Indian Journal of Plastic Surgery最新文献_第2页

Evaluation of Facial Artery Musculomucosal Flap for Reconstruction of Small Tongue Defects. 面动脉肌粘膜瓣修复舌小缺损的疗效评价。

IF 1.5

Indian Journal of Plastic Surgery Pub Date : 2025-10-29 eCollection Date: 2026-02-01 DOI: 10.1055/s-0045-1809954

Shruti Kongara, Kishore Purushothaman, Jimmy Mathew, Yogesh Dhoke, Arya Chandrababu Jaya, Srilekha Reddy Galigutta, Shravan Rai, Abhinandan Badam, Krishnakumar Thankappan, Subramania Iyer

{"title":"Evaluation of Facial Artery Musculomucosal Flap for Reconstruction of Small Tongue Defects.","authors":"Shruti Kongara, Kishore Purushothaman, Jimmy Mathew, Yogesh Dhoke, Arya Chandrababu Jaya, Srilekha Reddy Galigutta, Shravan Rai, Abhinandan Badam, Krishnakumar Thankappan, Subramania Iyer","doi":"10.1055/s-0045-1809954","DOIUrl":"10.1055/s-0045-1809954","url":null,"abstract":"Background: Partial glossectomy defects can be managed by different methods, ranging from primary closure to pedicled or free flaps. The facial artery musculomucosal (FAMM) flap provides an excellent match to lingual tissue and provides an inconspicuous donor site. This study aims to compare functional outcomes, especially speech, of patients with partial glossectomy defects (≤1/3rd of tongue) reconstructed by FAMM flap with those of similar defects closed primarily or healed by secondary intention. It also offers to resolve the question of whether defects of this size should be reconstructed at all.Materials and methods: A total of 25 patients with T1 or T2 oral tongue cancer undergoing resection and reconstruction with islanded FAMM Flap were included in the prospective limb of the study. Retrospective comparison was done with patients of similar defects who had primary closure (25 patients) or were allowed healing by secondary intention (25 patients). Their peri-operative parameters and functional outcomes were compared.Results: The FAMM flap group required longer duration of nasogastric feeds and overall hospital stay. Speech intelligibility, as assessed by a speech therapist after 3 months, was satisfactory in all the groups of patients. Results of subjective assessment of speech-related problems did not demonstrate any advantage to the flap group.Conclusion: Patients with small tongue defects, irrespective of method of repair, have good speech outcomes. There was no significant difference between flap and non-flap groups in objective speech intelligibility outcomes. The benefit of reconstructing defects less than or equal to one-third of the tongue is questionable.","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"59 1","pages":"6-14"},"PeriodicalIF":1.5,"publicationDate":"2025-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13016851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522225","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

High-Pressure Injection Injuries of the Hand: Our Experience and Literature Review. 手部高压注射损伤：我们的经验和文献回顾。

IF 1.5

Indian Journal of Plastic Surgery Pub Date : 2025-10-29 eCollection Date: 2026-02-01 DOI: 10.1055/s-0045-1807242

Anand Prasath Jayachandiran, Manoj Ananthappan, Vasireddy Divya, Surya Rao Rao Venkata Mahipathy, Alagar Raja Durairaj, Suresh Rajendran

{"title":"High-Pressure Injection Injuries of the Hand: Our Experience and Literature Review.","authors":"Anand Prasath Jayachandiran, Manoj Ananthappan, Vasireddy Divya, Surya Rao Rao Venkata Mahipathy, Alagar Raja Durairaj, Suresh Rajendran","doi":"10.1055/s-0045-1807242","DOIUrl":"10.1055/s-0045-1807242","url":null,"abstract":"Background: High-pressure injection injuries are serious and often underestimated traumas that can lead to severe soft tissue damage, ischemia, infection, and even amputation. These injuries commonly occur in industrial settings, particularly affecting young male workers handling chemicals.Materials and methods: Seven male patients with high-pressure hand injection injuries from November 2019 to December 2024 were evaluated retrospectively. Immediate debridement and broad-spectrum antibiotics were administered. Follow-up assessed the recovery and functional outcomes.Results: Out of seven patients, one was managed conservatively and the others required multiple debridements, with two presenting with infections and one with compartment syndrome. X-rays confirmed the presence of foreign bodies in all cases. Soft tissue defects were addressed using reconstructive techniques. One patient developed finger stiffness, and two were lost to follow-up. In most cases, aggressive early intervention and debridement reduced infection and preserved hand function, although some patients experienced prolonged recovery due to tissue loss and the need for flap coverage.Conclusion: High-pressure injection injuries require rapid recognition and management, as delays increase the risk of infection, necrosis, and functional impairment. Early, thorough debridement is essential, especially with materials like paint thinner significantly elevating the risk of amputation. This study emphasizes educating emergency physicians on early recognition and intervention for optimal outcomes.","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"59 1","pages":"28-36"},"PeriodicalIF":1.5,"publicationDate":"2025-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13016842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522316","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

