eng
World Journal of Plastic Surgery
2228-7914
2252-0724
2018-04
7
2
151
158
article
Outcome of Thumb Reconstruction Using the First Dorsal Metacarpal Artery Island Flap
Samir M Ghoraba
1
wael hussein
waelhussein_558@yahoo.com
2
Plastic, Reconstructive Surgery and Burns Department, Tanta Faculty of Medicine, Tanta, Egypt
BACKGROUND
Reconstruction of complex soft tissue defects of the thumb, with exposure of tendons, joints or bones, has always been a difficult task. We evaluated the functional and esthetic outcomes of 1st dorsal metacarpal artery island flap in reconstruction of post-traumatic soft tissue defects of the thumb.
METHODS
Between January 2012 and June 2014, fifteen patients with complex post-traumatic soft tissue thumb defects underwent 1st dorsal metacarpal artery island flap. Sensory function was evaluated with static 2-point discrimination and cortical reorientation. The mobility of the thumb was tested by the Kapandji score. The esthetic outcome was assessed. Patient's subjective satisfaction was evaluated by the visual analogue scale.
RESULTS
The mean flap size was 33.3×17.7 mm. All donor sites were grafted by full-thickness skin grafts from the groin. Fourteen flaps survived completely and one had distal flap necrosis was treated conservatively. The mean static two-point discrimination was 10.4 mm. Cortical reorientation was complete in 40%. The average Kapandji score was 7.1. The esthetic outcome was excellent in six, good in eight and poor in one subject. After a mean follow up period of 18.2 months, the mean subjective satisfaction score was 8.1; most patients regained all functions of the thumb and index finger and were pleased with the cosmetic appearance of the flap and donor site.
CONCLUSION
First dorsal metacarpal artery flap offers a sensate, pliable and versatile coverage for small to moderate sized thumb defects. Moreover, it provides good functional and esthetic outcomes with minimal donor site morbidity.
http://wjps.ir/article-1-297-en.pdf
Thumb
Soft tissue
Defect
First dorsal metacarpal artery flap
Reconstruction
eng
World Journal of Plastic Surgery
2228-7914
2252-0724
2018-04
7
2
159
165
article
Extended Use of Full-Thickness Skin Grafts, Employing Variable Donor Sites
Osman Fathy Osman
osmanfathi@hotmail.com
1
Sherif Emara
sherif.mohamed@hq.helwan.edu.eg
2
Department of Plastic Surgery, Alazhar University, Cairo, Egypt
Department of Plastic Surgery, Helwan University, Cairo, Egypt
BACKGROUND
Full-thickness skin graft (FTSG) is a very versatile tool regularly used in small sizes. With the established knowledge of the graft take through the margins as well as wound bed, we extended the use of the FTSG for reconstruction of large-sized defects with satisfactory results.
METHODS
We presented our experience in wound reconstruction using FTSG in 28 patients. We selected cases with graft size equal to or more than 130 cm2. Seven patients had chronic but healthy granulating wounds and 21 patients had fresh raw areas. Sizes of FTSG used varied between 130 to 452 cm2 of outstretched skin at donor sites. We used subgluteal skin crease in most of cases, though groin, upper medial thigh and medial arm aspects were also used.
RESULTS
There was no difference in graft take between fresh and chronic wound sites. Almost complete graft take was the rule in all cases apart from mild epidermal skin peeling in four cases and small spots of graft necrosis in three cases. Primary wound healing at donor sites was the rule with scar hypertrophy in six cases necessitating scar conservative care for few months.
CONCLUSION
Use of FTSG for reconstructing raw areas in acute and chronic wounds has to be safely reconsidered regardless of wound size. It’s still a sound and reliable tool which can decrease the necessity of complex flap coverage. Subgluteal skin crease is relatively a new donor site to be considered for large grafts with primary direct closure.
