Backgrounds: Proximal interphalangeal (PIP) joint injuries can cause scar contractures by different mechanisms, leading to significant functional loss, the most important thing in the treatment process is to maintain joint mobility, in this way, scar formation will be reduced. Dynamic external fixators have been used for this purpose. Although it is an old method, it has many unknown aspects. Materials and Methods: Nineteen patients participated in our study. The patients were divided into two groups as those who were treated immediately after the injury and those who applied in the late period. All patients were treated with pin and rubber traction systems (PRTS). After 6 weeks of traction, the fixator was removed. Patients were assessed with X-rays for the amount of distraction, Visual Analog Scale score for pain and quick DASH scores for satisfaction. The patients were also examined for passive and active range of motion (AROM) in all controls. Results: We compared the preoperative and postoperative data of the patients and also we compared the amount of distraction with functional gain. There was no relationship between the increase in PIP joint space distance and posttreatment PIP joint AROM values. Hence, the amount of distraction on the joint space distance has no direct effect on the functional results. Another important result of the study is that the loss of extension in the PIP joint, which can be unregarded in the early period, negatively affects the late results. The other important result of our study is that successful results can be obtained when applied in combination with surgery in delayed cases. Conclusion: The use of PRTS has an important role in the treatment of PIP joint injuries. In our study, we have shown that satisfactory results can be obtained in both acute and delayed cases when combined with additional surgery or applied alone. The change in joint space distance during the patient follow-up is not an important issue in terms of range of motion. Another important result we obtained from the study is the demonstration that PRTS can be successfully used in untreated joint dislocations in a single stage.
{"title":"Dynamic external fixators for the proximal interphalangeal joint injuries: detailed biomechanical analysis of effectiveness","authors":"A. Kaplan, H. Ergani, Burak Yaşar, Çağdaş Duru","doi":"10.4103/tjps.tjps_27_21","DOIUrl":"https://doi.org/10.4103/tjps.tjps_27_21","url":null,"abstract":"Backgrounds: Proximal interphalangeal (PIP) joint injuries can cause scar contractures by different mechanisms, leading to significant functional loss, the most important thing in the treatment process is to maintain joint mobility, in this way, scar formation will be reduced. Dynamic external fixators have been used for this purpose. Although it is an old method, it has many unknown aspects. Materials and Methods: Nineteen patients participated in our study. The patients were divided into two groups as those who were treated immediately after the injury and those who applied in the late period. All patients were treated with pin and rubber traction systems (PRTS). After 6 weeks of traction, the fixator was removed. Patients were assessed with X-rays for the amount of distraction, Visual Analog Scale score for pain and quick DASH scores for satisfaction. The patients were also examined for passive and active range of motion (AROM) in all controls. Results: We compared the preoperative and postoperative data of the patients and also we compared the amount of distraction with functional gain. There was no relationship between the increase in PIP joint space distance and posttreatment PIP joint AROM values. Hence, the amount of distraction on the joint space distance has no direct effect on the functional results. Another important result of the study is that the loss of extension in the PIP joint, which can be unregarded in the early period, negatively affects the late results. The other important result of our study is that successful results can be obtained when applied in combination with surgery in delayed cases. Conclusion: The use of PRTS has an important role in the treatment of PIP joint injuries. In our study, we have shown that satisfactory results can be obtained in both acute and delayed cases when combined with additional surgery or applied alone. The change in joint space distance during the patient follow-up is not an important issue in terms of range of motion. Another important result we obtained from the study is the demonstration that PRTS can be successfully used in untreated joint dislocations in a single stage.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80689724","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}
Background: The authors present their experience about the soft-tissue reconstruction of hands and fingers with dorsal metacarpal artery (DMA) perforator flap. Materials and Methods: Patients who were treated by DMA perforator flaps from 2017 to 2019 were evaluated. Results: There were 17 patients with average age of 36 years. DMA flaps were harvested in a fasciocutaneus fashion in all patients except one. The mean flap size was 3.3 cm × 1.8 cm, and the largest flap was 5 cm × 2 cm. The donor area was repaired primarily except for one patient. The bridge skin incision was used to prevent complications caused by compression or edema. The average time for returning to work was 48 days. Conclusion: The DMA perforator flap allows repair of soft-tissue defects of the distal hand and finger neither with sacrificing any major artery nor a major donor site morbidity. Rapid learning curve and relatively stable anatomical structure are the other important entities that make the DMA perforator flap convenient.
