World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
Evidence-Based Efficacy of Autologous Grated Cartilage in Primary and Secondary Rhinoplasty
137
143
FA
Ali
Manafi
Department of Plastic Surgery, Iran University of Medical Sciences, Tehran, Iran
Ali
Kaviani
Department of Plastic Surgery, Shiraz University of Medical Sciences, Tehran, Iran
Zahra Sadat
Hamedi
Department of Plastic Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Afsaneh
Rajabiani
Department of Pathology, Tehran University of Medical Sciences, Tehran, Iran
Navid
Manafi
Department of Plastic Surgery, Iran University of Medical Sciences, Tehran, Iran
BACKGROUND
There are numerous methods to mold and shape cartilage grafts for use in rhinoplasty. Each technique has advantages and disadvantages. We are going to introduce a new method for cartilage shaping with long lasting effects confirmed by follow up examination and pathologic evaluation.
METHODS
Grated cartilage was used in 483 patients. For 89 cases, it was wrapped in fascia and in 394 patients, used as a filler per se or in contiguity with solid structural grafts. In 51 patients, the operation was primary rhinoplasty and 432 cases, underwent secondary rhinoplasty. Postoperatively, there was a mean follow up of 2.8 years. Graft viability, and capability to maintain almost original volume, and general durability were assessed.
RESULTS
Out of 483 patients, only 23 cases (4.7%) needed later correction. In 11 cases (2%), it was due to overcorrection and some minor imperfections. In the rest 12 cases (2%), there was a need for more augmentation probably due to some degree of graft resorption. Three cases of these 12 patients, were corrected by outpatient shaved cartilage injection.
CONCLUSION
According to the very low revision rate (less than 5%), we strongly recommend our grated cartilage graft for use in primary and secondary rhinoplasty. Our study showed that patient and surgeon`s satisfaction can be achieved with a high degree of confidence.
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
Comparative Perfusion Analysis of Free Muscle-Sparing Versus Pedicle Transverse Rectus Abdominis Myocutaneous (TRAM) Flaps in Vivo in the Peri-Operative and Late Post-Operative Periods
144
151
EN
Richard
McNally
Department of Plastic Surgery, University California Irvine, 200 South Manchester Ave. Suite 650, Orange CA 92868, USA
Jonathan
Rimler
Department of Plastic Surgery, University California Irvine, 200 South Manchester Ave. Suite 650, Orange CA 92868, USA
Vincent
Laurence
Department of Plastic Surgery, University California Irvine, 200 South Manchester Ave. Suite 650, Orange CA 92868, USA
Keyianoosh
Paydar
Department of Plastic Surgery, University California Irvine, 200 South Manchester Ave. Suite 650, Orange CA 92868, USA; Denotes Co-Senior Authorship
Garrett
Wirth
Department of Plastic Surgery, University California Irvine, 200 South Manchester Ave. Suite 650, Orange CA 92868, USA; Denotes Co-Senior Authorship
BACKGROUND
Current teaching suggests increased perfusion in free transverse rectus abdominis myocutaneous (TRAM) flaps over pedicled TRAM flaps, broadening indications for its use in high risk patients. This study compared perfusion analysis of free muscle-sparing versus pedicle TRAM flaps in vivo in the peri-operative and late post-operative periods.
METHODS
The SPY-Elite system using indocyanine green dye was used to analyze flap perfusion intra-operatively and at 1 week and 3 months post-operatively. Image analysis was completed by evaluating the perfusion maps from the SPY- Elite system with Image J software calculate maximum, minimum, and average luminescence over the surface area of the flaps. Student’s T-test was used for statistical analysis.
RESULTS
Intra-operatively, we found a 73.4% greater perfusion in the free muscle-sparing as compared to the pedicled TRAM. This increase in free muscle-sparing TRAM perfusion was not evident 1 week post-operatively, due to a relative increase in pedicle flap perfusion that coincided with a revision of the pedicled flap due to distal flap necrosis. At 3 months, the free muscle-sparing TRAM flap once again showed superior perfusion with a 15.7% increase over the pedicled flap.
