demonstrated significantly higher repigmentation rates, with 70% of lesions showing moderate to excellent responses (P<0.001). In contrast, microneedling with Fluocinolone and microneedling alone exhibited lower response frequencies. Side effects were minimal, with only one patient experiencing burning and itching in the microneedling and 5-FU group. No corticosteroid-related complications were observed. Six months follow-up revealed sustained repigmentation in the microneedling and 5-FU group, contrasting with no response or recurrence in microneedling alone-treated lesions.Conclusion: Microneedling combined with topical 5-FU presents a promising therapeutic strategy for vitiligo lesions, yielding superior repigmentation outcomes compared to other treatments.","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 1","pages":"64-71"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200179","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}

引用次数: 0

Evaluation of Complications Following Nipple Areola Sparing Mastectomy with Immediate Implant-Based Breast Reconstruction in Patients with Large Ptotic Breasts. 保留乳头乳晕乳房切除术及即刻植体乳房重建术对大乳房下垂患者并发症的评价。

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World Journal of Plastic Surgery Pub Date : 2025-01-01 DOI: 10.61186/wjps.14.1.43

Mohammad Dehbozorgi, Afsoon Fazelzadeh, Aliakbar Mohammadi, Sedighe Tahmasebi, Malcolm D Paul

{"title":"Evaluation of Complications Following Nipple Areola Sparing Mastectomy with Immediate Implant-Based Breast Reconstruction in Patients with Large Ptotic Breasts.","authors":"Mohammad Dehbozorgi, Afsoon Fazelzadeh, Aliakbar Mohammadi, Sedighe Tahmasebi, Malcolm D Paul","doi":"10.61186/wjps.14.1.43","DOIUrl":"10.61186/wjps.14.1.43","url":null,"abstract":"Background: Nipple sparing mastectomy has become a preferred method in breast cancer patients but safety of this procedure in large ptotic breasts needs to be documented to broaden its application. We aimed to assess complication rates of patients undergoing NSM and immediate implant-based reconstruction with skin reduction to determine the safety of reduction in this patient group.Methods: Patient with breast cancer and ptotic breasts whom received nipple sparing mastectomy and immediate implant-based breast reconstructions were analyzed, operated between April 2020 to last month of 2023 in Shiraz, Iran. Post-operative complications were recorded and analyzed.Results: The mean age and BMI of patients were 40.76 ± 5.0 and 23.72 ± 3.27 year, respectively. The median post-operative24 months (min 14, max 34). None of patients had disease recurrence. The most common complication was the flap full thickness necrosis, occurring in a total of 7 (20%) breasts. The incidence of full thickness necrosis was just seen in patients with ptosis grade III, and the most common site for the necrosis was the suture line [4/7 (12%)]. The other 3 patients had full thickness partial necrosis of NAC. We did not have any complete NAC necrosis.Conclusion: Nipple sparing mastectomy and immediate implant insertion in ptotic breasts, is a valuable method of reconstruction with acceptable rate of complications.","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 1","pages":"43-51"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200181","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}

引用次数: 0

Evaluation of the Appropriate Time of Botulinum Toxin Type A Injection To Increase the Survival of Random Flaps in Rat. A型肉毒毒素注射提高大鼠随机皮瓣存活率适宜时间的评价。

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World Journal of Plastic Surgery Pub Date : 2025-01-01 DOI: 10.61186/wjps.14.1.17

Sadrollah Motamed, Mohsen Fattahy Dolatabadi, Omid Zehtabvar, Babak Sabet Diveshli, Atoosa Gharib, Tahmineh Mollasharifi, Abdol Reza Rouientan

{"title":"Evaluation of the Appropriate Time of Botulinum Toxin Type A Injection To Increase the Survival of Random Flaps in Rat.","authors":"Sadrollah Motamed, Mohsen Fattahy Dolatabadi, Omid Zehtabvar, Babak Sabet Diveshli, Atoosa Gharib, Tahmineh Mollasharifi, Abdol Reza Rouientan","doi":"10.61186/wjps.14.1.17","DOIUrl":"10.61186/wjps.14.1.17","url":null,"abstract":"Background: Although many previous studies verified the role of BTX-A in the augmentation of flap survival and decreasing the rate of necrosis in random pattern cutaneous flaps, drug injection at different times has not been investigated in this regard. This study compares the effect of BTX- A injection time at 0, 3, and 7 days before surgery to determine the best and most effective injection time.Methods: In 20 male rats, divided into four equal groups, on different days of pre-operation (0, 3, or 7 days) BTX-A or saline was administered to the whole length of the flap. Random pattern dorsal skin flaps with 4:1 length-to-width ratios were elevated and returned to the original position. Flap survival was evaluated on day 10 and 20 after surgery and a histopathological examination were performed 20 days after flap elevation.Results: The BTX-A group had a greater survival mean compared with the saline group (87.92±16.30 vs 65.60±30.71 or 1.34 fold increase in survival rate) in flaps with a length-to-width ratio of 4:1 (P = 0.05), and If botulinum toxin is injected 7 days before flap elevation, this increase in survival will be 1.5 times (97.5±4.06 vs 65.60±30.71) compared to the saline group (P = 0.02).Conclusion: Preoperative injection of botulinum toxin type A in random pattern skin flaps increases skin flap survival in rats, and the best time for injections is 7 days before flap elevation. We found a reduction in the proliferation of cutaneous myofibroblasts in flaps by injecting BTX-A. It could play a role in increasing blood flow and survival by reducing wound contraction, however, more studies should be conducted to determine the possible mechanism.","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 1","pages":"17-27"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200182","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}

