World Journal of Plastic Surgery最新文献

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Implementation of Upper Extremity Trauma Registry: A Pilot Study. 上肢创伤登记的实施:一项试点研究。
IF 0.9
World Journal of Plastic Surgery Pub Date : 2023-01-01 DOI: 10.52547/wjps.12.1.29
Yousef Shafaei Khanghah, Ali Foroutan, Alireza Sherafat, Mohammad Javad Fatemi, Hosein Bagheri Faradonbeh, Hossein Akbari
{"title":"Implementation of Upper Extremity Trauma Registry: A Pilot Study.","authors":"Yousef Shafaei Khanghah,&nbsp;Ali Foroutan,&nbsp;Alireza Sherafat,&nbsp;Mohammad Javad Fatemi,&nbsp;Hosein Bagheri Faradonbeh,&nbsp;Hossein Akbari","doi":"10.52547/wjps.12.1.29","DOIUrl":"https://doi.org/10.52547/wjps.12.1.29","url":null,"abstract":"<p><strong>Background: </strong>Hand traumas are common in young men and their complications can have negative effects on their occupation and economic activities. On the other hand, most of the hand injuries are related to occupation accidents and thus necessitates preventive measures. The goal of a clinical registry is assisting epidemiologic surveys, quality improvement preventions.</p><p><strong>Methods: </strong>This article explains the first phase of implementing a registry for upper extremity trauma. This phase includes recording of demographic data of patients. A questionnaire was designed. Contents include patients' characteristics, pattern of injury and past medical history in a minimal data set checklist. This questionnaire was filled in the emergency room by general practitioners. For 2 months the data were collected in paper based manner, then problems and obstacles were evaluated and corrected. During this period a web based software was designed. The registry was then ran for another 4 months using web based software.</p><p><strong>Results: </strong>From 6.11.2019 to 5.3.2020, 1675 patients were recorded in the registry. Random check of recorded data suggests that accuracy of records was about 95.5%. Most of the missing data was related to associated injuries and job experience. Some mechanisms of injury seems to be related to Iran community and thus warrants special attention for preventive activities.</p><p><strong>Conclusion: </strong>With a special registry personnel and supervision of plastic surgery faculties, an accurate record of data of upper extremity trauma is possible. The patterns of injury were remarkable and can be used for investigations and policy making for prevention.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"12 1","pages":"29-36"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/81/7a/wjps-12-29.PMC10200090.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9871014","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
Versatility of Local Fasciocutaneous Island Flaps for Resurfacing Soft Tissue Defects Overlying the Achilles Tendon. 局部筋膜岛状皮瓣修复跟腱软组织缺损的多功能性研究。
IF 0.9
World Journal of Plastic Surgery Pub Date : 2023-01-01 DOI: 10.52547/wjps.12.1.20
Ahmed A Elhefnawy, Sherif A Hantash, Wael H Mahmoud, Wesam I Homouda, Mohamed M Khedr
{"title":"Versatility of Local Fasciocutaneous Island Flaps for Resurfacing Soft Tissue Defects Overlying the Achilles Tendon.","authors":"Ahmed A Elhefnawy,&nbsp;Sherif A Hantash,&nbsp;Wael H Mahmoud,&nbsp;Wesam I Homouda,&nbsp;Mohamed M Khedr","doi":"10.52547/wjps.12.1.20","DOIUrl":"https://doi.org/10.52547/wjps.12.1.20","url":null,"abstract":"<p><strong>Background: </strong>Reconstruction of soft tissue defects overlying the Achilles tendon has always been a challenge. Various modalities of reconstruction have been described to resurface such defects. We aimed to assess the functional and cosmetic outcomes of all patients who had undergone reconstruction of small and medium sized soft tissue defects of the Achilles region using local fasciocutaneous island flaps.</p><p><strong>Methods: </strong>This retrospective study was conducted from January 2020 to June 2022. 15 patients with small (≤ 30 cm<sup>2</sup>) and medium (30-90 cm<sup>2</sup>) sized soft tissue defects of the tendo-Achilles region, underwent reconstruction with local fasciocutaneous island flaps and had complete medical records, were included.</p><p><strong>Results: </strong>Thirteen patients were male (86.7%). The mean age was 53.2 years. 