Journals Journal of Plastic Surgery and...

Journal of Plastic Surgery and Hand Surgery
Emma Hansson, Sarah Zaya, Susanne Meyer, Alexa Freiin von Wrangel, Fredrik Wärnberg, Sophia Zackrisson
BACKGROUND: Knowledge about the prevalence of women with breast implants is paramount in calculations of risks and in estimations of effects on screening and breast cancer treatment. Most of the estimations of prevalence made to date are rough and often based on sales data. The main aim of this study was to  calculate the prevalence of breast implants in Swedish women. The secondary aim was to investigate if it is feasible to establish the occurrence of breast implants with the help of the public mammography screening programme, in a country with a publicly funded welfare-type healthcare system and with a clear documentation of screening...
September 20, 2023: Journal of Plastic Surgery and Hand Surgery
Daniel Chu, Sahand C Eftekari, Peter J Nicksic, Samuel O Poore
Career-related injuries and disorders in professional musicians are prevalent across all their respective instruments and fields. They often endure long hours of intensive practice that demand high levels of precision, dexterity, and flexibility of their head, neck, hands, and upper extremities. Unlike the average patient, musicians are sensitive to even mild symptoms and deficits that can interfere with performance, which can potentially be career-threatening. Increasing attention to the care of musicians motivated performing arts medicine to tailor the practice to their individual and unique needs...
September 1, 2023: Journal of Plastic Surgery and Hand Surgery
Chan Ju Park, Kyung Jin Lee, Jin Soo Kim, Sung Hoon Koh, Dong Chul Lee, Si Young Roh
PURPOSE: The most common hand fracture in children is seen at the base of the proximal phalanx. This study aims to compare clinical outcomes of single versus double Kirschner wire pinning for pediatric proximal phalanx base fractures. PATIENTS AND METHODS: The retrospective study enrolled patients who underwent closed K-wire pinning for proximal phalanx base fractures from January 2016 to February 2022. We divided patients into two groups based on the number of K-wire inserted (single versus double)...
September 1, 2023: Journal of Plastic Surgery and Hand Surgery
Jonas Löfstrand, Anna Paganini, Mattias Lidén, Emma Hansson
BACKGROUND: Different women's individual goals with a breast reconstruction vary, and few studies compare techniques in light of the different goals. This study aimed to compare patient-reported core outcomes in patients reconstructed with deep inferior epigastric artery perforator (DIEP) flaps and latissimus dorsi (LD) flaps. Second, breast-related factors that the patients were particularly satisfied/dissatisfied with were analyzed. METHODS: This was a retrospective cross-sectional study, which includes women who had undergone mastectomy and radiation, followed by delayed breast reconstructions with either LD flap and implant or DIEP flap during 2007-2017...
August 24, 2023: Journal of Plastic Surgery and Hand Surgery
Qiaojie Chen, Pingping Shen, Bo Zhang, Yang Chen, Chunli Zheng
OBJECTIVE: To investigate the long-term (>12 months) effectiveness of conservative management for lateral epicondylitis. DATA SOURCES: PubMed and Embase databases were searched for relevant studies from inception to March 2023. STUDY SELECTION AND DATA EXTRACTION: Only English-written randomized controlled trial (RCT) with data download as well as follow up ≥12 months were acceptable. Raw data were extracted into a predefined worksheet, and quality analysis was conducted based on the Cochrane risk-of-bias tool version 2 (RoB2)...
August 24, 2023: Journal of Plastic Surgery and Hand Surgery
Torsten Schulz, Rima Nuwayhida, Khosrow Siamak Houschyar, Stefan Langer, Lukas Kohler
Microsurgical free-tissue transfer has been a safe option for tissue reconstruction. This study aimed to analyze the diagnostic accuracy of hyperspectral imaging (HSI) after free-tissue transfer surgery. From January 2017 to October 2019, 42 consecutive free-flap surgeries were performed, and their outcomes were analyzed via HSI. Clinical examination of free-flap perfusion was initially performed. Clinical examination findings were subsequently compared with those of HSI. Potential venous congestion with subsequent necrosis was defined as a tissue hemoglobin index of ≥53%...
August 24, 2023: Journal of Plastic Surgery and Hand Surgery
Jose E Telich-Tarriba, David F Navarro-Barquin, Genesis Pineda-Aldana, Alexander Cardenas-Mejia
BACKGROUND: Early onset facial paralysis is usually managed with cross-face nerve grafts, however the low number of axons that reach the target muscle may result in weakness or failure. Multiple-source innervation, or 'supercharging', seeks to combine the advantages of different donor nerves while minimizing their weaknesses. We propose a combination of cross-face nerve grafts with local extra-facial nerve transfers to achieve earlier facial reanimation in our patients. METHODS: A retrospective cohort including all patients with early unilateral facial palsy (<12 months evolution) who underwent triple nerve transfer between 2019 and 2021 was conducted...
