Pub Date : 2025-06-01DOI: 10.1016/j.cjprs.2024.11.009
Cheng Huang, Xia Fang, Nan Li, Dawei Li, Qi Bao, Chenggang Yi, Xueqing Hu
Current breast reconstruction evaluations mostly focus on static cosmetic analysis as a measure of the clinical outcomes. Moreover, it is essential to consider the dynamic changes in the reconstructed breast alongside assessments of aesthetic symmetry, functional restoration, complication rates, and long-term stability of the reconstruction. This study aimed to assess the mobility of the reconstructed breast following various breast reconstruction techniques, specifically by comparing deep inferior epigastric perforator (DIEP) flaps and pedicled transverse rectus abdominis musculocutaneous (TRAM) flaps. We conducted a longitudinal case study to investigate the changes in breast movement resulting from different surgical interventions. The comparison showed that DIEP flap reconstruction was more likely to achieve superior breast mobility outcomes than TRAM flap reconstruction. For a better breast aesthetic outcome, it is fundamental to improve the awareness of the dynamic evaluation of the reconstructed breast at the surgical strategy level.
{"title":"Deep inferior epigastric perforator and transverse rectus abdominis musculocutaneous flap breast reconstruction: A comparison of breast mobility outcomes","authors":"Cheng Huang, Xia Fang, Nan Li, Dawei Li, Qi Bao, Chenggang Yi, Xueqing Hu","doi":"10.1016/j.cjprs.2024.11.009","DOIUrl":"10.1016/j.cjprs.2024.11.009","url":null,"abstract":"<div><div>Current breast reconstruction evaluations mostly focus on static cosmetic analysis as a measure of the clinical outcomes. Moreover, it is essential to consider the dynamic changes in the reconstructed breast alongside assessments of aesthetic symmetry, functional restoration, complication rates, and long-term stability of the reconstruction. This study aimed to assess the mobility of the reconstructed breast following various breast reconstruction techniques, specifically by comparing deep inferior epigastric perforator (DIEP) flaps and pedicled transverse rectus abdominis musculocutaneous (TRAM) flaps. We conducted a longitudinal case study to investigate the changes in breast movement resulting from different surgical interventions. The comparison showed that DIEP flap reconstruction was more likely to achieve superior breast mobility outcomes than TRAM flap reconstruction. For a better breast aesthetic outcome, it is fundamental to improve the awareness of the dynamic evaluation of the reconstructed breast at the surgical strategy level.</div></div>","PeriodicalId":65600,"journal":{"name":"Chinese Journal of Plastic and Reconstructive Surgery","volume":"7 2","pages":"Pages 89-92"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144471318","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}
Frontal osteitis complicated with bone necrosis is rare. In addition, the condition has various etiologies, such as frontal sinusitis, penetrating head injury, postoperative complications after sinus surgery, and hematogenous spread from distant sites. In frontal osteitis, early diagnosis is important, and fistulization of pus in the scalp or on the traumatized forehead may raise the suspicion of osteitis in one of the skull bones. The exclusion of osteonecrosis is such cases is an emergency; hence, a magnetic resonance imaging and a computed tomography scan are required in the absence of skull radiography. Early administration of the appropriate treatment in the immediate post-trauma period ensures effective prevention of frontal osteitis; however, the treatment of bone necrosis involves debridement and antibiotic therapy to prevent fatal intracranial complications. This report presents the case of a 16-year-old female patient who experienced sexual and physical assault that resulted in undetected frontal trauma complicated with frontal osteonecrosis. Thorough clinical examination of the patient was performed, and follow-up and multidisciplinary management enabled the social integration of the patient.
