Применение метода баллонной дерматензии в детской реконструктивно-пластической хирургииApplication of the balloon skin expansion method in pediatric reconstructive surgery В статье описана методика лечения детей с обширными рубцовыми деформациями и объемными доброкачественны-ми новообразованиями мягких тканей на примере клинического случая успешного восстановления кожного покрова с помощью метода баллонной дерматензии. Мнение и рекомендации авторов об оптимальном лечении подобного типа дефектов, а также о снижении числа возможных осложнений при использовании лазерной доплеровской флоуметрии для оценки состояния микроциркуляции в кожном лоскуте основаны на результатах многолетнего применения дан-ного метода в условиях отделения реконструктивной и пластической микрохирургии ДГКБ № 13 им. Н. Ф. Филатова.The article describes the treatment of children with vast scar deformities and extensive benign soft tissue neoplasms. The method is presented in a clinical case of successful skin restoration using balloon skin expansion. The opinion and recommendations of the authors on optimal treatment of these defects and decrease of possible complications using laser Doppler flowmetry for evaluation of the state of microcirculation in the skin flap are based on the results of the long-term use of this method in the Department of Reconstructive and Plastic Microsurgery of Filatov Children's Municipal Clinical Hospital No.13.Ключевые слова: метод баллонной дерматензии, тканевый эндоэкспандер, экспансия, рубцовая алопеция, кожная пластика
BACKGROUND:Hook nail deformity is one of the widespread post-traumatic deformities of distal phalanges. The affected finger has decreased function and loses its characteristic appearance. Onlyafew publications explored this problem in children. In this study, we presentasurgical correction technique for this deformity by the combination of two existing reconstructive methods, i.e., the antenna procedure and the reverse-flow homodigital island flap. CLINICAL CASES:Aseries of clinical cases of patients aged 3, 5, and 17 years who underwent hook nail deformity correction was analyzed. These children underwent the combination of the antenna procedure and reverse-flow homodigital island flap. In all three cases, the deformities were corrected, andanacceptable appearance, and function of the fingers were achieved. DISCUSSION:Various methods of hook nail deformity correction have proven themselves and affirmed by literature data. The method described herein may be considered reliable, as demonstrated by the clinical cases. CONCLUSIONS:We consider the combination of the antenna procedure and reverse-flow homodigital island flap asajustified method. However, issues raised in this technique require further investigation.
Objective. Hand injuries in children are quite common. Most challenging within plastic and reconstructive surgery/reconstructive microsurgery expertise were there traumatic hand defect and upper extremities open injuries sequels. There were wide variety of reconstruction techniques to deal with hand defects in general and with distal phalanx defects particularly. The core problem is how to make very choice of reconstructive method and technique from diversity of local, regional and distant flaps. Injuries of distal phalanges are the most common type of hand trauma in children. The problem of coverage of soft tissue defects of distal phalanges remains actual. A lot of methods of coverage of distal phalanges defects are developed. There is no generally accepted approach or an algorithm in the treatment of adults and children with such type of trauma.Material and methods. In the period from 2018 to 2021 at the Microsurgery Department of N.F. Filatov Moscow Clinical Hospital for Children 152 surgical operations using local (68), regional (72) and distant (12) flaps were performed.Results. All flaps in all patients within our clinical series have survived. There were neither major complication no secondary revisional procedures. Used different flaps in general provided transport of adequate viable donor tissues to recipient areas of critical functional significance. The selection of particular flap we have been making on individual basis mostly depending on type and injury severity, and functional requirement and prognosis.Conclusion. We are considering surgeon’s own experience is main defining factor to make selection of certain method from the diversity of different flaps.
BACKGROUND: The hand and its distal phalanges, especially in children, are among areas mostly exposed to trauma while contacting the environment. Injuries causing loss of soft tissue and bone component are both challenging and interesting. This report presents the treatment results of children with soft tissue and bone defects of distal phalanges, in which reconstructions including combination of regional flaps, bone, and nailbed grafts were performed. CLINICAL CASE: This report presents clinical cases of the surgical treatment of 4- and 6-year-old children with fingertip injuries who underwent reconstructions including the combination of regional flaps, bone, and nailbed grafts. A combination of the scrap graft was performed in the first case with antegrade homodigital island flap and in the second case with thenar flap. The results were assessed 6 and 7 months after surgery. DISCUSSION: The primary aim of the surgical treatment of children with distal phalangeal defects is coverage of those defects. The restoration of the bone component of the defect is recommended to prevent postoperative deformations of the distal phalanges. Fingertip replantation or microsurgical transplantation of vascularized tissue complexes are technically difficult and require thorough care and monitoring of the childs condition in the postoperative period as all these measures may fail. CONCLUSIONS: The possibility to combine the scrap bone and nailbed graft with existing reliable surgical methods open new prospects for the successful treatment of fingertip injuries.
In 1971, under the supervision of Kh. F. Kushner, Irina defended her thesis for the degree of Candidate of Biological Sciences on 'Phenotypic and genotypic variability of the egg quality traits in chickens'. Afterwards, Irina worked in the Laboratory of Comparative Genetics at the Institute of General Genetics, where she led research on the genetics of domestic fowl and their primary wild ancestor Gallus gallus. Over the 60 years of her career, she published more than 150 articles on the origin, evolution, distribution, qualitative and quantitative genetics, biochemical and molecular polymorphisms and morphological characteristics of chickens. Irina gave particular attention to the issues of conservation of genetic resources, firstly for Russian breeds as well as their history and origins. A number of her studies were devoted to the principles of classification of chicken breeds from which she set up a data bank describing over 230 chicken breeds. Important aspects of Irina scientific work included the popularising activities for the public, teachers and fanciers, aimed at creating awareness for conservation of genetic resources of domestic animals. Irina participated in the writing of several fundamental books published in Russian, and in particular, the summarising work 'Farm Animal Genetic Resources: Rare and Endangered Breeds' (1992), and a chapter entitled 'Chicken breeds and their gene pool' in the book 'The Gene Pool of Farm Animals: Genetic Resources of Livestock Production' (2006). Irina was a principled person, with an active lifestyle, a member of the All-Russian Society of Geneticists and Breeders (VOGIS). As a scientific adviser, she was often involved in the activities of the All-Russian Society of Poultry Fanciers. She took part in many meetings under the auspices of the World Poultry Science Association and presented research both within Russia and abroad (England, the Czech Republic, and Israel). It is thanks to her efforts that Russia became a participant of the international
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.