Turkish Journal of Plastic Surgery最新文献_第10页

Double keystone flap for large lower thigh defect 双楔状皮瓣治疗大腿下部大缺损

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Turkish Journal of Plastic Surgery Pub Date : 2021-06-01 DOI: 10.4103/tjps.tjps_92_20

Amrita More, Dharini Dharini, A. Sivakumar

引用次数: 0

Managing one of the rarest: Recurrent parachordoma 治疗最罕见的一种:复发性降落伞瘤

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Turkish Journal of Plastic Surgery Pub Date : 2021-06-01 DOI: 10.4103/tjps.tjps_40_20

G. Ustun, Ferhat Kargalioglu, M. Çaydere, Uğur Koçer

引用次数: 0

Augmentation of the calf region with autologous fat and platelet-rich plasma-enhanced fat transplants: A comparative study 自体脂肪和富血小板血浆增强脂肪移植对小腿区域的增强:一项比较研究

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Turkish Journal of Plastic Surgery Pub Date : 2021-06-01 DOI: 10.4103/tjps.tjps_67_20

U. Bilkay, A. Biçer, Zeyyat Ozek, T. Gurler

{"title":"Augmentation of the calf region with autologous fat and platelet-rich plasma-enhanced fat transplants: A comparative study","authors":"U. Bilkay, A. Biçer, Zeyyat Ozek, T. Gurler","doi":"10.4103/tjps.tjps_67_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_67_20","url":null,"abstract":"Background: Contour and volume deficiencies in the calf region, either unilateral or bilateral, may raise an esthetic concern in affected individuals. There are numerous methods described for volume augmentation or contour reshaping in this region including implant placement, autogenous tissue transfer, liposuction, and/or fat injections. The authors present their series of patients to whom they performed fat injections with or without platelet-rich plasma (PRP) enrichment for addressing this problem. Methods: Fifty-two patients who had undergone calf lipostructuring procedure(s) in our clinic were included in this retrospective study. The procedure was repeated with a fixed value of fat volume per leg until a satisfactory limit for both the patient and the senior author could be achieved. Regarding the analysis of outcome, the number of sessions needed to be repeated was recorded for each patient. Results: 125 cc of fat was injected per session per leg. Ten patients were treated with PRP enriched fat transplants while 42 were treated with fat only. The mean number of sessions was 2.76 (min. 2, max. 6). For the group treated with PRP-enriched fat grafts a mean 2.00 number of sessions had to be carried out while the mean was 2.95 for the patients in the fat-only group. The mean number of sessions to achieve our goal was significantly lower in the PRP-enriched fat injected group (P < 0.001). Conclusion: Addition of PRP significantly reduces the need of repeated operations to achieve the best possible outcome in lipostructuring around the calf region. Level of Evidence: Retrospective comparative study, level III.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":"51 1","pages":"21 - 27"},"PeriodicalIF":0.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80681414","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: 2

Arthroscopic removal of synovial chondromatosis of the first carpometacarpal joint 关节镜下第一腕掌关节滑膜软骨瘤切除术

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Turkish Journal of Plastic Surgery Pub Date : 2021-06-01 DOI: 10.4103/tjps.tjps_38_20

G. Yildiran, Z. Tosun

引用次数: 0

A review of current developments in three-dimensional scaffolds for medical applications 三维支架在医学上的应用

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Turkish Journal of Plastic Surgery Pub Date : 2021-06-01 DOI: 10.4103/tjps.tjps_70_20