{"title":"Frontal osteitis complicated with post-traumatic knife osteonecrosis in sexual assault: A case report","authors":"Lungere Bazibuhe Prosper , Mongwa Mbikilile Justin , Kitumaini Munyahali John , Fataki Rutega Junior , Bandeke Matabishi Destin , Kavira Isse-Somo , Cikwanine Buhendwa , Alumeti Munyali Désiré","doi":"10.1016/j.cjprs.2024.12.001","DOIUrl":"10.1016/j.cjprs.2024.12.001","url":null,"abstract":"<div><div>Frontal osteitis complicated with bone necrosis is rare. In addition, the condition has various etiologies, such as frontal sinusitis, penetrating head injury, postoperative complications after sinus surgery, and hematogenous spread from distant sites. In frontal osteitis, early diagnosis is important, and fistulization of pus in the scalp or on the traumatized forehead may raise the suspicion of osteitis in one of the skull bones. The exclusion of osteonecrosis is such cases is an emergency; hence, a magnetic resonance imaging and a computed tomography scan are required in the absence of skull radiography. Early administration of the appropriate treatment in the immediate post-trauma period ensures effective prevention of frontal osteitis; however, the treatment of bone necrosis involves debridement and antibiotic therapy to prevent fatal intracranial complications. This report presents the case of a 16-year-old female patient who experienced sexual and physical assault that resulted in undetected frontal trauma complicated with frontal osteonecrosis. Thorough clinical examination of the patient was performed, and follow-up and multidisciplinary management enabled the social integration of the patient.</div></div>","PeriodicalId":65600,"journal":{"name":"Chinese Journal of Plastic and Reconstructive Surgery","volume":"7 2","pages":"Pages 97-100"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144471319","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 full-thickness excision of malignant lower-eyelid tumors, particularly those with posterior lamellar involvement, presents a reconstructive challenge. Traditional grafts often have limitations, prompting interest in biocompatible alternatives, such as biodegradable diplene membranes. This study introduces a novel modification to the standard protocol: the use of diplene membranes enriched with Solcoseryl, a metabolically active agent that enhances angiogenesis, reduces inflammation, and accelerates epithelialization.
Methods
Twenty-seven patients (mean age, 68.96 ± 8.09 years) with histologically confirmed malignant lower-eyelid tumors underwent reconstruction using diplene membranes combined with Solcoseryl. The outcomes were compared with those of a previously reported cohort treated with Diplene alone. The follow-up period ranged from 3 to 12 months.
Results
All patients achieved successful restoration of eyelid support with high aesthetic satisfaction. The Solcoseryl group demonstrated significantly faster epithelialization (mean 9.8 ± 1.2 days), improved microcirculatory parameters, and no serious complications. Minor hematomas occurred in two cases (7.4%).
Conclusion
The modified Diplene–Solcoseryl membrane enhanced wound healing and biocompatibility during lower-eyelid reconstruction by transforming the membrane into a bioactive scaffold. This innovation offers superior functional and aesthetic outcomes compared to standard diplene use and represents a significant advancement in oculoplastic and oncological reconstructive surgery.
{"title":"Solcoseryl-enriched biodegradable diplene membrane for lower eyelid reconstruction: A novel bioactive approach","authors":"Maria Cervatiuc , Igor Vladimirovich Reshetov , Eldor Jonnazarov , Svetlana Vagovna Saakyan , Dzhakhongir Shavkatdzhonovich Rakhimov , Abusaid Ibodulloevich Sadulloev , Mukhammadnazir Mukhamadzokirovich Normatov , Rustamjon Zoidovich Juraev , Bahodur Bahtiyorovich Abdurahmonov , Abduhakim Abdulatifovich Saidov , Mukhriddin Bahodurovich Mazhitov , Nekruz Rahimovich Rahmatov , Fuzliddin Botirdzhonovich Gadoev , Aminjon Nozimjonovich Shafiev , Uzak Zholdoshovich Zhumakadyrov","doi":"10.1016/j.cjprs.2025.05.003","DOIUrl":"10.1016/j.cjprs.2025.05.003","url":null,"abstract":"<div><h3>Background</h3><div>The full-thickness excision of malignant lower-eyelid tumors, particularly those with posterior lamellar involvement, presents a reconstructive challenge. Traditional grafts often have limitations, prompting interest in biocompatible alternatives, such as biodegradable diplene membranes. This study introduces a novel modification to the standard protocol: the use of diplene membranes enriched with Solcoseryl, a metabolically active agent that enhances angiogenesis, reduces inflammation, and accelerates epithelialization.</div></div><div><h3>Methods</h3><div>Twenty-seven patients (mean age, 68.96 ± 8.09 years) with histologically confirmed malignant lower-eyelid tumors underwent reconstruction using diplene membranes combined with Solcoseryl. The outcomes were compared with those of a previously reported cohort treated with Diplene alone. The follow-up period ranged from 3 to 12 months.