Pub Date : 2025-03-01DOI: 10.1016/j.cjprs.2024.12.003
Yuming Chong , Yilin Li , Xiaojun Wang , Nanze Yu , Jiuzuo Huang , Hairu Cao , Wenyun Ting , Xiao Long
Background
Excess submental fat (SMF) is a common facial aesthetic concern, and assessment scales play a crucial role in its evaluation. Existing SMF scales are based on Caucasian populations, although genetic background significantly influences SMF distribution. Therefore, this study aimed to develop and validate a 5-point Chinese version of the Clinician-Reported Submental Fat Rating Scale (CR-SMFRS).
Methods
The study included 150 volunteers, and captured photographs from the frontal, oblique, and lateral views were combined for each participant. A 5-point scale with descriptive criteria was primarily designed. Internal validation involved three experienced plastic surgeons, while external validation was conducted on 50 live volunteers by six additional raters. Intra- and inter-rater reliability were assessed.
Results
A 5-point grading system with descriptive criteria was developed and validated as the Chinese CR-SMFRS. Internal validation demonstrated a good intra- and inter-rater consistency. During external validation, intraclass correlation coefficient values for each rater exceeded 0.850, indicating high intra-rater consistency. Moreover, the inter-rater reliability showed good consistency.
Conclusion
The Chinese version of the SMF rating scale is a reliable tool for clinical use.
{"title":"Development and validation of the Chinese version of the Clinician-reported submental fat rating scale","authors":"Yuming Chong , Yilin Li , Xiaojun Wang , Nanze Yu , Jiuzuo Huang , Hairu Cao , Wenyun Ting , Xiao Long","doi":"10.1016/j.cjprs.2024.12.003","DOIUrl":"10.1016/j.cjprs.2024.12.003","url":null,"abstract":"<div><h3>Background</h3><div>Excess submental fat (SMF) is a common facial aesthetic concern, and assessment scales play a crucial role in its evaluation. Existing SMF scales are based on Caucasian populations, although genetic background significantly influences SMF distribution. Therefore, this study aimed to develop and validate a 5-point Chinese version of the Clinician-Reported Submental Fat Rating Scale (CR-SMFRS).</div></div><div><h3>Methods</h3><div>The study included 150 volunteers, and captured photographs from the frontal, oblique, and lateral views were combined for each participant. A 5-point scale with descriptive criteria was primarily designed. Internal validation involved three experienced plastic surgeons, while external validation was conducted on 50 live volunteers by six additional raters. Intra- and inter-rater reliability were assessed.</div></div><div><h3>Results</h3><div>A 5-point grading system with descriptive criteria was developed and validated as the Chinese CR-SMFRS. Internal validation demonstrated a good intra- and inter-rater consistency. During external validation, intraclass correlation coefficient values for each rater exceeded 0.850, indicating high intra-rater consistency. Moreover, the inter-rater reliability showed good consistency.</div></div><div><h3>Conclusion</h3><div>The Chinese version of the SMF rating scale is a reliable tool for clinical use.</div></div>","PeriodicalId":65600,"journal":{"name":"Chinese Journal of Plastic and Reconstructive Surgery","volume":"7 1","pages":"Pages 1-4"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548987","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.2024.12.005
Danyang Zhao , Jia Xu , Xin Li, Jiajun Fan, Tianyi Shen, Zijing Du, Yi Cao, Hao Jiang, Dong Han
Hypertrophic scars (HS) are fibrotic proliferative diseases that develop after deep skin injuries caused by trauma, burns, and surgery. Traditional treatment methods include both surgical and nonsurgical therapies. Early intervention and combination therapy tailored to the individual needs of the patients are crucial for achieving optimal results. Three-dimensional (3D) printing technology, a rapid prototyping technique, is increasingly being applied in the medical field. The customization and precise functionality of 3D printing technology are particularly important for the rehabilitation of HS. This review provides an overview of HS and the role of 3D printing technology in medical applications, analyses the application of 3D-printed rehabilitation aids for HS, and discusses the use of 3D printing technology to improve HS treatment outcomes, thereby providing clinical guidance for effective HS rehabilitation.
