Journal of Plastic Reconstructive and Aesthetic Surgery最新文献

英文中文

The impact of institutional NIH funding on allopathic medical student exposure to plastic and reconstructive surgery 机构NIH资助对对抗疗法医学生接触整形和重建手术的影响

IF 2.4 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery

Pub Date : 2026-01-22 DOI: 10.1016/j.bjps.2026.01.023

Angad S. Sidhu, Carson J. Park, Zohaib Iqbal, Steven J. Sullivan, Christopher Subi-Kasozi, George S. Corpuz, Cristiane M. Ueno

Plastic and reconstructive surgery (PRS) is highly competitive, and medical students benefit from early access to research, mentorship, and clinical exposure. The National Institutes of Health (NIH) is the largest source of biomedical funding in the U.S., yet its relationship to PRS resource availability across allopathic medical schools is poorly understood. This study examined whether NIH funding correlates with stronger PRS opportunities for students. A cross-sectional review of 150 U.S. allopathic medical schools was performed by assessing each school’s website for PRS resources, including residency programs, student interest groups (SIGs), mentorship, advising, shadowing, and research opportunities. Schools were categorized by AAMC region, and a total resource score was generated. NIH funding data were obtained from the Blue Ridge Institute for Medical Research; schools without available data (n=10) were excluded. Statistical analyses were conducted using SPSS v31. Across all schools, 58% had PRS residencies, 54% offered research opportunities, 48% had SIGs, and fewer than one-third offered formal mentorship or advising. Total PRS resources were strongly correlated with NIH funding (Spearman’s Correlation Coefficient ρ=0.584; p<0.001). Highly funded schools had significantly greater odds of offering PRS residencies, research opportunities, mentorship, advising, and elective rotations (all p<0.001). PRS resources vary widely across U.S. medical schools and are strongly linked to NIH funding. Amid tightening federal support, programs, particularly at lower NIH-funded schools, should explore diversification toward non-government partnerships (foundations, philanthropy, industry, and alumni) to sustain equitable PRS exposure for students.

整形和重建外科（PRS）竞争激烈，医学生受益于早期的研究、指导和临床接触。美国国立卫生研究院（NIH）是美国最大的生物医学资金来源，但其与对抗疗法医学院PRS资源可用性的关系却鲜为人知。本研究考察了NIH资助是否与学生更强的PRS机会相关。通过评估每所学校的PRS资源网站，对150所美国对抗疗法医学院进行了横断面审查，包括住院医师计划、学生兴趣小组（SIGs）、指导、建议、影子和研究机会。根据AAMC地区对学校进行分类，并生成总资源分数。美国国立卫生研究院的资金数据来自蓝岭医学研究所；没有可用数据的学校（n=10）被排除。采用SPSS v31进行统计分析。在所有学校中，58%的学校有PRS实习，54%的学校提供研究机会，48%的学校有sig，不到三分之一的学校提供正式的指导或建议。PRS总资源与NIH经费密切相关（Spearman相关系数ρ=0.584; p<0.001）。资金雄厚的学校提供PRS实习、研究机会、指导、咨询和选修轮转的几率显著更高（均为p<；0.001）。美国医学院的PRS资源差异很大，与NIH的资助密切相关。在联邦政府支持日益紧缩的情况下，项目，特别是nih资助较低的学校，应该探索多样化的非政府合作伙伴关系（基金会、慈善事业、工业和校友），以保持学生公平的公共关系曝光率。

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引用次数: 0

Corrigendum to “Correspondence on: Racial disparities in research productivity among integrated plastic surgery applicants” [J Plast Reconstr Aesthet Surg 113 (2025) 273–274] “通信：种族差异在综合整形手术申请人的研究生产力”的勘误表[J]整形重建美学外科113 (2025)273-274]

IF 2.4 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery

Pub Date : 2026-01-22 DOI: 10.1016/j.bjps.2026.01.017

Lawrence O. Lin , Allyson L. Huttinger , Jeffrey E. Janis

引用次数: 0

Lateralisation of basal cell and squamous cell carcinomas: A UK retrospective cross-sectional study 基底细胞癌和鳞状细胞癌的侧化：一项英国回顾性横断面研究

