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Non-municipal water sources as a potential for surgical site infections in plastic surgery 非市政水源可能导致整形外科手术部位感染。
IF 2 3区 医学 Q2 SURGERY Pub Date : 2024-10-18 DOI: 10.1016/j.bjps.2024.10.029
Forrest Bohler, Zachary A. Koenig, Bronson Herr, Jack J. Gelman
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引用次数: 0
Health symptoms and cosmetic silicone breast implants: A retrospective cohort study 健康症状与硅胶假体隆胸:一项回顾性队列研究。
IF 2 3区 医学 Q2 SURGERY Pub Date : 2024-10-18 DOI: 10.1016/j.bjps.2024.10.026
A.S. Lieffering , L. Ramerman , J.E. Hommes , H.A. Rakhorst , M.A.M. Mureau , R.R.W.J. van der Hulst , R.A. Verheij

Background

There has been a growing concern about a possible causal relationship between silicone breast implants (SBIs) and health symptoms, referred to as breast implant illness. This study assessed the association between SBIs for cosmetic augmentation and health symptoms.

Methods

This retrospective cohort study used the data from the Dutch Breast Implant Registry and Nivel Primary Care Database. A total of 688 women with cosmetic SBIs were age-matched with 1301 women without SBIs. The occurrence of 13 health symptoms presented in general practice was assessed 1 year before implantation until 3 years after implantation. Comparisons were made regarding the number of symptoms and general practice consultations, before and after implantation and between the two groups.

Results

Women with SBIs were more likely to experience three or more distinct health symptoms and a combination of multiple symptoms with multiple consultations during follow-up than women without SBIs (adjusted OR 1.44, 95% CI 1.06 to 1.96; adjusted OR 1.44, 95% CI 1.04 to 2.00, respectively). Women with SBIs also had more than twice the likelihood of manifesting these outcomes in the second year after implantation compared to the first year before implantation (OR 2.13, 95% CI 1.27 to 3.57; OR 2.13, 95% CI 1.22 to 3.72, respectively).

Conclusions

Women with cosmetic SBIs had increased odds of developing health symptoms after implantation compared to those before implantation and to women without SBIs. These results suggest an association between health symptoms and cosmetic SBIs that needs further research to explore whether there is causality or residual confounding.
背景:硅胶隆胸(SBI)与健康症状(即隆胸疾病)之间可能存在的因果关系日益受到关注。本研究评估了硅胶隆胸与健康症状之间的关系:这项回顾性队列研究使用了荷兰乳房植入物登记处和 Nivel 初级保健数据库的数据。共有 688 名接受过隆胸整形手术的女性与 1301 名未接受过隆胸整形手术的女性进行了年龄匹配。对植入前 1 年至植入后 3 年期间在全科医生处出现的 13 种健康症状进行了评估。对植入前后以及两组妇女的症状数量和全科就诊情况进行了比较:结果表明:与无 SBI 的妇女相比,有 SBI 的妇女在随访期间更有可能出现三种或三种以上不同的健康症状,以及多种症状并发和多次就诊(调整 OR 分别为 1.44,95% CI 为 1.06 至 1.96;调整 OR 分别为 1.44,95% CI 为 1.04 至 2.00)。有SBI的妇女在植入后第二年出现这些结果的可能性也是植入前第一年的两倍多(OR 2.13,95% CI 1.27至3.57;OR 2.13,95% CI 1.22至3.72):与植入前和没有 SBI 的妇女相比,有 SBI 美容的妇女在植入后出现健康症状的几率更高。这些结果表明,健康症状与美容性 SBIs 之间存在关联,需要进一步研究探讨两者之间是否存在因果关系或残余混杂因素。
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引用次数: 0
Modified funneling arterial microanastomosis in large vessels size mismatch 大血管尺寸不匹配时的改良漏斗状动脉微吻合术
IF 2 3区 医学 Q2 SURGERY Pub Date : 2024-10-18 DOI: 10.1016/j.bjps.2024.10.030
Pi-Chieh Lin , Nina Lanie C. Constantino , Tsan-Shiun Lin
The “Modified Funneling Method” is an easy and reliable technique to overcome vessel diameter discrepancies. By exploring new techniques of anastomosis, we can help microvascular surgeons improve microvascular outcomes and overcome vessel discrepancies.
改良漏斗法 "是克服血管直径差异的一种简单可靠的技术。通过探索新的吻合技术,我们可以帮助微血管外科医生改善微血管治疗效果,克服血管直径差异。
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引用次数: 0
Patient satisfaction using wide-awake local anaesthesia no tourniquet (WALANT) in adults undergoing elective hand surgery: A systematic review and meta-analysis 在成人手部择期手术中使用无止血带宽醒局部麻醉(WALANT)的患者满意度:系统回顾和荟萃分析。
IF 2 3区 医学 Q2 SURGERY Pub Date : 2024-10-18 DOI: 10.1016/j.bjps.2024.10.027
Anthony Siu , Rong Sze Wong , Zahra Ahmed , Cyrus Talwar , Dariush Nikkhah

