Archives of Plastic Surgery-APS最新文献_第4页

The Nevus Lipomatosus Superficialis of Face: A Case Report and Literature Review. 面部浅层脂肪瘤：病例报告与文献综述

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2024-01-24 eCollection Date: 2024-03-01 DOI: 10.1055/a-2222-1226

Jae-Won Yang, Mi-Ok Park

{"title":"The Nevus Lipomatosus Superficialis of Face: A Case Report and Literature Review.","authors":"Jae-Won Yang, Mi-Ok Park","doi":"10.1055/a-2222-1226","DOIUrl":"https://doi.org/10.1055/a-2222-1226","url":null,"abstract":"Nevus lipomatosus superficialis (NLS) is a hamartoma of adipose tissue, rarely reported in the past 100 years. We treated one case, and we conducted a systematic review of the literature. A 41-year-old man presented with a cutaneous multinodular lesion in the posterior region near the right auricle. The lesion was excised and examined histopathologically. To review the literature, we searched PubMed with the keyword \"NLS.\" The search was limited to articles written in English and whose full text was available. We analyzed the following data: year of report, nation of corresponding author, sex of patient, age at onset, duration of disease, location of lesion, type of lesion, associated symptoms, pathological findings, and treatment. Of 158 relevant articles in PubMed, 112 fulfilled our inclusion criteria; these referred to a total of 149 cases (cases with insufficient clinical information were excluded). In rare cases, the diagnosis of NLS was confirmed when the lesion coexisted with sebaceous trichofolliculoma and Demodex infestation. Clinical awareness for NLS has increased recently. NLS is an indolent and asymptomatic benign neoplasm that may exhibit malignant behavior in terms of huge lesion size and specific anatomical location. Early detection and curative treatment should be promoted.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11001440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867826","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

Efficacy of Cranial Orthosis for Plagiocephaly Based on 2D and 3D Evaluation. 基于二维和三维评估的颅骨矫形器治疗颅内畸形的疗效。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2024-01-24 eCollection Date: 2024-03-01 DOI: 10.1055/a-2222-1494

Hiroki Kajita, Ichiro Tanaka, Hiroaki Komuro, Shigeru Nishimaki, Isao Kusakawa, Koichiro Sakamoto

{"title":"Efficacy of Cranial Orthosis for Plagiocephaly Based on 2D and 3D Evaluation.","authors":"Hiroki Kajita, Ichiro Tanaka, Hiroaki Komuro, Shigeru Nishimaki, Isao Kusakawa, Koichiro Sakamoto","doi":"10.1055/a-2222-1494","DOIUrl":"https://doi.org/10.1055/a-2222-1494","url":null,"abstract":"Background With the advent of cranial orthoses as therapeutic medical devices for the treatment of severe positional head deformities in Japan, an increasing number of patients are being treated with them. However, assessing the effectiveness of a treatment is often difficult due to the use of different metrics. This study aimed to evaluate the effectiveness of cranial orthoses for deformational plagiocephaly using two- (2D) and three-dimensional (3D) evaluation metrics. Methods We conducted a retrospective study of infant patients with deformational plagiocephaly who underwent cranial orthosis treatment. We evaluated the severity of deformational plagiocephaly using cranial asymmetry (CA) and the cranial vault asymmetry index (CVAI) as 2D metrics, and anterior and posterior symmetry ratios as 3D metrics. The patients were divided into 24 subgroups based on the initial severity of each outcome and their age at the start of treatment. We analyzed the changes in outcomes and correlations within improvements across the age and severity categories. Results Overall, 1,038 infants were included in this study. The mean CA, CVAI, and anterior and posterior symmetry ratios improved significantly after cranial orthosis treatment. The improvement in each score was greater in patients with more severe initial deformities and in those who underwent treatment at a younger age. Conclusion Cranial orthosis treatment was effective in correcting deformational plagiocephaly in infants, as demonstrated by improvements in both 2D and 3D metrics. Patients with more severe initial deformities and those who underwent treatment at a younger age showed greater improvement.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11001441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867013","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

