Journal of Plastic Reconstructive and Aesthetic Surgery最新文献

{"title":"Patient recruitment strategies of the Belgian plastic surgeon: A national anonymous survey","authors":"Renee De Busser ,&nbsp;Amélie Bouteille ,&nbsp;Stefaan Callens ,&nbsp;Margot Den Hondt ,&nbsp;Moustapha Hamdi","doi":"10.1016/j.bjps.2026.01.001","DOIUrl":"10.1016/j.bjps.2026.01.001","url":null,"abstract":"<div><h3>Background</h3><div>Patient recruitment strategies in plastic surgery are diverse, and no overview exists for Belgium. Internationally, word of mouth is the most common method, while social media usage grows.</div></div><div><h3>Purpose</h3><div>This study aimed to map recruitment methods among Belgian plastic surgeons and explore differences by age and professional location.</div></div><div><h3>Methods</h3><div>Plastic surgeons practicing in Belgium were included in a prospective survey. An anonymous online questionnaire (LimeSurvey) was distributed and data analysed using SPSS.</div></div><div><h3>Results</h3><div>Eighteen percent of all Belgian plastic surgeons participated. Referrals and word of mouth were the primary recruitment methods, followed by websites and social media. Referrals were mainly by gynaecologists, dermatologists and GPs. Intra-centre collaboration was most frequent in university and general hospitals (both 74%). Non-surgical and aesthetic procedures were proportionally more common in private clinics, while reconstructive procedures dominated university and general hospitals. Fifty-two percent treated international patients, an average of 15% of practice volume, predominantly aesthetic cases (68%). All surgeons used a website, and 54% were active on social media, primarily Instagram (60%) and Facebook (26%). Social media reached mainly 20- to 40-year-old patients (66%) with aesthetic concerns (62%).</div></div><div><h3>Conclusion</h3><div>Referrals and word of mouth are the most important recruitment strategies among Belgian plastic surgeons. Social media is increasingly relevant, particularly for younger, international patients and aesthetic surgery. Its growing use raises professional, legal, and ethical challenges, highlighting the need for clearer legislation, awareness, and enforcement strategies with patient safety as central priority.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"113 ","pages":"Pages 700-704"},"PeriodicalIF":2.4,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976744","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}

{"title":"Cholesteatoma in concha-type microtia","authors":"Nobuyuki Mitsuhashi ,&nbsp;Takatoshi Yotsuyanagi ,&nbsp;Ken Yamashita ,&nbsp;Shinji Kato ,&nbsp;Ayaka Kitada ,&nbsp;Minoru Sakuraba","doi":"10.1016/j.bjps.2025.12.036","DOIUrl":"10.1016/j.bjps.2025.12.036","url":null,"abstract":"<div><h3>Background</h3><div>Concha-type microtia with congenital aural stenosis carries a risk of external auditory canal cholesteatoma, which may cause infection and lead to the loss of costal cartilage grafts during auricular reconstruction. However, awareness of this risk among plastic surgeons remains limited. We aimed to review cases of cholesteatoma in concha-type microtia and discuss optimal management strategies.</div></div><div><h3>Methods</h3><div>We conducted a single-center retrospective review of patients with concha-type or small concha-type microtia and congenital aural stenosis who underwent auricular reconstruction with costal cartilage grafting between January 2018 and December 2021. We identified patients who developed external auditory canal cholesteatoma and analyzed the timing of occurrence, treatment, postoperative complications, graft preservation or removal, and postoperative course (including recurrence).</div></div><div><h3>Results</h3><div>Among 278 patients with microtia (90 auricles), 83 had concha-type or small concha-type microtia. The mean age at surgery was 11.8 years (range 10 to 24 years; median 11 years), and the cohort comprised 53 males and 30 females. Congenital aural stenosis (&lt;4 mm) was present in 60 auricles, with cholesteatoma occurring in 4 (6.7%). One cholesteatoma was diagnosed preoperatively, two were diagnosed shortly after reconstruction (one required graft removal), and two were diagnosed after reconstruction. All patients underwent cholesteatoma excision and canalplasty. During ≥2 years of follow-up, mild restenosis but no recurrence were observed.</div></div><div><h3>Conclusion</h3><div>Concha-type microtia with congenital aural stenosis carries a risk of cholesteatoma. Preoperative screening is essential, and excision should precede auricular reconstruction. Vigilance during and after reconstruction, and close collaboration with otolaryngologists, are essential to prevent complications.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"113 ","pages":"Pages 705-712"},"PeriodicalIF":2.4,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976861","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}

