Scandinavian journal of plastic and reconstructive surgery最新文献_第2页

Surgical Premaxillary Setback with Vomerine Ostectomy for Complicated Bilateral Cleft Lip. 复杂性双侧唇裂的手术治疗。

Scandinavian journal of plastic and reconstructive surgery Pub Date : 2023-06-14 eCollection Date: 2024-01-27 DOI: 10.53045/jprs.2022-0033

Yuzuka Oda, Yosuke Ojima, Nanako Ayabe, Maya Aoyagi, Yukiko Ida, Hajime Matsumura

{"title":"Surgical Premaxillary Setback with Vomerine Ostectomy for Complicated Bilateral Cleft Lip.","authors":"Yuzuka Oda, Yosuke Ojima, Nanako Ayabe, Maya Aoyagi, Yukiko Ida, Hajime Matsumura","doi":"10.53045/jprs.2022-0033","DOIUrl":"10.53045/jprs.2022-0033","url":null,"abstract":"Important factors that affect the initial repair of complete bilateral cleft lip (CBCL) include not only the width of the cleft but also the distance between the premaxilla and alveolar bone. We report a case of a patient with CBCL in whom favorable morphological and aesthetical results were achieved by surgical premaxillary setback. The patient was a 5-month-old boy with CBCL, who had a severely protruding premaxilla. Despite repeated lip adhesion before lip closure surgery, wound dehiscence occurred, and therefore, we performed premaxillary setback with vomerine ostectomy. The bone was removed posterior to the vomero-premaxillary suture, and the premaxilla was indirectly stabilized by bilateral mucosal bridging. The procedure for the vomer worked well, and his premaxilla was moved back enough to undergo surgery. The premaxillary setback is thought to be a reasonable option to treat CBCL in patients with a protruding premaxilla. The subsequent long-term follow-up of the midfacial development of these patients is necessary.","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"11 6 1","pages":"16-20"},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72668855","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

Postoperative Facial Edema Following Alveolar Bone Grafting: A Prospective Cohort Study. 牙槽骨移植术后面部水肿：一项前瞻性队列研究。

Scandinavian journal of plastic and reconstructive surgery Pub Date : 2023-04-14 eCollection Date: 2023-10-27 DOI: 10.53045/jprs.2022-0036

Ikkei Tamada, Marika Otaki, Riho Ishikawa

{"title":"Postoperative Facial Edema Following Alveolar Bone Grafting: A Prospective Cohort Study.","authors":"Ikkei Tamada, Marika Otaki, Riho Ishikawa","doi":"10.53045/jprs.2022-0036","DOIUrl":"10.53045/jprs.2022-0036","url":null,"abstract":"Objectives: The secondary alveolar bone graft (ABG) is one of the key components in the treatment of cleft lip and palate. However, an ABG is commonly accompanied by postoperative facial edema. Although appropriate assessment of facial edema can facilitate the early detection of major postoperative complications, the usual course of swelling post-ABG is not yet fully understood. The present, prospective cohort study was conducted to clarify the typical course of facial swelling post-ABG.Methods: Nineteen operations in 17 patients who underwent an ABG between September 2019 and August 2020 were enrolled. Postoperatively, facial photographs of each patient were taken on four consecutive days; then, the degree of swelling visible in the photographs was assessed by three plastic surgeons. This assessment was repeated one month later.Results: Both the first and the second assessments demonstrated an inter-rater agreement of 63.2%. Cohen's kappa values for the three possible rater combinations ranged 0.377-0.755 and 0.453-0.574 in the first and the second assessment, respectively. The intra-rater reliability was 77.2%, with a Cohen's kappa value of 0.543, indicating moderate agreement. The swelling peaked on postoperative day 2 and began improving from postoperative day 3.Conclusions: These findings will hopefully help physicians treating alveolar clefts detect postoperative complications earlier and enable them to explain the prognosis of swelling to patients and their families with greater certainty.","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"14 1","pages":"123-128"},"PeriodicalIF":0.0,"publicationDate":"2023-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74846153","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

