Indian Journal of Plastic Surgery最新文献_第9页

A Single Staged Reconstruction of Upper Eyelid and Eyelashes. 上眼睑和睫毛的单期重建术

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Indian Journal of Plastic Surgery Pub Date : 2024-02-19 eCollection Date: 2024-04-01 DOI: 10.1055/s-0044-1779656

Taruna Singh, Madhubari Vathulya, Anand Agrawal, Ridima Behl, Anupam Singh

{"title":"A Single Staged Reconstruction of Upper Eyelid and Eyelashes.","authors":"Taruna Singh, Madhubari Vathulya, Anand Agrawal, Ridima Behl, Anupam Singh","doi":"10.1055/s-0044-1779656","DOIUrl":"10.1055/s-0044-1779656","url":null,"abstract":"The upper eyelid is a complex structural part of the face that plays an important role in protecting the cornea from drying and damage to preserve vision. The eyelashes are an essential part of the upper eyelid and help in protecting the eyes from dust, foreign bodies, and sweat. Being a part of the face, which is the most noticeable part of the body, both structures hold an important role in reconstructive procedures. Reconstruction of both structures simultaneously is tricky but helps reduce the number of procedures required in achieving an aesthetically acceptable eye. Our techniques describe the use of the paramedian forehead flap with an anterior hairline to reconstruct the upper eyelid and eyelashes in a single stage in a posttraumatic near-total upper eyelid defect with a favorable outcome. Depending on the parting of the patient's hair, the anterior hairline of one side can be included in the distal edge of the flap while raising, which can be inset so that the direction and orientation of the eyelashes perfectly match. Our technique refurbishes an established technique for eyelid reconstruction to include eyelash reconstruction at the same time, thus saving time and resources without any inconvenience to the patient.","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"57 2","pages":"152-155"},"PeriodicalIF":0.8,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11105817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141076977","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 Novel, Simple, and Reliable Technique to Monitor Free Gracilis Flap. 一种新颖、简单、可靠的腕骨游离瓣监测技术。

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Indian Journal of Plastic Surgery Pub Date : 2024-02-19 eCollection Date: 2024-04-01 DOI: 10.1055/s-0044-1779659

Madhu Periasamy, Vamseedharan Muthukumar, Hari Venkatramani, S Raja Sabapathy

引用次数: 0

Fronto-Orbitary Arteriovenous Malformation Reconstruction with Latissimus Dorsi Free Flap and Anterior Serratus Fascia Anastomosed to the Nutrient Vessels of the Lesion. 用背阔肌游离皮瓣和与病变营养血管吻合的前锯肌筋膜重建额叶动静脉畸形。

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Indian Journal of Plastic Surgery Pub Date : 2024-02-19 eCollection Date: 2024-04-01 DOI: 10.1055/s-0044-1779475

Ana Trapero, Alberto Pérez-García, Pedro Alvedro Ruiz, Belén Andresen Lorca, Alessandro Thione

引用次数: 0

Revisiting Elliot's Modification of Moberg's Flap and Our Improvisation. 重新审视埃利奥特对莫伯格襟翼的修改和我们的即兴创作。

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Indian Journal of Plastic Surgery Pub Date : 2024-02-19 eCollection Date: 2024-04-01 DOI: 10.1055/s-0044-1779658

Anand Prasath Jayachandiran, Suresh Rajendran, Surya Rao Rao Venkata Mahipathy, Alagar Raja Durairaj, Narayanamurthy Sundaramurthy, Manoj Ananthappan

{"title":"Revisiting Elliot's Modification of Moberg's Flap and Our Improvisation.","authors":"Anand Prasath Jayachandiran, Suresh Rajendran, Surya Rao Rao Venkata Mahipathy, Alagar Raja Durairaj, Narayanamurthy Sundaramurthy, Manoj Ananthappan","doi":"10.1055/s-0044-1779658","DOIUrl":"10.1055/s-0044-1779658","url":null,"abstract":"Thumb tip injuries constitute one of the most common hand injuries. There are various reconstructive options for thumb tip injuries. We present our series of thumb tip injuries reconstructed using Elliot's modiﬁcation of the Moberg ﬂap, which provides like-for-like tissue. We also present our flap improvisation, which can be useful in the armamentarium of plastic surgeons. Background Moberg described the advancement ﬂap for thumb defects in 1964, which was modiﬁed by O'Brien in which the proximal part of the ﬂap is incised and advanced. Although it is a popular ﬂap, it has the disadvantage of interphalangeal (IP) joint ﬂexion deformity. Among the various modiﬁcations of the Moberg ﬂap, Elliot's ﬂap provided more tissue with minimal donor site morbidity and no usage of skin grafts or ﬁrst web skin. Methods We retrospectively analyzed the patients who underwent reconstruction of thumb defects by Elliot's modified Moberg's ﬂap. The size of the defect, etiology, and IP joint movement were analyzed. Two patients underwent our improvised ﬂap where a daughter ﬂap was elevated within Elliot's ﬂap. Results Between January 2021 and September 2023, 12 patients underwent reconstruction by Elliot's ﬂap. All ﬂaps settled well. There was no IP joint deformity. Two patients had scar hypertrophy that was managed conservatively. Conclusion Elliot's modification of the Moberg ﬂap is a very useful but underutilized ﬂap for thumb tip injuries that provides like tissue with sensation and with little donor site morbidity. It can be used for thumb tip defects of up to 3 cm . It is possible to incorporate a second V-Y ﬂap in patients for whom additional movement is required for tension-free closure.","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"57 2","pages":"116-122"},"PeriodicalIF":0.8,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11105812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141076943","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

