The Internet Journal of Plastic Surgery最新文献

{"title":"A Simple Look-Up On Soft Tissue Osteoma: Report Of A Case.","authors":"Oguz Kayiran, C. I. Bektas, A. Uysal, Uğur Koçer","doi":"10.5580/1662","DOIUrl":"https://doi.org/10.5580/1662","url":null,"abstract":"Soft tissue tumors of the body represent wide variety. Osteoma is a benign, slow-growing osteogenic tumor that is primarily located in the maxillofacial region. However, soft tissue osteoma or osteoma cutis or extraskeletal osteoma is observed extremely rare. Here, we report a soft-tissue osteoma located on the dorsum of the body that had started and grown silently. The main complaint was the mass. Excisional biopsy was successfully carried out. After all, the pathological analysis consisted of osteoma within the cutis.","PeriodicalId":284795,"journal":{"name":"The Internet Journal of Plastic Surgery","volume":"2018 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131957507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Injectable Poly-L-Lactic Acid (PLLA): Practical Approaches to Optimize Outcomes","authors":"U. Bauer","doi":"10.5580/955","DOIUrl":"https://doi.org/10.5580/955","url":null,"abstract":"The use of injectable devices for soft-tissue augmentation has been associated with the occurrence of adverse events. The present case report discusses the successful treatment and resolution of painful nodules that were histologically shown to be foreign body granulomas in a patient who had previously received injectable poly-L-lactic acid for the correction of nasolabial folds, the neck, and zygomatic area. Incorrect injection placement and method may have led to the formation of granulomatous nodules. Properly trained professionals can minimize or avoid the occurrence of many of these types of adverse events for their patients by employing proper reconstitution and injection techniques and injecting appropriate/indicated areas. If granulomas do occur, full resolution may be expected following a course of triamcinolone injections.","PeriodicalId":284795,"journal":{"name":"The Internet Journal of Plastic Surgery","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122197160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and pathologic features of Spitz nevus: the experience of 79 cases.","authors":"A. Bogdanov-Berezovsky, L. Rosenberg, E. Cagnano, Orna Amrani, E. Silberstein","doi":"10.5580/1c02","DOIUrl":"https://doi.org/10.5580/1c02","url":null,"abstract":"Background. Spitz Nevus still represents a challenge for dermato-pathologists in distinguishing it from malignant melanoma, particularly in adults. Spitz Nevus misdiagnosis may lead to serious consequences including malpractice claims.Objectives. The goal of the study is review of clinico-pathological characteristics of Spitz Nevi.Methods. In present study we reviewed a series of 79 consecutive patients with histologically proved Spitz Nevi between the years 1996-2004. The histological reports were evaluated for parameters associated with the lesion’s diameter, location, subtype, operating setting (community clinics vs. hospital) and correlation with possible future appearance of malignant melanocytic lesions.Results. Spitz nevus prevalence among removed nevi in 8-year period is 0.6%.In our series 68.4% of patients were younger than 20 years old, equally distributed according to gender. Spitz nevi were predominantly excised in compound phase in respect to their subtype.Conclusions. We did not revealed any unique clinical features distinguishing Spitz nevus from other melanocytic nevi.","PeriodicalId":284795,"journal":{"name":"The Internet Journal of Plastic Surgery","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123791965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enlarging Congenital Soft-Tissue Mass: Venous Malformation Mimicking Hemangioma Vs Sarcoma.","authors":"David W. Dockray, Aimee C. Smidt, D. Meredith, Anil K Shetty","doi":"10.5580/c73","DOIUrl":"https://doi.org/10.5580/c73","url":null,"abstract":"Background: [L1] Venous Malformations are not uncommon, usually solitary and are often symptomatic.Differential diagnosis includes: infantile hemangioma, other vascular/lymphatic malformation, other vascular tumor, and as this case illustrates, fibrosarcoma or rhabdomyosarcoma. The characteristic physical finding of this vascular birthmark is a soft, blue-purple and easily compressible soft-tissue mass,. Materials and Methods: The presentation described in this case was worrisome because of rapid growth and the possibility of a vascular tumor. After multidisciplinary evaluation and review of the literature, the decision was made to proceed with surgical debulking and obtain a tissue diagnosis.Results: After a combined and coordinated evaluation by plastic surgery