CONCLUSION
We showed superior free muscle-sparing TRAM perfusion in the early peri-operative period which coincided with the time framein which flap loss was most common. Local swelling, pedicle rotation, tunneling, and dominance of the deep inferior epigastric circulation were potential causes of initial decreased pedicled TRAM perfusion. This analysis adds more objective data to the question of indications and relative strengths between free and pedicled TRAM flaps.
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
The Anterior Interosseus Artery Perforator Flap: Anatomical Dissections and Clinical Study
152
158
EN
Nikhil S
Panse
Department of Plastic Surgery, BJGMC, Pune, India
Sheetal B
Joshi
Department of Anatomy, Lady Hardinge Hospital, New Delhi, India
Parag B
Sahasrabudhe
Department of Plastic Surgery, BJGMC, Pune, India
B
Bahetee
Department of Anatomy, BJGMC, Pune, India
Pradnya
Gurude
Department of Anatomy, BJGMC, Pune, India
Ajay
Chandanwale
Department of Orthopedics, BJGMC, Pune, India
BACKGROUND
Reconstruction of upper extremity deformities continues to be a challenge to the reconstructive surgeon. Various loco regional, distant and free flaps are available for reconstruction. However, each has its own set of advantages and disadvantages. Of the commonly performed local flaps, radial artery forearm flap, and the posterior interosseus artery flap stand out prominently. Recently, perforator propeller flaps have been used for resurfacing the upper extremity. The anterior interosseus artery perforator flap is an uncommonly used and described flap.
METHODS
This study was divided into anatomical study and clinical application in a IV level of evidence. In the anatomical study, five upper extremities were studied. Clinically, 12 patients underwent reconstruction using the anterior interosseus artery perforator flap. Flaps were performed by a single surgeon. A retrospective review of these cases from November 2008 to May 2014 is presented.
RESULTS
The anterior interosseus artery perforator was identified in four out of five cadaver limbs. The septocutaneous perforator was in the fifth extensor compartment around 4 cm proximal to the wrist joint. Of the twelve flaps, there was complete necrosis in one flap, and partial necrosis in one flap. The patient with complete necrosis underwent skin grafting at a later date. The wound healed secondarily in case of partial flap necrosis.
CONCLUSION
Anterior interosseus artery perforator flap must be considered as an important reconstructive option in the armamentarium of the plastic surgeon, while managing hand and wrist defects.
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
Body Image Coping Strategies among Aesthetic Surgery Clients in Iran
159
163
EN
Rokhsareh
Y. Yazdandoost
Department of Plastic and Reconstructive Surgery, Burn Research Center, St. Fatima Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Niki
Hayatbini
Department of Clinical Psychology, School of Behavioral Science and Mental Health, Iran University of Medical Sciences, Tehran, Iran
Mohammad Javad
Fatemi
Department of Plastic and Reconstructive Surgery, Burn Research Center, St. Fatima Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
BACKGROUND
Aesthetic surgery procedures have been performed at dramatically increased rates in recent years in Iran. Few researches exist documenting the usage of body image coping strategies and its relationship in seeking surgery.
METHODS
The present research examined data from 90 aesthetic surgery participants (30 Subjects each in invasive, minimally-invasive, and control groups). Assessed subjects on body image coping strategies inventory (avoidance, appearance fixing and positive rational acceptance) provided dysfunctional usage of its variables among Iranian clients.
RESULTS
Between the three groups, on variables of body image coping strategies, there was a significant difference. There was a significant difference on avoidance variable in three groups. On positive rational acceptance variable, there was a significant difference for invasive group with minimally-invasive and control groups. No significant difference was found on appearance fixing variable.
CONCLUSION
The study emphasizes on the role of psychological problems of aesthetic surgery clients that surgeons should be aware of them, which could inhibit the positive effects of aesthetic surgery. These results have implications for pre-surgical assessment along with psychological interventions at first step rather than invasive medical interventions.
