{"title":"Reconstruction of traumatic tibial nerve defect with two parallel conduit strands: a case report.","authors":"Hiroyuki Shirakura, Atsuhiko Iwao, Noriko Ikari, Rina Iida, Keita Kobashi, Shoko Ashizuka, Akihito Higashi, Yuki Moriuchi, Hiroto Saijo, Kazuya Kashiyama, Katsumi Tanaka","doi":"10.1080/23320885.2024.2407340","DOIUrl":"10.1080/23320885.2024.2407340","url":null,"abstract":"<p><p>We herein report a case of traumatic tibial nerve defect involving the ankle joint. A 16-mm-long defect was observed in a 5-mm-diameter tibial nerve. Two 3-mm-inner-diameter PGA-collagen tubes were transferred to the bifurcated tibial nerve. Satisfactory recovery was achieved at 3 year and 9 months postoperatively.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"11 1","pages":"2407340"},"PeriodicalIF":0.4,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11443561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362162","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":"Platelet-Rich Plasma as a Novel, Non-invasive Method to Treat Breast Capsular Contractures: a Case Report.","authors":"Owen T M Chan, Sarah Squire, S Larry Schlesinger","doi":"10.1080/23320885.2024.2400138","DOIUrl":"https://doi.org/10.1080/23320885.2024.2400138","url":null,"abstract":"<p><p>We describe the first examples of breast capsular contracture amelioration using a non-surgical, transdermal treatment with platelet-rich plasma. The treated patients did not experience any complications or significant pain. This report illustrates the potential of a non-invasive treatment option for a common complication of breast augmentation.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"11 1","pages":"2400138"},"PeriodicalIF":0.4,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11389626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297978","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}
Antonio Amabile, Stefano L'Erario, Carlotta Scarpa, Vincenzo Vindigni, Franco Bassetto, Francesco Marena
{"title":"The challenge of composite graft: the use of fluorescent light energy to improve engraftment.","authors":"Antonio Amabile, Stefano L'Erario, Carlotta Scarpa, Vincenzo Vindigni, Franco Bassetto, Francesco Marena","doi":"10.1080/23320885.2024.2396946","DOIUrl":"https://doi.org/10.1080/23320885.2024.2396946","url":null,"abstract":"<p><p>Composite graft is a useful tool for the reconstruction of specific facial aesthetic subunits with a single surgical stage. This technique, when successful, gives optimal results in the reconstruction of small defects of nose, ear, eyelid and lips. The aim of this work is to optimize the attachment of composite grafts in the reconstruction of small complex facial defects by combining it with Fluorescent Light Energy (FLE) during the healing process of the graft. The beneficial effects of photobiomodulation (PBM) on wound healing might be attributed to anti-inflammatory signaling, cell proliferation, protein synthesis, and decreased bacterial infection. We previously experienced rewarding achievements using Photonic energy in the treatment of burns, non-healing wounds and pathological scars. Therefore, we chose to exploit the potential of bioluminescent energy to maximize aesthetical and functional results, enhancing the formation of new vascular connections and modulating both inflammatory and scarring processes. From the 2nd postoperative day, the patients were locally treated with 5 FLE sessions every (48/72 h) 2 or 3 days. We evaluated results in terms of time for engraftment, quality of the scarring, infective complications and morbidity of the donor site. Graft survival is subject to many factors, both local and systemic. To overcome these issues, various methods have been studied and described. We here report the successful reconstruction of full-thickness defects of the free margin of the nasal alar rim and the central portion of the inferior lip with a composite graft. These results were highly encouraging if compared with the literature. By analyzing our small cohort, we demonstrated how new technologies may push this traditional reconstructive procedure beyond their old boundaries: overcoming an increased size demand or a potential infective wound environment.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"11 1","pages":"2396946"},"PeriodicalIF":0.4,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11351365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113154","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":"Is capsulectomy necessary for symptom improvement in patients undergoing implant removal for systemic symptoms?","authors":"Patricia McGuire, Caroline Glicksman","doi":"10.1080/23320885.2024.2390080","DOIUrl":"10.1080/23320885.2024.2390080","url":null,"abstract":"<p><p>A case of symptom improvement after implant removal without capsulectomy is presented with a review of the literature.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"11 1","pages":"2390080"},"PeriodicalIF":0.4,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11340222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037325","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}
