Background:
Skin coverage remains a significant hurdle in large-sized burns. Recent advances have allowed to grow
Bilaminar Cultured Skin Autografts (BCSGs) from patients' own donor sites. The aim of this study was
to report long-term outcomes in patients with large-sized burns having received BCSGs.
Abstract:
The authors report the case of a 30-year-old male with 52% TBSA high-voltage electrical injury of the upper half of the body.
Injuries included a cervical burn with associated alteration of the left brachial plexus as well as extensive soft tissue
burn of the right hand. Three months later, he developed osteomyelitis of the right thumb metacarpal bone requiring amputation
proximal to the metacarpophalangeal joint. Following initial management, the patient had a permanent distal left upper
extremity paralysis with nonfunctional but relatively undamaged ipsilateral hand digits. The right hand remained functional
with four intact digits and a thumb stump.
Abstract:
Negative pressure wound therapy (NPWT) represents one of the many solutions for complex wounds of the upper extremity.
The goal of this study was to investigate the most common indications for definitive treatment of wound defects in
the upper extremity with NPWT and to report revision surgery outcomes after its use. A systematic review of the literature was performed.
Abstract:
Skin graft is the most common and simple procedure to cover superficial defect. Skin of variable thickness and size is completely
detached from its origin (donor site) to cover a defect (recipient site). This simple procedure is the result of a long and eventful
technical and theoretical evolvement. The aim of this article is to re-trace the history of skin grafting, from its discovery until today.
Abstract:
Perineal hernias occur rarely following abdominoperineal resections. No standardized surgical approach exists for treating PH.
We herein present the case of a large, symptomatic PH that was repaired with a combined abdominal and perineal approach,
with peritoneal flap reconstruction of the pelvic floor and placement of a biological mesh. The patient has not recurred
after 3 years of follow-up.
Abstract:
Frostbite causes tissue damage through five major mechanisms, out of which two are amenable to treatment.
The first-line treatment is rapid rewarming therapy using water at 40°C to 42°C, which addresses the
formation of ice crystals in the intra and extra cellular compartments. The second mechanism is progressive
tissue ischemia after rewarming and is only accessible to a second-line therapy represented by thrombolysis.
This study aimed to determine the efficacy of thrombolysis. This is a single-center retrospective cohort study,
where it was aimed to evaluate two groups of patients.
Abstract:
Purpose: Midfacial distraction for facial stenosis is minimizing the communication between cranial fossa and nasal fossa
caused by the Le Fort III osteotomy during frontofacial advancement procedures. There are different types of distractors,
such as internal and external devices. The aim of our study is to present a series of 22 consecutive distraction cases
operated without any Le Fort osteotomy with external distraction frames. We completely avoid the gap between the skull and nose,
thus avoiding related complications.
Abstract:
Introduction: During the 1970s, frontofacial advancement revolutionized the treatment of severe facial stenosis.
Unfortunately, this method was associated with significant morbidity due to the Le Fort III osteotomy, which
creates a major communication between the frontocranial dead space and the nasal fossae. Midfacial distraction
improves the complication rate by diminishing the size of this gap. The aim of our study was to present an original
technique that uses external distraction frames and eliminates the need for Le Fort osteotomies. This innovative
technique eliminates the gap between the skull and nose, thus avoiding related complications.
Abstract:
The goal of the reconstruction of complex defects of the leg is to restore morphology, trophicity and function.
The purpose of our study was to analyse the reliability of the latissimus dorsi scapula flap in this indication.
We realized an anatomical study on 12 cadaver dissections. The presence of the angular artery was found to be
constant with four types of origins described in this article.
Abstract:
Introduction: Launois-Bensaude's disease (LBD) is a rare condition affecting patients aged between 30 and 60,
and being considered as more frequent in males. It is characterized by symmetric fat deposits mainly on the neck
and upper trunk that can lead to major functional and aesthetic damage. The cause of LBD is unknown but alcoholism is often associated.
Abstract:
Free flap reconstruction in acute burns has high failure rates, relating mainly to a systemic inflammatory state.
The "vulnerable phase" can last for 6 weeks after burn and can cause thrombosis of the flap microcirculation
with patent arterial and venous anastomoses. Revision surgery alone may be unsuccessful, but thrombolysis can
lead to flap salvage. We describe a case of successful flap salvage with thrombolysis after unsuccessful revision
surgery by permeable arterial and venous anastomoses in a patient in the acute burn phase suffering from microcirculatory thrombosis.
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