{"title":"Application of 3D-printed rehabilitation aids for hypertrophic scars","authors":"Danyang Zhao , Jia Xu , Xin Li, Jiajun Fan, Tianyi Shen, Zijing Du, Yi Cao, Hao Jiang, Dong Han","doi":"10.1016/j.cjprs.2024.12.005","DOIUrl":"10.1016/j.cjprs.2024.12.005","url":null,"abstract":"<div><div>Hypertrophic scars (HS) are fibrotic proliferative diseases that develop after deep skin injuries caused by trauma, burns, and surgery. Traditional treatment methods include both surgical and nonsurgical therapies. Early intervention and combination therapy tailored to the individual needs of the patients are crucial for achieving optimal results. Three-dimensional (3D) printing technology, a rapid prototyping technique, is increasingly being applied in the medical field. The customization and precise functionality of 3D printing technology are particularly important for the rehabilitation of HS. This review provides an overview of HS and the role of 3D printing technology in medical applications, analyses the application of 3D-printed rehabilitation aids for HS, and discusses the use of 3D printing technology to improve HS treatment outcomes, thereby providing clinical guidance for effective HS rehabilitation.</div></div>","PeriodicalId":65600,"journal":{"name":"Chinese Journal of Plastic and Reconstructive Surgery","volume":"7 1","pages":"Pages 49-55"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548988","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.2024.11.004
Yang Yang , Ningyuan Gao , Ming Ren , Lu Wang , Zixu Gao , Rongkui Luo , Chuanyuan Wei , Jianying Gu
As the study of vascular anomalies progresses, it is imperative for plastic surgeons to individualize their in-depth research and practice to develop more effective and personalized treatment plans. Recent advancements in genome sequencing technology have highlighted the importance of vascular endothelial growth factor (VEGF) and its receptor (VEGFR) in the formation and alteration of vascularity. However, definitive reports regarding mutations associated with this locus and treatment experiences remain scarce. Herein, we report a clinical case of multiple venous malformations with mutations in VEGFR3 (FLT4). We implemented a comprehensive approach, including local lesion excision of the left foot and trunk, oral propranolol administration, and local physiotherapy. After two years of follow-up, the patient’s left foot venous malformation did not recur, and he expressed satisfaction with the outcomes of the combined therapy. This case offers valuable insights into the clinical management of this mutant type and similar presentations of multiple venous malformations.
{"title":"Combined therapy of a case of multiple venous malformation with FLT4 gene mutation","authors":"Yang Yang , Ningyuan Gao , Ming Ren , Lu Wang , Zixu Gao , Rongkui Luo , Chuanyuan Wei , Jianying Gu","doi":"10.1016/j.cjprs.2024.11.004","DOIUrl":"10.1016/j.cjprs.2024.11.004","url":null,"abstract":"<div><div>As the study of vascular anomalies progresses, it is imperative for plastic surgeons to individualize their in-depth research and practice to develop more effective and personalized treatment plans. Recent advancements in genome sequencing technology have highlighted the importance of vascular endothelial growth factor (VEGF) and its receptor (VEGFR) in the formation and alteration of vascularity. However, definitive reports regarding mutations associated with this locus and treatment experiences remain scarce. Herein, we report a clinical case of multiple venous malformations with mutations in VEGFR3 (<em>FLT4</em>). We implemented a comprehensive approach, including local lesion excision of the left foot and trunk, oral propranolol administration, and local physiotherapy. After two years of follow-up, the patient’s left foot venous malformation did not recur, and he expressed satisfaction with the outcomes of the combined therapy. This case offers valuable insights into the clinical management of this mutant type and similar presentations of multiple venous malformations.</div></div>","PeriodicalId":65600,"journal":{"name":"Chinese Journal of Plastic and Reconstructive Surgery","volume":"7 1","pages":"Pages 18-22"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548867","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.2025.01.001
Omar M. Nouh, Noura Khaled Abdelwahed, Wael S. Abdelnasser, Ahmed Ragab Morsi, Amr Ahmed Zaki, Shaimaa Mostafa
Background
The first web space not only plays an integral role in hand functionality, but also holds an important aesthetic function for patients with cicatricial contractures, which hinders the ability to move joints, thereby restricting the performance of everyday activities. Therefore, a wide variety of reconstruction options are available. In this study, our main aim was to have a clear surgical plan prior to surgery according to preoperative findings and the degree of thumb abduction span.
