Case Reports in Plastic Surgery and Hand Surgery最新文献

{"title":"The efficacy and safety of microwave ablation in managing osteoid osteoma: a systematic review.","authors":"Berun A Abdalla, Hiwa O Abdullah, Hawkar A Nasralla, Rebaz M Ali, Sami S Omar, Abdullah K Ghafour, Saywan K Asaad, Soran S Raoof, Soran H Tahir, Rezheen J Rashid, Ayoob A Mohammed, Nasren Sharef Sabr, Ali H Hasan, Lawen Jamal Mustafa, Ameer M Salih, Fahmi H Kakamad","doi":"10.1080/23320885.2025.2503195","DOIUrl":"https://doi.org/10.1080/23320885.2025.2503195","url":null,"abstract":"<p><strong>Introduction: </strong>Microwave ablation (MWA) utilizes electromagnetic methods to destroy tumors, employing devices operating at 900 MHz or above frequencies. MWA has emerged as a recent alternative for treating osteoid osteoma (OO), providing similar accessibility, safety, and technical effectiveness as radiofrequency ablation. This systematic review aims to evaluate the safety and efficacy of MWA in treating OO.</p><p><strong>Methods: </strong>A systematic review of published studies on the use of MWA in managing OO was conducted. Studies were excluded if they were 1) not written in English, 2) case reports, 3) lacked adequate peer review, or 4) consisted solely of abstracts. Before full-text assessment, titles, and abstracts were screened. Extracted data included author, year, study design, patient count, age, gender, OO site, ablation power (watts), duration, complications, outcome, and recurrence. The data were analyzed and presented as means, frequencies, and percentages.</p><p><strong>Results: </strong>Eight studies, including 143 cases, met the inclusion criteria; among these cases, 59.44% were male, and the mean age was 19.03 ± 7.09. Most of the OOs were in the femur, 54.54%. MWA at 60 W was the prevailing power setting, utilized in 37 cases (25.87%), with an ablation time of 90 s for 95 cases (66.43%). Clinical success was achieved in 137 (95.80%) cases, with recurrence observed in 4 cases (2.80%). However, 16 minor and major complications were observed despite the overall success.</p><p><strong>Conclusion: </strong>Percutaneous MWA may represent an efficient choice for the minimally invasive management of OO, demonstrating a minimal risk of complications and recurrence.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2503195"},"PeriodicalIF":0.4,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Extracapsular breast implant rupture with silicone migration and lymphadenopathy following a breast augmentation - A case report.","authors":"Guido Firmani, Luca Rosato, Giulia Giannini, Valeria Navach","doi":"10.1080/23320885.2025.2497265","DOIUrl":"https://doi.org/10.1080/23320885.2025.2497265","url":null,"abstract":"<p><p>Silicone lymphadenopathy and granuloma formation can result from breast implants. A 71-year-old presented with implant rupture 30 years after a breast augmentation, causing left-sided silicone lymphadenopathy and extensive migration to the breast parenchyma and skin. Management included a mastectomy, lymph node resection, implant removal with complete intact capsulectomy, and latissimus-dorsi-based reconstruction.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2497265"},"PeriodicalIF":0.4,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12024513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metaplastic carcinoma of the breast mimicking breast implant-associated squamous cell carcinoma: a challenging differential diagnosis.","authors":"E Rogges, M M Petrino, G Firmani, M Sorotos, F Santanelli di Pompeo, A Di Napoli","doi":"10.1080/23320885.2025.2486239","DOIUrl":"https://doi.org/10.1080/23320885.2025.2486239","url":null,"abstract":"<p><p>Metaplastic carcinoma of the breast (MBC) is an uncommon disease that accounts for 0.2-1% of all invasive breast carcinomas, comprising a heterogeneous group of diseases characterized by differentiation of the neoplastic epithelium to squamous cells and/or mesenchymal-looking elements. Breast implant-associated squamous cell carcinoma (BIA-SCC) is a rare complication of breast implantation, with 22 cases reported in the literature. Due to the histological overlap between MBC and BIA-SCC, the differential diagnosis may be challenging, especially in patients with an advanced cancer-bearing breast implant, in which assessing the tumor's primary site may be difficult. The limited amount of scientific data on BIA-SCC implies the absence of a standardized diagnostic method and of a specific staging system to guide patients' clinical management. Of the 22 BIA-SCC cases reported in the literature, 14 (64%) had squamous metaplasia of the inner surface of the capsule, whereas in 10 (45%), there was a histologically proven spread to the extracapsular tissues without a detailed description of the capsule infiltration. Herein, we describe the case of a peri-implant tumor mass with squamous histology in a patient treated with mastectomy and implant-based breast reconstruction for a microinvasive breast carcinoma, in which the absence of squamous metaplasia of the capsule and of its neoplastic infiltration favored a diagnosis of MBC likely originating from the peri-implant tissue. This case suggests that in patients with peri-implant cancers with squamous differentiation, the extension of the tumor throughout the capsule thickness and the presence of squamous metaplasia of the capsule are critical factors that should be considered in the differential diagnosis between BIA-SCC and MBC. In addition, even in cases with capsule-confined tumors, the depth of the capsular involvement can be used to stage the disease, similar to what is currently recommended for BIA-ALCL.