Acta chirurgiae plasticae最新文献_第10页

Characteristics of fingertip injuries and proposal of a treatment algorithm from a hand surgery referral center in Mexico City. 墨西哥城某手外科转诊中心指尖损伤特征及治疗算法的提出。

Acta chirurgiae plasticae Pub Date : 2021-01-01 DOI: 10.48095/ccachp2021113

E Telich-Tarriba, I Santos-Gallegos, A Cardenas-Mejia, C Arroyo-Berezowsky

{"title":"Characteristics of fingertip injuries and proposal of a treatment algorithm from a hand surgery referral center in Mexico City.","authors":"E Telich-Tarriba, I Santos-Gallegos, A Cardenas-Mejia, C Arroyo-Berezowsky","doi":"10.48095/ccachp2021113","DOIUrl":"https://doi.org/10.48095/ccachp2021113","url":null,"abstract":"Background: Fingertips are the most commonly injured anatomical structures in the upper extremity. The aim of this work is to present our experience in the management of fingertip injuries.Methods: All patients with fingertip injuries managed by Plastic and Reconstructive Surgery Division of Hospital General “Dr Manuel Gea Gonzalez” in Mexico from July 2010 to June 2015 were included; their demographic characteristics were described, as well as patterns of injury and management.Results: A total of 1,265 patients were included in the study, 75% were males. The mean age of presentation was 20.5 ± 16.46 years; the age group most commonly affected was younger than 15 years (46.7%). Right and left-sided injuries were almost equally prevalent (51 vs. 49%). The most commonly injured fingers were the third (27.2%), and second (25.8%). Eighty-seven percent of the patients presented with single-digit injuries. Fingertip amputations were the most common type of injury with 620 cases (49%), followed by simple fingertip lacerations (574 cases, 45%), and nail bed injuries in 71 cases (5.6%). Surgical management was necessary in 95.8% of the cases.Conclusions: Fingertip injuries remain the most common reason for consultation in hand emergencies. A structured approach for their treatment is necessary to obtain the best clinical outcomes.","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"63 3","pages":"113-117"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39651945","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: 1

Bone invasion by oral squamous cell carcinoma. 口腔鳞状细胞癌侵袭骨。

Acta chirurgiae plasticae Pub Date : 2021-01-01 DOI: 10.48095/ccachp2021139

David Král, Richard Pink, Lenka Šašková, Jaroslav Michálek, Peter Tvrdý

{"title":"Bone invasion by oral squamous cell carcinoma.","authors":"David Král, Richard Pink, Lenka Šašková, Jaroslav Michálek, Peter Tvrdý","doi":"10.48095/ccachp2021139","DOIUrl":"https://doi.org/10.48095/ccachp2021139","url":null,"abstract":"Background: With regards to the anatomical relationships in the mouth, oral squamous cell carcinoma can invade the maxilla or the mandible. According to the TNM system, tumours that invade through cortical bone are classified as T4a, stage IVA. Bone invasion by oral squamous cell carcinoma most often occurs in tumours close to the bone or in larger and more advanced tumours. It is considered an adverse prognostic factor and it is often a diagnostic and therapeutic problem. Destruction of the bone tissue is mediated by activated osteoclasts rather than directly by carcinoma. Tumor necrosis factors - receptor activator of NF-kB (RANK), receptor activator of NF-kB ligand (RANKL) and osteoprotegerin (OPG) - play an important role in osteoclastogenesis. According to histological point of view, there are three patterns of bone invasion - erosive, mixed and infiltrative. The most commonly used imaging techniques when evaluating bone invasion by oral squamous cell carcinoma include CT and MRI.Purpose: This review is focused on the cellular and molecular mechanisms, histological patterns and detection methods of bone invasion caused by oral squamous cell carcinoma.","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"63 3","pages":"139-144"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39651948","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: 2