http://wjps.ir/article-1-287-en.pdf
Skin graft
Full-thickness
Reconstruction
Donor
eng
World Journal of Plastic Surgery
2228-7914
2252-0724
2018-04
7
2
166
170
article
How to Improve Speaking Skills in Plastic Surgery Training? Survey in Residents Participants in Pecha Kucha Contest
Guillermo Ramos-Gallardo
guiyermoramos@hotmail.com
1
Gabriel Ángel Mecott-Rivera
2
R Limon-Cervantes
3
M García-Pérez
4
E Rodríguez-Olivares
5
Mexican Society of Plastic, Aesthetic and Reconstructive Surgery, Asociación Mexicana de Cirugía, Plástica, Estética y Reconstrutiva
Mexican Society of Plastic, Aesthetic and Reconstructive Surgery, Asociación Mexicana de Cirugía, Plástica, Estética y Reconstrutiva (AMCPER), Mexico
Mexican Society of Plastic, Aesthetic and Reconstructive Surgery, Asociación Mexicana de Cirugía, Plástica, Estética y Reconstrutiva (AMCPER), Mexico
Mexican Society of Plastic, Aesthetic and Reconstructive Surgery, Asociación Mexicana de Cirugía, Plástica, Estética y Reconstrutiva (AMCPER), Mexico
Mexican Society of Plastic, Aesthetic and Reconstructive Surgery, Asociación Mexicana de Cirugía, Plástica, Estética y Reconstrutiva (AMCPER), Mexico
BACKGROUND
Little is known about educational games in Plastic Surgery training. Pecha kucha game has proved to be helpful tool to improve communicative skills. This study survey in resident participants in Pecha Kucha contest assessed how to improve speaking skills in plastic surgery training.
METHODS
In the second edition of Pecha Kucha contest of the Mexican Society of Plastic Surgery, a survey was conducted with the residents to know the utility of this educational game.
RESULTS
Twenty-six residents participated in the survey. Most of them from the Universidad Nacional Autonoma de México. Most of the residents considered it to be a good tool in order to improve communication skills and helpful for their future practice. The amount of time to present an idea was considered enough to express an idea. The most common proportion between words and images was 20-80% in the presentation.
CONCLUSION
Pecha Kucha helped to improve communication skills during residents’ training. We encourage other plastic surgery societies to incorporate educational games in their national and international meetings.
http://wjps.ir/article-1-294-en.pdf
Speaking skill
Plastic surgery
Training
Pecha Kucha contest
eng
World Journal of Plastic Surgery
2228-7914
2252-0724
2018-04
7
2
171
178
article
The Impact of Cosmetic Surgery on Married Women\'s Marital Satisfaction and Self-Concept
Nazanin Rita Davai
ndavai@yahoo.com
1
Kamran Ganji
ganjikamran@yahoo.com
2
Abdoljalil Kalantar-Hormozi
kalantarj@yhoo.com
3
Ali Abbaszadeh-kasbi
aliabbaszadeh.kasbi@yahoo.com
4
MA in Clinical Psychology, Islamic Azad University, Science and Research Branch, Tehran, Iran
Associate Professor, Department of Psychology, Malayer Branch, Islamic Azad University, Malayer, Iran
Professor of Plastic Surgery, Department of Plastic and Craniofacial Surgery, Medical College of Shahid Beheshti University of Medical Science (SBMU), 15 Khordad Hospital
Medical student, Tehran university of Medical Sciences, Tehran, Iran
BACKGROUND
This study aimed to identify the impact of cosmetic surgery on married women's marital satisfaction and self-concept in Tehran.
METHODS
This study was causal-comparative research. The study population consisted of all women having or applying for cosmetic surgery in Tehran over the second half of 2015. Convenient random sampling was used to select the participants. Enriching and Nurturing Relationship Issues Communication and Happiness (ENRICH) marital satisfaction questionnaire and Rogers' Self-concept Inventory were used to collect data.
RESULTS
The study sample included 44 individuals having facial cosmetic procedures, 51 individuals applying for cosmetic surgery and 55 non-applicants (ordinary people). There were significant differences in terms of marital satisfaction and its components between the cosmetic surgery applicants and surgery group and control group. The cosmetic surgery applicants revealed higher levels of satisfaction in comparison with the surgery and control groups regarding the components’ personality, conflict and leisure. Considering the component marital relationship, the applicant group had higher satisfaction than control group. With regard to the components financial management and relatives and friends, the applicant group had higher satisfaction, in comparison to the control group. The control group had better self-concept than the surgery and applicant groups.
