现代整形外科(英文)Pub Date : 2021-01-01DOI: 10.4236/mps.2021.114009
S. Boudi, Anwar Alhassanieh
{"title":"Two Crossed Dermal Flaps for Prevention of Bottoming out after Breast Reduction","authors":"S. Boudi, Anwar Alhassanieh","doi":"10.4236/mps.2021.114009","DOIUrl":"https://doi.org/10.4236/mps.2021.114009","url":null,"abstract":"","PeriodicalId":70402,"journal":{"name":"现代整形外科(英文)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70497933","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}
现代整形外科(英文)Pub Date : 2021-01-01DOI: 10.4236/mps.2021.111002
J. Resende, Ana Paula Ferreira dos Santos Souza, Ellen Arruda, G. Soares, Gum-A Jo, O. D. M. Silva, Gustavo Ferreira Rocha, P. Milani, T. Obeid, C. Tiesca, ndida de Melo, Emídio Silva Falc, O. Brasileiro
{"title":"Keloid of Ears: Recurrence and Its Complications","authors":"J. Resende, Ana Paula Ferreira dos Santos Souza, Ellen Arruda, G. Soares, Gum-A Jo, O. D. M. Silva, Gustavo Ferreira Rocha, P. Milani, T. Obeid, C. Tiesca, ndida de Melo, Emídio Silva Falc, O. Brasileiro","doi":"10.4236/mps.2021.111002","DOIUrl":"https://doi.org/10.4236/mps.2021.111002","url":null,"abstract":"In this case report, we present a male patient who arrived at the hospital for the first time at the age of 8 with giant keloids in both ears and diagnosed by the Dermatology and Plastic Surgery as having the “Disease of Jorge Lobo”, which is a fungal infection due to the story of the endemic characteristics. After the first surgical intervention, he received guidance from the team for keloids and left the hospital using elastic mesh and a request to change the place where he lived to reduce his contact with the fungi. Fourteen years later, the patient returned to the Plastic Surgery Service having even larger keloids in both ears, twice the size than the first time. We did the second surgical intervention to remove it, but with the patient’s commitment that he would correctly comply with the guidelines determined by the surgical team. After finishing all the steps and a post-operative for the case, we observed the satisfaction and the increase of the patient’s mood, happier and without the embarrassment of that physical defect.","PeriodicalId":70402,"journal":{"name":"现代整形外科(英文)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70497839","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}
现代整形外科(英文)Pub Date : 2021-01-01DOI: 10.4236/mps.2021.111001
Sinan Alboudi, Ali Alrida Rahal, I. Haidar, Anwar Alhassanieh
{"title":"Breast Reduction Complications","authors":"Sinan Alboudi, Ali Alrida Rahal, I. Haidar, Anwar Alhassanieh","doi":"10.4236/mps.2021.111001","DOIUrl":"https://doi.org/10.4236/mps.2021.111001","url":null,"abstract":"Background: Breast reduction surgery is increasing in popularity, with so many techniques all around the world, and the community’s knowledge of the details of this procedure increases thanks to the Internet and easy access to information, which increases breast reduction reviews for plastic surgery clinics. Reduction mammaplasty is an established and effective technique to treat symptomatic macromastia. Variable rates of complications have been reported, and there is a continued need for better outcome assessment studies. Aim: The purpose of this study was to identify the complications occurred during the first year of breast reduction surgery. Materials and Methods: A prospective study over a 1-year period from October 2018 to October 2019, that included 32 patients who underwent breast reduction surgery using the same technique (inferior pedicle and inverted T scar) in the Department of Plastic Surgery at Al-Mouassat University Hospital, Damascus, Syria. Patients were followed through a whole year after surgery and complications that occurred were recorded. Results: Complications that occurred in 14 patients (43%), and, and were more common in patients with larger breasts and worse symptoms before surgery. The most common complication was delayed wound healing, and it was associated with breast volume before surgery and with smoking. In general, the most relevant factor influencing the incidence of complications was the weight of the resected breast tissue, which is mainly related to the size of the breast before surgery. Conclusion: The weight of the resected breast tissue was the most important factor influencing the occurrence of complications after breast reduction surgery. The most prevalent complication was delayed wound healing and it was associated with the weight of the removed tissue.","PeriodicalId":70402,"journal":{"name":"现代整形外科(英文)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70497801","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}
