Eplasty Pub Date : 2025-06-23 eCollection Date: 2025-01-01

Rebecca Norcini, Lundrim Marku, Hakam Rajjoub, Kerri Woodberry

引用次数: 0

Clinical Profile and Outcome of Acute Burn Care in a Tertiary Care Center of Western Nepal. 临床概况和急性烧伤护理的结果在尼泊尔西部三级保健中心。

Eplasty Pub Date : 2025-06-19 eCollection Date: 2025-01-01

Piyush Giri, Sushma Kunwar, Karuna Khadka, Pratishtha Pandey, Shrinkhala Pokhrel, Devendra Shrestha, David Shrestha, Narendra Vikram Gurung

{"title":"Clinical Profile and Outcome of Acute Burn Care in a Tertiary Care Center of Western Nepal.","authors":"Piyush Giri, Sushma Kunwar, Karuna Khadka, Pratishtha Pandey, Shrinkhala Pokhrel, Devendra Shrestha, David Shrestha, Narendra Vikram Gurung","doi":"","DOIUrl":"","url":null,"abstract":"Background: Burns are a global public health problem that enormously impact Nepal's health system. The treatment of burns is a challenging job for developing and underdeveloped countries. Major burn injuries are associated with high mortality in Nepal. However, extensive service is being provided, along with the gradual establishment of dedicated burn care units. This study aimed to determine the demographics of burn patients presented to the authors' center and the outcomes of acute burn care.Methods: This was a retrospective, descriptive, cross-sectional study of burn patients admitted from September 2022 to November 2023.Results: The study included 101 patients ranging in age from 6 months to 77 years, with a median age of 27.8 years. The highest incidence of burns was among the male patients (56.4%), followed by the female patients (43.6%). Children under 15 years old comprised 45.5% of the admitted patients, and scald burns were the most common cause of burns in this group. The incidence of flame burns was highest among the working-class population and older adults. The total body surface area of the admitted patients ranged from 5% to 90%, with a mean of 15.22%. A total of 46.5% of the patients underwent operative management, of whom 36.2% required multiple surgeries. Hospital-stay duration ranged from 1 to 83 days, with a mean stay of 13.9 days. The study showed a 7.9% mortality rate.Conclusions: The number of patients hospitalized due to burns is increasing, especially in the winter season. It mostly affects younger age groups, with the most common cause being scald burn. The mortality rate is found to increase as the extent of burn increases.","PeriodicalId":93993,"journal":{"name":"Eplasty","volume":"25 ","pages":"e21"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12331016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144801306","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

Controversy of Breast Reduction in Adolescent Patients: An Overview of a Sometimes-Challenging Proposition. 争议的乳房缩小青少年患者：概述了一个有时具有挑战性的命题。

Eplasty Pub Date : 2025-06-19 eCollection Date: 2025-01-01

Quinton L Carr, Sierra Shockley, Colton Connor, Shriya Dodwani, Claire Fell, Ryan Cantrell, Wilson Huett, Bradon J Wilhelmi

引用次数: 0

Case Series of Reconstruction Applying NovoSorb Biodegradable Temporising Matrix: Preliminary Practice and Findings in the United Kingdom. 应用NovoSorb可生物降解基质重建的案例系列：在英国的初步实践和发现。

Eplasty Pub Date : 2025-06-05 eCollection Date: 2025-01-01

Simpson Shiu Chung Tam, Kirsten Taylor, Pankaj Patel, Patrick Goon, Manaf Khatib

{"title":"Case Series of Reconstruction Applying NovoSorb Biodegradable Temporising Matrix: Preliminary Practice and Findings in the United Kingdom.","authors":"Simpson Shiu Chung Tam, Kirsten Taylor, Pankaj Patel, Patrick Goon, Manaf Khatib","doi":"","DOIUrl":"","url":null,"abstract":"Background: Biodegradable temporizing matrix (BTM) is a novel synthetic dermal matrix for wound reconstruction and an alternative to biological dermal substitutes such as Integra (Integra LifeSciences). It provides a scaffold for dermal regeneration and acts as a temporizing device prior to skin graft application, reducing the need for autologous tissue donor sites such as local or free-flap transfer.Methods: This retrospective case series involved 12 patients whose surgery was completed with BTM from October 2021 to February 2023. The inpatient stay, subsequent procedures, and any complications were also reviewed.Results: The median time for inpatient stay was 3.5 days, and patients who required skin grafts after full BTM integration were treated as a day case. Only 1 case had the complication of postoperative infection.Conclusions: The study supports the application of BTM products to heal wounds with exposed bone or tendon. This is considered a low-risk option to reduce complications and improve reconstructive and cosmetic outcomes, particularly in the head and neck region.","PeriodicalId":93993,"journal":{"name":"Eplasty","volume":"25 ","pages":"e20"},"PeriodicalIF":0.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144639022","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