Immediate Partial Breast and Nipple-Areola Complex Reconstruction Using a Superficial Circumflex Iliac Artery Perforator Flap. 使用表层环状髂动脉穿孔器皮瓣即刻重建部分乳房和乳头乳晕复合体。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2024-01-24 eCollection Date: 2024-03-01 DOI: 10.1055/a-2223-5325

Gemma Pons, Lucía Sisternas, Jaume Masià

引用次数: 0

Surgical Management of Pachyonychia Congenita in a 3-Year-Old. 手术治疗一名 3 岁儿童的先天性甲状腺发育不全。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-12-21 eCollection Date: 2023-11-01 DOI: 10.1055/s-0043-1771520

Jack D Sudduth, Christopher Clinker, Matthew Holdaway, Jessica L Marquez, Jacob Veith, Thomas Wright, W Bradford Rockwell

{"title":"Surgical Management of Pachyonychia Congenita in a 3-Year-Old.","authors":"Jack D Sudduth, Christopher Clinker, Matthew Holdaway, Jessica L Marquez, Jacob Veith, Thomas Wright, W Bradford Rockwell","doi":"10.1055/s-0043-1771520","DOIUrl":"https://doi.org/10.1055/s-0043-1771520","url":null,"abstract":"Pachyonychia congenita is a rare genetic disorder characterized by hypertrophic nail plates, hyperkeratotic nail beds, and thickened hyponychium of the fingers and toes, impairing manual dexterity and resulting in poor aesthetics. The current body of literature describes various treatment modalities, but no singular approach has been defined as the gold standard. In this case, the authors employed different surgical techniques for treating pachyonychia congenita to evaluate the most effective approach. A 3-year-old boy presented with hypertrophic nail growth involving all digits of both hands and feet. Three surgical procedures were performed on the patient's fingers and toes using germinal matrix excision (GME) alone, GME plus partial sterile matrix excision (pSME), or GME plus complete sterile matrix excision (cSME). The digits treated with GME + cSME exhibited no recurrence of nail growth. Those treated with GME alone exhibited recurrence of hypertrophic nail growth, although their growth slowed. Excision of GME + cSME prevented recurrence of hypertrophic nails, while GME alone or with pSME led to slower-growing hypertrophic nails. Complete excision of the germinal and sterile matrices with skin graft closure may be a definitive treatment for pachyonychia congenita, but further studies are needed to validate these findings.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10736205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032753","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

Deep or Shallow, It's up to You. 深或浅，取决于你。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-12-21 eCollection Date: 2023-11-01 DOI: 10.1055/s-0042-1756339

Kun Hwang

引用次数: 0

Transaxillary Capsulorrhaphy with Reimplantation to Correct Bottoming-Out Deformity in Breast Mycobacterial Periprosthetic Infection: A Case Report with Literature Review. 经腋窝包膜缝合再植入术治疗乳房假体周围分枝杆菌感染的底部畸形1例并文献复习

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-12-01 eCollection Date: 2023-11-01 DOI: 10.1055/a-2119-3835

Tsung-Chun Huang, Jian-Jr Lee, Kuo-Hui Yang, Chia-Huei Chou, Yu-Chen Chang

{"title":"Transaxillary Capsulorrhaphy with Reimplantation to Correct Bottoming-Out Deformity in Breast Mycobacterial Periprosthetic Infection: A Case Report with Literature Review.","authors":"Tsung-Chun Huang, Jian-Jr Lee, Kuo-Hui Yang, Chia-Huei Chou, Yu-Chen Chang","doi":"10.1055/a-2119-3835","DOIUrl":"10.1055/a-2119-3835","url":null,"abstract":"Augmentation mammoplasty is one of the most popular cosmetic surgeries, but there is a high reoperation rate (29.7%) commonly due to capsular contracture, implant malpositioning, infection, and unsatisfactory size. Although infection only accounts for 2% of cases, its management is very challenging, especially with nontuberculous mycobacteria (NTM) infection. Breast prosthetic NTM infection is a rare but is a disastrous condition with an incidence of approximately 0.013%. Immediate salvage reimplantation is usually not suggested, and most studies recommend a gap of 3 to 6 months after combination antibiotics therapy before reimplantation. However, delayed reimplantation often leads to great psychological stress and struggle between the doctor and patient. We present the case report of successful reimplantation in treating prosthetic NTM infections in a 28-year-old female. We discuss a novel technique \"transaxillary capsulorrhaphy\" to correct the bottoming-out deformity. One year after the combination of antibiotics and surgery, the follow-up computed tomography scan showed complete remission of NTM without recurrence. We discuss the surgical technique in detail. The 1-year follow-up assessment (photos and dynamic video) revealed good cosmesis and reliable correction using the new technique. This report is the first formal description and discussion of one-stage reimplantation following NTM infections. Transaxillary capsulorrhaphy allows for a successful salvage operation when an implant is displaced. This approach provides highly favorable result in eastern women undergoing revision augmentation mammoplasty. This study reflects level of evidence V, considering opinions of respected authorities based on clinical experience, descriptive studies, or reports of expert committees.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10736200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41394267","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

