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}
Christine Y Yoon, Alan M Engler, Hailey Konisky, Avia Hogeg, Alan J Detton, Mark A Erlich, Priti L Mishall, Adi Pinkas
{"title":"Unilateral double facial artery: an anatomic variant and clinical implications.","authors":"Christine Y Yoon, Alan M Engler, Hailey Konisky, Avia Hogeg, Alan J Detton, Mark A Erlich, Priti L Mishall, Adi Pinkas","doi":"10.1080/23320885.2024.2376136","DOIUrl":"10.1080/23320885.2024.2376136","url":null,"abstract":"<p><strong>Background: </strong>This paper reports a rare anatomical variant of the facial artery (FA) - namely, a double FA pattern - which has significant implications in a wide range of surgical and aesthetic medicine disciplines.</p><p><strong>Case: </strong>The study involves a case report and literature review of the FA and its variants. The case is that of a 61-year-old female cadaver with a unilateral FA variant branching pattern discovered during a cadaveric dissection for an anatomy course.</p><p><strong>Discussion: </strong>The dissection revealed an unusual supply of the typical FA distribution by two separate branches from either side of the maxillary artery. The first branch, termed FA1, followed a typical FA course arising from the external carotid to supply the lower portion of the face <i>via</i> lingual, inferior labial, and mental arterial branches. The second branch, termed FA2, arose superior to the maxillary artery near the origin of a typical transverse facial artery, to supply the upper portion of the face <i>via</i> superior labial, lateral nasal, and angular arterial branches. No direct communication between the two branches was observed grossly <i>via</i> dissection. The observed branching pattern has not previously been reported in literature and has critical implications for surgical planning and intervention.</p><p><strong>Conclusion: </strong>This study emphasizes the importance of understanding variant FA anatomy in procedures requiring precise anatomical knowledge of arterial supply to the face. Duplicate and/or secondary facial arteries necessitate careful consideration for their potential consequences on the success of surgery of the head and neck, dermal fillers, and embolization for epistaxis procedures.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"11 1","pages":"2376136"},"PeriodicalIF":0.4,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141621162","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 reduction and internal fixation of a radius and ulna fracture in a patient with an elbow arthrodesis: a case report.","authors":"Kyle Mangum, Taylor Blackwood, Tammam Hanna, Justin Harder, Evan Hernandez, Brendan MacKay","doi":"10.1080/23320885.2024.2378062","DOIUrl":"10.1080/23320885.2024.2378062","url":null,"abstract":"<p><p>This case report outlines the effective use of the Titanium Elastic Nail System (TENS) for treating a peri-implant mid-shaft radius and ulna fracture in a patient with previous elbow arthrodesis and rotational full-thickness flap coverage. Given the paucity of literature surrounding this complex problem, we present a minimally - invasive treatment option which facilitated complete fracture healing, demonstrating the TENS's efficacy in complex orthopedic scenarios.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"11 1","pages":"2378062"},"PeriodicalIF":0.4,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11234911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581081","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":"Leveraging the outcome of a frontal bone tumor facial reconstruction case by a multimodal approach.","authors":"Marek Dobke, Frederic J Kolb, Douglas M Arm","doi":"10.1080/23320885.2024.2365174","DOIUrl":"10.1080/23320885.2024.2365174","url":null,"abstract":"<p><p>The importance of multimodality in the diagnosis and treatment of medical conditions cannot be overemphasized. Herewith a case of facial malignancy encompassing all stages of management and requiring multimodal approaches for diagnosis, oncological treatment, anatomical reconstruction, and ultimately aesthetics and \"identity\" is presented.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"11 1","pages":"2365174"},"PeriodicalIF":0.4,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11229730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141559962","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":"Idiopathic avascular necrosis of the scaphoid (Preiser's disease): a case report and review of the literature.","authors":"Jared J Topham, Bret Wehrli, Assaf Kadar","doi":"10.1080/23320885.2024.2374550","DOIUrl":"10.1080/23320885.2024.2374550","url":null,"abstract":"<p><p>Idiopathic avascular necrosis of the scaphoid bone, Preiser's disease, was originally described as a deteriorative pathology whereby the osseous structure necroses due to loss of blood supply. It may present with multifactorial etiology, which is still largely not well understood. We describe a case of Preiser's disease in a 70-year-old female, with worsening pain and loss of range of motion in her right wrist over a two-year period. Past medical history was significant for Sjogren's disease, fibromyalgia, and dystonia. Pain began several months following traumatic right dorsal wrist injury. Diagnosis of traumatic scaphoid fracture was originally suspected. Conservative treatment was unsuccessful. Radiographs did not demonstrate evidence of primary fracture. CT scan and MRI demonstrated osteonecrosis of the proximal pole of the scaphoid, but no evidence of fracture, either residual or healing, was found. Proximal row carpectomy was performed for avascular necrosis of the scaphoid. Histology confirmed diagnosis and verified absence of fracture. Postoperatively, the patient's pain and range of motion improved. This report combines histological findings of Preiser's disease with radiographic images which may ameliorate understanding of the clinical pathophysiology. We describe an unusual manifestation of Preiser's disease whereby a single traumatic event, in the absence of fracture, led to idiopathic scaphoid avascular necrosis, which may have been associated with Sjogren's syndrome and fibromyalgia. These conditions may have negatively impacted microvasculature and decreased bone mineral density, inversely correlated with the production of fatty marrow, facilitating the onset of osteonecrosis in the scaphoid.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"11 1","pages":"2374550"},"PeriodicalIF":0.4,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11225627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555653","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 case of extracapsular silicone gel implant rupture with contralateral gel migration.","authors":"Rebecca Patrick, Sydney Bormann, Heather Karu","doi":"10.1080/23320885.2024.2357121","DOIUrl":"10.1080/23320885.2024.2357121","url":null,"abstract":"<p><p>Symmastia is a rare complication of augmentation mammaplasty that occurs when a breast implant crosses the midline and connects with the contralateral implant pocket. We present a case of implant rupture, migration to the contralateral breast, and ultimate symmastia following a traumatic fall in a patient with prior breast augmentation.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"11 1","pages":"2357121"},"PeriodicalIF":0.2,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11123507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155337","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}