Indian Journal of Plastic Surgery最新文献

{"title":"Indian Hand Anthropometry: First Web Space Angle Measurement in A Population of 800 Subjects.","authors":"Parag B Lad, Mukund R Thatte, Maryada V Reddy, Bipin Ghanghurde, Venkateshwaran N, Ashish Phadnis","doi":"10.1055/s-0044-1788656","DOIUrl":"https://doi.org/10.1055/s-0044-1788656","url":null,"abstract":"<p><p><b>Background</b>  The first web space of the hand plays a crucial role in determining the hand's span. Our study aims to examine and quantify the first web space angle in both hands of adult individuals within the Indian population with no upper limb pathologies. The primary objective of this study is to establish normative data. These data will be useful in surgical correction for the first web release, recommending corrective splints, and calculating the percentage of disability in hand function. <b>Materials and Methods</b>  Data from 800 individuals from various regions across India, ranging in age from 20 to 50 years who had no pathology in both upper limbs were collected. A goniometer was used to measure the first web space angle of both hands by keeping the forearm pronated, elbow flexed, and arms adducted. The subjects from different states were divided into various zones. <b>Results</b>  In 800 subjects, the average measurement in the right hand was 97.28 degrees, and in the left hand, 99.76 degrees. In males, the average measurement in the right hand was 97.54 degrees, and in the left hand, it was 99.61 degrees. In females, in the right hand, it was 96.93 degrees, and in the left hand 100 degrees. The result was recorded in subjects from each zone in the country. <b>Conclusion</b>  The large sample size from various parts of the country makes the study more reliable. The technique of measuring the angles was easily reproducible. Our findings provide crucial normative data for clinicians and therapists.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"57 4","pages":"311-316"},"PeriodicalIF":0.7,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11436336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336856","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":"\"Diya\"-Related Burn Injuries during the Diwali Period: A 5-Year Retrospective Review from a Tertiary Care Hospital in India.","authors":"Deepti Gupta, Nemi Chand, Nupoor Nanavati, Aakash Chauhan, Sujata Sarabahi","doi":"10.1055/s-0044-1788915","DOIUrl":"10.1055/s-0044-1788915","url":null,"abstract":"<p><p><b>Background</b>  Diwali is a festival that is passionately celebrated by Indians all across the globe. Fire hazards associated with this festival are well known. Our hospital is a tertiary care burn center and caters to a patient population from all over North India. Firecracker burns and diya burns constitute two major causes of burn injuries during the festival of Diwali. Since, diya-related burn injuries have been overlooked in the past, this study was primarily designed to study the demographical data of \"diya burns\" during Diwali. <b>Materials and Methods</b>  The departmental records were analyzed for 3 days around Diwali festival over a period of 5 years from 2018 to 2022. <b>Results</b>  The results indicated that almost a third of all Diwali-related burns were caused by diyas (32.5%). A \"burning diya left on floor\" was the main reason for these injuries. Females were the most affected (70.4%). Additionally, one-third of these patients required admission. <b>Conclusion</b>  This study emphasizes the need for raising awareness regarding the proper use of \"diyas\" to bring down the incidence of such preventable burn injuries.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"57 Suppl 1","pages":"S88-S91"},"PeriodicalIF":0.7,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915605","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":"Medially Based \"Abdominal Rotation Advancement Flap\": A Promising Technique for Mastectomy Defect Reconstruction in \"High-Risk Patients\" Awaiting Adjuvant Radiotherapy.","authors":"Praveen Harish, Kathi Srinath, Swamy Vivek, Santosh Kumar Gandupalli, Yogesh Kadam, G Kavya","doi":"10.1055/s-0044-1788571","DOIUrl":"10.1055/s-0044-1788571","url":null,"abstract":"<p><p><b>Background</b>  Extensive postmastectomy defects and soft-tissue defects often require some additional flap cover of reconstruction after excision. The reconstruction aim in this group should be a diligent and easy closure with a quality skin cover, early recovery, and brief stay in hospital so that the patients can receive early postoperative radiotherapy/chemotherapy. Medially based abdominal transposition flap is a type C fasciocutaneous flap based on