Methods
This study was conducted at Kasr Al-Ainy Hospital. This cohort study included 33 patients with cicatricial first web space contractures who underwent reconstructive procedures to restore the first web space. Patients were assessed preoperatively and categorized according to the degree of contracture, and the reconstruction procedure was chosen accordingly. They were assessed using both objective and subjective methods.
Results
In this study, 33 cases of cicatricial contracture of the first web space due to physical or thermal trauma were included. Measurements of the change in the span of abduction were performed for all patients included in the study preoperatively and postoperatively. Skin grafting and skin substitutes had an average change in abduction span of 32.5° (± 14.4°), Z-plasty release had a mean of 30.59° (± 8.82°) increase in abduction span, regional flaps had an increase of 40.71° (± 12.39°), while distant flaps had an increase of 35° (± 3.54°).
Conclusion
No single reconstruction method can be used in all cases. When viewing a patient, one must consider that each individual has a unique representation. However, if we follow a systematic method for the initial evaluation, the most efficient flap can be chosen for each case, thus reducing the need for secondary procedures. Categorizing the cases according to the abduction span into mild, moderate, or severe forms is the first building block of this algorithm. Adjacent tissue condition, patient occupation, compliance, and the need to return to work are important factors.
{"title":"Reconstruction of the first web space post cicatricial contracture: Which technique to use?","authors":"Omar M. Nouh, Noura Khaled Abdelwahed, Wael S. Abdelnasser, Ahmed Ragab Morsi, Amr Ahmed Zaki, Shaimaa Mostafa","doi":"10.1016/j.cjprs.2025.01.001","DOIUrl":"10.1016/j.cjprs.2025.01.001","url":null,"abstract":"<div><h3>Background</h3><div>The first web space not only plays an integral role in hand functionality, but also holds an important aesthetic function for patients with cicatricial contractures, which hinders the ability to move joints, thereby restricting the performance of everyday activities. Therefore, a wide variety of reconstruction options are available. In this study, our main aim was to have a clear surgical plan prior to surgery according to preoperative findings and the degree of thumb abduction span.</div></div><div><h3>Methods</h3><div>This study was conducted at Kasr Al-Ainy Hospital. This cohort study included 33 patients with cicatricial first web space contractures who underwent reconstructive procedures to restore the first web space. Patients were assessed preoperatively and categorized according to the degree of contracture, and the reconstruction procedure was chosen accordingly. They were assessed using both objective and subjective methods.</div></div><div><h3>Results</h3><div>In this study, 33 cases of cicatricial contracture of the first web space due to physical or thermal trauma were included. Measurements of the change in the span of abduction were performed for all patients included in the study preoperatively and postoperatively. Skin grafting and skin substitutes had an average change in abduction span of 32.5° (± 14.4°), Z-plasty release had a mean of 30.59° (± 8.82°) increase in abduction span, regional flaps had an increase of 40.71° (± 12.39°), while distant flaps had an increase of 35° (± 3.54°).</div></div><div><h3>Conclusion</h3><div>No single reconstruction method can be used in all cases. When viewing a patient, one must consider that each individual has a unique representation. However, if we follow a systematic method for the initial evaluation, the most efficient flap can be chosen for each case, thus reducing the need for secondary procedures. Categorizing the cases according to the abduction span into mild, moderate, or severe forms is the first building block of this algorithm. Adjacent tissue condition, patient occupation, compliance, and the need to return to work are important factors.</div></div>","PeriodicalId":65600,"journal":{"name":"Chinese Journal of Plastic and Reconstructive Surgery","volume":"7 1","pages":"Pages 5-10"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548989","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}
Breast augmentation with implants is a popular cosmetic surgery that enhances breast volume and contour through various placement planes. In this review, we examine the impact of subglandular, subpectoral, and subfascial implant planes on postoperative outcomes and complication rates. Subglandular placement offers simplicity but is associated with higher risks of capsular contracture, hematoma, and rippling in patients with low tissue coverage. The subpectoral plane, widely adopted for its natural appearance and reduced capsular contracture risk, may cause dynamic deformity due to muscle contraction. Although technically challenging, the subfascial plane combines the benefits of soft tissue support and reduced implant displacement. We highlight the importance of choosing an optimal implant plane tailored to each patient’s anatomical and aesthetic needs to enhance surgical outcomes and minimize complications. Further research is needed to validate long-term efficacy, particularly for subfascial placement.