Flap Impaling: A Simple and Effective Technique in Soft Tissue Reconstruction of Complex Extremity Wounds. 皮瓣穿刺：一种简单有效的四肢复杂创伤软组织重建技术。

IF 1.5

Indian Journal of Plastic Surgery Pub Date : 2025-10-29 eCollection Date: 2026-02-01 DOI: 10.1055/s-0045-1807284

Sathish Kumar Jayaraman, Abiramie Chellamuthu, Srinivasan Venugopal, Vishnu Priya Vasudevan

{"title":"Flap Impaling: A Simple and Effective Technique in Soft Tissue Reconstruction of Complex Extremity Wounds.","authors":"Sathish Kumar Jayaraman, Abiramie Chellamuthu, Srinivasan Venugopal, Vishnu Priya Vasudevan","doi":"10.1055/s-0045-1807284","DOIUrl":"10.1055/s-0045-1807284","url":null,"abstract":"Composite defects due to trauma present with compound comminuted fractures with soft tissue loss. Stabilization requires multiple Schanz pins across the fracture segments and flap cover for soft tissue reconstruction. These pins hinder flap inset and may require complex planning with multiple flaps. A simple approach is to impale the flaps over these pins to achieve flap inset without disturbing the skeletal fixation. This method of impaling was utilized for free as well as pedicled fasciocutaneous and muscle flaps. A stab incision is made and careful dissection is done to create a passage for the pins without injuring the vascularity of these flaps. In this manner multiple pins can be passed as needed. Flap inset is then completed. Slight modifications in threading the pins are required depending on whether a free or a pedicled flap is used. This study includes 16 flaps of which 15 were for lower limbs and 1 was for upper limb reconstruction. Pedicled flaps used were 13, the most common being inferiorly based fasciocutaneous flaps. Free flaps used were three, which included two muscle flaps and one fasciocutaneous flap. Two flaps were impaled in three places. All the flaps survived without any loss. Suture line dehiscence in four flaps was managed conservatively. Impaling the flaps on Schanz pins is a simple procedure to achieve soft tissue reconstruction in compound defects. Knowledge of the vascular anatomy and blood supply of the flaps is imperative in protecting the pedicle and maintaining the vascularity.","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"59 1","pages":"68-72"},"PeriodicalIF":1.5,"publicationDate":"2025-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13016846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522238","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

Unusual Bilateral Oblique Craniofacial Cleft with Atypical Cleft of Palate: A Case Report with 3 Years of Follow-Up. 不寻常双侧斜颅面裂合并不典型腭裂：1例随访3年。

IF 1.5

Indian Journal of Plastic Surgery Pub Date : 2025-09-22 eCollection Date: 2026-02-01 DOI: 10.1055/s-0045-1811204

Bharatendu Swain, Shalini Sampreethi, Srujana Gorle, Tajaly Saneen

引用次数: 0

Reflections on Leadership: Lessons from the APSI - Dr. S Raja Sabapathy Leadership Award (Supported by Dr. Somes Guha). 领导力反思：来自APSI的经验- S Raja Sabapathy博士领导力奖（由somsguha博士支持）。

IF 1.5

Indian Journal of Plastic Surgery Pub Date : 2025-09-01 eCollection Date: 2026-02-01 DOI: 10.1055/s-0045-1810009

Nikhil Panse

引用次数: 0

Research is a Passion and not a Penance. 研究是一种激情，而不是苦修。

IF 1.5

Indian Journal of Plastic Surgery Pub Date : 2025-08-29 eCollection Date: 2025-08-01 DOI: 10.1055/s-0045-1810108

Visweswar Bhattacharya

引用次数: 0

Upper Extremity Transplant Rehabilitation Protocol. 上肢移植康复方案。

IF 1.5

Indian Journal of Plastic Surgery Pub Date : 2025-08-20 eCollection Date: 2026-02-01 DOI: 10.1055/s-0045-1810010

