The Internet Journal of Plastic Surgery最新文献_第4页

Digital Lipoma – A Rare Resentation Of A Common Tumour 数字脂肪瘤-一种常见肿瘤的罕见表现

The Internet Journal of Plastic Surgery Pub Date : 2008-12-31 DOI: 10.5580/2861

Sajad Ahmad Salati, A. Rather

引用次数: 2

Recurrent Cleft Of Ear Lobe In The Siblings Of The Same Family 同一家庭的兄弟姐妹复发性耳垂裂

The Internet Journal of Plastic Surgery Pub Date : 2008-12-31 DOI: 10.5580/1ff3

S. Uppal, Ramneesh Garg

引用次数: 0

Giant Haemangiomas Of The Scalp And Face 头皮和面部的巨大血管瘤

The Internet Journal of Plastic Surgery Pub Date : 2008-12-31 DOI: 10.5580/107c

A. Rahoma

引用次数: 0

Incidental Malignant Melanoma: Clinical And Pathological Characteristics 偶发性恶性黑色素瘤:临床和病理特征

The Internet Journal of Plastic Surgery Pub Date : 2008-12-31 DOI: 10.5580/609

A. Bogdanov-Berezovsky, L. Rosenberg, E. Cagnano, Y. Krieger, J. Wheeler, E. Silberstein

{"title":"Incidental Malignant Melanoma: Clinical And Pathological Characteristics","authors":"A. Bogdanov-Berezovsky, L. Rosenberg, E. Cagnano, Y. Krieger, J. Wheeler, E. Silberstein","doi":"10.5580/609","DOIUrl":"https://doi.org/10.5580/609","url":null,"abstract":"Background. The incidence of cutaneous malignant melanoma (CMM) is rising worldwide and so is its morbidity and mortality. We define the term incidental malignant melanoma (IMM) to describe a lesion referred to surgical treatment with clinical diagnosis other than melanoma or dysplastic nevus.Objectives. The goal of this study is to assess incidence and characteristics of incidental melanomas, to explore the reasons for such a diagnosis failure and possible ways of preventing it. Methods. This is a retrospective study of 173 skin lesions diagnosed as CMM in 1996-2004. 28 lesions were IMM (16.2%).Results. IMMs were strongly associated with high Breslow and Clark level and community clinic versus hospital setting as the primary diagnosing site.Conclusions. We found a high percent of IMM in our patient population. This group of high-risk patients is prone to delayed definitive treatment and possible worse prognosis.In view of acute increase in CMM incidence a higher suspicion attitude of not only pigmented skin lesions should be implemented especially in community services. INTRODUCTION The incidence of cutaneous malignant melanoma (CMM) is rising worldwide and so is the morbidity and mortality. CMM constitutes approximately 11% of all skin cancers [1] but it is associated with a significantly higher mortality than non-melanoma skin cancer [2, 3]. Early detection of this tumor is crucial for proper and opportune treatment of patients. An early, timely treatment of CMM reduces morbidity and mortality significantly. There are two main reasons for delays in treatment of CMM: Delayed diagnosis: Lag time between appearance of new or changing lesion and first observation by physician (patient delay) Delayed treatment: Timing of final excision of the lesion after the doctor's initial diagnosis (physician delay) [4]. Both factors should be dealt with especially in view of long waiting time at public health services in which defined clinical pre-operative diagnosis dictates surgery schedule. We define the term “Incidental Malignant Melanoma” (IMM) to describe the case of initially misdiagnosed unsuspected CMM lesion that was further diagnosed histopathologically as melanoma. The goal of this study is to assess incidence and characteristics of incidental melanomas, to explore the reasons for such a diagnostic failure and possible ways of preventing it. PATIENTS AND METHODS This is a retrospective study of 173 histologically diagnosed CMM removed from 168 consecutive patients diagnosed as CMM between the years 1996-2004. All CMM were excised by consultant and residents plastic surgeons in the Department of Plastic Reconstructive Surgery at Soroka University Medical Center and Community Clinics in Beer Sheva and Negev Region, Israel. These cases were divided into two main groups: 1.Skin lesions clinically suspicious for CMM (Suspicious malignant melanoma – SMM), including dysplastic nevi; 2.Incidental Malignant Melanomas (IMM), misdiagnosed cases with improper ","PeriodicalId":284795,"journal":{"name":"The Internet Journal of Plastic Surgery","volume":"54 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":"114558042","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}