Background

Wide-awake local anaesthesia no tourniquet (WALANT) is increasing in popularity within hand surgery. However, evidence is unclear on patient satisfaction rates when WALANT is compared against more traditional anaesthetic techniques where pneumatic tourniquets are used. The present study aimed to evaluate the satisfaction rates of patient with the WALANT technique.

Methods

A literature search was performed using the PubMed, Embase and Cochrane databases for observational studies and randomised controlled trials (RCTs) from 2003 up to June 2023. The review was carried out among adults undergoing elective hand surgery. The mean difference in operation time and standardised mean difference (SMD) for patient satisfaction and post-operative pain (<24 h) were computed using the random effects model. The quality of studies was evaluated using RoB-2 for RCTs and risk of bias in non-randomised studies ROBINS-I for observational studies. Data were collated and a meta-analysis was performed.

Results

Five RCTs and 15 observational studies were included in our analysis, comprising a total cohort of 1800 patients. Among them, 899 patients received WALANT (50.0%). Among the RCTs, patient satisfaction was found to be higher in patients receiving WALANT (SMD 1.01, 95% CI 0.11–1.92, p = 0.03, I² = 93%). Post-operative pain was found to be non-significant using WALANT (95% CI −3.72–0.03, p = 0.10, I² = 99%), as was operative time difference (95% CI −0.42–0.40, p = 0.96, I² = 0%).

Conclusion

The use of WALANT in elective hand surgery potentially results in higher satisfaction rates compared with anaesthesia with tourniquets. Post-operative pain and operation time were also found to be non-inferior in WALANT, but more robust studies are needed to verify these findings.
背景:无止血带宽醒局部麻醉(WALANT)在手外科越来越受欢迎。然而,当 WALANT 与使用气动止血带的传统麻醉技术相比时,患者的满意度尚不明确。本研究旨在评估患者对 WALANT 技术的满意度:使用 PubMed、Embase 和 Cochrane 数据库对 2003 年至 2023 年 6 月期间的观察性研究和随机对照试验 (RCT) 进行了文献检索。研究对象为接受手部择期手术的成年人。患者满意度和术后疼痛的手术时间平均差和标准化平均差(SMD)(结果:我们的分析纳入了 5 项研究性临床试验和 15 项观察性研究,共包括 1800 名患者。其中,899 名患者接受了 WALANT 治疗(50.0%)。研究发现,接受 WALANT 治疗的患者满意度更高(SMD 1.01,95% CI 0.11-1.92,P = 0.03,I² = 93%)。使用WALANT后,术后疼痛无显著性差异(95% CI -3.72-0.03,p = 0.10,I² = 99%),手术时间差异也无显著性差异(95% CI -0.42-0.40,p = 0.96,I² = 0%):结论:与使用止血带麻醉相比,在手部择期手术中使用WALANT可能会提高满意度。WALANT的术后疼痛和手术时间也没有劣势,但还需要更多可靠的研究来验证这些发现。
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引用次数: 0
Free fillet flap: Outcomes in emergency microsurgical reconstruction of upper and lower limb 游离丝状皮瓣:上下肢急诊显微外科重建术的成果。
IF 2 3区 医学 Q2 SURGERY Pub Date : 2024-10-16 DOI: 10.1016/j.bjps.2024.10.018
Oscar Losa-Martin, Sergio Fernandez-Quesada, Luis Landin

Introduction

Despite its infrequency, ‘spare-part surgery’ represents a reconstructive strategy that uses segments of amputated limbs as donor tissue to preserve function in other injured anatomical regions. The purpose of this study was to review our 14-year experience in emergency microsurgical reconstruction of traumatised limbs using free fillet flaps obtained from non-salvageable amputated parts.