Single Incision Dual Cover with Temporoparietal Fascial Flap for Exposed Cochlear Implant: A Novel Take on a Workhorse Flap. 单切口双盖颞筋膜瓣用于外露人工耳蜗：工作瓣的新尝试。

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Indian Journal of Plastic Surgery Pub Date : 2024-01-30 eCollection Date: 2024-02-01 DOI: 10.1055/s-0044-1778704

U Rasheedha Begum, Mahadevan Kandasamy, Prethee Martina Christabel

{"title":"Single Incision Dual Cover with Temporoparietal Fascial Flap for Exposed Cochlear Implant: A Novel Take on a Workhorse Flap.","authors":"U Rasheedha Begum, Mahadevan Kandasamy, Prethee Martina Christabel","doi":"10.1055/s-0044-1778704","DOIUrl":"10.1055/s-0044-1778704","url":null,"abstract":"Cochlear implant surgeries have become increasingly common in India, leading to a rise in complications such as cochlear implant exposure. To address this issue, we present a novel technique involving a single incision dual cover using the temporoparietal fascial flap (TPFF) and skin flap to give durable cover for exposed cochlear implants. Materials and Methods A retrospective study was conducted between December 2019 and December 2022 on patients who underwent the dual flap procedure for exposed cochlear implants. Results The average defect size was 2 × 2 cm, and the average length of hospital stay was 10 days. Fourteen skin flaps were closed primarily, while two required skin grafting for donor site closure. At the time of discharge, all wounds showed successful healing with intact skin coverage over the cochlear implant device site. The average follow-up period was 12 months, during which two patients had donor site scar alopecia, while others had adequate hair growth masking the scar. All patients consistently used their cochlear implants. Conclusion Our single-incision, dual cover TPFF + skin flap technique offers a reliable and innovative solution for managing exposed cochlear implants. With successful implant salvage and favorable postoperative outcomes, this approach demonstrates the versatility and reliability of the TPFF as an excellent option for reconstructive surgeons dealing with cochlear implant complications.","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"57 1","pages":"54-59"},"PeriodicalIF":0.8,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10914538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140050657","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

Utilizing Laparoscopic Camera with Indocyanine Green Fluorescence Filters in Lymphovenous Bypass Surgery. 在淋巴管搭桥手术中使用带吲哚菁绿荧光过滤器的腹腔镜照相机

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Indian Journal of Plastic Surgery Pub Date : 2024-01-30 eCollection Date: 2024-02-01 DOI: 10.1055/s-0044-1779470

Ramesh B A, Preetam A, Singaravelu V, Sathish Kumar J

引用次数: 0

Schwannoma of the Nose at the Keystone Area in Relation to the Dorsal Nasal Nerve 与鼻背神经有关的基石区鼻部斯旺瘤

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Indian Journal of Plastic Surgery Pub Date : 2024-01-09 DOI: 10.1055/s-0043-1778097

T. M. Balakrishnan, Abinaya Karthikeyan, M. Sridharan, Indian J Plast

{"title":"Schwannoma of the Nose at the Keystone Area in Relation to the Dorsal Nasal Nerve","authors":"T. M. Balakrishnan, Abinaya Karthikeyan, M. Sridharan, Indian J Plast","doi":"10.1055/s-0043-1778097","DOIUrl":"https://doi.org/10.1055/s-0043-1778097","url":null,"abstract":"Schwannomas are well-circumscribed, solitary benign encapsulated tumors arising from Schwann cells, which originate from neural crest cells. 1 They constitute only 4% of the head and neck tumors and involve the paranasal sinuses and nasal cavities. 2 About 80% of cases involve the vestibulocochlear nerve, followed by the trigeminal nerve in this region. 3 A 27-year-old woman presented to us with complaints of swelling over the nose for the past 8 months. She was medically managed for associated tension headaches. She gave no history of nasal obstruction, trauma, epistaxis, localized facial numbness, anosmia, or other swellings. Clinical examination showed a hemispherical, ﬁ rm swelling of size 1.5 (cid:1) 1.0 (cid:1) 0.75cm over the rhinion and left keystone area in the subcutaneous plane, with side-to-side mobility and pinchable overlying skin. Deep palpation caused dyses-thesia at thetip of the nose.Anterior rhinoscopyexamination revealed no intranasal extension. High-de ﬁ nition ultrasonography (HD-USG) imaging showed no cystic degeneration. Computed tomography (CT) scan revealed a hyperintense lesion over the rhinion and left keystone area of the nose, with no bony or cartilaginous erosions. Contrast magnetic resonance imaging (MRI) showed the same with delayed centripetal ﬁ lling","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"57 18","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139441951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Outcome Analysis of Fibrin Sealant versus Staples for Fixation of Split-Thickness Skin Grafts 纤维蛋白密封剂与缝合线固定裂开皮肤移植的效果分析

