Case Reports in Plastic Surgery and Hand Surgery最新文献

{"title":"Fat grafting in soleal sling syndrome: a retrospective case series.","authors":"Laura Hilbig-Vlatten, Miguel I Dorante, Julius Asschenfeldt, Lilly F Stadelmeier, Mario Keko, Arriyan S Dowlatshahi","doi":"10.1080/23320885.2026.2715849","DOIUrl":"10.1080/23320885.2026.2715849","url":null,"abstract":"<p><p>Soleal sling syndrome (SSS) is an underrecognized cause of tibial nerve (TN) entrapment at the popliteal fossa, resulting in exertional calf pain, paresthesia and functional impairment. Five patients (seven limbs) underwent decompression with autologous fat grafting. Clinical improvement occurred without graft-related complications, supporting evaluation of fat grafting as an adjunctive treatment.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"13 1","pages":"2715849"},"PeriodicalIF":0.6,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13495039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799108","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":"Ossifying fasciitis of the hand: case report and review of diagnostic pitfalls.","authors":"Azadeh Rakhshan, Babak Toloue Ghamari, Negin Rajabi, Sara Sadeghzadeh, Hanieh Zham","doi":"10.1080/23320885.2026.2695498","DOIUrl":"10.1080/23320885.2026.2695498","url":null,"abstract":"<p><p>Ossifying fasciitis represents an uncommon benign lesion within the spectrum of reactive fibroblastic proliferations. It is defined by the coexistence of spindle-cell proliferation and heterotopic bone formation, a combination that can easily simulate malignant soft-tissue tumors. Because of its rapid growth and radiologic density, it is frequently mistaken for sarcomatous processes. Although most cases occur in the trunk and proximal extremities, presentation within the hand is exceptionally rare. We describe a 34-year-old male who developed a painless nodule on the palmar aspect of the right hand growing over two months. Imaging revealed a well-circumscribed lesion with heterogeneous signal intensity adjacent to the flexor tendon. The excised mass was composed of fibroblasts and myofibroblasts arranged in fascicles within a fibromyxoid stroma, showing osteoid formation rimmed by osteoblasts and scattered multinucleated giant cells. No cytologic atypia or atypical mitoses were present. Immunohistochemistry demonstrated diffuse smooth-muscle-actin (SMA) positivity and absence of H-caldesmon and ALK expression, confirming a diagnosis of ossifying fasciitis. This case underscores the diagnostic pitfalls of ossifying fasciitis, particularly when arising in unusual anatomic locations. Awareness of its characteristic histologic features and correlation with clinical and imaging findings is crucial to avoid misinterpretation as a malignant neoplasm and to prevent unnecessary radical surgery. Reporting such cases expands understanding of their variable presentations and contributes to refining clinical decision-making.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"13 1","pages":"2695498"},"PeriodicalIF":0.6,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13312825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148353738","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":"Modern technology complements classic technique: 3D-printed inter-locking cutting guides for frontal sinus osteoma resection and reconstruction with split-calvarial bone graft.","authors":"Caleb W Brown, Taylor A Martin, Diego E Razura, Abbey L G Johnson, Neil B Horsley, Thomas M Soike, Jeremy M Powers","doi":"10.1080/23320885.2026.2676455","DOIUrl":"10.1080/23320885.2026.2676455","url":null,"abstract":"<p><strong>Introduction: </strong>Frontal sinus osteomas are rare benign tumors that may cause functional or cosmetic concerns. Virtual surgical planning (VSP) offers promising adjuncts to classic craniofacial techniques to improve surgical precision and minimize long-term morbidity.</p><p><strong>Patient: </strong>A previously healthy 15-year-old male presented with a two-year history of headaches and a slowly enlarging mid-forehead mass. Imaging revealed a 3 × 2 cm frontal sinus osteoma with mucocele formation and erosion of both the anterior and posterior tables, with early mass effect on the frontal lobes. VSP was used to design bi-frontal craniotomy and split-calvarial bone graft cutting guides. A combined approach by plastic surgery and neurosurgery was performed using resorbable plating for reconstruction.</p><p><strong>Results: </strong>The operation proceeded without complication. The osteoma was excised, cranialization of the frontal sinus was completed, and the frontal bone was reconstructed using a split-calvarial bone graft secured with resorbable fixation. The patient recovered uneventfully and was discharged on postoperative day four. At six-month, one-year and two-year follow-up, he remained asymptomatic, with six-month imaging showing stable reconstruction and no tumor recurrence. Pathology confirmed a mixed-type osteoma.