en
jalali
1390
10
1
gregorian
2012
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online
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fulltext
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Repair of Large Lip Vermilion defects with Mutual Cross Lip Musculomucosal Flaps
BACKGROUND
Vermilion irregularities are common secondary deformities after cleft lip repair, regressed or resected hemangiomas, trauma and tumor surgeries. Vermilion deficiency attracts considerable attention and detracts from an otherwise excellent lip repair. Minor and moderate vermilion defects can be corrected with upper lip advancement, rotation flaps, tongue flaps or grafts. Major defects defy correction with local flaps. A technique is described for correction of large absolute tissue defects of the vermilion using Mutual Cross-Lip Musculomucosal Flaps (MCLMF) Or Ahmad-Ali's flaps.
METHODS
This technique was applied in eight patients with major vermilion defects secondary to hemangioma regression, neoplasia, and trauma. Reconstruction with MCLMF led to create a balanced donor and recipient lips appearance and function.
RESULTS
There were no postoperative complications. Surgical results were satisfactory in all patients, and sufficient lip mobility with adequate bulk was maintained. One patient demonstrated minimal transient lip tightening.
CONCLUSION
Use of Ahmad-Ali's flaps in selected patients resulted in successful reconstruction of severe vermilion defects.
Vermilion border; Flap; Cleft lip, Mutual cross-lip musculomucosal flaps
3
10
http://wjps.ir/browse.php?a_code=A-10-2-1&slc_lang=en&sid=1
2012/03/4
1390/12/14
Ali
Manafi
1. Department of Plastic Surgery, Tehran University of Medical Sciences, Tehran, Iran
dramanafi@yahoo.com
00319475328460011
00319475328460011
Yes
Mohammad Ahmadi
Moghadam
2. Plastic Surgeon, Day Hospital, Tehran, Iran
00319475328460012
00319475328460012
No
Maryam
Mansouri
3. Plastic Surgeon, Qom, Iran
00319475328460013
00319475328460013
No
Hamed
Bateni
4. Plastic Surgeon, Mehr Hospital, Tehran, Iran
00319475328460014
00319475328460014
No
Mahnaz
Arshad
5. Department of Prosthodontics, Tehran University of Medical Sciences, Tehran, Iran
00319475328460015
00319475328460015
No
en
Modified Simple Decompression of Ulnar Nerve in Treat-ment of Cubital Tunnel Syndrom
BACKGROUND
There are two main surgical approaches, simple ulnar nerve decompression at the elbow, and anterior transposition of the nerve in treatment of cubital tunnel syndrome. Both techniques were reported in literature in details with similar reported success rates. Here, we present a modified simple de-compression surgical technique in treatment of cubital tunnel syndrome.
METHODS
Fifty eight patients diagnosed with cubital tunnel syndrome undergoing the presented technique were enrolled. This procedure consisted of ulnar nerve decompression at the elbow and a supplementary procedure of inter-muscular septum transverse cut between triceps and brachialis muscle above the elbow.
RESULTS
Complete sensory recovery was observed in 35 (60.3%) patients, however, mild and occasional sensory symptoms remained in 15 (25.9%), and moderate symptoms persisted in 6 (10.3%) patients. In two patients (3.4%), no sensory improvement was recorded. Post-operatively, muscular hypotrophy improved completely in 5 out of 12 patients (41.7%). However, in the remaining 7 patients (58.3%) with muscular atrophy, motor recovery never took place.
CONCLUSION
The presented modified simple decompression technique was shown to be an effective and safe procedure for the treatment of cubital tunnel syndrome without any complications.