Francesco Silan, Lara Ortega Fernandez, Josep Parcet Riu, Sara Alvarez Alonso, Santiago Montes Moreno
{"title":"Intramuscular hemangioma of the infraspinatus muscle: a rare presentation.","authors":"Francesco Silan, Lara Ortega Fernandez, Josep Parcet Riu, Sara Alvarez Alonso, Santiago Montes Moreno","doi":"10.1080/23320885.2024.2393819","DOIUrl":"10.1080/23320885.2024.2393819","url":null,"abstract":"<p><p>Intramuscular hemangiomas (IMH) are extremely rare, accounting for 0.8% of all hemangiomas. IMH must be included in the differential diagnosis of soft tissue masses, and unexplained muscular pain. We herein describe the case of a patient who presented with an atypical localization of IMH in the infraspinatus muscle.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"11 1","pages":"2393819"},"PeriodicalIF":0.4,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11338197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142020119","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}
M Belhoste, O Bauquis, P Mathevet, J Billy, P G di Summa
{"title":"Full labia minora reconstruction with labia sharing flap: a case report.","authors":"M Belhoste, O Bauquis, P Mathevet, J Billy, P G di Summa","doi":"10.1080/23320885.2024.2387032","DOIUrl":"10.1080/23320885.2024.2387032","url":null,"abstract":"<p><p>Full labia minora reconstruction can be necessary due to congenital malformation or genetic syndromes, but more often is required following oncologic excisions, or debridements after vulvar or perineal infections. It is important to note that full labia reconstruction can be needed after genital mutilation, or iatrogenic deformity after previous labia reduction procedure. A 37-year-old female patient, with vulvar necrotizing fasciitis after a marsupialization of the right Bartholin's gland, was referred to the Gynecology and Obstetrics unit. Three surgical debridements were performed, associated with prolonged antibiotic therapy, leading to a total loss of the right labia minora and the clitoris glans, in addition to minimal loss of labia majora. With a two-stage approach on the labia minora, the first procedure allowed to pull the left labia minora as a labia sharing flap, in order to join the remnant scar tissue on the right side, respecting the anterior and posterior leaflets. The second part was performed five weeks later, after autonomization of the new labia minora flap. Once the flap was divided, a perfectly vascularized right neo-labia minora was obtained. The flap healed uneventfully. The patient was asked to complete a questionnaire at six months, which confirmed an excellent aesthetic result with a like with like reconstruction. Eight months later, a final correction was performed to enhance the definitive aesthetic aspect with lipofilling of the right labia majora. Two techniques have been previously published with a two-stage cross-labial transposition flap, one using a top cut leading to a bottom pedicle and another using a bottom cut with an upper pedicle. We proceeded with a one-time edge resection, respecting the full vascular pedicle and transposed the full height of the labia minora. This technique revealed to be extremely effective, guaranteeing a reliable vascularization and decreasing the risk of tearing on the pedicle.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"11 1","pages":"2387032"},"PeriodicalIF":0.4,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11328592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000961","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}
Jillian R Gunther, Swaminathan P Iyer, Kelly K Hunt, Hong Fang, Sa A Wang, Mark W Clemens, Chelsea C Pinnix
{"title":"Beyond surgery: the proper role and delivery of radiation therapy in the local-regional management of BIA-ALCL.","authors":"Jillian R Gunther, Swaminathan P Iyer, Kelly K Hunt, Hong Fang, Sa A Wang, Mark W Clemens, Chelsea C Pinnix","doi":"10.1080/23320885.2024.2389172","DOIUrl":"10.1080/23320885.2024.2389172","url":null,"abstract":"<p><p>For localized breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), surgical resection is crucial; however, radiation therapy (RT) can be utilized as local-regional therapy if surgery is incomplete or not recommended. We present the case of a woman with BIA-ALCL who received systemic therapy and consolidation RT.