Archives of Plastic Surgery-APS最新文献_第9页

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":"39 1","pages":"0"},"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":"50 5","pages":"488-491"},"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

The Quality of Life after Lymphaticovenous Anastomosis in 118 Lower Limb Lymphedema Patients. 118例下肢淋巴水肿患者淋巴管吻合后的生活质量。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-09-08 eCollection Date: 2023-09-01 DOI: 10.1055/a-2117-4478

Jin Geun Kwon, Yeongsong Kim, Min Young Jang, Hyunsuk Peter Suh, Changsik John Pak, Vaughan Keeley, Jae Yong Jeon, Joon Pio Hong

{"title":"The Quality of Life after Lymphaticovenous Anastomosis in 118 Lower Limb Lymphedema Patients.","authors":"Jin Geun Kwon, Yeongsong Kim, Min Young Jang, Hyunsuk Peter Suh, Changsik John Pak, Vaughan Keeley, Jae Yong Jeon, Joon Pio Hong","doi":"10.1055/a-2117-4478","DOIUrl":"10.1055/a-2117-4478","url":null,"abstract":"Background This is a prospective study on 118 patients who underwent lymphaticovenous anastomosis (LVA) due to secondary lower limb lymphedema between January 2018 and October 2020 to evaluate patients' quality of life (QOL) using the Quality of Life Measure for Limb Lymphedema (LYMQoL) questionnaire. Methods The outcome measurement included the LYMQoL leg scoring system tool evaluating the function, appearance, symptom, mood, and overall outcome. In addition, correlation analysis was performed for three factors: based on International Society of Lymphology (ISL) stages, disease duration, and amount of volume reduction. Results The LYMQoL tool overall satisfaction score significantly increased at all intervals from 4.4 ± 0.2 preoperative to 6.5 ± 0.3 postoperative at 12 months ( p < 0.001). Significant findings were seen for each domain scores compared preoperatively and at 12 months: function score (18.6 ± 0.5 to 15.4 ± 0.6), appearance score (17.8 ± 0.5 to 16.0 ± 0.6), symptom score (11.8 ± 0.3 to 8.9 ± 0.4), and mood score (14.5 ± 0.4 to 11.4 ± 0.5; p < 0.05). The correlation analysis between improvement of the overall score and the ISL stage ( p = 0.610, correlation coefficient [ r ] = - 0.047), disease duration ( p = 0.659, r = - 0.041), and amount of limb volume reduction ( p = 0.454, r = - 0.070) showed no statistical significance. Conclusion The QOL of secondary lower limb lymphedema patients was significantly improved after LVA regardless of the severity of disease, duration of disease, and amount of volume reduction after LVA. Understanding the patient-reported outcome measurement will help the surgeons to manage and guide the expectations of the patients.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"50 5","pages":"514-522"},"PeriodicalIF":1.5,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41167830","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

Consequence of Synthetic Bone Substitute Used for Alveolar Cleft Graft Reconstruction (Preliminary Clinical Study). 人工骨替代物用于牙槽裂移植物重建的效果（初步临床研究）。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-08-31 eCollection Date: 2023-09-01 DOI: 10.1055/a-2113-3084

Rawaa Y Al-Rawee, Bashar Abdul-Ghani Tawfeeq, Ahmed Mothafar Hamodat, Zaid Salim Tawfek

{"title":"Consequence of Synthetic Bone Substitute Used for Alveolar Cleft Graft Reconstruction (Preliminary Clinical Study).","authors":"Rawaa Y Al-Rawee, Bashar Abdul-Ghani Tawfeeq, Ahmed Mothafar Hamodat, Zaid Salim Tawfek","doi":"10.1055/a-2113-3084","DOIUrl":"10.1055/a-2113-3084","url":null,"abstract":"Background The outcome of alveolar grafting with synthetic bone substitute (Osteon III) in various bone defect volumes is highlighted. Methods A prospective study was accomplished on 55 patients (6-13 years of age) with unilateral alveolar bone cleft. Osteon III, consisting of hydroxyapatite and tricalcium phosphate, is used to reconstruct the defect. Alveolus defect diameter was calculated before surgery (V1), after 3 months (V2), and finally after 6 months (V3) postsurgery. In the t -test, a significant difference and correlation between V1, V2, and V3 are stated. A p- value of 0.01 is considered a significant difference between parameters. Results The degree of cleft is divided into three categories: small (9 cases), medium (20 patients), and large (26 cases).The bone volume of the clefted site is divided into three steps: volume 1: (mean 18.1091 mm 3 ); step 2: after 3 months, volume 2 resembles the amount of unhealed defect (mean 0.5109 mm 3 ); and the final bone volume assessment is made after 6 months (22.5455 mm 3 ). Both show statistically significant differences in bone volume formation. Conclusion An alloplastic bone substitute can also be used as a graft material because of its unlimited bone retrieval. Osteon III can be used to reconstruct the alveolar cleft smoothly and effectively.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"50 5","pages":"478-487"},"PeriodicalIF":1.5,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41133496","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