引用次数: 0

Presence of Martin-Gruber Anastomosis among a Cohort of Mexican Origin; a Corpse Dissection Study. 墨西哥裔人群Martin-Gruber吻合的存在尸体解剖研究。

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World Journal of Plastic Surgery Pub Date : 2025-01-01 DOI: 10.61186/wjps.14.1.59

Jose de Jesus Orozco Grados, Alexander Cárdenas Mejia, Enrique Velazquez Zabaleta, Jimena Maillard Olvera, Jose Antonio Garcia Garcia

{"title":"Presence of Martin-Gruber Anastomosis among a Cohort of Mexican Origin; a Corpse Dissection Study.","authors":"Jose de Jesus Orozco Grados, Alexander Cárdenas Mejia, Enrique Velazquez Zabaleta, Jimena Maillard Olvera, Jose Antonio Garcia Garcia","doi":"10.61186/wjps.14.1.59","DOIUrl":"10.61186/wjps.14.1.59","url":null,"abstract":"Background: At the forearm level, Martin-Gruber anastomosis is described as the most common anatomic variation. Early recognition of this anastomosis in patients with peripheral nerve lesions and preserved function of the hand musculature lowers the rate of misdiagnosis and prevents unnecessary treatment approaches. We aimed to determine the prevalence and characteristics of Martin-Gruber anastomosis in a Mexican cohort and discuss its impact on clinical diagnostics and approach.Methods: We conducted a cross-sectional dissection study on 40 inert anatomical models at the National Forensic Sciences Institute in Mexico City. Each model was dissected to trace and measure Martin-Gruber anastomoses from the median nerve to the ulnar nerve. Measurements were recorded using a digital Vernier caliper, and the presence of anastomosis, its length, nerve of origin, and side were analyzed. Chi-square tests evaluated the association between the presence of anastomoses and sex, and nerve origin and arm side.Results: Martin-Gruber anastomosis was found in 47.5% of the specimens, with bilateral anastomoses in 11 and unilateral in eight. The majority of anastomoses (62.5%) originated from the left arm. There was no significant association between the presence of anastomosis and sex (P=0.093) or between the nerve origin and arm side (P=0.809).Conclusion: The high prevalence of Martin-Gruber anastomosis in this study highlights its clinical importance, particularly in preventing misdiagnoses of ulnar nerve injuries and unnecessary surgical interventions. Anatomical variations like Martin-Gruber anastomosis should be considered in clinical assessments of peripheral nerve injuries to enhance diagnostic accuracy and treatment outcomes.","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 1","pages":"59-63"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200196","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}

引用次数: 0

A Bulky Dressing Immobilization for the Congenital Hand Differences in Children. 针对儿童先天性手部差异的大块敷料固定装置。

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World Journal of Plastic Surgery Pub Date : 2024-01-01 DOI: 10.61186/wjps.13.2.92

Xiaowei Ni, Guang Yang

引用次数: 0

Comparison of Functionality Level, Disability and Quality of Life in Subjects with Peripheral Nerve Repair in the Upper Extremity. 上肢周围神经修复受试者的功能水平、残疾程度和生活质量比较

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World Journal of Plastic Surgery Pub Date : 2024-01-01 DOI: 10.61186/wjps.13.2.68

Hossein Akbari, Amir Saraee, Leila Mirzaei, Mahsa Abolfazli, Hossein Bagheri, Peyman Akbari

{"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":"Background: 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.Methods: 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.Results: 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.Conclusion: 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.","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}

引用次数: 0

Comparison of Intralesional Vitamin D with Intralesional Triamcinolone Acetonide in the Treatment of Keloids. 维生素 D 与曲安奈德治疗瘢痕疙瘩的比较。

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World Journal of Plastic Surgery Pub Date : 2024-01-01 DOI: 10.61186/wjps.13.2.44

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":"Background: 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.Methods: 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.Results: 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).Conclusion: 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.","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}

引用次数: 0

Reverse Turnover Pedicled Latissimus Dorsi Muscle Flap for the Repair of Radiation Ulcer in the Back: A Case Report. 用于修复背部放射性溃疡的反向翻转足底背阔肌肌皮瓣：病例报告。

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World Journal of Plastic Surgery Pub Date : 2024-01-01 DOI: 10.61186/wjps.13.2.87

Lu Fang, Huaisheng Wang

引用次数: 0

Two Cases of COVID-Related Osteonecrosis of the Jaws: A New and Worrying Entity Is Emerging. 两例与 COVID 相关的颌骨坏死：一种令人担忧的新病例正在出现。

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World Journal of Plastic Surgery Pub Date : 2024-01-01 DOI: 10.61186/wjps.13.1.96

Ricardo Grillo, Sahand Samieirad, Omid Alizadeh, Seyed Hossein Hosseini Zarch, Rozita Khodashahi, Navid Kazemian, Maria da Graça Naclério-Homem

引用次数: 0