Materials and methods

A retrospective observational study was conducted on patients who underwent urgent free fillet flap transfer for upper or lower limb reconstruction between 2007 and 2021. The characteristics and levels of injury, as well as the flap designs, functional outcomes and complications were documented.

Results

A series of eight clinical cases is presented. One osteo-tendino-cutaneous and seven fasciocutaneous flaps were filleted from non-replantable amputated limbs for free transfer. Stable coverage of the dorsal aspect of the hand and fingers was achieved in three patients, and limb shortening was avoided in five patients. An open thumb fracture with bone defect, three below-knee stumps and one trans-metatarsal level were preserved. The mean Quick-Disabilities of the Arm, Shoulder and Hand score for upper limb reconstructions was 16.75 points. In all the cases of lower limb reconstruction, the nerves were repaired, resulting in a protective sensitivity (S3 level) with no pressure ulcer development during the follow-up period. All patients were able to return to normal prosthetic ambulation with a mean Amputee Mobility Predictor Pro score of 45 points. Two haematomas, one surgical wound dehiscence and two immediate revisions of venous anastomoses were registered.

Conclusions

The microvascular filleted flap demonstrated versatility in the emergency reconstruction of complex limb injuries, providing stable coverage and optimising limb length preservation within a single major surgical procedure, while eliminating morbidity from any other uninjured donor site.
导言:备肢手术 "尽管并不常见,但它是一种利用截肢部位作为供体组织来保留其他受伤解剖区域功能的重建策略。本研究的目的是回顾我们 14 年来利用从不可修复的截肢部位获取的游离丝状皮瓣对创伤肢体进行紧急显微外科重建的经验:我们对2007年至2021年期间紧急接受游离丝状皮瓣转移进行上肢或下肢重建的患者进行了回顾性观察研究。研究记录了患者的特征、损伤程度、皮瓣设计、功能结果和并发症:结果:本文介绍了八例临床病例。其中一个骨腱皮瓣和七个筋膜皮瓣是从不可再植的截肢上锉下来的,用于游离转移。三名患者的手背和手指得到了稳定的覆盖,五名患者避免了肢体缩短。保留了一个开放性拇指骨折伴骨缺损、三个膝下残肢和一个跨跖骨水平。上肢重建的手臂、肩部和手部快速残疾评分平均为 16.75 分。在所有下肢重建的病例中,神经都得到了修复,从而获得了保护性灵敏度(S3 级),并且在随访期间没有出现压疮。所有患者都能恢复正常的假肢行走,截肢者活动能力预测器 Pro 平均得分 45 分。有2例血肿、1例手术伤口开裂和2例静脉吻合术后立即复位:微血管丝状皮瓣在复杂肢体损伤的紧急重建中表现出了多功能性,在单次大手术过程中提供了稳定的覆盖,优化了肢体长度的保留,同时消除了其他未受伤供体部位的发病率。
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引用次数: 0
The utility of ChatGPT in gender-affirming mastectomy education ChatGPT 在性别确认乳房切除术教育中的实用性。
IF 2 3区 医学 Q2 SURGERY Pub Date : 2024-10-16 DOI: 10.1016/j.bjps.2024.10.020
Isabel Snee , Christian X. Lava , Karen R. Li , Gabriel Del Corral

Introduction

The integration of AI such as ChatGPT in medicine has been showing promise in enhancing patient education. Gender-affirming mastectomy (GAM) is a surgical procedure designed to help individuals transition to their self-identified gender, playing a crucial role in mitigating psychological distress for many transmasculine and non-binary (TNB) patients. With increased demand and attention towards GAM, plastic and reconstructive surgeons may rely on AI-driven chatbots as an accessible, accurate, and patient-driven model for relevant details on this procedure.

Specific Aim(s)

This study aimed to assess the quality and readability of information provided by ChatGPT in response to frequently asked questions (FAQs) related to GAM.

Methods

Inspired by online forums and physician websites, 10 frequently asked questions (FAQs) about pre- and postoperative topics were submitted to ChatGPT and assessed using validated readability score measures and expert interpretation.

