Case Reports in Plastic Surgery and Hand Surgery最新文献

3D-guided cadaveric fibula reconstruction for pediatric infratemporal solitary fibrous tumor. 3d引导下尸体腓骨重建治疗小儿颞下孤立性纤维性肿瘤。

IF 0.6

Case Reports in Plastic Surgery and Hand Surgery Pub Date : 2025-09-16 eCollection Date: 2025-01-01 DOI: 10.1080/23320885.2025.2560394

Jacob Beiriger, Nilam D Patel, Hilary C McCrary, Richard B Cannon

引用次数: 0

Microsurgical reconstruction of the heel: evaluation and decision-making recommendations based on a case series. 显微外科重建足跟：基于一系列病例的评估和决策建议。

IF 0.6

Case Reports in Plastic Surgery and Hand Surgery Pub Date : 2025-09-05 eCollection Date: 2025-01-01 DOI: 10.1080/23320885.2025.2556491

Federico Ziani, Corrado Rubino, Silvia Rampazzo, Matilde Tettamanzi, Giovanni Arrica, Ilaria Ginatempo, Claudia Trignano, Fabio Santanelli di Pompeo, Michail Sorotos, Emilio Trignano

{"title":"Microsurgical reconstruction of the heel: evaluation and decision-making recommendations based on a case series.","authors":"Federico Ziani, Corrado Rubino, Silvia Rampazzo, Matilde Tettamanzi, Giovanni Arrica, Ilaria Ginatempo, Claudia Trignano, Fabio Santanelli di Pompeo, Michail Sorotos, Emilio Trignano","doi":"10.1080/23320885.2025.2556491","DOIUrl":"10.1080/23320885.2025.2556491","url":null,"abstract":"Reconstruction of the calcaneal region presents unique challenges due to its complex anatomy and critical weight-bearing function. This retrospective study aims to report our experience in cases of calcaneal defects repaired with various free flap types, and to evaluate the long-term outcomes of the reconstructions. We retrospectively reviewed 25 patients who underwent microsurgical free flap reconstruction for calcaneal defects between January 1997 and March 2022. Demographics, defect characteristics, surgical techniques, and outcomes were analyzed. Out of the 25 cases, 18 patients (72%) were male, with a median age of 55 years. Successful reconstructions were achieved in 24 patients (96%) using various free flap types: ALT flap (8cases), Parascapular flap (4 cases), Gracilis flap (5 cases), TAP flap (5 cases), Radial forearm flap (2 cases), and in one case, deep circumflex iliac artery (DCIA) osteocutaneous flap. These reconstructions demonstrated good functional recovery and minimal complications. Only one case (4%) experienced flap failure due to venous thrombosis, necessitating revision surgery without success. The most frequent complication was the sliding (6 cases) due to the excessive bulk which was addressed with revision surgery. The average follow-up period was 8 months, with patients regaining satisfactory ambulation and improved quality of life. Based on our results, microsurgical free flap reconstruction has proven to be a valuable technique for addressing calcaneal defects and, according to many Authors, it offers a high success rate and favorable long-term outcomes. In selected cases, revision surgery may be necessary to address bulk-related issues.","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2556491"},"PeriodicalIF":0.6,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12416009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030815","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}

引用次数: 0

Spontaneous regression of locally advanced pleomorphic dermal sarcoma of the forehead: a case report. 前额局部晚期多形性真皮肉瘤自发性消退1例。

IF 0.6

Case Reports in Plastic Surgery and Hand Surgery Pub Date : 2025-09-03 eCollection Date: 2025-01-01 DOI: 10.1080/23320885.2025.2555680

Silvia Rampazzo, Andrea Pasteris, Emilio Trignano, Noemi Spissu, Vincenzo Marras, Antonio Cossu, Francesco Bussu, Corrado Rubino

引用次数: 0

Free flap salvage via direct urokinase injection into thrombosed veins: a case report. 血栓静脉直接注射尿激酶挽救游离皮瓣1例。

IF 0.6

Case Reports in Plastic Surgery and Hand Surgery Pub Date : 2025-08-14 eCollection Date: 2025-01-01 DOI: 10.1080/23320885.2025.2545195