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
Complications of Internal Continuous and Perforating External Osteotomy in Primary Rhinoplasty
164
169
EN
Sadrollah
Motamed
Department of Plastic and Reconstructive Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Alireza
Saberi
Department of Plastic and Reconstructive Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Feyzollah
Niazi
Department of Plastic and Reconstructive Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Hojjat
Molaei
Department of Plastic and Reconstructive Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
BACKGROUND
Osteotomy is one of the major steps in rhinoplasty. The aim of study was to compare edema and ecchymosis after external and internal lateral osteotomy in patients who underwent rhinoplasty.
METHODS
Based on a prospective randomized clinical trial, 168 osteotomies were performed through an external route in a perforating fashion and internal route in a continuous fashion at right or left side respectively in any patient. Subjective scoring system was applied to evaluate edema and ecchymosis on 1st, 3rd, 7th, and 30th days after surgery.
RESULTS
Edema and ecchymosis were the same in both types of osteotomies.
CONCLUSION
Regarding edema and ecchymosis, there was not any significant difference between external and internal osteotomies in rhinoplasty.
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
Epidemiology of Acid-Burns in a Major Referral Hospital in Tehran, Iran
170
175
EN
Reza
Vagardoost
Department of Plastic Surgery, Iran University of Medical Sciences, Tehran, Iran
Jafar
Kazemzadeh
Reconstructive and Burn surgeon, Urmia University of Medical Sciences, Urmia, Iran
Mostafa
Dahmardi
Department of Plastic Surgery, Iran University of Medical Sciences, Tehran, Iran
Soheila
Rabiepoor
Reproductive Health Research Center, Midwifery Department, Urmia University of Medical Sciences, Urmia, Iran
Ramyar
Farzan
Department of Plastic Surgery, Rasht University of Medical Sciences, Gilan, Iran
Ali Asghar
Kheiri
Department of Plastic Surgery, Tabriz University of Medical Sciences, Tabriz, Iran
Rahman
Khosravy
Department of Surgery, Urmia University of Medical Sciences, Iran
Farzad
Manafi
Department of Plastic Surgery, Iran University of Medical Sciences, Tehran, Iran
BACKGROUND
Most of the acid- burns are due to assault or accidental. The epidemiology of burns is diverse across the world and within a country. We evaluated the epidemiology and outcome of acid-burns in tertiary health care center in Tehran, Iran.
METHODS
This study was retrospective descriptive among patients referred for acid-burn injury that was done in a referral Burn Care Center in Tehran, Iran, during a ten-year period since 2005 to 2014. Patient’s data collected by a specially designed check list. The subjects included 37 consecutive patients with various causes of acid burn injury. Descriptive statistics (means with standard deviations or frequency distribution) of sociodemographic variables were computed.
RESULTS
The patients’ mean age was 31.97±11.02 years. The mean hospitalization period was 18.08±15.25 days. The grade of burn was III in 75.7% patients. Among the acid-burn patients, 64.8% suffered from < 20% of total body surface area burn. Most affected part of the body was Head /face/neck 17 (45.9%). Most of the acid-burn occurred from attack (67.6%). Burns mortality rate for this study was identified 8.1% (N=3).
CONCLUSION
The results of this study showed high acid attacks rates. Prevention strategies must be coordinated at national level. So acid-burn patients have to receive the best medical care possible, first locally and then in a specialized center.
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
The Effect of Grape Seed Oil Enema with or without Sesame Oil in Acetic Acid Induced Ulcerative Colitis of Rats
176
182
EN
Fatemeh
Hosseinzadeh
Department of Clinical Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
Moosa
Salehi
Department of Clinical Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
Nader
Tanideh
Stem Cell Technology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Davood
Mehrabani
Stem Cell Technology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Azadeh
Sayarifard
Center for Academic and Health Policy, Tehran University of Medical Sciences, Tehran, Iran
Anahita
Sedighi
Department of Cellular and Molecular Biology, Pharmaceutical Science Branch, Islamic Azad University, Tehran, Iran
BACKGROUND
Inflammatory bowel diseases contain two digestive system diseases, ulcerative colitis (UC) and Crohn’s disease with unclear causes. The aim of present study was to investigate the therapeutic effects of administration of the Sesame oil (SO) and grape seed oil (GSO) as enema route in rats suffering from experimental acetic acid induced UC.
