Turkish Journal of Plastic Surgery最新文献

Glomus tumors of the digit: A retrospective analysis of clinical and functional outcomes 指骨胶质瘤：临床和功能结果的回顾性分析

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Turkish Journal of Plastic Surgery Pub Date : 2024-01-01 DOI: 10.4103/tjps.tjps_46_23

Pavan Kolisetty, Imran Ahmad, Sheikh Ali, Indrajith Sudhy

{"title":"Glomus tumors of the digit: A retrospective analysis of clinical and functional outcomes","authors":"Pavan Kolisetty, Imran Ahmad, Sheikh Ali, Indrajith Sudhy","doi":"10.4103/tjps.tjps_46_23","DOIUrl":"https://doi.org/10.4103/tjps.tjps_46_23","url":null,"abstract":"Background: Glomus apparatus maintains flow in capillaries in response to changes in temperature. Glomus tumors are rare perivascular hamartomas arising from glomus bodies at fingertips. They are associated with classic triad of symptoms including paroxysmal pain, cold hypersensitivity, and pinpoint tenderness. Due to its rarity and peculiar presentation, they are often misdiagnosed and inappropriately treated. Surgical excision is the treatment of choice either by transungual or lateral periosteal approach. Materials and Methods: We conducted a retrospective analysis of the cases of glomus tumors that were operated in the past 5 years in our institute. Patient demographic details, clinical features, imaging parameters, operative details, photographs and complications if any during follow up were analysed. QuickDASH was the primary statistical parameter, and change in QuickDASH score was analyzed with paired t-test. Results: The average age at diagnosis was 29.77 years. The male-to-female ratio was 1:5. The mean duration of symptoms is 10.08 months. The mean preoperative QuickDASH score was 25.27 (range: 11.25–34). The mean follow-up was 26.7 months (range: 6–48 months). At 6-month follow-up, the mean score was 1.52 (range: 0–13.64). The difference in mean scores was 23.7708 with significant P < 0.001. Conclusion: Glomus tumors are rare but debilitating lesions. They are often misdiagnosed and intervened inappropriately before arriving at an actual diagnosis. With complete excision by magnification-assisted surgery, quality of life generally improves, and recurrence is prevented.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139537705","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

Pirfenidone and tendon healing: Comment 吡非尼酮与肌腱愈合评论

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Turkish Journal of Plastic Surgery Pub Date : 2024-01-01 DOI: 10.4103/tjps.tjps_61_23

H. Daungsupawong, V. Wiwanitkit

引用次数: 0

Bleomycin and triamcinolone for the treatment of verrucous epidermal nevus: Long-term follow-up 博莱霉素和曲安奈德治疗疣状表皮痣：长期随访

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Turkish Journal of Plastic Surgery Pub Date : 2024-01-01 DOI: 10.4103/tjps.tjps_29_23

Q. Luo

引用次数: 0

Comparative analysis of speech outcomes in the treatment of velopharyngeal insufficiency: Traditional superior-based pharyngeal flap and pharyngeal flap combined with radical intravelar veloplasty 治疗咽鼓管发育不全的言语效果对比分析：传统的咽上皮瓣和咽皮瓣联合根治性咽喉内成形术

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Turkish Journal of Plastic Surgery Pub Date : 2024-01-01 DOI: 10.4103/tjps.tjps_34_23

