Scandinavian journal of plastic and reconstructive surgery最新文献

筛选
英文 中文
Evaluating the Reliability of Three-dimensional Models Constructed Photogrammetry Software 3DF Zephyr by Measuring Joint Angles of Fingers: A Comparison to a Conventional Goniometer. 通过测量手指关节角度来评估三维模型构建摄影测量软件3DF Zephyr的可靠性:与传统测角仪的比较。
Scandinavian journal of plastic and reconstructive surgery Pub Date : 2023-09-08 eCollection Date: 2024-01-27 DOI: 10.53045/jprs.2022-0051
Keisuke Miyake
{"title":"Evaluating the Reliability of Three-dimensional Models Constructed Photogrammetry Software 3DF Zephyr by Measuring Joint Angles of Fingers: A Comparison to a Conventional Goniometer.","authors":"Keisuke Miyake","doi":"10.53045/jprs.2022-0051","DOIUrl":"10.53045/jprs.2022-0051","url":null,"abstract":"<p><strong>Objectives: </strong>Photogrammetry is a method of producing three-dimensional (3D) data from multiple photographs and videos. The purpose of this study was to evaluate the reliability of 3D hand models constructed using photogrammetry.</p><p><strong>Methods: </strong>The angles of the distal (DIP) and proximal (PIP) interphalangeal joints of the author's index finger were measured using a protractor goniometer. Five different blocks were used to stabilize the angles of the fingers. We collected 50 photographs and one video. Digital 3D models of the hand were constructed using 3DF Zephyr photogrammetry software. The angles of the DIP and PIP joints of the model were measured in virtual space. The angles obtained via the two methods were subjected to correlation analysis.</p><p><strong>Results: </strong>Eighty values (40 joints of 20 fingers; goniometer/3D model) were obtained. The maximum value obtained was 84° and the minimum was 33°. The average time required to take the original photographs of the model was 3 minutes, and that for the videos was 51 seconds. The average time required to construct a 3D image was 12 minutes. The greatest difference between the methods was 9° and the mean difference was 0.2°. The intraclass correlation coefficient (2,1) was 0.971.</p><p><strong>Conclusions: </strong>A high level of agreement was found between these angles. A 3D hand model constructed using photogrammetry is reproducible.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"06 1","pages":"34-38"},"PeriodicalIF":0.0,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86102368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long-term Outcomes on Patients with Microtia after Autogenous Costal Cartilage Reconstruction. 自体肋软骨重建术后小耳症患者的长期预后。
Scandinavian journal of plastic and reconstructive surgery Pub Date : 2023-09-08 eCollection Date: 2024-04-27 DOI: 10.53045/jprs.2023-0018
Misa Kataoka, Takuya Iida, Koji Kanayama, Yoko Tomioka, Hirotaka Asato, Mutsumi Okazaki
{"title":"Long-term Outcomes on Patients with Microtia after Autogenous Costal Cartilage Reconstruction.","authors":"Misa Kataoka, Takuya Iida, Koji Kanayama, Yoko Tomioka, Hirotaka Asato, Mutsumi Okazaki","doi":"10.53045/jprs.2023-0018","DOIUrl":"10.53045/jprs.2023-0018","url":null,"abstract":"<p><p>Autologous costal cartilage grafts remain the gold standard method for microtia reconstruction. However, reports on its long-term outcomes are limited. We present two cases with >40-year outcomes after auricular reconstruction with autologous costal cartilage. A 56 year-old woman and a 53 year-old man presented to our institution with complaints of wire exposure. In both cases, the reconstructed ear was deformed. A computerized tomography scan revealed calcification of the reconstructed costal cartilage graft framework. To our knowledge, these cases present the longest outcomes (50 and 42 years for the 56 year-old woman and 53 year-old man, respectively) of microtia reconstruction using autologous cartilage grafts. We found that ear frameworks constructed from costal cartilage tended to calcify in the long term, as in the natural course of costal cartilage. Therefore, the possibility of calcification of costal cartilage grafts should be relayed to patients and parents, and lifelong surveillance after reconstruction should be recommended.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"43 1","pages":"79-82"},"PeriodicalIF":0.0,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90834559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors for Improving Diagnosis of Skin Tumors. 提高皮肤肿瘤诊断的因素。
