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":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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 (<i>P</i>=0.093) or between the nerve origin and arm side (<i>P</i>=0.809).</p><p><strong>Conclusion: </strong>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.</p>","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}
Nima Dehghani, Mohadeseh Azarsina, Xaniar Mahmoudi, Sahar Hassantash
{"title":"Efficacy of Combination and Single Therapy in Bell's Palsy: A Systematic Review and Meta-Analysis.","authors":"Nima Dehghani, Mohadeseh Azarsina, Xaniar Mahmoudi, Sahar Hassantash","doi":"10.61186/wjps.14.2.3","DOIUrl":"10.61186/wjps.14.2.3","url":null,"abstract":"<p><strong>Background: </strong>Bell's palsy is an acute, asymmetrical paralysis of facial muscles resulting from peripheral facial nerve dysfunction without a discernible origin. Combination therapy, which leverages the benefits of both antivirals and steroids, may be an effective treatment for Bell's palsy. We aimed to evaluate the effectiveness of steroids antiviral treatments for facial paralysis.</p><p><strong>Methods: </strong>A systematic search was conducted using the Scopus, PubMed, and Web of Science databases. The search terms used were: (Bell's palsy OR facial palsy) AND (steroids OR corticosteroids) AND antiviral. All selected articles were published between 1990 and Jan 2023. Comprehensive Meta-Analysis (CMA) version 3 was used for statistical analysis and graph construction.</p><p><strong>Results: </strong>After a full-text evaluation, 14 studies were included. The comparison of patient outcomes between the two treatment groups indicated that combination therapy was more effective than single therapy. Famciclovir, valacyclovir, and acyclovir, respectively, showed the most significant synergistic effect with corticosteroids. According to Egger's test, no significant bias was found in the comparison of the two treatment groups.</p><p><strong>Conclusion: </strong>Combination therapy (corticosteroid and antiviral) is significantly more effective than single corticosteroid therapy. Among the antiviral agents, famciclovir, valacyclovir, and acyclovir demonstrated the highest efficacy in combination with corticosteroids.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 2","pages":"3-10"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186833","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 the Efficacy of Reduced Graphene-based Nanofibers by Laser Irradiation for Tissue Engineering Application.","authors":"Tahere Parvizi Kashkooli, Mohsen Hatami, Seyedeh-Sara Hashemi, Zahra Shahhossein","doi":"10.61186/wjps.14.2.21","DOIUrl":"10.61186/wjps.14.2.21","url":null,"abstract":"<p><strong>Background: </strong>Graphene oxide (GO) and reduced graphene oxide (rGO) are graphene-based nanomaterials (GBNs) gained a lot of interest in biomedical tissue engineering due to their large specific surface area, unique structure, excellent photo-thermal effect, pH response, and broad-spectrum antibacterial properties. We aimed to modify the properties of graphene oxide/polycaprolactone (GO/ PCL) scaffold by laser irradiation.</p><p><strong>Methods: </strong>The scaffold was fabricated by electrospinning method and then laser irradiation was applied to improve the scaffold's properties. The solution containing of PCL and graphene oxide was combined in an optimized ratio and then transferred to an electrospinning syringe. The temperature distribution affected by laser energy on a scaffold was predicted by heat equation. The Crank-Nicholson numerical method in two dimensions was used in this regard. The morphological properties were evaluated by SEM, XRD, and IDFIX. MTT assay was applied for biocompatibility evaluation.</p><p><strong>Results: </strong>The 808 nm wavelength and 800 mW power was ideal laser irradiation. SEM results showed the appropriateness of fibres. MTT results showed a significantly higher cell viability in PCL/rGO group compared to PCL/GO and PCL scaffolds (p≤0.001).</p><p><strong>Conclusion: </strong>The conversion of GO into rGO led to the better morphology and the reduction of cytotoxicity that gave the scaffold superior properties. Hence, it is justifiable to construct a composite scaffold, enhanced with rGO, to improve its conductivity, mechanical properties, and biocompatibility in the context of tissue engineering.