F. Ozgur, M. Çalış, Murat Kara, M. K. Kulak Kayikci

{"title":"Comparative analysis of speech outcomes in the treatment of velopharyngeal insufficiency: Traditional superior-based pharyngeal flap and pharyngeal flap combined with radical intravelar veloplasty","authors":"F. Ozgur, M. Çalış, Murat Kara, M. K. Kulak Kayikci","doi":"10.4103/tjps.tjps_34_23","DOIUrl":"https://doi.org/10.4103/tjps.tjps_34_23","url":null,"abstract":"Background: Pharyngeal flap (PF) is a commonly used surgical technique in the treatment of velopharyngeal insufficiency (VPI), but it still faces limitations that have not been overcome. The present study aims to objectively analyze the results of PF combined with velar muscle repair, which aims to transform the static structure of PF into a dynamic one, addressing one of its limitations. Patients and Methods: Patients were divided into two groups based on the surgical technique: Group 1: the traditional PF group and Group 2: PF with radical intravelar veloplasty (PF-RIVVP) group. Acoustic evaluation of the velopharyngeal unit (VFU) and nasality level was conducted using a nasometry device during the preoperative period and at 1-year postoperative follow-up. Direct anatomical evaluation of the VFU was performed using a flexible fiberoptic endoscope. Student's t-test and Chi-square test were used for statistical analysis. Results: The mean preoperative nasalance score was 56.5 ± 11.0 in Group 2 and 59.9 ± 10.3 in Group 1. The postoperative mean nasalance score was 29.2 ± 3.1 in Group 2 and 35.3 ± 3.1 in Group 1. Although no statistically significant difference was observed in the mean preoperative nasalance scores, a statistically significant difference was found in the postoperative scores (P < 0.001). Furthermore, nasopharyngoscopic evaluation revealed a superior velopharyngeal movement in Group 2. Conclusion: Through the objective evaluation techniques, the present study demonstrates that PF combined with velar muscle repair provides an enhanced velopharyngeal function in the treatment of VPI compared to the traditional technique.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139539461","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

Multifocal penile epithelioid angiomatous nodule: A rare tumor of penis 多灶性阴茎上皮样血管瘤结节：一种罕见的阴茎肿瘤

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Turkish Journal of Plastic Surgery Pub Date : 2024-01-01 DOI: 10.4103/tjps.tjps_44_23

Emre Ozer, U. Bingöl, Murat Sav

{"title":"Multifocal penile epithelioid angiomatous nodule: A rare tumor of penis","authors":"Emre Ozer, U. Bingöl, Murat Sav","doi":"10.4103/tjps.tjps_44_23","DOIUrl":"https://doi.org/10.4103/tjps.tjps_44_23","url":null,"abstract":"Epithelioid angiomatous nodule (EAN) is a rare benign vascular lesion that was first reported in 2004. This article presents the case of a 29-year-old male with multiple focal EANs on his penis, a highly uncommon location for this condition. The patient had been experiencing painful nodules for 6 months, initially misdiagnosed as hemangioma and later as epithelioid hemangioendothelioma. Physical examination revealed bluish, well-circumscribed lesions on the corona and glans penis. Microscopic evaluation of an incisional biopsy confirmed the diagnosis of a penile EAN. EAN falls within the spectrum of epithelioid vascular tumors, but it is considered a newly described acquired vascular proliferation. It typically presents as small, fast-growing nodules on the extremities and trunk, though it can also occur on the face and mucosal surfaces. While most cases are solitary, conglomerated multiple nodules may also be seen. The condition predominantly affects adults between 15 and 45 years old. Differential diagnoses for EAN include epithelioid hemangioma, epithelioid angiosarcoma, and bacillary angiomatosis. EAN is clinically benign but can significantly impact the patient's quality of life, especially when located on sensitive areas like the penis. Simple local excision is a curative method, though reconstructive procedures may be necessary in some cases. Due to the limited number of cases reported in the literature, the pathogenesis and possible causes of EAN remain unclear. Further research and increased study of this condition are needed to gain a better understanding of its nature and potential etiology. Accurate diagnosis is crucial to distinguish EAN from other malignant vascular pathologies and prevent unnecessary interventions.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139539958","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

A complication after radiofrequency ablation: Skin necrosis 射频消融术后的一种并发症：皮肤坏死

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Turkish Journal of Plastic Surgery Pub Date : 2024-01-01 DOI: 10.4103/tjps.tjps_50_23

Melih Sifil, Nuh Evin, Can Koç, E. Güneren

引用次数: 0

Investigating the effects of surgical access time on scar quality and function in pediatric upper-extremity burn contractures in a rural area 调查手术入路时间对农村地区小儿上肢烧伤挛缩疤痕质量和功能的影响

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Turkish Journal of Plastic Surgery Pub Date : 2024-01-01 DOI: 10.4103/tjps.tjps_60_23