Ravi Sankaran, Subramaniya Iyer, Mohit Sharma, Jimmy Mathew, Sam Thomas

{"title":"Upper Extremity Transplant Rehabilitation Protocol.","authors":"Ravi Sankaran, Subramaniya Iyer, Mohit Sharma, Jimmy Mathew, Sam Thomas","doi":"10.1055/s-0045-1810010","DOIUrl":"10.1055/s-0045-1810010","url":null,"abstract":"Background: Multilevel upper extremity transplant presents unique rehabilitation challenges due to the complexity of restoring function and integration across multiple joints and tissue types.Materials and methods: This article outlines the development and implementation of a pioneering rehabilitation protocol designed specifically for recipients of upper extremity transplant.Results: The rehabilitation protocol was structured in four progressive phases, emphasizing early preservation, neuromuscular re-education, activities of daily living retraining, and return to society.Discussion: The initial phase focuses on correct patient selection and preparation, wound healing, edema management, and maintaining passive range of motion while protecting the vascular anastomoses. As healing progresses, a tailored exercise regimen incorporating mirror therapy, task-oriented activities, and proprioceptive training is introduced to facilitate cortical remapping and sensory recovery.Conclusion: Multidisciplinary collaboration, including physiatrists and occupational or physical therapists, is crucial in addressing their recovery.","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"59 1","pages":"37-44"},"PeriodicalIF":1.5,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13016850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522336","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

Second Toe Transfer and "Tandem" Free Flap for Radial Hand Injuries with Thumb Loss. 第二趾转移和“串联”游离皮瓣治疗桡骨手损伤伴拇指缺失。

IF 1.5

Indian Journal of Plastic Surgery Pub Date : 2025-08-13 eCollection Date: 2026-02-01 DOI: 10.1055/s-0045-1810048

R Srikanth, D Mukunda Reddy, R Parvathi, N Rambabu, Muralimohana Reddy K, V Bhanuchander, Babu Rao R

{"title":"Second Toe Transfer and \"Tandem\" Free Flap for Radial Hand Injuries with Thumb Loss.","authors":"R Srikanth, D Mukunda Reddy, R Parvathi, N Rambabu, Muralimohana Reddy K, V Bhanuchander, Babu Rao R","doi":"10.1055/s-0045-1810048","DOIUrl":"10.1055/s-0045-1810048","url":null,"abstract":"Materials & methods: Eleven cases of thumb loss and skin defect in the radial aspect of the hand underwent a simultaneous free flap cover and second toe transfer. Seven were emergency and four were elective. Nine of the flaps were the anterolateral thigh (ALT) flap and two were extended versions of the lateral arm flap. The mean area of tissue defect needing replacement with the free flap was 110 cm2. All the toe transfers used the second toe. The flap revascularization preceded that of the toe.Results: The descending branch artery of the ALT flap or a branch of the radial artery, if present, was used to revascularize the transferred toe. The venous anastomosis to the flap and the toe used a combination of the superficial veins and venae comitantes of the radial pedicle. Though there were two re-explorations, only one transferred toe was lost.Discussion: Among the ten patients who were evaluable at follow up, the opposition as measured by the mean Kapandji score was 6.Conclusion: All patients had useful grasp and thumb pinch. Secondary procedures like flap thinning and tenolysis were done in seven cases.","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"59 1","pages":"45-58"},"PeriodicalIF":1.5,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13016849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522366","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

A Game Changing, One of Its Kind Flap: The Boomerang-Shaped Extended Rectus Abdominis Myocutaneous Flap with Latissimus Dorsi Myocutaneous Flap. 改变游戏规则的一种皮瓣：回旋镖形扩展腹直肌肌皮瓣与背阔肌肌皮瓣。

IF 1.5

Indian Journal of Plastic Surgery Pub Date : 2025-08-08 eCollection Date: 2026-02-01 DOI: 10.1055/s-0045-1808096

Srikanth Vasudevan, Ananteshwar Y N, Mayur Shetty, Annika Marwah, Pooja Shetty, Serena B, Aashita Yande, Chinmay Tewari

引用次数: 0

Reconstruction of an Amputated Thumb by Great Toe Harvested from a Simultaneously Amputated Lower Limb: Spare Part Surgery Concept Revisited. 用同时截肢的下肢的大脚趾重建被截肢的拇指：对部分手术概念的重新审视。

IF 1.5

Indian Journal of Plastic Surgery Pub Date : 2025-08-06 eCollection Date: 2025-12-01 DOI: 10.1055/s-0045-1810110

S Raja Sabapathy, Hari Venkatramani, Madhu Periasamy, Aditya Narasimhan, Monusha Mohan, Vamseedharan Muthukumar

引用次数: 0