scholarly journals Techniques of reconstructive surgery. Experience in reconstructing postoperative defects in children with forearm bone sarcomas. Case series

2021 ◽  
Vol 13 (1) ◽  
pp. 41-54
Author(s):  
A. A. Zagidullina ◽  
V. Kh. Kharbediya ◽  
A. Z. Dzampaev ◽  
D. V. Nisichenko ◽  
D. B. Khestanov ◽  
...  
Keyword(s):  
Reconstructive Surgery ◽  
Case Series ◽  
Bone Sarcomas ◽  
Forearm Bone

First-Ray Radiographic Changes After Flexible Adult Acquired Flatfoot Deformity Correction

2021 ◽  
pp. 107110072110345
Author(s):  
Chien-Shun Wang ◽  
Yun-Hsuan Tzeng ◽  
Tzu-Cheng Yang ◽  
Chun-Cheng Lin ◽  
Ming-Chau Chang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hallux Valgus ◽  
Reconstructive Surgery ◽  
Case Series ◽  
Deformity Correction ◽  
Level Of Evidence ◽  
Factors Affecting ◽  
Radiographic Parameters ◽  
Case Series Study ◽  
Adult Acquired Flatfoot Deformity

Background: Adult acquired flatfoot deformity (AAFD) and hallux valgus (HV) are common foot and ankle deformities. Few studies have reported the changes in radiographic parameters of HV after reconstructive surgery for AAFD. This study aimed to evaluate the changes in radiographic parameters of HV and analyze the risk factors for increased HV after correction of AAFD. Methods: Adult patients with flexible AAFD who underwent similar bony procedures including medializing calcaneal osteotomy and Cotton osteotomy were included. Radiographic parameters were measured on weightbearing radiographs preoperatively, postoperatively, and at the final follow-up. Patients were divided into hallux valgus angle (HVA) increased and HVA nonincreased groups; logistic regression analysis was performed to identify risk factors affecting increased HV. Results: Forty-six feet of 43 patients were included. After AAFD reconstructive surgery, the tibial sesamoid position improved by 1 grade, but the HVA increased 4 degrees in average. Further, 21 of 46 feet (46%) showed an HVA increase ≥5 degrees immediately after AAFD correction surgery. Preoperative talonavicular coverage angle <21.6 degrees was a risk factor associated with HV increase immediately after the surgery. Conclusion: In this case series, using plain radiographs to measure standard parameters of foot alignment, we found the association between AAFD correction and HV deformity measures somewhat paradoxical. Correction of overpronation of the hindfoot and midfoot appears to improve the first metatarsal rotational deformity but may also increase HVA. A lower preoperative talonavicular coverage angle was associated with an increase of the HVA after surgery. Level of Evidence: Level IV, case series study.

scholarly journals Frontoethmoidal Encephalomeningocele Revisited : The Convenience Of Teamwork Approach, A CaseSeries

1970 ◽  
Vol 1 (5) ◽  
Author(s):  
Nadia Kusumastuti ◽  
Siti Handayani ◽  
Mendy Hatibie ◽  
Enrina Diah ◽  
Kristaninta Bangun
Keyword(s):  
Reconstructive Surgery ◽  
Case Series ◽  
Plastic Surgeon ◽  
Congenital Defect ◽  
Single Stage ◽  
Surgical Correction ◽  
The Other ◽  
Defect Correction ◽  
Plastic And Reconstructive Surgery ◽  
Aesthetic Results

Background: Frontoethmoidal encephalomeningocele (FEEM) is a congenital defect of the skull which poses many problems to the patient as it results in many craniofacial and neural morbidities. While recently surgical correction of this disease is done in a single-stage procedure, many in Indonesia still perform twostage surgery which bears more risks and is technically difficult to achieve good aesthetic results. This case series intend to assess the feasibility and convenience of teamwork approach between plastic surgeon and neurosurgeon in correcting FEEM in a single-stage operation. Methods:We reviewed 8 patients with FEEM treated in Plastic and Reconstructive Surgery Division, Cipto Mangunkusumo Hospital Jakarta from November 2005 until March 2010. Four of the cases were secondary cases from Neurosurgery Department, and the other 4 cases were treated in single-stage operation, in teamwork with Neurosurgery Department, using the Chula technique. Results of each surgery was assessed using objective parameters, which are Intercanthal Distance (ICD) and Interorbital Distance (IOD); and also subjective parameters which is aesthetic improvement.Result: All of the patients showed significant improvements in ICD and IOD measurements. No complication was found intra and post-operatively. All patients, especially the ones treated with singlestage surgery show good aesthetic results. Conclusion: To achieve goals of defect correction and aesthetically pleasant appearance, single-stage surgery in teamwork with the neurosurgery department seems to be most suitable and convenient.