Current Perspectives in Vaginal Laxity Measurement: A Scoping Review. 阴道松弛测量的当前视角：范围界定综述。

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2023-08-31 eCollection Date: 2023-09-01 DOI: 10.1055/a-2113-3202

Indri Aulia, Michelle Valeria

{"title":"Current Perspectives in Vaginal Laxity Measurement: A Scoping Review.","authors":"Indri Aulia, Michelle Valeria","doi":"10.1055/a-2113-3202","DOIUrl":"10.1055/a-2113-3202","url":null,"abstract":"This scoping review aimed to identify and categorize the available measurement options for vaginal laxity (VL), their indications of use, and whether these measurements can sufficiently provide objective clinical judgment for cases indicated for vaginal rejuvenation with many treatment options nowadays. Systematic searches were conducted on five electronic databases, manually searching articles' bibliographies and predetermined key journals with no date or study design limitations. We included all studies involving VL in their inclusion criteria, treatment indications, and outcome parameters. We used the Arksey and O'Malley frameworks as the guideline in writing this scoping review. Of the 9,464 articles identified, 66 articles and 11,258 subjects were included in the final analysis. The majority of studies were conducted in obstetrics and gynecology (73%), followed by plastic surgery (10%), medical rehabilitation (4.5%), dermatology (4.5%), and others (8%). Most studies originated from the North American region (30%). The following measurement tools were used: (1) interviews, (2) questionnaires, (3) physical/digital examinations, (4) perineometers, and (5) others. Our results suggested that subjective perception of laxity confirmed by directed interview or questionnaire is sufficient to confirm VL. Additional evaluation of pelvic floor muscle through digital examination or perineometer or other preferred tools and evaluation of sexual function through validated questionnaire (Female Sexual Function Index, Female Sexual Distress Scale-Revised, etc.) should follow to ensure holistic care to patients. Future research on the psychometric properties (reliability and validity) of commonly used measurements and the correlation in between subjective and objective measurements should be initiated before their clinical applications.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"50 5","pages":"452-462"},"PeriodicalIF":1.3,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41137789","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

Safety and Pitfalls of Blepharoptosis Surgery in Elderly People. 老年人眼睑下垂手术的安全性和并发症。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-08-28 eCollection Date: 2023-09-01 DOI: 10.1055/s-0043-1770082

Yuji Shirakawa, Kazuhisa Uemura, Shinji Kumegawa, Kazuki Ueno, Hiroki Iwanishi, Shizuya Saika, Shinichi Asamura

{"title":"Safety and Pitfalls of Blepharoptosis Surgery in Elderly People.","authors":"Yuji Shirakawa, Kazuhisa Uemura, Shinji Kumegawa, Kazuki Ueno, Hiroki Iwanishi, Shizuya Saika, Shinichi Asamura","doi":"10.1055/s-0043-1770082","DOIUrl":"10.1055/s-0043-1770082","url":null,"abstract":"Background Elderly patients often have complications of blepharoptosis surgery that can result in the appearance or exacerbation of superficial punctate keratopathy (SPK). However, postoperative changes to SPK status have not been previously reported. We used subjective assessment of symptoms and measurement of SPK scale classification to investigate the safety and efficacy of blepharoptosis surgery in elderly patients. Methods Included in this prospective study were 22 patients (44 eyes) with bilateral blepharoptosis that underwent surgery. Patients comprised 8 males and 14 females with a mean (±standard deviation) age of 75.7 ± 8.2 years (range: 61-89). Blepharoptosis surgery consisted of transcutaneous levator advancement and blepharoplasty including resection of soft tissue (skin, subcutaneous tissue, and the orbicularis oculi muscle). Margin reflex distance-1 (MRD-1) measurement, a questionnaire survey of symptoms and SPK scale classification, was administered preoperatively and 3 months postoperatively for evaluation. Results The median MRD-1 was 1 mm preoperatively and 2.5 mm postoperatively, representing a significant postoperative improvement. SPK area and density scores were found to increase when the MRD-1 increase was more than 2.5 mm with surgery. All 10 items on the questionnaire tended have increased scores after surgery, and significant differences were observed in 7 items (poor visibility, ocular fatigue, heavy eyelid, foreign body sensation, difficulty in focusing, headaches, and stiff shoulders). Conclusion Blepharoptosis surgery was found to be a safe and effective way to maintain the increase in MRD-1 within 2.0 mm. Despite the benefits, surgeons must nonetheless be aware that blepharoptosis surgery is a delicate procedure in elderly people.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"50 5","pages":"446-451"},"PeriodicalIF":1.5,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41166034","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