METHODS
Eighty male rats were randomly allocated into 8 equal groups as health control (HC1) without any disease treated with 1 ml of normal saline as enema; HC2 received SO; HC3 received GSO; negative control (NC) with induced UC receiving 1 ml of normal saline as enema; and positive control (PC) with induced UC treated by asacol. All treatments were performed identically with 4 mg/kg of medication except for asacol that was 100 mg/kg for 7 days. The weight changes was recorded after seven days. The serum levels of malondialdehyde (MDA), total antioxidant capacity (TAC), interleukin-6, and c-reactive protein (CRP) were measured. Colon macroscopic and microscopic histological changes were also measured at the end of 7th day.
RESULTS
No significant changes were detected in weight in neither groups on day 0 nor at the end of study. No beneficial effects were seen for all treatments regarding healing process and the decrease in inflammation. Between treatment groups, the lowest MDA (7.40±0.98 U/ml), CRP (83.20±10.01 mg/l) and IL-6 levels (130.86±10.70 mU/ml) and highest TAC (1.91±0.43 mmol/l) belonged to GSO group.
CONCLUSION
GSO enema alone can be considered as a treatment of choice for UC due to its antioxidant properties
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
High Quality of Infant Chondrocytes in Comparison with Adult Chondrocytes for Cartilage Tissue Engineering
183
189
EN
Fatemeh
Mortazavi
Department of Anatomy, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
Hajar
Shafaei
Department of Anatomy, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
Jafar
Soleimani rad
Department of Anatomy, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
Leila
Rushangar
Department of Anatomy, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
Azadeh
Montaceri
Department of Anatomy, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
Masoud
Jamshidi
Pediatric Surgery Ward, Tabriz Children's Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
BACKGROUND
Tissue engineering is used for the treatment of many diseases, and the ideal cell source for cartilage tissue engineering is chondrocytes. The main limitation of chondrocyte is the low number of cells in cartilage tissue engineering. This study investigated a suitable cell source with high proliferation rate to obtain a large number of chondrocytes.
METHODS
Adult cartilage tissue samples were obtained from adult patients undergoing surgical procedure, and infant cartilage tissue samples were obtained from polydactyly surgical waste. After isolation and expansion of chondrocytes, the proliferation rate was evaluated by calculating population doubling time (PDT) and MTT assay for both types of cells. Cartilage film was prepared with sheets of over confluent chondrocytes. The cartilage tissue film from infant and adult chondrocytes were evaluated histologically and by immunefluorescent staining collagen type 2.
RESULTS
PDT and MTT assays revealed that the growth rate of the infant chondrocytes was significantly higher than adult chondrocytes. Histological findings showed that sheets were thicker in the cartilage film of infant chondrocytes and they had more extracellular matrix between the sheets of cells than the cartilage film of adult chondrocytes. The findings of the immunofluorescent staining of cartilage film indicated that collagen type II film of polyductily was more positive than adult chondrocytes.
CONCLUSION
The recent study presented a new cell source to overcome the limitation of low number of chondrocytes for cell therapy of cartilage defects in adults and also sheets of cells able to overcome the problems of scaffolds.
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
The Healing Effect of Conditioned Media and Bone Marrow-Derived Stem Cells in Laryngotracheal Stenosis: A Comparison in Experimental Dog Model
190
197
FA
Kamyar
Iravani
ENT Research Center, Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran
Arash
Sobhanmanesh
ENT Research Center, Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran
Mohammad Javad
Ashraf
Department of Pathology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Seyed Basir
Hashemi
ENT Research Center, Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran
Davood
Mehrabani
Stem Cell Technology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Shahrokh
Zare
Stem Cell Technology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
BACKGROUND
Differences in causes, severities, areas of stenosis, and the association with swallowing and phonation of larynx and trachea can result into Laryngotracheal stenosis (LTS).This study evaluated the healing effect of bone marrow stem cells (BMSCs) in experimentally induced LTS dog model.
