Journal of Plastic Reconstructive and Aesthetic Surgery最新文献

{"title":"SILICONE LEAKAGE FROM BREAST IMPLANTS IS DETERMINED BY SILICONE COHESIVENESS: A HISTOLOGICAL STUDY OF 493 PATIENTS","authors":"Andreas Larsen , Erik E F Bak , Liv B Hart , Adam M Timmermann , Mathias Ørholt , Tim K Weltz , Mathilde Hemmingsen , Peter Vester-Glowinski , Jens Jørgen Elberg , Jesper Trillingsgaard , Lisbet R Hölmich , Tine E Damsgaard , Mikkel Herly","doi":"10.1016/j.bjps.2024.08.005","DOIUrl":"10.1016/j.bjps.2024.08.005","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"99 ","pages":"Pages 3-4"},"PeriodicalIF":2.0,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142719634","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":"COMPARISON OF POLYPROPYLENE AND POLYDIOXANONE IN THE HEMITRANSDOMAL SUTURE: A NOVEL RABBIT EAR CARTILAGE MODEL","authors":"Ayhan Işık Erdal , Serhat Şibar , Duygu Şibar , Gökhan Doğan , Süheyla Esra Özkoçer","doi":"10.1016/j.bjps.2024.08.007","DOIUrl":"10.1016/j.bjps.2024.08.007","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"99 ","pages":"Page 4"},"PeriodicalIF":2.0,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142719636","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":"Reply to “PLAstic Surgery Teaching In the Undergraduate Curriculum of Medical Students—United Kingdom (PLASTICS-UK): A UK national collaborative survey of plastic surgery in the undergraduate medical curriculum”","authors":"Leo Gundle, Umar Rehman, Shakeel Rahman","doi":"10.1016/j.bjps.2024.11.041","DOIUrl":"10.1016/j.bjps.2024.11.041","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"100 ","pages":"Pages 153-154"},"PeriodicalIF":2.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142747423","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":"The NHS burden of cosmetic tourism complications: Enhancing data quality for effective patient management","authors":"Georgios Karamitros, Michael P. Grant, Heather J. Furnas","doi":"10.1016/j.bjps.2024.11.044","DOIUrl":"10.1016/j.bjps.2024.11.044","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"100 ","pages":"Pages 164-165"},"PeriodicalIF":2.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142742993","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":"Reconstructing through-and-through cheek defects using transposing cervicofacial and anterolateral thigh flaps-comparative analysis of aesthetic and functional outcomes","authors":"Yujiao Wang ,&nbsp;Pan Chen ,&nbsp;Dan Ma,&nbsp;Pengyu Wang,&nbsp;Wei Wu","doi":"10.1016/j.bjps.2024.11.002","DOIUrl":"10.1016/j.bjps.2024.11.002","url":null,"abstract":"<div><div>Despite extensive efforts to restore through-and-through cheek defects caused by oral cavity malignancies, surgeons continue to explore optimal approaches to achieving satisfactory cosmetic and functional outcomes. In this prospective randomized controlled study, we share our experience with a modified flap technique, involving the transposition of cervicofacial and anterolateral thigh flaps to repair through-and-through cheek defects. A total of 41 patients with oral squamous cell carcinoma involving the cheek underwent radical excision of buccal carcinoma and reconstruction with a chimeric anterolateral thigh bi-paddles flap. The patients were randomly divided into 2 groups: the “flap transposing” group (n = 21) and the “traditional surgery” group (n = 20). The research data was collected through physical examinations and questionnaires, with postoperative assessments including flap-biting evaluation, the Medical Outcome Study Short Form 36 (MOS SF-36), and the Teacher Drooling Scale. The “flap transposing” group demonstrated significantly higher MOS SF-36 scores for social function, role emotion, mental health, and vitality compared to the “traditional surgery” group. In addition, improved salivation control and decreased flap-biting were observed in the “flap transposing” group. In conclusion, for the repair of through-and-through cheek defects using a chimeric anterolateral thigh bi-paddles flap, transposing the cervicofacial flap to the cheek defect while positioning the flap lobe for skin defects in the submandibular region may significantly enhance esthetic outcomes and improve patients’ quality of life.