IF 2.4 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery

Pub Date : 2026-01-21 DOI: 10.1016/j.bjps.2026.01.012

Catharina Tao , Emma Guenther , Animesh Patel

This study aimed to determine whether basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) show asymmetrical distribution in a UK cohort, and to identify further patterns through subgroup analysis. Records of patients with biopsy-confirmed BCC or SCC at Addenbrookes Hospital, UK in 2018–2019, were reviewed retrospectively (5153 BCC, 1728 SCC). Lesions on the face/scalp regions were included; midline or unclear lesions were excluded. Chi-squared or Fisher's Exact Tests assessed distribution differences. 2908 BCCs and 832 SCCs in the non-midline facial/scalp region in 2018–2019 were included. Statistically significantly more right-sided BCCs were observed in 2018 and 2018/19 (in 2018–19: 52% right, 48% left, p=0.01), whilst statistically significantly more right-sided SCCs were observed in 2019 and 2018/19 (in 2018–19: 54% right, 46% left, p=0.032). As right-sided predominance was found for both lesion types and several further subgroups in this UK cohort, these findings could contribute to the emerging literature on skin cancer laterality associated with driving side. Further data collection and adjustment for confounding factors could strengthen these conclusions, emphasising an important public health message on sun protection when driving.

本研究旨在确定基底细胞癌（BCC）和鳞状细胞癌（SCC）在英国队列中是否呈现不对称分布，并通过亚组分析进一步确定模式。回顾性分析了2018-2019年英国阿登布鲁克斯医院活检证实的BCC或SCC患者的记录（5153例BCC， 1728例SCC）。包括面部/头皮区域的病变；排除中线或不明显病变。卡方检验或费雪精确检验评估分布差异。包括2018-2019年非中线面部/头皮区域的2908例bcc和832例SCCs。在2018年和2018/19年，右侧bcc的发生率显著增加（2018 - 19年：52%右侧，48%左侧，p=0.01），而在2019年和2018/19年，右侧SCCs的发生率显著增加（2018 - 19年：54%右侧，46%左侧，p=0.032）。由于在这个英国队列中，两种病变类型和几个进一步的亚组中都发现了右侧优势，这些发现可能有助于新出现的与驾驶侧相关的皮肤癌偏侧的文献。进一步的数据收集和对混杂因素的调整可以加强这些结论，强调驾驶时防晒的重要公共卫生信息。

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引用次数: 0

Outcomes of immediate implant-based vs. autologous breast reconstruction after neoadjuvant therapy 新辅助治疗后即刻植入式乳房重建与自体乳房重建的结果

IF 2.4 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery

Pub Date : 2026-01-21 DOI: 10.1016/j.bjps.2026.01.006

Ziyue Lin , Jian Yin

Background

The choice of modality for immediate breast reconstruction (IBR) following neoadjuvant therapy (NAT) remains controversial. We compared the complications, aesthetic outcomes, and patient satisfaction between two IBR techniques, immediate autologous breast reconstruction (ABR) and implant-based breast reconstruction (IBBR), in patients treated with NAT, with the goal of informing clinical practice.

Methods

Data from patients who underwent unilateral IBR after receiving NAT were retrospectively analyzed. Demographic characteristics, tumour profiles, treatment regimens, complication data, patient-reported outcomes, and aesthetic scores were compared between the groups. Subgroup analyses were also conducted separately for each group.