现代整形外科(英文)Pub Date : 2020-08-03DOI: 10.4236/mps.2020.104013
Ahmed Alsayed
{"title":"Extrafacial Loose Areolar (XFLA) Thread Lifting (A Novel Technique)","authors":"Ahmed Alsayed","doi":"10.4236/mps.2020.104013","DOIUrl":"https://doi.org/10.4236/mps.2020.104013","url":null,"abstract":"Thread lifting is one of the widely chosen procedures for minimally invasive facial rejuvenation. Traditional facial thread lifting has nearly inevitable side effects e.g. facial edema, facial bruising, prolonged recovery, skin puckering, and visible and/or palpable threads, as well as less common complications e.g. damage of facial vital structures. Applying the extrafacial loose areolar (XFLA) thread lifting technique by using loose areolar connective tissue, the fourth layer of the scalp, as insertion medium for the threads to be anchored to the layer above (epicranial aponeurosis or galea aponeurotica) and the layer below (pericranium), could help minimize most of the previously mentioned side effects. In this manuscript, technique steps will be detailed to prove its novelty.","PeriodicalId":70402,"journal":{"name":"现代整形外科(英文)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47409487","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}
现代整形外科(英文)Pub Date : 2020-05-07DOI: 10.4236/mps.2020.103007
Medhat Emil, D. Habib, Omar M. Al Ameri, Dalal Al Mansoori
{"title":"The Combination of Moberg Flap with V-Y Advancement and Reverse Adipofascial Cross Finger Flap for Coverage of Degloving Injury of the Thumb-Case Report","authors":"Medhat Emil, D. Habib, Omar M. Al Ameri, Dalal Al Mansoori","doi":"10.4236/mps.2020.103007","DOIUrl":"https://doi.org/10.4236/mps.2020.103007","url":null,"abstract":"We report a case of 22 years old male patient who is a worker in a factory and sustained degloving injury of his left thumb in a machine while working. There was loss of the pulp of the thumb extending circumferentially to the dorsal aspect with loss of the skin of the terminal phalanx and part of the proximal phalanx. The nail and germinal matrix were lost with exposure of the bone and extensor pollicis longus tendon insertion. The thumb was totally covered with a combination of two flaps: Moberg flap with V-Y advancement was used to cover most of the volar surface of the thumb and reverse adipofascial cross finger flap from the adjacent index finger was used to cover the dorsal surface and the tip of the thumb. The reverse adipofascial cross finger flap was covered with split thickness skin graft. Three weeks later this flap was divided and the thumb was mobilized freely. The patient had a full range of movement of the thumb and index finger with few settings of physiotherapy postoperatively. We recommend combining both of these flaps to reconstruct degloving injury of the thumb as they provide near adjacent tissue of similar texture, preserve sensation at the volar aspect of the thumb and also avoid the complications of the distant flaps.","PeriodicalId":70402,"journal":{"name":"现代整形外科(英文)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49231540","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}
现代整形外科(英文)Pub Date : 2020-05-07DOI: 10.4236/mps.2020.103009
Medhat Emil, Anood Alqaydi, Dalal M. Almansoori, D. Habib, Marwa Alawadhi, Abrar Alteneiji, Omar Alameri
