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Konferenzbeitrag: Rekonstruktion der Handfunktion nach Verbrennungsverletzungen

Krezdorn, Nicco

2022 , Seite(n) 22dgh60

Veranstaltung/Kongress	62. Kongress der Deutschen Gesellschaft für Handchirurgie; Garmisch-Partenkirchen; Deutsche Gesellschaft für Handchirurgie; 2022
Schlagwörter	Medizin, Gesundheit ; Verbrennung ; Rekonstruktion
Erscheinungsdatum	2022-10-06
Verlag	German Medical Science GMS Publishing House; Düsseldorf
Dokumenttyp	Konferenzbeitrag
DOI	10.3205/22dgh60
Datenquelle	German Medical Science

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Artikel ; Online: Free Tissue Transfer for Reconstruction After Bilateral Skin Sparing Mastectomy-A Systematic Review.

Bucher, Florian / Vogt, Peter M / Krezdorn, Nicco / Dastagir, Khaled

Annals of plastic surgery

2024 Band 92, Heft 4, Seite(n) 469–473

Abstract: Background: Breast cancer is the most commonly diagnosed malignant neoplasia in females worldwide. Overall survival and patients' choice for bilateral mastectomy have increased. It is therefore important to offer breast reconstructive procedures to ... ...

Abstract	Background: Breast cancer is the most commonly diagnosed malignant neoplasia in females worldwide. Overall survival and patients' choice for bilateral mastectomy have increased. It is therefore important to offer breast reconstructive procedures to improve patient quality of life and self-esteem. The aim of this systematic literature review is to quantify the outcome and sustainability of bilateral breast reconstruction using autologous, vascularized free tissue transfer. Methods: A systematic literature review of PubMed, Cochrane, and the Web of Science databases was performed. A total of 5879 citations were identified, and 12 studies met the inclusion criteria. Results: A total of 1316 patients were included, with a mean age of 47.2 years. Overall, 32.5% of patients experienced a complication after breast reconstruction. If reported, 7.45% of patients experienced major complications, while 20.7% had minor complications.The following flaps were used for breast reconstruction, in order of reducing frequency: DIEP (45.45%), TRAM (22.73%), SIEA (9.09%), SGAP (9.09%), TUG (4.55%), TMG (4.55%), and LD/MLD (4.55%). Conclusions: Current studies indicate that bilateral breast reconstruction using autologous, vascularized free tissue transfer is a safe procedure for postmastectomy reconstruction and offers stable long-term results. This is particularly in comparison to implant-based breast reconstruction.
Mesh-Begriff(e)	Female ; Humans ; Middle Aged ; Mastectomy/methods ; Breast Neoplasms/surgery ; Breast Neoplasms/etiology ; Quality of Life ; Mammaplasty/methods ; Surgical Flaps/surgery ; Retrospective Studies
Sprache	Englisch
Erscheinungsdatum	2024-02-29
Erscheinungsland	United States
Dokumenttyp	Systematic Review ; Journal Article
ZDB-ID	423835-7
ISSN	1536-3708 ; 0148-7043
ISSN (online)	1536-3708
ISSN	0148-7043
DOI	10.1097/SAP.0000000000003828
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Major traumatic amputations and replantations of the upper extremity in Germany - National quality reports 2014-2018.

Stögner, Viola Antonia / Megerle, Kai / Krezdorn, Nicco / Vogt, Peter Maria

JPRAS open

2022 Band 32, Seite(n) 98–110

Abstract: The treatment of traumatic major upper limb amputation is complex and of great urgency. Loss of time often represents a majorrestriction for replantation. Thus, logistical and infrastructural developments, such as the expansion of specialised hand trauma ...

