Acta chirurgiae plasticae最新文献

{"title":"Treatment options for infratemporal fossa tumors - case reports.","authors":"S Kalmanová, V Čalkovský, P Hanzel, B Kolarovszki, R Richterová, K Adamicová, M Janíčková","doi":"10.48095/ccachp202568","DOIUrl":"10.48095/ccachp202568","url":null,"abstract":"<p><p>Infratemporal fossa (ITF) tumors represent a group of tumors with complicated approach, due to specific anatomy of the space. The incidence is rare, but they always represent a challenge for choosing a treatment for each patient. We would like to present a few cases of ITF tumors treated in cooperation with our department to provide multiple views on this topic. In the presented cases, we used the open transmandibular approach, the endoscopic approach and the conservative approach in terms of patient observation.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 1","pages":"68-73"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482865","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}

{"title":"Editorial.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 2","pages":"81"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084800","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}

{"title":"Editorial.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 1","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482859","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}

{"title":"Risk factors for cleft lip and palate in the Czech population - a double center study.","authors":"W Urbanová-, M Večeřová, J Vokurková, L Streit, J Vašáková-, A Leger, O Košková","doi":"10.48095/ccachp202592","DOIUrl":"https://doi.org/10.48095/ccachp202592","url":null,"abstract":"<p><strong>Background: </strong>Orofacial clefts (OFC) are common congenital anomalies with complex genetic and environmental etiologies. Although multiple risk factors have been suggested, their role in cleft type and severity remains unclear.</p><p><strong>Objective: </strong>This study aimed to assess the relationship between environmental and maternal health factors (body mass index - BMI, parental age, infection, stress, prenatal vitamin supplementation) and the occurrence and severity of cleft types in the Czech population, as well as the effectiveness of prenatal diagnosis by ultrasound.</p><p><strong>Methods: </strong>A total of 96 parents of children with nonsyndromic OFC born between 2017 and 2024 in the Czech Republic were surveyed using a custom online questionnaire (RoRis). The data were analyzed using Fisher's exact test (a = 0.05).</p><p><strong>Results: </strong>The distribution of cleft types in this Czech sample was consistent with international data. Prenatal diagnosis by ultrasound was established in 55% of cases. The highest detection rates were observed for bilateral cleft lip and palate, with 100% of cases diagnosed prenatally, and for unilateral cleft lip and palate, with a 93% detection rate. In contrast, cleft palate only (CPO) was the most frequently missed, with 88% of cases undetected. No significant associations were found neither between the cleft type nor the severity of clefts and parental age, maternal BMI, medication use, infection with fever, or stress during pregnancy. Most mothers had a normal BMI (51%), and 85% reported prenatal supplement use. COVID-19 infection during pregnancy was reported in 13 cases, but no clear link with cleft severity was found.</p><p><strong>Conclusion: </strong>While several exogenous factors were studied, no significant associations neither with cleft type nor severity were found. The study highlights the limitations of prenatal screening diagnosis by ultrasound, particularly for CPO, and supports the need for further research into modifiable risk factors.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 2","pages":"92-97"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084890","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}

{"title":"Elevation of vitamin B12 levels attributed to biopolymer implants - a case report.","authors":"J A Avila Rueda, A Hurtado-Ortiz, M Licht-Ardila, G Camelo-Pardo, A Mendoza-Monsalve, E F Manrique-Hernández","doi":"10.48095/ccachp202564","DOIUrl":"https://doi.org/10.48095/ccachp202564","url":null,"abstract":"<p><p>A 62-year-old female patient with no relevant medical history presented with elevated vitamin B12 levels, which were incidentally detected during a routine examination. Comprehensive evaluations excluded oncohematological disorders, liver diseases, pulmonary conditions, viral infections, autoimmune disorders, and cardiovascular causes, as well as paradoxical increases in vitamin B12 levels. It was hypothesized that the elevated vitamin B12 levels were related to a chronic inflammatory process, potentially exacerbated by the presence of biopolymers. Given the improvement in symptoms and the risks associated with implant removal, it was decided to proceed with semi-annual clinical monitoring, with surgical intervention considered only if clinical abnormalities or significant changes in imaging were observed.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 1","pages":"64-67"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482860","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}

