Archives of Aesthetic Plastic Surgery最新文献_第8页

Reconstruction of a large nasal defect using a folded forehead flap: a case report 额部折叠皮瓣修复大面积鼻部缺损1例

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Archives of Aesthetic Plastic Surgery Pub Date : 2022-01-31 DOI: 10.14730/aaps.2021.00311

Mi-Rae Jeong, Dongkeun Jun, Jeenam Kim, H. Choi, D. Shin, J. Cho, Young-Hyuk Lim, Myungchul Lee

引用次数: 1

The impact of Allergan implant-related issues on patients with breast implants for reconstruction Allergan植入物相关问题对乳房植入物重建患者的影响

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Archives of Aesthetic Plastic Surgery Pub Date : 2021-10-30 DOI: 10.14730/aaps.2021.00122

Ji Min Kim, W. Song, Hyun Gyo Jeong, S. Kang

{"title":"The impact of Allergan implant-related issues on patients with breast implants for reconstruction","authors":"Ji Min Kim, W. Song, Hyun Gyo Jeong, S. Kang","doi":"10.14730/aaps.2021.00122","DOIUrl":"https://doi.org/10.14730/aaps.2021.00122","url":null,"abstract":"Background In August 2019, the Ministry of Food and Drug Safety and the Korean Society of Plastic and Reconstructive Surgeons confirmed the first case report of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) in Korea and provided recommendations. This study was conducted to evaluate the impact of the first case report of BIA-ALCL on patients and whether the impact could be mitigated through expert recommendations.Methods A retrospective chart review was performed of patients who underwent implant-based breast reconstruction using Biocell textured breast implants at Soonchunhyang University Hospital. After the first case report of BIA-ALCL and informing the patients via text messages, the pattern of outpatient visits and the proportion and indications of outpatient office visitors who received reoperations were analyzed.Results After the first BIA-ALCL case report in Korea, 12 patients underwent reoperations due to other complications identified incidentally, while only three patients underwent prophylactic surgery. Among the patients who underwent reoperation after the Allergan issues, 76.7% received implant exchange. There was no significant difference in the proportion of reoperation types before and after the Allergan issues and the transmission of text messages (P=0.700).Conclusions Despite the major issues, outpatients were managed successfully according to our recommendations. The study found a low rate of regular outpatient visits; however, our efforts increased this rate. Therefore, methods for appropriate information delivery are needed for outpatient visits, as well as a system for regular monitoring. As experts, plastic surgeons should provide responsible leadership in this situation to relieve patients’ concerns.","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46884396","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

Umbilical trocar port site keloid management using a transposition flap after laparoscopic surgery 腹腔镜手术后应用转位皮瓣处理脐套管口瘢痕疙瘩

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Archives of Aesthetic Plastic Surgery Pub Date : 2021-10-30 DOI: 10.14730/aaps.2021.00101

Hyo Jeong Kwon, Jung Hyeou Kim, Chae Rim Lee, Jangyoun Choi, S. Moon, Y. Jun, D. Oh

{"title":"Umbilical trocar port site keloid management using a transposition flap after laparoscopic surgery","authors":"Hyo Jeong Kwon, Jung Hyeou Kim, Chae Rim Lee, Jangyoun Choi, S. Moon, Y. Jun, D. Oh","doi":"10.14730/aaps.2021.00101","DOIUrl":"https://doi.org/10.14730/aaps.2021.00101","url":null,"abstract":"Background Keloids can occur anywhere in the human body. They are difficult to remove and can cause distress in patients. Although many options are available to treat keloids, no single method is considered the optimal treatment of choice. The authors encountered cases where an umbilical keloid developed at the trocar site after laparoscopic surgery and managed the keloid using a transposition flap.Methods A total of 10 umbilical keloid patients treated from 2013 to 2020 were included in this study. All patients developed a keloid due to the placement of a laparoscopic trocar incision port, and their major complaints varied from an asymptomatic nodule to pruritus or pain. All excisions were performed under local anesthesia, and transposition flaps were planned afterward. The surrounding tissue was rearranged so that the shape of the umbilicus was deformed to the minimum extent possible. The keloid scars were examined both preoperatively and 6 months postoperatively using the Patient and Observer Scar Assessment Scale (POSAS).Results All surgical wounds healed well without complications. The average time interval from laparoscopic surgery to keloid scar revision was 4.3 years. The mean postoperative follow-up period was 10.9 months, and no patient underwent reoperation. Four patients were treated with triamcinolone after surgery due to mild hypertrophy or pruritus. The POSAS observer scale showed significantly decreasing scores over time in all patients (P=0.002).Conclusions Cosmetically unfavorable keloids that form in the umbilicus following laparoscopic surgery can be improved with a simple procedure using excision and transposition flaps.","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44961739","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

