Pub Date : 2021-07-01DOI: 10.4103/tjps.tjps_122_20
J. Rahmati, A. Yavari, Omid Etemad
Background: The beauty of nasal tip is very important in septorhinoplasty surgeries. Unstable tip rotation may lead some problems in the outcome of this surgery or performing a repair surgery. Hence, using an appropriate method to save the tip rotation for the long term is considered. Materials and Methods: We studied 30 patients who underwent rhinoplasty in Imam Khomeini Hospital Complex of Tehran and Razi Hospital of Tehran and divided them equally into two groups of rein (case) and septocolumellar (control), randomly. Then, we evaluated the rotation and projection of the nasal tip (nasolabial, columellar-labial, and nasofacial angles) after 2 weeks and 6 months of the surgery. Results: In both groups, 80% and 20% of the patients were female and male, respectively. The reduction of the nasal projection (columellar-labial and nasofacial angles) and nasal rotation (nasolabial angle) was significant in both groups during 6 months after the surgery (P > 0.001) that showed reduction in the nasal projection and rotation after 6 months in both group. This reduction was not significant in the nasofacial and columellar-labial angles (nasal projection) among two groups. However, in the case of nasolabial, we found less reduction in the case group that explains significant relation (P = 0.03). Discussion: Using rein flap can be used as a proper way to save the tip rotation in the long term and could be used in the patients with droopy tip noses. Conclusion: Using rein flap in nasal tissue seems to be effective in providing a stable rotation and projection. This method can be considered as a good option for providing proper projection and rotation.
{"title":"The effectiveness of rein flap technique in the cosmetic outcomes of rhinoplasty","authors":"J. Rahmati, A. Yavari, Omid Etemad","doi":"10.4103/tjps.tjps_122_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_122_20","url":null,"abstract":"Background: The beauty of nasal tip is very important in septorhinoplasty surgeries. Unstable tip rotation may lead some problems in the outcome of this surgery or performing a repair surgery. Hence, using an appropriate method to save the tip rotation for the long term is considered. Materials and Methods: We studied 30 patients who underwent rhinoplasty in Imam Khomeini Hospital Complex of Tehran and Razi Hospital of Tehran and divided them equally into two groups of rein (case) and septocolumellar (control), randomly. Then, we evaluated the rotation and projection of the nasal tip (nasolabial, columellar-labial, and nasofacial angles) after 2 weeks and 6 months of the surgery. Results: In both groups, 80% and 20% of the patients were female and male, respectively. The reduction of the nasal projection (columellar-labial and nasofacial angles) and nasal rotation (nasolabial angle) was significant in both groups during 6 months after the surgery (P > 0.001) that showed reduction in the nasal projection and rotation after 6 months in both group. This reduction was not significant in the nasofacial and columellar-labial angles (nasal projection) among two groups. However, in the case of nasolabial, we found less reduction in the case group that explains significant relation (P = 0.03). Discussion: Using rein flap can be used as a proper way to save the tip rotation in the long term and could be used in the patients with droopy tip noses. Conclusion: Using rein flap in nasal tissue seems to be effective in providing a stable rotation and projection. This method can be considered as a good option for providing proper projection and rotation.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78126774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-01DOI: 10.4103/tjps.tjps_104_20
D. Dağdelen, A. Aksoy, E. Benlier
In planning of free-style free perforator flaps, relying on defined anatomical landmarks and preoperative imaging technologies is difficult to locate the perforating arteries. Situation gets more complicated when encountered multiple perforating arteries enter the small skin paddle. In these situations, the ideal perforator has to be selected mostly by clinical inspection. We would like to share our method for selecting the ideal perforating vessel in free-style perforator flaps by utilizing portable thermal camera, which may be a reliable intraoperative adjunct. An index digit soft-tissue reconstruction was planned with a free posterior interosseous artery flap. Preoperatively, two perforators were marked on intermuscular septum. After the skin island is elevated totally, both of the arteries were found to be of similar by means of caliber (<0.8 mm) and pulsation. A cold challenge test was applied to flap and a continuous video record with thermal camera was taken for 1 min. Video record shows that the dominant perforator is the distal one. Thus, the flap was raised based on distal perforator. Postoperative follow-up was uneventful. The portable thermal imaging is a low cost and readily accessible intraoperative adjunct for selecting the dominant perforator in free-style perforator free flaps.
