Archives of Plastic Surgery-APS最新文献

{"title":"Correction of Mild-to-Moderate Constricted Ear Abnormality Using Mustardé Suture, Cartilage Onlay Graft, and Transposition Flap: A Case Report.","authors":"Ha Jong Nam,&nbsp;Syeo Young Wee","doi":"10.1055/a-2073-4083","DOIUrl":"10.1055/a-2073-4083","url":null,"abstract":"<p><p>Constricted ear has a prevalence of 5.2 to 10% among ear abnormalities, and various surgical methods are suggested for treatment. We introduce a case of a constricted ear treated with a simple method using a novel concept cartilage graft and transposition flap, along with the well-known Mustardé suture, which is used for pediatric patients with mild to moderate constricted ears of Tanzer classification type IIA. A 10-year-old female patient visited the hospital complaining of an abnormality in the congenital right ear. Surgical approach was planned under the diagnosis of Tanzer classification type IIA constricted right ear. Posterior helix onlay graft and perichondrocutaneous transposition flap using excessive helical cartilage were performed along with the Mustardé suture. In the immediate postoperative period, ear contour was improved, and it was well-maintained without recurrence until 6 months' follow-up. In conclusion, the combination of Mustardé suture, and cartilage onlay graft and perichondrocutaneous transposition flap in the mild to moderate constricted ear would be a useful surgical option, producing aesthetically good results in a simple and effective method.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9969678","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":"Evolving the Cybersecurity of Clinical Photography in Plastic Surgery.","authors":"Daisy L Spoer,&nbsp;Alexandra Junn,&nbsp;John D Bovill,&nbsp;Zoë K Haffner,&nbsp;Andrew I Abadeer,&nbsp;Stephen B Baker","doi":"10.1055/a-2103-4168","DOIUrl":"https://doi.org/10.1055/a-2103-4168","url":null,"abstract":"<p><p>Point-of-care photography and photo sharing optimize patient outcomes and facilitate remote consultation imperative for resident surgeons. This literature review and external pilot survey study highlight the risks associated with current practices concerning patient privacy and biometric security. In a survey of 30 plastic surgeon residents and attendings, we found that the majority took photos of patients with their iPhones and shared them with colleagues via Apple iMessage. These findings corroborate previous reports and highlight a lack of physician user acceptance of secure photo-sharing platforms. Finally, we frame a successful example from the literature in the context of a postulated framework for institutional change. Prioritizing the privacy and safety of patients requires a strategic approach that preserves the ease and frequency of use of current practices.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9976201","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":"Deep Inferior Epigastric Perforators Topography for \"Island Transverse Rectus Abdominis Musculocutaneous Flap\" in Breast Reconstruction.","authors":"Tae Hyun Kim,&nbsp;Seong Heum Jeong,&nbsp;Hee Chang Ahn","doi":"10.1055/a-2093-8323","DOIUrl":"https://doi.org/10.1055/a-2093-8323","url":null,"abstract":"<p><p><b>Background</b>  The Island transverse rectus abdominis musculocutaneous (TRAM) flap is well vascularized with very reliable blood flow, because all perforators of the zone I are included when it is harvested. The number of perforators, topographic mapping, and their relationship with reconstructed outcomes were investigated. <b>Methods</b>  Fifty patients with Island TRAM breast reconstruction from September 2021 to August 2022 were investigated. The zone I was divided into a total of eight sections. Under the loupe magnification, all perforators larger than 0.5 mm in zone I were counted with fine dissection, and photographs were taken in background of vessel loops. Complications like flap necrosis, seroma, and hematoma were also investigated. <b>Result</b>  There are 12 ideal perforators on average in zone I such as one perforator in section I, II, IV, V, VI, VIII, and three perforators in section III and VII. However, two perforators (M6 and L6) below arcuate line were sacrificed in the time of flap harvest to prevent hernia. Island TRAM included 10 perforators on average (5 perforators in each side) above arcuate line to be transferred to the recipient site. Only minor complications were identified. <b>Conclusion</b>  The Island TRAM flap includes 10 perforators to get the vigorous blood flow. The periumbilical to upper medial perforators become more dominant in the perfusion of the flap after deep inferior epigastric artery division. Well preserved perforators will guarantee the satisfactory breast reconstruction with the least complication.