Acta chirurgiae plasticae最新文献

{"title":"Comparison of lymphovenous anastomosis and vascularized lymph node transfer in lymphedema treatment - a literature review.","authors":"S Theiner, M Lacková, R Russo, Z Dvořák, B Lipový, M Knoz","doi":"10.48095/ccachp202542","DOIUrl":"10.48095/ccachp202542","url":null,"abstract":"<p><strong>Background: </strong>Lymphovenous anastomosis (LVA) and vascularized lymph node transfer (VLNT) are both accepted microsurgical treatment options for lymphedema. This article summarises and analyses recent data on outcomes associated with LVA and VLNT for lymphedema treatment at varying degrees of severity.</p><p><strong>Methods: </strong>Literature research was conducted in the PubMed and Embase Ovid database to extract articles published through March 2024. The included studies report data on objective and subjective improvement in lymphedema after physiological surgical procedures as LVA and VLNT. Extracted data comprised number of patients, affected limbs, staging of the disease, duration of the follow up period, objective and subjective improvement and percentage of discontinuation of compression garments.</p><p><strong>Results: </strong>A total of 23 articles were included in this article, representing 1,944 patients suffering from either primary or secondary lymphedema. The lymphedema stages were classified by classification of International Society of Lymphedema (ISL stage) or Campisi stage and range from stage I to III, as well as prophylactic indication for surgery. The follow-up duration ranged from 3 months to 8 years. Objective improvement was achieved in 82.76-100% and measured in circumferential reduction rate and reduction of cellulitis episodes. In 80-100% of the patient's subjective improvement was seen, which was measured in quality of life and personal feedback. The percentage of patients able to discontinue the use of compression garments ranges from 0 to 100%, while others were able to reduce the total time of wearing.</p><p><strong>Conclusion: </strong>LVA and VLNT are both safe and effective techniques for the surgical treatment of lymphedema in several stages. LVA should be preferred if the lymph vessels preserved its patency, otherwise VLNT might be the therapy of choice. Combinations of various procedures with an appropriate postoperative treatment plan might lead to improved patient outcomes.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 1","pages":"42-54"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482858","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":"Exploring the potential of MRI studies in assessing risks during arthroscopy - insights on maxillary artery encounter.","authors":"B Borza, K Glinska, P Kizek","doi":"10.48095/ccachp2025106","DOIUrl":"https://doi.org/10.48095/ccachp2025106","url":null,"abstract":"<p><p>The anatomy and variability of the maxillary artery have been extensively studied through cadaveric dissections and CT angiography, revealing diverse courses of its terminal branches. These studies underscore the importance of understanding regional anatomy, particularly in surgical contexts such as intraoral vertical ramus osteotomy and temporomandibular joint (TMJ) arthroplasty, where proximity to the maxillary artery in the infratemporal fossa poses risks of complications. MRI offers distinct advantages in visualizing soft tissues critical to TMJ function, surpassing conventional imaging modalities like orthopantomography in providing detailed anatomical insights. This study aims to assess the risk of iatrogenic damage to the maxillary artery during arthroscopic procedures using MRI scans. A total of 42 patients, comprising both sexes and varying ages, underwent MRI at the Department of Maxillofacial Surgery, University Hospital Louis Pasteur in Košice. Imaging protocols were standardized on a Toshiba Atlas 1.5 Tesla MRI scanner, ensuring consistent quality with a slice thickness of 6 mm and standardized imaging matrices. Measurements of the maxillary artery's proximity to anatomical landmarks were conducted in axial and parasagittal sections to delineate precise anatomical relationships.