</div></div><div><h3>Results</h3><div>All patients achieved successful restoration of eyelid support with high aesthetic satisfaction. The Solcoseryl group demonstrated significantly faster epithelialization (mean 9.8 ± 1.2 days), improved microcirculatory parameters, and no serious complications. Minor hematomas occurred in two cases (7.4%).</div></div><div><h3>Conclusion</h3><div>The modified Diplene–Solcoseryl membrane enhanced wound healing and biocompatibility during lower-eyelid reconstruction by transforming the membrane into a bioactive scaffold. This innovation offers superior functional and aesthetic outcomes compared to standard diplene use and represents a significant advancement in oculoplastic and oncological reconstructive surgery.</div></div>","PeriodicalId":65600,"journal":{"name":"Chinese Journal of Plastic and Reconstructive Surgery","volume":"7 2","pages":"Pages 66-70"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144470741","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 : 2025-06-01DOI: 10.1016/j.cjprs.2025.06.003
Zhichao Wang , Xuan Yu , Yihui Gu , Wei Wang , Chengjiang Wei , Bin Gu , Jun Yang , Qingfeng Li
Background
Plexiform neurofibromas (PNF) are highly vascular tumors with the potential for significant growth. Surgical removal of giant PNF is often challenging because of intraoperative hemorrhage. This study proposed and evaluated an innovative surgical approach involving FENCY ligation and the role of preoperative embolization in the resection of giant PNF.
Methods
This was a retrospective, interventional, and sequential case series conducted in a plastic and reconstructive surgery unit. We summarized all patients with PNF who underwent resection at our center between 2019 and 2024. Surgical case notes from 11 patients with giant PNF who underwent FENCY ligation were reviewed, including three patients who received preoperative embolization. All patients participated in structured telephone interviews. Patient demographics, surgical safety, postoperative recovery, and patient satisfaction were evaluated.
Results
Among 456 patients with 494 PNF who underwent surgical resection, we categorized the procedures into median, large, and giant PNF subgroups. To illustrate comprehensive perioperative and surgical approaches, we analyzed seven female and four male patients with giant PNF. The median maximum tumor diameter at the time of surgery was 30.4 cm (range, 11.5–55.6 cm). Most PNF were located on the face (63.6%), followed by the back (18.2%), buttocks (18.2%), upper limbs (9.1%), and neck (9.1%). The median intraoperative hemorrhage volume was 366 mL (range, 10–2 034 mL), And the median hospital stay was 17 days (range, 14–33 days). The mean follow-up duration was 2.5 years (range, 0.4–5.5 years). No severe complications were observed, except for one case of infection.
Conclusion
PNF resection, particularly giant PNF resection, is a high-risk treatment option. Comprehensive evaluation, perioperative preparation, and surgical techniques are required to ensure efficacy and safety. FENCY ligation and preoperative embolization can be used to resect giant PNF in multiple complex regions with satisfactory outcomes.
{"title":"An innovative resection of giant neurofibromas","authors":"Zhichao Wang , Xuan Yu , Yihui Gu , Wei Wang , Chengjiang Wei , Bin Gu , Jun Yang , Qingfeng Li","doi":"10.1016/j.cjprs.2025.06.003","DOIUrl":"10.1016/j.cjprs.2025.06.003","url":null,"abstract":"<div><h3>Background</h3><div>Plexiform neurofibromas (PNF) are highly vascular tumors with the potential for significant growth. Surgical removal of giant PNF is often challenging because of intraoperative hemorrhage. This study proposed and evaluated an innovative surgical approach involving FENCY ligation and the role of preoperative embolization in the resection of giant PNF.</div></div><div><h3>Methods</h3><div>This was a retrospective, interventional, and sequential case series conducted in a plastic and reconstructive surgery unit. We summarized all patients with PNF who underwent resection at our center between 2019 and 2024. Surgical case notes from 11 patients with giant PNF who underwent FENCY ligation were reviewed, including three patients who received preoperative embolization. All patients participated in structured telephone interviews. Patient demographics, surgical safety, postoperative recovery, and patient satisfaction were evaluated.</div></div><div><h3>Results</h3><div>Among 456 patients with 494 PNF who underwent surgical resection, we categorized the procedures into median, large, and giant PNF subgroups. To illustrate comprehensive perioperative and surgical approaches, we analyzed seven female and four male patients with giant PNF. The median maximum tumor diameter at the time of surgery was 30.4 cm (range, 11.5–55.6 cm). Most PNF were located on the face (63.6%), followed by the back (18.2%), buttocks (18.2%), upper limbs (9.1%), and neck (9.1%). The median intraoperative hemorrhage volume was 366 mL (range, 10–2 034 mL), And the median hospital stay was 17 days (range, 14–33 days). The mean follow-up duration was 2.5 years (range, 0.4–5.5 years). No severe complications were observed, except for one case of infection.