{"title":"Possibilities of intranasal reconstruction in complex nasal defects.","authors":"Z Dvořák, M Kubát, A Berkeš, R Pink, T Kubek, J Menoušek","doi":"10.48095/ccachp202527","DOIUrl":"10.48095/ccachp202527","url":null,"abstract":"<p><strong>Background: </strong>Complex nasal defects most often arise due to oncological resection or severe trauma. Traditional methods of two-stage nose reconstruction using a forehead flap with a skin graft have often resulted in collapse and deformity of the nose with a very compromised outcome over time. These techniques were gradually replaced by new procedures consistently reconstructing the intranasal lining, most often with flaps from the nasal septum. These methods reconstruct the cartilaginous and bony support of the nose as well, while the skin cover of the nose is, nowadays, in large defects, reconstructed in three stages. Evaluation of the topic: The options for intranasal lining reconstruction are as follows: a composite graft, a turnover flap covered with a local flap, advancement of the residual lining (bipedicle vestibular mucosa flap), a folded forehead flap, a prelaminated forehead flap, the use of another local flap (a forehead, nasolabial, facial artery myomucosal flap), a hinged turnover flap, a septal mucoperichondrial hinged flap, a composite septal chondromucosal pivot flap, a turbinate flap and microvascular free flaps (a radial forearm flap, a helix free flap, a kite flap, a dorsalis pedis free flap, a temporoparietal free flap, a postauricular free flap). Thanks to the abundant vascular supply of the face, the risk of ischemia and infection is mitigated, allowing most complex nasal defects to be reconstructed by using local flaps to restore all layers of the nose. Local tissues retain ideal quality, coloration, and texture, are reliable, and usually result in esthetically acceptable morbidity of the donor area. If the inner lining defect is extensive, it must be reconstructed by free microvascular tissue transfer. If other than intranasal flaps are used in the reconstruction of the internal lining, it is preferable to postpone the reconstruction of the supporting framework until the second stage while thinning the flaps used; otherwise, there is a high risk of obturation of the nasal airways.</p><p><strong>Conclusion: </strong>The results of modern reconstruction dramatically improved after the introduction of three-stage nasal reconstruction and emphasizing the reconstruction of all layers of the nose. Therefore, a quality inner lining is the basis for the construction of the new nose.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 1","pages":"27-41"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482863","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}

{"title":"Mini-invasive temporalis muscle tendon transfer and lengthening temporalis myoplasty for facial reanimation - a retrospective outcome analysis.","authors":"J Macek, N Dubovská, K C Bayezid, L Streit","doi":"10.48095/ccachp202582","DOIUrl":"https://doi.org/10.48095/ccachp202582","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Long-standing facial nerve paralysis leads to profound functional, aesthetic, social, and psychological impairments, significantly reducing patients' quality of life (QOL). Lengthening temporalis myoplasty and mini-invasive temporalis muscle tendon transfer are considered standard treatment options for dynamic facial reanimation in patients with flaccid facial paralysis, particularly in patients for whom more extensive free functional muscle transfers may not be suitable. The aim of this study was to retrospectively evaluate these two temporalis muscle-based reanimation techniques in an institutional patient cohort, as there is a lack of comparative studies addressing their outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Between 2015 and 2021, 23 patients with long-standing (&gt;18 months) flaccid facial palsy underwent dynamic reanimation surgery using either lengthening temporalis myoplasty (N = 8) or mini-invasive temporalis muscle tendon transfer (N = 15). Patient selection favoured local transfers in older or comorbid patients or when cross--facial nerve grafts were contraindicated. Many patients also underwent adjunctive static procedures, such as nasal ala suspension (N = 7) and/or lagophthalmos correction (N = 17). Postoperative physiotherapy employed the Mirror-effect protocol to improve muscle control and smiling ability. Outcomes were assessed pre-and postoperatively using clinician-reported House-Brackmann (HB) and eFACE scores, as well as the patient-reported Facial Palsy Disability Questionnaire (FPDQ). Statistical analysis was conducted using the Wilcoxon paired test and Fisher's exact test (significance P &lt; 0.05).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The mean patient age was 54.4 years (SD = 16.1), with 15 females and 8 males. The average follow-up to stable surgical results was 10.6 months (SD = 7.8). For the mini-invasive temporalis muscle tendon transfer group (N = 15), mean improvements were observed as follows: 1.6 HB points (SD = 0.6), 34.1% eFACE static (SD = 14.1), 28.1% eFACE dynamic (SD = 19.0), and 34.2% FPDQ overall score (SD = 11.3), with total of 3 revisions performed. For the temporalis myoplasty group (N = 8), mean improvements were 1.6 HB points (SD = 0.7), 27.4% eFACE static (SD = 18.6), 33.3% eFACE dynamic (SD = 17.2), and 26.2% FPDQ overall (SD = 15.7), with one revision surgery performed. No statistically significant difference in outcome was found between the two surgical techniques.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Both surgical techniques for facial reanimation evaluated in this study - the lengthening temporalis myoplasty and the minimally invasive temporalis tendon transfer -demonstrated significant improvements in clinician-graded facial function and QOL outcomes. Although the minimally invasive technique required a less extensive surgical field in the temporal area, it required additional graft harvesting and was associated with a slightly increased risk of revision surgery. A","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 2","pages":"82-91"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084793","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}