Results

Of 172 patients who were included in the study, 97 underwent IBBR and 75 underwent ABR. Reconstruction failures (18.6% vs. 1.3%, p<0.001) and infection (13.4% vs. 4.0%, p=0.035) occurred more frequently in the IBBR than in the ABR group. Multivariable regression analysis showed that diabetes significantly increased reconstruction failure risk in the IBBR group (OR=16.14, 95% CI: 1.46–178.51, p=0.023), with infection also emerging as a notable risk factor (OR=5.26, 95% CI: 1.43–19.38, p=0.013). The IBBR group demonstrated significantly lower patient satisfaction scores compared to ABR patients (65.52±19.50 vs. 72.22±18.26, p=0.035). Aesthetic outcomes were analyzed by reconstruction stage, with significantly fewer people reporting “excellent” in the IBBR group than in the ABR group at the tissue expander phase (TEP) (65.6% vs. 89.5%, p=0.002).

Conclusion

Following NAT, fewer complications, higher patient satisfaction, and better aesthetic outcomes were observed with ABR compared to IBBR.

背景：新辅助治疗（NAT）后立即乳房重建（IBR）方式的选择仍然存在争议。我们比较了两种IBR技术（即刻自体乳房重建（ABR）和基于植入物的乳房重建（IBBR））在接受NAT治疗的患者中的并发症、美学结果和患者满意度，目的是为临床实践提供信息。方法回顾性分析NAT术后单侧IBR患者的资料。比较两组之间的人口统计学特征、肿瘤概况、治疗方案、并发症数据、患者报告的结果和美学评分。各组的亚组分析也分别进行。结果纳入研究的172例患者中，97例接受了IBBR， 75例接受了ABR。IBBR组的重建失败（18.6%对1.3%,p= 0.001）和感染（13.4%对4.0%,p=0.035）发生率高于ABR组。多变量回归分析显示，糖尿病显著增加了IBBR组重建失败的风险（OR=16.14, 95% CI: 1.46 ~ 178.51, p=0.023），感染也是一个显著的危险因素（OR=5.26, 95% CI: 1.43 ~ 19.38, p=0.013）。IBBR组患者满意度得分明显低于ABR组（65.52±19.50比72.22±18.26,p=0.035）。美学结果按重建阶段进行分析，在组织扩张期（TEP）， IBBR组报告“优秀”的人数明显少于ABR组（65.6%比89.5%,p=0.002）。结论NAT术后ABR比IBBR并发症少，患者满意度高，美观效果好。

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引用次数: 0

Erratum to “Early detection of viable microorganisms in “sterile” periprosthetic fluids in implant-based breast reconstruction: A bioelectrochemical approach using screen-printed electrodes” [J Plast Reconstr Aesthet Surg 113 (2026) 353–361] “在假体乳房再造术中早期检测假体周围液体中的活菌：基于丝网印刷电极的生物电化学方法”[J].中国整形外科杂志，2013(6):353-361。

IF 2.4 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery

Pub Date : 2026-01-20 DOI: 10.1016/j.bjps.2026.01.009

Marta Monari , Stefano Vaccari , Alessandro Marco Lupacchini , Anna Parisi , Nicki Zolesi , Sara Beltrame , Paola Petrillo , Fabio Grizzi , Mohamed Ahmed Ahmed Abdelaziz Hegazi , Riccardo Di Giuli , Francesco Klinger , Roberto Rusconi , Valeriano Vinci

引用次数: 0

The “Hourglass” umbilicoplasty: An original four-flap design for aesthetic umbilical reconstruction “沙漏”脐带成形术：一种原始的四瓣设计，用于美观的脐带重建

IF 2.4 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery

Pub Date : 2026-01-20 DOI: 10.1016/j.bjps.2026.01.003

Pavlo O. Badiul , Sergii V. Sliesarenko

Background

The aesthetic outcome of abdominoplasty is largely defined by the appearance of the umbilicus. Existing neoumbilicoplasty techniques may result in suboptimal contour, asymmetry, or visible scarring. This study presents a novel four-flap “Hourglass” technique designed to replicate natural umbilical anatomy with high aesthetic precision.

Methods

A retrospective comparative analysis was performed in 49 female patients who underwent abdominoplasty with neoumbilicoplasty between 2020 and 2025. Patients were allocated into three groups according to the surgical technique: Hourglass (n = 19), vertical oval incision (n = 15), and inverted-U incision (n = 15). Aesthetic outcomes were independently assessed by two plastic surgeons using a five-parameter Likert scale (shape, size, depth, natural appearance, and scar quality; maximum score = 25). Postoperative complications were recorded.