Osteocutaneous Turn-Up Fillet Flaps: A Spare-Parts Orthoplastic Surgery Option for a Functional Posttraumatic Below-Knee Amputation. 骨皮翻起角瓣：膝下功能性创伤后截肢的备用整形外科选择。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-08-24 eCollection Date: 2023-09-01 DOI: 10.1055/a-2033-5803

Harry Burton, Alexios Dimitrios Iliadis, Neil Jones, Aaron Saini, Nicola Bystrzonowski, Alexandros Vris, Georgios Pafitanis

{"title":"Osteocutaneous Turn-Up Fillet Flaps: A Spare-Parts Orthoplastic Surgery Option for a Functional Posttraumatic Below-Knee Amputation.","authors":"Harry Burton, Alexios Dimitrios Iliadis, Neil Jones, Aaron Saini, Nicola Bystrzonowski, Alexandros Vris, Georgios Pafitanis","doi":"10.1055/a-2033-5803","DOIUrl":"10.1055/a-2033-5803","url":null,"abstract":"This article portrays the authors' experience with a complex lower limb bone and soft tissue defect, following chronic osteomyelitis and pathological fracture, which was managed by the multidisciplinary orthoplastic team. The decision for functional amputation versus limb salvage was deemed necessary, enhanced by the principles of \"spare parts\" in reconstructive microsurgery. This case describes the successful use of the osteocutaneous distal tibia turn-up fillet flap that allowed \"lowering the level of the amputation\" from a through knee to a below-knee amputation (BKA) to preserve the knee joint function. We comprehensibly review reports of turn-up flaps which effectively lower the level of amputation, also applying \"spare-parts\" surgery principles and explore how these concepts refine complex orthoplastic approaches when limb salvage is not possible to enhance function. The osteocutaneous distal tibia turn-up fillet flap is a robust technique for modified BKA reconstructions that provides sufficient bone length to achieve a tough, sensate stump and functional knee joint.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"50 5","pages":"501-506"},"PeriodicalIF":1.5,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41177269","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

Systematic Review of Patient-Reported Outcomes and Complications of Pedicled Latissimus Flap Breast Reconstruction. 带蒂阔肌瓣乳房重建患者报告结果和并发症的系统评价。

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2023-08-02 eCollection Date: 2023-07-01 DOI: 10.1055/a-2045-8122

Emanuela C Peshel, Claire M McNary, Catherine Barkach, Elizabeth M Boudiab, Daniella Vega, Farid Nossoni, Kongkrit Chaiyasate, Jeremy M Powers

{"title":"Systematic Review of Patient-Reported Outcomes and Complications of Pedicled Latissimus Flap Breast Reconstruction.","authors":"Emanuela C Peshel, Claire M McNary, Catherine Barkach, Elizabeth M Boudiab, Daniella Vega, Farid Nossoni, Kongkrit Chaiyasate, Jeremy M Powers","doi":"10.1055/a-2045-8122","DOIUrl":"10.1055/a-2045-8122","url":null,"abstract":"The latissimus dorsi (LD) flap is a reliable option for breast reconstruction. This is particularly true in patients with contraindications to abdominally based autologous breast reconstruction. A systematic review of patient satisfaction and health related quality of life following LD breast reconstruction using the BREAST-Q survey was conducted. The scope of the review was to determine the degree of patient satisfaction following the procedure and to examine how patient satisfaction from the pedicled LD flap compares to other breast reconstructive procedures. A literature search on BREAST-Q in LD flap reconstruction was performed. Only articles written in English and in published peer-reviewed journals were included. Studies with less than 20 patients in their sample and those with a follow-up period of less than 1 year were excluded. Five articles representing 331 patients were reviewed, including one case-control study and four retrospective cohort studies. Level of evidence was either III (4) or IV (1). The average age was 53 with average body mass index of 25. Most reconstructions were delayed (67%) and unilateral (88%), and most patients required radiation (79%). The average length of follow-up was 36 months, and the response rate was 75%. Overall, patients who underwent LD flap reconstruction reported favorable outcomes in satisfaction domains and quality of life domains with few complications. A meta-analysis also demonstrated higher satisfaction in LD flap without implants compared with LD flap with implants. Patient-reported outcomes following LD breast reconstruction compare favorably with other techniques of breast reconstruction.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"50 4","pages":"361-369"},"PeriodicalIF":1.3,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9976195","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

One Year Experience of the Hand Allotransplantation First Performed after Korea Organ Transplantation Act (KOTA) Amendment. 韩国器官移植法（KOTA）修正案后首次进行异体手移植的一年经验。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-08-02 eCollection Date: 2023-07-01 DOI: 10.1055/a-2059-5570