Abstract	The treatment of traumatic major upper limb amputation is complex and of great urgency. Loss of time often represents a majorrestriction for replantation. Thus, logistical and infrastructural developments, such as the expansion of specialised hand trauma centres, are crucial for optimizing delivery of care. Surveillance represents the fundament for a proper, demand-adapted implementation of such therapeutical improvements. However, a comprehensive database for surveillance of these injuries does currently not exist in Germany or Europe. In this study quality reports of German hospitals from 2014 to 2018 were screened retrospectively for traumatic major upper extremity amputations and replantations. A total of 329 amputations and 87 replantations were recorded, accounting for an overall replantation rate (RR) of 26%. Most of the injuries affected the level of the wrist and forearm. Treatment of these injuries experienced an increasing centralisation to medical teaching facilities, which accounted for higher RRs compared with non-teaching facilities. The cumulatively most populous federal states handled most of the amputation injures in this five-year study period. Ratio calculations on the basis of population counts, however, revealed great discrepancies to these results, with Hamburg, Rhineland-Palatinate and Saarland accounting for the highest per capita incidences. In 2018 Germany was provided with 46 specialised hand trauma and replantation centres, which performed 45% of the replantations in that year, revealing a RR of 17%, compared to an overall RR of 14% in that year. Nevertheless, there might be potential for improvement in the geographical distribution of these specialised centres. The provision of highly specialised therapy in highly specialised centres for highly complex injuries is a future challenge in replantation surgery. This data is contributing to logistical improvements for a need-adapted expansion of these specialised hand trauma centres. The study demonstrates an approach of a standardised and comprehensive injury surveillance program based on national quality reports, while underlining the importance of such a national or rather European database for optimisations in medical care. Level of evidence IV.
Sprache	Englisch
Erscheinungsdatum	2022-02-21
Erscheinungsland	Netherlands
Dokumenttyp	Journal Article
ZDB-ID	2834721-3
ISSN	2352-5878 ; 2352-5878
ISSN (online)	2352-5878
ISSN	2352-5878
DOI	10.1016/j.jpra.2022.01.002
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Reconstruction of an Extensive Segmental Radial Shaft Bone Defect by Vascularized 3D-Printed Graft Cage.

Mommsen, Philipp / März, Vincent / Krezdorn, Nicco / Aktas, Gökmen / Sehmisch, Stephan / Vogt, Peter Maria / Großner, Tobias / Omar Pacha, Tarek

Journal of personalized medicine

2024 Band 14, Heft 2

Abstract: We report here a 46-year-old male patient with a 14 cm segmental bone defect of the radial shaft after third degree open infected fracture caused by a shrapnel injury. The patient underwent fixed-angle plate osteosynthesis and bone reconstruction of the ... ...

Abstract	We report here a 46-year-old male patient with a 14 cm segmental bone defect of the radial shaft after third degree open infected fracture caused by a shrapnel injury. The patient underwent fixed-angle plate osteosynthesis and bone reconstruction of the radial shaft by a vascularized 3D-printed graft cage, including plastic coverage with a latissimus dorsi flap and an additional central vascular pedicle. Bony reconstruction of segmental defects still represents a major challenge in musculo-skeletal surgery. Thereby, 3D-printed scaffolds or graft cages display a new treatment option for bone restoration. As missing vascularization sets the limits for the treatment of large-volume bone defects by 3D-printed scaffolds, in the present case, we firstly describe the reconstruction of an extensive radial shaft bone defect by using a graft cage with additional vascularization.
Sprache	Englisch
Erscheinungsdatum	2024-02-04
Erscheinungsland	Switzerland
Dokumenttyp	Case Reports
ZDB-ID	2662248-8
ISSN	2075-4426
ISSN	2075-4426
DOI	10.3390/jpm14020178
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: E-cigarette explosions: patient profiles, injury patterns, clinical management, and outcome.

Kaltenborn, Alexander / Dastagir, Khaled / Bingoel, Alperen S / Vogt, Peter M / Krezdorn, Nicco

JPRAS open

2023 Band 37, Seite(n) 34–41

Abstract: Background: E-cigarette abuse, also known as vaping, is a widespread habit. Recently, there have been increasing reports of explosions of these devices resulting in serious burn injuries, especially to the groin, hand, and face. Overheating rechargeable ...