</p><p><strong>Conclusion: </strong>This case illustrates the successful application of VSP, split-calvarial grafting, and resorbable plating for the resection and reconstruction of a frontal sinus osteoma. The use of patient-specific guides allowed for precise resection and autologous reconstruction. This technique may serve as a valuable model for similar cases in craniofacial surgery.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"13 1","pages":"2676455"},"PeriodicalIF":0.6,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13235252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200536","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":"Intra-abdominal etiology of post-abdominoplasty pain: report of 2 cases.","authors":"Julia Ting, Diwakar Phuyal, Bahar Bassiri Gharb, Antonio Rampazzo","doi":"10.1080/23320885.2026.2678774","DOIUrl":"10.1080/23320885.2026.2678774","url":null,"abstract":"<p><p>Abdominoplasty is a commonly performed body-contouring procedure with a predictable postoperative course. Early abdominal pain is typically attributed to surgical site discomfort, edema, rectus plication, or common complications such as seroma or hematoma. However, intra-abdominal pathology may present with overlapping or nonspecific symptoms, increasing the risk of diagnostic delay. We report two cases of postoperative abdominal pain following abdominoplasty in which intra-abdominal etiologies were identified or strongly considered. In Case 1, a 71-year-old woman with prior Roux-en-Y gastric bypass developed progressive abdominal pain and obstructive symptoms on postoperative day 1. Imaging revealed small bowel obstruction, and diagnostic laparoscopy confirmed an internal hernia through a Petersen's defect requiring surgical intervention. In Case 2, a 34-year-old woman presented with progressive right lower quadrant pain and swelling after a combined reduction mammaplasty and abdominoplasty. Imaging demonstrated an incidental ovarian hemorrhagic cyst, and she was managed conservatively with resolution of symptoms. In both cases, the abdominal wall and surgical sites were clinically benign. These cases highlight that postoperative abdominal pain after abdominoplasty is not always attributable to the abdominal wall or operative field. Overlapping symptoms may contribute to diagnostic anchoring and delayed recognition of intra-abdominal pathology. Maintaining a broad differential diagnosis, particularly in patients with prior abdominal surgery or atypical symptom progression, is essential. Prompt evaluation and multidisciplinary collaboration can reduce morbidity and prevent delays in care.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"13 1","pages":"2678774"},"PeriodicalIF":0.6,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13231810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148164986","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":"A composite approach for Tamai zone I fingertip replantation in the absence of suitable veins: a case report.","authors":"Dung Van Chu, Hieu Trung Nguyen, Vien Cao Nguyen, Hung Phuoc Do","doi":"10.1080/23320885.2026.2675816","DOIUrl":"10.1080/23320885.2026.2675816","url":null,"abstract":"<p><p>Fingertip amputation at Tamai Zone I remains technically challenging due to extremely small vessel size and the frequent absence of suitable veins for venous anastomosis. Venous congestion is a major cause of failure, and various strategies have been proposed to address limited venous outflow. We report a 28-year-old man with a complete Tamai Zone I amputation of the left index fingertip following a motorcycle chain injury. Replantation was completed approximately 8 h after injury. As no suitable vein for conventional venous anastomosis, a composite microsurgical strategy was implemented, integrating multiple coordinated components: arterial repair, direct arteriovenous (AV) anastomosis, controlled ligation of the distal palmar arterial arch, nail plate removal, and short-term postoperative anticoagulation. At one-year follow-up, the replanted fingertip survived completely with satisfactory aesthetic and functional outcomes. The nail regrew with minimal deformity, the distal interphalangeal joint regained full range of motion, and sensory recovery was satisfactory with a two-point discrimination of 7 mm. This case demonstrates the feasibility of a composite microsurgical approach for Tamai Zone I fingertip replantation in the absence of suitable veins. However, given the combined nature of the interventions, the relative contribution of each component cannot be determined, and further studies are required to validate this strategy.