Acta Chirurgiae Plasticae

Pyoderma gangrenosum (PG) is a rare non-infectious inflammatory disease of unknown etiology that affects the skin and mucous membranes. The occurrence of pyoderma gangrenosum after a reduction mammoplasty is a very rare complication, which at first glance may seem like an infectious complication; in reality, however, it is an inflammatory disease.This case report describes a rare postoperative complication - pyoderma gangrenosum and its appropriate treatment in our patient who underwent reduction mammoplasty.Early detection of this complication is essential for the patients recovery because the primary surgical treatment can lead to worsening of the condition and is therefore contraindicated in such a case. Pyoderma gangrenosum must be treated conservatively with corticosteroids.

Michaela Široká

Kateřina Kiss

Aleš Fibír

Pyoderma gangrenosum: a rare complica-tion of reduction mammaplasty – a case report

坏疽性脓皮病：缩乳术的罕见并发症——一例报告

Chronic wounds and their problematic healing is a widely discussed topic in all branches of medicine. In recent years, vacuum therapy appears to be a very successful non-invasive method supporting the healing of these wounds. The aim of this paper is to demonstrate the possibility of utilizing a vacuum system in the orofacial area where other conservative and surgical procedures have failed.The case reports demonstrate the use of vacuum therapy in non-healing postoperative wounds in cancer patients.Vacuum therapy has limited use in the orofacial area, but based on our experience, we can conclude that it has a very positive effect on the healing of chronic wounds. Thanks to this treatment, it was possible to reduce the frequency of dressings and significantly shorten the length of hospital stay. Despite these advantages, however, it is necessary to adhere to the conditions for the application of vacuum treatment.

Júlia Belobradová

Oldřich Res

Jiří Stránský

Zuzana Čermáková

Tomáš Blažek

Pavel Hurník

Jan Štembírek

Negative pressure therapy in the orofacial region in oncological patients – two case reports

肿瘤患者口腔颌面部负压治疗——两例报告

Background The ablative surgical resection has a critical importance for achieving better oncological outcomes for patients with head and neck cancer. However, radical surgical resections reveal the reconstruction requirement of complex anatomical structures. Microvascular free flaps have been recommended as a gold standard treatment choice for head and neck reconstruction following definitive oncological surgery. The supraclavicular artery island flap (SCAIF) is a thin and reliable fasciocutaneous pedicled flap that is simple and quick to harvest. Material and methods A total of 19 patients who underwent head and neck reconstruction with SCAIF were included in this study. The SCAIF was used for the reconstruction of oncological defects in 17 patients while it was used for the reconstruction of a skin defect on the lower face following radiotherapy in 1 patient and for cervical open wound (blast injury) closure in 1 patient. Results There were neither intraoperative nor postoperative major complications in any patient. The SCAIF has been used successfully in 18 of 19 patients for head and neck reconstructive surgery. Partial necrosis of the skin was detected in 1 patient (5.3%) only, while a total flap failure has not occurred in any patient. The partial skin necrosis was seen in an area of 1.5 cm of the distal end of the flap and was managed conservatively with local wound care. Wound dehiscence has not appeared in the flap donor area in any patient. Conclusion The SCAIF constitutes a good alternative to free flaps, providing almost equivalent functional results and requiring less operative time and surgical effort.

Şahin Bayram

Ulusan Murat

Basaran Bora

Güneş Selcuk

Oymak Emre

Genç Selahattin

Supraclavicular artery island flap for head and neck reconstruction

锁骨上动脉岛状皮瓣在头颈部重建中的应用

BACKGROUND The Department of Plastic Surgery and Burns Treatment was established as a part of the newly created 2nd Department of Surgery of Charles University, Medical Faculty and the University Hospital in Hradec Kralove in 1985. Through modest beginnings, activities of the Department expanded up to full coverage of specialized care in plastic surgery within the region with almost one million inhabitants. AIM In this article, the most important events of several historical phases related to almost four decades are described. The aspects of medical personnel, technological and space equipment are especially emphasized. The Department has always been working on the principles of interdisciplinary co-operation within the department itself and other departments within the hospital as well. Over the past 35 years, the Department of Plastic Surgery and Burns Treatment has been firmly entrenched in the spectrum of specialized activities of the University Hospital in Hradec Kralove.

Leo Klein

Thirty-five years of the Department of Plastic Surgery and Burns Treatment at the University Hospital in Hradec Králové

赫拉德茨克拉洛韦大学医院整形外科与烧伤治疗科三十五年

Surgical navigation with three-dimensional (3D) printing techniques presents two major advantages: First, from a technical aspect, it facilitates orientation in target anatomical structures resulting in improvement of the accuracy of surgery. Moreover, it shortens the time of complex surgical interventions by preparing the exact position of customized autologous grafts with fixation devices. Second, from a clinical point of view, it also lessens the impact of surgical stress to adjacent tissues by decreasing the duration of surgery.Two maxillofacial procedures were evaluated in this study using 3D navigation and planning approach - resection of the styloid process due to Eagles syndrome and microvascular mandibular reconstruction with the fibula free flap. All patients who underwent these procedures were divided into two groups (with or without 3D navigation).In the Eagles syndrome group procedure independent t-test showed significant difference in the operating time between group 1 (M = 148; SD = 0) and group 2 (M = 78; SD = 4.24) t (1) = 13.472; P = 0.047. There was no significant difference in the duration of postoperative hospitalization (2 days), which was equal in all patient groups. Regarding the fibula free flap procedure, the independent t-test revealed significant difference in operating time with (M = 8: 40 : 25; SD = 0 : 58 : 07) and without 3D printing guides (M = 10 : 43 : 15; SD = 3 : 04 : 32) t (14)=2.133, P = 0.051. Similarly, there was no significant difference between groups (group 1 M = 15.5; SD = 0,71; group 2 M = 13; SD = 1,63) in the duration of postoperative hospitalization time t (4) =1,98; P = 0.119.In summary, reduction in operation time in Eagles syndrome and in microvascular mandibular reconstruction with the fibula free flap group mitigates the surgical stress on target tissues enabling faster tissue healing and quicker recovery.