{"title":"Breast augmentation complications with three planes of implant placements","authors":"Haibo Zhao , Nienwei Liu , Zeren Shen , Jinghong Xu","doi":"10.1016/j.cjprs.2024.12.002","DOIUrl":"10.1016/j.cjprs.2024.12.002","url":null,"abstract":"<div><div>Breast augmentation with implants is a popular cosmetic surgery that enhances breast volume and contour through various placement planes. In this review, we examine the impact of subglandular, subpectoral, and subfascial implant planes on postoperative outcomes and complication rates. Subglandular placement offers simplicity but is associated with higher risks of capsular contracture, hematoma, and rippling in patients with low tissue coverage. The subpectoral plane, widely adopted for its natural appearance and reduced capsular contracture risk, may cause dynamic deformity due to muscle contraction. Although technically challenging, the subfascial plane combines the benefits of soft tissue support and reduced implant displacement. We highlight the importance of choosing an optimal implant plane tailored to each patient’s anatomical and aesthetic needs to enhance surgical outcomes and minimize complications. Further research is needed to validate long-term efficacy, particularly for subfascial placement.</div></div>","PeriodicalId":65600,"journal":{"name":"Chinese Journal of Plastic and Reconstructive Surgery","volume":"7 1","pages":"Pages 45-48"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548870","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.2024.11.007
Yanwen Wang , Poh-ching Tan , Xuewen Xu , Shuangbai Zhou
Adipocyte-secreted extracellular vesicles (EVs) and adipose-derived stem cells (ADSCs) regulate physiological and pathological processes by delivering nucleic acids, proteins, and lipids. Both adipocyte- and ADSC-derived EVs regulate local inflammatory levels, tumor progression, and insulin sensitivity. These two types of EVs also have significant therapeutic effects on damage repair, including wound healing, angiogenesis, myocardial damage, vessel re-endothelialization, bone and cartilage regeneration, muscle repair, and nerve repair. With regard to wound healing, microRNA-21, microRNA-126, microRNA-31, and long non-coding RNA-H19 accelerate the proliferation and migration of fibroblasts, human immortalized keratinocytes, and endothelial cells via the PI3K/Akt/ERK pathway or fibrillin 1. ADSC-derived EVs contain various growth factors that are beneficial for wound healing. Numerous miRNAs in ADSC-derived EVs and β3-adrenergic receptors on brown adipocytes exhibit protective effects against myocardial infarction. Proteins in adipocyte- and ADSC-derived EVs play a role in promoting vessel re-endothelialization and regulating vasodilation. Angiogenesis is beneficial for the regeneration and repair of injured bone, cartilage, muscle, and nerves. Compared with adipocyte EVs, ADSC-EVs contain a greater variety of miRNAs and proteins that promote tissue regeneration. EV therapy is a promising cell-free therapy, and EV-loaded materials have been used for wound healing and myocardial damage. Future research will focus on identifying the molecules in EVs and the repair mechanisms that contribute to damage repair and regeneration. In addition, we aim to discover materials designed for slow release and specificity to facilitate tissue repair and optimize EV transportation.