scholarly journals Subcutaneous Endoscopy in Plastic and Reconstructive Surgery

2021 ◽  
Author(s):  
Bharatendu Swain
Keyword(s):  
Patient Satisfaction ◽  
Postoperative Pain ◽  
Endoscopic Surgery ◽  
Reconstructive Surgery ◽  
Single Port ◽  
Case Series ◽  
High Patient Satisfaction ◽  
Intraoperative Bleeding ◽  
Wide Range ◽  
Scar Visibility

Abstract Background Scar visibility is a major deterrent to patients seeking reconstructive surgery. Endoscopic surgery can address a wide range of problems, from minimizing or concealing scars to improving access and outcomes in certain situations. This case series includes a wide range of reconstructive surgery problems addressed by subcutaneous endoscopic surgery. Having one or more trained assistants is a major deterrent to the performance of endoscopic surgery by the lone practitioner. The single (or two-port technique for muscle harvest) used in most cases simplifies subcutaneous endoscopic surgery. Methods A single-port endoscopy technique, with a 4-mm, 30-degree side viewing telescope and sheath, optical camera and cold light source, was used. Case records were reviewed for access incisions, procedure abandonment, postoperative pain, complications, and patient satisfaction. Results A total of 53 endoscopic surgical episodes between 2003 and 2013 were reviewed. Using a single port, most cases were done successfully. The access site was changed peroperatively in one case. Complications included transient nerve palsy in one case, which recovered completely. There was minimal intraoperative bleeding. Postoperative pain was low except in one case and managed with minimal analgesia. Patient satisfaction was high in all cases. Conclusions Subsurface endoscopy done on a wide range of reconstructive surgery procedures and resulted in minimal scars and high patient satisfaction.

Honey as a Treatment in Otorhinolaryngology: A Review by Subspecialty

2018 ◽  
Vol 128 (3) ◽  
pp. 193-207 ◽  
Author(s):  
Theresa Tharakan ◽  
John Bent ◽  
Raluca Tavaluc
Keyword(s):  
Head And Neck ◽  
Reconstructive Surgery ◽  
Case Series ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Cochrane Central Register ◽  
Randomized Control Trials ◽  
Randomized Control ◽  
Level 1 ◽  
Meta Analyses

Objectives: To provide an up-to-date review of honey’s effectiveness and potential applications in otorhinolaryngology. Methods: A literature search of the online databases PubMed, EMBASE, and Cochrane Central Register of Controlled Trials was conducted. Results: Sixty-three studies were identified within head and neck surgery (n = 23, 36%); pediatric otolaryngology (n = 18, 29%); rhinology, sinus, and skull base surgery (n = 11, 17%); otology (n = 6, 10%), facial plastic and reconstructive surgery (n = 3, 5%); and laryngology (n = 2, 3%). Studies included 6 meta-analyses, 44 randomized control trials, 5 case reports, and 8 animal models or in vitro studies. Of 55 clinical studies, 50 reported Level 1 evidence (prospective randomized control trials), and 5 reported Level 4 evidence (case series). The evidence level by subspecialty was: head and neck surgery (Level 1 n = 23), pediatrics (Level 1 n = 18), rhinology (Level 1 n = 7, level 4 n = 1), otology (Level 1 n = 1, Level 4 n = 3), facial plastics and reconstructive surgery (Level 4 n = 1), and laryngology (Level 1 n = 2). Conclusions: Honey can be used for a variety of otolaryngology conditions. The highest quality meta-analyses support oral honey for prevention and treatment of oral mucositis in cancer patients, cough associated with upper respiratory infection in children, and pain control after tonsillectomy. Further research will likely justify broader applications.

The intraoral anastomosing technique in reconstructive surgery of the face – A consecutive case series of 70 patients

2015 ◽  
Vol 43 (9) ◽  
pp. 1763-1768 ◽  
Author(s):  
Christian Brandtner ◽  
Heinz Bürger ◽  
Johannes Hachleitner ◽  
Alexander Gaggl
Keyword(s):  
Reconstructive Surgery ◽  
Case Series ◽  
Consecutive Case ◽  
The Face

scholarly journals Imaging and printing in plastic and reconstructive surgery part 2: emerging techniques

2019 ◽  
Vol 2 (1) ◽  
pp. 69-77
Author(s):  
Michael P Chae ◽  
David J Hunter-Smith ◽  
Warren M Rozen
Keyword(s):  
Reconstructive Surgery ◽  
English Literature ◽  
Three Dimensional ◽  
Case Series ◽  
Tactile Feedback ◽  
Navigation Systems ◽  
Plastic And Reconstructive Surgery ◽  
Image Guided ◽  
Decision Making Processes ◽  
Added Benefit

Background: In the second of a two-part series, we evaluate emerging three-dimensional (3D) imaging and printing techniques based on computed tomography angiography (CT) and magnetic resonance angiography (MRA) for use in plastic and reconstructive surgery. Method: A review of the published English literature dating from 1950 to 2017 was taken using databases such as PubMed, MEDLINE®, Web of Science and EMBASE. Results: Image-guided navigation systems using fiducial markers have demonstrated utility in numerous surgical disciplines, including perforator-based flap surgery. However, these systems have largely been superseded by augmented reality (AR) and virtual reality (VR) technologies with superior convenience and speed. With the added benefit of tactile feedback, holograms also appear promising but have yet to be developed beyond the prototypic stage. Aided by a growing volume of digitalised clinical data, machine learning (ML) poses significant benefits for future image-based decision-making processes. Conclusion: Most studies of image-guided navigation systems, AR, VR, holograms and ML have been presented in small case series and they remain to be analysed using outcomes-based validation studies. However, together they illustrate an exciting future where clinicians will be armed with intuitive technologies for surgical planning and guidance.

scholarly journals Outcome of successful graft take of Integra and split thickness skin graft after the release of post-burn neck contracture.