August 9, 2023: Journal of Plastic Surgery and Hand Surgery
Bo-Fu Shih, Fu-Yu Huang, Shih-Jyun Shen, Chih-Wen Zheng, Chao-Wei Lee, Ming-Wen Yang, An-Hsun Chou, Shiow-Shuh Chuang, Hsin-I Tsai
BACKGROUND: Opioids provide good analgesic effect in burn patients during acute phase, but these patients may develop tolerance after prolonged exposure. Alternative analgesic strategies such as peripheral nerve blocks appear to provide adequate pain control while sparing opioid-related side effects. The purpose of this study was to evaluate intravenous patient-controlled analgesia (IV-PCA) and continuous peripheral nerve block (CPNB-PCA) in severe burn patients with relatively young age undergoing repeated debridement and large-area full thickness skin graft (FTSG)...
August 1, 2023: Journal of Plastic Surgery and Hand Surgery
Farima Dalaei, Amar Bucan, Alexander Wiinholt, Mads Gustaf Jørgensen, Christian Rønn Hansen, Christina Baun, Svend Hvidsten, Eva Kildall Hejbøl, Henrik Daa Schrøder, Jens Ahm Sørensen
Lymphedema is a common complication following breast cancer treatment with axillary lymphadenectomy and radiotherapy. Currently, there is no curative treatment for this disease, hence there is a need for new therapeutic suggestions. The aim of this study was to investigate the effect of hyaluronidase (HYAL) injections after inducing hindlimb lymphedema in 36 female C57BL/6 mice. HYAL injections were administered every second day for 14 days in three groups: (1) HYAL for 1 week followed by saline for 1 week, (2) HYAL for 2 weeks, and (3) saline injections for 2 weeks...
June 20, 2023: Journal of Plastic Surgery and Hand Surgery
Arttu Mentula, Mikko Uimonen, Andrew Lindford, Sinikka Suominen, Jussi P Repo, Tuija Ylä-Kotola
BACKGROUND: The Facial Clinimetric Evaluation (FaCE) scale is a patient-reported health status instrument developed for assessing the health-related quality of life (HRQoL) in patients with facial nerve paralysis. The aim of this study was to translate and validate the FaCE scale for the Finnish-speaking population. METHODS: The FaCE scale was translated according to international guidelines. Sixty patients in an outpatient clinic prospectively completed the translated FaCE scale and generic HRQoL instrument (15D)...
June 14, 2023: Journal of Plastic Surgery and Hand Surgery
Shanshan Shi, Yanhong Gong, Hailiang Hu, Shuai Peng, Ju Liu
Impaired skin wound healing is a common complication of diabetes mellitus. Angiogenesis is a critical step in wound healing because it allows oxygen and nutrients to reach the injured area, thereby promoting wound cell proliferation, re-epithelialisation, and collagen regeneration. However, the neovascularisation ability of patients with diabetes often decreases. Therefore, finding ways to improve diabetic angiogenesis is important for treating diabetic wounds that do not heal. To the best of our knowledge, it is unclear whether dihydroartemisinin (DHA) affects diabetic wounds...
June 14, 2023: Journal of Plastic Surgery and Hand Surgery
Hans Mark, Jan Lilja, Christina Havstam
BACKGROUND: Delayed hard palate closure in unilateral cleft lip and palate (UCLP) patients show on a safe surgical method and good speech outcome, however, occurrence of orally retracted articulation before hard palate closure at 8 years. The aim of this study was to describe surgical and speech outcome in UCLP patients closing the hard palate at 3 years. METHODS: A consecutive of 28 participants were operated with Gothenburg two-stage method including soft palate closure at 6 months and hard palate at 3 years...
June 14, 2023: Journal of Plastic Surgery and Hand Surgery
Yong Zhang, Jupu Zhou, Jianzhong Qin
Homodigital dorsal branch of proper digital artery flaps (HDBPDAF) have been proved to be an excellent alternative for repairing distal soft tissue defects of fingertip. This study was to evaluate the clinical effects of HDBPDAF on repairing various soft tissue defects of fingers, including thumb and multi-fingers defects. A retrospective study was conducted in 40 patients with 44 finger defects treated with HDBPDAF from August of 2014 to December of 2021. The defects were located on fingertip and finger pulp (n = 28), finger pulp (n = 10), and dorsum of fingers (n = 6) with bone, tendon or nerve exposed...