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 2","pages":"21-32"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186880","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":"Factors Contributing to Dental Implants Displacement inside the Maxillary Sinus and Their Treatment: A Systematic Review.","authors":"Nima Dehghani, Mohadeseh Azarsina, Xaniar Mahmoudi, Mona Mohajeri Tehrani, Shamim Chinian","doi":"10.61882/wjps.14.3.9","DOIUrl":"https://doi.org/10.61882/wjps.14.3.9","url":null,"abstract":"<p><strong>Backgrounds: </strong>Dental implants are often utilized to replace missing teeth in the maxillary posterior region. Following tooth extraction, bone grafting, and implant placement are carried out in stages. However, in medical procedures errors are inevitable; therefore, measures should be taken to address and reduce these errors in future treatments.</p><p><strong>Methods: </strong>Implants displaced inside the maxillary sinus were reviewed to identify the best techniques for retrieving them. We conducted a comprehensive search in Scopus, PubMed, and Web of Science databases from January 2000 to January 2023. Inclusion criteria were original studies including original cohorts, case-controls, and clinical trials that evaluated methods of retrieving displaced maxillary implants.</p><p><strong>Results: </strong>Overall, 258 publications were identified. After elimination of duplicates and those not meeting the inclusion criteria, full texts of 24 articles were reviewed. Of the 120 displaced implants, 57 were dislocated during surgery. The most common complication following implant displacement is maxillary sinusitis, which typically manifests a year post-op.</p><p><strong>Conclusion: </strong>Displacement of implants in the maxillary sinus is a common occurrence caused by a variety of factors. Implant displacement could lead to complications in the maxillary sinuses, paranasal sinuses, and other adjacent anatomical spaces and structures.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 3","pages":"9-15"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12842909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094183","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}
Yousef Shafaei, Alireza Minouee, Reza Vaghardoost, Khatere Isazadehfar, Shahriar Bagheri, Mohammad Dehbozorgi, Mohammad Kashkooli
{"title":"Comparative Analysis of Free Flaps with Single versus Dual Venous Anastomosis.","authors":"Yousef Shafaei, Alireza Minouee, Reza Vaghardoost, Khatere Isazadehfar, Shahriar Bagheri, Mohammad Dehbozorgi, Mohammad Kashkooli","doi":"10.61882/wjps.14.3.37","DOIUrl":"https://doi.org/10.61882/wjps.14.3.37","url":null,"abstract":"<p><strong>Background: </strong>Free flaps are widely used for reconstructive surgery, with venous anastomosis-single or dual-being critical to flap survival. We compared outcomes between single and dual venous anastomoses.</p><p><strong>Methods: </strong>In a cross-sectional study at Hazrat Fatemeh Hospital, Tehran, Iran, 23 patients undergoing free flap surgery were grouped by venous anastomosis type. Primary outcome was flap survival; secondary outcomes included venous thrombosis, congestion, capillary refill, and reoperation. Confounding variables (age, diabetes, smoking, ASA score) showed no significant differences.</p><p><strong>Results: </strong>Patients with flap failure averaged 38 years; successful cases averaged 34.7 years. Flap success was higher in the dual anastomosis group (90%) than the single group (69.2%), though not statistically significant (P = 0.25). No moderate or severe congestion occurred in the dual group, which also had more cases of bright-colored flaps (58.2% vs. 41.2%, P < 0.05). Capillary refill times were similar across groups.</p><p><strong>Conclusion: </strong>Dual venous anastomosis may reduce venous congestion and improve flap appearance, though its effect on overall flap success and thrombosis was not statistically significant. Larger studies are needed to validate these findings.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 3","pages":"37-44"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12842918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094156","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}
Ricardo Grillo, Sahand Samieirad, Bruno Alvarez Quinta Reis, Bernardo Correia Lima, Fernando Melhem-Elias, Sina Samieirad
{"title":"Semaglutide Awareness in Maxillofacial Surgery.","authors":"Ricardo Grillo, Sahand Samieirad, Bruno Alvarez Quinta Reis, Bernardo Correia Lima, Fernando Melhem-Elias, Sina Samieirad","doi":"10.61882/wjps.14.3.108","DOIUrl":"https://doi.org/10.61882/wjps.14.3.108","url":null,"abstract":"","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 3","pages":"108-109"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12842943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094189","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}
Mohammad Reza Akhoondi Nasab, Alireza Minouee, Mohammad Hossein Shariat