Results

The average readability score was 16.0 ± 1, indicating a college or graduate reading level. Mean accuracy, comprehensiveness, and danger scores were 8.8 ± 0.5, 7.8 ± 0.7, and 2.2 ± 0.4, respectively. Although physicians appreciated ChatGPT's tone, patient autonomy, and advice to seek professional medical and mental help, they also cited instance of generic information, misinformation, support of debated techniques, and pathologization of gender dysphoria.

Conclusion

Even with its promise in providing accurate and comprehensive information on GAM, ChatGPT’s current limitations suggest caution as a supplementary tool to physician consultation.
导言将人工智能(如 ChatGPT)融入医疗领域,在加强患者教育方面大有可为。性别确认乳房切除术(GAM)是一种外科手术,旨在帮助个人过渡到自我认定的性别,在减轻许多跨性别和非二元(TNB)患者的心理压力方面发挥着至关重要的作用。随着对 GAM 的需求和关注的增加,整形和重建外科医生可能会依赖人工智能驱动的聊天机器人,将其作为一个可访问的、准确的和以患者为导向的模型,以了解该手术的相关细节:本研究旨在评估 ChatGPT 在回答与 GAM 相关的常见问题(FAQs)时所提供信息的质量和可读性:受在线论坛和医生网站的启发,我们向 ChatGPT 提交了 10 个关于术前和术后主题的常见问题(FAQ),并使用经过验证的可读性评分标准和专家解释进行了评估:结果:平均可读性分数为 16.0 ± 1,表明阅读水平为大学或研究生水平。准确性、全面性和危险性的平均得分分别为 8.8 ± 0.5、7.8 ± 0.7 和 2.2 ± 0.4。虽然医生们对 ChatGPT 的语气、患者自主性以及寻求专业医疗和心理帮助的建议表示赞赏,但他们也提到了一些通用信息、错误信息、对有争议的技术的支持以及性别焦虑症病理化的情况:结论:尽管 ChatGPT 有希望提供准确、全面的 GAM 信息,但其目前的局限性表明,将其作为医生咨询的辅助工具还需谨慎。
{"title":"The utility of ChatGPT in gender-affirming mastectomy education","authors":"Isabel Snee ,&nbsp;Christian X. Lava ,&nbsp;Karen R. Li ,&nbsp;Gabriel Del Corral","doi":"10.1016/j.bjps.2024.10.020","DOIUrl":"10.1016/j.bjps.2024.10.020","url":null,"abstract":"<div><h3>Introduction</h3><div>The integration of AI such as ChatGPT in medicine has been showing promise in enhancing patient education. Gender-affirming mastectomy (GAM) is a surgical procedure designed to help individuals transition to their self-identified gender, playing a crucial role in mitigating psychological distress for many transmasculine and non-binary (TNB) patients. With increased demand and attention towards GAM, plastic and reconstructive surgeons may rely on AI-driven chatbots as an accessible, accurate, and patient-driven model for relevant details on this procedure.</div></div><div><h3>Specific Aim(s)</h3><div>This study aimed to assess the quality and readability of information provided by ChatGPT in response to frequently asked questions (FAQs) related to GAM.</div></div><div><h3>Methods</h3><div>Inspired by online forums and physician websites, 10 frequently asked questions (FAQs) about pre- and postoperative topics were submitted to ChatGPT and assessed using validated readability score measures and expert interpretation.</div></div><div><h3>Results</h3><div>The average readability score was 16.0 ± 1, indicating a college or graduate reading level. Mean accuracy, comprehensiveness, and danger scores were 8.8 ± 0.5, 7.8 ± 0.7, and 2.2 ± 0.4, respectively. Although physicians appreciated ChatGPT's tone, patient autonomy, and advice to seek professional medical and mental help, they also cited instance of generic information, misinformation, support of debated techniques, and pathologization of gender dysphoria.</div></div><div><h3>Conclusion</h3><div>Even with its promise in providing accurate and comprehensive information on GAM, ChatGPT’s current limitations suggest caution as a supplementary tool to physician consultation.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"99 ","pages":"Pages 432-435"},"PeriodicalIF":2.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515436","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
Pharyngostoma reconstruction after laryngectomy and radiotherapy: A retrospective study and literature review 喉切除术和放疗后的咽喉瘤重建:回顾性研究与文献综述。
IF 2 3区 医学 Q2 SURGERY Pub Date : 2024-10-16 DOI: 10.1016/j.bjps.2024.10.019
Aikaterini Bini , Konstantinos Katsaros , Spyridon Stavrianos

Background

The occurrence of pharyngocutaneous fistula or pharyngostoma after oncologic head and neck surgery is a serious complication. It is the most common complication after major hypopharyngeal and laryngeal ablative surgery.