{"title":"Three Reverse Adipofascial Cross Finger Flaps Used for Coverage of Raw Areas on Two Fingers of a Patient with Blast Injury of the Hand—Case Report","authors":"Medhat Emil, Anood Alqaydi, Dalal M. Almansoori, D. Habib, Marwa Alawadhi, Abrar Alteneiji, Omar Alameri","doi":"10.4236/mps.2020.103009","DOIUrl":"https://doi.org/10.4236/mps.2020.103009","url":null,"abstract":"We report a case of blast injury to the left hand which resulted in fractures of the fingers with exposure of bones and joints of the phalanges. We used three reverse adipofascial cross finger flaps raised at the same time from 2 fingers to reconstruct adjacent fingers of the patient. The patient recovered well postoperatively and had good range of movement of the fingers. This avoided the complications of the use of regional or distal flaps. To our knowledge, this is the first case reported in which three reverse adipofascial cross fingers flaps are raised at the same time, two of them from an injured finger, to cover three raw areas on two fingers of a patient.","PeriodicalId":70402,"journal":{"name":"现代整形外科(英文)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70497793","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}
现代整形外科(英文)Pub Date : 2020-05-07DOI: 10.4236/mps.2020.103011
J. Resende, M. Jardim, Brena Thamyres de Andrade Irineu, L. Gontijo, Lucas Cruvinel, Zeno Augusto de Sousa Neto, Rodrigo Gon, Alves de Oliveira, D. Araújo, Emídio Silva Falc, O. Brasileiro
{"title":"Morbid Obesity: A Review on the Reasons for Impediments to Physical Exercises and Social Activities","authors":"J. Resende, M. Jardim, Brena Thamyres de Andrade Irineu, L. Gontijo, Lucas Cruvinel, Zeno Augusto de Sousa Neto, Rodrigo Gon, Alves de Oliveira, D. Araújo, Emídio Silva Falc, O. Brasileiro","doi":"10.4236/mps.2020.103011","DOIUrl":"https://doi.org/10.4236/mps.2020.103011","url":null,"abstract":"Morbid obesity is regarded as a disease due to excess body weight, causing a silence of life as a whole and entailing the most varied disabilities for the person, such as: physical, social, psychological, affective, etc. It represents cases of “public health”, thereby involving competent bodies in the development of solutions that encompass various medical specialties and other health fields, in addition to influencing the mind of these people, causing depression that, due to metabolic involvement, can evolve to the death of the individual. The participation of multidisciplinary health focuses on weight loss, freely and spontaneously, or on the indication of bariatric surgery. We know how difficult it is to lose weight. In order to achieve successful procedures, we recommend the “Obese Workshop” or pre- and post-surgical follow-ups close to the patients, with a view to avoiding recurrences or the “accordion effect” (very common), which can interfere with the Body Mass Index (BMI). Everyone, males and females, complained of tiredness and the impossibility of any physical exercise, even the lightest and simplest to be performed, in addition to the fact that they cannot attend gyms and are unable to open a simple door handle.","PeriodicalId":70402,"journal":{"name":"现代整形外科(英文)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43072858","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}
现代整形外科(英文)Pub Date : 2020-05-07DOI: 10.4236/mps.2020.103010
J. Resende, C. Oliveira, Heitor Dos Santos Le, Bruno Martins, B. Fernandes, Valentina Ruvieri Silveira, Juliana Araújo Naves, Ítalo Julierme Barros Duarte, Emídio Silva Falc, O. Brasileiro
{"title":"Historical Case Report: 45 Years of the First Plastic Surgery in Morbid Obese in Brazil and Their Weight Loss","authors":"J. Resende, C. Oliveira, Heitor Dos Santos Le, Bruno Martins, B. Fernandes, Valentina Ruvieri Silveira, Juliana Araújo Naves, Ítalo Julierme Barros Duarte, Emídio Silva Falc, O. Brasileiro","doi":"10.4236/mps.2020.103010","DOIUrl":"https://doi.org/10.4236/mps.2020.103010","url":null,"abstract":"Before the 70s, in Brazil, each city had its morbidly obese, considered as the “excessive fats”, in very small numbers if we compare it with the current percentage. There was no classification of the degree of obesity by the body mass index (BMI) as we have today. By chance, on a Saturday in June 1975, at the Outpatient Clinic of the 23rd Infirmary of Santa Casa da Misericordia Hospital in Rio de Janeiro, arrived the patient I. S., 41 years old, 1.70 m tall, supported by her two children, weighing 210 kg in weight body. Knowing that bariatric surgery only appeared in the 1980s, before that, patients with morbid obesity were left to their own devices, with hypertension and diabetes. The patient I. S. was hospitalized for 3 years in our Plastic Surgery Service, having received nutritional monitoring, had sporadic discharges and undergone 9 reparative plastic surgeries. She was discharged weighing 71 kg, with self-esteem recovered and happy to start a new life, without hypertension and diabetes.","PeriodicalId":70402,"journal":{"name":"现代整形外科(英文)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47886372","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}