Surgical treatment and management of cutaneous squamous cell carcinoma in patients with dystrophic epidermolysis bullosa - a case report. 营养不良大疱性表皮松解症并发皮肤鳞状细胞癌的手术治疗及处理1例。

Acta chirurgiae plasticae Pub Date : 2021-01-01 DOI: 10.48095/ccachp2021196

P Rotschein, J Vokurková, H Bučková

{"title":"Surgical treatment and management of cutaneous squamous cell carcinoma in patients with dystrophic epidermolysis bullosa - a case report.","authors":"P Rotschein, J Vokurková, H Bučková","doi":"10.48095/ccachp2021196","DOIUrl":"https://doi.org/10.48095/ccachp2021196","url":null,"abstract":"Epidermolysis bullosa (EB) is a rare inherited disease which is characterized by blisters on the skin and mucous membranes. Some forms of EB are associated with a risk of squamous cell carcinoma (SCC) development, which, unlike in the general population, is formed at a young age. SCC is the most common cause of death in patients with a dystrophic form. It is necessary to examine chronic and non-healing wounds for an increased risk of SCC. The basic treatment consists of surgical excision of the tumor site with a wide margin into healthy tissue. The surgical wound can be healed by secondary intention to prevent further trauma of the patient. The radicality of the excision is influenced by the location of the tumor. On the body, it is considerably limited by the surrounding tissue; on the limb, it is necessary to consider its amputation. In case of dissemination of the disease, it is important to approach patients individually and discuss other treatment options, including palliative care, within the national EB Center. The therapy is focused on pain treatment, remedial surgical dressings and psychological support with an emphasis on maintaining the quality of life.","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"63 4","pages":"196-200"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39692277","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

Combined fungal and bacterial infection in deep burns of the lower limb - a case report. 下肢深度烧伤并发真菌和细菌感染1例。

Acta chirurgiae plasticae Pub Date : 2021-01-01 DOI: 10.48095/ccachp2021201

I Tresnerová, M Fiamoli, B Lipový, J Bartošková

引用次数: 0

Cyanide poisoning in patients with inhalation injury - the phantom menace. 吸入性损伤患者的氰化物中毒——幽灵的威胁。

Acta chirurgiae plasticae Pub Date : 2021-01-01 DOI: 10.48095/ccachp2021185

F Raška, B Lipový, M Hladík, J Holoubek

引用次数: 0

Cooperation of the maxillofacial and plastic surgeon in reconstructive surgical procedures in gunshot injury - a case report. 颌面外科与整形外科在枪伤重建手术中的合作一例报告。

Acta chirurgiae plasticae Pub Date : 2021-01-01 DOI: 10.48095/ccachp2021190

D Hvizdoš, I Homola, D Statelová, M Janíčková, I Malachovský, K Mikušková

引用次数: 1

Thirty-five years of the Department of Plastic Surgery and Burns Treatment at the University Hospital in Hradec Králové. 在赫拉德克大学医院整形外科和烧伤治疗科工作了35年Králové。

Acta chirurgiae plasticae Pub Date : 2021-01-01 DOI: 10.48095/ccachp202178

Leo Klein

引用次数: 0

Long-term donor-site morbidity after thumb reconstruction with twisted-toe technique. 扭转趾技术重建拇指后长期供区发病率。

Acta chirurgiae plasticae Pub Date : 2021-01-01 DOI: 10.48095/ccachp202146

Tomáš Kempný, Olga Košková, Karel Urbášek, Martin Zvonař, Kateřina Kolářová, Břetislav Lipový, Martin Knoz, Jakub Holoubek