CONCLUSION
Expectation for postoperative positive outcome is an important factor affecting high level of marital satisfaction in surgery applicants. Furthermore, the component self-concept is also a significant predictor of having or applying for cosmetic surgery.
http://wjps.ir/article-1-380-en.pdf
Marital satisfaction
Self-concept
Married women
Cosmetic surgery
eng
World Journal of Plastic Surgery
2228-7914
2252-0724
2018-04
7
2
179
185
article
Ideal Soft Tissue Facial Profile in Iranian Males and Females: Clinical Implications
Amir Ali Mafi
amirali.mafi@gmail.com
1
Reza Shahverdiani
2
Parviz Mafi
parvizmafi@yahoo.com
3
Clinical Research and Development Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Department of Plastic Surgery, Shahid Beheshti University of Medical Science, Tehran, Iran
Department of Plastic Surgery, Shahid Beheshti University of Medical Science, Tehran, Iran
BACKGROUND
Proper pre-operative facial analysis that includes a thorough evaluation of both the bony and soft tissue anatomy is paramount to success in performing aesthetic surgery of the face. Ethnic variations in soft tissue profile add an important variable to pre-operative facial analysis. The aim of our study was to determine the role of ethnic variations in soft tissue facial profiles through profile analysis of Iranian male and female patients.
METHODS
Photographs of 100 Iranian males and 100 Iranian females (16 to 40 years old) were carried out. A review committee selected 10 male images and 10 female images, which they believed to be most ideal. The soft tissue profiles were then analyzed. A total of 21 measurements were analyzed and statistically compared with North American Caucasian males and females.
RESULTS
The upper lip projection and lower lip projection were significantly more prominent in Iranian males as compared with North American Caucasian males. In addition, Iranian males had longer face as compared with North American Caucasian males along with a more drooping nasal tip. The frontonasal area is straighter and the lower face is longer in Iranian females compared with North American Caucasian in addition to more convex faces along with a shorter upper face.
CONCLUSION
Significant differences in ideal soft tissue profiles exist between Iranian and Caucasian males. These differences should be recognized as they may play an important role in performing facial aesthetic and reconstructive procedures, particularly rhinoplasty, genioplasty, midface/facelifts, lip augmentation, and maxillofacial surgery.
http://wjps.ir/article-1-303-en.pdf
Soft tissue
Facial profile
Caucasian
Aesthetic surgery
per
World Journal of Plastic Surgery
2228-7914
2252-0724
2018-04
7
2
186
192
article
Nutritional Status in Patients with Gastrointestinal Cancer in Comparison To Other Cancers In Shiraz, Southern Iran: a Case-Control Study
Sanaz Jamshidi
1
Najmeh Hejazi
najmehhejazi@gmail.com
2
Ali Reza Zimorovat
3
Student Research Committee, Department of Clinical Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
Nutrition Research Center, Department of Clinical Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
Student Research Committee, Department of Clinical Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
Retraction
http://wjps.ir/article-1-484-en.html
http://wjps.ir/article-1-409-en.pdf
Malnutrition
Cancer
Anthropometry
Nutrition
eng
World Journal of Plastic Surgery
2228-7914
2252-0724
2018-04
7
2
193
197
article
Effect of Follicular Unit Extraction on the Donor Area
Muhamamd Humayun Mohmand
humayunmohmand@hotmail.com
1
Muhammad Ahmad
plasticsurgeonpk@yahoo.com
2
Plastic and Hair Restorative Surgery Department, Hair Transplant Institute, Islamabad, Pakistan
Plastic and Hair Restorative Surgery Department, Hair Transplant Institute, Islamabad, Pakistan
BACKGROUND
Hair restoration surgery is one of the most commonly performed cosmetic surgery procedure in men. The main aim of the study was to know the effect of follicular unit extraction (FUE) follicular unit extraction (FUE) on donor area in terms of hair mass/density.
METHODS
Ten male patients undergoing hair restoration by FUE were included. In each patient, ten boxes of 1 cm2 each were marked. The first box was marked in the midline and the 2nd and 3rd boxes were marked about 3 cm from the midline. Another two boxes, each of 1 cm2 were also marked at the distance of 3 cm. Two boxes of 1 cm2 were marked on either side. The extraction was performed using 0.9 mm punch. The number of extracted hair were counted.