Ladislav Czakó

Michal Vavro

Bronislava Dvoranová

Marek Soviš

Kristián Šimko

Andrej Thurzo

Branislav Gális

František Sándor

Three-dimensional navigation in maxillofacial surgery – the way to minimize surgical stress and improve accuracy in fibula free flap and Eagle’s syndrome surgical procedures

三维导航在颌面外科手术中的应用——减少腓骨自由瓣和鹰嘴综合征手术应激并提高手术精度的方法

Michaela Honelová

Martina Nováková

Lucie Vidovićová

Acta Chir Plast

Development of aesthetic surgery in the Czech Republic – the situation before the Covid pandemic, during the pandemic, and expected changes in the practice of aesthetic surgery in the post-Covid period

捷克共和国美容手术的发展——新冠疫情前的情况、疫情期间的情况以及后疫情时期美容手术实践的预期变化

Breast reduction mammaplasty is the only effective therapeutic intervention for patients with symptomatic breast hypertrophy. In this procedure, closed suction drains have become a standard of care, while the literature supporting use of drains is lacking. In fact, with emerging data we found out that drains might not be so necessary. This review aimed to systematically compare the number of complications in drained and undrained breasts and to evaluate the safety of omitting drains in reduction mammaplasty in clinical practice. A systematic review of literature was conducted identifying all studies on drainage in reduction mammaplasty. The analysed databases revealed 13 eligible studies to be included in this review. There were 308 drained breasts and 859 undrained breasts in total in patients from 16 to 73 years of age. The resected tissue weight per side fluctuated from 108 to 1,296 grams. In total, there was only 2.4% incidence of haematoma complications in undrained breasts and 3.9% in drained breasts. Closed suction drains are still being routinely used in reduction mammaplasty, although aborting drain use is proven to be not only safe, but advantageous. The clear benefit is increased patient comfort, shortened hospital stay, decreased cost of the procedure and nurse care, and decreased rate of complications.

Anna Dušková

Ondřej Měšťák

Martin Molitor

No drains in reduction mammaplasty – a systematic review

无引流缩乳术——一项系统综述

Nail bed reconstruction is crucial after fingertip trauma, impacting both function and aesthetics. In this article, the authors describe a case of partial distal phalanx amputation of the index finger with laceration of the nail bed’s remaining part. A traumatically elevated skin-fat flap covered the exposed bone on the fingertip, preserving finger length and sensitivity on the radial side. A full-thickness skin graft from the forearm closed a secondary defect on the finger pulp. Nail bed suturing prevented scarring and nail deformity, and a temporary artificial plastic nail replacement maintained the nail bed’s shape. Temporary artificial nail replacements protect the regenerating fingertip bed, promote healing, and prevent nail deformities. Proper adaptation of lacerated nail bed edges, supported by either the patient’s own nail or a temporary artificial nail, is crucial for optimal fingertip restoration, including proper nail shape.

Vlastimil Woznica

Inka Třešková

Martin Soukup

Nail bed trauma reconstruction and artificial nail replacement – a case report

甲床创伤重建与人工指甲置换——一例报告

Indwelling intravascular catheters are important tools in the care of critically ill patients; however, they have an inherent risk of infection or thromboembolic events. Reports on catheter associated thromboembolic events in burn units are rare, despite being well recognized that burn patients bear an increased baseline risk for thromboembolic events. We describe two catheter-associated thromboembolic complications in burn patients in a burn unit and the morbidity associated with these events. Patients with endovascular catheters in burn units may be at increased risk for severe thromboembolic events associated with intravascular catheters, but specific guidelines for prevention and management of these patients are still missing.

Mariana Jarnalo

Pedro Videira Reis

Ricardo Horta

Reports on vascular catheter-associated thromboembolic events in a burn unit – a gap in the literature?

烧伤病房中血管导管相关血栓栓塞事件的报告——文献中的空白？

Juvenile xanthogranuloma (JXG) is a rare, benign non-Langerhans cell histiocytosis that primarily affects the skin, with infrequent extracutaneous manifestations. Lesions typically emerge during early childhood and often resolve spontaneously, obviating the need for treatment. This paper details the case of a child diagnosed with a solitary JXG on the sole, necessitating surgical excision due to its functional impairment, specifically a delay in walking and weight bearing.

Sarah Saoud

Nassira Karich

Ghita Belmaati Cherkaoui

Hanane Eladak

Fouad Zouaidia

Ayat Allah Oufkir

Congenital isolated juvenile xanthogranuloma of the sole – a unique case report in a newborn

先天性孤立性青少年黄色肉芽肿足底病变——新生儿独特病例报告

ISSN	0001-5423, 1805-4404
h-index	21

涉及主题	医学外科生物解剖内科学病理遗传学放射科心理学
出版信息	出版商: Galen Prague，出版周期: ，期刊类型: journal，开源期刊: 否
基本数据	创刊年份: 1959，原创研究文献占比: 0.00%，自引率:N.A.， Gold OA占比: 0.00%

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