Mohamed E Shehab, Hasan M Isa, Lana M Saleh, Zainab A Alafeya
{"title":"Satisfaction and Quality of Life in Patients Who Underwent Post Massive Weight Loss Body Contouring Procedures: A Tertiary Center Experience in Bahrain.","authors":"Mohamed E Shehab, Hasan M Isa, Lana M Saleh, Zainab A Alafeya","doi":"10.61186/wjps.13.1.71","DOIUrl":"10.61186/wjps.13.1.71","url":null,"abstract":"<p><strong>Background: </strong>Incidence of body contouring surgeries (BCS) rose significantly to overcome problems resulted from post-Bariatric Surgery (BS). We aimed to evaluate satisfaction level and quality of life (QOL) in patients' post-BCS.</p><p><strong>Methods: </strong>In this retrospective prospective study, patients who underwent BCS in Plastic Surgery Department, Salmaniya Medical Complex, Bahrain, in 2017-2018, were enrolled. Demographic and anthropometric data were collected. BS-group's QOL and satisfaction level were assessed using a questionnaire.</p><p><strong>Results: </strong>Of 929 plastic surgery admissions, 316 (34%) were for BCS (249 patients). Fifty-eight (28%) patients underwent 82 BS were recruited, mostly females (n=42, 72.4%). The mean age was 37.4±9.6 years. Excess abdominal skin was the most area of concern (n=50, 86.2%). Median pre-BCS body mass index was 26.9 (interquartile range: 25.6-29.8) kg/m<sup>2</sup>. Most patients were overweight (n=26, 44.8%). Abdominoplasty was the commonest BCS (n=172, 50.6%). This was also the case in 82 BCS in post-BS group (n=38, 46.3%). In post-BS group, post-operative complications were noted in 25/82 (30.5%) patients with wound problems being the most frequent (n=14, 17.1%). Most patients rated their experience as better in all questionnaire domains and most (n=45, 54.9%) rated their satisfaction level as excellent. Older age gave better overall satisfaction (<i>P</i><0.001) while employed patients had better overall QOL (<i>P</i>=0.012) and self-confidence (<i>P</i>=0.048). Females had better satisfaction with body appearance (<i>P</i><0.001) while those underwent abdominoplasty or breast surgeries had lower physical activity (<i>P</i>=0.042).</p><p><strong>Conclusion: </strong>This study showed improvement in patient's QOL post-BCS with excellent overall satisfaction, findings that could be affected by age, sex, and occupation.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 1","pages":"71-82"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916862","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 Road Less Traveled: The Marham National Health Institute's Journey on Cleft Lip and Palate Surgery Missions.","authors":"Abdoljalil Kalantar-Hormozi, Mitra Chitsazan, Nazanin Rita Davai, Ahmad Eghbali Zarch, Ali Manafi, Naser Mozafari, Alireza Saberi Ghouchani, Kamyar Azhdari, Reza Shahverdiani, Mahmoudreza Ashabyamin, Mohammadreza Tarahomi, Yavar Shams Hojjati, Abdolreza Sheikhi, Hadis Kalantar-Hormozi, Navid Manafi, Morteza Poudineh","doi":"10.61186/wjps.13.1.3","DOIUrl":"10.61186/wjps.13.1.3","url":null,"abstract":"<p><p>Congenital cleft lip and palate represent the prevailing craniofacial birth anomalies on a global scale. Notably, a substantial proportion of patients within remote regions of Iran defer corrective surgery until later stages of life, often in childhood or adulthood, primarily due to intricate financial and cultural constraints. In response to this pressing healthcare challenge, a dedicated collective of volunteer plastic surgeons was established in 2009 with the explicit aim of providing medical care to these underserved patients. Over the subsequent years, this compassionate team embarked on 31 meticulously planned missions to underprivileged areas scattered across the country. Through these organized endeavors, a remarkable total of 20,579 medical visits were conducted, coupled with the performance of 2,303 essential surgeries, thus offering a lifeline of healthcare to these disadvantaged individuals.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 1","pages":"3-15"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916881","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":"Evaluation of Hematoma Formation after Thyroidectomy Surgery and Its Related Factors.","authors":"Mohammad Hossein Sarmast Shoushtari, Shaghayegh Sherafatmand, Ayat Rostami, Armin Mohammadi, Behrouz Shayesteh, Farbod Farhadi","doi":"10.61186/wjps.13.1.37","DOIUrl":"10.61186/wjps.13.1.37","url":null,"abstract":"<p><strong>Background: </strong>In the last decade, the number of patients undergoing thyroidectomy has increased. Compared to other methods, thyroidectomy is a relatively safe method for treating various types of thyroid diseases. However, the blood flow rate in the thyroid gland is high, and hematoma after thyroidectomy is one of its complications. We aimed to evaluate hematoma after thyroidectomy and its related factors.</p><p><strong>Methods: </strong>In this retrospective study, 2320 patients over 20 years of age who underwent thyroidectomy in Imam Khomeini, Arvand, and Mehr Ahvaz hospitals, Khuzestan Province, southern Iran between 2011 and 2022 were enrolled. Data were analyzed using SPSS software, version 22.