B A Ramesh, Makam Amruthavalli, Sruthi S, Sathish Kumar J
{"title":"Reconstruction of Dorsal Toe Ulcers Using Reverse Dorsal Cross-Toe Adipofascial and Transposition Flap.","authors":"B A Ramesh, Makam Amruthavalli, Sruthi S, Sathish Kumar J","doi":"10.1055/s-0044-1801789","DOIUrl":"10.1055/s-0044-1801789","url":null,"abstract":"","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"58 2","pages":"153-154"},"PeriodicalIF":0.7,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095298","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}
Gloria Alsina, Teresa Nunez-Villaveirán, Daniel Camporro, Clara Martin
{"title":"ALT Donor Area Compartment Syndrome: A Rare and Devastating Complication.","authors":"Gloria Alsina, Teresa Nunez-Villaveirán, Daniel Camporro, Clara Martin","doi":"10.1055/s-0044-1795149","DOIUrl":"10.1055/s-0044-1795149","url":null,"abstract":"<p><p>We present two cases of acute compartment syndrome (ACS) in the donor area of an anterolateral thigh (ALT) flap, with extensive necrosis of the quadriceps muscle. An innervated latissimus dorsi (LD) flap was used to cover the defect and restore functionality of the lower extremity. ACS in the ALT donor area is extraordinarily uncommon. Its mechanism seems to be multifactorial, being more frequent in young athletic males and, possibly, in patients with anatomical vascular variations. It is important to detect it promptly to prevent irreversible muscular ischemia. Intense pain is an alarm sign but might be absent in patients with epidural infusion pumps. We recommend caution with the use of this analgesia and frequent monitoring of the donor area during the early postoperative period. The free functional LD muscle flap is an option to treat full-thickness quadriceps damage, allowing for wound closure, soft-tissue coverage, and restoration of the knee extension movement.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"58 2","pages":"128-131"},"PeriodicalIF":0.7,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094255","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 Decade of Transforming Journey with IJPS.","authors":"Dinesh Kadam","doi":"10.1055/s-0044-1801326","DOIUrl":"10.1055/s-0044-1801326","url":null,"abstract":"","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"57 Suppl 1","pages":"S1-S4"},"PeriodicalIF":0.7,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915770","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":"Correction of Gummy Smile: An Essential Procedure in Facial Aesthetics.","authors":"Dinesh Kadam","doi":"10.1055/s-0044-1801265","DOIUrl":"10.1055/s-0044-1801265","url":null,"abstract":"","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"57 6","pages":"523-524"},"PeriodicalIF":0.7,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11679169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903837","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":"Aesthetic Plastic Surgery in India Is Poised for Exponential Growth and Global Dominance.","authors":"Dinesh Kadam","doi":"10.1055/s-0044-1800876","DOIUrl":"10.1055/s-0044-1800876","url":null,"abstract":"","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"57 6","pages":"419-420"},"PeriodicalIF":0.7,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11679188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903836","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}
Anastasia Dessy Harsono, Dominic Melino Tjokrovonco, Birgita Maria Ratu Rosari Bas, Pratama Mandala Putra
{"title":"Modified Keystone a Versatile Flap Reconstruction for Mastectomy Defects: Our Clinical Experience.","authors":"Anastasia Dessy Harsono, Dominic Melino Tjokrovonco, Birgita Maria Ratu Rosari Bas, Pratama Mandala Putra","doi":"10.1055/s-0044-1800780","DOIUrl":"10.1055/s-0044-1800780","url":null,"abstract":"<p><p><b>Introduction</b> The closure of extensive defects in reconstructive surgery is a common challenge. The keystone flap technique has gained popularity due to its adaptability and reliance on fascia, providing a reliable blood supply and offering a better match for skin color compared with skin grafts. However, keystone flap necrosis can occur due to tension and inadequate tissue perfusion. To address this, a modified keystone flap technique called the \"doubled-handle saucepan\" was developed, resulting in improved flap vitality and reduced tissue necrosis, particularly in mastectomy defects. <b>Materials and Methods</b> We assessed 16 female patients who underwent \"doubled-handle saucepan\" keystone flaps after modified radical mastectomy (MRM). The average dimensions of wounds in this study were 23.1 ± 3.8 cm × 16.9 ± 2.9 cm, with the largest defect measuring 28.0 cm × 21.5 cm. The average size of the modified keystone flap was 36.3 ± 3.8 cm × 21.2 ± 2.2 cm. <b>Results</b> Modified keystone flap demonstrated effective performance in managing extensive defects without any complication. The average operation time in our study was 124.3 ± 11.2 minutes. <b>Conclusion</b> The \"double-handled saucepan\" keystone flap technique is a unique and dependable method derived from the original keystone flap, which effectively covers defects and maintains flap vitality without tension by ensuring vascularization at the skin bridge. This modified keystone flap technique proves highly effective for reconstruction after MRM, offering time efficiency and no need for a secondary donor site, making it an appealing alternative to free flaps or other local flap techniques in many cases.