{"title":"A practical tip for intraoperative perforator vessel selection: Portable thermal imaging","authors":"D. Dağdelen, A. Aksoy, E. Benlier","doi":"10.4103/tjps.tjps_104_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_104_20","url":null,"abstract":"In planning of free-style free perforator flaps, relying on defined anatomical landmarks and preoperative imaging technologies is difficult to locate the perforating arteries. Situation gets more complicated when encountered multiple perforating arteries enter the small skin paddle. In these situations, the ideal perforator has to be selected mostly by clinical inspection. We would like to share our method for selecting the ideal perforating vessel in free-style perforator flaps by utilizing portable thermal camera, which may be a reliable intraoperative adjunct. An index digit soft-tissue reconstruction was planned with a free posterior interosseous artery flap. Preoperatively, two perforators were marked on intermuscular septum. After the skin island is elevated totally, both of the arteries were found to be of similar by means of caliber (<0.8 mm) and pulsation. A cold challenge test was applied to flap and a continuous video record with thermal camera was taken for 1 min. Video record shows that the dominant perforator is the distal one. Thus, the flap was raised based on distal perforator. Postoperative follow-up was uneventful. The portable thermal imaging is a low cost and readily accessible intraoperative adjunct for selecting the dominant perforator in free-style perforator free flaps.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89203195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-01DOI: 10.4103/tjps.tjps_126_20
S. Evin, E. Erkol, M. Sutcu, Z. Tosun
Hypothenar hammer syndrome (HHS) is a rare traumatic vascular disease, which is characterized by pain and cold insensitivity in the areas fed by ulnar artery. Computerized tomography angiography (CTA) is the gold standard for the accurate diagnosis of it. Less invasive tests that are used to make decisions regarding the application of angiography, which is an invasive imaging method, have been reported in the literature. In this study, an indocyanine green-enhanced near-infrared fluorescence imaging system is used for the diagnosis of a patient with HHS who was not properly diagnosed with CTA. Although CTA is still considered as the gold standard for the diagnosis of upper extremity vascular insufficiencies, indocyanine green-enhanced fluorescence imaging, being an easily applicable and lacking of radiation exposure, should be considered first before CTA.
{"title":"A new utilization area of near-infrared fluorescence imaging: Hypothenar hammer syndrome","authors":"S. Evin, E. Erkol, M. Sutcu, Z. Tosun","doi":"10.4103/tjps.tjps_126_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_126_20","url":null,"abstract":"Hypothenar hammer syndrome (HHS) is a rare traumatic vascular disease, which is characterized by pain and cold insensitivity in the areas fed by ulnar artery. Computerized tomography angiography (CTA) is the gold standard for the accurate diagnosis of it. Less invasive tests that are used to make decisions regarding the application of angiography, which is an invasive imaging method, have been reported in the literature. In this study, an indocyanine green-enhanced near-infrared fluorescence imaging system is used for the diagnosis of a patient with HHS who was not properly diagnosed with CTA. Although CTA is still considered as the gold standard for the diagnosis of upper extremity vascular insufficiencies, indocyanine green-enhanced fluorescence imaging, being an easily applicable and lacking of radiation exposure, should be considered first before CTA.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91032967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-01DOI: 10.4103/tjps.tjps_118_20
M. Ozkan, Mustafa Oluklu
Introduction: Gynecomastia (GM) during adolescence is quite common and represents a serious psychological challenge among young males. Obesity is also one of the major public health problems affecting an important proportion of the population. We studied the relationship between nutritional habits, body mass index (BMI), and GM of adolescent males. Materials and Methods: In this study, we report an analysis of the incidence of GM and its relationship with nutrition habits and BMI among 511 randomly selected high-school students between 16 and 18 years of age from schools located in Pendik municipality of Istanbul. Results: We found the incidence of GM of 33.3% (n = 170) in 511 high-school boys of whom 24.8% (n = 127) were classified overweight or obese. Although the mean BMI for the entire group was within the normal range (22.8 ± 4.4), it was significantly higher in boys with GM compared to the boys without GM, 26.8 ± 4.5 vs. 20.7 ± 2.5, respectively (P < 0.001). In addition, boys with stage 2 and higher degree GM had higher BMI compared to those with stage 1 GM, 29.2 ± 4.5 vs. 24.8 ± 3.3, respectively (P < 0.001). We, thereby, observed a clear positive correlation between BMI and GM. Conclusion: GM in high-school boys is closely correlated with overweight and obesity. Precautions should be taken to increase awareness of this global health concern to develop comprehensive public health strategies to improve the prevention and management of obesity and related complications like GM.