METHODS
<span style="font-size:12.0pt;line-height:200%;mso-ascii-font-family: " times="" new="" roman";mso-ascii-theme-font:major-bidi;mso-hansi-font-family:"times="" roman";="" mso-hansi-theme-font:major-bidi;mso-bidi-font-family:"times="" mso-bidi-theme-font:major-bidi"="">Seven dogs were enrolled. BMSCs were isolated from proximal humerus and shoulder of a dog and cultured in media containing alpha minimal essential medium, fetal bovine serum, penicillin and streptomycin, and L-glutamine. BMSCs were characterized morphologically, by RT-PCR, and osteogenic induction. Karyotyping was undertaken for chromosomal stability. Mechanical trauma to laryngeal mucosa was identically conducted by Tru-cut punch forceps in right and left vocal folds. Two milliliter of conditioned media or BMSCs (2×106) were injected in the right site of the tissue and the left side was considered as control after LTS induction. The larynx was visualized 2, 4 and 6 weeks after treatment. Six weeks post-treatment, the larynges were evaluated histologically.
RESULTS
BMSCs were adhered to culture flasks, spindle shape and positive for mesenchymal marker and negative for hematopoietic markers. Osteogenic induction was verified by Alizarin red staining. Karyotype was normal. A complete epithelialization and minimal chronic inflammatory cell infiltration were noted in submucosa of both left (control) and right (cases) vocal folds. The healing effect of conditioned media and BMSCs in comparison to the control group was more prominent.
CONCLUSION
As thickness of fibrosis in cases were less than control group, conditioned media and BMSCs were shown to be good choices in healing of LTS.
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
The Role of Human Adult Peripheral and Umbilical Cord Blood Platelet-Rich Plasma on Proliferation and Migration of Human Skin Fibroblasts
198
205
EN
Seyedeh-Sara
Hashemi
Mahdokht
Mahmoodi
Burn and Wound Healing Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Ali Reza
Rafati
Division of Pharmacology and Pharmaceutical Chemistry, Sarvestan Branch, Islamic Azad University, Sarvestan, Iran
Davood
Mehrabani
Stem Cell Technology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
BACKGROUND
Wound healing is a complex and dynamic process following damage in tissue structures. Due to extensive skin damage caused by burn injuries, this study determined the role of human adult peripheral and umbilical cord blood platelet-rich plasma on proliferation and migration in human skin fibroblasts.
METHODS
Platelet-rich plasma (5, 10, 15, 20 and 50% PRP) from human umbilical cord blood and adult peripheral blood were provided and added to fibroblasts cultured from a human skin sample. Migration and proliferation of fibroblasts were assessed in comparison to 10% FBS and by the fibroblast responses to a concentration gradient.
RESULTS
All components of the umbilical cord blood PRP significantly stimulated the growth of fibroblasts when compared to the negative control. Fibroblast growth was enhanced in a dose dependent manner. All fibroblast cultures retained normal morphology. No significant difference was noted between umbilical cord blood and adult peripheral blood PRP preparations regarding cell proliferation and migration, but the difference to 10% FBS was significant. 1% and 50% PRP reduced cellular proliferation. The 20% umbilical cord blood PRP and 10% adult peripheral blood PRP had a significant stimulatory effect on the migration of the skin fibroblast cells in comparison with 10% FBS.
CONCLUSION
As PRP could promote the migration and proliferation of dermal fibroblasts, it can be safely added in cultures when treatment of chronic wounds without triggering the immune response is needed.