{"title":"Protective function of adipocyte-derived extracellular vesicles and adipose stem cells in damage repair and regeneration","authors":"Yanwen Wang , Poh-ching Tan , Xuewen Xu , Shuangbai Zhou","doi":"10.1016/j.cjprs.2024.11.007","DOIUrl":"10.1016/j.cjprs.2024.11.007","url":null,"abstract":"<div><div>Adipocyte-secreted extracellular vesicles (EVs) and adipose-derived stem cells (ADSCs) regulate physiological and pathological processes by delivering nucleic acids, proteins, and lipids. Both adipocyte- and ADSC-derived EVs regulate local inflammatory levels, tumor progression, and insulin sensitivity. These two types of EVs also have significant therapeutic effects on damage repair, including wound healing, angiogenesis, myocardial damage, vessel re-endothelialization, bone and cartilage regeneration, muscle repair, and nerve repair. With regard to wound healing, microRNA-21, microRNA-126, microRNA-31, and long non-coding RNA-H19 accelerate the proliferation and migration of fibroblasts, human immortalized keratinocytes, and endothelial cells via the PI3K/Akt/ERK pathway or <em>fibrillin 1</em>. ADSC-derived EVs contain various growth factors that are beneficial for wound healing. Numerous miRNAs in ADSC-derived EVs and β3-adrenergic receptors on brown adipocytes exhibit protective effects against myocardial infarction. Proteins in adipocyte- and ADSC-derived EVs play a role in promoting vessel re-endothelialization and regulating vasodilation. Angiogenesis is beneficial for the regeneration and repair of injured bone, cartilage, muscle, and nerves. Compared with adipocyte EVs, ADSC-EVs contain a greater variety of miRNAs and proteins that promote tissue regeneration. EV therapy is a promising cell-free therapy, and EV-loaded materials have been used for wound healing and myocardial damage. Future research will focus on identifying the molecules in EVs and the repair mechanisms that contribute to damage repair and regeneration. In addition, we aim to discover materials designed for slow release and specificity to facilitate tissue repair and optimize EV transportation.</div></div>","PeriodicalId":65600,"journal":{"name":"Chinese Journal of Plastic and Reconstructive Surgery","volume":"7 1","pages":"Pages 35-44"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548869","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.2024.12.004
Siddig Ibrahim Abdelwahab , Abdullah Farasani , Hassan Ahmad Alfaifi , Waseem Hassan
Background
Facelift procedures represent a critical area of aesthetic and reconstructive surgery that addresses the physical and psychological impacts of facial aging. Advancements in techniques and technologies over time have transformed the field, making it essential to assess the evolution of research trends. This study performed a bibliometric analysis of facelift research by examining the top 50 most cited publications to evaluate their contributions, thematic evolution, and collaborative networks.
Methods
The Scopus database was used to identify relevant publications. A total of 50 documents were selected, comprising 47 articles and 3 reviews published across 16 academic sources. The inclusion criteria focused on publications with substantial relevance to facelift research; this ensured comprehensive coverage of the topic. Key performance indicators (for the authors) such as the number of papers, total citations, h-index, g-index, m-index, HG composite, and Q2 index were calculated. Citation analysis and collaborative network mapping were conducted to identify the leading contributors, including authors, universities, countries, and sources.
Results
The findings indicated an annual growth rate of 1.34%, with an average document age of 29.4 years and an average citation count per document of 134.9. The analysis identified the top authors and their collaborative networks, along with key contributions from various universities, countries, and sources. The thematic evolution of facelift research was examined across these 50 papers; this revealed important trends and shifts within the field.
Conclusion
This bibliometric analysis offers valuable insights into the development and influence of facelift research over a 52-year span. It highlights significant contributors and outlines thematic shifts, providing directions for future research and collaboration in this field.
{"title":"Trends and dynamics in facelift surgery research: A bibliometric analysis of the top 50 most cited papers","authors":"Siddig Ibrahim Abdelwahab , Abdullah Farasani , Hassan Ahmad Alfaifi , Waseem Hassan","doi":"10.1016/j.cjprs.2024.12.004","DOIUrl":"10.1016/j.cjprs.2024.12.004","url":null,"abstract":"<div><h3>Background</h3><div>Facelift procedures represent a critical area of aesthetic and reconstructive surgery that addresses the physical and psychological impacts of facial aging. Advancements in techniques and technologies over time have transformed the field, making it essential to assess the evolution of research trends. This study performed a bibliometric analysis of facelift research by examining the top 50 most cited publications to evaluate their contributions, thematic evolution, and collaborative networks.</div></div><div><h3>Methods</h3><div>The Scopus database was used to identify relevant publications. A total of 50 documents were selected, comprising 47 articles and 3 reviews published across 16 academic sources. The inclusion criteria focused on publications with substantial relevance to facelift research; this ensured comprehensive coverage of the topic. Key performance indicators (for the authors) such as the number of papers, total citations, h-index, g-index, m-index, HG composite, and Q2 index were calculated. Citation analysis and collaborative network mapping were conducted to identify the leading contributors, including authors, universities, countries, and sources.