</p><p><strong>Results: </strong>70.7% of the patients were in the age range of 20-50 years. Twenty-five (1.1%) of patients developed a hematoma after thyroidectomy. Males are more likely to hematoma after surgery (P=0.01). Hematoma was significantly higher in patients with a history of hypertension (P=0.001). Moreover, a significant association was found between male gender, and age over 50 years with the risk of hematoma (P<0.05). The incidence of hematoma had a statistically remarkable correlation with follicular thyroid cancer pathology (P=0.001). Other pathology diagnoses were not significantly related to hematoma formation after thyroidectomy.</p><p><strong>Conclusions: </strong>Hematoma after thyroidectomy surgery is a rare, but dangerous and life-threatening complication. It is important to identify risk factors for hematoma formation.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 1","pages":"37-42"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916935","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}
Jose Foppiani, Angelica Hernandez Alvarez, Allan Weidman, Lauren Valentine, Stephen Stearns, Samuel J Lin
{"title":"Hirudotherapy Efficacy and Complications in the Management of Microsurgical Breast Reconstruction: A Systematic Review.","authors":"Jose Foppiani, Angelica Hernandez Alvarez, Allan Weidman, Lauren Valentine, Stephen Stearns, Samuel J Lin","doi":"10.61186/wjps.13.3.3","DOIUrl":"10.61186/wjps.13.3.3","url":null,"abstract":"<p><strong>Background: </strong>We aimed to assess the effect of hirudotherapy on flap congestion and thrombosis in adult female patients who underwent microvascular breast reconstruction.</p><p><strong>Methods: </strong>A systematic review of PubMed, Web of Science, and Cochrane was completed. A qualitative synthesis of all included studies was then performed.</p><p><strong>Results: </strong>Twelve studies were included, pooling 34 female patients with ages ranging from 28 to 64 years old, having received medical leech therapy to breast flap following microsurgical breast reconstruction for a duration ranging from 1 to 10 days. The most common flap in our patient population was the Transverse Abdominis (TRAM) flap, followed by the Deep Inferior Epigastric (DIEP) flap and lastly, the Latissimus Dorsi flap. Nine patients experienced flap loss (26.5%), 9 experienced infections (26.5%), 19 had some degree of flap necrosis (55.9%), and 8 patients had to return to the operating room for revision surgeries (23.5%). Of the 9 reported cases of infection, 6 grew cultures specific to leech pathogens, confirming hirudotherapy as the cause (17.6%).</p><p><strong>Conclusion: </strong>Presently, this systematic review provides an overview of the role that hirudotherapy has played in the management of congestion in breast microvascular reconstruction in the literature. Clinicians should be aware of the complications associated with this choice of therapy for their patients, especially infection. Despite their established use in flap congestion, the limited evidence available for hirudotherapy to treat flap complications in autologous breast reconstruction calls for more studies to be conducted on the matter.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 3","pages":"3-13"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814205","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}
Ashkan Golabkesh Afshar, Sahand Samieirad, Iman Shiezadeh, Omid Alizadeh, Amirmohammad Moradpour, Seyyed Hamidreza Aboutorabzadeh, Sina Samieirad
{"title":"Intermaxillary Fixation Screws (IMF) & Surgery First Approach: A Novel Combination and Case Report.","authors":"Ashkan Golabkesh Afshar, Sahand Samieirad, Iman Shiezadeh, Omid Alizadeh, Amirmohammad Moradpour, Seyyed Hamidreza Aboutorabzadeh, Sina Samieirad","doi":"10.61186/wjps.13.3.104","DOIUrl":"10.61186/wjps.13.3.104","url":null,"abstract":"<p><p>Orthognathic surgery, a pivotal treatment for patients with significant facial aesthetic and occlusal concerns, traditionally involves a phased approach comprising preoperative orthodontics, surgery, and postoperative orthodontic treatment. However, the extended duration of conventional methods often leads to patient dissatisfaction. In response, the surgery-first approach (SFA) has emerged as an alternative, aiming to streamline treatment and reduce complexity. This case report explores the implementation of the SFA without preoperative orthodontics, focusing on its integration with intermaxillary fixation (IMF) screws. A 25-year-old male presented with severe mandibular retrognathia and facial asymmetry. The radiographic evaluation confirmed the skeletal discrepancy, prompting a surgical solution. Utilizing three-dimensional (3D) planning software, LeFort I osteotomy for maxillary advancement and bilateral sagittal split osteotomy (BSSO) for mandibular setback was planned. IMF screws were strategically placed to stabilize the maxillomandibular complex intraoperatively. Immediate postoperative orthodontic adjustments-initiated dentition alignment and leveling. Regular follow-up ensured treatment progress and stability. The use of IMF screws in the surgery-first approach facilitated precise surgical movements, accelerated treatment timelines, and enhanced patient comfort. This adjunctive technique represents a promising avenue for improving surgical precision and patient outcomes in orthognathic surgery. Further research is warranted to explore the long-term stability and broader applicability of this approach across diverse patient populations.