RESULTS
The mean age of the patients was 31.7 years. The average hair count in the donor area was 154.76 hair per cm2. The extracted hair count was 54.85 hair per cm2 which was about 35.44% of the total donor density (range: 28.9-42.8%). The graft to hair ratio in the extracted follicular units was 1:2.3 (range: 1:1.65-1:2.75).
CONCLUSION
As the donor density varies, the FUE should be performed with caution.
http://wjps.ir/article-1-321-en.pdf
Follicular unit extraction
Hair restoration
Donor
eng
World Journal of Plastic Surgery
2228-7914
2252-0724
2018-04
7
2
198
203
article
The Impact of Verapamil Gel on Efficiency of Tissue Expander Device in Plastic and Reconstructive Surgery
Sajjad Hattami
asamob44@yahoo.com
1
Behzad Khalatbari
2
Mona Karimi
3
Department of Plastic Surgery, Iran University of Medical Sciences, Tehran, Iran
Burn and Wound Healing Research Center, Department of Plastic Surgery, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Chemistry, Science and Research Branch, Islamic Azad University, Ilam, Iran
BACKGROUND
One of the weaknesses of recovering the skin defects by tissue expander device is that it needs relatively long time and it has complications. Since verapamil gel reduces the production of these capsules around silicone prosthesis and reduces the formation of collagen in the capsule areas. The aim of this study was to examine the effect of verapamil gel on efficiency of tissue expander device.
METHODS
Twenty patients were allocated equally into control and case groups based on age, sex, and location of the device. In both groups, the devices were placed in the areas needed and the conditions were identical. During the first operation, the length and width of the flaps and the initial size of prosthesis were determined. In the case group, verapamil gel was used daily, while a hydrogel was used as placebo locally in the control group. Then, other indicators were assessed.
RESULTS
Verapamil gel had no impact on the length, width, area, and size of placed flaps. The opening degree and necrosis of tissue were not improved in patients of case group after using the gel. The effect of verapamil gel in different age groups and gender of people had no significant difference.
CONCLUSION
Verapamil gel was shown not to have any significant impact on efficiency of tissue expander device.
http://wjps.ir/article-1-209-en.pdf
Verapamil
Tissue expander
Plastic surgery
Reconstructive surgery
per
World Journal of Plastic Surgery
2228-7914
2252-0724
2018-04
7
2
204
211
article
Biochemical Methods in Production of Three-Dimensional Scaffolds from Human Skin: A Window in Aesthetic Surgery
Seyede-Sara Hashemi
1
Somayeh Jowkar
2
Mahdokht Mahmoodi
3
Ali Reza Rafati
4
Davood Mehrabani
5
Masoumeh Zarei
6
Abdolkhalegh Keshavarzi
keshvarzg@sums.ac.ir
7
Burn and Wound Healing Research Center, Shiraz University of Medical Sciences, Shiraz, Iran;
Department of Biology, Center of Taft, Payame Noor University, Taft, Iran
Burn and Wound Healing Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Burn and Wound Healing Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; Division of Pharmacology and Pharmaceutical Chemistry, Sarvestan Branch, Islamic Azad University, Sarvestan, Iran
Burn and Wound Healing Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Obstetrics and Gynecology, Shiraz University of Medical Sciences, Shiraz, Iran
Burn and Wound Healing Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; Stem Cell Technology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; Rohan Gene Cell Tech, Shiraz, Iran
BACKGROUND
Use of matrix-derived biologic scaffolds has become a treatment of choice in several clinical issues. This study assessed biochemical methods in production of three-dimensional scaffolds from human skin.
METHODS
Human skin was prepared from circumcisions, washed in phosphate buffer saline (PBS) and kept at -20ºC until use. The skin samples underwent various methods. In group A, NaCl, Triton X100 and EDTA solution were used for removal of epidermis and was subdivided to three subgroups. The solution for removal of epidermis was similar for all subgroups, but decellularization was different. Group B was subdivided into 6 subgroups, NaCl in different concentrations was used for removal of epidermis and decellularization happened using SDS in various concentrations and different time intervals. Group C was subdivided to 3 subgroups, trypsin was used for removal of epidermis and decellularization was conducted applying NaOH or SDS. Washing was performed using only PBS. In group D, decellularization was done applying SDS. Histomorphometric study was conducted to compare the groups.