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9976194","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":"An Ugly Buddha Fixed an Ugly Woman and Made Her a Beauty.","authors":"Kun Hwang","doi":"10.1055/a-2067-5563","DOIUrl":"https://doi.org/10.1055/a-2067-5563","url":null,"abstract":"According to the suggestions of theorists, ancient artists felt that the archaic smile represented theblessing of the gods for the actions of the figures portrayed. It is also thought that this smile reflected a state of ideal health and well-being. In Buddhist countries, most people think the Buddha’s face looks merciful. In ancient Korea, Baekje sculptures exhibited distinct characteristics of warmth and softness and used relaxed poses to convey friendliness and an air of pleasantness that is rarely found in other traditions of Buddhist sculpture.1,2 However, contrary to our expectations, there has been an “ugly Buddha,” as described in the “Sutta-Nipata.”3 At that timetherewasborn to thefirstwife ofKingPrasenajit a daughter who was named Vajra. The child’s features and complexion were exceedingly ugly and her flesh was as rough as the hide of a horse. Her hair was as coarse as a wild horse’s mane, and the king and queen regarded her with horror, kept her hidden away in the palace, and allowed no one to see her. The king found an impoverished noble who is unmarried and this man became King’s son in law (prince). This prince was ordered by the King to lock the gates and take the key with him to hide his ugly princess. In the deep castle, the princess was thinking: “Because of what former sinful deeds have I been born so ugly and am obliged to live in this dark house, never seeing the sun or man, never meeting other people, and subjected to such suffering?” Bowing to the Buddha from afar, she prayed mentally: “Lord, compassionately show me my former existences, I beseech you.” The Buddha immediately knew her ardent desire and appeared to her, showing only his flamelike tuft of hair or usnisa. When the princess saw this, she rejoiced greatly, had faith, and her mind became totally pure. Because hermind had becomepure, her hair became soft and black. Then the Enlightened One manifested his face to her. When the princess saw this, she rejoiced greatly and because of her faith her face became beautiful and lovely, and its coarseness and ugliness disappeared. Likewise, her ugly complexion of the body disappeared, and she becamemore beautiful than a daughter of the gods. When the Lord had explained the Dharma to her, her sins were purified and she attained the fruit of a streamwinner (►Fig. 1). When her husband returned home, at first he could not recognize her because his ugly wife had just changed into a beauty. They told the king that through the compassionate blessing of the Buddha, the princess had become beautiful and lovely. The King knelt onto his right knee and asked the Buddha: “Lord, by virtue of what former good deedswas this daughter of mine born in a high caste and with great wealth, and by reason of what sinful deeds was she born ugly, her hair and skin like those of an animal? What were the causes of this?” The Buddha replied: “It is because of both virtuous and evil deeds done in the past that she was taken on both these forms. In time","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9979012","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":"Open Reduction of an Isolated Anterior Nasal Spine Fracture: A Case Report and Review of the Literature.","authors":"Jinwoo Park,&nbsp;In Sik Yun,&nbsp;Tai Suk Roh,&nbsp;Young Seok Kim","doi":"10.1055/a-2107-2071","DOIUrl":"https://doi.org/10.1055/a-2107-2071","url":null,"abstract":"<p><p>A 14-year-old girl had a midfacial trauma event caused by hitting against an opening door and experienced discomfort and swelling of the columella and upper lip. Physical examination revealed mild tenderness on light palpation without any discomfort with upper lip movement. A computed tomography scan of the maxillofacial bones with three-dimensional reconstruction showed a fracture of the anterior nasal spine with obvious leftward displacement, mild-deviation of the caudal aspect of the nasal septum, and no sign of nasal bone fracture. Open reduction and internal fixation was performed with regard to aesthetic and functional concerns, including nasal septum deviation. The postoperative course was uneventful, and healing proceeded normally without complications. Herein, we emphasize the importance of differential diagnosis of isolated anterior nasal spine fractures in patients with midfacial trauma and clinicians' strategic decision-making in treatment modalities.