5 cases (33.3%) had post-traumatic open AT injuries with skin avulsion, while ten patients (66.7%) had suture line complications after open repair of spontaneous Achilles tendon rupture. Defect sizes ranged from 12 to 63 cm2. Reverse sural flap was used in 5 patients (33.3%) and medial plantar flap in 10 patients (66.7%). All flaps survived completely. Complications were detected in 3 patients (20%); 1 distal superficial necrosis in a sural flap and 2 marginal minimal graft loss. Functional outcome was good in 12 patients (80%), excellent in 1 patient (6.7%) and fair in 2 patients (13.3%). 13 patients (86.7%) were satisfied with the cosmetic results.</p><p><strong>Conclusion: </strong>Local fasciocutenous island flaps are reliable and simple solutions for covering small to moderate soft tissue defects overlying the Achilles Tendon, with acceptable functional and cosmetic outcomes.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"12 1","pages":"20-28"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c6/62/wjps-12-20.PMC10200086.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9871016","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 the Range of Motion Following Early Versus Late Active Mobilization after Repairing Surgery on Flexor Tendon Injury in the Zone II: A Randomized Clinical Trial. 比较 II 区屈肌肌腱损伤修复手术后早期主动活动与晚期主动活动的活动范围:一项随机临床试验。
IF 0.9
World Journal of Plastic Surgery Pub Date : 2023-01-01 DOI: 10.52547/wjps.12.2.29
Hosseinali Abdolrazaghi, Mohammad Ramin, Hojjat Molaei
{"title":"Comparison the Range of Motion Following Early Versus Late Active Mobilization after Repairing Surgery on Flexor Tendon Injury in the Zone II: A Randomized Clinical Trial.","authors":"Hosseinali Abdolrazaghi, Mohammad Ramin, Hojjat Molaei","doi":"10.52547/wjps.12.2.29","DOIUrl":"10.52547/wjps.12.2.29","url":null,"abstract":"<p><strong>Background: </strong>Early or delayed mobilization of limb after flexor tendon rupture repairing has an effect on postoperative outcomes, however it is not yet clear whether early or late organ mobilization leads to more likelihood of recovery. We aimed to assess the effects of early and late active limb mobilization through rehabilitation after surgery on the range of motion and hand recovery.</p><p><strong>Methods: </strong>This randomized clinical study was performed in Sina Hospital, Tehran, Iran in 2022 on 80 patients with flexor tendon damage in the zone II, who underwent reconstructive surgery of superficial and deep tendons. Patients were randomly (using random number table) divided into two groups that for one group, rehabilitation was done early (starting after three days, n = 53) and for the other group, rehabilitation was done late (starting after three weeks, n = 27). The patients were examined postoperatively and following occupational therapy and the range of motion of their involved joints was calculated.</p><p><strong>Results: </strong>The means PIP extension Lag, PIP active flexion, DIP extension Lag, DIP active flexion and total active motion were all significantly higher in those patients planned for early mobilization as compared to those who considered for late mobilization(<i>P</i>=0.031). Such a significant difference was also revealed adjusting baseline parameters.</p><p><strong>Conclusion: </strong>Compared to the delayed start of hand flexor tendon mobility, the early start of these activities is associated with a much greater improvement in the movement function of this tendon.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"12 2","pages":"29-33"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10732292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138831840","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
Autologous Platelet-Rich Plasma Injection and Platelet-Rich Fibrin Glue Insertion for the Treatment of Extensive Supralevator Anorectal Fistula: A Case Report. 自体富血小板血浆注射加富血小板纤维蛋白胶插入治疗广泛肛直肠上提瘘1例。
IF 0.9
World Journal of Plastic Surgery Pub Date : 2023-01-01 DOI: 10.52547/wjps.12.1.58
Amin Dalili, Daryoush Hamidi Alamdari, Alimohamad Dalili, Maryam Sarkardeh, Alireza Rezapanah, Nooshin Tafazoli