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"58 2","pages":"97-104"},"PeriodicalIF":0.7,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095175","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":"Gynecomastia: The 4Dx technique.","authors":"Aakanksha Goel, Sudhanshu Punia, Amit Gupta","doi":"10.1055/s-0044-1800779","DOIUrl":"10.1055/s-0044-1800779","url":null,"abstract":"<p><p>In surgery for gynecomastia, it is not sufficient to just remove the gland or do a liposuction that addresses the front of the chest only as it is not aesthetically pleasing for the patient and the surgeon alike. Most patients expect to achieve a sculpted look, which includes not only the breast area but also the surrounding areas such as the sides, the axillae, and the infraclavicular region. To tackle these areas and achieve a well-sculpted and aesthetic look, we describe the 4Dx (4 Directions) technique of liposuction for gynecomastia. It also makes the procedure more objective for plastic surgeons while allowing for individualization of the procedure.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"57 6","pages":"500-505"},"PeriodicalIF":0.7,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11679178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903850","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 \"Opercular\" Approach to Orbital Reconstruction after Orbital Exenteration Following Rhino-Orbital-Cerebral Mucormycosis: A Novel Method.","authors":"Bharatendu Swain, A Shalini Sampreethi, Shravya C","doi":"10.1055/s-0044-1793947","DOIUrl":"10.1055/s-0044-1793947","url":null,"abstract":"<p><p><b>Background</b> Rhino-orbital cutaneous mucormycosis (ROCM) leading to orbital exenteration can be debilitating functionally as well as psychosocially. Orbital reconstruction following exenteration for mucormycosis has centered on volume filling with local, regional, or free flaps. This case series is built on the original idea of a bilayered operculum at the orbital inlet. <b>Materials and Methods</b> The opercular approach comprises an inner layer of hinged orbital mucosa and an outer layer of nasofacial flap in most cases, or alternatives, for lining or cover. <b>Results</b> Eight cases of ROCM treated using the opercular approach are presented with satisfactory results and minimal complication. Four of the eight patients treated by this method remained free of complications after 1year. <b>Conclusion</b> This technique is simple, does not require microsurgical expertise, and is less time-consuming and less expensive.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"58 1","pages":"51-58"},"PeriodicalIF":0.7,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11896675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617511","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}
Tinatin Natroshvili, Maaike van de Meene, Walter J Szweryn, Marius A Kemler
{"title":"The Controversy Surrounding the Arcade of Struthers: A Systematic Review of Literature.","authors":"Tinatin Natroshvili, Maaike van de Meene, Walter J Szweryn, Marius A Kemler","doi":"10.1055/s-0044-1793948","DOIUrl":"10.1055/s-0044-1793948","url":null,"abstract":"<p><p>The arcade of Struthers was first described by Kane et al in 1973 as a thickening of the deep investing fascia of the distal arm and superficial fibers of the medial head of the triceps muscle extending to the medial intermuscular septum. However, existence of anatomical structure remains disputed, lacking a unanimous consensus. This systematic review aims to provide an overview of all findings and conclusions on this subject. A literature search was conducted using Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, Embase, and Web of Science. The QUality Appraisal for Cadaveric Studies (QUACS) scale was used for quality appraisal. In total, 12 studies (including 348 arms) agreed with the existence of the arcade of Struthers and its role in ulnar nerve entrapment. One study agreed with the existence of the structure, but disagreed with its nomenclature. On the other side, five studies (describing 224 arms) were against the existence of the structure. In literature, studies can be divided into two groups. The first group agrees with the existence of the arcade of Struthers as described by Kane et al in 1973, emphasizing its role in ulnar nerve entrapment. The second group disagrees with the existence of the arcade of Struthers, and is further divided into those who believe the structure is best described as an accessory origin of the head of the triceps muscle and those who consider it a dissection artifact.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"58 1","pages":"11-17"},"PeriodicalIF":0.7,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11896674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617513","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}