Case Reports in Plastic Surgery and Hand Surgery最新文献_第4页

Neurofibromatosis type 1 with unilateral macrodactyly-like overgrowth: a case report. 1型神经纤维瘤病伴单侧大指样增生1例。

IF 0.6

Case Reports in Plastic Surgery and Hand Surgery Pub Date : 2026-03-05 eCollection Date: 2026-01-01 DOI: 10.1080/23320885.2026.2636354

Lorenz Klaus, Marcel Hoh, Benjamin Beyersdorf, David Ruemmele, Amadou S H Jallow, Dorah G Mtaita, Jürgen Dolderer

{"title":"Neurofibromatosis type 1 with unilateral macrodactyly-like overgrowth: a case report.","authors":"Lorenz Klaus, Marcel Hoh, Benjamin Beyersdorf, David Ruemmele, Amadou S H Jallow, Dorah G Mtaita, Jürgen Dolderer","doi":"10.1080/23320885.2026.2636354","DOIUrl":"10.1080/23320885.2026.2636354","url":null,"abstract":"Neurofibromatosis type 1 (NF1) is a genetic disorder characterized by benign tumors of the nervous system, typically associated with café-au-lait spots and neurofibromas. Macrodactyly usually is referred to as a rare congenital anomaly with overgrowth of bone and soft tissue. In addition, macrodactyly-like patterns of localized digital overgrowth have been described, including nerve-related segmental overgrowth. We report the case of a 22-year-old woman from northern Tanzania presenting with unilateral macrodactyly-like overgrowth of the non-dominant left hand and clinical features of NF1, including café-au-lait spots and multiple neurofibromas. Surgical excision of redundant soft tissue resulted in an improved hand contour and restoration of the first web space. The postoperative course was uncomplicated with preserved early sensory function; however, meaningful assessment of range of motion and dexterity was not possible due to the limited stay of medical staff until three days postoperatively. Intraoperatively, markedly enlarged digital nerves were observed, and histopathology confirmed a plexiform neurofibroma consistent with NF1‑related nerve‑associated segmental overgrowth rather than classical idiopathic macrodactyly. This rare presentation of NF1 with unilateral macrodactyly-like overgrowth highlights the diagnostic challenge of distinguishing true congenital macrodactyly from NF1-associated nerve-related segmental overgrowth in the absence of modern diagnostic tools. Nevertheless, the case emphasizes the need for further investigation into NF1-associated tissue overgrowth and macrodactyly-like digital enlargement, as well as the role of surgery in improving hand contour, potential function, and quality of life in low-resource settings.","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"13 1","pages":"2636354"},"PeriodicalIF":0.6,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12964458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147378986","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

Rare pediatric Galeazzi lesion with progressive wrist deformity. 罕见的小儿Galeazzi病变伴进行性手腕畸形。

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Case Reports in Plastic Surgery and Hand Surgery Pub Date : 2026-03-03 eCollection Date: 2026-01-01 DOI: 10.1080/23320885.2026.2638084

Sarah Kerler, Johannes Fuchs, Jörg Grünert, Samuel Christen

引用次数: 0

Wide excision and latissimus dorsi flap reconstruction for advanced axillary hidradenitis suppurativa: a case series. 广泛切除及背阔肌皮瓣重建晚期腋窝化脓性汗腺炎一例。

IF 0.6

Case Reports in Plastic Surgery and Hand Surgery Pub Date : 2026-02-28 eCollection Date: 2026-01-01 DOI: 10.1080/23320885.2026.2639268

Frank Andrés Álvarez Vásquez, Iván Enrique Rodríguez Mantilla, Liceth Lorena Patarroyo Villalobos, Nicol Daniella Cala Gómez, Jorge Luis Corcho Acosta, Juan Pablo Zaraza Duarte