{"title":"Autologous Platelet-Rich Plasma Injection and Platelet-Rich Fibrin Glue Insertion for the Treatment of Extensive Supralevator Anorectal Fistula: A Case Report.","authors":"Amin Dalili,&nbsp;Daryoush Hamidi Alamdari,&nbsp;Alimohamad Dalili,&nbsp;Maryam Sarkardeh,&nbsp;Alireza Rezapanah,&nbsp;Nooshin Tafazoli","doi":"10.52547/wjps.12.1.58","DOIUrl":"https://doi.org/10.52547/wjps.12.1.58","url":null,"abstract":"<p><p>Supralevator fistula stays a challenge in general surgery. We present a case with supralevator anorectal fistula and subsequent retroperitoneal necrotizing fasciitis in which autologous platelet-rich plasma and platelet-rich fibrin glue were used for fistula closure. A 59-year-old man was admitted with pelvic pain and fever. Abdominopelvic sonography and CT scan reported a deep horseshoe-shaped anorectal abscess with extension to the pelvic floor, supralevator, psoas, retroperitoneal muscles, and kidneys. He was managed with antibiotics, abscess drainage, repeated radical surgical debridement, and necrosectomy. After 30 days, he was discharged, but he returned to the office with the complaint of purulent discharge from the hypogastric region and a diagnosis of fistula formation. Platelet-rich plasma was injected around the fistula into the tissue, and platelet-rich fibrin glue was introduced to the fistula tract. At the 11-month follow-up, the patient did not have voiding dysfunction, constipation, diarrhea, or fistula tract infection. Autologous platelet-rich plasma injection and platelet-rich fibrin glue insertion suggest a secure and effective approach for treating supralevator anorectal fistula.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"12 1","pages":"58-62"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e2/4d/wjps-12-58.PMC10200087.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9517995","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
Assessment of Maxillary Sinus Variations Post-LeFort: A Systematic Review. 评估下颌窦的变化:系统回顾
IF 0.9
World Journal of Plastic Surgery Pub Date : 2023-01-01 DOI: 10.61186/wjps.12.3.3
Majid Eshghpour, Touraj Vaezi, Sahand Samieirad, Ali Manafi, Alireza Ebrahimpour, Abdolrahim Shams
{"title":"Assessment of Maxillary Sinus Variations Post-LeFort: A Systematic Review.","authors":"Majid Eshghpour, Touraj Vaezi, Sahand Samieirad, Ali Manafi, Alireza Ebrahimpour, Abdolrahim Shams","doi":"10.61186/wjps.12.3.3","DOIUrl":"10.61186/wjps.12.3.3","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this article was to systematically review maxillary sinus changes after LeFort. We examined and analyzed the anatomical abnormalities that occurred following LeFort I osteotomy, as well as the abnormalities of maxillary sinus volume (MSV) before and after the operation.</p><p><strong>Methods: </strong>A systematic search was conducted on various databases, such as Google Scholar, PubMed, and Scopus. The articles used were in English and original. This study was conducted until September 2023, and after reviewing the articles, several keywords, such as \"Maxillary sinus\" and \"LeFort I osteotomy\", were employed. The obtained data were evaluated based on the PICO framework.</p><p><strong>Results: </strong>Findings from 15 studies showed that the amount of MSV decreased before and after the operation (considering the three dimensions of the sinus, the measurement was performed linearly). These reduction values differed between men and women, with men having a greater reduction. As is the case with other operations, there were some side effects associated with this type of operation that some patients experienced postoperatively.</p><p><strong>Conclusion: </strong>In both male and female patients, the MSV was reduced after one-piece and multi-segment osteotomies. Nonetheless, one-piece LeFort I osteotomy showed a higher reduction in MSV than the multi-segment osteotomy method, according to this systematic review and meta-analysis.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"12 3","pages":"3-10"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10788108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139472653","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
The Clinical Efficacy of Fat Injection on the Repair of Hand Flexor Tendon: A Randomized Clinical Trial. 脂肪注射对修复手部屈肌腱的临床疗效:随机临床试验
IF 0.9
World Journal of Plastic Surgery Pub Date : 2023-01-01 DOI: 10.52547/wjps.12.2.41
Siamak Farokh Forghani, Hojjat Haghighimanesh, Tayyeb Ghadimi, Hossein Akbari, Hamidreza Farahmand, Soheila Naderi Gharahgheshlagh, Seyed Ehsan Mousavi-Lajimi