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 2","pages":"106-110"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084828","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":"Surgical management of accessory breast tissue: liposuction and mastectomy in axillary localization - a case series.","authors":"D Ar-Reyouchi, S Saoud, M Benlili, G Charkaoui Belmaati, A A Oufkir","doi":"10.48095/ccachp2025127","DOIUrl":"https://doi.org/10.48095/ccachp2025127","url":null,"abstract":"<p><p>Supernumerary breasts are a rare congenital malformation that can cause physical and psychological problems such as pain, infection, bleeding and aesthetic discomfort. In this article, we present a series of cases with bilateral axillary supernumerary breasts who were treated with liposuction and mastectomy, with satisfactory results. We also discuss the different surgical techniques available for the treatment of supernumerary breasts and their respective advantages and disadvantages.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 2","pages":"127-131"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084972","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":"Landmarks in facial reanimation - a bibliometric analysis of the 50 most cited papers in dynamic facial reconstruction.","authors":"J E Telich-Tarriba, A Rivera Del Río-Hernández, R Esquiliano-Raya, X González-López, C Domínguez Suárez","doi":"10.48095/ccachp202555","DOIUrl":"https://doi.org/10.48095/ccachp202555","url":null,"abstract":"<p><strong>Background: </strong>Advances in the field of facial reanimation surgery have resulted in an increase in the quantity of published research in the international literature. The aim of this work is to provide the reader a synthesized view of the most influential themes, articles and authors in this field.</p><p><strong>Material and methods: </strong>We searched the Clarivate Analytics Web of Science Citation Index to identify the 50 most cited papers in dynamic facial reanimation in the past 70 years. Data regarding article title, authors, year of publication, total citations and citation index was obtained. Results are presented using descriptive statistics.</p><p><strong>Results: </strong>The most cited articles were distributed in 16 journals. Plastic and Reconstructive Surgery had the highest number of highly cited works with 27 articles, followed by JPRAS (5 papers) and the Journal of Neurosurgery (4 papers). The United States contributed most (17 papers), followed by Canada and Japan (6 each). Dr. Julia K. Terzis was the most cited author (7 works). Case series and comparative studies were the most prevalent type of article published (96%) from 1953 to 2015. The most cited paper focused on free functional muscle transfer (FFMT). Most articles were level IV research, with a mean citation index of 5.27 ± 2.85.</p><p><strong>Conclusion: </strong>This collection offers a clear overview of the key milestones and advancements in the field. We expect it serves as a practical resource for clinicians and researchers striving to advance the science and practice of facial reanimation surgery.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 1","pages":"55-63"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482862","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":"The importance of sentinel node biopsy and examination in malignant melanoma of the head and neck.","authors":"J Jaroš, A Fibír","doi":"10.48095/ccachp2025155","DOIUrl":"10.48095/ccachp2025155","url":null,"abstract":"<p><strong>Background: </strong>Malignant melanoma of the head and neck is a highly aggressive tumor with a significant risk of regional and distant metastases. Due to the complex anatomy and rich lymphatic drainage of this area, accurate and timely diagnosis and staging are essential for optimal treatment planning. The sentinel lymph node plays a key role in assessing tumor spread and staging.</p><p><strong>Materials and methods: </strong>A retrospective study was conducted on 26 patients with head and neck melanoma who underwent sentinel lymph node biopsy at our institution between 2017 and 2023. We evaluated the success rate of sentinel node localization, presence of metastases, and subsequent lymphadenectomy.</p><p><strong>Results: </strong>Sentinel lymph nodes were successfully identified in 23 patients; 5 had positive findings (3 macrometastases, 1 micrometastasis, 1 isolated tumor cells). Lymphadenectomy was indicated in patients with macrometastases, while follow up monitoring was preferred for micrometastases and isolated tumor cells. One patient experienced a complication after lymphadenectomy. Most patients with negative sentinel nodes remained disease-free during follow-up.</p><p><strong>Conclusion: </strong>Sentinel lymph node biopsy is a crucial tool for staging and treatment decision-making in head and neck malignant melanoma. The procedure's success depends on surgical expertise. Lymphadenectomy is indicated in cases of macrometastases, whereas micrometastases and isolated tumor cells warrant regular follow up. An individualized, multidisciplinary approach is essential.