Ulnar nerve; Cubital tunnel syndrome; Simple decompression; Anterior transposition; Inter-muscular septum
11
15
http://wjps.ir/browse.php?a_code=A-10-28-1&slc_lang=en&sid=1
2012/03/42012/03/4
1390/12/14
Jamal
Gousheh
Department of Plastic and Recon-structive Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
medcenter@neda.net
00319475328460016
00319475328460016
Yes
Ehsan
Arasteh
Department of Plastic and Recon-structive Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
00319475328460017
00319475328460017
No
en
Incidence of Breast Cancer in Fars Province, Southern Iran: A Hospital-Based Study
BACKGROUND
Breast cancer is still considered as one of the most common female cancers worldwide regardless of the countries’ level of development. This study determines the incidence of breast cancer in Fars Province, Southern Iran.
METHODS
This study used patients' records from Shiraz University of Medical Sciences Cancer Registry Centre, which is a Hospital-Based Registry of Nemazee Hospital. Data were recorded based on International Classification of Diseases for Oncology (ICD-O) and compromised all invasive cancers in ICD-10 categories of C-00 to C-80. The findings were shown as the number of cases by site (ICD-10) and gender, with crude incidence (CRs), age-specific incidence and age-standardized incidence rates (ASRs) per 100,000 persons per year, performed by direct method using the world standard population.
RESULTS
The age group of 40-49 years had the highest rate of breast cancer and naturally most cases were post-menopause ones. Most cases were diagnosed in moderate differentiated state with an increasing trend. Early diagnosis of in situ neoplasms has not increased over time in comprised with malignant cases. The number of diagnosed cases has sharply increased after year 2004 especially during post-menopause period.
CONCLUSION
As the number of diagnosed cases has increased during post-menopausal period, screening and health programs seem necessary for menopause women.
16
21
http://wjps.ir/browse.php?a_code=A-10-1-1&slc_lang=en&sid=1
2012/03/42012/03/42012/03/4
1390/12/14
Davood
Mehrabani
Stem Cell and Transgenic Technol-ogy Research Center, Shiraz Univer-sity of Medical Sciences, Shiraz, Iran.
00319475328460044
00319475328460044
No
Amir
Almasi
Department of Epidemiology, School of Public Health, Arak University of Medical Sciences, Arak, Iran.
00319475328460045
00319475328460045
No
Mahin
Farahmand
Office of Vice Chancellor for Health Affairs, Shiraz University of Medical Sciences, Shiraz, Iran.
00319475328460046
00319475328460046
No
Sajjad
Ahrari
Stem Cell and Transgenic Technol-ogy Research Center, Shiraz Univer-sity of Medical Sciences, Shiraz, Iran.
00319475328460047
00319475328460047
No
Abbas
Rezaianzadeh
Department of Epidemiology, School of Public Health, and Gastroentero-hepatology Research Center, Shiraz University of Medical Sciences, Shi-raz, Iran.
00319475328460048
00319475328460048
Yes
Golnoush
Mehrabani
Stem Cell and Transgenic Technol-ogy Research Center, Shiraz Univer-sity of Medical Sciences, Shiraz, Iran.
00319475328460049
00319475328460049
No
Abdol Rasoul
Talei
Department of Surgery, School of Medicine, Shiraz University of Medi-cal Sciences, Shiraz, Iran.
00319475328460050
00319475328460050
No
en
Use of Local Perforator Flaps for Post Burn Reconstruction
BACKGROUND
Mainstay of post-burn reconstruction is release and split skin grafting. Pedicle flaps are cumbersome to the patient, require multiple procedures and hospitalization. Free flaps are technically demanding and facilities are not universally available. Here we evaluated the local perforator flaps for post-burn reconstruction.
METHODS
We have used sixteen perforator propellar flaps for post-burn reconstruction for various areas of body.
RESULTS
All flaps did well without any recontracture and need of splintage.
CONCLUSION
Local perforator flaps should be considered as one of the primary treatment options for post burn reconstruction.