背景:作者介绍了应用掌骨背动脉穿支皮瓣重建手、指软组织的经验。材料与方法:对2017 - 2019年采用DMA穿支皮瓣治疗的患者进行评估。结果:17例患者，平均年龄36岁。除1例患者外，所有患者均以筋膜法收获DMA皮瓣。皮瓣平均大小为3.3 cm × 1.8 cm，最大皮瓣为5 cm × 2 cm。除1例患者外，供体区主要修复。桥式皮肤切口用于防止压迫或水肿引起的并发症。恢复工作的平均时间为48天。结论:DMA穿支皮瓣可以修复手部和手指远端软组织缺损，既不牺牲任何主动脉，也不造成主要供区并发症。快速的学习曲线和相对稳定的解剖结构是DMA穿支皮瓣使用方便的另一个重要因素。
{"title":"The primary role of dorsal metacarpal artery perforator flap for hand and finger soft-tissue reconstruction","authors":"E. Yaşar, C. Demir, Y. Aytaç, M. Alagoz","doi":"10.4103/tjps.tjps_20_21","DOIUrl":"https://doi.org/10.4103/tjps.tjps_20_21","url":null,"abstract":"Background: The authors present their experience about the soft-tissue reconstruction of hands and fingers with dorsal metacarpal artery (DMA) perforator flap. Materials and Methods: Patients who were treated by DMA perforator flaps from 2017 to 2019 were evaluated. Results: There were 17 patients with average age of 36 years. DMA flaps were harvested in a fasciocutaneus fashion in all patients except one. The mean flap size was 3.3 cm × 1.8 cm, and the largest flap was 5 cm × 2 cm. The donor area was repaired primarily except for one patient. The bridge skin incision was used to prevent complications caused by compression or edema. The average time for returning to work was 48 days. Conclusion: The DMA perforator flap allows repair of soft-tissue defects of the distal hand and finger neither with sacrificing any major artery nor a major donor site morbidity. Rapid learning curve and relatively stable anatomical structure are the other important entities that make the DMA perforator flap convenient.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89425555","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. Ipek, U. Sener, Feridun Elmas, Ergin Seven, A. Uslu, S. Karamursel
Introduction: High-pressure injection injuries are rare traumas of upper extremity which can result in high morbidity incompatible with presentation. Clinical presentation right after the injury can be misleading and might cause underrating of the condition. This may lead to latencies in treatment and might worsen the final prognosis of the patients. Prognosis changes according to the material injected, pressure the material is injected, injection site, and time between the injury and the onset of treatment. Digit amputation rates are between 16% and 48% in literature series, and this seems to decrease with early debridement. Materials and Methods: Emergency department referrals are searched retrospectively for patients with high-pressure injection injuries. Four patients were found that were treated for injured with high-pressure injection gun with paint thinner or mixtures. Relevant literature was searched and discussed. Results: Three out of four patients needed amputations (75%). Two patients needed flap surgery for reconstruction: one interpolation and one free flap. The average time from hospitalization to definitive operation was 9.5 days (minimum 6, maximum 15 days). Fingertip injuries resulted in amputations, and amputation level was more proximal than the injury level which was connected to the dissemination of the injected material. Discussion: High-pressure injection injuries can cause devastating results if neglected, and can be overlooked with inexperienced eyes. Usually, there are minimal complaints from the patients on the onset of the injury, but symptoms exacerbate by time. Early debridement in the first 6 h is crucial for lowering amputation rates. Injected material has a great impact on the outcomes, and organic solvents such as paint thinner, paints, diesel, and engine oil have worse outcomes and higher amputation rates. Conclusion: High-pressure injection injuries need emergency surgical intervention and should not be neglected. Delay in treatment of these cases could cause detrimental outcomes.