RESULTS
No fibroblast was present in A2, B2, B4, and C3 subgroups after decellularization. Histological photographs from subgroups A1 to A3 revealed several cells and collagen fibers. Dense collagen fibers in pink color were noted in all subgroups; but, epidermis was absent.
CONCLUSION
It was shown that 1M NaCl was the best solution for removal of epidermis, 0.5% SDS for 2 h was the most effective solution for decellularization and PBS was the best solution for washing, while the solutions are easily available and cost-effective.
http://wjps.ir/article-1-411-en.pdf
Scaffold
ADM
Human skin
Aesthetic medicine
eng
World Journal of Plastic Surgery
2228-7914
2252-0724
2018-04
7
2
212
219
article
Comparison of Intralesional Triamcinolone Acetonide, 5-Fluorouracil, and Their Combination in Treatment of Keloids
Sunil Srivastava
drsunilsrivastava@yahoo.co.in
1
Aditya Patil
drpatiladitya@gmail.com
2
Chaitra Prakash
drpchaitra@gmail.com
3
Hiranmayi Kumari
jhahiranmayi@gmail.com
4
Sawai Man Singh Medical College and Hospital, Jaipur
Sawai Man Singh Medical College and Hospital, Jaipur
Sawai Man Singh Medical College and Hospital, Jaipur
Sawai Man Singh Medical College and Hospital, Jaipur
BACKGROUND
Despite the myriad options available, there is no universally accepted treatment for keloids. This study has compared intralesional triamcinolone acetonide, 5-fluorouracil, and their combination in treatment of keloids.
METHODS
In this randomized parallel group study, 60 patients were enrolled and randomly allocated to three groups. Patients received intralesional injections of triamcinolone acetonide (TAC) in Group TAC, 5-fluorouracil (5FU) in Group 5FU and a combination in Group T+F every 3 weeks till 24 weeks or till the keloid resolved.
RESULTS
There was a reduction in all parameters at every successive assessment in all three groups. Improvement in terms of height, vascularity and pliability was fastest with 5FU, TAC and T+F group, respectively, which was statistically significant. Decrease in pigmentation was significantly faster with T+F. Reduction in pruritus, however, was significantly faster with 5FU than the other groups, but the difference in reduction of pain among the three groups was not significant. Telangiectasias and skin atrophy were seen most commonly in TAC group, while skin ulceration was a common problem in 5FU group.
CONCLUSION
TAC, 5FU and their combination are all effective in keloid scars. A combination of TAC+5FU seems to offer the balanced benefit of faster and more efficacious response with lesser adverse effects when compared to individual drugs.
http://wjps.ir/article-1-330-en.pdf
Keloid
Triamcinolone
Fluorouracil
eng
World Journal of Plastic Surgery
2228-7914
2252-0724
2018-04
7
2
220
225
article
An Economical Method of Auricular Splinting in Management of Auricular Pseudocyst
Karthik Rao
karthik.nag.rao@gmail.com
1
Mohan Jagade
mohanjagade@gmail.com
2
Vitthal Kale
drvdkale@yahoo.com
3
Dev Kumar
devkumar16@gmail.com
4
Amol Hekare
amolhekare15@gmail.com
5
Grant Medical College and Sir JJ Group of Hospitals
Grant Medical College and Sir JJ Group of Hospitals
Grant Medical College and Sir JJ Group of Hospitals
Grant Medical College and Sir JJ Group of Hospitals
Grant Medical College and Sir JJ Group of Hospitals
BACKGROUND
Pseudocyst of the auricle is a common benign disease. Many treatment modalities have been described for this benign condition ranging from simple aspiration to complex cutaneous surgeries involving skin de-roofing and debridement with diamond burr. the aim of treatment is to successfully resolve the seroma without damaging the underlying healthy cartilage, thus maintaining the normal contour of the auricle, and to prevent its recurrence.
METHODS
In this study we describe incision and drainage of the pseudocyst with auricular splinting.
RESULTS
Resolution was seen in 100.00 %, skin discolouration in 33.33%, skin thickening in 29.63% and deformity in 25.93% of the patients.