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 3","pages":"104-110"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814245","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 Extensor Digiti Minimi Tendon (EDM) Transfer on Ulnar Deviation of the Little Finger.","authors":"Hossein Akbari, Ali Saadati, Peyman Akbari","doi":"10.61186/wjps.13.3.75","DOIUrl":"10.61186/wjps.13.3.75","url":null,"abstract":"<p><strong>Background: </strong>The little finger permanent abduction is an annoying deformity usually along with Wartenberg's sign (a consequence of ulnar nerve palsy), but there are several ways to correct this condition in rheumatoid arthritis as well. We aimed to investigate the effect of surgical intervention on patients.</p><p><strong>Methods: </strong>The current study was a clinical trial which was done at Hazrat Fatima Hospital of Tehran, Iran from 2020-2022, where 15 patients with an age range of 21-48 years were investigated. All these patients had complications of ulna nerve damage. After the intervention (tendon transfer), the angle change of the fifth finger was compared with before the surgery.</p><p><strong>Results: </strong>A significant improvement in reducing the angle of the fifth finger after surgery was observed in patients (P<0.05).</p><p><strong>Conclusion: </strong>Tendon transfer is one of the best techniques for the treatment of ulnar injuries.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 3","pages":"75-78"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814286","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}
Homa Farhadifard, Abbas Shokri, Maryam Salehzadeh, Maryam Farhadian, Yousef Ahmadpour
{"title":"Evaluation of the relationship between maxillary canine impaction with arch dimensions and maxillary sinus dimensions using Cone Beam Computed Tomography (CBCT ).","authors":"Homa Farhadifard, Abbas Shokri, Maryam Salehzadeh, Maryam Farhadian, Yousef Ahmadpour","doi":"10.61186/wjps.13.2.32","DOIUrl":"10.61186/wjps.13.2.32","url":null,"abstract":"<p><strong>Background: </strong>We aimed to evaluate the morphology of maxilla and sinus dimensions in subjects with unilaterally and bilaterally impacted canine using cone beam computed tomography (CBCT) records.</p><p><strong>Methods: </strong>CBCT records taken during 2020-2022 of 120 patients were obtained to investigate the relationship between impacted canine and maxillary morphology as well as sinus dimensions. The CBCT images were then divided into three groups: control, unilaterally canine impaction and bilaterally canine impaction. Then morphology-related variables (arch circumference, arch length, inter molar width, inter first premolar width, palatal depth, anterior posterior dimension of the right and left sinuses, and mediolateral dimension of the right and left sinuses) were analyzed and compared between groups. All measurements were done by Ondeman 3D dental software. Statistical analysis was carried out by SPSS software version 21 using one-way ANOVA.</p><p><strong>Results: </strong>There were meaningful differences in patients with canine impaction compared with control group in arch circumference (<i>P</i> value= 0.004) and arch length (<i>P</i> value= 0.001), inter molar width (<i>P</i> value= 0.001), inter first premolar width (<i>P</i> value= 0.001), mediolateral dimension of the right (<i>P</i> value=0.001) and left (<i>P</i> value= 0.001) sinuses of maxilla. Furthermore, Palatal depth and anterior posterior dimension of the right and left sinuses did not show statistically significant difference between groups.</p><p><strong>Conclusion: </strong>Canine impaction can considerably affect the morphology of maxillary and sinuses dimensions. Nevertheless, future studies are needed to determine the exact structural and molecular effects of the canine impaction on maxillary sinuses and neighboring tissues.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 2","pages":"32-38"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081741","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}
Taif Alnojaidi, Sultan Alaqil, Reemah Alqahtani, Ghaida Albraithen, Rahaf Almutairi, Abdullah Khubrani, Abdulmajeed Alhadlaq