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9981657","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":"Reconstruction of Hand Dorsum Defect Using Double Perforators-Based Anterior Interosseous Artery Island Flap: A Case Report and Description of a New Anterior Interosseous Artery Perforator.","authors":"Inho Kang,&nbsp;Hyun Rok Lee,&nbsp;Gyu Yong Jung,&nbsp;Joon Ho Lee","doi":"10.1055/a-2067-5403","DOIUrl":"https://doi.org/10.1055/a-2067-5403","url":null,"abstract":"<p><p>The anterior interosseous artery (AIA) perforator flap is not commonly used in hand dorsum reconstruction compared with alternatives. However, it is a versatile flap with several advantages. Literature on the AIA perforator flap is based on the dorsal septocutaneous branch (DSB), which branches from the AIA and passes through fascia between the extensor pollicis longus (EPL) and extensor pollicis brevis muscles. In the described case, the authors reconstructed a hand dorsum defect in a 78-year-old man using an AIA perforator flap with double perforators supplied by the DSB and a new perforator branching from the distal than DSB. No complication was encountered, and the flap survived completely. A retrospective computed tomography review revealed the presence of the new perforator in 14 of 21 patients. Two types of new perforator were observed. One passed through the ulnar side of the extensor indicis proprius (EIP) muscle and penetrated fascia between the extensor digitorum minimi and extensor digitorum communis tendons, whereas the other passed between the EPL and EIP muscles. This report describes the anatomical location and clinical application of the new AIA perforators. The double perforators-based AIA flap provides a straightforward, reliable means of reconstructing hand dorsum defects.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9969677","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":"Lipoinjection with Adipose Stem Cells for Nasal Modeling: Rhino Cell, a Highly Versatile Alternative.","authors":"Yanko Castro-Govea,&nbsp;Jorge A García-Garza,&nbsp;Sergio E Vázquez-Lara,&nbsp;Cynthia M González-Cantú,&nbsp;Hernán Chacón-Moreno,&nbsp;Víctor H Cervantes-Kardasch","doi":"10.1055/a-2067-5481","DOIUrl":"https://doi.org/10.1055/a-2067-5481","url":null,"abstract":"<p><p>It is undeniable that a significant number of patients who want to improve their facial appearance is increasingly interested in nonsurgical procedures. Without a doubt, the use of autologous fat could not be left out as a magnificent alternative for nasal modeling simply because of four influential factors: ease of collection, compatibility, the temporality of the results, and safety. This work describes an innovative alternative technique for nasal modeling using micrografts enriched with adipose-derived mesenchymal stem cells (ASCs). With this technique, fat was collected and divided into two samples, nanofat and microfat. Nanofat was used to isolate the ASCs; microfat was enriched with ASCs and used for nasal modeling. Lipoinjection was performed in a supraperiosteal plane on the nasal dorsum. Through a retrolabial access, the nasal tip and base of the columella were lipoinjected. We consider that nonsurgical nasal modeling using micrografts enriched with ASCs can be an attractive and innovative alternative. This technique will never be a substitute for surgical rhinoplasty. It can be performed in a minor procedure area with rapid recovery and return to the patient's daily activities the next day. If necessary, the procedure can be repeated.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9976197","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 Medial Sural Artery Perforator Flap versus Other Free Flaps in Head and Neck Reconstruction: A Systematic Review.","authors":"Yasser Al Omran, Ellie Evans, Chloe Jordan, Tiffanie-Marie Borg, Samar AlOmran, Sarvnaz Sepehripour, Mohammed Ali Akhavani","doi":"10.1055/a-2059-4009","DOIUrl":"10.1055/a-2059-4009","url":null,"abstract":"<p><p>The medial sural artery perforator (MSAP) flap is a versatile fasciocutaneous flap, and yet is less commonly utilized than other free flaps in microvascular reconstructions of the head and neck. The aim is to conduct a high-quality Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA)- and Assessment of Multiple Systematic Reviews 2 (AMSTAR 2)-compliant systematic review comparing the use of the MSAP flap to other microvascular free flaps in the head and neck. Medline, Embase, and Web of Science databases were searched to identify all original comparative studies comparing patients undergoing head and neck reconstruction with an MSAP flap to the radial forearm free flap (RFFF) or anterolateral thigh (ALT) flap from inception to February 2021. Outcome studied were the recipient-site and