</div></div><div><h3>Conclusion</h3><div>PNF resection, particularly giant PNF resection, is a high-risk treatment option. Comprehensive evaluation, perioperative preparation, and surgical techniques are required to ensure efficacy and safety. FENCY ligation and preoperative embolization can be used to resect giant PNF in multiple complex regions with satisfactory outcomes.</div></div>","PeriodicalId":65600,"journal":{"name":"Chinese Journal of Plastic and Reconstructive Surgery","volume":"7 2","pages":"Pages 71-77"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144470742","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 : 2025-06-01DOI: 10.1016/j.cjprs.2025.02.001
Olesya Startseva , Igor Reshetov , Jaume Masia , Alexandra Frolova , Elena Mershina , Evgeniya Zhigailova , Mark Gabriyanchik
Background
The lumbar artery perforator (LAP) flap is an important autologous option in breast reconstruction. As the lumbar perforator flap is relatively new in this field, several questions remain regarding preoperative preparation, especially concerning computed tomography (CT) and magnetic resonance imaging of the donor site. The objective of this study was to aid the surgical approach to the LAP flap in female patients by precisely determining the characteristics of the lumbar perforators.
Methods
We retrospectively reviewed the computed tomographic angiography images of 20 patients who underwent evaluation of the perforator positions from the four lumbar arteries. Four characteristics were studied: length, diameter, path of the lumbar pedicle, and thickness of the tissues available for transfer.
Results
We analyzed 20 CT images, identifying 149 perforating vessels of the lumbar artery. The most suitable perforator for flap harvesting was the L4 perforator, which exhibited a larger diameter, a greater number of perforasomes, and a higher percentage of the cutaneous-septal tract.
Conclusion
The LAP flap is a viable option for breast reconstruction and as a free flap in women. The L4 perforator artery is the most suitable for harvesting, owing to its superior perfusion capacity, diameter, and course; however, an interposition graft may be required to lengthen the vascular pedicle.
{"title":"Anatomical CT study of lumbar artery perforator flap in women","authors":"Olesya Startseva , Igor Reshetov , Jaume Masia , Alexandra Frolova , Elena Mershina , Evgeniya Zhigailova , Mark Gabriyanchik","doi":"10.1016/j.cjprs.2025.02.001","DOIUrl":"10.1016/j.cjprs.2025.02.001","url":null,"abstract":"<div><h3>Background</h3><div>The lumbar artery perforator (LAP) flap is an important autologous option in breast reconstruction. As the lumbar perforator flap is relatively new in this field, several questions remain regarding preoperative preparation, especially concerning computed tomography (CT) and magnetic resonance imaging of the donor site. The objective of this study was to aid the surgical approach to the LAP flap in female patients by precisely determining the characteristics of the lumbar perforators.</div></div><div><h3>Methods</h3><div>We retrospectively reviewed the computed tomographic angiography images of 20 patients who underwent evaluation of the perforator positions from the four lumbar arteries. Four characteristics were studied: length, diameter, path of the lumbar pedicle, and thickness of the tissues available for transfer.</div></div><div><h3>Results</h3><div>We analyzed 20 CT images, identifying 149 perforating vessels of the lumbar artery. The most suitable perforator for flap harvesting was the L4 perforator, which exhibited a larger diameter, a greater number of perforasomes, and a higher percentage of the cutaneous-septal tract.</div></div><div><h3>Conclusion</h3><div>The LAP flap is a viable option for breast reconstruction and as a free flap in women. The L4 perforator artery is the most suitable for harvesting, owing to its superior perfusion capacity, diameter, and course; however, an interposition graft may be required to lengthen the vascular pedicle.</div></div>","PeriodicalId":65600,"journal":{"name":"Chinese Journal of Plastic and Reconstructive Surgery","volume":"7 2","pages":"Pages 78-82"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144470743","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 : 2025-06-01DOI: 10.1016/j.cjprs.2025.06.002
Zhijin Li , Junxian Wen , Nanze Yu , Xiaojun Wang
Background
Dermal white adipose tissue (dWAT) plays a crucial role in maintaining skin structure and functional homeostasis. Dysfunction of dWAT is closely associated with skin aging and fibrosis, with the impairment of autophagy and mitophagy considered the key mechanisms underlying adipose tissue dysfunction. Autologous fat transplantation (AFT) is widely used in plastic and aesthetic surgeries; however, its effects on dermal adipose function remain unclear.