{"title":"Harnessing population genetics and animal models to uncover the genetics of skin scarring","authors":"Oscar A. Peña ,&nbsp;Marisa Cañadas-Garre ,&nbsp;Iona Collins ,&nbsp;Nicholas J. Timpson ,&nbsp;Paul Martin","doi":"10.1016/j.bjps.2025.11.010","DOIUrl":"10.1016/j.bjps.2025.11.010","url":null,"abstract":"<div><div>Skin wound healing is a complex process that requires the orchestrated response of several different cell types to repair the damaged tissue and restore function. Superficial skin wounds tend to heal within days. However, larger and deeper wounds such as those caused by trauma or surgery generally heal by leaving a scar, which can impact tissue function. Scars can be debilitating, painful, and can significantly impair function. New developments to prevent and treat scarring require a deeper understanding of the cellular and molecular mechanisms associated with wound healing and scarring. Most of our current understanding of the genetics of wound healing comes from studies in animal models. However, population health approaches combined with experimental validation in animal models offer new opportunities to harness natural variability in wound repair outcomes in the population and identify new relevant biology controlling different aspects of repair and scarring in a different way. These approaches have the potential to reveal association between genetic loci and wound phenotypes in humans. Complementary experimental studies in animal models can help to validate these candidate genes and our understanding of the underlying mechanisms. In this non-systematic review, we propose the application of strategies using population health/genetics together with zebrafish models of wounding to specifically study skin scarring. We discuss potential pitfalls and strengths of the combined and complementary use of population health approaches and animal models for the identification and validation of new genes involved in skin repair, and in particular, scarring.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"112 ","pages":"Pages 44-55"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145650617","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}

{"title":"Orofacial cleft repair: A clinical model for studying genetic contribution to scar severity","authors":"Rebecca J. Richardson ,&nbsp;Kevin Thiessen ,&nbsp;Nigel Mercer ,&nbsp;Bruce Richard ,&nbsp;Yvonne Wren ,&nbsp;Jonathan Sandy","doi":"10.1016/j.bjps.2025.10.044","DOIUrl":"10.1016/j.bjps.2025.10.044","url":null,"abstract":"<div><div>Scars resulting from surgical repair of cleft lip and palate provide a unique model in humans for studying factors that affect the severity of scarring. Anatomically, clefts of the lip and palate are consistent in location and are treated surgically with similar methods and timing. This contrasts with the considerably greater variability observed in traumatic injuries, burns or emergency surgical procedures and the scars resulting from these cause tissue damage. Clinical audit protocols for cleft lip and palate ensure that data on outcomes for appearance, function and wellbeing are collected at standard points in a child’s development and are followed-up over time, permitting cross sectional and longitudinal analysis of scarring. Therefore, enhancing our understanding of the impact of genetics and environmental factors on scar severity following surgical repair of clefts can provide information on factors that may be associated with scarring from other insults, where uniform data are not available. Animal models offer opportunities to investigate factors that could influence scar severity and overall repair quality. In this review, we will discuss the possibilities for scarring research in cohorts of children born with cleft defects and the advantages of using different animal models for studying the mechanistic drivers of variation in scar severity.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"112 ","pages":"Pages 66-75"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524954","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}