Perforator flaps; Propellar flaps; Burn reconstruction
22
29
http://wjps.ir/browse.php?a_code=A-10-25-2&slc_lang=en&sid=1
2012/03/42012/03/42012/03/42012/03/4
1390/12/14
Nikhil
Panse
Department of Plastic Surgery, BJ Medical College and Sassoon Hospital, Pune, India
nikhil.panse@rediffmail.com
00319475328460025
00319475328460025
Yes
Parag
Sahasrabudhe
Department of Plastic Surgery, BJ Medical College and Sassoon Hospital, Pune, India
00319475328460026
00319475328460026
No
Yogesh
Bhatt
Department of Plastic Surgery, Medical College and SSG Hospital, Baroda, India.
00319475328460027
00319475328460027
No
en
Anaplastic Large Cell Lymphoma Associated With Breast Implants
A forty two years old woman with a history of bilateral breast augmentation for cosmetic reasons was presented for poor healing of the surgical site. Tissue and periprosthetic fluid were removed from the wound site revealing an atypical lymphoid infiltrate. Subsequently the patient developed axillary lymph adenopathy. Excisional biopsy was performed. Flow cytometry was non-diagnostic. She continued to heal poorly and eventually had removal of implant during a simple mastectomy. A nodular area in the breast specimen showed ALK negative anaplastic large cell lymphoma (ALCL). The patient was treated in the private section, with only a pathology consultation being done at our institution (Figures 1-3).
Anaplastic; Large Cell Lymphoma; Breast; Implant
30
35
http://wjps.ir/browse.php?a_code=A-10-1-2&slc_lang=en&sid=1
2012/03/42012/03/42012/03/42012/03/42012/03/5
1390/12/15
Shalini
Ravi-Kumar
University of New Mexico Cancer Center, Albuquerque, NM, USA.
00319475328460028
00319475328460028
No
Omid
Sanaei
Razi Hospital, Rasht, Iran.
00319475328460029
00319475328460029
No
Mohammad
Vasef
University of New Mexico Cancer Center, Albuquerque, NM, USA.
00319475328460030
00319475328460030
No
Ian
Rabinowitz
University of New Mexico Cancer Center, Albuquerque, NM, USA.
00319475328460031
00319475328460031
No
Mohammad Houman
Fekrazad
University of New Mexico Cancer Center, Albuquerque, NM, USA.
mhfekrazad@salud.unm.edu
00319475328460032
00319475328460032
Yes
en
Combination Surgical Excision and Fractional Carbon Dioxide Laser for Treatment of Rhinophyma
Rhinophyma is a severe late complication of rosacea, which is characterized by progressive hyperplasia of sebaceous glands and connective tissue involving the lower two-thirds of the nose. It can be an emotionally devastating disorder, and serve as a medium for occult cancers and other health problems. Many surgical treatments have been advocated, as well as dermabrasion and laser therapy. In light of the problems faced with these individual therapy modalities, we advocate a combination therapy of surgical debulking and fractionated Carbon dioxide laser therapy. By excising the tissue first, we not only decreased the amount of time needed for the procedure, we were also able to preserve a histopathologic specimen that can be examined for occult cancers. After debulking, the fractionated carbon dioxide laser is then used to blend. By using fractionated carbon dioxide, we avoided the complications associated with non-fractionated carbon dioxide lasers, such as delayed healing times, hypopigmentation, hyperpigmentation, scarring, and persistent redness. We report our experience in two patients with rhinophyma who underwent a combination of surgical excision and fractional Co2 laser therapy for treatment. Pre- and postoperative protocols and treatment parameters are discussed. Both patients had excellent cosmetic and functional results and were followed for at least one year.
Surgical Excision; Fractional CO2 Laser; Treatment; Rhinophyma
36
40
http://wjps.ir/browse.php?a_code=A-10-1-3&slc_lang=en&sid=1
2012/03/42012/03/42012/03/42012/03/42012/03/52012/03/5
1390/12/15
Ramtin
Kassir
Department of Plastic Surgery, Hoag Presbytarian University Hospital, Newport Beach, CA, USA.
