Turkish Journal of Plastic Surgery最新文献_第8页

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

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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

Complicated patients with cleft lip and palate: Our experience with multidisciplinary approach 复杂唇腭裂患者的多学科治疗经验

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Turkish Journal of Plastic Surgery Pub Date : 2021-06-01 DOI: 10.4103/tjps.tjps_77_20

Anıl Demiroz, Ugur Celik, C. Yalcin, Y. Aydin

{"title":"Complicated patients with cleft lip and palate: Our experience with multidisciplinary approach","authors":"Anıl Demiroz, Ugur Celik, C. Yalcin, Y. Aydin","doi":"10.4103/tjps.tjps_77_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_77_20","url":null,"abstract":"Background: Cleft lip and palate is one of the most commonly seen congenital deformities. The aim of treatment should be providing normal speech, normal nutrition, normal appearance, and adaptation of the child in society. Thus, the importance of multidisciplinary approach in this patient group is high. In this study, we aim to present the patient results obtained from cleft lip and palate meeting records, with the attendance of plastic surgeon, ear, nose, throat surgeon, orthodontist, speech therapist, pedodontist, nutrition nurse and pediatrician, and genetics specialist when needed. Materials and Methods: Patient records of cleft lip and palate meeting held between September 1998 and September 2018 were evaluated retrospectively. The patients regarded as complex cases were examined in these meetings. Results: Seven hundred and five patients were regarded as complex cases to be examined at the cleft lip and palate meetings in this 20-year period. One hundred and five of these patients (15%) had the history of being inbred. Ninety-eight patients (14%) had additional anomaly of other systems. Thirty-six patients (5%) suffered from the cleft of lip and primary palate only. Cleft palate patient numbers for Veau Class 1, 2, 3, and 4 was 12 (2%), 99 (14%), 297 (42%), and 246 (35%), respectively. Conclusions: Creating multidisciplinary teams consisted of specialists from various fields is an accepted method for handling of this patient group. These multidisciplinary teams not only provide the patients to have care by professionals from different specialties at once but also have the benefits of data unification.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":"33 1","pages":"14 - 16"},"PeriodicalIF":0.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75061159","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

Two stage nasolabial flap for unilateral nasal ala and soft triangle reconstruction 二期鼻唇瓣单侧鼻翼及软三角重建

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Turkish Journal of Plastic Surgery Pub Date : 2021-04-01 DOI: 10.4103/tjps.tjps_52_20

Krittika Aggarwal, Kuldeep Singh, Bikramjit Singh

{"title":"Two stage nasolabial flap for unilateral nasal ala and soft triangle reconstruction","authors":"Krittika Aggarwal, Kuldeep Singh, Bikramjit Singh","doi":"10.4103/tjps.tjps_52_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_52_20","url":null,"abstract":"Introduction: Nose is the most noticeable feature in the facial profile. Any deformity of nose causes social embarrassment and ridicule. Isolated nasal alar hypoplasia/cleft or traumatic loss is a rare anomaly which requires reconstruction. Congenital deficiency of soft triangle of nose and part of ala is not paid attention to in early childhood. Hence, most of these individuals present in late childhood, adolescence or adulthood. We report ten such cases and their reconstruction using two stage ipsilateral interpolated nasolabial flap. Material and Methods: Demographic data including age, sex, associated co-morbidities, previous surgeries or history of trauma were documented. Patients were in age group of 10-25 years. The mean size of defect was 1.5 X 1.6 cm. Inferiorly based skin flap raised from ala was turned down and used as inner lining. Conchal cartilage graft was placed for support in the first stage itself. Nasolabial flap was raised by subcutaneous dissection and insetting done to create outer cover. Second stage for pedicle detachement was done after 3 weeks. Results: Post operative period was uneventful in all cases. Minimal cosmetic morbidity was noted. Scar was well concealed in the nasolabial crease and colour match was also acceptable with good patient satisfaction at 6-12 months. Conclusion: Nasal alar hypoplasia/cleft, congenital or traumatic, is a rare entity which needs to be recognised and reconstructed. According to the size of the defect, it can be reconstructed with composite cartilage graft or local flaps. Interpolated nasolabial flap with cartilage graft is a good option with minimal scar and excellent patient satisfaction.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":"6 1","pages":"87 - 89"},"PeriodicalIF":0.1,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90096534","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

Lip repositioning: Surgical method of beautifying the smile 唇重定位:美容微笑的外科方法

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Turkish Journal of Plastic Surgery Pub Date : 2021-04-01 DOI: 10.4103/tjps.tjps_11_20

A. Chaurasia, R. Dandriyal, V. Lal, Sakshi Gupta, H. Sharma

引用次数: 0

Bilateral isolated blowout fracture due to airbag deployment 气囊打开导致双侧孤立爆裂骨折

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Turkish Journal of Plastic Surgery Pub Date : 2021-04-01 DOI: 10.4103/tjps.tjps_21_20

B. Ozkan, Kadri Akinci, C. Uysal, N. Ertas

引用次数: 1

Multistage management of complex maxillofacial defects due to gunshot injury 颌面部枪伤后复杂缺损的多阶段处理

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Turkish Journal of Plastic Surgery Pub Date : 2021-04-01 DOI: 10.4103/tjps.tjps_54_20

E. Erkol, Cemil Isik, M. Sutcu, O. Akdağ

{"title":"Multistage management of complex maxillofacial defects due to gunshot injury","authors":"E. Erkol, Cemil Isik, M. Sutcu, O. Akdağ","doi":"10.4103/tjps.tjps_54_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_54_20","url":null,"abstract":"Background and Aim: The injuries due to gunshot can form extensive defects. The management of these defects is required in multistage procedures, and the treatment achievement should be evaluated in many aspects. In this study, a methodology was tried to be developed to reveal the path to be followed in the management of maxillofacial defects caused by high-energy close-range gunshot injury. In addition, similar cases were analyzed retrospectively, and the functional and social successes of the treatment were evaluated. Subjects and Methods: Five patients with high-energy gunshot injuries were retrospectively analyzed. The tissue requirements of the patients were identified. The technical and quantitative details of the treatment were recorded. The facial disability index was used to evaluate the patient's social and motor functions in the 1st year after the operations were completed. Results: The patients' mean age was 31 (17–45), and all of them were male. The mean follow-up time was 25 months (14–26), and the mean operation amount was 7.6 (3–11). Four mandibular, one maxillary, and five soft-tissue defects were detected. It was detected that these defects were managed in basic four steps. Satisfactory, functional, and social results were obtained in four patients in the postoperative 1 year. Conclusions: The management of this group of patients comprises complicated procedures. First, the patient should be stabilized vitally. Definitive reconstruction should be carried out after the wound is stabilized. To increase treatment success, the patient's mental status should be stabilized during the treatment period. Providing social function is important along with physical function.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":"101 1","pages":"110 - 115"},"PeriodicalIF":0.1,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77447124","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