Acta chirurgiae plasticae最新文献

{"title":"A systematic review of the use of corticosteroid injections with and without local anaesthetic for trigger finger.","authors":"G J Hourston, K R Quinn, J Chan, A Mckee","doi":"10.48095/ccachp2025203","DOIUrl":"https://doi.org/10.48095/ccachp2025203","url":null,"abstract":"<p><strong>Background: </strong>Trigger finger causes pain, catching, and locking of the finger, with corticosteroid injection being the first-line treatment. Injections with local anaesthetic may reduce immediate pain, but it has been suggested that added volume worsens pain. This systematic review aimed to evaluate studies investigating pain following corticosteroid injection for trigger finger, with or without local anaesthetic. Evaluation of the topic: We performed a prospectively registered systematic review (PROSPERO ID: CRD42024502361) following PRISMA guidelines. We searched PubMed, Cochrane Library, and Embase database for randomised trials or prospective cohort studies investigating pain following injection with corticosteroid with or without local anaesthetic. Patient demographic data, injection details and outcomes including visual analogue scale (VAS) pain scores were collected and summarised. Two articles including 98 patients (135 injections) were included. One article compared steroid injection with local anaesthetic and adrenaline to steroid injection with placebo (0.9% saline), and found that omitting local anaesthetic had a lower immediate VAS pain score (2.0 vs. 3.5; P &lt; 0.01) however all injections contained the same volume. The second study measured VAS pain scores at multiple time points, and a recollection score for patients injected with either corticosteroid alone (1mL), corticosteroid and 1% xylocaine (2 mL), or corticosteroid and 0.9% saline (2 mL). VAS pain scores were similar in the steroid alone and steroid and local anaesthetic group at 1 minute post-injection and highest in the steroid and saline group. The local anaesthetic group had the lowest pain score 10 minutes post-injection. Meta-analysis of outcomes in these heterogeneously reported studies was not possible.</p><p><strong>Conclusion: </strong>Corticosteroid injection for trigger finger varies considerably and outcomes are reported inconsistently. The evidence suggests that the addition of local anaesthetic may increase immediate pain due to volume effect or lowered pH but reduce early post-injection pain. Further well-designed randomised studies are needed to guide treatment decisions.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 3","pages":"203-209"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146043571","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":"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":"Intraoperative cone beam computed tomography in craniomaxillofacial traumatology - a case report.","authors":"Š Pohanka, J Šimek, V Dolina, M Hozová, P Novotný","doi":"10.48095/ccachp2025252","DOIUrl":"https://doi.org/10.48095/ccachp2025252","url":null,"abstract":"<p><p>Cone beam computed tomography (CBCT) is a 3D imaging technology based on an X-ray. For its technical parameters as a low-dose radiation, adequate accuracy, and smaller device size in comparison with multislice spiral computed tomography (MSCT), it has become widely used in oral and maxillofacial surgery and dentistry, especially for 3D imaging of teeth and facial skeleton pathologies. Since the tendencies for surgical precision have led to the genesis of hybrid theaters, it was only a question of time when the technical evolution will allow to use the CBCT intraperatively. Particularly neurosurgeons have established its application for spinal surgery in the operating room. Generaly in traumatology, X-ray imaging of the reducted fracture is considered useful. In craniomaxillofacial traumatology, even in the case of an open surgery, the intraoperative use of CBCT can lead to immediate control of the proper reduction and decrease the need for reoperation.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 4","pages":"252-259"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147715653","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":"Brachymetacarpia - our experience with internal device for distraction osteogenesis in adolescent patients.","authors":"O Brychcí, A Schmoranzová","doi":"10.48095/ccachp2025150","DOIUrl":"https://doi.org/10.48095/ccachp2025150","url":null,"abstract":"<p><strong>Background: </strong>Brachymetacarpia is a rare deformity characterized by shortening of one or more metacarpals, most commonly the fourth. This study aimed to evaluate the outcomes of surgical treatment for brachymetacarpia using an internal mini distractor and to compare its advantages over external fixators and other surgical techniques.</p><p><strong>Materials and methods: </strong>We retrospectively analyzed 9 patients treated between 2011 and 2021 using gradual distraction osteogenesis with an internal mini distractor. Evaluated parameters included pre- and postoperative metacarpal lengths, deviation from ideal length, complications, treatment duration, and patient satisfaction.</p><p><strong>Results: </strong>The mean lengthening was 1.2 cm (range 0.7-1.5 cm), with minimal deviation from the ideal metacarpal length (+0.3 cm on average). The average distraction period was 68 days. Minor complications occurred in 3 patients, including synovitis and delayed consolidation, all managed successfully. Functional outcomes and patient satisfaction were uniformly excellent.</p><p><strong>Conclusion: </strong>The internal distraction system provides a reliable, safe, and patient-friendly method for metacarpal lengthening. Compared to external fixators, it offers superior stability, reduced the risk of infection, and improved aesthetic and functional outcomes in selected cases.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 3","pages":"150-154"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146043534","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":"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":"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}