00319475328460033
00319475328460033
No
Johonna
Gilbreath
Department of Plastic Surgery, Hoag Presbytarian University Hospital, Newport Beach, CA, USA.
00319475328460034
00319475328460034
No
Ali
Sajjadian
Department of Plastic Surgery, Hoag Presbytarian University Hospital, Newport Beach, CA, USA.
sajjadiana@yahoo.com
00319475328460035
00319475328460035
Yes
en
Fibrinolysinoma after Direct Injection of Fibrinolysin for Treatment of Nasal Tip Swelling: A Case Report
Rhinoplasty is one of the most common aesthetic procedures in the world. It is the most common aesthetic surgery procedure in Iran. Achieving complete patient satisfaction is almost impossible but improving the aesthetics and function of the nose is the aim of surgery. This report describes a 34 years old woman with a large bump in the tip of the nose after three times cosmetic rhinoplasties. The first time was done 4 years before referral to our center as a reduction rhinoplasty operation. The next two subsequent surgeries were performed for revision and correcting the dorsal irregularities and supra tip bulge.
Unfortunately the supratip bulge persisted and subsequent subcutaneous injections of corticosteroids and fibrinolysin were carried out. She developed a bulbous tip nose deformity. Therefore, after a few months she was referred to our center. Surgical exploration showed a lesion in the supratip region and histopathologic examination showed a foreign body reaction and granuloma formation.
Rhinoplasty; Fibrinolysin; Polybeak deformity; Tip edema; Supratip deformity
41
45
http://wjps.ir/browse.php?a_code=A-10-26-1&slc_lang=en&sid=1
2012/03/42012/03/42012/03/42012/03/42012/03/52012/03/52012/03/5
1390/12/15
Abdoljalil
Kalantar Hormozi
Department of Plastic and Reconstructive Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
00319475328460036
00319475328460036
Yes
Seyed Reza
Rafei
Department of Plastic and Reconstructive Surgery, Boushehr University of Medical Sciences, Boushehr, Iran.
rrafei68@yahoo.com
00319475328460037
00319475328460037
No
en
Anaplastic Large Cell Lymphoma Associated with Breast Implant: A Case Report
Primary breast lymphoma represents less than 1% of all primary breast malignancies and most primary breast lymphomas are of B-Cell origin. The association of anaplastic lymphoma kinase (ALK) negative anaplastic large cell lymphoma (ALCL), a very rare form of primary breast lymphoma, with silicone-filled breast implants has been suggested and several case reports supported this proposal, especially in Western countries. Here we describe one of the first cases of primary breast ALK-negative ALCL in association with saline-filled silicone breast implants evaluated in Iran, where the rising number of breast reconstructive and aesthetic surgeries would commit both surgical pathologists and plastic surgeons to be familiar with this entity.
46
50
http://wjps.ir/browse.php?a_code=A-10-27-2&slc_lang=en&sid=1
2012/03/42012/03/42012/03/42012/03/42012/03/52012/03/52012/03/52012/03/5
1390/12/15
Afsaneh
Rajabiani
Department of Pathology, Tehran University of Medical Sciences, Tehran, Iran.
00319475328460038
00319475328460038
No
Hosein
Arab
Plastic surgeon, Parsian Hospital, Tehran, Iran.
00319475328460039
00319475328460039
No
Abolhasan
Emami
Department of Plastic and Reconstructive Surgery, Tehran University of Medical Sciences, Tehran, Iran.
00319475328460040
00319475328460040
No
Ali
Manafi
Department of Plastic and Reconstructive Surgery, Tehran University of Medical Sciences, Tehran, Iran.
00319475328460041
00319475328460041
No
Navid
Bazzaz
Department of Pathology, Tehran University of Medical Sciences, Tehran, Iran.
00319475328460042
00319475328460042
No
Hiva
Saffar
Department of Pathology, Tehran University of Medical Sciences, Tehran, Iran.
hsaffar@razi.tums.ac.ir
00319475328460043
00319475328460043
Yes