Masanobu Hayashi, Koreyuki Kurosawa, Toshiro Imai, Hiromu Matsunaga, Shinyo Ishi, Yoshimichi Imai

{"title":"Free flap salvage via direct urokinase injection into thrombosed veins: a case report.","authors":"Masanobu Hayashi, Koreyuki Kurosawa, Toshiro Imai, Hiromu Matsunaga, Shinyo Ishi, Yoshimichi Imai","doi":"10.1080/23320885.2025.2545195","DOIUrl":"10.1080/23320885.2025.2545195","url":null,"abstract":"Intraoperative use of urokinase is a recognized method for salvaging compromised free flaps. However, protocols for dosage and administration vary, and no consensus exists regarding the optimal technique. Herein, we report a case of postoperative venous thrombosis in a free fibular flap. Despite the unsuccessful intra-arterial administration of urokinase owing to an extensive venous thrombus, we attempted to dissolve the thrombus through direct intravenous infusion using a 27 G needle at multiple sites in the vein where the thrombus had formed. Ten minutes after direct injection into the venous thrombus, venous blood flowed out and successful thrombolysis was achieved. Re-anastomosis was performed, leading to full use of the skin flap without partial necrosis. No hemorrhagic complications were observed. Intra-arterial injection of urokinase is an effective method of thrombolytic therapy for flap salvage. However, when the vein is completely occluded by thrombus, intraflap circulation of the agent via arterial infusion becomes difficult. Direct injection of urokinase into the occluded vein may serve as a potential method for resolving venous obstruction within the limited ischemic time of the flap.","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2545195"},"PeriodicalIF":0.6,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12355700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875803","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}

引用次数: 0

Synergistic facial rejuvenation with PDO threads and Botulinum Toxin A for aging skin. 与PDO线和肉毒毒素A协同面部年轻化老化皮肤。

IF 0.6

Case Reports in Plastic Surgery and Hand Surgery Pub Date : 2025-08-11 eCollection Date: 2025-01-01 DOI: 10.1080/23320885.2025.2546528

Aynur Aliyeva

引用次数: 0

Coexistent gouty and infectious tenosynovitis in the hand: a case report and narrative review of comparable cases. 手部并发痛风和感染性腱鞘炎：1例报告和比较病例的叙述回顾。

IF 0.6

Case Reports in Plastic Surgery and Hand Surgery Pub Date : 2025-08-09 eCollection Date: 2025-01-01 DOI: 10.1080/23320885.2025.2545199

Mohammad Nouri, Malak Alsaif, Abdulaziz Alnufaei, Turki Alhassan

{"title":"Coexistent gouty and infectious tenosynovitis in the hand: a case report and narrative review of comparable cases.","authors":"Mohammad Nouri, Malak Alsaif, Abdulaziz Alnufaei, Turki Alhassan","doi":"10.1080/23320885.2025.2545199","DOIUrl":"10.1080/23320885.2025.2545199","url":null,"abstract":"Although less commonly in the hand, gouty tenosynovitis may present with symptoms resembling infection. Only a few case reports document such presentations, and reports of coexisting infection and gouty tenosynovitis are even more uncommon. A 32-year-old male with polyarticular tophaceous gout, noncompliant with medications, presented with a one-day history of right index finger swelling and redness. Investigations were suggestive of infectiousious tophus. Despite broad-spectrum antibiotics and rheumatologic interventions (colchicine, allopurinol, and corticosteroids), his condition deteriorated. Multiple incisions and drainages were performed without improvement. Persistent infection, confirmed to be methicillin-resistant Staphylococcus aureus (MRSA), complicated the underlying gouty inflammation. Standard therapies for infective tenosynovitis did not yield clinical resolution, presumably due to ongoing crystal-induced inflammation and compromised tissue. Ultimately, finger amputation was performed to control disease progression after all other salvage options failed. This case underscores the aggressive and destructive potential of gout when complicated by infection. Normal or relatively low serum uric acid levels do not exclude gout, and synovial fluid crystal analysis can be pivotal. Coexisting infection and gouty tenosynovitis in the hand can lead to severe tissue damage if misdiagnosed or inadequately treated. A high index of suspicion, multidisciplinary collaboration, and timely surgical intervention are crucial in preventing further morbidity. This case demonstrates that amputation may be necessary when infection remains unresponsive to standard treatments, emphasizing the importance of early diagnosis and aggressive management.","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2545199"},"PeriodicalIF":0.6,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12337738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822846","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}