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
Management of Gigantomastia: Outcomes of Superomedial Pedicle with Vertical Scar or Wise Pattern Skin Excision
206
211
EN
Mehmet Can
Sak
Bıngol State Hospıtal, Plastıc Reconstructıve and Aesthetıc Surgery Department, Bingol, Turkey
Selcuk
Akin
Uludag University, Faculty Of Medıcıne, Plastıc Reconstructıve and Aesthetıc Surgery Department, Uldag, Turkey
Burak
Ersen
Kassatıon State Hospıtal, Plastıc Reconstructıve and Aesthetıc Surgery Department, Kassation, Turkey
Orhan
Tuanli
Uludag University, Faculty Of Medıcıne, Plastıc Reconstructıve and Aesthetıc Surgery Department, Uldag, Turkey
Aksu
Ismail
Uludag University, Faculty Of Medıcıne, Plastıc Reconstructıve and Aesthetıc Surgery Department, Uldag, Turkey
BACKGROUND
Gigantomastia is a rare condition characterized by excessive breast growth and can be physically and psychosocially disabling for the patient. Regarding management of gigantomastia, this study evaluates the outcomes of superomedial pedicle with vertical scar or wise pattern skin excision.
METHODS
A total of 425 patients who underwent reduction mammoplasty in our institution were reviewed. Forty eight reduction mammoplasty patients with resection weights greater than 1 kg per breast and treated with superomedial dermoglandular pedicle technique combined with vertical or wise-pattern skin excision were included.
RESULTS
The patients were between 19 and 66 years old, with an average of 41 years. Total weight of resection was between 1000 and 2600 g, with an average of 1384 grams for right breast and between 1000 and 3000g, with an average of 1434 grams for left breast. The secondary revisions and wound healing complications were extremely high in vertical scar group compared to wise pattern group (87,5% and 12,5%, respectively).
CONCLUSION
The authors concluded that superomedial dermoglandular pedicle in the addition of a wise pattern is an appropriate, safe and reliable method when dealing with significantly larger breasts (>1000g).
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
Reverse Peroneal Artery Flap for Large Heel and Sole Defects: A Reliable Coverage
212
219
EN
Yogesh C.
Bhatt
Department of Plastic and Reconstructive Surgery, SumandeepVidyapeeth University, Vadodara, India
Sumer
Singh
Department of Plastic and Reconstructive Surgery, SumandeepVidyapeeth University, Vadodara, India
Piyush
Doshi
Department of Plastic and Reconstructive Surgery, SumandeepVidyapeeth University, Vadodara, India
Sanjay G.
Vaghani
Department of Plastic and Reconstructive Surgery, SumandeepVidyapeeth University, Vadodara, India
BACKGROUND
Large soft tissue defects of ankle and foot always have been challenging to reconstruct. Reverse sural flaps, free flaps have been used for this problem with variable success. Reverse peroneal artery flap is an option to use with reliability without microvascular repair. Connections of peroneal artery around talus and ankle joint are deep and reliable with anterior tibial and posterior tibial artery. Arterial inflow and venous drainage improved with including short saphenous vein and reverse sural artery in the flap.
METHODS
Ten patients with large defects around heel underwent reconstruction with (RPAF) reverse peroneal artery flap (pedicled) over a period of 2 years. Final inset given after 18-21 days of primary surgery. The mean age of these patients was 45 years.
RESULTS
Of the 10 flaps, all showed complete survival without even marginal necrosis. Two patients had minor donor site problems that settled with conservative management.
CONCLUSION
RPAF is a very reliable flap for the coverage of large soft tissue defects of the heel and sole. Large defects can be reconstructed without microvascular surgery and without compromising major vessel of foot region. If some experience with perforator flaps and free fibula is there then RPAF is easy to execute with reliability.
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
Fibular Bone Graft for Nasal Septal Reconstruction: A Case Report
220
224
EN
Yakup
Cil
Although various techniques have been described for treatment of severe nose deformities, these problems have high revision rates. Conventional nasal septal surgery may not be adequate for all cases. A 21-year-old male patient with nose deformity underwent a nasal surgery. Patient had both functional and aesthetic nasal problems. Rigid fibular bone graft was used for corrective nasal surgery. Duration of the operation was three hours. Patient recovered without problems. Aesthetic and functional results of the operation were acceptable. Fibular bone graft may offer a long lasting support in treatment of severe nose deformity.