Methods
In this study, a mouse model of dermal adipose dysfunction was established using the PPAR-γ inhibitor GW9662, followed by subcutaneous AFT. Dermal adipose thickness, lipid metabolism, autophagy, and mitophagy-related protein expression (PPAR-γ, PLIN-1, Beclin-1, LC3, Pink-1, and Parkin) were analyzed by H&E staining, immunohistochemistry, and qRT-PCR.
Results
GW9662 treatment significantly inhibited lipid metabolism and reduced the expression of autophagy- and mitophagy-related markers, indicating a possible impairment in these pathways. AFT upregulated these markers, suggesting a potential modulatory effect on autophagy and mitophagy.
Conclusion
Dermal adipose dysfunction induced by PPAR-γ inhibition may involve dysregulation of autophagy and mitophagy. Subcutaneous fat transplantation appeared to partially reverse these molecular alterations, thereby supporting its potential application in skin aging and adipose tissue restoration.
{"title":"Subcutaneous fat transplantation improves dermal adipose dysfunction by regulating autophagy and mitophagy","authors":"Zhijin Li , Junxian Wen , Nanze Yu , Xiaojun Wang","doi":"10.1016/j.cjprs.2025.06.002","DOIUrl":"10.1016/j.cjprs.2025.06.002","url":null,"abstract":"<div><h3>Background</h3><div>Dermal white adipose tissue (dWAT) plays a crucial role in maintaining skin structure and functional homeostasis. Dysfunction of dWAT is closely associated with skin aging and fibrosis, with the impairment of autophagy and mitophagy considered the key mechanisms underlying adipose tissue dysfunction. Autologous fat transplantation (AFT) is widely used in plastic and aesthetic surgeries; however, its effects on dermal adipose function remain unclear.</div></div><div><h3>Methods</h3><div>In this study, a mouse model of dermal adipose dysfunction was established using the PPAR-γ inhibitor GW9662, followed by subcutaneous AFT. Dermal adipose thickness, lipid metabolism, autophagy, and mitophagy-related protein expression (PPAR-γ, PLIN-1, Beclin-1, LC3, Pink-1, and Parkin) were analyzed by H&E staining, immunohistochemistry, and qRT-PCR.</div></div><div><h3>Results</h3><div>GW9662 treatment significantly inhibited lipid metabolism and reduced the expression of autophagy- and mitophagy-related markers, indicating a possible impairment in these pathways. AFT upregulated these markers, suggesting a potential modulatory effect on autophagy and mitophagy.</div></div><div><h3>Conclusion</h3><div>Dermal adipose dysfunction induced by PPAR-γ inhibition may involve dysregulation of autophagy and mitophagy. Subcutaneous fat transplantation appeared to partially reverse these molecular alterations, thereby supporting its potential application in skin aging and adipose tissue restoration.</div></div>","PeriodicalId":65600,"journal":{"name":"Chinese Journal of Plastic and Reconstructive Surgery","volume":"7 2","pages":"Pages 59-65"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144470723","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 : 2025-06-01DOI: 10.1016/j.cjprs.2025.02.002
Nazim Husain , Md Akhter Hussain Jamali , Jamal Akhtar , Usama Akram , N. Zaheer Ahmed
Leg ulcers pose a significant burden on morbidity, healthcare costs, and quality of life, despite rarely resulting in limb loss. This underscores the necessity for safe and effective alternative treatments. Unani medicine offers various therapeutic options for managing ulcers. This case report details the successful treatment of a non-healing venous ulcer using Unani regimens in a 40-year-old male with a history of diabetes mellitus and paralytic polio. The patient sought care at the Regional Research Institute of Unani Medicine, Silchar, Assam, India, for a chronic ulcer in the gaiter region of his right leg, which was associated with mild pain, itching, and hyperpigmentation but notably lacked any signs of varicose veins. Over the years, the patient had undergone various treatments, including topical care and antibiotics; however, frustration with persistent non-healing led him to explore alternative interventions. The Unani treatment included medicinal leech therapy, followed by the application of a grated unripe papaya bandage for 14 days. By the end of this period, the ulcer had completely healed, allowing the discontinuation of the dressing. By the 21st day, symptom resolution was observed, with complete relief from pain and itching and normalization of hyperpigmentation in the surrounding area. This case highlights the potential of Unani therapeutic approaches in effectively managing non-healing venous ulcers.