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 3","pages":"155-159"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146043555","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":"Prof. Pavel Brychta, MD, CSc.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 2","pages":"139-140"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084885","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":"Analysis of flap sugar as an objective monitoring of intra-operative flap vascularity following a single vein vs. a double vein anastomosis.","authors":"A Sindhuja, S A Sahu, J K Mishra, A Saha, J J Rahmi, A Valsalan","doi":"10.48095/ccachp202522","DOIUrl":"https://doi.org/10.48095/ccachp202522","url":null,"abstract":"<p><strong>Introduction: </strong>Venous thrombosis is a common cause of flap failure. Performing a second vein anastomosis provides a backup channel for draining. However, this may not be useful in circumstances of vessel kinking and compression. When a flap is compromised, there is a decrease in glucose levels and an increase in anabolic metabolites like lactate. In our study, we measured the ratio of flap/peripheral sugar levels (glucose index - GI) as a metabolic indicator and assessed flap perfusion after the second vein anastomosis.</p><p><strong>Materials and methods: </strong>This was a single-centre prospective cohort study. Based on the inclusion criteria, eligible patients reconstructed with a free flap (anterolateral thigh flap / radial forearm flap / fibula flap) were included in the study.</p><p><strong>Results: </strong>In our series, the mean flap sugar levels after the first and the second vein anastomoses were 116.60 mg/dL and 131.5 mg/dL, respectively. There was an increase in the flap sugar level after the second vein anastomosis. This increase was found statistically significant (P = 0.009), suggestive of better perfusion. In this study, the flap/peripheral glucose level (GI) ratios after the first and the second vein anastomoses were 0.90 and 0.99, respectively. The increase in this ratio after the second vein anastomosis indicated better flap perfusion after a double vein anastomosis.</p><p><strong>Conclusion: </strong>The study concluded that there is a better perfusion after a double vein anastomosis.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 1","pages":"22-26"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482857","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":"Guava leaf extract and polyvinylpyrrolidone hydrogel for rabbit oral wounds.","authors":"I G A B Jayaningrum, A R R Hariantana Hamid, I G P Hendra Sanjaya, G W Samsarga, I W Niryana, I M Darmajaya, S Diwyani Sudarsa, A Lestari Suyata","doi":"10.48095/ccachp2025180","DOIUrl":"10.48095/ccachp2025180","url":null,"abstract":"<p><strong>Introduction: </strong>A wound is defined as damage or loss of continuity to the skin or body tissue which can cause disruption to the body's anatomical structure. Wounds can be caused by several things, such as post-operative wounds, trauma, contact with heat sources, chemicals, and accidents. One of the potential complications from wounds and maxillofacial surgery is dehiscence. The combination of guava leaf ethanol extract (Psidium guajava Linn) and polyvinylpyrrolidone (PVP) hydrogel is expected to help the healing process of traumatic wounds on the oral mucosa by increasing the number of fibroblasts, epithelialization, vascular endothelial growth factor (VEGF) levels, and decreasing interleukin-16 (IL-16) levels.</p><p><strong>Methods: </strong>This research was an experimental test, using 28 rabbits as experimental animals. A traumatic wound is an incision made 2 cm laterally from the left central incisor and along the curve of the tooth. The wound reaches the gum line from the incision on the facial aspect to the midline of the papilla. The animals were divided into four treatment groups.: group 1 - the intervention group with wounds healed and given a combination gel; group 2 - the intervention group with wounds not healed and given a combination gel; group 3 - the observed group with wound healed and given placebo gel; group 4 - the observed group with wounds not healed and given placebo gel. There was an increase in the number of fibroblasts, epithelialization, VEGF levels, and a decrease in IL-16 levels between the treatment and control groups.