medial perforating vessels. We present our experience in significant postmastectomy defects, especially in high-risk morbid patients. <b>Materials and Methods</b>  This is a retrospective study conducted by the department of plastic surgery, from an analysis of the breast cancer database maintained by our hospital from 2019 to 2023. A total of 826 breast cancer patients underwent surgery, of which 547 were locally advanced breast cancer (LABC) patients and 138 (32.5%) LABC patients needed flap cover for mastectomy defect. Medially based abdominal transposition flap was used in 56 of 138 (40.5%) LABC patients for defect closure, and 42 of the 56 patients were stage IIIB patients. Upfront surgery was primarily done in 20 patients and 36 patients underwent surgery after neoadjuvant chemotherapy. This analysis aimed to assess the operative duration, postoperative morbidity, hospital stay, and time taken to start adjuvant treatment by analyzing the medical records of patients who underwent this procedure. <b>Results</b>  Fifty-six patients with breast cancer underwent surgical intervention, whereby 8 patients presented with tip and edge necrosis, and 3 patients were infected. The mean duration of operation was 58.852 minutes, and the average length of hospital stay was 5.39 days. It took 24.57 days for the patients to stabilize sufficiently for adjuvant therapy. The average age of the patients in the study was 48.73 years. <b>Conclusion</b>  Our clinical experience has demonstrated that the medial abdominal transposition fasciocutaneous (MATF) flap represents a straightforward, reliable, and cost-effective method for managing extensive postmastectomy soft-tissue defects in a subset of patients with LABC. This group typically consists of high-risk and comorbid patients. The procedure holds considerable promise for developing countries with limited infrastructure and expertise, owing to its ease of execution and short learning curve. By its simplicity and affordability, the MATF flap offers a viable and sustainable solution for treating LABC-associated soft-tissue defects.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"57 Suppl 1","pages":"S73-S79"},"PeriodicalIF":0.7,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915943","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":"From Quackery to Super-Specialization: A Brief History of Aesthetic Surgery.","authors":"Aakanksha Goel, Arun Goel","doi":"10.1055/s-0044-1789271","DOIUrl":"10.1055/s-0044-1789271","url":null,"abstract":"<p><p>From time immemorial, human beings have always tried to decorate themselves to look more beautiful and attractive to an onlooker, in turn improving their own self-esteem. Thus, <i>Ayurveda</i> in India and <i>Ebers Papyrus</i> in Egypt, written thousands of years ago, mention a variety of cosmetics being used for the same. However, operative interventions were mainly reconstructive and any improved aesthetics was a by-product only (e.g., restoration of amputated nose). The surgery for purely cosmetic reasons started less than 150 years ago after the availability of anesthesia and antisepsis. Initially, the medical profession and the common man were skeptical of these interventions and even ridiculed the patient and the clinician. The pioneers were labeled as quacks and working against the law, and some of them had to even commit suicide, while the patients were labeled as \"psychiatric.\" The past 50 years have seen aesthetic procedures, both surgical and nonsurgical, being performed by highly qualified superspecialists. This article attempts to trace this change.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"57 6","pages":"486-491"},"PeriodicalIF":0.7,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11679177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903848","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":"Ultrasound-Assisted Chin Liposuction under Local Anesthesia: An Effective Tool for Facial Slimming in Indian Population.","authors":"Shruti Marwah, Arjun Handa","doi":"10.1055/s-0044-1790199","DOIUrl":"10.1055/s-0044-1790199","url":null,"abstract":"<p><p>An aesthetically pleasing neck is an important component of a youthful appearance of the face. It is frequently targeted by many surgical and nonsurgical methods to achieve the best results. Today, patients are looking for a minimally invasive option that gives permanent results and has a quick recovery. Therefore, ultrasound-assisted liposuction of the chin and jawline has become an important part of the cosmetic surgeon's armamentarium. The objective of this article is to describe the technique, mechanism of action, and most common complications and to establish ultrasound-assisted face liposuction under local anesthesia as an effective method to achieve facial slimming especially in the Indian population.