Mathematical Validation of the Modified Sunnybrook Facial Grading System Using Four-dimensional Imaging. 改进的Sunnybrook面部四维成像分级系统的数学验证。

Scandinavian journal of plastic and reconstructive surgery Pub Date : 2023-04-14 eCollection Date: 2023-07-27 DOI: 10.53045/jprs.2022-0017

Mahmoud A Alagha, Xiangyang Ju, Stephen Morley, Ashraf F Ayoub

{"title":"Mathematical Validation of the Modified Sunnybrook Facial Grading System Using Four-dimensional Imaging.","authors":"Mahmoud A Alagha, Xiangyang Ju, Stephen Morley, Ashraf F Ayoub","doi":"10.53045/jprs.2022-0017","DOIUrl":"10.53045/jprs.2022-0017","url":null,"abstract":"Objectives: Despite the limited validity of the Sunnybrook grading index, it is routinely used for the clinical evaluation of facial palsy. This study aimed to assess the dynamic asymmetry in unilateral facial palsy and mathematically validate a modified version of the Sunnybrook facial grading system.Methods: The Sunnybrook facial grading system was modified to provide more descriptions of the measured parameters of the distorted facial expression in unilateral facial paralysis. This correlation study was conducted on 16 patients with unilateral facial palsy and a matched control group. Three-dimensional video recordings of six facial expressions - rest, maximum smile, cheek puff, lip purse, eyebrow raising, and eye closure - were used for each case in the analysis. Advanced geometric morphometrics were applied to quantify facial asymmetry and morphology throughout the course of each expression. Seven professional assessors graded facial asymmetry for the 16 cases, twice, using the modified Sunnybrook index. Cross-correlations between the objective mathematical measurements and the subjective clinical grades were calculated.Results: The inter- and intra-observer reproducibility of the modified Sunnybrook index was high (r = -0.8). Significant positive correlations were detected between the clinical grading of facial palsy and the mathematical measurements at rest, maximum smile, lip purse, and raising of eyebrows. The correlations between the modified Sunnybrook index and mathematical measurements were poor for cheek puff and forceful eye closure.Conclusions: The modified Sunnybrook grading index proved reproducible and mathematically valid for the grading of unilateral facial paralysis in most facial expressions, except for cheek puff and forceful eye closure.","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"48 1","pages":"77-88"},"PeriodicalIF":0.0,"publicationDate":"2023-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82870963","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

Effectiveness of Supramicrosurgical Lymphatico-venular Anastomosis in Treating Recurrent Lymphatic Fistulas: A Case Series. 显微外科上淋巴静脉吻合术治疗复发性淋巴瘘的疗效：一个病例系列。

Scandinavian journal of plastic and reconstructive surgery Pub Date : 2023-04-14 eCollection Date: 2023-10-27 DOI: 10.53045/jprs.2022-0028

Paolo Gennaro, Glauco Chisci, Flavia Cascino, Michael Aboud Gasser, Guido Gabriele