and dermatology, as well as ultrasound/MRI evaluation, the patient underwent surgical debulking. [L2] Conclusion: In this case, clinical history was alarming and the physical exam was not diagnostic. Thus imaging studies were employed which aided, but did not make the diagnosis. Due to the sensitive location of this patient’s lesion, as well as the unusual behavior and concerning clinical characteristics, surgical intervention was determined to be the appropriate course of treatment. [L1]This is used incorrectly. Cavernous hemangioma is an old term and is confusing, usually it refers to a deep hemangioma of infancy, not a venous malformation. [L2]I would take this out at this point b/c it confuses the picture.","PeriodicalId":284795,"journal":{"name":"The Internet Journal of Plastic Surgery","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129489635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment Of Complicated Major Trauma Of The Elbow And Forearm By The Musculo-Cutaneous Latissimus Dorsi Flap With A Skeletonized And Denervated Pedicle","authors":"A. Bogdanov-Berezovsky, A. Korengreen, J. Groen, Benjamin Courchia, Y. Shoham, E. Silberstein, Y. Krieger","doi":"10.5580/1df","DOIUrl":"https://doi.org/10.5580/1df","url":null,"abstract":"Major complicated injuries of the upper limb that once led to amputation are now being successfully salvaged. The goals of treatment in such cases are rigid fixation of fractures, reliable stable coverage of important structures, preservation of function and an acceptable cosmetic result. There is no consensus in the literature regarding the treatment strategy of upper limb trauma with damage distal to the olecranon. The latissimus dorsi musulocutaneous flap is often used for upper limb reconstruction for functional elbow restoration following different sorts of injures [1-5].We report two cases of major trauma of the elbow and forearm distal to the olecranon, that have been successfully treated by skeletonized, pedicled, denervated latissimus dorsi musculo-cutaneous flaps.","PeriodicalId":284795,"journal":{"name":"The Internet Journal of Plastic Surgery","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131629382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Congenital constriction rings","authors":"S. Rabah, Sajad Ahmad Salati, Shabeer A. Wani","doi":"10.5580/d17","DOIUrl":"https://doi.org/10.5580/d17","url":null,"abstract":"Constriction band syndrome is set of congenital birth defects caused by entrapment of fetal parts usually a limb or digits in fibrous amniotic bands while in the uterus. It is also known as amniotic band sequence, streeter dysplasia, congenital bands or rings and amniotic adhesions mutilations","PeriodicalId":284795,"journal":{"name":"The Internet Journal of Plastic Surgery","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127099387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bipedicled Dartos Myocutaneous flap for perianal defects – A simple flap with immense potential","authors":"D. Kulendren, Y. Ajam, M. Syed, M. Shibu","doi":"10.5580/16a6","DOIUrl":"https://doi.org/10.5580/16a6","url":null,"abstract":"Perianal defects pose a particular challenge for reconstruction to the Plastic Surgeon. These defects, depending on their size, have been reconstructed using local advancement, rotation and transposition flaps or regional flaps. We describe the use of scrotal myofasciocutaneous (Dartos) flap for reconstruction of a peri-anal defect. The use of this simple yet robust flap for perianal reconstruction is rare. We propose the use of dartos flap as a viable alternative for challenging peri-anal reconstructions.","PeriodicalId":284795,"journal":{"name":"The Internet Journal of Plastic Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116234387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preputial dartos reinforced Snodgrass tubularized incised plate urethroplasties in distal hypospadias","authors":"R. B. Singh, S. Dalal, N. Pavithran","doi":"10.5580/1347","DOIUrl":"https://doi.org/10.5580/1347","url":null,"abstract":"Purpose: The present study was carried out to evaluate the role of preputial dartos soft tissue reinforcement interposition flaps in prevention of persistent urethro-cutaneous fistulas (UCFs) in distal Snodgrass tubularised incised plate urethroplasties (STIPUs). Materials and Methods: During 2005 – 2007, 20 distal hypospadiacs (coronal n= 12, sub coronal n= 8) aged 12-20 years were subjected to STIPUs. After de-epithelialization of both sides of redundant dorsal preputial hoods, the resultant preputial dartos soft tissue flaps were ventralized (similar to Byars, n= 8; Nesbit, n= 8; and, double breasting, n=4) to be interposed between the underlying neo – urethral tubes and the overlying skin