Scandinavian journal of plastic and reconstructive surgery Pub Date : 2023-09-08 eCollection Date: 2024-01-27 DOI: 10.53045/jprs.2021-0037
Asami Tozawa, Hideki Mori, Masakazu Ao, Ritsuko Miyauchi, Yasumi Tsuji, Mayu Matsumoto, Masamoto Murakami, Hiroki Nakaoka, Yasuhiro Fujisawa
{"title":"Factors for Improving Diagnosis of Skin Tumors.","authors":"Asami Tozawa, Hideki Mori, Masakazu Ao, Ritsuko Miyauchi, Yasumi Tsuji, Mayu Matsumoto, Masamoto Murakami, Hiroki Nakaoka, Yasuhiro Fujisawa","doi":"10.53045/jprs.2021-0037","DOIUrl":"10.53045/jprs.2021-0037","url":null,"abstract":"<p><strong>Background: </strong>Although several studies have investigated the accuracy of clinical diagnoses of skin tumors, specific ways to improve diagnostic accuracy have not been identified. This study investigated factors that influence the accuracy of clinical skin tumor diagnostic methods and discusses strategies to improve accuracy.</p><p><strong>Methods: </strong>Study 1 retrospectively analyzed 657 skin tumors excised at our hospital between March 2001 and March 2011. Data were extracted from surgical records to establish a diagnostic template for further research. Study 2 prospectively applied this template to aid clinical diagnosis at four facilities between April 2011 and March 2013. The clinical diagnoses were compared with the histological ones and the concordance was determined.</p><p><strong>Results: </strong>A total of 448 and 209 benign and malignant tumors, respectively, were included in Study 1. The overall diagnostic accuracy was 79.0%. In Study 2, 310 patients were clinically diagnosed using a standardized template, which did not affect the diagnostic accuracy. Age, sex, duration of disease, tumor size and location, skin tone, mobility, stiffness, and years of diagnostic experience did not significantly affect diagnostic accuracy. A high proportion of pathologically malignant tumors were clinically misdiagnosed as benign (16/22; 72%). Other clinical examinations were performed in only 35 cases.</p><p><strong>Conclusions: </strong>Auxiliary diagnostic tools such as dermoscopy and biopsies should be used to accurately diagnose malignant tumors.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"33 1","pages":"29-33"},"PeriodicalIF":0.0,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75773006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Use of Handheld Ultrasound for Flap Monitoring after Free Jejunal Transfer. 手持式超声在游离空肠移植后皮瓣监测中的应用。
Scandinavian journal of plastic and reconstructive surgery Pub Date : 2023-09-08 eCollection Date: 2024-01-27 DOI: 10.53045/jprs.2022-0055
Atsuki Yamada, Asei Hori, Tomoaki Eguchi
{"title":"Use of Handheld Ultrasound for Flap Monitoring after Free Jejunal Transfer.","authors":"Atsuki Yamada, Asei Hori, Tomoaki Eguchi","doi":"10.53045/jprs.2022-0055","DOIUrl":"10.53045/jprs.2022-0055","url":null,"abstract":"<p><p>Monitoring blood flow in a buried flap is often challenging. In cases of free jejunal transfer, although exteriorization of a minor jejunal segment has become the standard method, there remain issues such as intestinal fluid management, the need for separation of the monitored jejunum, and high false positive rates. In this study, we performed monitoring using handheld ultrasound (Vscan Extend™; GE Healthcare, Japan) in four patients who had undergone free jejunal transfer between August 2022 and December 2022. The blood flow in the anastomosed vessels and the peristalsis of the jejunum were observed in all patients. There were no cases of reoperation due to early failure such as thrombosis of vascular anastomosis or vessel spasm. The handheld ultrasound made it possible to adequately evaluate both the blood flow in the anastomosed vessels and the peristalsis of the transplanted jejunum. Handheld ultrasound can be useful for monitoring blood flow in a buried flap.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"2 1","pages":"39-42"},"PeriodicalIF":0.0,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85257847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inclination of the Lip and Nose during Resting and Lip Protrusion in Children with Unilateral Cleft Lip. 单侧唇裂患儿休息时唇鼻倾斜及唇突。