</div></div><div><h3>Results</h3><div>The findings indicated an annual growth rate of 1.34%, with an average document age of 29.4 years and an average citation count per document of 134.9. The analysis identified the top authors and their collaborative networks, along with key contributions from various universities, countries, and sources. The thematic evolution of facelift research was examined across these 50 papers; this revealed important trends and shifts within the field.</div></div><div><h3>Conclusion</h3><div>This bibliometric analysis offers valuable insights into the development and influence of facelift research over a 52-year span. It highlights significant contributors and outlines thematic shifts, providing directions for future research and collaboration in this field.</div></div>","PeriodicalId":65600,"journal":{"name":"Chinese Journal of Plastic and Reconstructive Surgery","volume":"7 1","pages":"Pages 11-17"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548866","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}
Myofibroblastic sarcoma (MS) is a rare malignant soft tissue tumor characterized by myofibroblasts. It most commonly arises in the head and neck region, especially the tongue, with rare occurrences in the limbs. MS exhibits varying histopathology, ranging from low-to high-grade, with diverse subtypes showing different clinical behaviors and prognoses. This article reports the first case of high-grade MS in the hand, adding to the limited documentation of this rare condition. Here, we present the case of a 30-year-old healthy female with a year-long history of progressive shortening, mobility loss, and weakness in the first finger of the left hand. Left-hand imaging revealed a lytic, cottony tumor involving the entire first metacarpal. Following surgical resection, which included metatarsal grafting and joint reconstruction, a diagnosis of high-grade MS was confirmed based on histological manifestations and immunohistochemical staining, which was further classified as grade 2 according to the French Federation of Cancer Centers Sarcoma Group system. Postoperative radiotherapy was administered and the patient experienced a successful recovery without graft osteonecrosis. The patient regained 90% mobility and strength, without shortening, after surgical resection and radiotherapy. Six months post-surgery, the patient reported full hand functionality. MS is a rare tumor that infrequently affects bones and is often misdiagnosed owing to its controversial characteristics. The initial treatment should focus on complete resection with negative margins, followed by reconstructive surgery to preserve function. Further case studies are needed to establish standardized surgical treatment protocols.
{"title":"High-grade myofibroblastic sarcoma in the first metacarpal: An unusual case in hand surgery","authors":"Osnaya-Moreno Humberto , Jiménez-Murat Yusef , Ceballos-Villalva Jesús Carlos , Fukumoto-Inukai Kenzo Alejandro","doi":"10.1016/j.cjprs.2024.11.002","DOIUrl":"10.1016/j.cjprs.2024.11.002","url":null,"abstract":"<div><div>Myofibroblastic sarcoma (MS) is a rare malignant soft tissue tumor characterized by myofibroblasts. It most commonly arises in the head and neck region, especially the tongue, with rare occurrences in the limbs. MS exhibits varying histopathology, ranging from low-to high-grade, with diverse subtypes showing different clinical behaviors and prognoses. This article reports the first case of high-grade MS in the hand, adding to the limited documentation of this rare condition. Here, we present the case of a 30-year-old healthy female with a year-long history of progressive shortening, mobility loss, and weakness in the first finger of the left hand. Left-hand imaging revealed a lytic, cottony tumor involving the entire first metacarpal. Following surgical resection, which included metatarsal grafting and joint reconstruction, a diagnosis of high-grade MS was confirmed based on histological manifestations and immunohistochemical staining, which was further classified as grade 2 according to the French Federation of Cancer Centers Sarcoma Group system. Postoperative radiotherapy was administered and the patient experienced a successful recovery without graft osteonecrosis. The patient regained 90% mobility and strength, without shortening, after surgical resection and radiotherapy. Six months post-surgery, the patient reported full hand functionality. MS is a rare tumor that infrequently affects bones and is often misdiagnosed owing to its controversial characteristics. The initial treatment should focus on complete resection with negative margins, followed by reconstructive surgery to preserve function. Further case studies are needed to establish standardized surgical treatment protocols.</div></div>","PeriodicalId":65600,"journal":{"name":"Chinese Journal of Plastic and Reconstructive Surgery","volume":"7 1","pages":"Pages 30-34"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548868","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 : 2024-12-01DOI: 10.1016/j.cjprs.2024.11.001
Iryna Logvynenko, Valeriia Bursova
Background
Inferior alveolar nerve (IAN) injury is a serious potential complication of orthognathic surgery because the osteotomy cut-line during sagittal split osteotomy (SSO) of the mandible runs close to the mandibular canal. According to statistics, 9%–85% of patients who undergo such surgery suffer from complications. It causes neurosensory disorders (NSD) of the lower lip and chin with a wide variety of symptoms such as numbness, hypoesthesia, hyperesthesia, hypoalgesia, hyperalgesia, and allodynia. However, the accurate planning and thorough analysis using cone-beam computed tomography helps improve the predictability of possible IAN damage by considering the specific anatomical features of each patient and all risk factors. This study aimed to review the frequency of IAN occurrence, risk factors, and diagnostic, prophylactic, and treatment methods used for inferior alveolar nerve regeneration and IAN sensory disturbance recovery following SSO of the mandible.