{"title":"The Clinical Efficacy of Fat Injection on the Repair of Hand Flexor Tendon: A Randomized Clinical Trial.","authors":"Siamak Farokh Forghani, Hojjat Haghighimanesh, Tayyeb Ghadimi, Hossein Akbari, Hamidreza Farahmand, Soheila Naderi Gharahgheshlagh, Seyed Ehsan Mousavi-Lajimi","doi":"10.52547/wjps.12.2.41","DOIUrl":"10.52547/wjps.12.2.41","url":null,"abstract":"<p><strong>Background: </strong>In recent years, special attention has been paid to minimally invasive and conservative methods in addition to conventional surgical methods to repair tendon damage. In this regard, the effect of fat injection and graft has been of great interest due to its potential in accelerating tissue repair. We aimed to assess the clinical efficacy of fat injection along with conventional approach in patients with flexor tendon injury.</p><p><strong>Methods: </strong>In this randomized clinical trial, 64 patients were randomly scheduled for tendon repair using the usual modified Kessler four-strand method alone or tendon repair using four-strand method and fat injection on the proximal and distal sides of the repair site in the Hazrat Fatemeh Hospital, Tehran Province, Iran in 2022 (IRCT20221206056723N1). Patients were followed-up for eight weeks regarding the function status of the repaired tendon (using Strickland grading test), range of motion (by physical examination) and flexion and extension gaps (by imaging).</p><p><strong>Results: </strong>In the eighth weeks after the treatment, the average Strickland score was significantly higher in the group receiving fat injection (P: 0.009 ). In the two pointed times, the mean range of motion was significantly higher and the mean flexion and extension gaps were significantly lower in those who received fat injection. None of the procedural side effects were observed in the fifth and eighth weeks after the treatment.</p><p><strong>Conclusion: </strong>Fat injection along with usual surgical treatment for tendon repair accelerates and improves tendon function and range of motion.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"12 2","pages":"41-46"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10732290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138831846","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
Pharmacological and Non-Pharmacological Methods of Postoperative Pain Control Following Oral and Maxillofacial Surgery: A Systematic Review. 口腔颌面外科术后疼痛控制的药物和非药物方法:系统综述。
IF 0.9
World Journal of Plastic Surgery Pub Date : 2023-01-01 DOI: 10.52547/wjps.12.2.3
Amin Rahpeyma, Majid Eshghpour, Tooraj Vaezi, Shams Abdolrahim, Amir Manafi, Navid Manafi
{"title":"Pharmacological and Non-Pharmacological Methods of Postoperative Pain Control Following Oral and Maxillofacial Surgery: A Systematic Review.","authors":"Amin Rahpeyma, Majid Eshghpour, Tooraj Vaezi, Shams Abdolrahim, Amir Manafi, Navid Manafi","doi":"10.52547/wjps.12.2.3","DOIUrl":"10.52547/wjps.12.2.3","url":null,"abstract":"<p><strong>Background: </strong>We aimed to investigate the pharmacological and non-pharmacological interventions used for mitigating pain.</p><p><strong>Methods: </strong>We integrated randomized controlled trials (RCTs) chosen from PubMed, Google scholar, and Scopus and aimed at assessing the effectiveness of one or multiple variants of Non-steroidal anti-inflammatory drugs (NSAIDs), as well as Narcotic analgesics, compared to corticosteroids, curcumin, hyaluronic acid, and antibiotics. In addition, trials utilizing NSAIDs, including Rofecoxib, which have been withdrawn from market circulation, were deemed ineligible for inclusion.</p><p><strong>Result: </strong>A total of 9 RCTs were evaluated in this study, and the patients' postoperative pain was assessed using the visual analog scale (VAS) and the time measurement. Moreover, there were various approaches to alleviating pain and discomfort.</p><p><strong>Conclusion: </strong>The administration of ibuprofen prior to surgery leads to a marked reduction in pain. Pharmacological interventions, such as the administration of dexamethasone and oxycodone, alongside non-pharmacological interventions, such as laser therapy, have been shown to effectively alleviate the discomfort resulting from surgical procedures on the jaw and face.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"12 2","pages":"3-10"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10732294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138831844","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
Prevalence of Bifid Mandibular Canal: A Systematic Review and Meta-analysis. 下颌双叉管的患病率:系统回顾与元分析》。
IF 0.9
World Journal of Plastic Surgery Pub Date : 2023-01-01 DOI: 10.52547/wjps.12.2.11
Sahand Samieirad, Mehdi Aryana, Ali Mazandarani, Iman Misagh Toupkanloo, Milad Eidi, Vahid Moqarabzadeh, Alireza Ebrahimpour, Touraj Vaezi