Remote migration of breast filler to the inguinal area: a case report 乳房填充物向腹股沟区转移1例报告

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Archives of Aesthetic Plastic Surgery Pub Date : 2021-10-30 DOI: 10.14730/aaps.2021.00206

Jangyoun Choi, Ye Sol Kim, D. Oh

引用次数: 2

Breast implant-associated anaplastic large cell lymphoma: a case report with a history of spontaneously resolved late seroma 乳房植入物相关间变性大细胞淋巴瘤：一例有晚期血清瘤自发消退史的病例报告

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Archives of Aesthetic Plastic Surgery Pub Date : 2021-10-30 DOI: 10.14730/aaps.2021.00136

Do Yeon Kim, Joon Hur, W. Han, Kyunghyun Min, Jong Won Lee, J. Eom, H. Han, E. Kim

{"title":"Breast implant-associated anaplastic large cell lymphoma: a case report with a history of spontaneously resolved late seroma","authors":"Do Yeon Kim, Joon Hur, W. Han, Kyunghyun Min, Jong Won Lee, J. Eom, H. Han, E. Kim","doi":"10.14730/aaps.2021.00136","DOIUrl":"https://doi.org/10.14730/aaps.2021.00136","url":null,"abstract":"We report a case of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), which had a history of spontaneous resorption of late seroma before diagnosis. A 47-year-old woman with a history of augmentation mammoplasty with round textured implants in January 2013 presented with a swelling on her right breast 6 years later, which was diagnosed as late seroma with suspected intracapsular rupture using ultrasonography (USG). Although aspiration was not done at the time of the initial USG, the seroma resolved spontaneously within weeks. A further workup proceeded with USG-guided aspiration followed by magnetic resonance imaging. Cytology of the aspirated fluid showed atypical cells. Cell block cytology and immunohistochemical staining confirmed the diagnosis of BIA-ALCL. En bloc resection with total capsulectomy and explantation was performed as curative surgery. Pathologic stage pT2N0M0 was confirmed and the patient was followed up without further treatment. Although the classic presentation of BIA-ALCL is known as late persistent seroma, an atypical manifestation such as spontaneous resorption may occur, as in the current case. A high level of suspicion and a thorough investigation with appropriate modalities will make it possible to detect this rare and potentially devastating disease.","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47672963","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

A comparative discussion of incisional methods in total capsulectomy of the breast 乳腺全囊切除术切口方法的比较探讨

IF 0.3

Archives of Aesthetic Plastic Surgery Pub Date : 2021-10-30 DOI: 10.14730/aaps.aaps.2020.00087

T. Kim, S. Yoon, S. Wee, Hyok Sue Oh, Hyun Gyo Jeong

{"title":"A comparative discussion of incisional methods in total capsulectomy of the breast","authors":"T. Kim, S. Yoon, S. Wee, Hyok Sue Oh, Hyun Gyo Jeong","doi":"10.14730/aaps.aaps.2020.00087","DOIUrl":"https://doi.org/10.14730/aaps.aaps.2020.00087","url":null,"abstract":"Background Capsular contracture is a frequent complication of breast augmentation that constitutes one of the most common reasons for secondary operations. Capsular contracture is treated surgically, often with total capsulectomy. Therefore, in this study, we aimed to study correlations among intraoperative observations, physical examination findings, and characteristics of the previous operation in patients with capsular contracture who underwent total capsulectomy.Methods A retrospective chart review was conducted for patients treated from May 2017 to April 2019, analyzing 24 breasts in 12 female patients. The patients were classified in terms of the Baker grade, incision type, implant type, and implant plane. During the operation, we evaluated the ease of dissection based on intraoperative features such as anterior and posterior wall dissection, bleeding tendency, and scar length. Statistical analysis was performed to identify association between variablesResults The implant was changed in eight patients, while only explantation was performed in the remaining four patients. The ease of capsule dissection had a proportional correlation with the Baker grade (P=0.005). Intraoperative dissection was significantly easier in the inframammary fold (IMF) group than in the periareolar group (P=0.035).Conclusions An IMF incision is preferable for planning en bloc capsulectomy. However, for aesthetic concerns, a periareolar incision would be preferable. In addition, a lower Baker grade (grade I or II) was associated with easier dissection. Therefore, surgeons should choose the incision type depending on the necessity of performing en bloc capsulectomy, Baker grade, and scar length.","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41598801","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