{"title":"Intraoperative Hemostasis Using WALANT Versus Tourniquet; A Focused Review on Carpal Tunnel Syndrome and Trigger Finger Release.","authors":"Taif Alnojaidi, Sultan Alaqil, Reemah Alqahtani, Ghaida Albraithen, Rahaf Almutairi, Abdullah Khubrani, Abdulmajeed Alhadlaq","doi":"10.61186/wjps.13.2.3","DOIUrl":"10.61186/wjps.13.2.3","url":null,"abstract":"<p><p>Maintaining intraoperative haemostasis is crucial when conducting wide-awake hand surgeries, this is particularly to improve visibility which will improve patient's outcome. There are various methods that could achieve the aforementioned, some of which is wide awake local anaesthesia without tourniquet (WALANT) or Tourniquet alongside sedation. Each method has its own benefits and drawbacks. This study primarily focuses on Carpal Tunnel Syndrome and Trigger Finger release. A comprehensive literature review was conducted through PUBMED, Scopus, google scholar, and web of science. A total of 45 articles were included in the study. We aimed to assess whether the literature supports the use of a tourniquet alongside sedation, or only local anesthesia and epinephrine in wide awake hand surgeries. Moreover, we aimed to highlight the benefits and drawbacks of using a tourniquet, and determine the patient population most likely to benefit from tourniquet application.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 2","pages":"3-10"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081743","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}
Mehrdad Adibparsa, Mina Ghazavi, Hamidreza Shetabi
{"title":"Impact of Topical Tranexamic Acid on Bleeding Control in Rhinoplasty.","authors":"Mehrdad Adibparsa, Mina Ghazavi, Hamidreza Shetabi","doi":"10.61186/wjps.13.3.66","DOIUrl":"10.61186/wjps.13.3.66","url":null,"abstract":"<p><strong>Background: </strong>Hemorrhage during rhinoplasty may impair the surgeon's visibility. Our objective was to examine the impact of subcutaneously administered Tranexamic acid (TXA) on bleeding during rhinoplasty.</p><p><strong>Methods: </strong>A three-blind randomized clinical trial including 60 patients undergoing nose surgery was conducted to compare the effects of two different anesthetic solutions on surgery results. The control group received a solution consisting of 5 cc of 2% lidocaine and 0.5 cc of epinephrine 1/100000, and the TXA group received a solution containing 5 ml of 2 lidocaine, 0.25 cc of epinephrine 1/100000 and 4.75 cc of 10% TXA. To achieve a total injection volume of 10 ml in both groups, distilled water was added. Bleeding rate, hemodynamic parameters, surgeon satisfaction and overall quality of the surgical field were evaluated.</p><p><strong>Results: </strong>The hemodynamic parameters exhibited no notable differences between the two groups throughout the study period (P value > 0.05). The volume of bleeding observed in the TXA group was marginally greater than that in the control group (P value=0.061). Additionally, there were no significant variations in the quality of the surgical field or the satisfaction levels of the surgeon between the two groups.</p><p><strong>Conclusion: </strong>In the TXA group, there was no increase in bleeding despite using a low concentration of epinephrine. Consequently, it is recommended that an injectable formulation of TXA containing a reduced concentration of epinephrine be used in surgical procedures where the use of high-concentration epinephrine is contraindicated, such as in patients with cardiovascular disease.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 3","pages":"66-74"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814243","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":"Temporoparietal Flap for Facial Reconstruction: Donor Site Morbidity.","authors":"Amin Rahpeyma, Saeedeh Khajehahmadi","doi":"10.61186/wjps.13.1.87","DOIUrl":"10.61186/wjps.13.1.87","url":null,"abstract":"<p><strong>Background: </strong>Temporoparietal flap (TPF) is recommended when thin delicate tissue for medium sized defect is needed. The most used form of this flap is for auricle reconstruction. In this article usage of this flap for facial reconstruction other than auricle is discussed, emphasing on donor site morbidity.</p><p><strong>Method: </strong>In this retrospective study, archived files of the Department of Oral and Maxillofacial Surgery, University of Medical Sciences, Mashhad, Iran were evaluated from 2016-2020. Patients whom TPF was used for facial reconstruction were included. Flap survival was checked and donor site morbidity was evaluated in the form of skin scar and frontal nerve branch injury.</p><p><strong>Results: </strong>This flap was used in 8 patients for facial reconstruction. All the cases had experienced Alopecia and this was the greatest when the skin of scalp was also included. All of the patients could elevate the eyebrow that means intact frontal branch of facial nerve.</p><p><strong>Conclusion: </strong>TPF is a versatile flap for facial reconstruction. However, alopecia is high in composite fasciocutaneous form of this flap.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 1","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/PMC11088726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916874","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}