Comparison of The Thickness of Free Anterolateral Thigh Flap in Different Fascial Planes: Clinical Results of Subfascial and Superficial Fat Flap. 不同筋膜平面的游离大腿前外侧皮瓣厚度比较：筋膜下皮瓣和浅层脂肪皮瓣的临床效果。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-12-01 eCollection Date: 2023-11-01 DOI: 10.1055/s-0043-1772586

Yavuz Tuluy, Zülfükar Ulaş Bali, Merve Özkaya Ünsal, Aziz Parspancı, Levent Yoleri, Çağla Çiçek, Gaye Taylan Filinte

{"title":"Comparison of The Thickness of Free Anterolateral Thigh Flap in Different Fascial Planes: Clinical Results of Subfascial and Superficial Fat Flap.","authors":"Yavuz Tuluy, Zülfükar Ulaş Bali, Merve Özkaya Ünsal, Aziz Parspancı, Levent Yoleri, Çağla Çiçek, Gaye Taylan Filinte","doi":"10.1055/s-0043-1772586","DOIUrl":"https://doi.org/10.1055/s-0043-1772586","url":null,"abstract":"Background The anterolateral thigh (ALT) flap is a preferred option in the reconstruction of a wide variety of defects, enabling multiple tissue components and thicknesses. Methods This study was conducted to investigate the correlation of the thickness of the traditional subfascial ALT flap and superficial fat flap with age, gender, and body mass index (BMI). A total of 42 patients (28 males and 14 females) were included in the study. Results Mean age was 50.2 (range, 16-75) years and mean BMI was 24.68 ± 4.02 (range, 16.5-34.7) kg/m 2 . The subfascial flap thickness was significantly thinner in male patients (16.07 ± 2.77 mm) than in female patients (24.07 ± 3.93 mm; p < 0.05), whereas no significant difference was found between male (4.28 ± 1.15 mm) and female patients (4.85 ± 1.09 mm) regarding superficial fat flap thickness ( p = 0.13). The thickness of both flaps had a positive correlation with BMI, and the strongest correlation was found for subfascial ALT thickness in female patients ( r = 0.81). Age had no effect on both flap thickness measurements. The anterior thigh is thicker in women than in men, although it varies according to BMI. This shows that flap elevation is important in the superthin plane, especially if a thin flap is desired in female patients in defect reconstruction with the ALT flap. Thus, a single-stage reconstruction is achieved without the need for a defatting procedure after subfascial dissection or a second defatting procedure 3 to 6 months later. Conclusion The appropriate ALT flap plane should be selected considering the gender and BMI of the patient.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10736183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032751","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

Massive Localized Abdominal Lymphedema: A Case Report with Literature Review. 大面积局部性腹部淋巴水肿：病例报告与文献综述

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-11-30 eCollection Date: 2023-11-01 DOI: 10.1055/a-2140-8589

Badri Gogia, Irina Chekmareva, Anastasiia Leonova, Rifat Alyautdinov, Grigory Karmazanovsky, Andrey Glotov, Dmitry Kalinin