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"13 1","pages":"2675816"},"PeriodicalIF":0.6,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13195710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018052","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":"Giant nonencapsulated pubic lipoma: a case report and literature review on differential diagnoses of atypical lipomas.","authors":"Nona Sabeti, Mahdieh Mottaghi, Mehri Sakhdari, Ezzat Hajmollarezaei","doi":"10.1080/23320885.2026.2659394","DOIUrl":"10.1080/23320885.2026.2659394","url":null,"abstract":"<p><p>Lipomas have been previously documented in the literature. Here, we present a rare case of a lipoma with exceptionally unusual size, localization, and structure. Due to exceptional presentation, we reviewed the literature for differential diagnoses. A 62-year-old female presented with a history of a slow-growing mass in the mons pubis over the past five years. The patient underwent open surgical excision. Postoperative pathological examination revealed a tumor measuring 210 × 150 × 90 mm and weighing 1,280 g; notably, no capsule formation was observed, and no evidence of malignancy was detected. During a three-year follow-up, no recurrence was observed. The rare localization and unusually large size of the lipoma may represent a component of a broader diagnostic spectrum, including liposarcoma, lipodystrophy, and rare adipose disorders (RADs). In unusual presentations of lipoma, preoperative MRI is recommended to assist in excluding malignancy, defining lesion margins, and assessing involvement of adjacent tissues, thereby minimizing unnecessary resection and improving surgical outcomes.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"13 1","pages":"2659394"},"PeriodicalIF":0.6,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13185068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147983766","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":"Soft tissue reconstruction of the foot after mine-explosion injury: a case report.","authors":"O V Pasichnyk, T I Tamm, I M Mamontov, D V Pryimak","doi":"10.1080/23320885.2026.2665055","DOIUrl":"10.1080/23320885.2026.2665055","url":null,"abstract":"<p><p>A 22-year-old male sustained a high-energy blast injury after stepping on an anti-personnel mine during combat operations in eastern Ukraine, resulting in an extensive plantar soft tissue defect predominantly involving the central arch, while preserving critical weight-bearing structures, including the calcaneal tuberosity and metatarsal heads. The aim of this report is to describe a staged reconstructive strategy and evaluate the clinical effectiveness of prolonged negative pressure wound therapy (NPWT) combined with delayed split-thickness skin grafting for functional limb salvage in complex combat-related injuries. The patient was managed using a structured multi-stage protocol that included repeated radical debridement to achieve a viable wound bed, prolonged NPWT to promote granulation tissue formation, reduce edema, and control exudation, along with gradual wound edge approximation using retention sutures. Targeted antimicrobial therapy was administered according to microbiological findings, followed by delayed split-thickness skin grafting and a structured rehabilitation program. Complete graft integration was achieved without purulent-septic complications. At 6.5 months of follow-up, the patient demonstrated restoration of full weight-bearing capacity, preservation of plantar contour and biomechanics, stable gait, and a satisfactory functional outcome without chronic ulceration, infection, or neuropathic pain. This case highlights the clinical value of an integrated, stepwise reconstructive approach in managing severe blast-induced plantar defects and underscores the importance of prolonged NPWT as a key modality for optimizing wound bed preparation and improving reconstructive outcomes when critical anatomical structures are preserved.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"13 1","pages":"2665055"},"PeriodicalIF":0.6,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13178036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147964487","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":"Early trifurcation of the facial artery including a dedicated buccinator branch: anatomical and surgical implications.","authors":"Niccolò Fagni, Ferdinando Paternostro, Guglielmo Maria Fiori, Ludovica Livi, Giorgio Zinno, Jacopo Junio Valerio Branca, Eugenio Bertelli, Immacolata Belviso","doi":"10.1080/23320885.2026.2664264","DOIUrl":"10.1080/23320885.2026.2664264","url":null,"abstract":"<p><p>Variations in the branching pattern of the facial artery may affect the planning and outcome of reconstructive and aesthetic procedures in the midface. Here, we report a rare anatomical