Compared with other techniques of ear reattachment, microvascular replantation produces a superior esthetic result. However, its rarity and very tiny vessel size make complex difficult procedure for microsurgeons. With the development microsurgical skills, it has been possible to restore even partially amputated ear, as well totally avulsed ear. Currently, only few successful results have published case reports included in review articles. The authors present, first time literature, small...

Abstract Introduction Androgenetic alopecia is the most common form of hair loss in both sexes. In recent studies, low-level light therapy (LLLT) has been established as an effective treatment for alopecia. The purpose this study was to evaluate safety and efficacy LLLT using a new helmet-type device androgenetic Method A randomized, sham device-controlled, double-blind clinical trial conducted at 2 institutions. Sixty participants diagnosed with aged from 19 65 years were recruited....

Forehead osteoma is a commonly encountered benign facial bone tumor. Endoscopic excision of forehead masses widely performed. Here, we report rare case recurrent that disseminated after previous excision.A 54-year-old female patient had previously undergone endoscopic removal single at 30 years age. However, she around the same site and underwent another resection 40 During her first visit to our outpatient clinic, presented with cobblestone-like irregular surface on 3D computed tomography...

Because frontotemporal dermoid cysts are superficial masses on the zygomaticofrontal suture, they usually removed by simple direct excision in pediatric patients. Adult patients, however, require a more involved treatment approach because these may be large and extend deeply into surrounding tissue. From 2008 to 2015, 33 adult patients with were treated our clinic under new algorithm. Patients cyst smaller than 2 cm diameter using excisional without preoperative computed tomography (CT)...

Symmetrical peripheral gangrene (SPG) is rare but devastating complication which characterized by symmetrical ischemic change of the distal extremities. In this report, we describe our management protocol for SPG, focusing on surgical approaches. Between January 2007 and February 2016, 10 thoracodorsal artery perforator (TDAP) free flaps were performed in 6 patients with SPG. Three male mean age was 56 (range, 44-69) years. All shock. The causes shock sepsis 4 cases, respiratory arrest 1...

Gout is a common type of inflammatory arthritis caused by the deposition monosodium urate crystals in joints and surrounding tissues. It typically appears with abrupt intense pain, redness, swelling affected joint. frequently targets lower extremities, such as big toe. However, rarely, gout can manifest atypical locations, including hands, leading to an uncommon presentation known gouty tenosynovitis. it result significant morbidity owing potential for severe complications, myonecrosis...

Reconstruction of the nipple-areolar complex is final stage breast reconstruction. Nipple reconstruction usually performed several months after reconstruction, because simultaneous thought to be risky. Here, we introduce our experiences 1-stage procedures with immediate during autologous reconstruction.Between 2008 and 2015, 51 mastectomy patients underwent nipple All cases were reconstructed immediately tissue for mound. The divided into 2 groups according method In group A, 23 a classical...

Anastomotic leakage, although uncommon, is a life-threatening complication and requires prompt recognition treatment. Surgical closure has been recommended for defects that are large symptomatic. However, recent reports on successful endoscopic of anastomotic leakage suggest techniques may be feasible alternative to surgical approaches in patients with comorbid conditions not suitable undergoing second operation or those who refuse reoperated. Herein, we describe case postoperative...

Carpal tunnel syndrome is the most common entrapment neuropathy in upper extremity. Palmaris longus, flexor digitorum superficialis, and lumbricals have infrequently been reported as causes of nerve compression. During routine Korean cadaver dissection, we incidentally identified an anatomic variant first lumbrical muscle within carpal both wrists. The aberrant musculature originated from radial side second FDS at distal forearm level, running separately across wrist beneath retinaculum....

Purpose: Various factors such as blood velocity, turbulent flow,and intimal injury are the most basic elements in free tissue transfers. However, how flow is reestablished, maintained, and changed after vascular anastomosis has rarely been studied.Methods: A 54-year-old male sustained an unreplantable severe crushing to his right hand. The middle finger was transferred thumb ectopic replantation using between radial digital arteries. secondary reconstruction for first web space defect...

Posterior interosseous nerve (PIN) injury is uncommon due to its anatomically deep location. We report a neglected, rare case of PIN presenting the loss extension thumb, index, and small fingers with weakness thumb abduction in 49-year-old male patient. The patient sustained penetrating his right forearm caused by kitchen knife that was repaired primarily through an emergency surgery under general anesthesia. During regular follow-up on 52nd postoperative day, presented 20° lags index finger...

ABSTRACT OBJECTIVE To evaluate the strengths of various surgical knot techniques, including square knot, surgeon’s granny and random with same three throws. METHODS The authors tested each four techniques using different gauges nylon (polyamide [Ethicon]): 4-0, 5-0, 6-0, 7-0. Each type was 20 times per gauge, for a total 320 knots tested. used static pull machine to measure elongation at yield maximal force break. RESULTS A comparison revealed that superior across all nylons. Further, break...