{"title":"Medicinal leech therapy and grated unripe papaya bandage for the treatment of chronic leg ulcer: A case report","authors":"Nazim Husain , Md Akhter Hussain Jamali , Jamal Akhtar , Usama Akram , N. Zaheer Ahmed","doi":"10.1016/j.cjprs.2025.02.002","DOIUrl":"10.1016/j.cjprs.2025.02.002","url":null,"abstract":"<div><div>Leg ulcers pose a significant burden on morbidity, healthcare costs, and quality of life, despite rarely resulting in limb loss. This underscores the necessity for safe and effective alternative treatments. Unani medicine offers various therapeutic options for managing ulcers. This case report details the successful treatment of a non-healing venous ulcer using Unani regimens in a 40-year-old male with a history of diabetes mellitus and paralytic polio. The patient sought care at the Regional Research Institute of Unani Medicine, Silchar, Assam, India, for a chronic ulcer in the gaiter region of his right leg, which was associated with mild pain, itching, and hyperpigmentation but notably lacked any signs of varicose veins. Over the years, the patient had undergone various treatments, including topical care and antibiotics; however, frustration with persistent non-healing led him to explore alternative interventions. The Unani treatment included medicinal leech therapy, followed by the application of a grated unripe papaya bandage for 14 days. By the end of this period, the ulcer had completely healed, allowing the discontinuation of the dressing. By the 21st day, symptom resolution was observed, with complete relief from pain and itching and normalization of hyperpigmentation in the surrounding area. This case highlights the potential of Unani therapeutic approaches in effectively managing non-healing venous ulcers.</div></div>","PeriodicalId":65600,"journal":{"name":"Chinese Journal of Plastic and Reconstructive Surgery","volume":"7 2","pages":"Pages 93-96"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144470744","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 : 2025-06-01DOI: 10.1016/j.cjprs.2025.05.002
Siddig Ibrahim Abdelwahab , Abdullah Farasani , Zenat A. Khired , Ahmad Assiri , Abdelkhalig Hussein Elhilu , Waseem Hassan
Background
Peripheral nerve regeneration is a critical research area with significant implications for neurology, neurosurgery, and regenerative medicine. A bibliometric analysis was conducted to provide a structured overview of research trends, intellectual impact, and evolving themes in peripheral nerve regeneration. This study aimed to identify the most influential research articles on peripheral nerve regeneration; analyze keyword trends, thematic evolution, and co-word structures; assess the contributions of top authors, universities, and countries; and examine collaboration networks and research dynamics.
Methods
A systematic bibliometric approach was employed using two search strategies. The first strategy involved searching within the title, abstract, and keyword fields, yielding 15 317 papers, whereas the second strategy was restricted to searching titles only, retrieving 3 531 papers. From these, the 100 most cited papers were selected for analysis. A thematic analysis was conducted using co-word clustering. The leading contributors were ranked according to the number of publications, citations, h-index, g-index, and m-index.
Results
The bibliometric analysis provided several key insights. Keyword analysis using bi- and tri-gram techniques revealed the dominant research themes within the field. The top contributors, including authors, universities, and countries, were ranked based on their productivity and citation impact. Collaboration networks were mapped at the author, institutional, and country levels, highlighting key partnerships and global research interactions. Thematic analysis classified research into seven major domains: neural regeneration and repair; cellular and molecular biology; biomaterials and tissue engineering; experimental studies and statistical analyses; functional and therapeutic aspects; neuropathic pain and peripheral nerve disorders; and Schwann cell and cellular responses. Additionally, the ten most influential papers were reviewed in detail to understand their contributions to the field.