{"title":"Evaluating the role of the ‘Accessible Novel Solutions for Widespread Emergency Reconstructive Surgery’ (ANSWERS) 3D-printed perineal training model for conflict-related sexual violence injuries","authors":"Stephen R. Ali ,&nbsp;HRH The Duchess of Edinburgh ,&nbsp;Gloire Byabene ,&nbsp;Carys Edwards ,&nbsp;Beth Norman ,&nbsp;Octavian Parkes ,&nbsp;Hari Arora ,&nbsp;Denis Mukwege ,&nbsp;Iain S. Whitaker","doi":"10.1016/j.bjps.2025.11.051","DOIUrl":"10.1016/j.bjps.2025.11.051","url":null,"abstract":"<div><h3>Introduction</h3><div>Conflict-related sexual violence (CRSV) causes considerable physical and psychological harm, often leading to complex urogenital injuries that require specialised reconstructive surgery. Despite the growing global demand for specialised surgical care, access to niche specialities and training resources remain limited, particularly in high-conflict and resource-constrained areas. This study evaluates the effectiveness of the Accessible Novel Solutions for Widespread Emergency Reconstructive Surgery (ANSWERS) 3D-printed model, developed in collaboration with the Panzi Foundation, as a training tool for urogenital fistula repair associated with CRSV.</div></div><div><h3>Methods</h3><div>Conducted at Panzi Hospital in the Democratic Republic of Congo, this study employed a cross-sectional survey design involving 13 healthcare professionals. Participants engaged in hands-on practice with the 3D-printed model, creating and repairing simulated defects to closely replicate CRSV injuries. The survey assessed the model’s anatomical fidelity, usability and impact on surgical preparedness, incorporating quantitative ratings and qualitative feedback.</div></div><div><h3>Results</h3><div>Our findings revealed strong support for the model's training value, with most participants reporting increased confidence in their technical skills. Areas for improvement due to limitations of anatomical detail and material durability were noted. Qualitative insights indicated that integrating the Panzi score—a classification system for fistula severity—and augmented reality or extended reality technology could enhance the model's relevance and interactivity.</div></div><div><h3>Conclusion</h3><div>The study highlights the use of the ANSWERS 3D-printed model in building competency-based training protocols in CRSV care. Future refinements in the multilayered materials, novel bioengineering approaches to enhance biomimicry, anatomical accuracy based on CT scans and Panzi score classifications hold great potential. Ultimately, digital integrations could lead to the development of a standardised, immersive training curriculum that aligns with Panzi Hospital’s holistic approach, improving surgical outcomes for CRSV survivors globally.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"112 ","pages":"Pages 96-105"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145777007","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}

{"title":"A better understanding and outcomes for wounds and scars: 25 Years of the Scar Free Foundation","authors":"Jason Wong (JPRAS Deputy Editor),&nbsp;Richard Nugee (Lt. Gen., Chief Executive)","doi":"10.1016/j.bjps.2025.12.027","DOIUrl":"10.1016/j.bjps.2025.12.027","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"112 ","pages":"Pages 1-2"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145886072","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}

{"title":"From patient to partner: Crowdsourcing and digital innovations reshaping scar research and scar care management","authors":"K.J.P. Maertens ,&nbsp;T. Demarbaix ,&nbsp;J. Meirte ,&nbsp;U. Van Daele ,&nbsp;P. Moortgat","doi":"10.1016/j.bjps.2025.10.024","DOIUrl":"10.1016/j.bjps.2025.10.024","url":null,"abstract":"<div><div>Traditional scar research has historically prioritized clinician-driven outcomes, often neglecting patient-identified needs and real-world experiences. This narrative review synthesizes developments in patient-powered innovation across scar research, drawing from the last decade of literature on patient-reported outcome measures (PROMs), real-world data, digital health tools, and participatory models. Increased adoption of PROMs (e.g., Patient and Observer Scar Assessment Scale 3.0 and SCAR-Q), crowdsourced initiatives, and digital tools (e.g., ScarPath, smartphone apps, and AI-based assessments) are transforming scar research and management by centering patient priorities. Patient-powered approaches—through digital tools, crowdsourcing, and participatory research—are reshaping scar care by promoting real-world engagement and more meaningful, personalized outcomes.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"112 ","pages":"Pages 86-95"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145472566","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}

{"title":"Commentary to accompany: Surgical reconstruction of severe pressure ulcers in England from 01/04/2011 to 30/09/2018: Retrospective cohort study using routinely collected data","authors":"James Chan","doi":"10.1016/j.bjps.2025.06.023","DOIUrl":"10.1016/j.bjps.2025.06.023","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"112 ","pages":"Pages 64-65"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651618","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}