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
Hand Injuries by the Killer Kite Manja and Their Management
225
229
EN
Mohd Altaf
Mir
Department of Burns Plastic and reconstructive surgery
Adil Mahmud
Ali
Department of Burns Plastic and reconstructive surgery
Mohd
Yaseen
Department of Burns Plastic and reconstructive surgery
Arshad Hafeez
Khan
Department of Burns Plastic and reconstructive surgery
Although hand injuries due to kite strings seem to be trivial, these injuries could be serious enough to lose the function of hand. This case series in the division of Plastic and Reconstructive Surgery of our institution from August 2014 to January 2016 evaluated the clinic-etiological profile, severity and management of hand injuries due to kite strings assessed clinically and radiologically. Eleven patients reported kite related injuries during two years, and 5 presented during 17 months. Of 11 patients, 8 were male and 3 were female with a M:F ratio of 2.66:1. The majority of patients presented with the mean age of 19.9±4.27 years. Eight patients presented acutely to the emergency while 3 believed the injury to be trivial and had delayed presentation. Injuries in the right hand were 8 and 3 in the left hand. Seven patients had injuries in zone II of the hand while 4 presented with zone III injuries. Total number of injured digits was 14 (1.4±1.11), total number of injured tendons was 26 (2.36±2.18), only one patient had nerve injury (mean=0.09), and no patient had any major vessel injury. So strict attention to safety measures and parental/guardian supervision while flying kites can avoid many preventable injuries to life and limb and also let the sport be an enjoyable and safe.
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
Urethroplasty Using A Turnover Flap for Correctıon of Problematıc Urethrocutaneous Fıstula: A Case Report
230
232
EN
Husnu
Tokgoz
Department of Urology, Antalya Training and Research Hospital, Antalya, Turkey
Gulsum
Tetik
Department of Urology, Antalya Training and Research Hospital, Antalya, Turkey
Soner
Yalcinkaya
Department of Urology, Antalya Training and Research Hospital, Antalya, Turkey
Ali
Yildiz
Department of Urology, Antalya Training and Research Hospital, Antalya, Turkey
Murat
Savas
Department of Urology, Antalya Training and Research Hospital, Antalya, Turkey
Urethral fistula formation after urethroplasty for hypospadias is a frequent complication. Repeated failures can occur even after multiple attempts at repair. A surgical procedure is described for a problematic resistant urethrocutaneous fistula (UF) with the transverse turnover flap using the Buck’s fascia of the corpus cavernosum. A 23-year-old male was admitted to our hospital with recurrent coronal UF. We placed a suprapubic catheter in the bladder and operated the patient with the flap technique combined with glanuloplasty. In 3rd month follow up, the patient had no fistula with normal voiding.
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
Reconstructive and Oncoplastic Surgery for Giant Phyllodes Tumors: A Single Centre's Experience
233
237
EN
Vassilis
Pitsinis
Breast Unit of Tayside NHS Trust, Ninewells Hospital and Medical School, Dundee, Scotland
Osama
Moussa
Breast Unit of Tayside NHS Trust, Ninewells Hospital and Medical School, Dundee, Scotland
Fiona
Hogg
Breast Unit of Tayside NHS Trust, Ninewells Hospital and Medical School, Dundee, Scotland
Jane
McCaskill
Breast Unit of Tayside NHS Trust, Ninewells Hospital and Medical School, Dundee, Scotland
Phyllodes tumors are biphasic fibroepithelial neoplasms of the breast. While the surgical management of these relatively uncommon tumors has been addressed in the literature, few reports have commented on the surgical approach to tumors greater than ten centimetres in diameter – the giant phyllodes tumor. We report a case of giant breast tumors and discuss the techniques utilized for pre-operative diagnosis, tumor removal, and breast reconstruction. A review of the literature on the surgical management of phyllodes tumors was performed.