Nara Lee, Woo Yeol Baek, Yun Rak Choi, Dong Jin Joo, Won Jai Lee, Jong Won Hong

{"title":"One Year Experience of the Hand Allotransplantation First Performed after Korea Organ Transplantation Act (KOTA) Amendment.","authors":"Nara Lee, Woo Yeol Baek, Yun Rak Choi, Dong Jin Joo, Won Jai Lee, Jong Won Hong","doi":"10.1055/a-2059-5570","DOIUrl":"10.1055/a-2059-5570","url":null,"abstract":"The revision of the Korea Organ Transplantation Act (KOTA) in 2018 included hand/arm among the organs that can be transplanted. The first hand transplantation since the revision of KOTA took place in January 2021. A 62-year-old male patient experienced hand amputation on July 13, 2018, by a catapult injury. The patient first visited our institute 3 months after the injury. After serial interviews and an overall evaluation, the patient was registered on the hand transplantation waiting list in January 2020. On January 9, 2021, the patient underwent hand transplantation at the right distal forearm level. The total operation time was 17 hours 15 minutes, and the cold ischemic time was 4 hours 9 minutes. Postoperative immunosuppression was administered based on the protocol used for kidney transplantation. Two acute rejection episodes occurred, on postoperative days 33 and 41. Both rejection episodes were reversible with rescue therapy of a higher tacrolimus trough level, steroid pulse therapy, and topical immunosuppressants. Controlled passive range of motion exercise was started on postoperative day 10. Dynamic splint was applied on postoperative day 18. At 1 year, graft maintenance and functional improvement were satisfactory, and the patient showed a Disabilities of Arm, Shoulder and Hand score of 25.8. We successfully performed the first hand transplantation surgery under the KOTA amendment. It came from the organic and effective cooperation of plastic, orthopaedic, and transplantation departments and we believe it will guarantee the future ongoing success.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"50 4","pages":"415-421"},"PeriodicalIF":1.5,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9981649","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

Mapping the Posterior Ledge and Optic Foramen in Orbital Floor Blowout Fractures. 眶底爆裂性骨折后突和视Foramen的标测。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-08-02 eCollection Date: 2023-07-01 DOI: 10.1055/a-2074-2092

Yu Cong Wong, Doreen S L Goh, Celine S Y Yoong, Cowan Ho, Elijah Z Cai, Angela Hing, Hanjing Lee, Vigneswaran Nallathamby, Yan L Yap, Jane Lim, Sundar Gangadhara, Thiam C Lim

{"title":"Mapping the Posterior Ledge and Optic Foramen in Orbital Floor Blowout Fractures.","authors":"Yu Cong Wong, Doreen S L Goh, Celine S Y Yoong, Cowan Ho, Elijah Z Cai, Angela Hing, Hanjing Lee, Vigneswaran Nallathamby, Yan L Yap, Jane Lim, Sundar Gangadhara, Thiam C Lim","doi":"10.1055/a-2074-2092","DOIUrl":"10.1055/a-2074-2092","url":null,"abstract":"Background The posterior ledge (PL) is a vital structure that supports the implant posteriorly during orbital floor reconstruction. This study describes a technique for mapping the PL in relation to the infraorbital margin (IM) in patients with orbital floor blowout fractures. This study establishes the location of the optic foramen in relation to the PL. Methods Facial computed tomography (FCT) scans of 67 consecutive patients with isolated orbital floor blowout fractures were analyzed using Osirix. Planes of reference for orbital fractures, a standardized technique for performing measurements on FCT, was used. Viewed coronally, the orbit was divided into seven equal sagittal slices (L1 laterally to L7 medially) with reference to the midorbital plane. The distances of PL from IM and location of optic foramen were determined. Results The greatest distance to PL is found at L5 (median: 30.1 mm, range: 13.5-37.1 mm). The median and ranges for each slice are as follows: L1 (median: 0.0 mm, range: 0.0-19.9 mm), L2 (median: 0.0 mm, range: 0.0-21.5 mm), L3 (median: 15.8 mm, range: 0.0-31.7 mm), L4 (median: 26.1 mm, range: 0.0-34.0 mm), L5 (median: 30.1 mm, range: 13.5-37.1 mm), L6 (median: 29.0 mm, range: 0.0-36.3 mm), L7 (median: 20.8 mm, range: 0.0-39.2 mm). The median distance of the optic foramen from IM is 43.7 mm (range: 37.0- 49.1) at L7. Conclusion Distance to PL from IM increases medially until the L5 before decreasing. A reference map of the PL in relation to the IM and optic foramen is generated. The optic foramen is located in close proximity to the PL at the medial orbital floor. This aids in preoperative planning and intraoperative dissection.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"50 4","pages":"370-376"},"PeriodicalIF":1.5,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9981651","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