{"title":"Hair follicle-inspired therapies for wound healing and scar remodelling","authors":"Min Waye Chew ,&nbsp;Summik Limbu ,&nbsp;Paul Kemp ,&nbsp;Claire A. Higgins","doi":"10.1016/j.bjps.2025.07.023","DOIUrl":"10.1016/j.bjps.2025.07.023","url":null,"abstract":"<div><div>Human skin does not regenerate after severe injuries. Instead, the wound healing process repairs the skin as quickly as possible, which can lead to the formation of scar tissue. Scar tissue has reduced function compared to healthy skin; contractures limit movement, sensation is altered, the skin is itchy, and there are no functional appendages, such as sweat glands and hair follicles. As the cellular and molecular mechanisms of scarring are becoming better understood, most therapeutic strategies focus on preventing scar formation by targeting the wound healing process. One avenue of research takes inspiration from the hair follicle, as hairy skin heals with faster wound closure and reduced scar formation compared to non-hairy skin. It is thought that the hair follicle has a contributing role in this process and hair follicles transplanted into chronic (non-closing) wounds have been shown to kick-start wound closure. In the context of scarring, hair follicles transplanted into longstanding scar tissue also lead to scar remodelling. In this review, we discuss the role of hair follicles and cells or biomaterials derived from the hair follicle in both wound healing and scar remodelling.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"112 ","pages":"Pages 34-43"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805528","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}

{"title":"Surgical reconstruction of severe pressure ulcers in England from 01/04/2011 to 30/09/2018: Retrospective cohort study using routinely collected data","authors":"Barnaby C. Reeves ,&nbsp;Jessica M. Harris ,&nbsp;Maria Pufulete ,&nbsp;Jo C. Dumville ,&nbsp;Una Adderley ,&nbsp;Ross Atkinson ,&nbsp;Madeleine Clout ,&nbsp;Nicky Cullum ,&nbsp;Abby O’Connell ,&nbsp;Stephen Palmer ,&nbsp;Jeremy Rodrigues ,&nbsp;Jason KF. Wong","doi":"10.1016/j.bjps.2025.06.012","DOIUrl":"10.1016/j.bjps.2025.06.012","url":null,"abstract":"<div><h3>Introduction</h3><div><span>We identified patients in England admitted to hospital with severe pressure ulcers (SPUs), quantified how many had </span>surgical reconstruction (SR) to close SPUs and described their outcomes.</div></div><div><h3>Methods</h3><div>Using Hospital Episode Statistics (2010ꟷ2019), we identified adults with SPU who had undergone SR. Outcomes were: length of stay; time-to-next-admission with SPU diagnosis; repeat SR; death from any cause (Office for National Statistics). Maximum and minimum numbers of SRs to close SPUs (the latter comprising a subset about whom we had greatest confidence) were estimated by applying increasingly specific filters.</div></div><div><h3>Results</h3><div>A minimum of 404 and maximum of 1018 patients with SPUs had SR over 7.5 years. Patients in the minimum subset were younger than the entire SR group (median 52 versus 58 years), had fewer comorbidities and were more likely to have a cause of impaired mobility. In the subset and entire group, median hospital stays after SR were 26 (IQR 13ꟷ48) and 42 (IQR 17ꟷ90) days. By one year, more patients in the subset had a further admission with SPU (24.4%, 95% CI 20.5%ꟷ29.0% versus 21.7%, 95%CI 19.2%ꟷ24.5% vs) and fewer had died (4.0%, 95%CI 2.5%ꟷ6.4% versus 14.6%, 95%CI 12.6%ꟷ16.7%); by two years, more had a second SR (10.7%, 95%CI 7.8%ꟷ14.5% versus 7.4%, 95%CI 5.7%ꟷ9.5%). Half the entire number of SRs (505/1018) were performed by 10 of 124 English hospitals.</div></div><div><h3>Conclusion</h3><div>Patients in the subset most likely had SR to close their SPUs. Their outcomes provide evidence that SR to close an SPU is effective for such patients.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"112 ","pages":"Pages 56-63"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565586","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}