{"title":"The impact of obesity and nutrition habits on gynecomastia among Turkish adolescent males","authors":"M. Ozkan, Mustafa Oluklu","doi":"10.4103/tjps.tjps_118_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_118_20","url":null,"abstract":"Introduction: Gynecomastia (GM) during adolescence is quite common and represents a serious psychological challenge among young males. Obesity is also one of the major public health problems affecting an important proportion of the population. We studied the relationship between nutritional habits, body mass index (BMI), and GM of adolescent males. Materials and Methods: In this study, we report an analysis of the incidence of GM and its relationship with nutrition habits and BMI among 511 randomly selected high-school students between 16 and 18 years of age from schools located in Pendik municipality of Istanbul. Results: We found the incidence of GM of 33.3% (n = 170) in 511 high-school boys of whom 24.8% (n = 127) were classified overweight or obese. Although the mean BMI for the entire group was within the normal range (22.8 ± 4.4), it was significantly higher in boys with GM compared to the boys without GM, 26.8 ± 4.5 vs. 20.7 ± 2.5, respectively (P < 0.001). In addition, boys with stage 2 and higher degree GM had higher BMI compared to those with stage 1 GM, 29.2 ± 4.5 vs. 24.8 ± 3.3, respectively (P < 0.001). We, thereby, observed a clear positive correlation between BMI and GM. Conclusion: GM in high-school boys is closely correlated with overweight and obesity. Precautions should be taken to increase awareness of this global health concern to develop comprehensive public health strategies to improve the prevention and management of obesity and related complications like GM.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79983085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-01DOI: 10.4103/tjps.tjps_129_20
T. Aksan, M. Ozturk, M. Ozer, Ilknur Mansuroglu, M. Akan
Introduction: Rhinoplasty constitutes an example wherein the various types of filling materials are used for nasal dorsal deformities. In this study, we took the advantage of a simplified procedure and used fibrin isolated from the coagulated peripheral blood of the experimental animal. Durability and viability of diced autologous cartilage grafts adhered to each other and formed using fibrin extracts were assessed experimentally in a rabbit model. Subjects and Methods: Diced cartilage graft (Group 1), block cartilage (Group 2), and fibrin adhered 0.5 mm diced cartilage graft (Group 3) were placed into subcutaneous pockets in the frontoparietal region of the same experimental animal. The grafts were excised at the end of 16 weeks. The excised grafts were macroscopically evaluated, and the final volumes and weights were measured. These measurements were compared to the initial values before implantation. Finally, the specimens were evaluated the histopathological examination. Results: In Group 1, 165% increase in weight and 56% increase in volume; in Group 2, 131% increase in weight and 81% increase in volume; finally in Group 3, 184% increase in weight and 68% increase in volume were seen. Although histological examination did not reveal any difference with regard to chondroid matrix score, metachromasia, vascularization, fibrosis, and inflammation we observed significantly higher cartilage proliferation score in Group 3. Conclusion: The results indicate that these grafts can be used efficiently, particularly in rhinoplasty procedures to correct nasal deformities.