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2486239"},"PeriodicalIF":0.4,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11995762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Areolar sebaceous hyperplasia: case report and literature review.","authors":"Amanda Rekola, Daniel Tegnelius, Emma Wall, Johann Zdolsek, Reza Tabrisi","doi":"10.1080/23320885.2025.2487843","DOIUrl":"https://doi.org/10.1080/23320885.2025.2487843","url":null,"abstract":"<p><p>Areolar sebaceous hyperplasia (ASH), also known as Montgomery hyperplasia, is an uncommon benign neoplasm. Despite nearly 40 years since the first case was described, this condition remains rare, with only 20 reported cases. We present a case of ASH in a 44-year-old female and review the existing literature.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2487843"},"PeriodicalIF":0.4,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11995760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Submandibular abscess originated from submandibular gland sialolithiasis: a case report.","authors":"Dimaz Aryo Nugroho Bandriananto, Arya Wicaksono, Fajar Januar Mirhard, Bramasto Purbo Sejati","doi":"10.1080/23320885.2025.2483706","DOIUrl":"10.1080/23320885.2025.2483706","url":null,"abstract":"<p><p>Sialolithiasis, or the formation of stones within the salivary glands, is a common cause of the submandibular gland's duct obstruction, which can lead to submandibular abscesses. We reported the case of a 56-year-old man with a submandibular abscess caused by sialolithiasis of the left submandibular gland. A 56-year-old male patient came with complaints of swelling and pain in the left submandibular area for one week. Patients also reported fever, dysphagia, and increased pain while eating. Physical examination showed diffuse swelling and redness in the left submandibular area. Head MSCT and panoramic radiography revealed the presence of stones in the duct of the left submandibular gland. The patient underwent surgical treatment for stone removal and abscess drainage. Postoperative follow-up showed significant improvement in the patient's condition without complications. If left untreated, sialolithiasis is a primary cause of blockage of the submandibular gland's duct, which can result in infections and abscesses. Prompt and appropriate treatment, including abscess drainage and stone removal, is essential to reduce morbidity. Early diagnosis through anamnesis, physical examination, and imaging are the keys to good outcomes. A submandibular abscess caused by sialolithiasis of the submandibular gland requires quick and appropriate treatment. Surgical treatment with abscess drainage and stone removal provides satisfactory results without complications.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2483706"},"PeriodicalIF":0.4,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Salvage of stoma stenosis using a fenestrated ultrathin ALT perforator flap following Kock pouch ileostomy.","authors":"Evelyne Smith, Pietro Di Summa, Dieter Hahnloser","doi":"10.1080/23320885.2025.2479007","DOIUrl":"10.1080/23320885.2025.2479007","url":null,"abstract":"<p><p>Abdominal wall defects can present a challenge for reconstructive surgeons, especially in the presence of major visceral issues. Anterolateral thigh flaps (ALT) are widely used in complex abdominal wall repair, whether pedicled or free, innervated, or denervated. Previous reports primarily focus on reconstruction of the outer layers of the abdominal wall (muscle, fascia, and skin); however, this case highlights the potential of ALT flaps to address complications at the mucosa-skin interface, particularly stomal issues. This case report aims to demonstrate the versatility of the ALT flap at the mucosa-skin contact area, specifically to salvage a stenotic stoma following a Kock pouch (K-pouch) ileostomy. The patient developed multiple complications, including stomal retraction, stenosis, and leakage, which required innovative reconstructive techniques. Here, transposition of a fenestrated ultrathin pedicled ALT flap was used to reconstruct the abdominal wall while accommodating a retracted stoma in the middle of the skin paddle, restoring functional defecation. Initial postoperative complications, such as stomal leak and partial flap dehiscence, were managed with secondary flap adjustments, resulting in long-term successful outcomes. At the two year of follow-up, the stoma remained functional, with no recurrence of stenosis or skin irritation, and the donor site healed without morbidity [1].</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2479007"},"PeriodicalIF":0.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Open coronal plane fracture of the distal phalanx treated by flexion block pinning: a case report.","authors":"Tetsushi Aizawa, Yukako Ishihara, Ryuichi Azuma","doi":"10.1080/23320885.2025.2477175","DOIUrl":"10.1080/23320885.2025.2477175","url":null,"abstract":"<p><p>A distal phalanx may fracture in an atypical shape after high-energy trauma. A 61-year-old man sustained an open fracture of the distal phalanx of his left thumb while using a power saw. The fracture occurred in the coronal plane and the volar bone fragment was dislocated under traction by the flexor pollicis longus tendon. The patient underwent surgery the day after the injury. A flexion block pin was inserted to reduce the volar bone fragment, and an external flexion force was applied using a dorsal splint to compress the dorsal bone fragment into the volar bone fragment. The pin was removed 6 weeks postoperatively, and active range of motion exercises were started 8 weeks postoperatively. Bone union was achieved with good alignment, and although the interphalangeal joint remained slightly restricted in range of motion, the patient returned to his previous job and was satisfied with the function of the left thumb.