Results

The Hourglass technique achieved the highest mean aesthetic scores across all parameters, with statistically significant superiority in shape (p = 0.0009), natural appearance (p < 0.0001), and scar quality (p = 0.00002). No statistically significant differences were observed for size (p = 0.068), depth (p = 0.347), or overall complication rate (p = 0.27).

Conclusions

The Hourglass neoumbilicoplasty offers a simple, reproducible, and anatomically accurate method for reconstructing a natural-appearing umbilicus. It provides symmetrical, stable, and aesthetically superior results without increasing complication rates, supporting its routine application in abdominoplasty.

Evidence rating scale for therapeutic studies

Level of Evidence – III.

背景：腹部成形术的美学效果很大程度上取决于脐的外观。现有的新胆管成形术可能导致不理想的轮廓、不对称或可见的疤痕。本研究提出了一种新颖的四瓣“沙漏”技术，旨在以高美学精度复制自然脐带解剖。方法对2020 ~ 2025年间49例女性腹部成形术合并新胆管成形术患者进行回顾性比较分析。根据手术方式将患者分为三组：沙漏切口（n = 19）、垂直椭圆形切口（n = 15）、倒u形切口（n = 15）。美学结果由两名整形外科医生使用五参数李克特量表（形状、大小、深度、自然外观和疤痕质量；最高得分= 25）独立评估。记录术后并发症。结果沙漏技术在所有参数中获得了最高的平均美学评分，在形状（p = 0.0009）、自然外观（p < 0.0001）和疤痕质量（p = 0.00002）方面具有统计学上显著的优势。在大小（p = 0.068）、深度（p = 0.347）和总并发症发生率（p = 0.27）方面均无统计学差异。结论沙漏式新脐成形术提供了一种简单、可重复、解剖准确的方法来重建自然呈现的脐部。它提供对称，稳定，美观优越的结果，而不增加并发症的发生率，支持其在腹部成形术的常规应用。治疗性研究证据评定量表证据等级- III。

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引用次数: 0

Fragile vessel simulation for microsurgical training: The microwaved chicken-wing model 用于显微外科训练的脆弱血管模拟：微波鸡翼模型

IF 2.4 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery

Pub Date : 2026-01-19 DOI: 10.1016/j.bjps.2026.01.016

Akatsuki Kondo, Hiroki Umezawa, Saya Odaka, Kenko Aoki, Rei Ogawa

Background

Microvascular surgeons often encounter fragile vessels; however, simple microsurgical anastomosis training models for such vessels are lacking. We sought to develop such a model by microwave heating chicken wings. We investigated whether this approach reduced the vascular strength of the ulnar artery in the chicken-wing training model.

Methods

Thirty fresh chicken wings were untreated (control) or microwaved at 500 W for 30 or 60 s (n=10/group) and weighed. The ulnar artery was dissected and its external diameter and breaking force were measured. The groups were compared in terms of breaking force using the Kruskal-Wallis test and post-hoc Bonferroni-adjusted pairwise comparisons. The correlation between heating time and breaking force was determined using the Spearman’s rank test. Multiple linear regression was used to examine the influence of heating time, vessel diameter, and tissue weight on breaking force.

Results

Kruskal-Wallis testing and pairwise comparisons showed that 60-s heating significantly reduced vessel-breaking force compared to the control (p=0.000) and 30-s heating (p=0.029). The control and 30-s heating conditions did not differ (p=0.281). Heating time correlated strongly and negatively with breaking force (ρ=−0.793, p<0.001). Multiple linear regression analysis showed that breaking force was associated positively with vessel diameter (β=0.465, p=0.023) and tended to associate negatively with heating time (β=−0.369, p=0.064). Tissue weight had no influence.