{"title":"Prevalence of Bifid Mandibular Canal: A Systematic Review and Meta-analysis.","authors":"Sahand Samieirad, Mehdi Aryana, Ali Mazandarani, Iman Misagh Toupkanloo, Milad Eidi, Vahid Moqarabzadeh, Alireza Ebrahimpour, Touraj Vaezi","doi":"10.52547/wjps.12.2.11","DOIUrl":"10.52547/wjps.12.2.11","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to evaluate the prevalence of bifid mandibular canal (BMC) using cone-beam computed tomography (CBCT) and panoramic images through meta-analysis.</p><p><strong>Methods: </strong>Databases of Scopus, PubMed, and Web of Science were searched to find the relevant studies. Studies the met the inclusion criteria were selected. Variables of prevalence, side, length and diameter of BMC and sex were assessed. Data was analyzed using STATA software version 17.</p><p><strong>Results: </strong>Of the 1164 articles initially selected, 36 were enrolled. A total of 38077 patients were considered. The overall prevalence of BMC was 18.0%. Studies that evaluated CBCT images reported higher prevalence of BMC compared to panoramic images (25.0% vs 3.0%). The prevalence of BMC was higher in men than women and slightly higher in right side than the left side of the jaw, but none of those differences were significant.</p><p><strong>Conclusion: </strong>The results have shown a total prevalence of 18.0% for BMC. Detection power of CBCT images were higher than panoramics. There was no significant relation between prevalence of BMC with sex or side of the jaw.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"12 2","pages":"11-19"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10732287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138831845","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 Craniosynostosis Surgery Outcomes Using Resorbable Plates and Screws versus Absorbable Sutures in Children with Craniosynostosis. 可吸收钢板螺钉与可吸收缝线治疗儿童颅缝闭手术疗效比较。
IF 0.9
World Journal of Plastic Surgery Pub Date : 2023-01-01 DOI: 10.52547/wjps.12.1.37
Maryam Nobakht, Seyed Esmail Hasanpour
{"title":"Comparison of Craniosynostosis Surgery Outcomes Using Resorbable Plates and Screws versus Absorbable Sutures in Children with Craniosynostosis.","authors":"Maryam Nobakht,&nbsp;Seyed Esmail Hasanpour","doi":"10.52547/wjps.12.1.37","DOIUrl":"https://doi.org/10.52547/wjps.12.1.37","url":null,"abstract":"<p><strong>Background: </strong>Previously, absorbable screw and plate systems were widely used in craniosynostosis surgery in Iran, but now, due to the establishment of economic sanctions, the importation of these tools into the country has become difficult. In this study, we compared the short-term complications of cranioplasty surgery in craniosynostosis using absorbable plate screws with absorbable sutures.</p><p><strong>Methods: </strong>In this cross-sectional study, 47 patients with a history of craniosynostosis who underwent cranioplasty at Tehran Mofid Hospital, Tehran, Iran from 2018 to 2021 were divided into two groups. For first group (31 patients) we used absorbable plate and screws, and for the second group (16 patients) absorbable sutures (PDS). All operations in both groups were performed by the identical surgical team. Patients followed up for consecutive post-operative examinations in the first and second weeks and 1, 3, and 6 months. Data were analyzed using SPSS software version 25.</p><p><strong>Results: </strong>The results did not show any short-term or medium-term complications in either group. No recurrences were observed. In Whittaker classification, 63.8% were Class I, 29.8% were Class II, 6.4% were Class III, and 0% were Class IV. There was no statistically significant relationship between the type of treatment (screw and plate or absorbable suture) and higher Whitaker. There was also no statistically significant relationship between type of craniosynostosis and higher Whittaker.</p><p><strong>Conclusion: </strong>The absorbable sutures can be considered as valuable and cost-effective tools in the fixation of bone fragments in craniosynostosis surgeries by surgeons.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"12 1","pages":"37-42"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3b/f1/wjps-12-37.PMC10200089.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9887506","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
Assessment of the Educational Environment of Plastic Surgery Training Programs in Iran using the PHEEM Questionnaire: A Cross-sectional Study. 使用 PHEEM 问卷评估伊朗整形外科培训项目的教育环境:横断面研究
IF 0.9
World Journal of Plastic Surgery Pub Date : 2023-01-01 DOI: 10.52547/wjps.12.2.101
Zohreh Khoshgoftar, Soraya Shahrokh Shahraki, Shirin Araghi, Samaneh Tahmasebi Ghorabi, Golnaz Mahmoudvand, Arian Karimi Rouzbahani
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