Pin-site scar revision with subcisions and acellular dermal matrix

Kim, Yu Jin; Kim, Ji Hun; Cheon, Young Woo

doi:10.14730/aaps.2019.01935

Cited by 3 publications

(1 citation statement)

References 14 publications

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“…Postoperative scars may lead to discoloration, skin dimpling, or disfiguration [ 17 ]. Additional procedures can be necessary to relieve the scar.…”

Section: Discussionmentioning

confidence: 99%

Treatment of a naso-orbito-ethmoid fracture using open reduction and suspension sutures: a case report

Seo

Kwon

et al. 2022

Arch Craniofac Surg

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Naso-orbito-ethmoidal (NOE) fractures are complicated fractures of the mid-face. The treatment of NOE fractures is challenging and a comprehensive treatment strategy is required. We introduce a case of NOE fracture treated with open reduction and suspension sutures. A 28-year-old woman presented with a unilateral NOE fracture. To reduce the frontal process of the maxilla, a suspension suture was made by pulling the fragment using a double arm suture via a transcaruncular incision. The suture thread was placed in the horizontal plane. Another suspension suture on the inferior orbital rim assisted reduction procedure, and they passed through the overlying skin. The reduction alignment could be finely adjusted by tightening the transcutaneous suture threads while checking the degree of bone alignment through the subciliary incision. The two suture threads were suspended using a thermoplastic nasal splint. An additional skin incision on the medial canthal area, which would have resulted in a scar, could be avoided. Four months postoperatively, computed tomography showed an accurate and stable reduction. The patient was satisfied with her aesthetic appearance, and functional deficits were not present.

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“…Postoperative scars may lead to discoloration, skin dimpling, or disfiguration [ 17 ]. Additional procedures can be necessary to relieve the scar.…”

Section: Discussionmentioning

confidence: 99%

Treatment of a naso-orbito-ethmoid fracture using open reduction and suspension sutures: a case report

Seo

Kwon

et al. 2022

Arch Craniofac Surg

View full text Add to dashboard Cite

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New Minimal-Invasive Technique for Cosmetic Treatment of Pin Site Scars after Removal of External Fixations

Laymouna,

Hammouda,

Elbatrawy

et al. 2023

Journal of Limb Lengthening &Amp; Reconstruction

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Introduction: Scars and dimpled skin appearance is a common complaint in patients undergoing surgery using external fixators. Former studies described different methods to manage these scars. In current study, we demonstrate in details a new surgical technique to release the scars. Patients and Methods: Twenty-five females (mean age of 28 years) underwent cosmetic lower limb (16 Femurs and 34 tibias) lengthening or deformity correction using circular hybrid Ilizarov frame. Results: Time interval between frame removal and surgical release using the technique was 30 days. Average number of scars released using the technique was 382 (144 femur scars and 238 tibia scars). Two and half minutes is the average time for the whole procedure. Immediate scar release and disappearance of dimples was the result in all patients. This maintained for the whole time of follow-up after the procedure. Conclusion: This surgical technique is a quick, easy, efficient, and cost-effective while managing scar dimpling after using external fixator elements.

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Surgical correction of facial bone deformity and enophthalmos after tripod fracture using an acellular dermal matrix: a case report

Choi,

Kim,

Cheon

et al. 2024

Arch Craniofac Surg

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This paper presents a novel approach to the correction of zygomatic malposition and secondary reconstruction orbital floor fractures, highlighting the use of hydrated acellular dermal matrix (ADM), specifically CGDerm One-Step, in a case where traditional solid implants failed to maintain structural integrity and volume. A 27-year-old woman with persistent facial deformities following a traumatic incident underwent a transformative procedure that utilized ADM for volume correction and structural support, addressing significant challenges such as enophthalmos and facial contour depression. This approach was necessitated by the descent of the entire orbital floor and a previously placed implant (Medpor), leading to unsatisfactory volume correction. By integrating ADM with titanium-reinforced fan plates (Synpor), the surgery successfully restored the patient’s facial symmetry and addressed her functional concerns, including diplopia and limited eye movement. Postoperative evaluations demonstrated the long-term effectiveness of this method, with significant improvements in facial contour and eye symmetry. Our findings suggest that ADM, particularly in its hydrated form, offers a reliable alternative to traditional bone grafts and implants for correcting complex craniofacial deformities, providing both aesthetic and functional benefits. This case underscores the importance of adaptable, tissue-mimicking materials in facial reconstructive surgery, offering insights into their potential for broader application in post-traumatic facial corrections.

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Pin-site scar revision with subcisions and acellular dermal matrix

Cited by 3 publications

References 14 publications

Treatment of a naso-orbito-ethmoid fracture using open reduction and suspension sutures: a case report

Treatment of a naso-orbito-ethmoid fracture using open reduction and suspension sutures: a case report

New Minimal-Invasive Technique for Cosmetic Treatment of Pin Site Scars after Removal of External Fixations

Surgical correction of facial bone deformity and enophthalmos after tripod fracture using an acellular dermal matrix: a case report

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