Ufkay Karabay, R. Husemoglu, M. Egrilmez, H. Havitcioglu

{"title":"A review of current developments in three-dimensional scaffolds for medical applications","authors":"Ufkay Karabay, R. Husemoglu, M. Egrilmez, H. Havitcioglu","doi":"10.4103/tjps.tjps_70_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_70_20","url":null,"abstract":"Humans require treatment due to the loss of tissues after trauma and diseases. Tissue engineering is a growing field of engineering and medical science to restore, maintain, or improve function of damaged or diseased tissues. The use of three-dimension (3D) scaffolds in particular offers a potential option for patients with tissue deficiency. Polylactic acid (PLA), poly-caprolactone (PCL), polyether-ether-ketone (PEEK), and thermoplastic polyurethane (TPU) are biomaterials that are commonly used in tissue engineering. Their applications of pure material or composite and supportive materials are of great importance for clinical practices. This review provides information on biomaterials and major areas of application and discusses their advantages and disadvantages against each other. The literature search from the database PubMed was done for the key words 3D PLA, PCL, PEEK, and TPU separately and 2029 articles were identified. These articles were limited according to clinical, in vivo and observational studies published in English and 140 articles were evaluated for this review. We selected the main articles according to the current data of 3D scaffolds and identical articles were removed. Fifty articles were included in the review. Many studies have reported the advantages of 3D scaffolds with composite or supplement materials over pure materials in the medical treatment. The advances in the development of new 3D scaffolds hold great promise for the prospective applications in the medical treatment.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":"39 1","pages":"38 - 43"},"PeriodicalIF":0.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88436878","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

Predicting mastectomy skin flap necrosis in immediate breast reconstruction 预测乳房切除皮瓣坏死的即时乳房重建

IF 0.1

Turkish Journal of Plastic Surgery Pub Date : 2021-06-01 DOI: 10.4103/tjps.tjps_117_20

Z. Doğan, M. Onal, M. Ozkan, U. Ugurlu, Bulent Sacak

{"title":"Predicting mastectomy skin flap necrosis in immediate breast reconstruction","authors":"Z. Doğan, M. Onal, M. Ozkan, U. Ugurlu, Bulent Sacak","doi":"10.4103/tjps.tjps_117_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_117_20","url":null,"abstract":"Background: As evidence emerged supporting the oncological safety of nipple-sparing mastectomy (NSM), immediate reconstruction following these procedures has also gained popularity. The aim of this study was to identify surgical and patient characteristics that may be associated with skin and/or NAC necrosis following NSM and immediate reconstruction. Patients and Methods: Medical records of patients who underwent NSM with immediate breast reconstruction from January 2013 to September 2020 were retrospectively reviewed. Patient and surgical characteristics were collected. The primary outcome measure was mastectomy skin flap necrosis (MSFN). Results: MSFN was observed in 68 out of 243 (28%) breasts. On univariate analysis, reconstruction method and body mass index (BMI) (odds ratio: 1.09, 95% confidence interval: 1.00–1.18, P = 0.04) were found to be significant risk factors. On multivariate analysis, neither BMI (P = 0.30) nor reconstruction methods (implants (P = 0.16) or tissue expander (P = 0.06) showed significant association with skin flap necrosis. However, BMI was found to be significantly higher in the autologous group (P < 0.0001). The best subset selection method also confirmed the reconstruction method as the single variable related to outcome. Conclusion: Even though our results showed autologous reconstruction to have a higher risk for necrotic complications, it should be kept in mind that this group of patients can be managed in the outpatient clinic with debridement, wound care, and – if necessary – skin grafting. However, full-thickness necrosis in an implant patient will require an implant exchange and possibly a local skin/muscle flap for coverage.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":"266 1","pages":"9 - 13"},"PeriodicalIF":0.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77547606","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 effect of adipose stromal vascular fraction on the viability of transverse rectus abdominis myocutaneous flap after abdominoplasty: An experimental study 脂肪间质血管组分对腹部成形术后腹直肌横肌皮瓣活力影响的实验研究

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Turkish Journal of Plastic Surgery Pub Date : 2021-06-01 DOI: 10.4103/tjps.tjps_24_20