donor-site morbidities as well as speech and swallow function. A total of 473 articles were identified from title and abstract review. Four studies met the inclusion criteria. Compared with the RFFF and the ALT flaps, the MSAP flap had more recipient-site complications (6.0 vs 10.4%) but less donor-site complications (20.2 vs 7.8%). The MSAP flap demonstrated better overall donor-site appearance and function than the RFFF and ALT flaps ( <i>p</i>  = 0.0006) but no statistical difference in speech and swallowing function following reconstruction ( <i>p</i>  = 0.28). Although higher quality studies reviewing the use of the MSAP flap to other free flaps are needed, the MSAP flap provides a viable and effective reconstructive option and should be strongly considered for reconstruction of head and neck defects.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10226800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9556845","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":"Toenail Paronychium Flap: Novel Surgical Approach for Ingrowing Toenail and Review of the Literature of Conventional Surgical Methods.","authors":"Yujin Ahn,&nbsp;Hyunrok Lee,&nbsp;Surak Eo,&nbsp;Heakyeong Shin","doi":"10.1055/a-2040-0721","DOIUrl":"https://doi.org/10.1055/a-2040-0721","url":null,"abstract":"<p><p>Ingrown toenails are most common among school-age children and adolescents though they can be observed at any age. Causes of ingrown toenails are increased curvature, trauma, and external pressure. Treatment of ingrown toenails can be broadly characterized as conservative and surgical. Conservative treatment can be performed using various methods, such as a gutter splint, dental floss, and cotton. Surgical treatments may be divided into two main approaches; narrowing of the nail plate and debulking of periungual tissues. However, these various conservative and surgical treatments have high recurrence rates, and thus, the author used a permanent surgical method based on the use of a paronychium flap to treat a 15-year-old male adolescent with excessive periungual tissues and curved ingrown toenails who did not improve despite conservative and several surgical treatments over 4 years. Subsequently, toenail shape was maintained without recurrence 22 months after surgery, and there were no complaints of inflammation or pain while walking. This simple surgical method can be performed on patients with advanced ingrown toenails due to excessive periungual tissues and nail curvature and can be expected to have permanent effects.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10226791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9554063","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":"Clinical Applications of the Intercostal Artery Perforator Flap for Trunk Reconstruction.","authors":"Young Jun Kim,&nbsp;Woo Young Choi,&nbsp;Ji Seon Cheon,&nbsp;Min Hyub Choi","doi":"10.1055/a-2058-7927","DOIUrl":"https://doi.org/10.1055/a-2058-7927","url":null,"abstract":"<p><p><b>Background</b>  Trunk defects can occur because of surgical site infections after spinal surgery, resection of malignant tumors, or trauma. Herein, we present our experience of using intercostal artery perforator (ICAP) flaps to reconstruct trunk defects without noteworthy complications. Fourteen patients underwent reconstruction with ICAP flaps between March 2015 and March 2019. <b>Methods</b>  Patients' data, including age, sex, the cause of the defect, defect size, perforator location, flap size, complications, and follow-up period, were retrospectively reviewed. The mean age of the patients was 56.5 years (range, 19-80 years). All operations were performed after the results of bacterial culture from the wound showed no microbial growth. We found reliable perforators around the defect using Doppler ultrasonography. The perforator flaps were elevated with a pulsatile perforator and rotated in a propeller fashion to the defects. We performed five dorsal and two lateral ICAP flaps. The mean flap dimensions were 12 × 5.5 cm ² (range, 6 × 5 to 18 × 8 cm ² ). <b>Results</b>  Primary closure of the donor site was performed. Marginal congestion was observed as a complication in one case, but it healed with no need for revision. The mean follow-up period was 8 months. All patients were satisfied with the surgical outcomes. <b>Conclusion</b>  ICAP flaps can be easily mobilized, thereby reducing donor site morbidity without sacrificing the underlying muscles for trunk reconstruction. Therefore, these flaps are useful options for the reconstruction of trunk defects.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10226793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9556843","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}