Scandinavian journal of plastic and reconstructive surgery Pub Date : 2023-09-08 eCollection Date: 2024-01-27 DOI: 10.53045/jprs.2023-0013
Hiromu Masuoka, Michika Fukui, Natsuko Kakudo, Kenji Kusumoto
{"title":"Inclination of the Lip and Nose during Resting and Lip Protrusion in Children with Unilateral Cleft Lip.","authors":"Hiromu Masuoka, Michika Fukui, Natsuko Kakudo, Kenji Kusumoto","doi":"10.53045/jprs.2023-0013","DOIUrl":"10.53045/jprs.2023-0013","url":null,"abstract":"<p><strong>Objective: </strong>To examine morphological changes of the lip and nose during resting and lip protrusion in patients with unilateral cleft lip.</p><p><strong>Methods: </strong>A total of 41 patients with unilateral cleft lip who underwent primary lip repair were included in the study population. The distortion of the lip and nose was measured and evaluated using photographs of the preoperative and postoperative resting lips and the postoperative protruding lips.</p><p><strong>Results: </strong>The position of the labial commissure on the affected side was cranially deviated before lip repair, and the deviation remained after surgery. The degree of cranial deviation was increased by lip protrusion. The position of the alar base on the affected side was caudally deviated before lip repair and improved after surgery; however, it was displaced cranially by lip protrusion. Horizontal displacement of the lip and nose was improved after surgery, and there was no change during lip protrusion.</p><p><strong>Conclusions: </strong>The characteristic facial distortion in patients with unilateral cleft lip were confirmed. Patients with cleft lip had distortions in the labial commissure and the nose. One of the important future challenges in cleft lip treatment is to focus on changes caused by muscle movement and provide natural and symmetrical facial expressions.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"30 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82445892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Case of a Giant Trichilemmal Cyst on the Forehead. 额部巨大毛鞘囊肿1例。
Scandinavian journal of plastic and reconstructive surgery Pub Date : 2023-07-31 eCollection Date: 2024-01-27 DOI: 10.53045/jprs.2022-0044
Nariaki Takamura, Kenichi Amo, Yu Yusa, Yusuke Takezawa
{"title":"A Case of a Giant Trichilemmal Cyst on the Forehead.","authors":"Nariaki Takamura, Kenichi Amo, Yu Yusa, Yusuke Takezawa","doi":"10.53045/jprs.2022-0044","DOIUrl":"10.53045/jprs.2022-0044","url":null,"abstract":"<p><p>Trichilemmal cysts are the most common benign subcutaneous cysts on the scalp. Approximately 90% of trichilemmal cysts appear on the scalp and have trichilemmal keratinization without a granular layer visible on pathological examination. In addition, proliferating trichilemmal tumors, which occur in 2% of trichilemmal cysts, show local recurrence and ulceration, making them highly locally aggressive and requiring careful differentiation. We report the case of a 56-year-old man with a giant trichilemmal cyst on his forehead. After computed tomography and magnetic resonance imaging, a subcutaneous cyst was suspected and excised, and a pathological diagnosis of trichilemmal cyst was established. This was a rare case as the trichilemmal cyst was not located on the scalp, the most common site, but on the forehead area, and it was exceedingly large, with a maximum diameter of 9 cm.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"46 1","pages":"21-25"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75094645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Burn Injury in Children: A Single-center Analysis of 100 Patients in Japan. 儿童烧伤:日本100例患者的单中心分析。
