Archives of Plastic Surgery-APS最新文献_第7页

Flexor Tendon Rupture Secondary to Gout. 屈肌腱断裂继发于痛风。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-10-05 eCollection Date: 2023-09-01 DOI: 10.1055/s-0043-1772756

Jeremy V Lynn, Amy L Strong, Kevin C Chung

引用次数: 0

Dynamic Reconstruction of Anal Sphincter with Camera Shutter Style Double-Opposing Gracilis Flaps. 相机快门式双股薄肌瓣动态重建肛门括约肌。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-10-05 eCollection Date: 2023-09-01 DOI: 10.1055/s-0043-1772755

Allen Wei-Jiat Wong, Grace Hui-Min Tan, Frederick Hong-Xiang Koh, Min Hoe Chew

{"title":"Dynamic Reconstruction of Anal Sphincter with Camera Shutter Style Double-Opposing Gracilis Flaps.","authors":"Allen Wei-Jiat Wong, Grace Hui-Min Tan, Frederick Hong-Xiang Koh, Min Hoe Chew","doi":"10.1055/s-0043-1772755","DOIUrl":"10.1055/s-0043-1772755","url":null,"abstract":"Fournier's gangrene is a life-threatening infection which requires prompt recognition, early surgical debridement of unhealthy tissue, and initiation of broad-spectrum antibiotics. Relook debridement are usually performed until all the devitalized tissue has been removed. Involvement of the anal sphincter may result in significant morbidity such as permanent incontinence. Dynamic reconstruction of the anal sphincter has always been one of the holy grails in the field of pelvic reconstruction. We demonstrate a new method of camera shutter style double-opposing gracilis muscle flaps that allows dynamic sphincteric function without the need for electrostimulation. The bilateral gracilis muscles are inset in a fashion that allows orthograde contraction of the muscle to narrow and collapse the neoanal opening. With biofeedback training, the patient is able to regain dynamic continence and return to function without a stoma. There was also no need for neurotization or microsurgery techniques to restore sphincteric function to the anus. The patient was able to reverse his stoma 14 months after the initial insult and reconstruction with biofeedback training without the use of electrostimulation.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41155060","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

Etiology of delayed inflammatory reaction induced by hyaluronic acid filler 透明质酸填充物诱导延迟性炎症反应的病因分析

Archives of Plastic Surgery-APS Pub Date : 2023-09-29 DOI: 10.1055/a-2184-6554

Won Lee, Sabrina Shah-Desai, Nark-Kyoung Rho, Jeongmok Cho

{"title":"Etiology of delayed inflammatory reaction induced by hyaluronic acid filler","authors":"Won Lee, Sabrina Shah-Desai, Nark-Kyoung Rho, Jeongmok Cho","doi":"10.1055/a-2184-6554","DOIUrl":"https://doi.org/10.1055/a-2184-6554","url":null,"abstract":"The etiology and pathophysiology of delayed inflammatory reactions caused by hyaluronic acid fillers have not yet been elucidated. Previous studies have suggested that the etiology can be attributed to the hyaluronic acid filler itself, patient immunological status, infection, and injection technique. Hyaluronic acid fillers are composed of high-molecular-weight hyaluronic acids that are chemically crosslinked using substances such as 1,4-butanediol diglycidyl ether (BDDE). The mechanism by which BDDE crosslinks the two hyaluronic acid disaccharides is still unclear and it may exist as a fully reacted crosslinker, pendant crosslinker, deactivated crosslinker, and residual crosslinker. The hyaluronic acid filler also contains impurities such as silicone oil and aluminum during the manufacturing process. Impurities can induce a foreign body reaction when the hyaluronic acid filler is injected into the body. Aseptic hyaluronic acid filler injections should be performed while considering the possibility of biofilm formation or delayed inflammatory reaction. Delayed inflammatory reactions tend to occur when patients experience flu-like illnesses; thus, the patient’s immunological status plays an important role in delayed inflammatory reactions. Large-bolus hyaluronic acid filler injections can induce foreign body reactions and carry a relatively high risk of granuloma formation.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135192645","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