{"title":"Effectiveness of Supramicrosurgical Lymphatico-venular Anastomosis in Treating Recurrent Lymphatic Fistulas: A Case Series.","authors":"Paolo Gennaro, Glauco Chisci, Flavia Cascino, Michael Aboud Gasser, Guido Gabriele","doi":"10.53045/jprs.2022-0028","DOIUrl":"10.53045/jprs.2022-0028","url":null,"abstract":"Objective: Lymphatic fistula is a complication that may occur in all cases where lymphostasis arise, due to a damage to the lymphatic drainage system. The current study evaluates the effectiveness of supramicrosurgical lymphatico-venular anastomosis (s-LVA) for treating lymphatic fistula.Patients and methods: This is a retrospective study that aims to evaluate the effectiveness of s-LVA in treating lymphatic fistula. The inclusion criterion was the presence of persistent chronic lymphatic fistula; the exclusion criteria were refuse of the patient, terminal patients. All patients presented with lymphatic fistula. To evaluate lymphatic patency, indocyanine green (ICG) lymphography was performed in preoperative, immediately afterward and 1 month after s-LVA. Postoperative follow-up was performed for 1 year. The site for skin incision was selected on the basis of the ICG lymphography and the venous mapping. s-LVA was performed with 11-0 sutures using an operating microscope. Afterward, the skin incision was sutured with 6-0 absorbable sutures.Results: Eight patients (five males and three females) were enrolled in this study. Lymphatic vessels identified during s-LVA resulted ectasic. ICG lymphography demostrated patency of the anastomosis in all patients since the first postoperative day except one case, where the anastomosis resulted patent 1 month after s-LVA. No clinical complications were reported during the postoperative follow-up: no cellulitis and no recurrence of the fistula occurred in the year after s-LVA. Total recovery of fistula was observed and confirmed for the year after the intervention.Conclusions: This study evidenced positive results with lymphorrhea interruption and recovery of the fistula after the intervention.","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"23 1","pages":"163-171"},"PeriodicalIF":0.0,"publicationDate":"2023-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86525053","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

Giant Subcutaneous Hematoma Associated with Subcutaneous Insulin Injection in a Patient with Diabetes: a Case Report. 糖尿病患者皮下注射胰岛素并发巨大皮下血肿1例。

Scandinavian journal of plastic and reconstructive surgery Pub Date : 2023-03-15 eCollection Date: 2023-10-27 DOI: 10.53045/jprs.2022-0035

Teruyo Yamashita, Jun Arata, Shuko Kaito

引用次数: 0

A Case of Multiple Eccrine Poromas with a History of Chemotherapy and Allogeneic Peripheral Blood Stem Cell Transplantation. 有化疗及异基因外周血干细胞移植史的多发性内分泌脓肿1例。

Scandinavian journal of plastic and reconstructive surgery Pub Date : 2023-03-15 eCollection Date: 2023-10-27 DOI: 10.53045/jprs.2022-0023

Haruna Yoshiike, Kenichiro Kawai, Soh Nishimoto, Yoshihiro Ide, Hiroya Tamaki, Masao Kakibuchi

引用次数: 0

Effect of Nasal Tip Reshaping on Tip Projection in Primary Rhinoplasty without Cartilage Grafting from a Second Donor Site in an Asian Population. 亚洲人群鼻尖整形术中鼻尖整形对鼻尖突出的影响。

Scandinavian journal of plastic and reconstructive surgery Pub Date : 2023-03-15 eCollection Date: 2023-10-27 DOI: 10.53045/jprs.2022-0038

Norihiro Ohba, Goichi Haraoka, Hirotsuna Oiwa, Kozue Toyoda, Mayuko Ohba

{"title":"Effect of Nasal Tip Reshaping on Tip Projection in Primary Rhinoplasty without Cartilage Grafting from a Second Donor Site in an Asian Population.","authors":"Norihiro Ohba, Goichi Haraoka, Hirotsuna Oiwa, Kozue Toyoda, Mayuko Ohba","doi":"10.53045/jprs.2022-0038","DOIUrl":"10.53045/jprs.2022-0038","url":null,"abstract":"Objectives: Many Asian patients with nasal aesthetic surgery desire a sharper, more defined nasal tip. In many cases, their nasal cartilage is not abundant enough, necessitating cartilage transplantation from an extranasal location. We investigated which patients would qualify for a method of reshaping the nasal tip without needing donor cartilage by reshaping the lower cartilage using the transdomal suture technique and local cartilage grafting.Methods: We performed a single-center retrospective cohort study of patients undergoing nasal tip surgery. We divided patients into two groups. Group 1 comprised 13 patients with nasal tips with thin skin and soft tissue and relatively abundant cartilage. Group 2 included 31 patients with nasal tips with thicker, firmer skin and soft tissue and a smaller amount of cartilage. No patients had prior nasal surgery, and all patients were followed up for at least 3 months. Patients in both groups underwent the transdomal suture technique and local cartilage grafting. Five patients in Group 2 underwent alar reduction. Preoperative and postoperative lateral view photographs were superimposed and analyzed to measure changes in tip projection.Results: Patients in Group 1 showed a mean increase in tip projection of 3.9%. Patients in Group 2 demonstrated a mean decrease in tip projection of -1.5% without alar reduction and -5.6% with alar reduction.Conclusions: If the nasal tip is predominantly cartilaginous, patients may undergo surgery that does not involve donor cartilage from another site with good results. However, most patients, who have a relatively small amount of nasal tip cartilage, are not good candidates for this procedure.","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"25 1","pages":"129-136"},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80202918","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