Management of the large phyllodes tumors presents the surgeon with unique challenges. The majority of these tumors can be managed by simple mastectomy but reconstruction and even oncoplastic conservative management is for selective consideration.
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
Ergonomics and Biogeometry of Perforator/Propeller Flaps in the Lower Limb Reconstruction
238
242
EN
Mir
Yasir
Department of Plastic and Reconstructive Surgery, Skims, Srinagar, India
Adil
Hafeez Wani
Department of Plastic and Reconstructive Surgery, Skims, Srinagar, India
Haroon Zargar
Rashid
Department of Plastic and Reconstructive Surgery, Skims, Srinagar, India
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
Stacked PAP Flaps for Two-Stage Immediate Bilateral Breast Reconstruction: A Case Report
243
245
EN
Luis
Parra
Department of Plastic Surgery, Hospital 12 de Octubre, Madrid, Spain
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
A Rare Case of Extra Gigantic Digit of Sole
246
247
EN
Chetan
Satish
Sanjeevani hospital, bangalore
Subhash
Reddy
Sanjeevani hospital, bangalore
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
Giant Palmar Lipoma: A Rare Presentation
248
250
EN
Veena
Singh
Vijay
Kumar
Arun K
Singh
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
Using Pericardium Allograft in Closing Tracheal Fistula after Removing Tracheotomy Tube
251
253
EN
Shahrokh
Attarian
Department of Plastic Surgery, Zanajan University of Medical Sciences, Zanjan, Iran
Fereidoon
Sirati
Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
The Effect of Aloe Vera Gel and Nitrofurazone on Dressing Related Pain of Superficial Burn Wounds
254
256
EN
Shokoh
Varaei
School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
Fatheme
Mohaddes Ardabili
School of Nursing and Midwifery, Iran university of Medical Sciences, Tehran, Iran
Parichehr
Sabaghzadeh Irani
Department of Nursing, Faculty of Nursing and Midwifery, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
Hadi
Ranjbar
Mental Health Research Center, Iran University of Medical Sciences, Tehran, Iran
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
An Innovative Method of Repeated Tie over Dressing for Fixation of skin Graft
257
259
EN
Shabeer
Wani
Department of Plastic Surgery, King F M C, Riyadh, Saudi Arabia
Ovais
Matto
Department of Plastic Surgery, King F M C, Riyadh, Saudi Arabia
Doaa
Andejani
Department of Plastic Surgery, King F M C, Riyadh, Saudi Arabia
Faris
Akmugarian
Department of Plastic Surgery, King F M C, Riyadh, Saudi Arabia
Faris
Aldhagri
Department of Plastic Surgery, King F M C, Riyadh, Saudi Arabia
Ahmad
Wafa
Department of Plastic Surgery, King F M C, Riyadh, Saudi Arabia
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
Orange and Sunlight: A Recipe for Blisters
260
262
EN
Stephanie
Au
Department of Surgery, Glasgow Royal Infirmary, 84 Castle Street, Glasgow, UK
Ali
Yousif
Department of Plastic Surgery, Wexham Park Hospital, Slough, UK
Suresh
Anandan
Department of Plastic Surgery, Wexham Park Hospital, Slough, UK
World Journal of Plastic Surgery
2228-7914
6
2
2017
4
1
Mirror Hand: An Uncommon Neglected Case Managed with Pollicisation
263
265
EN
Sunil
Gaba
Department of Plastic Surgery, PGIMER, Chandigarh, India
Naveen
John
Department of Plastic Surgery, PGIMER, Chandigarh, India
Sandeep
Bhogesha
Department of Plastic Surgery, PGIMER, Chandigarh, India
Onkar
Singh
Department of Plastic Surgery, PGIMER, Chandigarh, India
Guru karna
Vemula
Department of Plastic Surgery, PGIMER, Chandigarh, India