{"title":"Viability and durability of diced cartilage graft combined and formed with autologous blood fibrin (experimental study)","authors":"T. Aksan, M. Ozturk, M. Ozer, Ilknur Mansuroglu, M. Akan","doi":"10.4103/tjps.tjps_129_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_129_20","url":null,"abstract":"Introduction: Rhinoplasty constitutes an example wherein the various types of filling materials are used for nasal dorsal deformities. In this study, we took the advantage of a simplified procedure and used fibrin isolated from the coagulated peripheral blood of the experimental animal. Durability and viability of diced autologous cartilage grafts adhered to each other and formed using fibrin extracts were assessed experimentally in a rabbit model. Subjects and Methods: Diced cartilage graft (Group 1), block cartilage (Group 2), and fibrin adhered 0.5 mm diced cartilage graft (Group 3) were placed into subcutaneous pockets in the frontoparietal region of the same experimental animal. The grafts were excised at the end of 16 weeks. The excised grafts were macroscopically evaluated, and the final volumes and weights were measured. These measurements were compared to the initial values before implantation. Finally, the specimens were evaluated the histopathological examination. Results: In Group 1, 165% increase in weight and 56% increase in volume; in Group 2, 131% increase in weight and 81% increase in volume; finally in Group 3, 184% increase in weight and 68% increase in volume were seen. Although histological examination did not reveal any difference with regard to chondroid matrix score, metachromasia, vascularization, fibrosis, and inflammation we observed significantly higher cartilage proliferation score in Group 3. Conclusion: The results indicate that these grafts can be used efficiently, particularly in rhinoplasty procedures to correct nasal deformities.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85555930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Low-grade salivary ductal carcinoma is a salivary gland tumor with clinically indolent behavior, characterized by intraductal growth. From 1996 to 2019, 54 case reports of Low-Grade Intraductal Carcinoma (LGIDC) were published in the literature. In the present article, we introduce a patient in our clinic who underwent surgery due to a diagnosis of LGIDC, about whom we make new clinical comments. A 75-year-old male patient presented to our clinic with a complaint of a mass in the right parotid area. After multiple biopsies, magnetic resonance imaging (MRI), and operations, the patient health is fine and patient's follow-up continues, now in the postoperative 1st year, and there is no relapse sign on physical examination and MRI. After all, according to our clinical findings and observations, we thought that this tumor could possibly be considered a locally aggressive tumor that does not metastasize, similar to a basal cell carcinoma.
{"title":"Low-grade intraductal carcinoma of the parotid gland: Is it low-grade or locally aggressive?","authors":"M. Gurler, M. Ozturk, B. Atik, E. Keskin","doi":"10.4103/tjps.tjps_93_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_93_20","url":null,"abstract":"Low-grade salivary ductal carcinoma is a salivary gland tumor with clinically indolent behavior, characterized by intraductal growth. From 1996 to 2019, 54 case reports of Low-Grade Intraductal Carcinoma (LGIDC) were published in the literature. In the present article, we introduce a patient in our clinic who underwent surgery due to a diagnosis of LGIDC, about whom we make new clinical comments. A 75-year-old male patient presented to our clinic with a complaint of a mass in the right parotid area. After multiple biopsies, magnetic resonance imaging (MRI), and operations, the patient health is fine and patient's follow-up continues, now in the postoperative 1st year, and there is no relapse sign on physical examination and MRI. After all, according to our clinical findings and observations, we thought that this tumor could possibly be considered a locally aggressive tumor that does not metastasize, similar to a basal cell carcinoma.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85755456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Ozkan, Kadri Akinci, S. Savran, A. Uysal, N. Ertas
{"title":"Augmented reality-assisted planning of midpalmar space infection of the hand","authors":"B. Ozkan, Kadri Akinci, S. Savran, A. Uysal, N. Ertas","doi":"10.4103/tjps.tjps_79_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_79_20","url":null,"abstract":"","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82020088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The group of patients defined as “problematic patient” in aesthetic plastic surgical practice has distinctive features. The “problematic patient” is the patient who blocks the establishment of a therapeutic relationship with him/her. In other words, the patient who does not adapt to the patient role that the health-care professional expects, has different values, beliefs, or personal characteristics than he/she expects to see, and sometimes causes the professional to even suspect himself/herself. They are not good candidates for esthetic surgery, and they should definitely not be operated, so to speak, these patients should be removed from the game by removing a red card, and somehow be disqualified from the process.
{"title":"Problematic patient","authors":"I. Kırpınar, M. Ayhan, E. Guneren","doi":"10.4103/tjps.tjps_81_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_81_20","url":null,"abstract":"The group of patients defined as “problematic patient” in aesthetic plastic surgical practice has distinctive features. The “problematic patient” is the patient who blocks the establishment of a therapeutic relationship with him/her. In other words, the patient who does not adapt to the patient role that the health-care professional expects, has different values, beliefs, or personal characteristics than he/she expects to see, and sometimes causes the professional to even suspect himself/herself. They are not good candidates for esthetic surgery, and they should definitely not be operated, so to speak, these patients should be removed from the game by removing a red card, and somehow be disqualified from the process.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75338320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cholesterol granuloma (CG) is a rare and benign inflammatory tissue reaction caused by the accumulation of lipid and cholesterol crystals in the tissue, resulting from such incidents as localized trauma and hemorrhage. It has been suggested that the reaction starts with the lysis of blood cells in the tissue and the cellular components, leading to a foreign body reaction in the tissue. As a result of this process, a nodular mass forms in the tissue, and the pressure of this mass on the surrounding tissues can cause pain and the loss of various functions. CG commonly occurs in such anatomic areas as the mastoid bone, petrous apex, tympanic cavity and sinus maxillaris, and more rarely in the breast. CGs of the breast mimic breast cancer both clinically and radiologically, which makes such masses important. Incisional or excisional biopsy is recommended for radiographically suspected cases. The presence of multinucleated giant cells, cholesterol clefts, foamy macrophages, and hemosiderin in surrounding damaged cells and tissues in the specimen, as histopathological findings, can steer diagnosis. It should be noted that CGs may occur in atypical localizations besides their usual anatomic localizations, and the case in the present study is particularly interesting due to its rare atypical presentation.