{"title":"Upper extremity high-pressure injection injuries with paint thinner: Case reports with review of the literature","authors":"B. Ipek, U. Sener, Feridun Elmas, Ergin Seven, A. Uslu, S. Karamursel","doi":"10.4103/tjps.tjps_12_21","DOIUrl":"https://doi.org/10.4103/tjps.tjps_12_21","url":null,"abstract":"Introduction: High-pressure injection injuries are rare traumas of upper extremity which can result in high morbidity incompatible with presentation. Clinical presentation right after the injury can be misleading and might cause underrating of the condition. This may lead to latencies in treatment and might worsen the final prognosis of the patients. Prognosis changes according to the material injected, pressure the material is injected, injection site, and time between the injury and the onset of treatment. Digit amputation rates are between 16% and 48% in literature series, and this seems to decrease with early debridement. Materials and Methods: Emergency department referrals are searched retrospectively for patients with high-pressure injection injuries. Four patients were found that were treated for injured with high-pressure injection gun with paint thinner or mixtures. Relevant literature was searched and discussed. Results: Three out of four patients needed amputations (75%). Two patients needed flap surgery for reconstruction: one interpolation and one free flap. The average time from hospitalization to definitive operation was 9.5 days (minimum 6, maximum 15 days). Fingertip injuries resulted in amputations, and amputation level was more proximal than the injury level which was connected to the dissemination of the injected material. Discussion: High-pressure injection injuries can cause devastating results if neglected, and can be overlooked with inexperienced eyes. Usually, there are minimal complaints from the patients on the onset of the injury, but symptoms exacerbate by time. Early debridement in the first 6 h is crucial for lowering amputation rates. Injected material has a great impact on the outcomes, and organic solvents such as paint thinner, paints, diesel, and engine oil have worse outcomes and higher amputation rates. Conclusion: High-pressure injection injuries need emergency surgical intervention and should not be neglected. Delay in treatment of these cases could cause detrimental outcomes.","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89643388","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 : 2021-10-01DOI: 10.4103/tjps.tjps_125_20
A. Erdal, İ. Genç, M. Ayhan
{"title":"An alternative method in augmenting venous drainage to salvage deep inferior epigastric artery perforator reconstruction","authors":"A. Erdal, İ. Genç, M. Ayhan","doi":"10.4103/tjps.tjps_125_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_125_20","url":null,"abstract":"","PeriodicalId":42065,"journal":{"name":"Turkish Journal of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74628749","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_100_20
Enver Arpaci
Objective: Skin flaps are acceptable methods for surgical treatment of myelomeningocele defects in the neonatal period. Skin flaps (e.g., V-Y advancement, rotation or transposition flaps) are often preferred bilaterally for closure of myelomeningocele defects. This study evaluated the adequacy of an alternative unilateral flap method called “ice cream-cone flap” in repairing large myelomeningocele defects. Patients and Methods: Fifteen newborns who were operated with “ice cream cone flap” due to myelomeningocele defect were evaluated retrospectively. Surgical repair was carried out within 1–3 days of birth. The defect sizes were ranging 10 cm × 8 cm to 4 cm × 4 cm diameter with the mean diameter of 7.2 cm × 5.4 cm. This technique is mainly based on the planning of unilateral advancement flap that resembles the shape of the defect. The technique includes additional procedures such as anchoring of a deepithelialized skin tissue to provide redistribution of the wound closure tension to the lateral side of the flap, and transposition of a skin protrusion to shorten the peripheral border length of the wound. Results: Durable, stable soft-tissue coverage of the defect was obtained in all patients. No hematoma, seroma, infection, and flap necrosis were observed during the postoperative follow-up period. Two patients had partial wound dehiscence which was healed with secondary wound healing. Conclusion: “Ice cream-cone flap” technique is fast, reliable, and easily performed and has the advantage of shorter operative time, less blood loss with minimal wound closure tension.