LIPEDEMA ASSOCIATED WITH SKIN HYPOPERFUSION AND ULCERATION: SOFT TISSUE DEBULKING IMPROVING SKIN PERFUSION 与皮肤灌注不足和溃疡相关的脂水肿:软组织减积改善皮肤灌注

Archives of Plastic Surgery-APS Pub Date : 2023-09-26 DOI: 10.1055/a-2181-8469

Feras Alshomer, Seok Joon Lee, Yeongsong Kim, Dae Won Hong, Changsik John Pak, Hyunsuk Peter Suh, Joon Pio Hong

{"title":"LIPEDEMA ASSOCIATED WITH SKIN HYPOPERFUSION AND ULCERATION: SOFT TISSUE DEBULKING IMPROVING SKIN PERFUSION","authors":"Feras Alshomer, Seok Joon Lee, Yeongsong Kim, Dae Won Hong, Changsik John Pak, Hyunsuk Peter Suh, Joon Pio Hong","doi":"10.1055/a-2181-8469","DOIUrl":"https://doi.org/10.1055/a-2181-8469","url":null,"abstract":"INTRODUCTION: Lipedema is a progressive connective tissue disease with enlargement of adipose tissue, fibrosis, fluid collection and dermal thickening. Herein, we present a case of lipedema associated with skin hypoperfusion and ulceration in which soft tissue debulking with liposuction improved patients’ symptoms. CASE PRESENTATION: A 39-year-old female presented with asymmetric progressive initially unilateral lower limb swelling with severe pain with subsequent skin ulceration. Conservative management have failed to improve her condition. After excluding other causes and detailed radiologic investigation, lipedema was diagnosed with an associated impaired skin perfusion. Trial of local wound care and compression therapy failed to improve the condition. Subsequent soft tissue debulking with circumferential liposuction and ulcer debridement and immediate compression showed dramatic improvement of the symptoms and skin perfusion. DISCUSSION: The unique nature of this case shed light on lipedema as a loose connective tissue disease. Inflammation and microangiopathies explains the associated pain with hypoperfusion and ulceration being quite atypical and in part might be related to the large buildups of matrix proteins and sodium contents leading to micro-vessels fragility with frequent petechiae and hematoma and subsequent tissue ischemia. Conservative measures like compression therapy plays a significant role in disease course. Surgical debulking with liposuction was shown to be efficacious in reducing the soft tissue load with improvement in limb pain, edema, circumference and skin perfusion that was seen in our patient. CONCLUSION: Lipedema is a frequently misdiagnosed condition with disabling features. Skin involvement in lipedema with potential hypoperfusion was shown and it requires further investigation","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134886261","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

Management of gestational gigantomastia with Goldilocks procedure after mastectomy : A case report and review of literature 金凤花手术治疗乳房切除术后妊娠期巨乳症:1例报告及文献复习

Archives of Plastic Surgery-APS Pub Date : 2023-09-26 DOI: 10.1055/a-2181-8621

HoYoon Jeong, Taewoo Gang, Heeseung Park, Kyoungeun Kim, Su Bong Nam, Ju Young Go, Seong Hwan Bae

{"title":"Management of gestational gigantomastia with Goldilocks procedure after mastectomy : A case report and review of literature","authors":"HoYoon Jeong, Taewoo Gang, Heeseung Park, Kyoungeun Kim, Su Bong Nam, Ju Young Go, Seong Hwan Bae","doi":"10.1055/a-2181-8621","DOIUrl":"https://doi.org/10.1055/a-2181-8621","url":null,"abstract":"Gestational gigantomastia is characterized by the rapid growth of breasts during pregnancy. The treatment method of gestational gigantomastia is unclear; if the medical treatment is ineffective, surgery is considered. However, sufficient research on which method is best to perform breast reconstruction for the gestational gigantomastia patient has not yet been conducted. Our patient was young and had aesthetic needs; thus, we did not recommend modified radical mastectomy. However, it was difficult for the patient to consider active reconstruction using an implant or autologous tissue because of the expected complications and economic problems. The patient had a thin body shape and very large breasts compared to the trunk. Therefore, breast volume was not significantly required after reconstruction. Additionally, we expected that a considerable portion of skin would remain after mastectomy as a tubular-shaped breast. It was expected that the Goldilocks technique would be sufficient to meet the patient’s volume needs. Therefore, we proceeded with total mastectomy and reconstruction using the Goldilocks procedure. No complications were recorded after the operation; most of the patient’s discomfort was resolved, and the shape and size of the breasts were satisfactory.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134885377","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