{"title":"Successful Replantation of Total Scalp Avulsion: A Case Report and Literature Review.","authors":"Mohammad Reza Akhoondi Nasab, Alireza Minouee, Mohammad Hossein Shariat","doi":"10.61882/wjps.14.3.91","DOIUrl":"https://doi.org/10.61882/wjps.14.3.91","url":null,"abstract":"<p><p>This case report describes the surgical management and outcome of a 24-year-old female engineer who suffered a total scalp avulsion injury caused by an industrial food mixer. The injury extended from the level of the eyebrows to the back of her neck and was complicated by the traumatic amputation of her right-hand first finger. Successful replantation of the scalp was achieved using microsurgical techniques, with postoperative challenges including venous congestion requiring secondary intervention. This case highlights the importance of timely surgical intervention, comprehensive trauma management, and postoperative anticoagulation in extensive avulsion injuries.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 3","pages":"91-96"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12842920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094208","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 Role of Stem Cell Polyphenols in Wound Healing: A Narrative Review.","authors":"Zahra Shahravi, Tara Shekari, Melika Mirghaffari, Masoud Habibi, Atefeh Shahbazi","doi":"10.61882/wjps.14.3.27","DOIUrl":"https://doi.org/10.61882/wjps.14.3.27","url":null,"abstract":"<p><p>Stem cell polyphenols represent a promising avenue for enhancing wound healing through their multifaceted biological activities. Polyphenols, naturally occurring compounds with potent antioxidant properties, can modulate inflammatory responses, reduce oxidative stress, and promote the proliferation and migration of essential cells involved in tissue repair, such as fibroblasts and keratinocytes. Additionally, they play a critical role in angiogenesis, facilitating improved blood supply to healing tissues. Research indicates that the synergistic use of polyphenols with stem cell therapies could further optimize wound healing outcomes by enhancing stem cell function and survival. As conventional skin disease treatments, primarily corticosteroids, often provide only temporary relief and come with significant side effects, there is increasing interest in stem cell therapies for skin conditions. Stem cells have shown positive outcomes in treating eczema, psoriasis, diabetic wounds, and burns, utilizing both animal and plant stem cell products. However, plant-derived stem cells and natural products, including phytochemicals like resveratrol and curcumin, are preferred due to their reduced side effects and sustainability. These natural compounds aid all stages of wound healing by modulating signaling pathways associated with skin repair and regeneration, thereby minimizing residual wound effects. This review explores the effectiveness of specific natural products and introduces plant derivatives, including plant stem cells and cytokines, highlighting their potential in advancing therapeutic strategies for improved wound healing and skin regeneration. Further clinical investigations are needed to elucidate the optimal types and dosages of polyphenols for clinical applications in regenerative medicine.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 3","pages":"27-36"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12843008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094253","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":"Ipsilateral Intact Concha as a Rotational Flap for Reconstruction of Congenital Auricular Defect.","authors":"Seyed Esmail Hassanpour, Arian Karimi Rouzbahani, Zahra Goudarzi, Mahya Aliakbari, Hormoz Mahmoudvand","doi":"10.61186/wjps.14.2.98","DOIUrl":"10.61186/wjps.14.2.98","url":null,"abstract":"<p><p>The chondrocutaneous sandwich of the external ear has a delicate and complicated design, making partial ear reconstruction a challenging task for plastic surgeons. In this study, 12 patients who had surgery utilizing the conchal rotational flap and grafting approach were monitored for 1 year after surgery. The upper third of ear deformities have been repaired using a cartilaginous composite flap. Following the procedure, a year later, there were no signs of a seroma, infection, hematoma, deformity, or flap ischemia. All patients had pleasing cosmetic outcomes. The findings of this study suggest that full-thickness upper third auricular abnormalities be repaired utilizing this combination method.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"14 2","pages":"98-102"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186824","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 Bulky Dressing Immobilization for the Congenital Hand Differences in Children.","authors":"Xiaowei Ni, Guang Yang","doi":"10.61186/wjps.13.2.92","DOIUrl":"10.61186/wjps.13.2.92","url":null,"abstract":"","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"13 2","pages":"92-94"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081737","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}