目的:皮瓣是外科治疗新生儿期脊髓脊膜膨出缺陷的可行方法。皮瓣(如V-Y推进、旋转或转位皮瓣)通常是双侧治疗髓膜膨出缺陷的首选。本研究评估了一种被称为“冰淇淋锥瓣”的单侧皮瓣在修复大髓膜膨出缺陷中的充分性。患者与方法:对15例新生儿髓系脑膜膨出缺损行“冰淇淋锥瓣”手术的临床资料进行回顾性分析。在出生后1-3天内进行手术修复。缺陷尺寸范围为10 cm × 8 cm ~ 4 cm × 4 cm，平均直径为7.2 cm × 5.4 cm。该技术主要基于与缺损形状相似的单侧推进皮瓣的规划。该技术包括额外的程序，如锚定深度蜕化的皮肤组织，以提供伤口关闭张力到皮瓣外侧的重新分配，以及皮肤突出物的转位，以缩短伤口的周围边界长度。结果:所有患者均获得持久、稳定的软组织缺损覆盖。术后随访无血肿、血肿、感染、皮瓣坏死。2例创面部分裂开，创面二次愈合。结论:“冰淇淋锥瓣”技术快速、可靠、操作简便，具有手术时间短、出血量少、伤口闭合张力小等优点。
{"title":"Is unilateral local flap reconstruction sufficient in large myelomeningocele treatment?","authors":"Enver Arpaci","doi":"10.4103/tjps.tjps_100_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_100_20","url":null,"abstract":"Objective: Skin flaps are acceptable methods for surgical treatment of myelomeningocele defects in the neonatal period. Skin flaps (e.g., V-Y advancement, rotation or transposition flaps) are often preferred bilaterally for closure of myelomeningocele defects. This study evaluated the adequacy of an alternative unilateral flap method called “ice cream-cone flap” in repairing large myelomeningocele defects. Patients and Methods: Fifteen newborns who were operated with “ice cream cone flap” due to myelomeningocele defect were evaluated retrospectively. Surgical repair was carried out within 1–3 days of birth. The defect sizes were ranging 10 cm × 8 cm to 4 cm × 4 cm diameter with the mean diameter of 7.2 cm × 5.4 cm. This technique is mainly based on the planning of unilateral advancement flap that resembles the shape of the defect. The technique includes additional procedures such as anchoring of a deepithelialized skin tissue to provide redistribution of the wound closure tension to the lateral side of the flap, and transposition of a skin protrusion to shorten the peripheral border length of the wound. Results: Durable, stable soft-tissue coverage of the defect was obtained in all patients. No hematoma, seroma, infection, and flap necrosis were observed during the postoperative follow-up period. Two patients had partial wound dehiscence which was healed with secondary wound healing. Conclusion: “Ice cream-cone flap” technique is fast, reliable, and easily performed and has the advantage of shorter operative time, less blood loss with minimal wound closure tension.","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":"74101536","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}
High-energy traumas of the lower extremity caused by road accidents, gunshot injuries, or heavy construction equipment usually involve the bone and vascular structures as well as the soft tissues surrounding them. Reconstruction of these injuries may require teaming up with orthopedic and vascular surgeons to solve the dilemmas. Vascular evaluation and determination of the zone of injury is necessary to make the best possible reconstruction plan to achieve a functional and vascularized lower extremity. Although preoperative radiodiagnostic methods help in choosing the recipient vessels, flaps, and anastomotic technique, the ultimate decision is best made during surgery.
{"title":"Reconstruction of mutilating injuries of the lower extremity – Surgical decision-making for the plastic surgeon","authors":"Cigdem Gulmeden","doi":"10.4103/tjps.tjps_36_21","DOIUrl":"https://doi.org/10.4103/tjps.tjps_36_21","url":null,"abstract":"High-energy traumas of the lower extremity caused by road accidents, gunshot injuries, or heavy construction equipment usually involve the bone and vascular structures as well as the soft tissues surrounding them. Reconstruction of these injuries may require teaming up with orthopedic and vascular surgeons to solve the dilemmas. Vascular evaluation and determination of the zone of injury is necessary to make the best possible reconstruction plan to achieve a functional and vascularized lower extremity. Although preoperative radiodiagnostic methods help in choosing the recipient vessels, flaps, and anastomotic technique, the ultimate decision is best made during surgery.","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":"80304392","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_105_20
Erkan Deniz, S. Şibar, Ozgun Kilic, S. Ayhan
Background: The pandemic caused by the new type of coronavirus (coronavirus disease 2019) has led to a serious increase in the demand for personal protective equipment, especially the mask. Depending on the increasing demand, many types of masks have been used in the pandemic process between health-care professionals and the community. Aims and Objectives: In our study, it was planned to evaluate N95, green, white surgical, and fabric woven masks with a fluorescent angiography (SPY®) device for protection. Materials and Methods: To evaluate the effectiveness of the masks, models with and without mannequins are used. In both study models, indocyanine green was squeezed from the masks at a distance of 50 cm and the staining values of masks and mannequin faces were evaluated with fluorescent angiography (SPY®) device. Results: The most dyeing fabric was observed in the woven mask, while the least dyeing was observed in the N95 mask. In the model without mannequin, it was observed that the highest protection was in the N95 mask and the least protection was in the fabric woven mask. The most dyeing on the face was observed on the mannequin in which the woven mask was removed, and the least dyeing on the face was observed on the mannequin in which the N95 mask was removed. Green and white surgical masks were found to have similar protective rates. Conclusion: According to the results of this study, where the effectiveness of the mask was evaluated for the first time by using a fluorescent angiography (SPY®) device from a plastic surgery perspective, it was found that the N95 mask had the highest protection, the green and white surgical masks were similar, and the fabric woven mask had the least protection.
