scholarly journals Bipedicle Advancement Flap for Skin Coverage after Digital Mucous Cyst Excision: A Retrospective Study of 18 Cases

2020 ◽  
Author(s):  
Yan‐ming Ma ◽  
Xiang‐jun Meng ◽  
Yun Su ◽  
Zuo‐fa Yan ◽  
Quan‐sheng Shao ◽  
...  

2020 ◽  
Author(s):  
Yanming Ma ◽  
Xiangjun Meng ◽  
Yun Su ◽  
Zuofa Yan ◽  
Quansheng Shao ◽  
...  

Abstract Background Many patients have skin defects after digital mucous cyst (DMC) excision, and this study aimed to assess the clinical outcomes of using a bipedicle advancement flap to cover such defects.Methods From January 2016 to January 2018, DMCs on 18 fingers of 15 patients (4 males and 11 females, with a mean age of 64 years) were treated with cyst and osteophyte excision and a bipedicle advancement flap to cover the resultant defect in this retrospective study. Postoperative flap survival, healing and infection were evaluated. The pre- and postoperative ranges of motion (ROMs) of the distal interphalangeal (DIP) or thumb interphalangeal (IP) joints were recorded. The patients were followed up for 12-36 months (mean, 20 months).Results All the flaps survived, the incisions healed well without infection, and no cyst recurrence occurred. The postoperative ROM of the affected fingers was restored to the preoperative ROM by two months after surgery. No difference was found between the preoperative and postoperative ROMs.Conclusions The bipedicle advancement flap is a simple and effective technique for covering skin defects following DMC excision.



2020 ◽  
Author(s):  
Yanming Ma ◽  
Xiangjun Meng ◽  
Yun Su ◽  
Zuofa Yan ◽  
Quansheng Shao ◽  
...  

Abstract Background : Many patients have skin defects after digital mucous cyst (DMC) excision, and this study aimed to assess the clinical outcomes of using a bipedicle advancement flap to cover such defects. Methods : From January 2016 to January 2018, DMCs on 18 fingers of 15 patients (4 males and 11 females, with a mean age of 64 years) were treated with cyst and osteophyte excision and a bipedicle advancement flap to cover the resultant defect in this retrospective study. Postoperative flap survival, healing and infection were evaluated. The pre- and postoperative ranges of motion (ROMs) of the distal interphalangeal (DIP) or thumb interphalangeal (IP) joints were recorded. Postoperative patients’ satisfaction was assessed by the visual analogue scale (VAS; 0~10). Results : The patients were followed up for 12-36 months (mean, 20 months). All the flaps survived, the incisions healed well without infection, and no cyst recurrence occurred. The postoperative ROM of the affected fingers was restored to the preoperative ROM by two months after surgery. No difference was found between the preoperative and postoperative ROMs. The score of patients’ satisfaction for surgery by means of VAS was 8.5±1.0. Conclusions : The bipedicle advancement flap is a simple and effective technique for covering skin defects following DMC excision.



2017 ◽  
Vol 42 (7) ◽  
pp. 506-510 ◽  
Author(s):  
Isidro Jiménez ◽  
Pedro J. Delgado ◽  
Ricardo Kaempf de Oliveira


2016 ◽  
Vol 63 (3.4) ◽  
pp. 278-280 ◽  
Author(s):  
Yutaro Yamashita ◽  
Hiroaki Nagae ◽  
Ryosuke Yamato ◽  
Hiromichi Sedo ◽  
Yoshiro Abe ◽  
...  
Keyword(s):  




2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Berna Aksoy ◽  
Hasan Mete Aksoy

<p>Total nail ablation for the treatment of onychodystrophies can be performed by using chemicals, surgical resection or laser ablation of nail matrix.<strong> </strong>A female patient with bilateral severe onychodystrophy as a result of inadvertent previous nail surgeries was treated surgically. Proximal complete nail matrix resection and distal 10 mm wide transverse strip partial nail bed resection were performed. A 5 mm wide transverse strip of nail bed was left intact proximally. Proximal nail matrix defect was closed by using the skin of proximal nail fold. The distal nail bed defect was reconstructed by using triple flap technique which was composed of a main central advancement flap containing ventral toe skin and two side flaps containing nail fold skin. The patient healed without any problem and her nail problem was treated successfully. The cosmetic appearance of her first toes was acceptable. Surgical nail ablation followed by volar skin coverage of dorsal surface of the distal phalanx bone by using triple flap technique is an effective surgical treatment method for the correction of advanced nail plate deformities requiring total nail ablation. </p>





2013 ◽  
Vol 39 (3) ◽  
pp. 258-261 ◽  
Author(s):  
H.-J. Lee ◽  
P.-T. Kim ◽  
I.-H. Jeon ◽  
H.-S. Kyung ◽  
I.-H. Ra ◽  
...  

Osteophyte excision is a mainstay of treatment for mucous cyst combined with Heberden’s node in a distal interphalangeal joint or in an interphalangeal joint of the thumb. The aim of this study was to evaluate the results of osteophyte excision without cyst excision for the treatment of a mucous cyst combined with Heberden’s node. The medical records of 37 patients (42 cases) with a mucous cyst with Heberden’s node were retrospectively reviewed. Thirty-eight of 40 cases with available pre-operative simple radiographs showed evidence of joint arthrosis. A T-shaped skin incision of the joint capsule between the extensor tendon and lateral collateral ligament was used. Osteophyte excision without cyst excision was performed. All cysts, except one, regressed without recurrence or a skin complication after osteophyte excision, but eight cases showed post-operative pain and loss of range of motion. Osteophyte excision without cyst excision may be a good treatment choice for mucous cyst of the finger.





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