Conclusions

Microwave heating for 60 s markedly reduced chicken-wing arterial-vessel strength, creating fragile vessels that may simulate diseased human arteries. This model could be incorporated into the microsurgical training curriculum to promote the acquisition of fine tissue-handling skills.

微血管外科医生经常遇到脆弱的血管；然而，缺乏简单的显微外科吻合训练模型。我们试图通过微波加热鸡翅来开发这样一个模型。我们研究了这种方法是否会降低鸡翼训练模型中尺动脉的血管强度。方法新鲜鸡翅30只（对照）或500 W微波处理30、60 s （n=10/组）称重。解剖尺动脉，测量尺动脉外径和破断力。使用Kruskal-Wallis检验和事后bonferroni调整两两比较比较各组的断裂力。加热时间与断裂力之间的相关性采用斯皮尔曼秩检验。采用多元线性回归研究加热时间、血管直径、组织重量对断裂力的影响。结果skruskal - wallis检验和两两比较显示，与对照组相比，60s加热组的破血管力显著降低（p=0.000）， 30s加热组的破血管力显著降低（p=0.029）。对照组和30 s加热条件无显著差异（p=0.281）。加热时间与断裂力呈显著负相关（ρ= - 0.793, p<0.001）。多元线性回归分析表明，断裂力与血管直径呈正相关（β=0.465, p=0.023），与加热时间呈负相关（β= - 0.369, p=0.064）。组织重量没有影响。结论微波加热60 s可明显降低鸡翼动脉血管强度，形成脆弱血管，可模拟人体病变动脉。该模型可纳入显微外科训练课程，促进精细组织处理技能的习得。

{"title":"Fragile vessel simulation for microsurgical training: The microwaved chicken-wing model","authors":"Akatsuki Kondo, Hiroki Umezawa, Saya Odaka, Kenko Aoki, Rei Ogawa","doi":"10.1016/j.bjps.2026.01.016","DOIUrl":"10.1016/j.bjps.2026.01.016","url":null,"abstract":"<div><h3>Background</h3><div>Microvascular surgeons often encounter fragile vessels; however, simple microsurgical anastomosis training models for such vessels are lacking. We sought to develop such a model by microwave heating chicken wings. We investigated whether this approach reduced the vascular strength of the ulnar artery in the chicken-wing training model.</div></div><div><h3>Methods</h3><div>Thirty fresh chicken wings were untreated (control) or microwaved at 500 W for 30 or 60 s (<em>n</em>=10/group) and weighed. The ulnar artery was dissected and its external diameter and breaking force were measured. The groups were compared in terms of breaking force using the Kruskal-Wallis test and post-hoc Bonferroni-adjusted pairwise comparisons. The correlation between heating time and breaking force was determined using the Spearman’s rank test. Multiple linear regression was used to examine the influence of heating time, vessel diameter, and tissue weight on breaking force.</div></div><div><h3>Results</h3><div>Kruskal-Wallis testing and pairwise comparisons showed that 60-s heating significantly reduced vessel-breaking force compared to the control (p=0.000) and 30-s heating (p=0.029). The control and 30-s heating conditions did not differ (p=0.281). Heating time correlated strongly and negatively with breaking force (ρ=−0.793, p<0.001). Multiple linear regression analysis showed that breaking force was associated positively with vessel diameter (β=0.465, p=0.023) and tended to associate negatively with heating time (β=−0.369, p=0.064). Tissue weight had no influence.</div></div><div><h3>Conclusions</h3><div>Microwave heating for 60 s markedly reduced chicken-wing arterial-vessel strength, creating fragile vessels that may simulate diseased human arteries. This model could be incorporated into the microsurgical training curriculum to promote the acquisition of fine tissue-handling skills.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"114 ","pages":"Pages 154-159"},"PeriodicalIF":2.4,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A 4-core intra-osseous flexor tendon repair for trauma and distal 2nd stage tendon reconstruction 4核骨内屈肌腱修复创伤和远端第二阶段肌腱重建