Aim

The purpose of this study is to review the surgical approach and evaluate the results regarding reconstruction methods of pharyngostoma, caused after laryngectomy and radiotherapy.

Patients and methods

The total number of patients is 15. Pharyngostoma caused swallowing difficulties, as well as frequent aspiration pneumonia. The intervention interval from laryngectomy to pharyngeal reconstruction varied between one and three years, depending on the severity of symptoms and after the complete failure of conservative rehabilitation methods. Pharyngostoma reconstruction was performed mainly with pectoralis major myocutaneous flap in 11 cases. The radial forearm free flap and the anterolateral thigh free flap were also used in the remaining four cases.

Results

The post-operative course was uncomplicated, and in most cases, the feeding with soft food started after a barium meal between 15 and 20 days post-operatively. Complications include wound dehiscence and leak treated conservatively and one case of carotid rupture.

Conclusions

The gold standard for pharyngostoma reconstruction, after laryngectomy and cervical radiotherapy, remains the use of pectoralis major myocutaneous flap. In cases of extensive neck radionecrosis, free flaps are preferable. Reliable and stable cover of the large vessels of the neck, along with the reconstruction of the digestive tract and the restoration of swallowing function are issues that are analysed in correlation with the avoidance of stenosis and swallowing difficulties.
背景:头颈部肿瘤手术后出现咽瘘或咽口瘤是一种严重的并发症。目的:本研究旨在回顾喉切除术和放疗后引起的咽口瘘的手术方法,并评估重建方法的效果:患者和方法:患者总数为 15 人。咽喉瘤导致吞咽困难,并经常引发吸入性肺炎。从喉切除术到咽部重建的干预间隔时间为一到三年不等,这取决于症状的严重程度以及保守康复方法完全失败后的情况。11例患者主要使用胸大肌肌皮瓣进行咽喉重建。其余四例也使用了前臂桡侧游离皮瓣和大腿前外侧游离皮瓣:结果:术后过程并不复杂,大多数病例在术后 15-20 天服用钡餐后开始进食软食。并发症包括保守治疗的伤口裂开和渗漏,以及一例颈动脉破裂:结论:喉切除术和颈部放疗后,咽喉瘤重建的金标准仍然是使用胸大肌皮瓣。在颈部广泛放射性坏死的病例中,游离皮瓣更为可取。颈部大血管的可靠和稳定覆盖、消化道的重建以及吞咽功能的恢复,都是与避免狭窄和吞咽困难相关的问题。
{"title":"Pharyngostoma reconstruction after laryngectomy and radiotherapy: A retrospective study and literature review","authors":"Aikaterini Bini ,&nbsp;Konstantinos Katsaros ,&nbsp;Spyridon Stavrianos","doi":"10.1016/j.bjps.2024.10.019","DOIUrl":"10.1016/j.bjps.2024.10.019","url":null,"abstract":"<div><h3>Background</h3><div>The occurrence of pharyngocutaneous fistula or pharyngostoma after oncologic head and neck surgery is a serious complication. It is the most common complication after major hypopharyngeal and laryngeal ablative surgery.</div></div><div><h3>Aim</h3><div>The purpose of this study is to review the surgical approach and evaluate the results regarding reconstruction methods of pharyngostoma, caused after laryngectomy and radiotherapy.</div></div><div><h3>Patients and methods</h3><div>The total number of patients is 15. Pharyngostoma caused swallowing difficulties, as well as frequent aspiration pneumonia. The intervention interval from laryngectomy to pharyngeal reconstruction varied between one and three years, depending on the severity of symptoms and after the complete failure of conservative rehabilitation methods. Pharyngostoma reconstruction was performed mainly with pectoralis major myocutaneous flap in 11 cases. The radial forearm free flap and the anterolateral thigh free flap were also used in the remaining four cases.</div></div><div><h3>Results</h3><div>The post-operative course was uncomplicated, and in most cases, the feeding with soft food started after a barium meal between 15 and 20 days post-operatively. Complications include wound dehiscence and leak treated conservatively and one case of carotid rupture.</div></div><div><h3>Conclusions</h3><div>The gold standard for pharyngostoma reconstruction, after laryngectomy and cervical radiotherapy, remains the use of pectoralis major myocutaneous flap. In cases of extensive neck radionecrosis, free flaps are preferable. Reliable and stable cover of the large vessels of the neck, along with the reconstruction of the digestive tract and the restoration of swallowing function are issues that are analysed in correlation with the avoidance of stenosis and swallowing difficulties.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"99 ","pages":"Pages 543-550"},"PeriodicalIF":2.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569886","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 new perspective: Quantitative description of the Cupid’s peak aesthetics essence 新的视角:丘比特峰美学本质的量化描述。
IF 2 3区 医学 Q2 SURGERY Pub Date : 2024-10-16 DOI: 10.1016/j.bjps.2024.10.022
Chuanqi Qin , Jian Li , Jiegang Yang , Yuting Wang , Yuchuan Fu , Xiazhou Fu