“Non absorbable barbed sutures for diastasis recti. A useful device with unexpected risk: two case reports” 不可吸收的倒刺缝合线。一个有意外风险的有用设备:两个案例报告”

Archives of Plastic Surgery-APS Pub Date : 2023-09-26 DOI: 10.1055/a-2181-8382

Lorenzo Giorgi, Filippo Boriani, Veronica Ponti, Andrea Margara

{"title":"“Non absorbable barbed sutures for diastasis recti. A useful device with unexpected risk: two case reports”","authors":"Lorenzo Giorgi, Filippo Boriani, Veronica Ponti, Andrea Margara","doi":"10.1055/a-2181-8382","DOIUrl":"https://doi.org/10.1055/a-2181-8382","url":null,"abstract":"Background The introduction of non-absorbable barbed sutures in plastic surgery has allowed the achievement of significant results in terms of efficacy and short and long-term outcomes. However, a non-absorbable material with no antibacterial coating could act as a substrate for sub-clinical bacterial colonization and thereby determine recurrent subacute and chronic infective-inflammatory processes. The authors report a clinical experience of subacute infectious complications after two cases of diastasis recti surgical correction. Methods The authors present a two-case series in which a non-absorbable barbed suture was used for the repair of diastasis recti. The postoperative course was complicated by surgical site infection. The origin of the infectious process was clearly localized in the fascial suture used for diastasis correction. The suture was colonized by bacteria resulting in the formation of multiple granulomas of the abdominal wall a few months postoperatively. Results In both cases reported, the patients partially responded to the antibiotic-targeted therapy, and reoperation was required. The microbiological analyses confirmed the colonization of sutures by Staphylococcus Aureus. Conclusion Barbed non-absorbable sutures should be avoided for diastasis recti surgical correction in order to minimize the risk of infectious complications suture-related.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134885808","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

Serious Complications of Percutaneous A1 pulley release for trigger finger: Case reports and literature review 经皮A1滑轮松解术治疗扳机指的严重并发症:病例报告及文献复习

Archives of Plastic Surgery-APS Pub Date : 2023-09-21 DOI: 10.1055/a-2179-3911

Dong Chul Lee, Kyungjin Lee, Ho Hyung Lee

{"title":"Serious Complications of Percutaneous A1 pulley release for trigger finger: Case reports and literature review","authors":"Dong Chul Lee, Kyungjin Lee, Ho Hyung Lee","doi":"10.1055/a-2179-3911","DOIUrl":"https://doi.org/10.1055/a-2179-3911","url":null,"abstract":"Percutaneous A1 pulley release, which has been increasingly used to treat trigger fingers, has been widely established as a safe and simple procedure. Multiple studies have reported positive results of percutaneous A1 pulley release. In this study, however, we report cases of patients who developed complications after undergoing percutaneous A1 pulley release at local clinics. A total of six patients visited our hospital for infectious complications after percutaneous A1 pulley release. Various sequelae such as damage to normal structures, insufficient procedure, and tissue necrosis were observed during the exploration. A retrospective study was conducted to identify the cause and trend of the observed complications by instruments (HAKI knife or needle) etc. In the HAKI knife group, there was a tendency for damage to normal structures, while in the needle group, an insufficient release or serious soft tissue necrosis was observed. Based on these cases, our findings confirm the existence and characteristics of infectious complications following the percutaneous A1 pulley release. We further identify that the type of instrument used predicts the nature of complications. Thus, reliable and skilled performance of the procedure by experts is essential for safe treatment.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136131062","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