引用次数: 0

Uncommon presentation of dermatofibrosarcoma protuberans: extensive growth in a rare location with subclinical cutaneous manifestation-a case report. 罕见的皮肤纤维肉瘤隆突的表现：广泛生长在一个罕见的位置与亚临床皮肤表现- 1例报告。

IF 0.6

Case Reports in Plastic Surgery and Hand Surgery Pub Date : 2025-07-26 eCollection Date: 2025-01-01 DOI: 10.1080/23320885.2025.2535699

Zain Elabedin Asheer, Jennifer Berg Drejøe

{"title":"Uncommon presentation of dermatofibrosarcoma protuberans: extensive growth in a rare location with subclinical cutaneous manifestation-a case report.","authors":"Zain Elabedin Asheer, Jennifer Berg Drejøe","doi":"10.1080/23320885.2025.2535699","DOIUrl":"10.1080/23320885.2025.2535699","url":null,"abstract":"Dermatofibrosarcoma protuberans (DFSP) is a rare, locally aggressive cutaneous tumor predominantly affecting young to middle-aged adults, characterized by a slow-growing, indurated plaque or nodule. The diagnosis and treatment of DFSP can be challenging due to its rarity, growth pattern and variable clinical presentation. A 40-year-old male presented with a firm lump of 8 mm on his forehead for one year. It was initially suspected to be a benign lipoma or atheroma and removed accordingly by a private plastic surgeon. However, histopathological examination revealed dermatofibrosarcoma protuberans (DFSP) that was not radically removed, prompting referral for removal at our department. Here, he presented with a scar of 10 mm with no visible or palpable residual tumor. A planned excision of 20 mm and reconstruction with split thickness skin graft (STSG) was performed. Histopathology showed tumor activity at several margins, with perineural and periosteal invasion. MRI was inconclusive, and therefore PET-CT was added, which showed possible residual tumor. Re-excision including mapping biopsies was performed. Wide re-excision was performed three times to achieve clear surgical margins, yielding a tumor size of approximately 8x10 cm and a final defect measuring 10x12 cm. The defect was reconstructed with a dermal template (Integra®) and STSG. Our case underscores the propensity of DFSP for significant subclinical extension, including potential perineural and periosteal invasion. Despite the aesthetically challenging location, a satisfactory cosmetic result was achieved, and there was no recurrence during the two-year follow-up.","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2535699"},"PeriodicalIF":0.6,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12302385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733733","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}

引用次数: 0

Clinical and microscopic evidence of biofilm formation on titanium miniplates applied in maxillofacial surgery: a case series analysis. 应用于颌面外科的微型钛板生物膜形成的临床和显微证据：一个病例系列分析。

IF 0.6

Case Reports in Plastic Surgery and Hand Surgery Pub Date : 2025-07-26 eCollection Date: 2025-01-01 DOI: 10.1080/23320885.2025.2535707

Bramasto Purbo Sejati, Ahmad Kusumaatmaja, Maria Goreti Widiastuti, Tetiana Haniastuti

引用次数: 0

Flap vascular compromise resulting from an embolus not localized within the anastomotic region. 因栓塞未定位于吻合区而导致皮瓣血管受损。

IF 0.6

Case Reports in Plastic Surgery and Hand Surgery Pub Date : 2025-07-23 eCollection Date: 2025-01-01 DOI: 10.1080/23320885.2025.2533457

Qifeng Ou, Sunwen Pan, Yueliang Zhu, Juyu Tang, Zhen Shi

引用次数: 0

Fat necrosis of the rectus abdominis following extensive body contouring surgery, where is the limit? 大范围塑形手术后腹直肌脂肪坏死的极限在哪里？

IF 0.4

Case Reports in Plastic Surgery and Hand Surgery Pub Date : 2025-07-17 eCollection Date: 2025-01-01 DOI: 10.1080/23320885.2025.2533190

Elise Boudousq, Vivien Moris

引用次数: 0