{"title":"Long-term donor-site morbidity after thumb reconstruction with twisted-toe technique.","authors":"Tomáš Kempný, Olga Košková, Karel Urbášek, Martin Zvonař, Kateřina Kolářová, Břetislav Lipový, Martin Knoz, Jakub Holoubek","doi":"10.48095/ccachp202146","DOIUrl":"https://doi.org/10.48095/ccachp202146","url":null,"abstract":"Background: Traumatic thumb loss is a serious injury affecting patient´s ability to work and participate in activities of daily life. The main goal for a plastic surgeon is to restore hand grip, often by microsurgical methods. However, patients should be informed of all effects associated with tissue harvesting. The aim of the study was to assess the impact on donor foot and gait cycle in patients who have undergone thumb reconstruction using twisted-toe technique modified by Kempný.Material and methods: Twelve patients participated in the study: all suffered a thumb loss between the years 2003 and 2011 and the twisted-toe technique for thumb reconstruction was utilized. The changes in foot pressure distribution and lower extremity joint loading were evaluated.Results: The differences in total maximal plantar pressure, pressure time integral, contact area, and maximum force between the affected and non-affected foot were statistically significant (P 0.1). No significant differences of temporal gait parameters between the affected and non-affected extremity were observed; however, statistically significant differences in kinetics parameters, frontal ankle and knee moments were detected.Conclusion: Donor limb functionality and anatomical disability were assessed using pedobarography systems and 3D-gait analysis. The recorded differences in plantar pressure distribution (increased pressure in I., IV. and V. metatarsal areas) and overload of the medial compartment of the knee joint were the most significant findings. Therefore, wearing individually adapted shoe insoles as prevention of osteoarthrosis might be beneficial for patients after thumb reconstruction by a twisted-toe technique.","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"63 2","pages":"46-51"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39322224","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

OPTIMAL INJECTION DEPTH FOR COLLAGENASE CLOSTRIDIUM HISTOLYTICUM DETERMINED BY ULTRASONOGRAPHY IN THE TREATMENT OF DUPUYTREN´S DISEASE. 超声确定溶组织梭菌胶原酶最佳注射深度治疗双胎病。

Acta chirurgiae plasticae Pub Date : 2020-01-01

I Nagura, T Kanatani, Y Harada, A Inui, Y Mifune, R Kuroda, S Lucchina

{"title":"OPTIMAL INJECTION DEPTH FOR COLLAGENASE CLOSTRIDIUM HISTOLYTICUM DETERMINED BY ULTRASONOGRAPHY IN THE TREATMENT OF DUPUYTREN´S DISEASE.","authors":"I Nagura, T Kanatani, Y Harada, A Inui, Y Mifune, R Kuroda, S Lucchina","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: A non-surgical procedure for the treatment of Dupuytrens disease is a palmar injection of Collagenase Clostridium Histolyticum to the recommended depth of “around 2-3 mm”. However, there is little supporting evidence from the literature to substantiate this. The aim of this study was to evaluate the “optimal depth” for injection of Collagenase Clostridium Histolyticum by ultrasonography for the treatment of Dupuytrens disease.Material and methods: A total of 43 patients were enrolled in this study. We marked the collagenase injection point on the skin above the cord before injection. We then measured the distance from the surface of the skin to the middle of the cord by ultrasonography long axis imaging and defined this as the “optimal depth”.Results: The average depth from the skin to the centre of the cord was 2.4 mm. The average distance from the surface of the skin to the proximal surface of the cord was 1.0 mm and the average thickness of the cord was 2.7 mm.Conclusion: By precise measurement of individual cases utilising ultrasonography we were able to confirm that the recommendations for injection depth as provided by the supplier of Collagenase Clostridium Histolyticum (2-3 mm) were in agreement with our findings. However no objective guide was supplied as with regards to interindividual variability between patients and we suggest that the use of preliminary ultrasonography will likely provide improved outcomes.","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"62 3-4","pages":"64-67"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25448574","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

CURRENT OPTIONS IN PHARMACOLOGICAL INTERVENTIONS FOR MICROVASCULAR ANASTOMOSIS PATENCY: REVIEW. 目前微血管吻合通畅的药物干预方案:综述。

Acta chirurgiae plasticae Pub Date : 2020-01-01

Š Pohanka, J Šimek

引用次数: 0