Conclusion
This study provides a comprehensive and structured overview of peripheral nerve regeneration research. These findings offer valuable insights into the intellectual foundation of the field by identifying key contributors, research trends, and collaboration patterns. The results serve as a guide for future research, helping researchers to navigate the evolving landscape of peripheral nerve regeneration.
{"title":"Trends and key contributors in peripheral nerve regeneration research: A bibliometric study","authors":"Siddig Ibrahim Abdelwahab , Abdullah Farasani , Zenat A. Khired , Ahmad Assiri , Abdelkhalig Hussein Elhilu , Waseem Hassan","doi":"10.1016/j.cjprs.2025.05.002","DOIUrl":"10.1016/j.cjprs.2025.05.002","url":null,"abstract":"<div><h3>Background</h3><div>Peripheral nerve regeneration is a critical research area with significant implications for neurology, neurosurgery, and regenerative medicine. A bibliometric analysis was conducted to provide a structured overview of research trends, intellectual impact, and evolving themes in peripheral nerve regeneration. This study aimed to identify the most influential research articles on peripheral nerve regeneration; analyze keyword trends, thematic evolution, and co-word structures; assess the contributions of top authors, universities, and countries; and examine collaboration networks and research dynamics.</div></div><div><h3>Methods</h3><div>A systematic bibliometric approach was employed using two search strategies. The first strategy involved searching within the title, abstract, and keyword fields, yielding 15 317 papers, whereas the second strategy was restricted to searching titles only, retrieving 3 531 papers. From these, the 100 most cited papers were selected for analysis. A thematic analysis was conducted using co-word clustering. The leading contributors were ranked according to the number of publications, citations, h-index, g-index, and m-index.</div></div><div><h3>Results</h3><div>The bibliometric analysis provided several key insights. Keyword analysis using bi- and tri-gram techniques revealed the dominant research themes within the field. The top contributors, including authors, universities, and countries, were ranked based on their productivity and citation impact. Collaboration networks were mapped at the author, institutional, and country levels, highlighting key partnerships and global research interactions. Thematic analysis classified research into seven major domains: neural regeneration and repair; cellular and molecular biology; biomaterials and tissue engineering; experimental studies and statistical analyses; functional and therapeutic aspects; neuropathic pain and peripheral nerve disorders; and Schwann cell and cellular responses. Additionally, the ten most influential papers were reviewed in detail to understand their contributions to the field.</div></div><div><h3>Conclusion</h3><div>This study provides a comprehensive and structured overview of peripheral nerve regeneration research. These findings offer valuable insights into the intellectual foundation of the field by identifying key contributors, research trends, and collaboration patterns. The results serve as a guide for future research, helping researchers to navigate the evolving landscape of peripheral nerve regeneration.</div></div>","PeriodicalId":65600,"journal":{"name":"Chinese Journal of Plastic and Reconstructive Surgery","volume":"7 2","pages":"Pages 111-121"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144471321","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 : 2025-03-01DOI: 10.1016/j.cjprs.2024.11.008
Shengzhou Shan, Xusong Luo
Tissue expansion is a widely utilized technique in plastic and reconstructive surgery; however, the biological mechanisms underlying the skin response remain poorly understood. We propose that tissue fluidity, the transition of tissue from a solid-like state to a fluid-like state, plays a pivotal role in enabling the reorganization of the epidermal structure and cellular spatial order, which is essential for effective tissue expansion. Drawing parallels between fluidity in materials science and biological systems, we suggest that the fluid-like behavior in the skin may be critical for mechanical adaptability. Understanding the influence of tissue fluidity may open pathways for modulating this process, potentially enhancing tissue expansion efficiency, reducing procedural duration, and improving clinical outcomes. This perspective highlights the importance of investigating the biological dynamics of tissue fluidity and exploring the potential for targeted manipulation of fluidity-related pathways to optimize tissue expansion. Such advancements could profoundly affect regenerative and reconstructive surgical practices.
