Plastic and Reconstructive Surgery Global Open最新文献

Maintaining Functionality in Temporal Skin Tumor Surgery: A Focus on Nerve Injury and Excision Margins 保持颞部皮肤肿瘤手术的功能：关注神经损伤和切除边缘

Plastic and Reconstructive Surgery Global Open Pub Date : 2024-03-01 DOI: 10.1097/GOX.0000000000005642

Firas Al-Aswad, O. Fernandez-Diaz, Mohamed Abdelrazek, Mutaz Al Naser

{"title":"Maintaining Functionality in Temporal Skin Tumor Surgery: A Focus on Nerve Injury and Excision Margins","authors":"Firas Al-Aswad, O. Fernandez-Diaz, Mohamed Abdelrazek, Mutaz Al Naser","doi":"10.1097/GOX.0000000000005642","DOIUrl":"https://doi.org/10.1097/GOX.0000000000005642","url":null,"abstract":"Background: Operating on temporal cutaneous tumors is challenging because of the intricate facial nerve system, particularly the frontal branches, and the possibility of brow dysfunction. Surgery for deep margin clearance is difficult because of the fragile and sensitive soft tissue in the temporal region. To address this research gap, this study assessed clearance margins, types of skin tumors, and nerve injuries in this critical anatomical position. This retrospective study assessed temporal skin cancer surgery, malignancy types, and clearance margins in patients with frontal-branch facial nerve injuries. Methods: Forty-five patients with temporal skin carcinoma biopsies were analyzed. The deep and peripheral excision margins of skin malignancies were examined. Medical records were reviewed for clinically injured frontal nerve. Results: Thirty-four patients were men (75%), and basal cell carcinoma was the most prevalent histological malignancy, followed by squamous cell carcinoma. The mean age of the patients was 77.8 years (39–107 years). Two patients experienced damage to the frontal branch nerve. Twenty-six percent of the skin malignancies had inadequate deep margin excision. Conclusions: Removing temporal skin lesions is difficult. We discovered a 26% and 4% probability of inadequate deep margin excision and frontal branch facial nerve injury, respectively. Temporal skin lesions must be removed safely by surgeons to preserve the branches of the facial nerves. Insufficiently removed tumors require multidisciplinary teamwork and patient discussions regarding the advantages and risks to improve results.","PeriodicalId":508842,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"120 40","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140089082","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

Safety and Outcomes in Multiplane Facial Rejuvenation with Tranexamic Acid: A Cohort Study 使用氨甲环酸进行多平面面部年轻化的安全性和效果：队列研究

Plastic and Reconstructive Surgery Global Open Pub Date : 2024-03-01 DOI: 10.1097/GOX.0000000000005653

O. R. Ziegler Rodríguez, Gabriel De la Cruz Ku, Marcelo Chávez Díaz, Gonzalo Javier Ziegler Rodríguez, Otto Enrique Ziegler Gutiérrez

{"title":"Safety and Outcomes in Multiplane Facial Rejuvenation with Tranexamic Acid: A Cohort Study","authors":"O. R. Ziegler Rodríguez, Gabriel De la Cruz Ku, Marcelo Chávez Díaz, Gonzalo Javier Ziegler Rodríguez, Otto Enrique Ziegler Gutiérrez","doi":"10.1097/GOX.0000000000005653","DOIUrl":"https://doi.org/10.1097/GOX.0000000000005653","url":null,"abstract":"Background: Tranexamic acid (TXA) has demonstrated promising outcomes in plastic surgery. Our aim was to assess the effect of TXA in intraoperative bleeding, operative time, and complications among patients undergoing facial surgical procedures. Methods: A retrospective cohort study of patients who underwent multiplane facial rhytidectomy from January 2018 to September 2022 at the Clinica Ziegler, Lima, Peru. Patients were divided into two groups according to the use of intravenous plus local infiltration of TXA. We performed the chi square test to assess associations among categorical variables, the Student t test and Mann–Whitney U test for categorical with continuous variables, and Pearson correlation for quantitative variables. Results: A total of 100 patients were included with 50 patients in each group. The median age was 59.5 years and the majority were women (88%). The median operative time was 288.5 minutes. The TXA group presented less intraoperative bleeding (40 versus 90 mL, P < 0.05) and shorter operative time (237 versus 353 minutes, P < 0.05); no differences in the development of hematoma (2% versus 12%, P = 0.11), less ecchymosis (2% versus 36%, P < 0.05), edema (2% versus 100%, P < 0.05), and time to drain removal (3 versus 6 days, P < 0.05). Conclusions: TXA improves the short- and long-term outcomes of patients who undergo multiplane facial rhytidectomy. It also decreases intraoperative bleeding by more than half and reduces the operative time by one third. Moreover, patients receiving TXA presented significantly less ecchymosis, edema, and time to drain removal.","PeriodicalId":508842,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"100 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140086655","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

Effective Collaboration in the Surgical Management of Macroglossia in Beckwith–Wiedemann Syndrome 贝克维特-韦德曼综合征巨舌症手术治疗中的有效合作

Plastic and Reconstructive Surgery Global Open Pub Date : 2024-03-01 DOI: 10.1097/GOX.0000000000005635

Alhanouf Binhezaim, Abdullah A Al Qurashi, Sami Alissa, Ibtesam A. Alyazeedi

引用次数: 0

Repair of an Occipital Meningocele and Scalp Soft-tissue Reconstruction in a Newborn Patient 修复一名新生儿的枕骨脑膜瘤并重建头皮软组织