Abstract	Background: E-cigarette abuse, also known as vaping, is a widespread habit. Recently, there have been increasing reports of explosions of these devices resulting in serious burn injuries, especially to the groin, hand, and face. Overheating rechargeable lithium-ion batteries are supposed to be the responsible mechanism, especially in low quality fabrications. Methods: In this single-center retrospective study, data of 46 patients are presented and analyzed. In addition to information on demographics, injury patterns, and treatment options, this is the first study investigating outcome after an average of 13 months via a standardized telephone interview of 31 patients (67%). Patients were specifically asked regarding their outcome, vaping habits, technical modifications to their devices and supply source. Results: Patients were mainly male (98.2%) with a median age of 36 years. Typical injury patterns included the groin region (n = 32; 69%), hands (n = 12; 25%) and face (n = 3; 7%). All patients underwent debridement, in nine cases hydrotherapeutically. 61% (n = 28) underwent consecutive tangential necrectomy and subsequent split thickness skin graft transplantation. Wound infection was observed in 18 patients (39%), with burn depth as a significant risk factor (p < 0.001). 91% of the followed-up patients were satisfied. Surprisingly, 38% were still using e-cigarettes. 42% (n = 13) reported manual modifications of their devices to prolong battery life or increasing smoke production. Conclusions: Injuries from exploding e-cigarettes can be serious and should be treated in a specialized burn center. E-cigarette explosions lead to characteristic injury patterns and often need surgical treatment. This should be made more public to reduce their use and keep people from modifying the devices. The counterintuitive and irrational observation of a high rate of abuse even after the injury underlines their addiction potential.
Sprache	Englisch
Erscheinungsdatum	2023-05-18
Erscheinungsland	Netherlands
Dokumenttyp	Journal Article
ZDB-ID	2834721-3
ISSN	2352-5878 ; 2352-5878
ISSN (online)	2352-5878
ISSN	2352-5878
DOI	10.1016/j.jpra.2023.05.001
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: The Use of Plantaris Muscle Flap for Facial Reanimation: A Comprehensive Anatomical Study.

Dittmar, Jan P / Schmiedl, Andreas / Bingöl, Alperen / Stögner, Viola / Vogt, Peter M / Krezdorn, Nicco

Facial plastic surgery & aesthetic medicine

2023 Band 25, Heft 5, Seite(n) 431–437

Abstract: Background: ...

Abstract	Background:
Mesh-Begriff(e)	Humans ; Facial Paralysis/surgery ; Muscle, Skeletal/innervation ; Face/surgery ; Plastic Surgery Procedures ; Free Tissue Flaps ; Cadaver
Sprache	Englisch
Erscheinungsdatum	2023-04-19
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	3006458-2
ISSN	2689-3622 ; 2689-3614
ISSN (online)	2689-3622
ISSN	2689-3614
DOI	10.1089/fpsam.2022.0268
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Konferenzbeitrag: Allogenic upper extremity transplantations – opportunities and limitations

Krezdorn, Nicco / Vogt, Peter

2020 , Seite(n) IFSSH19–493

Veranstaltung/Kongress	14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT); Berlin; ; International Federation of Societies for Hand Therapy; 2019
Schlagwörter	Medizin, Gesundheit ; VCA ; extremity allotransplantation ; limb transplantation
Erscheinungsdatum	2020-02-06
Verlag	German Medical Science GMS Publishing House; Düsseldorf
Dokumenttyp	Konferenzbeitrag
DOI	10.3205/19ifssh0510
Datenquelle	German Medical Science

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Artikel ; Online: Comment on: "Thumb carpometacarpal joint osteoarthritis: Is there a role for denervation? A systematic review".

Stögner, Viola-Antonia / Krezdorn, Nicco / Vogt, Peter Maria

Journal of plastic, reconstructive & aesthetic surgery : JPRAS

2020 Band 74, Heft 5, Seite(n) 1101–1160

Abstract: We read with great interest the recent systematic review by Teo I. and Riley N. on denervation in thumb carpometacarpal joint osteoarthritis. Undoubtedly, denervation of the first carpometacarpal (CMC-1) joint does represent a promising surgical ... ...