Scandinavian journal of plastic and reconstructive surgery Pub Date : 2023-07-31 eCollection Date: 2024-01-27 DOI: 10.53045/jprs.2023-0005
Itsuki Takei, Takamichi Ito, Maho Murata, Taketoshi Ide, Gaku Tsuji, Makiko Kido-Nakahara, Takeshi Nakahara
{"title":"Burn Injury in Children: A Single-center Analysis of 100 Patients in Japan.","authors":"Itsuki Takei, Takamichi Ito, Maho Murata, Taketoshi Ide, Gaku Tsuji, Makiko Kido-Nakahara, Takeshi Nakahara","doi":"10.53045/jprs.2023-0005","DOIUrl":"10.53045/jprs.2023-0005","url":null,"abstract":"<p><p>Burn, a common injury in daily life, is a potential risk factor for severe sequelae in people, particularly children. Preventing unexpected burn injuries is of the utmost importance. This study examined the current status of pediatric burns in our institute. One hundred children who received intensive therapy in Kyushu University Hospital were analyzed regarding the causes, sites, severity, treatments, and outcomes of burns between 2004 and 2021. The mean patient age was 2.4 years (range: 0-15), and 90% of patients were 6 years old or younger. The mean percent total body surface area was 12.7%. All patients had second- or third-degree burns. The most common cause was scalding (93%), and among them, hot water burns, and kettle burns were predominant in 49.5% and 24.7% of children, respectively. The seasonal fluctuations of occurrence were not remarkable. Basic fibroblast growth factor spray with wet dressing was used, but hypertrophic scars arose in 39 patients. The mean duration of hospitalization was 18.9 ± 18.2 days. This study revealed that more than 90% of pediatric burns were caused by hot liquids, thereby highlighting the importance of educational activities for parents to prevent and reduce pediatric burns because most scalding burns can be avoided with caution.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"112 1","pages":"26-28"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76068449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Palatal Flap Delay and Facial Artery Musculomucosal (FAMM) Flap for the Closure of Cocaine Fistula. 腭瓣延迟和面动脉肌粘膜(FAMM)瓣用于关闭可卡因瘘。
Scandinavian journal of plastic and reconstructive surgery Pub Date : 2023-07-31 eCollection Date: 2024-01-27 DOI: 10.53045/jprs.2023-0004
Yara Morsi, Mohamed Mansour, Shady Shaker, Waleed Ibrahim, Duaa AlDainy, Hamed Shaheen
{"title":"Palatal Flap Delay and Facial Artery Musculomucosal (FAMM) Flap for the Closure of Cocaine Fistula.","authors":"Yara Morsi, Mohamed Mansour, Shady Shaker, Waleed Ibrahim, Duaa AlDainy, Hamed Shaheen","doi":"10.53045/jprs.2023-0004","DOIUrl":"10.53045/jprs.2023-0004","url":null,"abstract":"<p><strong>Objectives: </strong>To present a new protocol for closure of cocaine fistulae using a combination of palatal flap delay and facial artery musculomucosal flap demonstrating its reliability for closing these challenging defects and its advantages compared to the other used techniques such as turned over palatal, tongue, temporalis muscle, and radial forearm free flaps.</p><p><strong>Methods: </strong>Eight patients presenting with oronasal communication who admitted sniffing cocaine were treated using palatal flap delay in combination with facial artery musculomucosal flap after quitting cocaine abuse. All cases were followed up for a period of 12-18 months where healing pattern, signs and symptoms of breakdown, recurrence, or residual fistulae in addition to patient satisfaction using a visual analog scale were evaluated.</p><p><strong>Results: </strong>All eight patients showed a very good healing pattern without any signs and symptoms of breakdown, recurrence, or residual fistulae. VAS assessment for patient satisfaction where 10 being the most satisfied showed that four patients reported score 10, three reported score 9, and one reported score 8.</p><p><strong>Conclusions: </strong>The combination of palatal flap delay and FAMM flap is very reliable for cocaine fistulae closure.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"1 1","pages":"10-15"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76495779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment for Calcaneal Osteomyelitis with Pseudoarthrosis with a Vascularized Fibula Bone Graft and Autologous Cancellous Bone Graft: A Case Report. 带血管腓骨骨移植和自体松质骨移植治疗假关节伴跟骨髓炎1例。