Surgical Management of Biopolymer Induced Granulomatous Hypercalcemia and Renal Insufficiency: A Case Report and Literature Review. 生物聚合物致肉芽肿性高钙血症及肾功能不全的外科治疗：1例报告及文献复习。

Eplasty Pub Date : 2025-06-04 eCollection Date: 2025-01-01

Dieter Brummund, Angela Chang, Christopher Salagdo

引用次数: 0

Rare Benign Tumor: Elastofibroma Dorsi. 罕见良性肿瘤：背弹性纤维瘤。

Eplasty Pub Date : 2025-06-03 eCollection Date: 2025-01-01

Adrian Frunza, Luca Avram

引用次数: 0

Pediatric Granular Cell Tumor of the Digital Nerve: A Case Report and Literature Review. 小儿指神经颗粒细胞瘤1例报告及文献复习。

Eplasty Pub Date : 2025-06-02 eCollection Date: 2025-01-01

Caleb H Bercu, Raghavee Neupane, Ashley Ramirez, Carole Brathwaite, Aaron J Berger

{"title":"Pediatric Granular Cell Tumor of the Digital Nerve: A Case Report and Literature Review.","authors":"Caleb H Bercu, Raghavee Neupane, Ashley Ramirez, Carole Brathwaite, Aaron J Berger","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Granular cell tumors (GCTs) are rare soft tissue neoplasms thought to originate from Schwann cells of the peripheral nervous system. These tumors predominantly occur in the head and neck regions. Instances of GCTs affecting peripheral nerves of the upper extremity, particularly in the hand, are exceptionally rare.Methods: A 9-year-old girl presented with a rapidly growing mass on the left index finger. Ultrasound and magnetic resonance imaging revealed a mass encasing the neurovascular bundle extending to the dermal surface. Biopsy confirmed the presence of a GCT. Intraoperatively, the tumor, which was embedded within the radial nerve and adherent to the tendon sheath, was excised. Nerve reconstruction was performed with a posterior antebrachial cutaneous nerve graft.Results: Histopathology showed pleomorphic polygonal cells with granular cytoplasm and mild nuclear atypia. Immunohistochemical staining was positive for S100, CD68, SOX10, NKI/C3, inhibin, and TFE3, confirming the diagnosis of a benign GCT. The tumor was successfully excised with clear margins.Conclusions: Here we present the 5th documented case of GCT originating from the digital nerve and first-ever case treated with excision and posterior antebrachial cutaneous nerve graft reconstruction. The successful use of a nerve graft in this case underscores the value in preserving sensory function after tumor excision. Long-term follow-up is essential to monitor for recurrence and ensure favorable outcomes.","PeriodicalId":93993,"journal":{"name":"Eplasty","volume":"25 ","pages":"e18"},"PeriodicalIF":0.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144639075","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

Pedicled Vastus Lateralis and Tensor Fascia Lata Flap for Aortic Graft Salvage. 带蒂股外侧肌和阔筋膜张肌瓣修复主动脉瓣。

Eplasty Pub Date : 2025-05-14 eCollection Date: 2025-01-01

Dieter Brummund, Angela Chang, Vanitha Vasudevan, Tony Shao, Christopher Salgado

引用次数: 0

Artificial Intelligence in Hand and Upper Extremity Surgery Education: Accuracy and Validity of ChatGPT-4o Versus UpToDate as a Learning Tool for Trainees. 手部和上肢手术教育中的人工智能：chatgpt - 40作为学员学习工具的准确性和有效性对比

Eplasty Pub Date : 2025-05-14 eCollection Date: 2025-01-01

Caleb Bercu, Brianna Rosner, Aneeq Chaudhry, Hannah Korah, Isabel Bernal, Aaron Berger

