Acta chirurgiae plasticae最新文献_第5页

Reconstruction spectrum of head and neck defects using a radial forearm free flap. 前臂桡骨游离皮瓣重建头颈部缺损的谱图。

Acta chirurgiae plasticae Pub Date : 2024-01-01 DOI: 10.48095/ccachp2024154

B Hocková, R Slávik, D Poruban, J Abelovský, F Kubec, J Gembeš, M Pawelski, M Hanzelová, O Liebiedieva, A Stebel

{"title":"Reconstruction spectrum of head and neck defects using a radial forearm free flap.","authors":"B Hocková, R Slávik, D Poruban, J Abelovský, F Kubec, J Gembeš, M Pawelski, M Hanzelová, O Liebiedieva, A Stebel","doi":"10.48095/ccachp2024154","DOIUrl":"10.48095/ccachp2024154","url":null,"abstract":"Introduction: The radial forearm free flap (RFFF) is one of the cornerstone of reconstructive microvascular surgery in the head and the neck. It is a fasciocutaneous flap, which is mainly used for free flap reconstructions not only in the head and neck region - for its pliability, long vascular pedicle, predictability and possibility for two teams working synchronously.Material and methods: In our group analysis, we decided to include and evaluate the data of all patients who were treated at our department between March 2018 to April 2024 with diagnoses that resulted in a soft tissue defect in the head and neck area, which was closed using a microvascular radial forearm flap.Results: In total, in our group of 75 patients in a 6-year period, we used the RFFF for tongue reconstruction, reconstruction of the defects of the floor of the mouth, defects after orbital exenteration, defects in the retromolar area, oropharynx, and midsize cheek defects, temporal, frontal or parotidomasseteric defects. We also use the RFFF as a workhorse to reconstruct midsize defects of the infraorbital region, the lip, the area of the alveolar process of the lower or upper jaws, and the palate.Discussion and conclusion: From the perspective of overall complications in our group, we performed 75 radial forearm free flaps reconstructions in head and neck region with no flap loss. The RFFF is very reliable free flap, with a very low risk of complications. It should be emphasized that thanks to sufficient venous drainage, supported by including of the cephalic vein into the flap during its harvesting, and by performing at least two venous anastomoses, we did not lose a single radial free flap in our group of patients.","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"66 4","pages":"154-159"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655893","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

The evolution of maxillofacial surgery in Slovakia - a legacy of excellence and innovation. 斯洛伐克颌面外科的发展-卓越和创新的遗产。

Acta chirurgiae plasticae Pub Date : 2024-01-01

引用次数: 0

The top 10 AI tools for academic surgeons right now. 目前适合外科医生使用的十大人工智能工具。

Acta chirurgiae plasticae Pub Date : 2024-01-01 DOI: 10.48095/ccachp202439

M Kadhum, N Cereceda-Monteoliva, A Hagiga

引用次数: 0

Double right triangular shape full-thickness skin grafts technique for short rectangular or square shape donor site defect - original method with a case report. 短矩形或正方形供体部位缺损的双右三角全厚植皮技术--原创方法及病例报告。

Acta chirurgiae plasticae Pub Date : 2024-01-01 DOI: 10.48095/ccachp202424

A Kosiyatrakul, S Luenam

引用次数: 0

Registrar-to-registrar insights - essential tips for aspiring microsurgeons on early independent DIEP flap reconstructions. 注册者对注册者的见解-对早期独立DIEP皮瓣重建有抱负的显微外科医生的基本提示。

Acta chirurgiae plasticae Pub Date : 2024-01-01 DOI: 10.48095/ccachp2024134

M De Fré, A Khan, T Nanidis, F Ruccia

引用次数: 0

Treatment of exposed tibial bone by old school burr holes - a case report. 老派钻孔法治疗外露胫骨1例。

Acta chirurgiae plasticae Pub Date : 2024-01-01 DOI: 10.48095/ccachp2024127

C Arkaz, W Van Damme, G Peeters

{"title":"Treatment of exposed tibial bone by old school burr holes - a case report.","authors":"C Arkaz, W Van Damme, G Peeters","doi":"10.48095/ccachp2024127","DOIUrl":"10.48095/ccachp2024127","url":null,"abstract":"Background: We report a successful wound treatment of a chronic ulcer with bone exposure using a somehow forgotten technique of creating burr holes into the bone. Most clinics would promote flap surgery to cover wounds with bone exposure, however, in some cases invasive surgery is not mandatory. We bring up an alternative treatment for such cases.Case: We report a case of chronic ulcers on both lower extremities in a 43-year-old Caucasian male. He suffers from a leukocytoclastic vasculitis and sarcoidosis which is medicated by immunosuppressive medication. The patient's wounds were initially treated with mechanical debridement and split-thickness skin grafts, however, his wounds tended to worsen the more they were manipulated and finally resulted in tibial bone exposure. After levelling up his immune suppressive drugs, the wounds finally stabilized but didn't heal after several weeks of follow-up. The wound was ultimately treated by placing burr holes in the underlying cortical bone.Conclusion: Chronic ulcers with bone exposure at the lower leg are challenging to treat. They often require local or free flap surgery. In some cases, because of underlying systemic disease, it is mandatory to stay away from invasive flap surgery. With this case, we like to put under attention an old technique of decorticating the exposed bone to promote secondary wound healing. It has been described mainly for scalp injuries, however, we have proven the viability of this technique for pretibial wounds as well.","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"66 3","pages":"127-131"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969118","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

Pedicled TFL flap for metastatic penile cancer reconstruction - a case series. 带蒂TFL皮瓣用于转移性阴茎癌重建-一个病例系列。