Unilateral platysma muscle rupture as an effect of using a hard wooden block for facial massage 使用硬木块进行面部按摩时单侧阔阔肌破裂的效果

Archives of Plastic Surgery-APS Pub Date : 2023-09-14 DOI: 10.1055/a-2175-8052

Kyu Hwa Jung, Eun Jung Yang, Won Lee

引用次数: 0

Speech outcomes in 5-year-old Korean children with bilateral cleft lip and palate 韩国5岁双侧唇腭裂儿童的语言效果

Archives of Plastic Surgery-APS Pub Date : 2023-09-13 DOI: 10.1055/a-2175-1893

Kyung S. Koh, Seungeun Jung, Bo Ra Park, Tae Suk Oh, Young Chul Kim, Seunghee Ha

{"title":"Speech outcomes in 5-year-old Korean children with bilateral cleft lip and palate","authors":"Kyung S. Koh, Seungeun Jung, Bo Ra Park, Tae Suk Oh, Young Chul Kim, Seunghee Ha","doi":"10.1055/a-2175-1893","DOIUrl":"https://doi.org/10.1055/a-2175-1893","url":null,"abstract":"Background: Among the cleft types, bilateral cleft lip and palate (BCLP) generally requires multiple surgical procedures and extended speech therapy to achieve normal speech development. This study aimed to describe speech outcomes in 5-year-old Korean children with BCLP and examine whether normal speech could be achieved before starting school. Methods: The retrospective study analyzed 52 children with complete BCLP who underwent primary palatal surgery at Seoul Asan Medical Center. Three speech-language pathologists made perceptual judgments on recordings from a speech follow-up assessment of 5-year-old children. They assessed the children’s speech in terms of articulation, speech intelligibility, resonance, and voice using the Cleft Audit Protocol for Speech-Augmented-Korean Modification. Results: The results indicated that at the age of five, 65%–70% of children with BCLP presented articulation and resonance within normal or acceptable ranges. Further, seven children with BCLP (13.5%) needed both additional speech therapy and palatal surgery for persistent velopharyngeal insufficiency and speech problems even at the age of five. Conclusions: This study confirmed that routine follow-up speech assessments are essential as a substantial number of children with BCLP require secondary surgical procedures and extended speech therapy to achieve normal speech development.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135691165","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

Infective Costochondritis after Augmentation Mammoplasty: A Rare Case Report and Review of the Literature. 隆乳术后感染性肋软骨炎：一例罕见病例报告及文献复习。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-09-08 eCollection Date: 2023-09-01 DOI: 10.1055/a-2088-2829

Sally Min, Jinil Choi, Kwon Joong Na, Ki Yong Hong

{"title":"Infective Costochondritis after Augmentation Mammoplasty: A Rare Case Report and Review of the Literature.","authors":"Sally Min, Jinil Choi, Kwon Joong Na, Ki Yong Hong","doi":"10.1055/a-2088-2829","DOIUrl":"10.1055/a-2088-2829","url":null,"abstract":"Silicone breast implant insertion is a commonly performed surgical procedure for breast augmentation or reconstruction. Among various postoperative complications, infection is one of the main causes of patient readmission and may ultimately require explantation. We report a case of infective costochondritis after augmentation mammoplasty, which has rarely been reported and is therefore difficult to diagnose. A 36-year-old female visited the clinic for persistent redness, pain, and purulent discharge around the left anteromedial chest, even after breast implant explantation. Magnetic resonance imaging showed abscess formation encircling the left fourth rib and intracartilaginous and bone marrow signal alteration at the left body of the sternum and left fourth rib. En bloc resection of partial rib and adjacent sternum were done and biopsy results confirmed infective costochondritis. Ten months postoperatively, the patient underwent chest wall reconstruction with an artificial bone graft and acellular dermal matrix. As shown in this case, early and aggressive surgical debridement of the infected costal cartilage and sternum should be performed for infective costochondritis. Furthermore, delayed chest wall reconstruction could significantly contribute to the quality of life.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152069","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