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"11 1","pages":"2389172"},"PeriodicalIF":0.4,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11308955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141907924","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":"Autologous coverage for direct-to-implant pre-pectoral reconstruction in large and ptotic breasts: a new technique.","authors":"Corrado Rubino, Emilio Trignano, Manuela Rodio, Alessandro Fancellu, Nicola Pili, Rita Nonnis, Domenico Pagliara, Noemi Spissu, Silvia Rampazzo","doi":"10.1080/23320885.2024.2383677","DOIUrl":"10.1080/23320885.2024.2383677","url":null,"abstract":"<p><p>Direct-to-implant (DTI) breast reconstruction after skin reducing mastectomy in large and ptotic breast is characterized by a high rate of complication. The Dermal Sling is commonly used to give extra coverage to the lower pole of the mammary implant to lower the risk of implant exposure in case of wound dehiscence at the T-junction. The aim of the paper is to detail an original technique that combines an inferior dermal sling with pectoral and serratus fascial flaps, to create a pre-pectoral pouch. We retrospectively review the clinical data of the patients who underwent Type IV/V mastectomy and DTI breast reconstruction with the described technique. Minor and major post operative complications were analyzed. Patient satisfaction and aesthetic outcomes were evaluated at one year of follow-up through Breast-Q and Validated Aesthetic Scale. Ten patients (fourteen breasts) were included in the study. Skin and/or NAC necrosis occurred in three breasts. One patient underwent implant removal due to periprosthetic infection. At one of follow-up no capsular contracture nor migration of the implant were clinically detected in all patients. One patient had a visible rippling at the upper quadrants of the new breast. Good patient satisfaction and aesthetic outcomes were reported. The association of fascial flaps and dermal sling is a viable option for breast reconstruction in patients with large and ptotic breasts. Along with providing an autologous coverage for the implant, it allows to maintain a good projection, maximize symmetrization in case of concomitant contralateral reduction mammoplasty and avoid any implant displacement.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"11 1","pages":"2383677"},"PeriodicalIF":0.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11295681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890300","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}
Abdulwahid Salih, Ari Abdullh, Hiwa Baba, Aras Qaradaqhy, Rebaz Ali, Rebaz Mohammed, Aso Muhialdeen, Hardi Dhahir, Yadgar Saeed, Fahmi Kakamand
{"title":"Concurrent squamous cell carcinoma and non-hodgkin lymphoma: a rare case report and multidisciplinary approach.","authors":"Abdulwahid Salih, Ari Abdullh, Hiwa Baba, Aras Qaradaqhy, Rebaz Ali, Rebaz Mohammed, Aso Muhialdeen, Hardi Dhahir, Yadgar Saeed, Fahmi Kakamand","doi":"10.1080/23320885.2024.2381757","DOIUrl":"10.1080/23320885.2024.2381757","url":null,"abstract":"<p><strong>Introduction: </strong>Squamous cell carcinoma (SCC) is a skin malignancy typically treated with surgical resection. Non-Hodgkin lymphoma (NHL) is a group of lymphoid tissue malignancies treated with various strategies, including chemotherapy and radiotherapy.</p><p><strong>Case presentation: </strong>A 64-year-old male with prior SCC presented with a new scalp lesion. Examination revealed an elevated, irregular, non-tender lesion with mild yellow discoloration. Imaging showed a scalp lesion, cervical lymphadenopathies, and a well-defined mass. Ultrasonography uncovered lymph node involvement and splenomegaly. Fine needle aspiration, biopsy, and immune stains of the lymph node confirmed NHL. Wide local excision of the scalp lesion, reconstruction, and lymph node biopsies were performed, confirming SCC and NHL. The patient received radiotherapy and chemotherapy.</p><p><strong>Conclusion: </strong>This unique rare case emphasizes the complex interplay of SCC and NHL, necessitating vigilant SCC patient follow-up.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"11 1","pages":"2381757"},"PeriodicalIF":0.4,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11265305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141752981","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}
José Fonseca, Jorge Garza, Mauricio García, Karen Aguirre, Haya Alotaibi, Hatan Mortada
{"title":"Electrical burn-induced vocal cord injury: insights from a case report and literature review.","authors":"José Fonseca, Jorge Garza, Mauricio García, Karen Aguirre, Haya Alotaibi, Hatan Mortada","doi":"10.1080/23320885.2024.2374549","DOIUrl":"10.1080/23320885.2024.2374549","url":null,"abstract":"<p><p>We report a rare case of vocal cord injury from an electrical burn, managed successfully with conservative, non-invasive treatment. This unique case illustrates potential complications of electrical trauma and underscores the need for vigilance and consideration of conservative management approaches.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"11 1","pages":"2374549"},"PeriodicalIF":0.4,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11238649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591647","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}