{"title":"Wide excision and latissimus dorsi flap reconstruction for advanced axillary hidradenitis suppurativa: a case series.","authors":"Frank Andrés Álvarez Vásquez, Iván Enrique Rodríguez Mantilla, Liceth Lorena Patarroyo Villalobos, Nicol Daniella Cala Gómez, Jorge Luis Corcho Acosta, Juan Pablo Zaraza Duarte","doi":"10.1080/23320885.2026.2639268","DOIUrl":"10.1080/23320885.2026.2639268","url":null,"abstract":"Hidradenitis suppurativa (HS) is a chronic inflammatory disorder of the pilosebaceous unit characterized by recurrent nodules, tunnels, scarring, and functional impairment, most commonly affecting intertriginous regions. Surgical excision addresses irreversible tissue damage, while medical therapy controls the underlying inflammatory process; both strategies should be considered complementary. Following wide excision, secondary intention healing remains a valid option for axillary defects; however, flap reconstruction may be electively chosen in selected patients to shorten healing time and reduce wound care burden based on patient preference and surgeon experience. This article presents a case series of three patients with Hurley stage III axillary HS who underwent wide excision followed by reconstruction with latissimus dorsi musculocutaneous flaps. Operative details, perioperative management, postoperative outcomes, and follow-up are reported. All patients achieved durable coverage, preserved shoulder range of motion, high aesthetic satisfaction, and no clinical recurrences during follow-up.","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"13 1","pages":"2639268"},"PeriodicalIF":0.6,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12951671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147348939","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

Evacuation of axillary hematoma causing brachial plexus compression in newly diagnosed leukemia: a case report and literature review. 新诊断白血病腋窝血肿引流引起臂丛受压1例报告并文献复习。

IF 0.6

Case Reports in Plastic Surgery and Hand Surgery Pub Date : 2026-02-23 eCollection Date: 2026-01-01 DOI: 10.1080/23320885.2026.2636313

Isaac Mordukhovich, Hafsa Omer Sulaiman, Sean Frisbie, Anthony Tufaro, Bahar Bassiri Gharb, Antonio Rampazzo

{"title":"Evacuation of axillary hematoma causing brachial plexus compression in newly diagnosed leukemia: a case report and literature review.","authors":"Isaac Mordukhovich, Hafsa Omer Sulaiman, Sean Frisbie, Anthony Tufaro, Bahar Bassiri Gharb, Antonio Rampazzo","doi":"10.1080/23320885.2026.2636313","DOIUrl":"10.1080/23320885.2026.2636313","url":null,"abstract":"Spontaneous soft tissue hematomas are recognized complications of myeloproliferative neoplasms but rarely implicate the brachial plexus. A large axillary hematoma could represent a surgical emergency due to compression of local neurovascular structures. We report a case of a 63-year-old male with a history of polycythemia vera who presented with an expansive axillary hematoma compressing his brachial plexus. The lesion's profound size caused upper limb paralysis and exquisite pain on passive movment, raised suspicion for malignant hematologic progression, and provided a localized etiology for the patient's plexopathy. Large-vessel compromise, central nervous system lesions, and soft tissue invasion were excluded by clinical evaluations and diagnostic imaging before the interdisciplinary decision was made to surgically evacuate the proven complex hematoma. The patient's pain improved following decompression and another washout two days later. Concurrent hematologic workup identified acute myelomonocytic leukemia by bone marrow biopsy and initiated appropriate management. Twenty-four abstracts were screened from PubMed using keyword search terms and citation matching. Thirteen patients were identified, 4 of which had compartment syndrome symptoms secondary to hematoma in the setting of an undiagnosed hematological malignancy. All cases in the literature were concurrently diagnosed with chronic myeloid leukemia whereas the case we present was a manifestation of acute myeloid leukemia. Extensive mass effect from a deep tissue hematoma as the chief complaint for a patient with leukemic transformation of polycythemia vera is a rare presentation. An interdisciplinary approach with meticulous hematologic workup allowed for management of both, the lesion's neuropathic mass effect and its underlying hematologic malignancy.","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"13 1","pages":"2636313"},"PeriodicalIF":0.6,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12931339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147309897","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

Late breast implant infection after severe pneumonia - a case report and literature review. 重症肺炎后晚期假体感染1例并文献复习。

IF 0.6

Case Reports in Plastic Surgery and Hand Surgery Pub Date : 2026-02-21 eCollection Date: 2026-01-01 DOI: 10.1080/23320885.2026.2632528

Erica Segura, Hector Oyonate, Pablo García Barón, Ferran Escrigas, Jordi Descarrega, Joan Fontdevila