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"57 6","pages":"510-514"},"PeriodicalIF":0.7,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11679186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903430","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":"Accessory Penile Frenulum: May Go Unnoticed throughout the Journey to Graveyard.","authors":"Sunil Kumar Rout, Gulshan Patel","doi":"10.1055/s-0044-1788811","DOIUrl":"10.1055/s-0044-1788811","url":null,"abstract":"<p><p>An accessory frenulum of the penis is so rare that only four cases have been documented so far. We came across a case of 45-year-old, sexually active man who sought medical attention for right foot injury caused by a road traffic accident. During a detailed clinical evaluation, he was discovered to have double frenulum in his penis. Along with the normal ventral frenulum he had an additional dorsal frenulum located at the 10 O'clock position. No history of penile torsion could be elicited from the patient. He had completed his family by the time of presentation, without any symptom of sexual dysfunction or dyspareunia. He was not offered any treatment for this congenital anomaly as it did not have any functional or aesthetic implication. A literature review was conducted to determine the incidence, spectrum of clinical presentation, and management of this pathology.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"58 1","pages":"73-75"},"PeriodicalIF":0.7,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11896737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617482","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":"Medial Sural Artery Islanded Pedicled Perforator Flap for Resurfacing Areas in the Popliteal Fossa Following Postburn Contracture Release Using Normal versus Scar Tissue.","authors":"Sanjay Kumar Giri, Santanu Suba, Ahana Bandyopadhyay, R K Sahu, Aparna Kanungo, Reena Minz","doi":"10.1055/s-0044-1788922","DOIUrl":"10.1055/s-0044-1788922","url":null,"abstract":"<p><p><b>Background</b>  The medial sural artery perforator (MSAP) flap is reliable in resurfacing defects of the popliteal fossa. There is possibility of resurfacing the popliteal fossa defects after postburn contracture release with scarred MSAP flaps with good overall long-term outcomes. <b>Materials and Methods</b>  A study was conducted from June 2017 to July 2023 to evaluate the functional and surgical scar aesthetic outcome in patients with soft-tissue defects in the popliteal fossa after postburn contracture release that were reconstructed using scarred and unscarred MSAP flap with 10 patients in each group. <b>Results</b>  The clinical outcome was assessed in terms of the perioperative and late postoperative complications, range of motion of the knee joint along with surgical scar outcome using the Patient and Observer Scar Assessment Scale (POSAS). The functional results in the scar tissue flap group were comparable with those in the normal tissue flap group, but the aesthetic outcome of surgical scar was found to be better in the normal tissue flap group. <b>Conclusion</b>  The MSAP flap provides ideal tissue for soft-tissue reconstruction with minimal donor site morbidity for popliteal fossa defects after postburn contracture release in both the scarred and unscarred flap groups.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"57 Suppl 1","pages":"S50-S57"},"PeriodicalIF":0.7,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915942","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":"Use of Biodegradable Temporizing Matrix for Pediatric Tendoachilles Exposure: A Novel Technique in Complex Traumatic Wound Management-A Case Report.","authors":"Padmalakshmi Bharathi Mohan, RaviKumar Chittoria, Shanmugapriya Ramalingam, Bharath Prakash Reddy, Kanav Gupta, Jacob Antony Chakiath","doi":"10.1055/s-0044-1789006","DOIUrl":"10.1055/s-0044-1789006","url":null,"abstract":"<p><p>Management of complex wounds in the pediatric population is a herculean task due to the decreased surface area available for flaps and the added scars from flap reconstruction. Biodegradable temporizing matrix (BTM) has proven useful, particularly in adult burns and complex wounds. Only a few have documented the use of BTM in complex wounds in children. A 2-year-old child presented with tendoachilles exposure of the right ankle due to a crush injury in the spokes of a motorcycle. The wound was debrided and covered with BTM. After 5 weeks, the same was delaminated, healthy granulation tissue was found covering the tendoachilles, and the raw area was grafted. BTM proved to be a versatile option for converting a complex wound to a superficial wound, and it abetted the drawbacks of a flap cover: extended hospital stay, discomfort, prolonged immobilization, and additional scars.