引用次数: 1

Radial Artery Pedicle Flap To Cover Exposed Mesh After Abdominal Wound Dehiscence-An Easy Solution To A Difficult Problem 桡动脉带蒂皮瓣覆盖腹部创面裂开后暴露网——一个解决难题的简单方法

The Internet Journal of Plastic Surgery Pub Date : 2008-12-31 DOI: 10.5580/2363

S. Tripathy, Neeraj Nathani, A. H. Khan, M. M. Ansari, Surabhi Sharma, Ranjit Kumar

引用次数: 1

Stitch granuloma of the penis: A very rare complication after male circumcision 阴茎针状肉芽肿:男性包皮环切术后非常罕见的并发症

The Internet Journal of Plastic Surgery Pub Date : 2008-12-31 DOI: 10.5580/227d

Nadeem-ul-Nazeer, M. Mohsin

引用次数: 1

Mucosal reduction for correction of congenital maxillary double lip. 先天性上颌双唇部粘膜复位矫治术。

The Internet Journal of Plastic Surgery Pub Date : 2008-12-31 DOI: 10.5580/1bbd

C. Amine, Oufkir Aya, R. Mohamed, O. abdelatif, E. Nouredine

{"title":"Mucosal reduction for correction of congenital maxillary double lip.","authors":"C. Amine, Oufkir Aya, R. Mohamed, O. abdelatif, E. Nouredine","doi":"10.5580/1bbd","DOIUrl":"https://doi.org/10.5580/1bbd","url":null,"abstract":"Congenital double lip is rare and usually involves the upper lip. A part from a deformity that interferes with speech and mastication, operation may be indicated for cosmetic reasons. We report a case of 12 years old patient with double lip deformities who was operated in our department for cosmetic reasons. We used an elliptical excision of the mucosal excess. Satisfactory aesthetic results were achieved. INTRODUCTION Congenital double lip is rare and generally involves the upper lip (1). A double vermilion with a transverse furrow between the two borders appears when the orbicularis oris muscle contracts during a smile. The incidence of this anomaly is not known and it may be either isolated or in association with other congenital abnormalities. (2) Treatment is by excision of the excess mucosa and submucosal tissue. We present a case of congenital double lip with literature review. CASE REPORT A 13-year-old boy was evaluated for excess maxillary labial mucosa with the resulting appearance of a maxillary double lip (Fig. 1). The deformities had been present since birth and became more prominent as he grew. No other congenital deformities were noted. The appearance of the lip was due to folding of the mucosa as the lip was retracted when smiling (Fig. 2). The excess labial mucosa was localized to either side of the midline (Fig. 3), forming a sessile, hypertrophied mass that extended mediolaterally the distance between the midpoints of the maxillary lateral incisors. We operated under general anaesthesia. The excess buccal mucosa was excised by two elliptical excisions, one on each half of the lip, and combined with a central Z-plasty to release the constricting band (Fig. 4). Closure was by running 4/0 polyglactin 910 (Vycril) suture (Fig. 5). Postoperative recovery was uneventful apart from swelling that resolved in about 10 days. He was happy with the cosmetic results. After two years there were no signs of relapse or late complications. Figure 1 Fig.1: The upper lip when the mouth is open; note the short central constriction and mucosal bulging on both sides Mucosal reduction for correction of congenital maxillary double lip. 2 of 4 Figure 2 Fig.2: Double lip deformity when the patient smiles Figure 3 Fig.3: The excess labial mucosa was localized to either side of the midline Figure 4 Fig.4: Diagram of the Z-plasty with two elliptical excisions Figure 5 Fig.5: Appearance of the lip at the end of operation DISCUSSION Double lip (DL) may be either a congenital abnormality or an acquired deformity. The congenital form usually involves the upper lip, but it may also affect the lower lip. (3, 4) It usually occurs as a redundant fold of tissue on the mucosal part of the lip. During the development of the mucosa, the upper lip consists of two transverse zones viz, an outer zone, which is smooth and similar to the skin called the pars glabrosa and the inner zone, which is villous and similar to the oral mucosa, termed as the pars villosa (5).The DL ","PeriodicalId":284795,"journal":{"name":"The Internet Journal of Plastic Surgery","volume":"114 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":"121128930","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}