Erhan Coşkun, B. Ozkan, A. Terzi, E. Ozer, C. Uysal, H. Borman, N. Ertas

{"title":"The effect of adipose stromal vascular fraction on the viability of transverse rectus abdominis myocutaneous flap after abdominoplasty: An experimental study","authors":"Erhan Coşkun, B. Ozkan, A. Terzi, E. Ozer, C. Uysal, H. Borman, N. Ertas","doi":"10.4103/tjps.tjps_24_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_24_20","url":null,"abstract":"Introduction: A prior abdominoplasty is considered as an absolute contraindication to transverse rectus abdominis musculocutaneous (TRAM) flap surgery. The aim of this study is to investigate the effect of nonexpanded adipose stromal vascular fraction (ASVF) on the viability of TRAM flap after abdominoplasty. Materials and Methods: Thirty-five male Sprague Dawley rats were divided into five groups. Reverse abdominoplasty model was used in all groups except Group 1. TRAM flap was performed 2 weeks after abdominoplasty in Groups 2 and 4 and 4 weeks after in Groups 3 and 5. ASVF cells were injected during abdominoplasty in Groups 4 and 5. The viable flap area (VFA) percentage and newly formed perforators were assessed. Capillary density and fibrosis gradient and plasma vascular endothelial growth factor (VEGF) levels were measured. Results: The mean VFA to total flap area was measured as 82.90% ± 7.59%, 3.31% ± 3.29%, 9.40% ± 6.18%, 31.92% ± 9.29%, and 64.98% ± 10.95% in Group 1, Group 2, Group 3, Group 4, and Group 5, respectively (P < 0.05). The number of newly formed musculocutaneous perforating arteries was 0.29 ± 0.49, 1.14 ± 0.69, and 2 ± 0.82 for Groups 3, 4, and 5, respectively (P < 0.05). The mean capillary density was 6.86 ± 0.50, 0.67 ± 0.13, 2.79 ± 0.53, 3.71 ± 0.47, and 7.01 ± 0.70 in Groups 1, 2, 3, 4, and 5, respectively (P < 0.05). There was a statistically significant increase between the baseline VEGF values and the second VEGF values in Groups 4 and 5. Conclusions: The study showed that local injection of ASVF increases the viability of TRAM flap after abdominoplasty.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":"18 1","pages":"1 - 8"},"PeriodicalIF":0.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84588337","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

Sphenoidal process of septal cartilage: Useful autologous graft option in revision rhinoplasty 鼻中隔软骨的蝶骨突:在鼻整形翻修术中有用的自体移植物选择

IF 0.1

Turkish Journal of Plastic Surgery Pub Date : 2021-06-01 DOI: 10.4103/tjps.tjps_83_20

Oğuzhan Demirel, M. Ateşçi

{"title":"Sphenoidal process of septal cartilage: Useful autologous graft option in revision rhinoplasty","authors":"Oğuzhan Demirel, M. Ateşçi","doi":"10.4103/tjps.tjps_83_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_83_20","url":null,"abstract":"Background: One of the main difficulties of revision rhinoplasty is the lack of sufficient septal cartilage. To overcome this problem, additional cartilage sources such as costal or conchal cartilages are widely used among surgeons. However, these methods can cause some complications. The sphenoidal process of septal cartilage (SPSC) is a unique part of septal cartilage located between the vomer bone and the perpendicular plate of the ethmoid bone and generally untouched during the surgery. As an autologous graft option, the SPSC may be an important cartilage source for revision rhinoplasty cases, especially in patients requiring minor surgical intervention. Methods: Between February 2019 and February 2020, a total of 50 patients who underwent paranasal computed tomography were enrolled in this retrospective study. The length, height, and surface area of the SPSC and surface area of total septal cartilage were calculated. Results: The mean total septal area was 886.2 mm2, ranging from 554.7 mm2 to 1277.5 mm2. The mean total SPSC area was 67.39 mm2. The mean length of SPSC was 12.8 mm in all populations. The highest sphenoidal process length measurement was 27.32 mm, and the lowest was 4.82. Mean sphenoidal process height values were similar in female and male groups (4.99 mm and 5.2 mm, respectively). Conclusion: The sphenoid process of septal cartilage may be an important autologous cartilage option for revision surgeries in terms of sufficient length and height dimensions.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":"75 1","pages":"17 - 20"},"PeriodicalIF":0.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84012976","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