{"title":"Experience with pediatric and adult cases of ambiguous genitalia reconstructed with a single stage feminizing genitoplasty procedure.","authors":"N Paul, S Adhikari","doi":"10.48095/ccachp20256","DOIUrl":"https://doi.org/10.48095/ccachp20256","url":null,"abstract":"<p><strong>Background: </strong>The surgical procedure of feminizing genitoplasty aims at restoration of normal anatomy and function in various cases of disorders of sexual development with ambiguous genitalia.</p><p><strong>Material and methods: </strong>Between April 2021 and May 2023, 23 patients underwent a single stage feminizing genitoplasty procedure at the department of plastic and reconstructive surgery. All the patients underwent clitoroplasty with partial glans preservation, omega flap vaginoplasty and labioplasty. Cases with only clitoroplasty were excluded from the study. Of these 23 patients, 17 had congenital adrenal hyperplasia and the rest 6 had varying degrees of androgen insensitivity syndrome. The age of the patients ranged from 4 to 23 years and all were raised as females. The mean operating time was around 120 to 150 minutes and average hospitalization period was 7 to 8 days. At follow-up evaluation, no major complications were observed. In all cases the vaginal introitus was located in the physiological position and was of varying size and elastic.</p><p><strong>Conclusion: </strong>This procedure of single stage feminizing genitoplasty enables reconstruction with good cosmetic and functional results not only in children but also in adults presenting with ambiguous genitalia.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 1","pages":"6-12"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482861","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}

{"title":"Limb saving with regenerative medicine tactics - a case report.","authors":"F Contoli Isoldi, L Vieites, A K De Sá Reis, L M Ferreira","doi":"10.48095/ccachp2025111","DOIUrl":"https://doi.org/10.48095/ccachp2025111","url":null,"abstract":"<p><p>Regenerative medicine has gained significant attention due to its diverse strategies for tissue restoration and restructuring. This therapeutic approach combines knowledge from cellular biology, tissue engineering, and translational medicine, providing new hope for treating conditions that previously lacked definitive therapeutic options. Although natural tissue regeneration occurs in some organs, such as the liver, and in superficial epidermal injuries, this process is limited. Tissue regeneration involves replacing damaged cells with cells of the same type, fully restoring tissue structure and function, while healing often results in scar tissue that may not have the same functional properties. Given this limitation, regenerative medicine aims to enhance the body's regenerative capacity. The manipulation of growth factors, such as platelet-derived growth factor and vascular endothelial growth factor, has been shown to increase vascularization and cell proliferation. Autologous fat grafting has emerged as a vital tool in regenerative medicine, demonstrating efficacy in promoting tissue regeneration due to its rich composition of mesenchymal stem cells and growth factors. Case studies illustrate that lipografting can improve wound healing in patients with chronic ulcers and contribute to aesthetic and functional outcomes in breast reconstruction. This study reports a case of a 27-year-old male who sustained severe trauma to his left hand in a car accident, resulting in complex injuries. Despite the potential for amputation, the decision was made to preserve the limb. A series of surgical interventions, including necrotic tissue debridement and lipografting, were conducted over several weeks, resulting in significant tissue regeneration. By the fifth week, the wound bed exhibited adequate granulation tissue, and a skin graft was applied, demonstrating successful integration and functional recovery. This case underscores the potential of regenerative medicine techniques, specifically lipografting, in limb salvage and tissue repair. Further research is needed to enhance understanding and application of these strategies in treating complex wounds and improving patient outcomes.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 2","pages":"111-115"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084858","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}

{"title":"Functional outcome of peripheral nerve schwannoma - a case series.","authors":"J K Mishra, A Valsalan, S A Sahu, M De","doi":"10.48095/ccachp2025116","DOIUrl":"https://doi.org/10.48095/ccachp2025116","url":null,"abstract":"<p><p>Schwannomas are the most common peripheral nerve sheath tumors in adults, originating from Schwann cells of the peripheral nerve sheath. These tumors are benign, solitary, non-invasive, and encapsulated, with no gender preference. They are more commonly observed in individuals in their fourth decade of life. In this case series, we present schwannomas arising from various peripheral nerves across different age groups, with varying clinical presentations, and their management without any postoperative functional deficits.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 2","pages":"116-126"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084778","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}