引用次数: 0

Sliding Perforator Island Flap For Covering A Big Lumbosacral Defect 滑动穿支岛状皮瓣覆盖腰骶部大缺损

The Internet Journal of Plastic Surgery Pub Date : 2008-12-31 DOI: 10.5580/d03

R. Hussein, Syed Anis

{"title":"Sliding Perforator Island Flap For Covering A Big Lumbosacral Defect","authors":"R. Hussein, Syed Anis","doi":"10.5580/d03","DOIUrl":"https://doi.org/10.5580/d03","url":null,"abstract":"The use of perforator island flaps to cover big skin defects is described by many authors. Flex C.Behan 1 described this flap in many publications and showed many cases of hands, face,leg, upper back and other areas. (1,2,3,4,5,7) Closure of big defects is commonly done by skin grafting or distant flap transfer which often gives bulky masses. Use of transposed local flaps is an excellent idea which can employ different shapes like V-Y and other forms. (1) CASE REPORT 36 years old Malay man who has a recurrent dermatofibrosarcoma protuberans on the back at the level of the lumbo-sacral region was subjected on 10th of July 2008 for excision of the lesion with a safety margin of 2 – 3 cm, as shown in fig (1) and (2) The defect measured 12 cm X 10 cm and was rhomboid shaped. The general surgeon asked to wait until histopathologist gave us the needed informations about the safety margin excised. When he confirmed that the margins are free of any neoplastic cells we proceeded to cover the defect. Figure 1 Figure 1: Defect after tumor excision of the tumor (dermatofibrosarcoma protuberans) Figure 2 Figure 2 The author designed and mapped the defect and surrounding possible skin flaps. He put the design as shown in figure (3 7) either to make (right thoraco-lumbar and left gluteal) or (left thoracolumbar and right gluteal) island flaps. TECHNIQUE Incisions were done around the marked areas in Fig (4 and 7) and release of the fasciocutaneous flaps from the surrounding skin and mobilizing these flaps to meet at the center (Fig 5). Mild dissection of proximal ends of these flaps was done to become more mobile. Incision of the deep fascia was also done on both flaps with securing the bleeding vessels. Sliding Perforator Island Flap For Covering A Big Lumbosacral Defect 2 of 6 When the flaps became mobile enough, and met easily to fill the defect, the author started to undermine the upper and lower edges of the wound. When the author became comfortable with the all flaps, he started to close the wound in layers with a suction drain below the flap Fig (8 and 9). The medial edges of the flaps are sutured to each other and fixed to the underlying tissue over the spine to close any possible dead space. Figure 3 Figure 3: The defect Figure 4 Figure 4: Mapping Figure 5 Figure 5: Flap dissection Figure 6 Figure 6: Closure complete Sliding Perforator Island Flap For Covering A Big Lumbosacral Defect 3 of 6 Figure 7 Figure 7: Defect and mapping POST OPERATIVE Elastoplast was used with the dressing to cover the wound. Intermittent suction in the 1st 24 hours was done. One session of hyperbaric oxygen was given on the second postoperative day. Suction vacuum was used until the 8th day, with Cibrofloxacillin injection for one week. Limitation of movement after surgery was requested and prone position or later position was allowed. No sleeping on the back was permitted. RESULTS Flaps are nicely healed and closure of the wound was complete Figure 8 Figure 8: One week after","PeriodicalId":284795,"journal":{"name":"The Internet Journal of Plastic Surgery","volume":"26 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":"133751058","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}

引用次数: 1

Radiofrequency Energy for Denervation of Selected Facial Muscles: Clinical Experiences at Six Months 射频能量用于选定面部肌肉的去神经支配:六个月的临床经验

The Internet Journal of Plastic Surgery Pub Date : 2008-12-31 DOI: 10.5580/13be

J. Newman

引用次数: 2

Bilateral labia-minora skin flaps in vaginoplasty for partial vaginal agenesis: A new technique 双侧小阴唇皮瓣在阴道成形术治疗部分阴道发育不全中的应用

The Internet Journal of Plastic Surgery Pub Date : 2008-12-31 DOI: 10.5580/222f

R. B. Singh, S. Nanda, S. Dalal, A. Jain

引用次数: 0