To study the effect of activated platelet-rich plasma in cases of androgenetic alopecia 目的:探讨活化富血小板血浆在雄激素源性脱发中的作用

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Turkish Journal of Plastic Surgery Pub Date : 2021-06-01 DOI: 10.4103/tjps.tjps_86_20

Vijay Kumar, Navneet Sharma, B. Mishra, D. Upadhyaya, A. Singh

{"title":"To study the effect of activated platelet-rich plasma in cases of androgenetic alopecia","authors":"Vijay Kumar, Navneet Sharma, B. Mishra, D. Upadhyaya, A. Singh","doi":"10.4103/tjps.tjps_86_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_86_20","url":null,"abstract":"Context: Growth factors released from platelets act on stem cells in the bulge region of follicles and thus stimulate the development of new hair follicles. Aims: Primary aim of the study was to assess the efficacy and safety of activated platelet rich plasma in AGA. Settings and Design: Prospective double arm non-randomized pre-post study. Material and Methods: Activated Platelet-rich plasma was injected in either anterior half of alopecia scalp in first 20 patients and posterior half in next 20 patients (Group I) and the other half was injected with placebo (Group II). Each patient received a total of 5 session of aPRP, 15 days apart. Statistical analysis used: Quantitative variables were compared using student T test and Mann-Whitney Test between two groups. A p value of < 0.05 was considered statistically significant. Results: 40 male patients with a clinical diagnosis of AGA (stage II to VI) were recruited but only 35 patients completed the whole study. At 1 month and 3 months follow-up, Group I showed statistically significant increase in hair count, hair density and anagen/telogen ratio as compared to Group II. Conclusion: aPRP is a safe and good alternative to medical treatment. It seems to have a stabilizing effect on hair fall and may be considered as a measure to prevent progression of alopecia in early stages.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":"53 1","pages":"28 - 32"},"PeriodicalIF":0.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85717048","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: 2

A novel technique for trochanteric region soft-tissue reconstruction: coxal region perforator flaps 粗隆区软组织重建的新技术:髋部穿支皮瓣

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Turkish Journal of Plastic Surgery Pub Date : 2021-06-01 DOI: 10.4103/tjps.tjps_90_20

Soysal Bas, M. Durgun

{"title":"A novel technique for trochanteric region soft-tissue reconstruction: coxal region perforator flaps","authors":"Soysal Bas, M. Durgun","doi":"10.4103/tjps.tjps_90_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_90_20","url":null,"abstract":"Aims: Due to the complex anatomical structure of the trochanteric region, the options for reconstruction are relatively limited. This study aims to present a unique reconstruction of trochanter defects using a coxal region perforator flap and geometric planning to standardize the flaps. Subjects and Methods: Twelve patients with trochanteric defects that had been repaired with coxal region perforator flap following tumor excision between June 2016 and January 2019 were included in this study. The patients were aged between 20 and 68 years. Patients were evaluated with regard to age, gender, etiology, defect side and size, flap size, number of perforators, and complications. Results: Two patients were operated on for squamous cell carcinoma, one for Marjolin's ulcer, two for malignant melanoma, two for malignant fibrous histiocytoma, and five for dermatofibrosarcoma. Defect sizes ranged between 8 cm × 7 cm and 12 × 10 cm. The smallest flap size was 13 cm × 7 cm and the largest flap size was 21 cm × 10 cm. Nine flaps were raised from the single perforator, and three flaps were raised from two perforators. Venous congestion was seen in one patient postoperatively. There was no flap loss, infection, hematoma, suture detachment, and limitation of hip and knee movements in the patients. Conclusions: The pedicled perforator flaps are elevated over the major perforators located close to the defect in many parts of the body. Thus, low surgical morbidity is achieved, and surgery time is decreased. Furthermore, as in this study, preserving the muscles and preventing the functional deficits in the movement hip joint the body's major joint of the body, reveal the importance of using coxal region perforator flaps for reconstruction in ambulatory patients.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":"11 1","pages":"33 - 37"},"PeriodicalIF":0.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89198738","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