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2477175"},"PeriodicalIF":0.4,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disseminated tuberculosis presenting as finger swelling in a 2-year-old: a case report of TB osteomyelitis.","authors":"Abdulrahman N AlGhazi, Mohammed H AlZahrani, Wijdan A AlMutiri, Nora M AlZoum","doi":"10.1080/23320885.2025.2473383","DOIUrl":"10.1080/23320885.2025.2473383","url":null,"abstract":"<p><p>Tuberculosis (TB) is a chronic granulomatous infection caused by <i>Mycobacterium tuberculosis</i>. TB primarily affects the lungs. A small percentage of cases are associated with extrapulmonary TB (EPTB). Of all EPTB, skeletal TB accounts for 1-5% of the cases, with the vertebrae being the most commonly affected. Involvement of the hands usually occurs in children under the age of six, with the bones of the proximal phalanx of the middle and index fingers being the most reported sites of infection. We describe a case of disseminated TB presenting as swelling in the index finger. Due to its nonspecific symptoms and insidious course, this condition is frequently overlooked. The presented case is unique compared to other documented TB cases as the child did not undergone Bacillus Calmette-Guérin (BCG) vaccination, a factor that might have contributed to the disease progression. Additionally, traditional cauterization was noted in the patient's history, a practice that could complicate the diagnosis. Physicians should consider TB osteomyelitis when encountering young patients with finger swelling, particularly in endemic areas. Prompt recognition and diagnosis of TB osteomyelitis are crucial for early intervention and better outcomes.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2473383"},"PeriodicalIF":0.4,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11899214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reverse abdominoplasty: easily solving complicated situations.","authors":"Daniele Brunelli, Francesca Mazzarella, Chiara Zanettin, Pasquale Zona, Diego Cappellina, Cesare Cappellina, Franco Bassetto, Vincenzo Vindigni","doi":"10.1080/23320885.2025.2475902","DOIUrl":"10.1080/23320885.2025.2475902","url":null,"abstract":"<p><strong>Background: </strong>Epigastric tissue abundancy after abdominoplasty or liposuction is a complicated scenario that requires a precise and targeted approach. Especially when concurrent mammoplasty is planned or has already been done by the patient, a surgical operation through a submammary skin incision can solve this problem.</p><p><strong>Aim: </strong>To showcase our personal experience regarding reverse abdominoplasty and compare it to the state of the art.</p><p><strong>Methods: </strong>To identify indications, possible complications and outcomes, detailed surgical insights as well as graphical examples are provided. In addition, our personal experience from the last four years is showcased and compared with the literature using PubMed and Cochrane Library databases with Reverse AND Abdominoplasty as search strings.</p><p><strong>Results: </strong>All the 12 patients operated in our facilities between 2020 and 2024 had either a pre-existing submammary scar or a plan to undergo a contestual mammoplasty; at a mean of 25,1 weeks follow up, one major complication occurred.</p><p><strong>Discussion: </strong>There is a lack of publications on reverse abdominoplasty. Small case series are available in the literature, most of which focus on aesthetic indications. Only a few cases address the reconstructive implications of this surgical technique. In our experience, the concomitant desire or necessity of a mammoplasty and an already present inframammary scar favor the surgery. Careful recreation of a new inframammary sulcus must be considered to avoid unpleasant complications.</p><p><strong>Conclusions: </strong>Despite the poor literature supporting this technique, reverse abdominoplasty is a must-known procedure for successfully addressing thorny abdominal wall conditions and is characterized by consistent, replicable and safe outcomes.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2475902"},"PeriodicalIF":0.4,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11892065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An unusual late complication of mitek suture anchor use 10 years after primary repair of a flexor digitorum profundus tendon laceration: a case report and literature review.","authors":"Hatan Mortada, Razan Albrahim, Rahaf Issa Almughamsi, Haya Fahad Alotaibi, Saad Alrobaiea, Rayan Alalola","doi":"10.1080/23320885.2025.2473373","DOIUrl":"10.1080/23320885.2025.2473373","url":null,"abstract":"<p><p>Flexor tendon lacerations require precise surgical repair, often using Mitek suture anchors. This report describes a recurrent infection 10 years post-FDP repair, caused by anchor migration and inflammation. Anchor removal was necessary to prevent further complications, highlighting potential long-term risks.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2473373"},"PeriodicalIF":0.4,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11892040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}