Acta chirurgiae plasticae Pub Date : 2024-01-01 DOI: 10.48095/ccachp2024172

B Kawilarang, A R R Hariantana Hamid, I G Putu Hendra Sanjaya

{"title":"Pedicled TFL flap for metastatic penile cancer reconstruction - a case series.","authors":"B Kawilarang, A R R Hariantana Hamid, I G Putu Hendra Sanjaya","doi":"10.48095/ccachp2024172","DOIUrl":"https://doi.org/10.48095/ccachp2024172","url":null,"abstract":"Background: Penile cancer patients with advanced metastatic disease in the inguinal region present a therapeutic challenge. This study assesses the long-term viability of tensor fascia lata (TFL) flap for inguinal reconstruction after inguinal lymphadenectomy in metastatic penile cancer patients.Material and methods: We herein report eight cases of advanced penile cancer utilizing a TFL flap for reconstructing defects in the inguinal region. Demographic characteristics, perioperative findings and outcome of the patients were evaluated.Results: Patients were followed up for 1-35 months. The mean age of patients included in this study was 58.75 years. Six out of eight patients had a favorable prognosis. The strong vascularity of the TFL flap enables excellent coverage, which can reduce the rate of ischemia and necrosis of the flap. No serious complications occurred in all cases during the perioperative period. One patient developed partial flap necrosis, which required debridement, whereas one patient underwent distal wound dehiscence which resolved with routine wound care.Conclusions: Our experience demonstrates the versatility and effectiveness of the TFL flap in addressing reconstruction of defects following inguinal lymph node dissection among patients with advanced penile cancer.","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"66 4","pages":"172-177"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655863","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

Reconstruction of the metacarpophalangeal volar plate with the A1 pulley and 11 cases of proximal interphalangeal/metacarpophalangeal volar plate injuries in adolescent age. A1滑轮重建掌指骨掌板及青少年近端指间/掌指骨掌板损伤11例

Acta chirurgiae plasticae Pub Date : 2024-01-01 DOI: 10.48095/ccachp2024160

R Bánsky, M Krayinina, J Olexík, S Estergályos

{"title":"Reconstruction of the metacarpophalangeal volar plate with the A1 pulley and 11 cases of proximal interphalangeal/metacarpophalangeal volar plate injuries in adolescent age.","authors":"R Bánsky, M Krayinina, J Olexík, S Estergályos","doi":"10.48095/ccachp2024160","DOIUrl":"https://doi.org/10.48095/ccachp2024160","url":null,"abstract":"Finger injuries involving the proximal interphalangeal joint (PIPJ) plate are common, but injuries involving the metacarpophalangeal joint (MCPJ) plate are rare. Injury severity is often underappreciated as a \"jammed finger\". Delayed diagnosis and treatment can have an essential impact on regaining full function. From 2010 to 2021, we dealt with a total of twelve cases of volar plate lesions, eight boys and four girls, from 13 to 16 years of age, eight of them were treated surgically, two with dorsal pinning and two with dorsal block splinting. No significant differences between the patients treated conservatively and operatively were found concerning treatment duration, required physiotherapy and total active motion. No patient developed palmar joint instability, and a painless, stable joint and full grip function was achieved. Surgical treatment of the volar plate injuries is indicated in the case of joint instability, subluxation, persistent swelling, limited range of motion or the presence of dislocation of a bone fragment grade 3-4. Conservative treatment for cases with small or no fragment dislocation is recommended. Untreated volar plate injuries can lead to permanent loss of function, inadequate treatment leads to persistent swelling, instability, and limited range of motion, which are difficult to treat.","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"66 4","pages":"160-166"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655890","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

Reports on vascular catheter-associated thromboembolic events in a burn unit - a gap in the literature? 关于烧伤科血管导管相关血栓栓塞事件的报告--文献空白？

Acta chirurgiae plasticae Pub Date : 2024-01-01 DOI: 10.48095/ccachp202431

M Jarnalo, P Videira Reis, R Horta

引用次数: 0

Pedicled myocutaneous trapezius flap for chronic osteomyelitis of the spinous processes - a case report. 带蒂斜方肌皮瓣治疗棘突慢性骨髓炎1例。

Acta chirurgiae plasticae Pub Date : 2024-01-01 DOI: 10.48095/ccachp2024124

P Vodička, V Mařík

{"title":"Pedicled myocutaneous trapezius flap for chronic osteomyelitis of the spinous processes - a case report.","authors":"P Vodička, V Mařík","doi":"10.48095/ccachp2024124","DOIUrl":"10.48095/ccachp2024124","url":null,"abstract":"Complex injuries to the posterior trunk can still pose a significant challenge to the reconstructive surgeon. Due to the lack of skin laxity, dependent anatomical location and the importance of the deeper structures, a systematic approach tailored to the individual defect should be considered for these types of reconstructions. In our case report, we present a reconstructive solution of a chronic defect of the back caused by resection of an ulceration. What was previously considered to be a relapse of a malignant melanoma turned out to be a chronic osteomyelitis of the spinous processes of the thoracic vertebrae. The defect after the resection of the ulceration and infected spinous processes of the thoracic vertebrae with exposed dorsal lamina was covered with pedicled myocutaneous flap. Reconstruction yielded well-vascularized tissue that provided sufficient volume and tissue quality. Even in the light of modern perforator flaps, local or locoregional muscle and myocutaneous flaps remain the first choice for the treatment of deep back defects. Considering all the factors in the given case, plastic surgeons are able to tailor the reconstructive technique to every individual case to match the desired reconstruction goal.","PeriodicalId":7098,"journal":{"name":"Acta chirurgiae plasticae","volume":"66 3","pages":"124-126"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969139","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