The reverse lip design: a design for safe and effective abdominoplasty 反向唇部设计：一种安全有效的腹部整形术设计

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Archives of Aesthetic Plastic Surgery Pub Date : 2021-10-30 DOI: 10.14730/aaps.2021.00171

J. Go, Ryuck Seong Kim, J. J. Ock, B. Jeong, S. Bae

{"title":"The reverse lip design: a design for safe and effective abdominoplasty","authors":"J. Go, Ryuck Seong Kim, J. J. Ock, B. Jeong, S. Bae","doi":"10.14730/aaps.2021.00171","DOIUrl":"https://doi.org/10.14730/aaps.2021.00171","url":null,"abstract":"Conventional abdominoplasty includes the removal of an ellipse-shaped section of abdominal tissue between the umbilicus and mons pubis. However, this method can result in tension of the undermined flap, especially in the midline. To address this problem, we present reverse lip design as a modified method that also has aesthetic advantages. The reverse lip design entails a longer lower flap edge while preserving the triangular tissue in the vascularly stable pubis area. These markings create an image of a reverse lip shape with a cleft at the bottom of the lower markings. After typical lipoabdominoplasty is performed, redundant waist tissues can easily be pulled inward and downward. The reverse lip design abdominoplasty demonstrated no complications and required no further revisions after the procedure. Patients were generally satisfied with the aesthetic improvements in their body shape. They were also able to return to their routine activities approximately 1 week after the operation while wearing a supporting undergarment. This modified abdominoplasty using the reverse lip design reduces low midline tension of the undermined abdominal flap while enhancing body aesthetics with a slimmer waistline, leading to higher patient satisfaction.","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49566965","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

Successful umbilicus salvage following concurrent infraumbilical single-port myomectomy and free transverse rectus abdominis myocutaneous flap elevation: a case report 脐下单孔子宫肌瘤切除术和腹直肌肌皮瓣游离提升术后成功保脐1例

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Archives of Aesthetic Plastic Surgery Pub Date : 2021-10-30 DOI: 10.14730/aaps.2021.00115

Jinhyun Kim, J. Park, C. Heo

引用次数: 0

Re: Comments on “Reduction malarplasty combined with facelift via the prezygomatic space” 回复：关于“颧骨前间隙整复颧骨缺损联合整容术”的评论

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Archives of Aesthetic Plastic Surgery Pub Date : 2021-07-30 DOI: 10.14730/aaps.2021.00129

Y. Lee, Il Seok Lee, Ho Jik Yang

引用次数: 0

Treatment of chest wall osteoradionecrosis with contralateral breast Y-V flap: case report 对侧乳腺Y-V瓣治疗胸壁放射性骨坏死1例

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Archives of Aesthetic Plastic Surgery Pub Date : 2021-07-21 DOI: 10.21203/rs.3.rs-679417/v1

T. Kong, Manki Choi, S. Lee, I. Kim

{"title":"Treatment of chest wall osteoradionecrosis with contralateral breast Y-V flap: case report","authors":"T. Kong, Manki Choi, S. Lee, I. Kim","doi":"10.21203/rs.3.rs-679417/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-679417/v1","url":null,"abstract":"\u0000 Introduction:Chest wall osteoradionecrosis(ORN) in breast cancer is one of the most serious complications of radiation therapy. Treatment requires wide debridement and coverage with a well-vascularized flap. However, the extensive radiation-induced injury, and a limit to performing wide resection of the injured bones are challaged to treatment. Herein, we present our experience with chest wall ORN treated with contralateral breast Y-V flap.Case presentationAn 81-year-old woman diagnosed with ORN of the chest wall had a severe ptotic breast. Reconstruction was planned to cover the open wound of the chest wall using redundant contralateral breast tissue. The flap was elevated in the subfascial plane after an inverted-T incision was made in the lower pole and inframammary fold of the contralateral breast while preserving the perforators of the left lateral thoracic artery. The flap was spread in a Y-V advancement fashion to cover the open wound. The patient was discharged 2 weeks after surgery following suture removal. At 19 months post-operation, there were no complications or recurrences of ulcers. The patient was satisfied with the short recovery time and the surgical results.ConclusionThe contralateral breast Y-V flap allows simple and quick reconstruction, and having more options for chest wall reconstruction will allow for a more flexible treatment plan for each patient.","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46743269","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