CONCLUSION
The use of corrugated drain sheet splint is an ingenious method of aural pseudocyst management. This method is simple and can be performed by even less experienced surgeons and highly economical which prevents the recurrence and maintains the auricular aesthetics
http://wjps.ir/article-1-342-en.pdf
Auricular
Splinting
Pseudocyst
Management
eng
World Journal of Plastic Surgery
2228-7914
2252-0724
2018-04
7
2
226
230
article
Plaster Burn: Challenge to Plastic Surgeon
Varun Singh Chauhan
varunchauhan.vc@gmail.com
1
Mohd Altaf Mir
2
Department of Plastic and Reconstructive Surgery, PGIMER and Dr. RML Hospital, India
Department of Plastic and Reconstructive Surgery, AMU, India
BACKGROUND
The thermal burn is accidental and also is the hidden and worst complication of medical plaster application. This study evaluated clinical and aetiological profile and severity of plaster burns.
METHODS
In Department of Burns, Plastic and Reconstructive Surgery from 1st August 2014 to 31st December 2015, six patients with plaster burn were assessed for total body surface area and depth of burn. The wounds were cultured and dressed with moist dressings daily till the surgical procedure and satisfactory healing.
RESULTS
The youngest patient was 10 and oldest 65 years (mean age: 40.20±6.67 years, 4 males and two females with ratio of 2:1). Three patients sustained plaster burn injury accidentally at home and 3 developed burn after medical application of plaster. The hands burns were observed commonly in accidental plaster burns, while ankle was often involved in iatrogenic plaster burns. The iatrogenic burns were mostly deep in thickness varying 2nd to 4th degree, while accidental burns were often 2nd degree. Superficial 2nd degree burns were managed conservatively, and deep 2nd degree burns were skin grafted. Fourth degree burn was managed with reverse sural flap alone and another with vacuum-assisted closure followed by reverse sural flap and skin grafting.
CONCLUSION
Plaster burn is still a challenge to plastic surgeon and it is advised for applying casts to utilize all available means to limit the amount of casting material provided. It can be accomplished without compromising the cast strength to minimize the risk of thermal injury when applying plaster or composite casts.
http://wjps.ir/article-1-322-en.pdf
Plaster
Burn
Skin
Grafting
Flap
eng
World Journal of Plastic Surgery
2228-7914
2252-0724
2018-04
7
2
231
234
article
Traumatic Partial Avulsion of Pinna Reconstruction with Limberg Flap
Aravind Menon
aravindmenonk@gmail.com
1
Alagesan G
chitralagesan@gmail.com
2
Shanthi Nursing Home, Surandai, Tirunelveli, India
Shanthi Nursing Home, Surandai, Tirunelveli, India
Traumatic injuries of ear range from simple lacerations to complex avulsions and crush injuries. The complicating factors involved are cartilage involvement, poor vascularity of the region and need for high cosmetic satisfaction. Various techniques have been described for reconstruction of earlobe after traumatic injuries. Here, we describe the reconstruction of a partially avulsed pinna using the versatile Limberg flap with superior cosmetic outcomes. This is probably the first case to be described in literature to utilizing the Limberg flap for reconstruction of a traumatic avulsion of pinna.
http://wjps.ir/article-1-292-en.pdf
Pinna
Avulsion
Limberg flap
Reconstruction
eng
World Journal of Plastic Surgery
2228-7914
2252-0724
2018-04
7
2
235
239
article
Subacute Arterial Bleeding After Simultaneous Mastopexy and Breast Augmentation with Implants
Saulius Vikšraitis
1
Ernest Zacharevskij
2
Gytis Baranauskas
baranauskas.gytis@yahoo.com
3
Rytis Rimdeika
4
Plastic Surgery Center of Saulius Vikšraitis. Kaunas, Lithuania
Lithuanian University of Health Sciences Hospital, Kaunas Clinics Plastic and Reconstructive Surgery Department, Kaunas, Lithuania
Lithuanian University of Health Sciences, Medical Academy, Kaunas, Lithuania
Lithuanian University of Health Sciences, Medical Academy, Kaunas, Lithuania
Breast augmentation with implants is one of the most commonly performed plastic surgery procedures. The goal of the operation is to increase the size, shape or fullness of the breast. It is accomplished by placing silicone, saline or alternative composite breast implants under the chest muscles, fascia or the mammary gland. This type of operation is no exception concerning the occurrence of complications. The most common early complications include an infectious process, a seroma, and a hematoma, and the late ones are capsular contracture, reoperation, implant removal, breast asymmetry, and rupture or deflation of the implant. The authors present a case of subacute arterial bleeding after simultaneous mastopexy and breast augmentation with silicone implants in a 27-year-old woman. The patient complained of worsening swelling and soreness in the right breast. The patient denied having had any traumas. Ultrasonography indicated 2.5 cm heterogeneous fluid sections around the implant. Therefore, revision surgery was performed, and a hematoma of 650 mL was removed. Hemorrhaging from a branch of an internal mammary artery was found. After the revision, the implant was returned to the lodge. The postoperative period was uneventful. This case report presents a description of a subacute hematoma after simultaneous mastopexy and breast augmentation with silicone implants, which is an extremely rare complication in esthetic surgery.