June 14, 2023: Journal of Plastic Surgery and Hand Surgery
Atsuhiko Iwao, Hiroto Saijo, Takafumi Nakayama, Akihito Higashi, Kazuya Kashiyama, Norisato Mitsutake, Katsumi Tanaka
BACKGROUND: An artificial nerve conduit can interpose the peripheral nerve defect without donor site morbidity. However, treatment outcomes are often unsatisfactory. Human amniotic membrane (HAM) wrapping has been reported to promote peripheral nerve regeneration. We evaluated the effects of a combined application of fresh HAM wrapping and a polyglycolic acid tube filled with collagen (PGA-c) in a rat sciatic nerve 8-mm defect model. METHODS: The rats were divided into three groups: (1) the PGA-c group (n = 5), in which the gap was interposed with the PGA-c; (2) the PGA-c/HAM group (n = 5), in which the gap was interposed with the PGA-c bridge, then HAM (14 × 7 mm) was wrapped around it; and (3) the Sham group (n = 5)...
May 23, 2023: Journal of Plastic Surgery and Hand Surgery
Yuzhou Liu, Xiuyue Xu, Le Wang, Jie Lao, Yongqing Zhuang, Yousheng Fang
OBJECTIVES: The aim of this study is to make a diagnosis and a classification for congenital central slip hypoplasia. The surgical treatment was determined according to the classification. METHODS: A retrospective study of 25 treated digits in 13 patients with congenital central slip hypoplasia was carried out. The central slip was classified into two types. Type I: The distance between the insertion of central slip and the proximal interphalangeal joint was shorter than or equal to 5 mm...
May 16, 2023: Journal of Plastic Surgery and Hand Surgery
Anna A E Persson, Hanna M Lif, Alberto Falk-Delgado, Daniel Nowinski
BACKGROUND: Malplaced implants in orbital reconstruction may lead to serious complications and necessitate re-intervention. The aim of this study was to describe outcomes, complications and scenarios of re-intervention in a historical case series of orbital fractures treated with free-hand orbital wall reconstruction. The main hypothesis was that early re-interventions are mainly because of malplaced implants in the posterior orbit. METHODS: Retrospective review of 90 patients with facial fractures involving the orbit, reconstructed with radiopaque orbital wall implants, from 2011 to 2016...
May 16, 2023: Journal of Plastic Surgery and Hand Surgery
Jens Jørgsholm, Rasmus Wejnold Jørgensen
The minimal clinically important difference (MCID) for patient-reported outcome questionnaires is important in the interpretation of outcome in clinical and research settings. MCID represents the smallest difference in score that the patient would identify as important. There is, to our knowledge, no reported MCID value for Southampton Dupuytren's scoring scheme (SDSS). The SDSS is a 5-item 20 points scale, where 0 is considered no discomfort or physical limitations and 20 is the worst possible discomfort and physical limitations...
February 2, 2023: Journal of Plastic Surgery and Hand Surgery
Hande Akdeniz, Koray Gursoy, Gokay Baykara, Adile Dikmen, Hilal Ozakinci, Ugur Kocer
The platelet-rich plasma (PRP) has become popular in the medical world due to its content of growth factors and numerous studies are experimental. In experimental studies, the preparation and application of PRP are problematic and allogenic PRP transfers have been preffered, because of the difficulties in preparation of autogenic PRP in animal experiments. Xenogenic transfers and their effects have not been studied in this topic. This study aimed to investigate the effect of autogenic and xenogenic use of PRP on composite graft viability...
January 31, 2023: Journal of Plastic Surgery and Hand Surgery
Yucheng Qiu, Rui Jin, Xue Dong, Yirui Shen, Feixue Ding, Zhizhong Deng, Xianyu Zhou, Youcong Ning, Jun Yang, Fei Liu
In patients with severe blepharoptosis, the function of the levator muscle is usually weak. Even if a large amount of levator is resected, under-correction and recurrence often occur postoperatively. Frontalis suspension is the first choice for severe ptosis; however, the external orbital lifting force of the frontalis causes non-physiological eyelid movement. Conjoint fascial sheath (CFS) is a fibrous tissue which can provide dynamic movement of upper eyelids and has been applied for the treatment of mild and moderate blepharoptosis in recent years...
January 20, 2023: Journal of Plastic Surgery and Hand Surgery
Thepparat Kanchanathepsak, Katanyata Kunsook, Wasit Panoinont, Chinnawut Suriyonplengsaeng, Sorasak Suppaphol, Ittirat Watcharananan, Panithan Tuntiyatorn, Tulyapruek Tawonsawatruk
Soft tissue defects around the ankle are common and must be covered with thin and pliable flaps. A regional flap, particularly from the dorsum of the foot was considered ideal. A neurocutaneous flap, based on the superficial peroneal nerve (SPN) and its branches was designed as a proximally based flap via cadaveric dissection. This study aimed to demonstrate the vascularity and characteristics of the superficial peroneal neurocutaneous (SPNC) flap. The SPNC flap was created in 11 lower limbs (seven cadavers) using a proximally based design...
January 20, 2023: Journal of Plastic Surgery and Hand Surgery
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