covers. Results : All the three modifications of preputial dartos STRIFs functioned highly effectively and only two cases developed micro UCFs both of which healed spontaneously. Conclusion : Prepucial dartos reinforced flaps are ideal for distal hypospadiacs. Micro UCFs developing after routine use of STRIFs, tend to heal spontaneously.","PeriodicalId":284795,"journal":{"name":"The Internet Journal of Plastic Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133308766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Flexor Hallucis Longus Tendon: An Unexpected Location For A Foreign Body","authors":"Oguz Kayiran, Ruser Baris, Uğur Koçer","doi":"10.5580/c4e","DOIUrl":"https://doi.org/10.5580/c4e","url":null,"abstract":"Foreign bodies may cause chronic mild pain during their presence. Since then, it may not be the only symptom, but supplementary signs may be contributed with it such as ambulatuary pain. Here, a case comprised of a foreign body with unknown ethiology is presented. The foreign body was found within the tendon of the great toe. To achieve the proper diagnosis, a flouroscope was used intraoperatively.","PeriodicalId":284795,"journal":{"name":"The Internet Journal of Plastic Surgery","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131823304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Heminasal Aplasia: Clinical Picture, Radiological Findings and Early “Temporary” Reconstruction with a Nasolabial Flap","authors":"T. Abulezz, Essam Abdelbary, A. Sharaf","doi":"10.5580/22b3","DOIUrl":"https://doi.org/10.5580/22b3","url":null,"abstract":"Heminasal aplasia or hemi-arhinia is an extremely rare congenital malformation with the exact mechanism or etiology of its development still unknown. The rarity of this anomaly makes its reconstruction a surgical challenge with a diversity and controversy on the timing and technique of such reconstruction. We report a new case of hemi-arhinia which to the best of our knowledge is the seventieth reported case of congenital defect. The case was a female infant with absence of the lower 2/3 of the right side of the nose. The clinical and the CT scan manifestations of a case of right-sided hemi-arhinia together with the reconstructive plan of it are presented. We recommend early soft-tissue reconstruction using adjacent nasolabial flap without cartilage grafts to provide “temporary” correction of the disfigurement until the definitive reconstruction can be undertaken when the child grows up. This case was presented and operated upon in Plastic Surgery Dep., Faculty of Medicine, Sohag University, Sohag, EGYPT 82524 INTRODUCTION AND REVIEW OF LITERATURES Nasal hypoplasia ranging from underdevelopment or partial absence of parts to complete arhinia is the most frequently seen nasal anomalies [1]. Heminasal aplasia, hemi-arhinia or unilateral aplasia of the nose is a rare congenital malformation in which there is absence of half of the external nose together with a variable degree of abnormality in the internal anatomy of the nose as well as the adjacent facial structures. It imposes a major psychological burden to the parents and may have physiological impact on the child. The nose develops from the mesodermal frontonasal process and the two nasal placodes. The frontonasal process appears in the third to fourth week of gestation together with two bilateral ectodermal thickenings known as nasal placodes that grow caudally. During the fifth week of gestation, a central invagination, called the nasal pit, divides each nasal placode into a medial and a lateral nasal process. The nasal pits extend posteriorly to form the nasal cavity, which is separated from the oral cavity by a thin nasobuccal membrane. The nasobuccal membrane eventually ruptures at week 6 to form the posterior choanae. The epithelium around the forebrain thickens to become specialized olfactory sensory cells. The medial nasal processes from both sides fuse, forming the nasal septum and philtrum while the lateral processes develop into the external wall of the nose, the nasal bones, the upper lateral cartilages, the alae, and the lateral crura of the lower lateral cartilages. The failure of the development of nasal placodes probably lead to the congenital absence of nose [2]. Although the exact mechanism is unknown, several theories for the pathogenesis of arhinia were hypothesized. These theories include 1) failure of the medial and lateral nasal processes to grow, 2) premature fusion of the medial nasal processes, 3) lack of resorption of the nasal epithelial plug, and 4) abnormal migrati","PeriodicalId":284795,"journal":{"name":"The Internet Journal of Plastic Surgery","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131919556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}