{"title":"Massive Localized Abdominal Lymphedema: A Case Report with Literature Review.","authors":"Badri Gogia, Irina Chekmareva, Anastasiia Leonova, Rifat Alyautdinov, Grigory Karmazanovsky, Andrey Glotov, Dmitry Kalinin","doi":"10.1055/a-2140-8589","DOIUrl":"10.1055/a-2140-8589","url":null,"abstract":"Massive localized lymphedema (MLL) is a rare disease caused by the obstruction of lymphatic vessels with specific clinical morphological and radiological characteristics. People with morbid obesity are mainly affected by MLL. Lymphedema is easily confused with soft tissue sarcoma and requires differential diagnosis, both the possibility of an MLL and also carcinoma manifestations in the soft tissues. The possible causes of massive lymphedema include trauma, surgery, and hypothyroidism. This report is the first case of MLL treated surgically in the Russian Federation. Detailed computed tomography (CT) characteristics and an electron microscope picture of MLL are discussed. A 50-year-old woman (body mass index of 43 kg/m 2 ) with MLL arising from the anterior abdominal wall was admitted to the hospital for surgical treatment. Its mass was 22.16 kg. A morphological study of the resected mass confirmed the diagnosis of MLL. We review etiology, clinical presentation, diagnosis, and treatment of MLL. We also performed an electron-microscopic study that revealed interstitial Cajal-like cells telocytes not previously described in MLL cases. We did not find similar findings in the literature. It is possible that the conduction of an ultrastructural examination of MLL tissue samples will further contribute to the understanding of MLL pathogenesis.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10736210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57823338","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

Is Lymphedema Cure a Clinical Reality? 淋巴水肿能治愈吗

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-11-30 eCollection Date: 2023-11-01 DOI: 10.1055/a-2130-2113

Wei F Chen, Ying C Ku, Takumi Yamamoto, Sonia K Pandey

引用次数: 0

Abdominal Hypertension after Abdominal Plication in Postbariatric Patients: The Consequence in the Postoperative Recovery. 减肥术后患者腹腔穿刺术后腹部高血压：术后恢复的后果。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-11-30 eCollection Date: 2023-11-01 DOI: 10.1055/s-0043-1772587

Martin Morales-Olivera, Erik Hanson-Viana, Armando Rodríguez-Segura, Marco A Rendón-Medina

{"title":"Abdominal Hypertension after Abdominal Plication in Postbariatric Patients: The Consequence in the Postoperative Recovery.","authors":"Martin Morales-Olivera, Erik Hanson-Viana, Armando Rodríguez-Segura, Marco A Rendón-Medina","doi":"10.1055/s-0043-1772587","DOIUrl":"https://doi.org/10.1055/s-0043-1772587","url":null,"abstract":"Background Abdominoplasty with abdominal plication increases intra-abdominal pressure (IAP) and has been previously associated with limited diaphragmatic excursion and respiratory dysfunctions. Many factors found in abdominoplasties and among postbariatric patients predispose them to a higher occurrence. This study aims to evaluate the impact of abdominal plication among postbariatric patients, assess whether the plication increases their IAP, and analyze how these IAP correlate to their postoperative outcome. Methods This prospective study was performed on all patients who underwent circumferential Fleur-De-Lis abdominoplasty. For this intended study, the IAP was measured by an intravesical minimally invasive approach in three stages: after the initiation of general anesthesia, after a 10-cm abdominal wall plication and skin closure, and 24 hours after the procedure. Results We included 46 patients, of which 41 were female and 5 were male. Before the bariatric procedure, these patients had an average maximum weight of 121.4 kg and an average maximum body mass index of 45.78 kg/m 2 ; 7 were grade I obese patients, 10 were grade II, and 29 were grade III. Only three patients were operated on with a gastric sleeve and 43 with gastric bypass. We presented six patients with transitory intra-abdominal hypertension in the first 24 hours, all of them from the grade I obesity group, the highest presented was 14.3 mm Hg. We presented 15% (7/46) of complication rates, which were only four seroma and five dehiscence; two patients presented both seroma and wound dehiscence. Conclusion Performing a 10-cm abdominal wall plication or greater represents a higher risk for intra-abdominal hypertension, slower general recovery, and possibly higher complication rate in patients who presented a lower degree of obesity (grade I) at the moment of the bariatric surgery.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10736211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032750","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