B. Tatar

{"title":"Investigating the effects of surgical access time on scar quality and function in pediatric upper-extremity burn contractures in a rural area","authors":"B. Tatar","doi":"10.4103/tjps.tjps_60_23","DOIUrl":"https://doi.org/10.4103/tjps.tjps_60_23","url":null,"abstract":"Background: Burn contractures are a common complication in the pediatric population, leading to significant functional limitations and decreased quality of life. This study aimed to investigate the impact of surgical access time on burn contracture outcomes in pediatric patients, particularly wound quality and hand function. Materials and Methods: This retrospective study included 27 pediatric patients with upper-extremity burn contractures between November 2022 and August 2023. Patients with underlying medical conditions or medications were excluded from this study. A variety of surgical procedures were performed, and complications, follow-up times, access times, and postoperative evaluations were assessed. Contracture locations were divided into four groups: axilla (Group I), elbow (Group II), wrist (Group III), and fingers (Group IV). Access time was defined as the time from symptom onset to first surgical intervention. Results: Among the 27 patients with pediatric burn contractures, Group II had significantly longer access times than the other groups (P < 0.05). This delayed access was associated with lower Patient and Observer Scar Assessment Scale (POSAS) and Michigan Hand Outcome Questionnaire (MHQ) scores in Group II (P < 0.05), indicating worse wound quality and hand function in Group II. Correlation analysis in Group II revealed a significant negative correlation between access time and POSAS (−0.8, P = 0.036) and MHQ scores (r = −0.43, P = 0.039). The changes in Groups I, III, and IV are statistically significant in terms of range of motion (P < 0.05). Conclusion: This study suggests that access time is an important factor for pediatric burn contractures. Early surgical intervention has been associated with improved wound quality and hand function.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139539553","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

Nasal reconstruction in a rare case of unilateral arhinia in bosma arhinia microphthalmia syndrome 一例罕见的单侧鼻泪管小眼综合征病例的鼻重建手术

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Turkish Journal of Plastic Surgery Pub Date : 2024-01-01 DOI: 10.4103/tjps.tjps_53_23

K. Agrawal, Armaan Khosa, Vidhi Mehta, Vinita Puri

引用次数: 0

The effect of deferoxamine on fat graft survival in tamoxifen use: An experimental study 去氧胺对使用他莫昔芬的脂肪移植存活率的影响：一项实验研究

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Turkish Journal of Plastic Surgery Pub Date : 2024-01-01 DOI: 10.4103/tjps.tjps_64_23

Burak Yaşar, Ramazan Ünlü

{"title":"The effect of deferoxamine on fat graft survival in tamoxifen use: An experimental study","authors":"Burak Yaşar, Ramazan Ünlü","doi":"10.4103/tjps.tjps_64_23","DOIUrl":"https://doi.org/10.4103/tjps.tjps_64_23","url":null,"abstract":"Introduction: Autologous fat graft survival depends on many variables such as vascularization and inflammation. Fat grafts are also frequently used in breast reconstructions. Objective: The objective is to investigate the effect of tamoxifen (TAM), which is frequently used in hormonal therapy after breast cancer, on fat graft survival and to determine the possible benefits of local and systemic deferoxamine (DFO) applications with TAM. Materials and Methods: Thirty-two female Wistar Albino rats were randomly divided into four groups. Fat graft from the inguinal region was transferred to the left subscapular area, suprafascial plan on the back of the rats. No application was made to the control group after fat grafting. Group 2 received TAM by oral gavage, Group 3 received TAM + local (L) DFO application to the fat graft area, and Group 4 received TAM + intraperitoneal (IP) DFO application. The grafted adipose tissue was excised 2 months after surgery. Macroscopic and histopathologic analysis was performed. Results: In the 2nd postoperative month, the weight and volume of fat grafts were significantly higher in the TAM + L DFO and TAM + IP DFO groups compared to the control group, whereas there was no statistically significant difference in the TAM-only group. Furthermore, vascularization and vascular endothelial growth factor (VEGF) expression were significantly increased in the TAM + L DFO and TAM + IP DFO groups compared to the control and TAM groups. Conclusions: Local DFO application to the fat graft recipient site and systemic DFO application increased fat graft survival in TAM-treated rats. VEGF expression was shown to increase with DFO and fat graft survival was also increased accordingly. The use of DFO is promising in improving fat graft survival in breast reconstruction patients using TAM.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139538393","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

Propylthiouracil-induced necrotizing vasculitis 丙基硫氧嘧啶引发的坏死性血管炎

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Turkish Journal of Plastic Surgery Pub Date : 2024-01-01 DOI: 10.4103/tjps.tjps_45_23

Nuh Evin, Fatih Demir

引用次数: 0