2021 ◽  
Vol 28 (01) ◽  
pp. 106-112
Author(s):  
Abdul Malik Mujahid ◽  
Fraz Ahmed Tarar ◽  
Farrukh Aslam Khalid ◽  
Yawar Sajjad ◽  
Usman Ishaque ◽  
...  
Keyword(s):  
Skin Graft ◽  
Reconstructive Surgery ◽  
Case Series ◽  
Scar Tissue ◽  
Split Thickness Skin Graft ◽  
Skin Staples ◽  
Graft Take ◽  
Thickness Skin ◽  
Insignificant Difference ◽  
The Mean

Objective: To determine the frequency of the successful graft take of Integra™ and split thickness skin graft after the release of post-burn neck contracture. Study Design: Descriptive Case Series. Setting: Department of Plastic Surgery, Jinnah Burn and Reconstructive Surgery Centre, Lahore. Period: 1st October, 2017 to 30th September, 2018. Material & Methods: A total of 70 cases, those who full filled the inclusion criteria were included in the study through non-probability consecutive sampling. Informed consent was obtained from all the patient. Integra was applied in all the patients after the release of contracture and excision of scar tissue and was inspected every 3-5 days. After 3 weeks, the outer layer of silicone sheet was removed and replaced by thin split-thickness skin graft. The graft was secured with skin staples, absorbent gauze and the crepe bandage. All the patients were followed up regularly and the final outcome was assessed at 6 weeks. Results: The mean age of the patients was observed as 34.51 ± 14.19 years with age range of 11to 59 years. Among these 70 patients 61.4% were male and 38.6% were females. The mean body mass index was observed to be 22.59 + 3.68 kg/m2. Out of these 70 patients, the outcome in terms of successful graft take with Integra treatment was achieved in 60 (85.7%) patients. On stratification, statistically insignificant difference was observed for the effect modifiers like age, gender and BMI. Conclusion: In our study we found that Integra and STSG can be considered as one of emerging and promising modality in burn management and reconstructive surgery with the significantly high success rate in terms of complete re vascularization and skin graft take.

scholarly journals Outcome of the acellular dermal matrix and split thickness skin graft in release of post burn contractures in hand.

2021 ◽  
Vol 28 (02) ◽  
pp. 147-152
Author(s):  
Abdul Malik Mujahid ◽  
Husnain Khan ◽  
Yawer Sajjad ◽  
Kashif Mehmood Sheikh ◽  
Noor Ali ◽  
...  
Keyword(s):  
Skin Graft ◽  
Reconstructive Surgery ◽  
Case Series ◽  
Acellular Dermal Matrix ◽  
Split Thickness Skin Graft ◽  
Dermal Matrix ◽  
Thickness Skin ◽  
Acellular Dermal ◽  
Surgery Center ◽  
Burn Contractures

Objective: To determine the frequency of success of acellular dermal matrix and split thickness skin graft in release of post burn contractures in hand using Vancouver scar scale. Study Design: Descriptive Case Series. Setting: Department of Plastic Surgery, Jinnah Burn and Reconstructive Surgery Center, Lahore. Period: 1st March, 2019 to 30th October, 2019. Material & Method: A descriptive case series conducted at Plastic Surgery Department, Jinnah Burn and Reconstructive Surgery Center, Lahore. A sample size of 75 patients, who full filled the inclusion criteria, was selected through non probability consecutive sampling Informed consent was obtained from all the patients. Pre-operative photography was done to compare the post-operative results. After the release of contractures, coverage with acellular dermis and split thickness skin graft was performed. All the patients were followed up to 2 months and the outcome was assessed by Vancouver Scar Scale. The collected data was entered and analyzed by using SPSS version 20. Descriptive statistics were calculated. Quantitative variables like age, size of scar were presented as mean, ± standard deviation. Qualitative variables were presented as frequencies and percentages. Results: Mean age of patient was 30 ± 9 years. Among them 40 were males and 35 females. Vancouver scale showed successful outcome (score ≤4) in 70.66 % of the patients. Partial release of contracture was the major complication seen in 5.33% of cases. Conclusion: Acelluar dermal matrix followed by split thickness skin graft is a very reliable option for coverage after release of post-burn contractures in hand as it provides very pliable, thin and lax skin with good color match and better contour to surrounding tissue.

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