现代整形外科(英文)Pub Date : 2020-04-14DOI: 10.4236/mps.2020.102004
Ahmed Alsayed
{"title":"Applying Average Anthropometric Reference Measurements to Thigh Lift Surgical Design in Females: A Novel Technique","authors":"Ahmed Alsayed","doi":"10.4236/mps.2020.102004","DOIUrl":"https://doi.org/10.4236/mps.2020.102004","url":null,"abstract":"Background: Thigh lift is a common procedure in plastic surgery. Surgeon’s sense or tailor tacdundancy to bek is mainly the methods used for designing thigh lift currently. This article is an attempt to find a method/a reference point to define the exact amount of re excised. Introduction: Anthropometry reference measurements can be applied in designing thigh lift surgery. Classically, anthropometry binds the calf circumference with mid-thigh circumference and upper thigh (gluteal) circumference to make postoperative results more harmonious and natural. Method: To find out the anthropometrically referenced ratio of the calf circumference with mid-thigh circumference and upper thigh (gluteal) circumference, anthropometric databases and studies done on females addressing different ages, countries and races with average BMI (body mass index) were reviewed. Chosen studies should include the calf circumference, mid-thigh circumference and/or upper thigh (gluteal) circumference. Anthropometrically referenced upper and mid-thigh circumferences can be calculated preoperatively. Result: 64:92:100 was concluded as a pooled mean ratio out of nine different studies addressing the ratio of the calf circumference:mid-thigh circumference:upper thigh (gluteal) circumference. Conclusion: Postoperative anthropometrically referenced mid and upper thigh circumferences can be calculated by measuring the calf circumference and applying the 64:92:100 ratio. Markings are done intraoperatively using my innovated “Stab-Push-Pinch-Mark” or SPPM technique for drawing a rough surgical design, then tweaked using the anthropometrically referenced 64:92:100 ratio results.","PeriodicalId":70402,"journal":{"name":"现代整形外科(英文)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41646551","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}
现代整形外科(英文)Pub Date : 2020-03-31DOI: 10.4236/mps.2020.102003
Ahmed Alsayed
{"title":"Using Tallquist Haemoglobin Scale for Estimating Intraoperative Blood Loss in Liposuction","authors":"Ahmed Alsayed","doi":"10.4236/mps.2020.102003","DOIUrl":"https://doi.org/10.4236/mps.2020.102003","url":null,"abstract":"Introduction: Intraoperative blood loss remains as a concern for all surgeons. Proper estimation of intraoperative blood loss is critical and can be challenging, especially if the blood is mixed with other fluids such as tumescent fluid in liposuction cases. In such cases, proper estimation of intraoperative blood loss will lead to fewer mistakes in fluid resuscitation. In this article, Tallquist Haemoglobin Scale was tried to estimate intraoperative blood loss in liposuction. Objectives: Proper estimation of intraoperative blood loss in liposuction cases. Method: Tallquist Haemoglobin Scale will be tried to estimate the approximate intraoperative blood loss in liposuction cases using a mathematical formula that considers total fluid loss, patient’s preoperative haemoglobin and the reading from Tallquist kit. Results: Tallquist Haemoglobin Scale can be considered as a valid method for proper estimation of intraoperative blood loss in liposuction cases, the thing that will lead to correct fluid resuscitation and fewer complications. Conclusion: Proper estimation of intraoperative blood loss leads to fewer mistakes in fluid resuscitation and fewer related complications of under or overcorrection. Tallquist Haemoglobin scale is a trusted, cheap and fast method for proper estimation of intraoperative blood loss in liposuction cases.","PeriodicalId":70402,"journal":{"name":"现代整形外科(英文)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44093370","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}