</p><p><strong>Results: </strong>This study showed an increase in fibroblast levels in the treatment group (64.50 ± 4.43) which was higher than the control group (55.67 ± 4.04), with P = 0.041 as well as an increase in epithelialization in the treatment group. The results of the analysis in this study support the superiority of this gel combination in accelerating wound healing through a positive influence on VEGF levels and angiogenesis. In this study, IL-6 levels on day 3 showed a decrease of 25% in the treatment group.</p><p><strong>Conclusion: </strong>The combination of guava leaf ethanol gel and PVP hydrogel is an innovative therapy with high potential to accelerate wound healing, especially in chronic or difficult-to-heal wounds, with minimal risk of excessive inflammation and scar tissue formation.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 3","pages":"180-188"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146043587","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":"Case report of severe complications after gel injection breast augmentation - treatment and use of hemostatic net for effective management.","authors":"T Votruba, K Procházková, B Lipový, P Kurial, J Fau, P Vodička, V Mařík","doi":"10.48095/ccachp2025210","DOIUrl":"10.48095/ccachp2025210","url":null,"abstract":"<p><p>Although complications from gel injection breast augmentation were documented over 20 years ago, they are still encountered today. This case report involves a 46-year-old patient who first had breast implants in 2004, with replacements in 2019. In April 2022, the implants were swapped for smaller ones. In December 2022, the patient underwent a gel injection boost augmentation. We first saw the patient in June 2023 when she was admitted to our emergency room in septic condition. Initial treatment included lavage and drainage, followed by intensive care unit admission. Once stabilized, a significant amount of gel was removed from the breast tissue. However, the procedure had to be repeated months later and hemostatic net sutures were added for 2 days. No more relapses occurred following this treatment. We strongly advise against using gel injections for breast augmentation, as they can lead to severe complications and unsatisfactory cosmetic outcomes.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 3","pages":"210-213"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146043596","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":"Association between the maxillofacial injury severity score to helmet types, neutrophil lymphocyte ratio and length of stay.","authors":"K H Parikesit, I G P H Sanjaya, A R R H Hamid, G W Samsarga, I G A S M Dewi, P A T Adiputra, S D Sudarsa, A L Suyata","doi":"10.48095/ccachp2025222","DOIUrl":"10.48095/ccachp2025222","url":null,"abstract":"<p><strong>Background: </strong>Traffic accidents are a major etiological factor in maxillofacial injuries, exhibiting a high incidence rate. The Maxillofacial Injury Severity Score (MFISS) is utilized to assess the severity of maxillofacial trauma. Helmet use is a preventive measure against more serious injuries. Patients with maxillofacial trauma are at risk of complications and infections. Elevated neutrophil to lymphocyte ratio (NLR) in hospitalized patients correlates with a longer length of stay (LOS).</p><p><strong>Objectives: </strong>This study aimed to evaluate the relationship between helmet types and MFISS scores, as well as the relationship between MFISS scores and both LOS and NLR values in patients.</p><p><strong>Methods: </strong>An analytical observational study with a prospective design was conducted at RSUP Prof. dr. I.G.N.G. Ngoerah, Denpasar, from March to December 2024. The study sample consisted of 66 trauma patients with maxillofacial injuries, selected based on inclusion and exclusion criteria. Data were analyzed using the Kruskal-Wallis and Spearman tests to assess the relationships between variables.</p><p><strong>Results: </strong>The Kruskal-Wallis test revealed a positive value of 39.825 with P = 0.000, indicating a significant relationship between helmet types and MFISS scores. Spearman analysis showed P = 0.027 (r = 0.273), demonstrating a significant positive correlation between MFISS scores and NLR values, and P = 0.000 (r = 0.505), indicating a significant positive correlation between MFISS scores and LOS.</p><p><strong>Conclusion: </strong>There is a significant relationship between MFISS scores and helmet types, as well as a significant relationship between MFISS scores and NLR values and LOS in maxillofacial injury patients at RSUP Prof. dr. I.G.N.G Ngoerah.</p>","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"67 4","pages":"222-227"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147715571","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}