http://wjps.ir/article-1-306-en.pdf
Breast augmentation
Hematoma
Complication
Esthetic
Breast
per
World Journal of Plastic Surgery
2228-7914
2252-0724
2018-04
7
2
240
242
article
Perioperative Management of Rhinoplasty without Epinephrine
Franco Bassetto
1
Vincenzo Vindigni
2
G Tanzillo
3
Clinic of Plastic, Reconstructive and Aesthetic Surgery, University of Padua, Italy
Clinic of Plastic, Reconstructive and Aesthetic Surgery, University of Padua, Italy
Clinic of Plastic, Reconstructive and Aesthetic Surgery, University of Padua, Italy
In the last years, number of rhinoplasty operations is ever increasing, but what can be done when there is a contraindication to use a vasoconstrictor?2 In our case, we presented our perioperative management of a female patient, epinephrine intolerant, who was arranged for rhinoplasty.
http://wjps.ir/article-1-405-en.pdf
Perioperative management
Rhinoplasty
Epinephrine
eng
World Journal of Plastic Surgery
2228-7914
2252-0724
2018-04
7
2
243
248
article
Osseous Metaplasia Mimicking Long Bone in Intramuscular Vascular Malformation
Ritesh Panda
DR.RITESHPANDA@GMAIL.COM
1
Mahesh Mangal
MAHESH_MANGAL@HOTMAIL.COM
2
Sasidhar Reddy
j.sasidharreddy@gmail.com
3
Anubhav Gupta
dr_anubhav_plastic@hotmail.com
4
Swaroop Singh Gambhir
swaroopg@gmail.com
5
Bheem Singh Nanda
bheemnanda@gmail.com
6
Sir Gangaram Hospital, New Delhi, India
Sir Gangaram Hospital, New Delhi, India
Sir Gangaram Hospital, New Delhi, India
Sir Gangaram Hospital, New Delhi, India
Sir Gangaram Hospital, New Delhi, India
Sir Gangaram Hospital, New Delhi, India
We describe a case of intramuscular vascular malformation with extensive ossification within the posterior compartment muscles of leg which grossly mimicked long bone leading to equinus deformity of foot. Phleboliths and calcifications are characteristic of vascular malformations, while massive ossification is rare. To our knowledge, no extensive ossified vascular malformation within the leg muscle has been reported. Intramuscular vascular lesions occur with an incidence of 0.8%, most frequent in upper and lower extremities. Most are venous malformations. The diagnosis is rarely made before surgery and requires a definitive histological analysis, as there are no pathognomonic clinical or radiographic findings, especially with extensive ossification. Spontaneous regression does not occur, and excision of lesion is due to aesthetic and functional disturbances.