Methods
We conducted a comprehensive literature search (2020–2024) across PubMed, Scopus, Google Scholar, and ScienceDirect, focusing on mandibular SSO complications, IAN damage, nerve regeneration, and treatments such as corticosteroids, vitamin B12, platelet concentrates, and low-level laser therapy. All systematic review, randomized controlled trial, controlled clinical trial, or retrospective/prospective study involving both animals and humans were included.
Results
Surgeons prescribed medicines for general therapy before surgery and applied intraoperative treatment methods to minimize the degree of NSD manifestation after surgery. Fortunately, majority instances of NSD recover spontaneously by 6 months after the operation; however, if symptoms persist after 1 year, it is considered permanent NSD, which may cause a significant decrease in quality of life. In the postoperative period, assessing neurosensory disturbances with subjective (questionnaires) and objective tests (light touch, 2-point discrimination tests, and others), or their combination, is necessary for determining the management. According to recent studies, dexamethasone, a complex of vitamin B, melatonin, and low-level lasers, is actively used in inferior alveolar nerve regeneration during and after SSO. Moreover, isolated studies have reported the intraoperative use of platelet concentrates during SSO.
Conclusion
The mentioned treatment methods demonstrated positive results in decreasing NSD. However, their effectiveness for IAN regeneration has not been sufficiently studied.
{"title":"Inferior alveolar nerve injury after sagittal split osteotomy of the mandible: A literature review","authors":"Iryna Logvynenko, Valeriia Bursova","doi":"10.1016/j.cjprs.2024.11.001","DOIUrl":"10.1016/j.cjprs.2024.11.001","url":null,"abstract":"<div><h3>Background</h3><div>Inferior alveolar nerve (IAN) injury is a serious potential complication of orthognathic surgery because the osteotomy cut-line during sagittal split osteotomy (SSO) of the mandible runs close to the mandibular canal. According to statistics, 9%–85% of patients who undergo such surgery suffer from complications. It causes neurosensory disorders (NSD) of the lower lip and chin with a wide variety of symptoms such as numbness, hypoesthesia, hyperesthesia, hypoalgesia, hyperalgesia, and allodynia. However, the accurate planning and thorough analysis using cone-beam computed tomography helps improve the predictability of possible IAN damage by considering the specific anatomical features of each patient and all risk factors. This study aimed to review the frequency of IAN occurrence, risk factors, and diagnostic, prophylactic, and treatment methods used for inferior alveolar nerve regeneration and IAN sensory disturbance recovery following SSO of the mandible.</div></div><div><h3>Methods</h3><div>We conducted a comprehensive literature search (2020–2024) across PubMed, Scopus, Google Scholar, and ScienceDirect, focusing on mandibular SSO complications, IAN damage, nerve regeneration, and treatments such as corticosteroids, vitamin B12, platelet concentrates, and low-level laser therapy. All systematic review, randomized controlled trial, controlled clinical trial, or retrospective/prospective study involving both animals and humans were included.</div></div><div><h3>Results</h3><div>Surgeons prescribed medicines for general therapy before surgery and applied intraoperative treatment methods to minimize the degree of NSD manifestation after surgery. Fortunately, majority instances of NSD recover spontaneously by 6 months after the operation; however, if symptoms persist after 1 year, it is considered permanent NSD, which may cause a significant decrease in quality of life. In the postoperative period, assessing neurosensory disturbances with subjective (questionnaires) and objective tests (light touch, 2-point discrimination tests, and others), or their combination, is necessary for determining the management. According to recent studies, dexamethasone, a complex of vitamin B, melatonin, and low-level lasers, is actively used in inferior alveolar nerve regeneration during and after SSO. Moreover, isolated studies have reported the intraoperative use of platelet concentrates during SSO.</div></div><div><h3>Conclusion</h3><div>The mentioned treatment methods demonstrated positive results in decreasing NSD. However, their effectiveness for IAN regeneration has not been sufficiently studied.</div></div>","PeriodicalId":65600,"journal":{"name":"Chinese Journal of Plastic and Reconstructive Surgery","volume":"6 4","pages":"Pages 219-227"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143100519","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 : 2024-12-01DOI: 10.1016/j.cjprs.2024.10.004
Maria Cervatiuc , Igor Vladimirovich Reshetov , Eldor Jonnazarov , Svetlana Vagovna Saakyan
Background
Eyelid malignancies often require radical surgical intervention, with a major risk of tissue loss. Reconstructing the eyelid after such procedures is essential to restoring its protective function and aesthetic appearance. Traditional reconstruction methods involve using grafts from other sites of the body; however, these methods are limited by factors such as the availability of donor tissue, potential mismatches in tissue characteristics, and associated complications, including graft failure or scarring. Additionally, donor site morbidity and achieving a perfect match in texture and color remain challenging. Recent advances in biomaterials offer new possibilities for improving surgical outcomes by providing more biocompatible and flexible options that can be tailored to meet patient-specific needs, potentially reducing complications and improving functional and cosmetic outcomes.