variant in which the facial artery trifurcates early into three distinct branches, including a novel buccinator branch. In January 2025, the right-sided facial artery of a 67-year-old male Caucasian cadaver, injected with colored acrylic resins, was dissected at the ICLO Teaching and Research Center (Verona, Italy). Following identification of the external carotid artery, the facial artery was traced via an oblique submandibular approach. Branching patterns were documented through digital photography and schematic illustration. Instead of the classical singular course, the facial artery formed a common trunk that, 2 cm distal to its origin, trifurcated within a 1 cm span along the inferior mandibular margin. The anteromedial branch followed the standard facial artery trajectory; the posterolateral (premasseteric) branch supplied the masseteric region; and the central (buccinator) branch penetrated the buccinator fascia, arborizing extensively within the muscle belly. This buccinator branch exhibited a markedly dense microvascular network not previously described. This variant expands the known spectrum of facial arterial anatomy. While the direct clinical impact of a single observation remains limited, awareness of such configurations may be relevant in selected surgical contexts, particularly in flap planning and in procedures involving the buccal region. Unlike the classical buccal artery arising from the internal maxillary system, this branch originated directly from the facial artery and appeared to provide predominant intramuscular vascularization of the buccinator. Further bilateral cadaveric and imaging studies are necessary to determine the prevalence and clinical relevance of this and related anatomical configurations.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"13 1","pages":"2664264"},"PeriodicalIF":0.6,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13162554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934341","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":"Upper limb compartment syndrome requiring fasciotomies following a <i>Vipera ammodytes</i> (horned viper) snakebite: a case report.","authors":"Bisera Nikolovska, Elizabeta Miovska, Jasmina Dobrevska, Emilija Markovikj, Marko Spasov","doi":"10.1080/23320885.2026.2662057","DOIUrl":"10.1080/23320885.2026.2662057","url":null,"abstract":"<p><p>The clinical severity of snakebite envenomation depends on several factors, including the snake species, the amount of venom injected, the site of envenomation, the timing of antivenom administration, and patient-specific factors. Compartment syndrome is a rare but serious complication of severe envenomation, caused by toxin-induced tissue damage and swelling. We present a case of a 71-year-old man with extensive swelling and ecchymosis of the right upper limb, signs of hand ischemia, and systemic effects, including hypotension, anuria, bradycardia, bradypnea, and somnolence, two days after a Vipera ammodytes (horned viper) bite to his right forearm. Delayed initial treatment and antivenom administration (six hours post-bite due to the heavy influence of alcohol) aggravated the clinical course. Emergency fasciotomies were performed to decompress all compartments of the upper limb. Wound closure was achieved with progressive tension closure, split-thickness skin graft, and platelet-rich plasma (PRP) to the volar side of the forearm. The patient achieved complete recovery with full functional restoration of the upper limb. Post-snakebite compartment syndrome (PSCS) results from a multifactorial cascade of venom-induced local tissue injury, leading to increased intracompartmental pressure and microvascular ischemia. Prompt surgical treatment is necessary if symptoms persist or worsen despite antivenom administration.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"13 1","pages":"2662057"},"PeriodicalIF":0.6,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784550","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":"The octopus technique: a technical modification for tension-free closure in abdominoplasty.","authors":"Adnan G Gelidan, Hatan Mortada, Hisham Alghamdi, Amr Youssef Arkoubi","doi":"10.1080/23320885.2026.2648257","DOIUrl":"10.1080/23320885.2026.2648257","url":null,"abstract":"<p><p>This paper describes the Octopus Technique, a technical modification for tension-free abdominoplasty closure using short vertical relaxing incisions for multidirectional tension redistribution. In 12 consecutive patients, no wound dehiscence or flap necrosis occurred. Preliminary results suggest it is safe and reproducible.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"13 1","pages":"2648257"},"PeriodicalIF":0.6,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692874","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}