Objectives

The Cupid’s peak triangle theory was established to reveal the aesthetics essence of the Cupid’s peak through golden ratio deviation to provide quantitative theoretical basis for lip plastic and cosmetic surgery.

Materials and methods

Model the Cupid’s peak line on the lip bow ridge and construct expressions for Cupid’s peak parameters and their associated triangle theory using the angle circle (AC) and radius circle (RC) of the Cupid’s peak line. Calculate and establish functional relationships for Cupid’s peak parameters and the concept of the Cupid’s peak index (CPI) golden ratio deviation (GRD).

Results

In the Cupid’s peak triangle theory, important parameters describing Cupid’s peak morphology include Cupid’s peak angle (ACp), arc (RCp), the smooth connection point (SI) of the Cupid’s peak arc and line, and the CPI. The parameters are interrelated in their functional relationships. ACp determines RCp, the SI point determines the proportion of the Cupid’s peak arc to the line, and CPI determines GRD. Cupid’s peak parameter ranges in the normal population are as follows: ACp is 109°−160°, RCp is 1.24–0.35 rad, CPI is 0.614–0.508, and GRD is 0.62%−17.85%.

Conclusions

The Cupid’s peak triangle theory reveals the functional relationship between the Cupid’s peak parameters and quantifies the aesthetics essence of lip shape.

Clinical relevance

The morphology of the Cupid’s peak serves as a tangible manifestation of lip shape aesthetics. This study aims to elucidate the aesthetic essence and general principles of Cupid’s peak morphology, offering a quantitative theoretical foundation for lip plastic and cosmetic surgery.
目的:建立丘比特峰三角理论,通过黄金比例偏差揭示丘比特峰的美学本质,为唇部整形美容提供定量理论依据:建立丘比特峰三角理论,通过黄金比例偏差揭示丘比特峰的美学本质,为唇部整形美容提供定量理论依据:在唇弓脊上建立丘比特峰线模型,并利用丘比特峰线的角度圆(AC)和半径圆(RC)构建丘比特峰参数及其相关三角形理论的表达式。计算并建立丘比特峰参数的函数关系和丘比特峰指数(CPI)黄金比例偏差(GRD)的概念:在丘比特峰三角形理论中,描述丘比特峰形态的重要参数包括丘比特峰角度(ACp)、弧度(RCp)、丘比特峰弧线和直线的平滑连接点(SI)以及 CPI。这些参数在功能关系上相互关联。ACp 决定 RCp,SI 点决定丘比特峰弧线与直线的比例,CPI 决定 GRD。正常人群的丘比特峰参数范围如下:ACp为109°-160°,RCp为1.24-0.35 rad,CPI为0.614-0.508,GRD为0.62%-17.85%:丘比特峰三角理论揭示了丘比特峰参数之间的功能关系,并量化了唇形的美学本质:丘比特峰的形态是唇形美学的具体体现。本研究旨在阐明丘比特峰形态的美学本质和一般原理,为唇部整形和美容手术提供定量理论基础。
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引用次数: 0
Quality of Life after Open Extremity Trauma (QUINTET) study: An international, multicentric, observational, cohort study of quality of life following lower extremity open fractures 开放性四肢创伤后生活质量(QUINTET)研究:一项关于下肢开放性骨折后生活质量的国际性、多中心、观察性、队列研究。
IF 2 3区 医学 Q2 SURGERY Pub Date : 2024-10-16 DOI: 10.1016/j.bjps.2024.10.025
Juan Enrique Berner , Manuel Ortíz-Llorens , Charles Anton Fries , Jagdeep Nanchahal , Abhilash Jain , QUINTET Collaborative

Introduction

Open lower limb fractures are severe injuries with long-lasting consequences. Limited research has been conducted on the impact of these injuries on quality of life (QoL), internationally.