{"title":"An unusual case of breast cholesterol granuloma","authors":"E. Kapı, N. Kılınç, Y. Yıldız, F. Gorgulu","doi":"10.4103/tjps.tjps_68_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_68_20","url":null,"abstract":"Cholesterol granuloma (CG) is a rare and benign inflammatory tissue reaction caused by the accumulation of lipid and cholesterol crystals in the tissue, resulting from such incidents as localized trauma and hemorrhage. It has been suggested that the reaction starts with the lysis of blood cells in the tissue and the cellular components, leading to a foreign body reaction in the tissue. As a result of this process, a nodular mass forms in the tissue, and the pressure of this mass on the surrounding tissues can cause pain and the loss of various functions. CG commonly occurs in such anatomic areas as the mastoid bone, petrous apex, tympanic cavity and sinus maxillaris, and more rarely in the breast. CGs of the breast mimic breast cancer both clinically and radiologically, which makes such masses important. Incisional or excisional biopsy is recommended for radiographically suspected cases. The presence of multinucleated giant cells, cholesterol clefts, foamy macrophages, and hemosiderin in surrounding damaged cells and tissues in the specimen, as histopathological findings, can steer diagnosis. It should be noted that CGs may occur in atypical localizations besides their usual anatomic localizations, and the case in the present study is particularly interesting due to its rare atypical presentation.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87135360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ulnar subluxation of the extensor tendons at the metacarpophalangeal joint level after damage to the sagittal bands is a rare problem in nonrheumatoid patients. It is aimed to discuss the treatment options for the extensor tendon subluxation and present a rare chronic case. A 25-year-old male patient presented with the complaint of stucking and snapping feeling in the middle finger when moving it after falling as a child. Type 2 sagittal band injury was detected in which the extensor tendon was subluxated to the ulnar side, and the sagittal band was strengthened with a junctura tendinum flap harvested from the adjacent finger. The patient returned to his daily life, and no recurrence was detected. Extensor tendon subluxation is the instability that occurs in the tendon as a result of damage to the sagittal bands. Many techniques have been described since the ideal technique is not available yet. Techniques that provide realignment by centralizing the extensor tendon are successful ones that can be preferred in chronic sagittal band ruptures and in professional athletes in whom primary repair is not possible.
{"title":"Surgical options in chronic extensor tendon subluxation: A case report and a literature review","authors":"G. Yildiran, Cemil Isik, O. Akdağ, Z. Tosun","doi":"10.4103/tjps.tjps_50_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_50_20","url":null,"abstract":"Ulnar subluxation of the extensor tendons at the metacarpophalangeal joint level after damage to the sagittal bands is a rare problem in nonrheumatoid patients. It is aimed to discuss the treatment options for the extensor tendon subluxation and present a rare chronic case. A 25-year-old male patient presented with the complaint of stucking and snapping feeling in the middle finger when moving it after falling as a child. Type 2 sagittal band injury was detected in which the extensor tendon was subluxated to the ulnar side, and the sagittal band was strengthened with a junctura tendinum flap harvested from the adjacent finger. The patient returned to his daily life, and no recurrence was detected. Extensor tendon subluxation is the instability that occurs in the tendon as a result of damage to the sagittal bands. Many techniques have been described since the ideal technique is not available yet. Techniques that provide realignment by centralizing the extensor tendon are successful ones that can be preferred in chronic sagittal band ruptures and in professional athletes in whom primary repair is not possible.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76760181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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