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"57 Suppl 1","pages":"S115-S117"},"PeriodicalIF":0.7,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915960","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":"Normative Data of Grip Strength and Pinch Strength in the Indian Population.","authors":"Subashini Rajendiran, G Mithun Pai, Vishal Verma, Srinivasan Rajappa, Anil Bhat, Sunil Gaba, Mukund Thatte","doi":"10.1055/s-0044-1788999","DOIUrl":"10.1055/s-0044-1788999","url":null,"abstract":"<p><p><b>Background</b>  There is no normative study of transregional grip strength data available from India. Hence, a multicenter study is designed to obtain reference value. <b>Materials and Methods</b>  This is a prospective observational study conducted as a part of the Indian normative data project of the Indian Society for Surgery of the Hand. The study included three participating centers: one from the northern part and two from the southern part. Certified calibrated Jamar dynamometer and Jamar pinch gauge were used to measure the grip strength, key pinch strength, tip pinch strength, and tripod pinch strength as per the guidelines of the American Society of Hand Therapists. <b>Results</b>  A total of 1,019 volunteers in the age group of 18 to 60 years were studied. The mean grip strength in males and females was 38.18 and 24.06 kg, respectively. The mean key pinch strength was 8.52 kg in males and 5.97 kg in females. The mean tip pinch strength was 4.86 kg in males and 3.59 kg in females. The mean tripod pinch strength was 5.41 kg in males and 4.16 kg in females. <b>Conclusions</b>  All four strengths were lower in value when compared with American and other populations. The men had more strength than women. There was no relation to hand dominance. There was a correlation for age and height but no correlation with body mass index (BMI).</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"57 4","pages":"256-262"},"PeriodicalIF":0.7,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11436323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336858","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":"Prevalence of the Absence of the Palmaris Longus and Functional Flexor Digitorum Superficialis of the Little Finger in the Indian Population.","authors":"Subashini Rajendiran, Srinivasan Rajappa, Sandhiya Jaichandran, Anil Bhat, Mukund Thatte","doi":"10.1055/s-0044-1788932","DOIUrl":"https://doi.org/10.1055/s-0044-1788932","url":null,"abstract":"<p><p><b>Background</b>  The absence of the palmaris longus (PL) varies with race. The presence of a functional flexor digitorum superficialis (FDS) of the little finger also varies widely. The aim of this study is to determine the prevalence of the absence of the PL and functional FDS of the little finger in the Indian population. <b>Materials and Methods</b>  This is a prospective observational study conducted as a part of the Indian normative data project of the Indian Society for Surgery of the Hand. The presence of the PL was assessed by Schaeffer's test. The function of the FDS was assessed by the standard test and modified test and its function designated as absent, present independently, or present combinedly with the ring finger FDS. <b>Results</b>  A total of 200 volunteers including 84 males and 116 females in the 21- to 60-year age group were examined. Of the 400 hands examined, the PL was absent in 26 upper limbs (6.5%). The PL was absent unilaterally in 12 individuals (6%) and bilaterally in 7 individuals (3.5%). Of the 400 little fingers examined, FDS function was absent in 72 fingers (18%), while 67 fingers (16.75%) had a common function and 261 fingers (65.25%) had an independent function. Only 2% had a bilateral absence of both the PL and functional FDS tendons and 5% had a unilateral absence of both tendons. <b>Conclusion</b>  The PL and FDS of the little finger were more absent in the right side than in the left side, but the difference was not statistically significant. There was no significant association between the absence of the PL and the absence of the functional FDS of the little finger.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"57 4","pages":"324-328"},"PeriodicalIF":0.7,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11436340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336861","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}