{"title":"Late breast implant infection after severe pneumonia - a case report and literature review.","authors":"Erica Segura, Hector Oyonate, Pablo García Barón, Ferran Escrigas, Jordi Descarrega, Joan Fontdevila","doi":"10.1080/23320885.2026.2632528","DOIUrl":"10.1080/23320885.2026.2632528","url":null,"abstract":"Late infection associated with breast implants is an uncommon but potentially serious complication in patients undergoing breast reconstruction. These infections are rare, poorly documented and may present many years after the initial surgery. We present the case of a 60-year-old woman with a history of mastectomy and breast reconstruction with an implant, who developed a late implant infection nine years after surgery following a severe pneumonia which required intensive care unit stay and intravenous antibiotherapy regime. Despite multiple antibiotic regimens, the patient required implant removal. Sonication of the explanted implant identified Staphylococcus epidermidis, highlighting the diagnostic utility of this method. This case underlines the need to consider late implant infections in patients with inflammatory breast symptoms, even years after reconstruction. Implant sonication improves microbiological diagnosis and surgical removal remains the definitive treatment when medical therapy fails.","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"13 1","pages":"2632528"},"PeriodicalIF":0.6,"publicationDate":"2026-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12927387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285441","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

Chest wall stabilization following hemi-sternectomy assisted by 3D printed model. 3D打印模型辅助半胸骨切除术后胸壁稳定。

IF 0.6

Case Reports in Plastic Surgery and Hand Surgery Pub Date : 2026-02-11 eCollection Date: 2026-01-01 DOI: 10.1080/23320885.2026.2627738

Phillip L Nichols, Caleb W Brown, Derek C Wenger, Jennifer M Osher, Jeremy M Powers

{"title":"Chest wall stabilization following hemi-sternectomy assisted by 3D printed model.","authors":"Phillip L Nichols, Caleb W Brown, Derek C Wenger, Jennifer M Osher, Jeremy M Powers","doi":"10.1080/23320885.2026.2627738","DOIUrl":"10.1080/23320885.2026.2627738","url":null,"abstract":"The incidence of deep sternal wound infection post-sternotomy is 1.6%. Treatment with sternectomy or hemi-sternectomy can result in exposed thoracic organs, chest wall and shoulder girdle instability, reduced upper extremity function and disability. Various materials and soft tissue techniques are available for chest wall reconstruction; however, the use of a 3D-printed model to facilitate preoperative bending of titanium plating systems for sternal reconstruction has not been previously reported. A 51-year-old female presented to the plastic surgery clinic with a history of coronary artery bypass grafting complicated by sternal osteomyelitis. A left hemi-sternectomy was performed to treat the infection, after which the patient developed chronic pain and shoulder instability. The patient was referred to plastic surgery to consider options for combined sternal stabilization and flap coverage. A polyamide 3D-printed model of the sternum and ribcage was produced, followed by pre-operative bending of sternal-spanning long rib plates for use in the operating room. The model and the pre-bent plates were sterilized and brought to surgery. After elevation of pectoralis muscle flaps and exposure, the pre-bent plates were directly applied to the rib cage with minimal modification, thus obtaining the pre-planned reduction of the sternum/ribcage and saving a significant amount of time in the operating room. The patient made a good recovery from the operation with significant improvement of chest wall stability, improvement of shoulder function, and a decrease in chest discomfort. This report details the application of 3D printing to increase the precision and efficiency of chest wall stabilization.","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"13 1","pages":"2627738"},"PeriodicalIF":0.6,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12895858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203187","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

Medial femoral condyle free flap for reconstructions of medication related osteonecrosis of the jaw. 股骨内侧髁游离皮瓣重建药物相关性颌骨坏死。

IF 0.6

Case Reports in Plastic Surgery and Hand Surgery Pub Date : 2026-01-27 eCollection Date: 2026-01-01 DOI: 10.1080/23320885.2026.2619311

Derek C Wenger, Caleb W Brown, Phillip L Nichols, Hannah Tan, Jeremy M Powers

引用次数: 0

Cross-toe flap from great toe to second toe: a novel reconstructive approach for distal toe salvage. 从大脚趾到第二脚趾的交叉趾瓣：一种修复远端脚趾的新方法。

IF 0.6

Case Reports in Plastic Surgery and Hand Surgery Pub Date : 2026-01-18 eCollection Date: 2026-01-01 DOI: 10.1080/23320885.2026.2614132

Qi Xuan Lim, O-Wern Low, Elijah Cai, Chance Goh, Priya Tiwari, Janet Hung, Jing Tzer Lee, Yan Lin Yap, Jane Lim, Thiam Chye Lim, Vigneswaran Nallathamby