IF 2.4 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery

Pub Date : 2026-01-17 DOI: 10.1016/j.bjps.2026.01.015

Jessica Lynch , Henry Lonsdale , Anna Helene Katrin Riemen , Paul McArthur

引用次数: 0

Audit and technical modifications of scout vein graft technique 童军静脉移植技术的审核与技术改进。

IF 2.4 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery

Pub Date : 2026-01-16 DOI: 10.1016/j.bjps.2026.01.013

Madhu Periasamy, Vamseedharan Muthukumar, Hari Venkatramani, S. Raja Sabapathy

引用次数: 0

Costal cartilage tissue regeneration after the modified first-stage autologous ear reconstruction for microtia: A retrospective study 改良一期自体耳廓重建术后肋软骨组织再生的回顾性研究

IF 2.4 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery

Pub Date : 2026-01-15 DOI: 10.1016/j.bjps.2026.01.008

Jiachao Xiong , Yingshen Shi , Zhe Liu, Ni Zhuang, Hua Jiang, Yuxin Qian, Rong Guo

Background

The modified first-stage autologous ear reconstruction for patients with microtia has been part of our regular practice since 2020, with long-term follow-up revealing no thoracic complications in the patients. Our previous clinical studies systematically investigated and advocated for the critical role of preserving the intact costal cartilage membrane and its precise suturing.

Methods

This retrospective cohort study focused on primary reconstruction for congenital microtia. Patients were screened based on exclusion and inclusion criteria. Data on patient demographics and three-dimensional CT reconstructions of the costal cartilage were collected. Additionally, in vivo animal experiments were conducted to assess the characteristics of the regenerated tissue within the perichondrium.

Results

A total of 161 ear reconstructions performed for patients with microtia were included, comprising 54 cases on the left side, 102 cases on the right side, and 5 cases on both sides. We found that suturing the preserved costal cartilage membrane in place maintained its native contour and trajectory. A direct relationship was found between advancing age, higher physical quality, and superior costal cartilage regeneration among patients undergoing the modified first-stage autologous ear reconstruction. Patients older than 10 years demonstrated a high proportion of tissue regeneration and good postoperative thoracic stability at an early stage. Furthermore, animal models revealed regenerated costal cartilage at the perichondrial suture sites in rabbits 6 months postoperatively.

Conclusions

We conducted long-term follow-up on patients who underwent the modified first-stage ear reconstruction and they showed no thoracic complications. It emphasized the critical importance of obtaining costal cartilage, preferably in patients 10 years of age and older, and preserving and suturing the intact costal cartilage membrane during the modified two-flap method. These findings provide theoretical support for clinically adopting this technique.

自2020年以来，微创患者改良的一期自体耳廓重建已成为我们常规实践的一部分，长期随访显示患者无胸部并发症。我们以前的临床研究系统地研究并提倡保留完整的肋软骨膜及其精确缝合的关键作用。方法采用回顾性队列研究方法，对先天性小体畸形进行初步重建。根据排除和纳入标准对患者进行筛选。收集了患者的人口统计学数据和肋软骨的三维CT重建。此外，还进行了体内动物实验，以评估软骨膜内再生组织的特性。结果共纳入161例小耳症患者的耳廓再造术，其中左侧54例，右侧102例，双侧5例。我们发现将保留的肋软骨膜缝合在适当的位置可以保持其原有的轮廓和轨迹。在接受改良一期自体耳廓重建术的患者中，年龄的增长、身体素质的提高与肋软骨再生能力的提高有直接关系。年龄大于10岁的患者在早期表现出高比例的组织再生和良好的术后胸部稳定性。此外，动物模型显示，术后6个月，家兔在软骨周围缝合部位出现了再生的肋软骨。结论我们对接受改良一期耳廓再造术的患者进行了长期随访，无胸部并发症。它强调了在改良的双瓣方法中获得肋软骨的重要性，最好是10岁及以上的患者，并保留和缝合完整的肋软骨膜。本研究结果为临床应用该技术提供了理论支持。

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