Purpose: Numerous studies have focused on techniques for detecting foreign bodies in soft tissue the hand, but removal remains a subject of interest. In this study, we describe microscope-assisted hand. Methods: We reviewed records patients treated hand at our department from July 2013 to May 2023. 16 aged 23 55 years, following variables were analyzed: cause trauma; time interval trauma surgery; location, type, size, and number bodies; patient complaints; imaging technique; procedure type....

Thermal injuries on free transferred or replanted tissues resulting from loss of sensibility are an infrequent occurrence. They require immediate and appropriate management before they progress to irreversible condition. Although negative pressure wound therapy (NPWT) can prevent progression by increasing microcirculation, the inappropriate application NPWT complication-threatened induce adverse effect.A 48-year-old woman who underwent breast reconstruction with a deep inferior epigastric...

Hemophilia, an uncommon yet consequential hereditary bleeding disorder, manifests as two clinically indistinguishable forms that hinder the normal functioning of coagulation cascade. This impairment renders individuals more susceptible to excessive during significant surgical interventions. Moreover, with severe hemophilia frequently encounter recurring hemarthrosis, resulting in progressive joint destruction and, subsequently, need for hip and knee replacement surgeries.The patient was a...

Reconstruction of wound complications in patients with advanced cancer distant metastases is challenging for plastic surgeons. This may be due to the patients' hypercoagulability and potential intolerance general anesthesia. article aimed discuss risk free-flap reconstruction such cases.The patient was a 58-year-old female non-small cell lung brain metastasis. The underwent radiotherapy chemotherapy through Ommaya Reservoir.A year ago, she several local flap closures recurrent healing...

Abstract Chronic hand ischemia causes cold intolerance, intractable pain, and digital ulceration. If ischemic symptoms persist despite pharmacologic treatments, surgical interventions should be considered. This retrospective study evaluated the long-term results after ulnar radial reconstruction using an interpositional deep inferior epigastric artery (DIEA) graft combined with periarterial sympathectomy. Patients who underwent this surgery from March 2003 to February 2019 were included. To...

In branchial lymphoepithelial cyst (BLEC), which is also known as cleft cyst, the remnants of a arch develop into causing swelling. The first case BLEC in parotid gland was reported by Hildebrant 1895. Since then, has continued to be reported, but rare cases. A 45-year-old man presented our hospital with swelling left cheek approximately 6 months' duration. patient underwent superficial parotidectomy and pathologically diagnosed BLEC. Of note, this non-human immunodeficiency virus...

Rectosigmoid vaginoplasty is a frequently used surgical method in male-to-female sex reassignment surgery. However, severe side effects, such as sepsis, may occur owing to stricture, mucorrhea, and rectovaginal fistula. Herein, we present the case of 29-year-old patient who underwent complete reconstruction an obstructed rectosigmoid vaginal orifice. The had undergone surgery with 8 years previously. introitus was completely obstructed, mucous secretions rectum remained blind pouch....

In article number 2000612, Jeonghun Nam, Chae Seung Lim, and co-workers demonstrate a sheathless, label-free, viscoelastic microfluidic device for separation of submicrometer microvesicles (MVs) from whole blood. This enables the isolation platelet-derived microparticles (PDMPs) diluted blood sample without platelet activation. It can be expected that used as standard protocol, enabling high-recovery high-sensitivity MVs shed not only cells, but also bacteria, viruses, or cancer, disease...

Hidradenitis suppurativa (HS) is a recurring and chronic inflammatory skin disease. Various medical surgical treatments, with varying degrees of efficacy, have been applied based on the Hurley staging system. Since treatment cannot change natural course disease relapse inevitable in long-term, radical excision to reduce recurrences considered as only curative therapy option for patients severe II III stage HS. However, such methods may require intensive reconstructive surgeries are often...

Low blood flow in the distal part of diabetic foot aggravates wound to an ischemic state, which eventually leads amputation. However, major advancements microvascular surgery have shown ability salvage limb even presence poor perfusion. Since a is constituted complex network angiosomes, each separate territory supplied by interconnected vessels. We report successful severe injury 72-year-old male patient with heavily calcified dorsalis pedis artery (DPA). Although proximal end DPA was...

Pediatric trigger finger (PTF) is a rare hand disorder caused by various anatomic abnormalities and systemic illnesses. We report case of PTF in 16-month-old boy, revealing flexion deformity his right middle finger. noted an abnormally proximal location Camper’s chiasm bulging the flexor digitorum profundus intraoperatively. released A1 pulley completely resected ulnar slip superficialis (FDS). The short-term outcome was satisfactory; however, patient experienced mild deviation at 4-year...