Abstract	We read with great interest the recent systematic review by Teo I. and Riley N. on denervation in thumb carpometacarpal joint osteoarthritis. Undoubtedly, denervation of the first carpometacarpal (CMC-1) joint does represent a promising surgical treatment alternative for patients suffering from persistent CMC-1-joint osteoarthritis. A surgical standard, however, has not yet been implemented, as technical approach and indication of this procedure still show great variances. In order to contribute to an evidence-based standardization of CMC-1-joint denervation, we would like to share our considerations, approaches and anatomical findings in this comment.
Mesh-Begriff(e)	Carpometacarpal Joints/surgery ; Denervation ; Humans ; Orthopedic Procedures ; Osteoarthritis/surgery ; Thumb/surgery
Sprache	Englisch
Erscheinungsdatum	2020-11-28
Erscheinungsland	Netherlands
Dokumenttyp	Letter ; Comment
ZDB-ID	2217750-4
ISSN	1878-0539 ; 1748-6815 ; 0007-1226
ISSN (online)	1878-0539
ISSN	1748-6815 ; 0007-1226
DOI	10.1016/j.bjps.2020.11.016
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Standards in der Verbrennungsmedizin.

Bingoel, Alperen S / Krezdorn, Nicco / Vogt, Peter M

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen

2020 Band 91, Heft 4, Seite(n) 361–376

Abstract: Thermal injuries occur in every age group and are caused by flames, fluids, steam and direct contact. They are often trivialized but should actually be treated immediately to reduce secondary complications, such as infections and hypertrophic scars. ... ...

Titelübersetzung	Standards in medical treatment of burns.
Abstract	Thermal injuries occur in every age group and are caused by flames, fluids, steam and direct contact. They are often trivialized but should actually be treated immediately to reduce secondary complications, such as infections and hypertrophic scars. Besides the pain, large wound areas are given priority. Surgical treatment is necessary if at least second degree (IIb) deep dermal burns are present. In this case the reconstructive surgeon has various techniques in the therapeutic armamentarium. Furthermore, in cases of severe burns a perioperative intensive care monitoring and treatment are obligatory as massive systemic inflammatory response syndrome (SIRS), shock, sepsis, organ failure, fluid resuscitation and complications, such as delirium and exacerbation of pain have been proven to negatively influence the outcome.
Mesh-Begriff(e)	Burns ; Fluid Therapy ; Humans ; Resuscitation ; Sepsis ; Shock
Sprache	Deutsch
Erscheinungsdatum	2020-09-15
Erscheinungsland	Germany
Dokumenttyp	Journal Article
ZDB-ID	1521-0
ISSN	1433-0385 ; 0009-4722
ISSN (online)	1433-0385
ISSN	0009-4722
DOI	10.1007/s00104-020-01154-2
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: A Short History of Skin Grafting in Burns: From the Gold Standard of Autologous Skin Grafting to the Possibilities of Allogeneic Skin Grafting with Immunomodulatory Approaches.

Schlottmann, Frederik / Bucan, Vesna / Vogt, Peter M / Krezdorn, Nicco

Medicina (Kaunas, Lithuania)

2021 Band 57, Heft 3

Abstract: Due to groundbreaking and pioneering developments in the last century, significant improvements in the care of burn patients have been achieved. In addition to the still valid therapeutic standard of autologous split-thickness skin grafting, various ... ...

Abstract	Due to groundbreaking and pioneering developments in the last century, significant improvements in the care of burn patients have been achieved. In addition to the still valid therapeutic standard of autologous split-thickness skin grafting, various commercially available skin substitutes are currently available. Significant progress in the field of tissue engineering has led to the development of promising therapeutic approaches. However, scientific advances in the field of allografting and transplant immunology are of great importance. The achievement of various milestones over the past decades has provided thought-provoking impulses in the field of skin allotransplantation. Thus, biologically viable skin allotransplantation is still not a part of the clinical routine. The purpose of this article is to review the achievements in burn surgery with regards to skin allotransplantation in recent years.
Mesh-Begriff(e)	Burns/surgery ; Hematopoietic Stem Cell Transplantation ; Humans ; Skin ; Skin Transplantation ; Transplantation, Homologous
Sprache	Englisch
Erscheinungsdatum	2021-03-02
Erscheinungsland	Switzerland
Dokumenttyp	Journal Article ; Review
ZDB-ID	2188113-3
ISSN	1648-9144 ; 1010-660X
ISSN (online)	1648-9144
ISSN	1010-660X
DOI	10.3390/medicina57030225
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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