Scandinavian journal of plastic and reconstructive surgery Pub Date : 2023-06-14 eCollection Date: 2023-10-27 DOI: 10.53045/jprs.2023-0003
Toru Miyanaga, Takayoshi Kaneko, Mikio Yagishita, Miyuki Kishibe, Masanobu Yamashita, Kenichi Shimada
{"title":"Treatment for Calcaneal Osteomyelitis with Pseudoarthrosis with a Vascularized Fibula Bone Graft and Autologous Cancellous Bone Graft: A Case Report.","authors":"Toru Miyanaga, Takayoshi Kaneko, Mikio Yagishita, Miyuki Kishibe, Masanobu Yamashita, Kenichi Shimada","doi":"10.53045/jprs.2023-0003","DOIUrl":"10.53045/jprs.2023-0003","url":null,"abstract":"<p><p>Calcaneal osteomyelitis with pseudarthrosis after calcaneal fracture is rare, and its treatment is challenging. We describe the use of a free fibular osteocutaneous flap to treat a 52-year-old man who presented with calcaneal osteomyelitis and pseudarthrosis after an operation for a closed comminuted fracture. The patient was previously treated with multiple surgeries and antibiotics for 8 months, but he was not cured. We performed radical osteomyelitis bone debridement and reconstruction with a free fibular osteocutaneous flap and autotrabecular bone grafting from the iliac crest. The skin flap survived, and rehabilitation was initiated early. At 2 years postoperatively, his pain and ambulatory function had markedly improved, and he could walk without problems in daily life. Free fibular osteocutaneous flap and autogenous cancellous bone grafting are considered practical options for the treatment of calcaneal osteomyelitis with pseudarthrosis.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"44 1","pages":"150-155"},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80248991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Full-thickness Skin Grafts for Hand Contractures in an Adult Patient with Junctional Epidermolysis Bullosa: A Case Report. 全层皮肤移植治疗成年大疱性结缔组织表皮松解症手部挛缩1例。
Scandinavian journal of plastic and reconstructive surgery Pub Date : 2023-06-14 eCollection Date: 2023-10-27 DOI: 10.53045/jprs.2022-0049
Sayaka Nakamura, Susumu Saito, Yoshihiro Ishida, Yo Kaku, Ken Natsuga, Naoki Morimoto
{"title":"Full-thickness Skin Grafts for Hand Contractures in an Adult Patient with Junctional Epidermolysis Bullosa: A Case Report.","authors":"Sayaka Nakamura, Susumu Saito, Yoshihiro Ishida, Yo Kaku, Ken Natsuga, Naoki Morimoto","doi":"10.53045/jprs.2022-0049","DOIUrl":"10.53045/jprs.2022-0049","url":null,"abstract":"<p><p>Epidermolysis bullosa is a group of inherited skin fragility disorders with blister formation in the basement membrane zone. Chronic scarring after repeated blistering of the hands causes narrowing of the first web, flexion contractures of the digits, and pseudosyndactyly. Junctional epidermolysis bullosa is a type of epidermolysis bullosa that is characterized by blister formation in the lamina lucida. This condition is associated with survival into adulthood. In adult survivors, hand function might be required in order to participate in normal social activities. However, there is a lack of literature on the management of hand surgery for adult patients with junctional epidermolysis bullosa. We herein describe an adult patient with junctional epidermolysis bullosa who had pseudosyndactyly and flexion contractures in both hands. Five surgeries were performed. Contractures were released and reconstructed using split- or full-thickness skin grafts. Delayed wound healing was always observed due to epidermal necrosis in the graft. After epithelialization, a satisfactory functional outcome was obtained.</p>","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"9 1","pages":"156-162"},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82068162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信