{"title":"Artificial Intelligence in Hand and Upper Extremity Surgery Education: Accuracy and Validity of ChatGPT-4o Versus UpToDate as a Learning Tool for Trainees.","authors":"Caleb Bercu, Brianna Rosner, Aneeq Chaudhry, Hannah Korah, Isabel Bernal, Aaron Berger","doi":"","DOIUrl":"","url":null,"abstract":"Background: The use of artificial intelligence (AI) in medical education has risen rapidly. Trainees can ask ChatGPT-4o (OpenAI) clinical questions and receive management recommendations. Previous studies have assessed the accuracy of ChatGPT, but none have examined hand and upper extremity surgery. This study aimed to evaluate the accuracy of ChatGPT-4o compared to UpToDate (Wolters Kluwer) and categorize the validity of sources provided by ChatGPT-4o.Methods: Five hand and upper extremity surgery cases were entered into ChatGPT-4o. An UpToDate article was selected for each case. Two hand surgeons and 5 medical students completed a survey comparing the resources. Resources were rated on a scale from 1 to 3, with 1 indicating incomplete information and not useful; 2 indicating semi-complete information and somewhat useful; and 3 indicating a complete answer and useful for management. ChatGPT-4o references were scored on a validity scale of 0 to 2.Results: Hand and upper extremity surgeons rated ChatGPT-4o and UpToDate as semi-complete and somewhat useful, with median scores of 2.00 and 2.50, respectively. No significant differences were found between resources. Medical students found ChatGPT to provide semi-complete information and be somewhat useful overall, and rated UpToDate more often as providing a complete answer and being useful. However, no statistically significant differences were found between the resource ratings. Of the 25 references provided by ChatGPT, 28% were accurate, 6% were somewhat accurate, and 66% were inaccurate.Conclusions: The findings indicate overall comparable perceived usefulness of ChatGPT-4o and UpToDate by hand/upper extremity surgeons and trainees. ChatGPT-4o holds promise as an educational tool; however, accuracy concerns remain.","PeriodicalId":93993,"journal":{"name":"Eplasty","volume":"25 ","pages":"e17"},"PeriodicalIF":0.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144639021","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

Misconceptions in Plastic Surgery: Crowdsourcing Public Perceptions of Plastic Surgery Urban Myths. 整形手术中的误解：大众对整形手术的看法。

Eplasty Pub Date : 2025-05-13 eCollection Date: 2025-01-01

Navya Baranwal, Elijah M Persad-Paisley, Nidhi Shinde, Carole Spake, Jesse E Menville, Raman Mehrzad, Nikhil Sobti, Loree K Kalliainen

{"title":"Misconceptions in Plastic Surgery: Crowdsourcing Public Perceptions of Plastic Surgery Urban Myths.","authors":"Navya Baranwal, Elijah M Persad-Paisley, Nidhi Shinde, Carole Spake, Jesse E Menville, Raman Mehrzad, Nikhil Sobti, Loree K Kalliainen","doi":"","DOIUrl":"","url":null,"abstract":"Background: Understanding public misconceptions about plastic surgery can inform plastic surgeons of the knowledge gaps among their patients and non-plastic surgeon colleagues about the field. This deepened understanding may aid in optimizing patient satisfaction and health outcomes. The objective of this study was to investigate the extent to which laypeople agree with common plastic surgery urban myths.Methods: A Likert scale-based survey of 10 popular plastic surgery myths was distributed via Amazon Mechanical Turk. Descriptive analyses and multinomial logistical regressions were performed to assess associations between respondent demographics and the likelihood of agreeing with each myth.Results: A total of 2000 completed surveys were included in this study. Of the respondents, 41% believed that hand dominance is associated with a larger ipsilateral breast, 40% believed that underwire bras cause breast cancer, and 59% believed that typing causes carpal tunnel syndrome. Respondents who were male or younger than 35 years were more likely to believe in inaccurate myths. Health care workers had higher odds of agreeing with the claims that plastic surgery uses plastic (odd ratio [OR] = 2.49 [95% CI, 1.82-3.41]; P <.001) and that plastic surgery is almost always cosmetic (OR = 1.85 [95% CI, 1.32-2.61]; P < .001). Participants who underwent a plastic surgery procedure or consultation were generally more likely to agree with the listed myths.Conclusions: The general public and non-plastic-surgeon health care workers appear to have misconceptions about the scope and practice of plastic surgery. Open-ended patient-physician communication and patient-centered educational resources can potentially overcome plastic surgery misconceptions, thereby optimizing patient health outcomes and satisfaction.","PeriodicalId":93993,"journal":{"name":"Eplasty","volume":"25 ","pages":"e16"},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144639071","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

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