Methods
The study included 61 patients who underwent lower eyelid reconstruction following the radical removal of malignant tumors. The patients were divided into the experimental (31 patients in whom a biodegradable Diplen membrane was used) and control (30 patients in whom the membrane was not used) groups. Patients were followed up for at least 1 year, with clinical outcomes and patient satisfaction carefully evaluated.
Results
The experimental group demonstrated significantly better outcomes regarding eyelid position and color, with fewer complications compared to the control group. Patient satisfaction was significantly higher in the experimental group, demonstrating a strong correlation with clinical outcomes. These findings highlight the effectiveness of the biodegradable Diplen membrane in achieving better functional and aesthetic outcomes.
Conclusions
Eyelid reconstruction using the biodegradable Diplen membrane offers excellent functional and aesthetic outcomes, significantly enhancing patient satisfaction, which is crucial for postoperative rehabilitation and improved quality of life.
{"title":"Biodegradable membrane for lower eyelid reconstruction: Clinical outcomes and patient satisfaction","authors":"Maria Cervatiuc , Igor Vladimirovich Reshetov , Eldor Jonnazarov , Svetlana Vagovna Saakyan","doi":"10.1016/j.cjprs.2024.10.004","DOIUrl":"10.1016/j.cjprs.2024.10.004","url":null,"abstract":"<div><h3>Background</h3><div>Eyelid malignancies often require radical surgical intervention, with a major risk of tissue loss. Reconstructing the eyelid after such procedures is essential to restoring its protective function and aesthetic appearance. Traditional reconstruction methods involve using grafts from other sites of the body; however, these methods are limited by factors such as the availability of donor tissue, potential mismatches in tissue characteristics, and associated complications, including graft failure or scarring. Additionally, donor site morbidity and achieving a perfect match in texture and color remain challenging. Recent advances in biomaterials offer new possibilities for improving surgical outcomes by providing more biocompatible and flexible options that can be tailored to meet patient-specific needs, potentially reducing complications and improving functional and cosmetic outcomes.</div></div><div><h3>Methods</h3><div>The study included 61 patients who underwent lower eyelid reconstruction following the radical removal of malignant tumors. The patients were divided into the experimental (31 patients in whom a biodegradable Diplen membrane was used) and control (30 patients in whom the membrane was not used) groups. Patients were followed up for at least 1 year, with clinical outcomes and patient satisfaction carefully evaluated.</div></div><div><h3>Results</h3><div>The experimental group demonstrated significantly better outcomes regarding eyelid position and color, with fewer complications compared to the control group. Patient satisfaction was significantly higher in the experimental group, demonstrating a strong correlation with clinical outcomes. These findings highlight the effectiveness of the biodegradable Diplen membrane in achieving better functional and aesthetic outcomes.</div></div><div><h3>Conclusions</h3><div>Eyelid reconstruction using the biodegradable Diplen membrane offers excellent functional and aesthetic outcomes, significantly enhancing patient satisfaction, which is crucial for postoperative rehabilitation and improved quality of life.</div></div>","PeriodicalId":65600,"journal":{"name":"Chinese Journal of Plastic and Reconstructive Surgery","volume":"6 4","pages":"Pages 172-175"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143156123","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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