{"title":"Cross-toe flap from great toe to second toe: a novel reconstructive approach for distal toe salvage.","authors":"Qi Xuan Lim, O-Wern Low, Elijah Cai, Chance Goh, Priya Tiwari, Janet Hung, Jing Tzer Lee, Yan Lin Yap, Jane Lim, Thiam Chye Lim, Vigneswaran Nallathamby","doi":"10.1080/23320885.2026.2614132","DOIUrl":"10.1080/23320885.2026.2614132","url":null,"abstract":"Cross-toe flaps are traditionally harvested from the second toe to reconstruct great toe defects. We present a novel approach using the great toe pulp to reconstruct a second toe dorsal defect, providing durable coverage while preserving toe length and aesthetics. A 19-year-old female sustained full-thickness soft tissue and extensor tendon loss over the right second toe following a road traffic accident. After initial debridement, definitive reconstruction was performed using a cross-toe flap from the lateral plantar pulp of the great toe. The flap was designed elliptically based on the plantar digital neurovascular bundle. A medial incision was made, and dissection proceeded to just above the periosteum, preserving a thin layer of soft tissue over bone. The flap was elevated laterally and dorsally to the extent required for a tension-free inset over the second toe defect. Flap division was performed ten weeks after the index reconstructive surgery. The flap demonstrated excellent perfusion post-inset and remained neurovascularly intact after division. The second toe was salvaged with good aesthetic and functional outcomes while avoiding disarticulation, and the great toe donor site healed without complication. To the authors' knowledge, this is the first reported case of a cross-toe flap harvested from the great toe for reconstruction of the second toe, providing a viable option for distal toe salvage in selected patients seeking optimal aesthetic and functional outcomes.","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"13 1","pages":"2614132"},"PeriodicalIF":0.6,"publicationDate":"2026-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12818300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020169","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

The use of suction-assisted liposuction for lymphoedema management and rotational flap closure in a bariatric patient with lower limb open fracture. 使用吸脂辅助吸脂治疗伴下肢开放性骨折的肥胖患者的淋巴水肿和旋转皮瓣关闭。

IF 0.6

Case Reports in Plastic Surgery and Hand Surgery Pub Date : 2026-01-10 eCollection Date: 2026-01-01 DOI: 10.1080/23320885.2026.2612782

Rawan Jaibaji, Calver Pang, Keith Anderson, Charles Loh

引用次数: 0

Breast infection after nipple piercing in augmented breasts: a case report and review of literature. 丰胸穿刺后乳房感染1例报告及文献复习。

IF 0.6

Case Reports in Plastic Surgery and Hand Surgery Pub Date : 2026-01-01 DOI: 10.1080/23320885.2025.2610520

Ori Berger, Roei Singolda, Ehab Madah, Ehud Arad, Yoav Barnea

{"title":"Breast infection after nipple piercing in augmented breasts: a case report and review of literature.","authors":"Ori Berger, Roei Singolda, Ehab Madah, Ehud Arad, Yoav Barnea","doi":"10.1080/23320885.2025.2610520","DOIUrl":"10.1080/23320885.2025.2610520","url":null,"abstract":"Breast augmentation is among the most frequently performed aesthetic procedures worldwide. Although postoperative infections are uncommon, breast implant-associated infections can be severe and challenging to treat. Nipple piercings, increasingly popular among young women, are a recognized source of local infection, yet their implications in patients with implants remains poorly characterized. This report describes a case of breast infection following nipple piercing in a woman with breast implants and to review the relevant literature. A 23-year-old woman with a history of subpectoral breast augmentation underwent bilateral nipple piercing and subsequently developed rapidly progressive left breast pain, erythema and purulent drainage. Ultrasound revealed a multiloculated abscess. Aspiration cultures grew Streptococcus pyogenes, while intraoperative cultures from both implant pockets were sterile. Despite the absence of direct pocket involvement, her clinical deterioration warranted urgent abscess drainage and bilateral explantation, after which she recovered fully on antibiotic therapy. A targeted literature review identified four published cases of breast or chest implant infections associated with nipple piercing. Reported infections occurred 2-50 weeks after piercing and most involved Staphylococcus or Streptococcus species. Management ranged from antibiotics alone to explantation, though follow-up in most reports was limited. Breast infections following nipple piercing in augmented patients are rare but potentially severe. Significant soft-tissue infections may necessitate explantation, even when pockets appear uninvolved. Patients considering nipple piercing after augmentation should be counseled about these risks, and further systematic reporting is needed to guide prevention and treatment strategies.","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"13 1","pages":"2610520"},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12777858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935157","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