Bilateral Perineal Reconstruction Using an Oblique V-shaped DIEP Flap. 斜v型DIEP皮瓣重建双侧会阴。

Scandinavian journal of plastic and reconstructive surgery Pub Date : 2023-03-15 eCollection Date: 2023-10-27 DOI: 10.53045/jprs.2022-0034

Maki Fujii, Masayuki Okochi, Yuzo Komuro

引用次数: 0

Osteomyelitis in the Left First Toe Due to Mycobacterium abscessus after an Injury. 受伤后由脓肿分枝杆菌引起的左第一脚趾骨髓炎。

Scandinavian journal of plastic and reconstructive surgery Pub Date : 2023-02-10 eCollection Date: 2023-07-27 DOI: 10.53045/jprs.2022-0040

Yurika Yagi, Hirotaka Suga, Akihiko Takushima

引用次数: 0

Combination of an Exteriorized Monitoring Flap and Hand-held Doppler for Simple and Reliable Monitoring of a Free Jejunal Graft Transfer in Hypopharyngeal Reconstruction Microsurgery. 下咽重建术显微外科手术中，外置监测皮瓣与手持式多普勒联合对游离空肠移植物进行简单可靠的监测。

Scandinavian journal of plastic and reconstructive surgery Pub Date : 2023-02-10 eCollection Date: 2023-07-27 DOI: 10.53045/jprs.2022-0001

Takuya Higashino, Azusa Oshima, Yutaka Fukunaga

{"title":"Combination of an Exteriorized Monitoring Flap and Hand-held Doppler for Simple and Reliable Monitoring of a Free Jejunal Graft Transfer in Hypopharyngeal Reconstruction Microsurgery.","authors":"Takuya Higashino, Azusa Oshima, Yutaka Fukunaga","doi":"10.53045/jprs.2022-0001","DOIUrl":"10.53045/jprs.2022-0001","url":null,"abstract":"We introduced a new, simple, reliable method for monitoring a free jejunal graft transfer by assessing visual signs and arterial blood flow in an exteriorized flap. In this retrospective study, all patients that underwent free jejunal graft transfers in hypopharyngeal reconstruction microsurgery between January 2013 and March 2020 were included. We monitored exteriorized flaps by assessing either visual signs only (n = 176) or both visual signs and arterial sound, detected using a hand-held Doppler (n = 164). Postoperative arterial insufficiency occurred in five flaps monitored with visual signs only. None of these flaps could be rescued. Postoperative arterial insufficiency occurred in four flaps monitored with both visual signs and a hand-held Doppler. Of these, two flaps were rescued. The new method led to satisfying results. The combination of visual signs and a hand-held Doppler provided a simple, reliable method for monitoring free jejunal graft transfers.","PeriodicalId":76521,"journal":{"name":"Scandinavian journal of plastic and reconstructive surgery","volume":"6 1","pages":"118-121"},"PeriodicalIF":0.0,"publicationDate":"2023-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87170170","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