Methods

The Quality of Life after Open Extremity Trauma (QUINTET) study was designed as an international, multicentric, observational, cohort study of patients presented with open lower limb fractures. Demographic and clinical information was collected, along with repeated validated QoL measures. Primary outcomes were SF-12 and EQ-5D-3L, and secondary outcomes were soft tissue infection, deep infection, non-union and amputation.

Results

A total of 92 patients were enrolled in 8 centres, based in the UK, Spain, Chile and Sudan. The mean age at presentation was 54 years, 47 years for males and 64 years for females. Males presented a higher proportion of road traffic accidents as the underlying mechanism, whereas for females, this was the case of low-energy falls. Participant retention was 71.7% and 73.9% for the 3- and 12-month assessments, respectively. There was a substantial reduction in QoL after open fracture, which only partially recovered at 12 months. Participants recruited in the UK presented lower QoL scores compared with patients treated in Spain and Chile.

Discussion

For this study, international patient recruitment proved challenging, leading to most patients being recruited in the UK. Despite this limitation, we found a statistically significant detriment in self-reported QoL, which did not recover after a year. This study highlights differences in quality-of-life outcomes from a gender and international perspective.
简介开放性下肢骨折是一种严重的损伤,会造成长期的后果。目前,国际上关于这些损伤对生活质量(QoL)影响的研究十分有限:开放性四肢创伤后生活质量(QUINTET)研究是一项国际性、多中心、观察性、队列研究,研究对象为开放性下肢骨折患者。该研究收集了患者的人口统计学和临床信息,并反复采用了经过验证的 QoL 测量方法。主要结果为 SF-12 和 EQ-5D-3L,次要结果为软组织感染、深部感染、不愈合和截肢:英国、西班牙、智利和苏丹的 8 个中心共招募了 92 名患者。患者的平均年龄为 54 岁,其中男性 47 岁,女性 64 岁。男性以道路交通事故为根本原因的比例较高,而女性则以低能量跌倒为根本原因。在 3 个月和 12 个月的评估中,参与者的保留率分别为 71.7% 和 73.9%。开放性骨折后,患者的生活质量大幅下降,12个月后才部分恢复。与在西班牙和智利接受治疗的患者相比,在英国招募的参与者的 QoL 分数较低:讨论:在这项研究中,国际患者招募具有挑战性,导致大多数患者在英国招募。尽管存在这一局限性,但我们发现自我报告的 QoL 在统计学上有显著下降,一年后仍未恢复。这项研究从性别和国际角度强调了生活质量结果的差异。
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引用次数: 0
From science fair to TIME cover: The hype surrounding a teen’s skin cancer treating soap 从科学展到《时代》周刊封面:青少年皮肤癌治疗肥皂的炒作
IF 2 3区 医学 Q2 SURGERY Pub Date : 2024-10-16 DOI: 10.1016/j.bjps.2024.10.006
Jing Qin Tay, Andrés Romero Valverde, Esteban Salas Salas, Yu-Jen Chen, Theodoros Stylianou, Shah Jumaat Mohd Yussof
{"title":"From science fair to TIME cover: The hype surrounding a teen’s skin cancer treating soap","authors":"Jing Qin Tay,&nbsp;Andrés Romero Valverde,&nbsp;Esteban Salas Salas,&nbsp;Yu-Jen Chen,&nbsp;Theodoros Stylianou,&nbsp;Shah Jumaat Mohd Yussof","doi":"10.1016/j.bjps.2024.10.006","DOIUrl":"10.1016/j.bjps.2024.10.006","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"99 ","pages":"Pages 359-361"},"PeriodicalIF":2.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142444938","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
期刊
Journal of Plastic Reconstructive and Aesthetic Surgery
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