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Indian Journal of Plastic Surgery Pub Date : 2024-01-05 DOI: 10.1055/s-0043-1777867

Akshara Shuchi, Deepti Gupta, Sujata Sarabahi

{"title":"An Outcome Analysis of Fibrin Sealant versus Staples for Fixation of Split-Thickness Skin Grafts","authors":"Akshara Shuchi, Deepti Gupta, Sujata Sarabahi","doi":"10.1055/s-0043-1777867","DOIUrl":"https://doi.org/10.1055/s-0043-1777867","url":null,"abstract":"Abstract Background Skin grafting plays a vital role in post-burn and post-traumatic wound management. Split-thickness skin grafts (STSG) are traditionally fixed using staples or sutures, which have tedious application and their removal necessitates painkillers, medical equipment, and human intervention. As an alternative, fibrin sealant is a biological tissue adhesive, composed of thrombin, calcium, and fibrinogen. Fibrin sealant promotes hemostasis and acts as a biological adherent. Objective The aim of this study was to evaluate the outcomes (graft take, wound healing and complications) of fibrin sealant and staples for STSG fixation. Methods It is a randomized controlled trial on 40 patients with wounds of minimum 400 cm 2 . Wound area was divided into equal halves and randomly allocated to the study group or control group. In the study group, 4 mL per 200 cm 2 of fibrin sealant was sprayed followed by STSG application. In the control group, STSG was fixed with only skin staples. Evaluation was done on postoperative days 3, 5, 15, and 30 for graft take, hematoma/seroma, infection, and complete wound healing. Results The mean graft take was significantly higher ( p -value < 0.05) in the study group than in the control group (91 vs. 89%). No seroma or hematoma formation was seen in either group. Complete wound healing was seen in more patients in the study group, but the difference was statistically insignificant. Conclusion Fibrin sealant is an excellent alternative to staples for skin grafting, with the advantage of better graft take and being free of pain that is incurred during staple removal.","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"2 6","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139380967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Flap Advancement Technique for Scalp Hair Preservation in Massive Cutis Verticis Gyrata 皮瓣推进技术用于大面积秃顶的头皮毛发保存

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Indian Journal of Plastic Surgery Pub Date : 2024-01-05 DOI: 10.1055/s-0043-1777075

Bilal Javed, Amina Rao, Waleed Abdullah, Akasha Amber, Mughese Amin

引用次数: 0

Trends in Gender-Affirming Surgeries in the United States from 2010 to 2021 2010 至 2021 年美国性别确认手术的趋势

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Indian Journal of Plastic Surgery Pub Date : 2024-01-04 DOI: 10.1055/s-0043-1778096

Ally Ha, Kassra Garoosi, Elijah W. Hale, Ty Higuchi, J. Winocour, David W. Mathes, C. Kaoutzanis

{"title":"Trends in Gender-Affirming Surgeries in the United States from 2010 to 2021","authors":"Ally Ha, Kassra Garoosi, Elijah W. Hale, Ty Higuchi, J. Winocour, David W. Mathes, C. Kaoutzanis","doi":"10.1055/s-0043-1778096","DOIUrl":"https://doi.org/10.1055/s-0043-1778096","url":null,"abstract":"Abstract Introduction: In 2017, an estimated 1.6 million adults and 150,000 teenagers identified as transgender in the United States. With ever-changing legislative developments regarding health care benefits for this population and the increasing number of patients presenting for gender-affirming surgery (GAS), there is a scarcity of literature on the temporal trends within the past decade. The objective of this study was to examine the temporal trends of the utilization of GAS. Methods: We conducted a cross-sectional study using TriNetX, a federated research network containing deidentified aggregate patient data. Using International Code of Disease (ICD) and Current Procedural Terminology (CPT) codes, we identified patients with a diagnosis of gender dysphoria who underwent GAS from 2010 to 2021. Basic demographic information and complications were analyzed. Complications of interest included site failure, infection, and systemic complications. Results: We identified a total of 8,403 patients who underwent GAS between January 2010 and December 2021. The number of procedures per year increased nearly 500% between 2016 and 2021 from 421 procedures to 2,224 procedures. Our demographic results were consistent with previous survey-based studies. The average age of patients who underwent masculinizing surgeries was consistently younger than those who underwent feminizing surgeries. Most patients undergoing GAS were of white race. The overall complication rate was 4.7%. Conclusion: In conclusion, our study reveals a significant and rapid rise in the utilization of GAS in the United States, with a fivefold increase in procedures between 2016 and 2021. The demographic characteristics and low complication rates observed highlight the evolving landscape of health care for transgender individuals and the need for ongoing assessment and support in this field.","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"41 6","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139385729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0