{"title":"From solid to fluid: The possible role of tissue fluidity in mechanical stretch-induced tissue expansion","authors":"Shengzhou Shan, Xusong Luo","doi":"10.1016/j.cjprs.2024.11.008","DOIUrl":"10.1016/j.cjprs.2024.11.008","url":null,"abstract":"<div><div>Tissue expansion is a widely utilized technique in plastic and reconstructive surgery; however, the biological mechanisms underlying the skin response remain poorly understood. We propose that tissue fluidity, the transition of tissue from a solid-like state to a fluid-like state, plays a pivotal role in enabling the reorganization of the epidermal structure and cellular spatial order, which is essential for effective tissue expansion. Drawing parallels between fluidity in materials science and biological systems, we suggest that the fluid-like behavior in the skin may be critical for mechanical adaptability. Understanding the influence of tissue fluidity may open pathways for modulating this process, potentially enhancing tissue expansion efficiency, reducing procedural duration, and improving clinical outcomes. This perspective highlights the importance of investigating the biological dynamics of tissue fluidity and exploring the potential for targeted manipulation of fluidity-related pathways to optimize tissue expansion. Such advancements could profoundly affect regenerative and reconstructive surgical practices.</div></div>","PeriodicalId":65600,"journal":{"name":"Chinese Journal of Plastic and Reconstructive Surgery","volume":"7 1","pages":"Pages 56-58"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.cjprs.2024.11.006
Antony de Paula Barbosa, Alan Cristian Marinho Ferreira, Aline Castellar Duarte, Rafaella Vilela da Silva
Poly-L-lactic acid (PLLA) has become a popular treatment for body skin laxity, especially in female patients; however, research on its use in male patients remains limited, particularly in addressing changes in the gluteal region due to aging. This case report investigates the efficacy of PLLA in treating skin laxity in the gluteal area of three male patients aged 36, 41, and 50 years who were treated at the Antony Barbosa Institute between May 2023 and June 2024. The Male Gluteal Contour Method™: C-Tech Collagen Boost was employed using a C-shaped injection technique with an 18G × 70 mm cannula. Patients underwent four sessions of PLLA injections, reconstituted with bacteriostatic sterile water and lidocaine, at 4–6-week intervals. Improvements in the gluteal contour and skin laxity were noted in all patients, with increased collagen production contributing to enhanced muscle definition and firmness. Minimal side effects such as mild bruising, swelling, and tenderness were reported, and no nodules were observed. This study highlights the importance of tailored treatment plans that cater to the specific needs of middle-age and older men. The C-shaped injection technique allowed for an even distribution of the biostimulator while respecting male anatomy. PLLA is a promising nonsurgical solution for improving male gluteal contour and skin quality, although further research with larger groups is warranted to establish more definitive guidelines for its use in male gluteal augmentation.
{"title":"Novel therapeutic approaches with poly-L-lactic acid for treating gluteal skin laxity in male patients","authors":"Antony de Paula Barbosa, Alan Cristian Marinho Ferreira, Aline Castellar Duarte, Rafaella Vilela da Silva","doi":"10.1016/j.cjprs.2024.11.006","DOIUrl":"10.1016/j.cjprs.2024.11.006","url":null,"abstract":"<div><div>Poly-L-lactic acid (PLLA) has become a popular treatment for body skin laxity, especially in female patients; however, research on its use in male patients remains limited, particularly in addressing changes in the gluteal region due to aging. This case report investigates the efficacy of PLLA in treating skin laxity in the gluteal area of three male patients aged 36, 41, and 50 years who were treated at the Antony Barbosa Institute between May 2023 and June 2024. The Male Gluteal Contour Method™: C-Tech Collagen Boost was employed using a C-shaped injection technique with an 18G × 70 mm cannula. Patients underwent four sessions of PLLA injections, reconstituted with bacteriostatic sterile water and lidocaine, at 4–6-week intervals. Improvements in the gluteal contour and skin laxity were noted in all patients, with increased collagen production contributing to enhanced muscle definition and firmness. Minimal side effects such as mild bruising, swelling, and tenderness were reported, and no nodules were observed. This study highlights the importance of tailored treatment plans that cater to the specific needs of middle-age and older men. The C-shaped injection technique allowed for an even distribution of the biostimulator while respecting male anatomy. PLLA is a promising nonsurgical solution for improving male gluteal contour and skin quality, although further research with larger groups is warranted to establish more definitive guidelines for its use in male gluteal augmentation.</div></div>","PeriodicalId":65600,"journal":{"name":"Chinese Journal of Plastic and Reconstructive Surgery","volume":"7 1","pages":"Pages 23-29"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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