{"title":"Comparison of effectiveness of four facial masks used during the COVID-19 pandemic using indocyanine green and fluorescent angiography device: A plastic surgeon perspective","authors":"Erkan Deniz, S. Şibar, Ozgun Kilic, S. Ayhan","doi":"10.4103/tjps.tjps_105_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_105_20","url":null,"abstract":"Background: The pandemic caused by the new type of coronavirus (coronavirus disease 2019) has led to a serious increase in the demand for personal protective equipment, especially the mask. Depending on the increasing demand, many types of masks have been used in the pandemic process between health-care professionals and the community. Aims and Objectives: In our study, it was planned to evaluate N95, green, white surgical, and fabric woven masks with a fluorescent angiography (SPY®) device for protection. Materials and Methods: To evaluate the effectiveness of the masks, models with and without mannequins are used. In both study models, indocyanine green was squeezed from the masks at a distance of 50 cm and the staining values of masks and mannequin faces were evaluated with fluorescent angiography (SPY®) device. Results: The most dyeing fabric was observed in the woven mask, while the least dyeing was observed in the N95 mask. In the model without mannequin, it was observed that the highest protection was in the N95 mask and the least protection was in the fabric woven mask. The most dyeing on the face was observed on the mannequin in which the woven mask was removed, and the least dyeing on the face was observed on the mannequin in which the N95 mask was removed. Green and white surgical masks were found to have similar protective rates. Conclusion: According to the results of this study, where the effectiveness of the mask was evaluated for the first time by using a fluorescent angiography (SPY®) device from a plastic surgery perspective, it was found that the N95 mask had the highest protection, the green and white surgical masks were similar, and the fabric woven mask had the least protection.","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":"89550075","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}
{"title":"A rollboard for microvascular anastomosis: Cellulose eye spear","authors":"B. Erçin, B. Ozkan, C. Uysal, N. Ertas","doi":"10.4103/tjps.tjps_97_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_97_20","url":null,"abstract":"","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":"72771005","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}
{"title":"COVID-19 pandemic and disciplinary approach in plastic, reconstructive, and esthetic surgery","authors":"Z. Altuntaş, M. Ismayilzade","doi":"10.4103/tjps.tjps_89_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_89_20","url":null,"abstract":"","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":"81368434","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}
High-voltage electric burns are a major source of morbidity and mortality, with significant socioeconomic and psychosocial implications. Electric burns rarely cause injury to atypical areas including the oral region with a reported incidence of 2.2%–3.5%. The ratio of burn area to total lip is critical for reconstruction options. Locally usable flap choices will be insufficient for subtotal defects of lips. Electrical burn of both lips is a rarely seen entity that is surgically challenging for both lip reconstruction with the minimum morbidity. It is known that a radial forearm free flap (RFFF) is suitable for total lip reconstruction and in addition, is one of the best options for simultaneous upper and lower lip reconstruction using only one RFFF. In this study, a case with both lower and upper lib necrosis, a rarely affected area due to high-voltage electrical burn, is presented. Reconstruction with a free radial forearm flap was successfully performed although the patient was presented in the subacute period as timing.
{"title":"Single flap use for synchronous reconstruction of full-thickness upper and lower lip defects due to high-voltage electrical burn","authors":"E. Yaşar, C. Demir, S. Kaya, M. Alagoz","doi":"10.4103/tjps.tjps_98_20","DOIUrl":"https://doi.org/10.4103/tjps.tjps_98_20","url":null,"abstract":"High-voltage electric burns are a major source of morbidity and mortality, with significant socioeconomic and psychosocial implications. Electric burns rarely cause injury to atypical areas including the oral region with a reported incidence of 2.2%–3.5%. The ratio of burn area to total lip is critical for reconstruction options. Locally usable flap choices will be insufficient for subtotal defects of lips. Electrical burn of both lips is a rarely seen entity that is surgically challenging for both lip reconstruction with the minimum morbidity. It is known that a radial forearm free flap (RFFF) is suitable for total lip reconstruction and in addition, is one of the best options for simultaneous upper and lower lip reconstruction using only one RFFF. In this study, a case with both lower and upper lib necrosis, a rarely affected area due to high-voltage electrical burn, is presented. Reconstruction with a free radial forearm flap was successfully performed although the patient was presented in the subacute period as timing.","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":"77039169","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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