Plastic and Reconstructive Surgery Global Open Pub Date : 2024-03-01 DOI: 10.1097/GOX.0000000000005663

Jonathan D. Freedman, Michael B. Gehring, Brent R. O’Neill, Brooke M. French, David Y. Khechoyan

引用次数: 0

Intraoperative Cardiac Arrest During Liposuction: A Case Report 吸脂术中的术中心脏骤停：病例报告

Plastic and Reconstructive Surgery Global Open Pub Date : 2024-03-01 DOI: 10.1097/GOX.0000000000005619

Lu Shu, Jian Zhou, Xue He

{"title":"Intraoperative Cardiac Arrest During Liposuction: A Case Report","authors":"Lu Shu, Jian Zhou, Xue He","doi":"10.1097/GOX.0000000000005619","DOIUrl":"https://doi.org/10.1097/GOX.0000000000005619","url":null,"abstract":"Background: With the popularity of liposuction surgery, more awareness should be obtained regarding complications. Liposuction has been thought of as a safe procedure with a very low incidence of major complications. However, life-threatening risks of liposuction have rarely been reported. Methods: We present a case of a 36-year-old woman who developed cardiac arrest during a liposuction procedure, and we present a literature review. Results: She was previously healthy and had no risk factors for pulmonary embolism. The diagnosis was made based on clinical presentation and the presence of an electrolyte disorder and a positive sign on computed tomography pulmonary angiogram (CTPA). Mild hypothermia treatment, symptomatic treatment, and supportive therapy were applied. As the respiratory and circulation were smooth, she was discharged to a rehabilitation hospital. Seven months after discharge, the patient was still in a coma with eye opening. Conclusions: Spinal anesthesia, pulmonary embolism, and hyperkalemia are the most probable contributors to the cardiac arrest observed during the liposuction procedure in this specific case. There is a heightened imperative to vigilantly monitor for critical incidents during these operations and to meticulously identify associated risk factors during liposuction.","PeriodicalId":508842,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"15 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140084642","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

Three Useful Tips and Tricks for Intraoperative Nerve Stimulation 术中神经刺激的三个实用提示和技巧

Plastic and Reconstructive Surgery Global Open Pub Date : 2024-03-01 DOI: 10.1097/GOX.0000000000005640

Wen-Chih Liu, Floris V. Raasveld, Maximilian Mayrhofer-Schmid, K. Eberlin, Ian L. Valerio

引用次数: 0

Practical Review on the Contemporary Diagnosis and Management of Compartment Syndrome 隔室综合症当代诊断与管理实用评论

Plastic and Reconstructive Surgery Global Open Pub Date : 2024-03-01 DOI: 10.1097/GOX.0000000000005637

Amelia L. Davidson, Mason A. Sutherland, Robert C. Siska, Jeffrey E. Janis

引用次数: 0

Keloid Intralesional Excision Reduces Recurrence: A Meta-analytic Study of the Available Literature on 608 Keloids 瘢痕疙瘩区域内切除术可减少复发：对 608 例瘢痕疙瘩现有文献的元分析研究

Plastic and Reconstructive Surgery Global Open Pub Date : 2024-03-01 DOI: 10.1097/GOX.0000000000005652

Nathan Lawera, Jules L. Madzia, Liann C. Casey, Rodney L. Guyton, Kiersten C. Woodyard De Brito, Alexandra Kinzer, R. Ulma, Brian S. Pan, A. Schwentker, Angelo A. Leto Barone

{"title":"Keloid Intralesional Excision Reduces Recurrence: A Meta-analytic Study of the Available Literature on 608 Keloids","authors":"Nathan Lawera, Jules L. Madzia, Liann C. Casey, Rodney L. Guyton, Kiersten C. Woodyard De Brito, Alexandra Kinzer, R. Ulma, Brian S. Pan, A. Schwentker, Angelo A. Leto Barone","doi":"10.1097/GOX.0000000000005652","DOIUrl":"https://doi.org/10.1097/GOX.0000000000005652","url":null,"abstract":"Background: The objective of this meta-analysis was to examine the effectiveness of keloid intralesional excision (KILE) in preventing recurrence. Treatment of keloids using surgical excision alone leads to high rates of recurrence. To date, there are no widely accepted guidelines for keloid treatment, and a multitude of adjunctive therapies are used to reduce recurrence. Despite these efforts, recurrence remains high. In this study, we conducted a meta-analysis of the existing literature on KILE to determine its role in recurrence reduction. Methods: A literature review using PubMed, Scopus, and Web of Science databases was performed. Two authors independently evaluated studies for eligibility. Incidence of keloid recurrence was recorded, and a comprehensive meta-analysis was performed to assess the pooled keloid recurrence rate, as well as the effect of additional therapies. Results: Twenty-two studies evaluating intralesional excision of 608 keloids were included in the study. Average time to follow-up was 19.2 months (range 6–35 months). A meta-analysis of proportions was conducted, demonstrating a pooled recurrence rate of 13% (95% confidence interval, 9%–16%). There was no evidence that using therapies in addition to KILE had a significant effect on the overall pooled recurrence rate. Conclusions: A meta-analysis of 608 keloids shows that KILE is an effective technique in preventing keloid recurrence, with a pooled recurrence rate of 13% compared with previously reported rates of 45%–100% after complete excision. Although there are no standard guidelines for keloid treatment, our meta-analysis shows that KILE is promising in recurrence reduction.","PeriodicalId":508842,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"123 32","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140090274","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