http://wjps.ir/article-1-312-en.pdf
Vascular malformation
Ossification
Equinus deformity foot
Osseous metaplasia
eng
World Journal of Plastic Surgery
2228-7914
2252-0724
2018-04
7
2
249
252
article
Invasive Fungal Infection with Absidia Corymbifera in Immunocompetent Patient with Electrical Scalp Burn
Prashant Moon
prashantemoon@gmail.com
1
N. Jithendran
jeerhendran@hotmail.com
2
Invasive fungal infection in burn injury is caused by inoculation of fungal spore from patient skin, respiratory tract or from care giver. The risk factors for acquiring fungal infection in burns include age of burns, total burn size, full thickness burns, inhalational injury, prolonged hospital stay, late surgical excision, open dressing, central venous catheters, antibiotics, steroid treatment, long-term artificial ventilation, fungal wound colonization, hyperglycemic episodes and other immunosuppressive disorders. Invasive fungal infection with Absidia corymbifera is rare opportunistic infection encountered in patient with burn injury. The key for treatment is early clinical diagnosis, wide and repeated debridement and systemic and local antifungal treatment. We describe a case of invasive fungal infection with A. corymbifera in a patient with post-electrical scalp burn with late presentation after 10 days of injury in an immunocompetent patient.
http://wjps.ir/article-1-293-en.pdf
Fungus
Absidia corymbifera
Immunocompetent
Scalp
Electrical burn
eng
World Journal of Plastic Surgery
2228-7914
2252-0724
2018-04
7
2
253
255
article
Nasal Septum and External Nasal Deformity Similarities in Monozygotic Twins and Paranasal Computed Tomography Analysis
Fatih Ozdogan
ozdogan.fatih@gmail.com
1
Halil erdem Ozel
2
Erkan Esen
3
Serdar Baser
4
Selahattin Genc
5
Adin Selcuk
6
ENT Clinic, Derince Education and Research Hospital, Kocaeli, Turkey
ENT Clinic, Derince Education and Research Hospital, Kocaeli, Turkey
ENT Clinic, Derince Education and Research Hospital, Kocaeli, Turkey
ENT Clinic, Derince Education and Research Hospital, Kocaeli, Turkey
ENT Clinic, Derince Education and Research Hospital, Kocaeli, Turkey
ENT Clinic, Derince Education and Research Hospital, Kocaeli, Turkey
Since identical twins occur as a result of the division of one egg, they have the same genetic structure. Therefore, their phenotypes and sex are also always the same. However, due to the effect of environmental factors, some of the characteristics of twins living in different regions appear to develop differently. In our case of 17-year-old maternal twins, we emphasized that nasal pathologies carried a genetic background in terms of their similarity in septum deviation and external nasal deformity, which were determined to have occurred without a history of trauma.
The article has also been presented at 10th Turkish Rhinology Congress, 22-25 May, 2014 Antalya, Turkey.
http://wjps.ir/article-1-267-en.pdf
Nasal deformıty
Monozıgotıc twıns
Paranasal
Computed tomography analysıs
eng
World Journal of Plastic Surgery
2228-7914
2252-0724
2018-04
7
2
256
260
article
High-Flow Vascular Malformation of Ear: A Case Report
Ankit Gupta
drankit1612@yahoo.com
1
Shyam Gupta
2
Akhil Kumar
3
Sameek Bhattacharaya
4
Manoj Jha
5
Vinay Tiwari
6
PGIMER & RML Hospital, Delhi, India
PGIMER & RML Hospital, Delhi, India
Indiapgimer and RML Hospital, Delhi, India
PGIMER & RML Hospital, Delhi, India
PGIMER & RML Hospital, Delhi, India
PGIMER & RML Hospital, Delhi, India
Vascular anomalies are categorized into vascular tumours or vascular malformations on the basis of clinical features and histopathology. The literature regarding high flow arteriovenous malformations of the auricle is rare. A case of a patient clinically diagnosed with an arteriovenous malformation of the external ear and was managed with preoperative embolization, surgical excision and reconstruction of ear with split thickness skin graft, is presented. The pathogenesis, clinical presentation, diagnostic work up, radiological intervention and management options regarding arteriovenous malformations are discussed. Total cure is an illusion and rarely achieved in high flow high grade vascular malformation with nearly 98% recurrence reported in 5 years. Patient followed for next 3 months with no evidence of recurrence.
http://wjps.ir/article-1-317-en.pdf
Arteriovenous
Vascular
Malformation
External ear
Embolization
eng
World Journal of Plastic Surgery
2228-7914
2252-0724
2018-04
7
2
261
262
article
A Rare Case of Bilateral Heel Sore Flap Cover
Chetan Satish
drchetansatish5@gmail.com
1
RT Nagar, Bangalore, India
http://wjps.ir/article-1-326-en.pdf
Bilateral
Heel
Sore
Flap