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"100 ","pages":"Pages 97-103"},"PeriodicalIF":2.0,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142747346","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":"Protein as a preoperative predictor – Impact of hypoalbuminemia on 30-day outcomes of breast reduction surgery","authors":"Samuel Knoedler ,&nbsp;Felix J. Klimitz ,&nbsp;Fortunay Diatta ,&nbsp;Filippo A.G. Perozzo ,&nbsp;Giuseppe Sofo ,&nbsp;Michael Alfertshofer ,&nbsp;Mario Cherubino ,&nbsp;Horacio Mayer ,&nbsp;Adriana C. Panayi ,&nbsp;Bong-Sung Kim ,&nbsp;Bohdan Pomahac ,&nbsp;Martin Kauke-Navarro","doi":"10.1016/j.bjps.2024.11.011","DOIUrl":"10.1016/j.bjps.2024.11.011","url":null,"abstract":"<div><h3>Background</h3><div>Hypoalbuminemia, a biomarker of malnutrition, has been associated with adverse surgical outcomes;, however, its impact on breast reduction surgery is not yet well-documented.</div></div><div><h3>Methods</h3><div>We queried the American college of surgeons national surgical quality improvement program database to identify patients who underwent breast reduction surgery between 2008 and 2022. Patients were grouped by preoperative normal albumin levels (≥3.5 g/dL) and hypoalbuminemia (&lt;3.5 g/dL). Preoperative, intraoperative, and 30-day postoperative outcomes, including complications and readmissions, were compared using the univariate tests and multivariable logistic regression.</div></div><div><h3>Results</h3><div>We included a total of 7277 cases, among whom 96% (n = 6964) had normal albumin values and 4% (n = 298) had hypoalbuminemia (n = 298). Patients with hypoalbuminemia showed a significantly higher body mass index (37.1 ± 8.1 vs. 33.3 ± 6.3 kg/m², <em>p</em> &lt; 0.001) and were more likely to be Black or African American (49.0 vs. 27.8%, <em>p</em> &lt; 0.001). Comorbidities such as diabetes (14.7 vs. 7.4%, <em>p</em> &lt; 0.001), chronic obstructive pulmonary disease (4.0 vs. 1.0%, <em>p</em> &lt; 0.001), and hypertension (35.2 vs. 26.3%, <em>p</em> = 0.002) were significantly more prevalent in the hypoalbuminemia group. Hypoalbuminemia was associated with a significantly increased risk of complications (13.8 vs. 6.1%, <em>p</em> &lt; 0.001), with higher rates of superficial incisional infections (7.0 vs. 2.6%, <em>p</em> = 0.001) and unplanned readmissions (3.4 vs. 1.4%, <em>p</em> = 0.05). Multivariable analysis confirmed hypoalbuminemia as an independent predictor of postoperative complications (OR 1.96, <em>p</em> = 0.001), medical complications (OR 2.62, <em>p</em> = 0.02), and surgical complications (OR 1.91, <em>p</em> = 0.02).</div></div><div><h3>Conclusion</h3><div>Hypoalbuminemia significantly raises the risk of 30-day postoperative complications in breast reduction surgery. Preoperative nutritional assessment and optimization are crucial in improving surgical outcomes, particularly in patients with high body mass index and comorbidities.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"100 ","pages":"Pages 144-152"},"PeriodicalIF":2.0,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142747420","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 review of major reconstructive and gender-affirming surgical techniques in genital surgery and care for the transgender patient population","authors":"Samantha E. Pope ,&nbsp;Christian Van Rooyen ,&nbsp;Alex Xu ,&nbsp;Henry Childers ,&nbsp;Kirtishri Mishra ,&nbsp;Luis E. Tollinche ,&nbsp;Marcos Izquierdo","doi":"10.1016/j.bjps.2024.11.019","DOIUrl":"10.1016/j.bjps.2024.11.019","url":null,"abstract":"<div><div>The transgender community makes up a significant portion of the American population, yet there is a paucity of data available to surgeons and anesthesiologists. The purpose of this article is to provide information to surgeons, anesthesiologists, and other medical professionals. This narrative review explores the importance of medical information that healthcare professionals should be aware of ahead of gender-affirming surgeries. This review paper’s purpose is to explore perioperative considerations for physicians before gender-affirming surgeries. Physicians should be aware of the hormone therapies, medical conditions, and physical alteration procedures associated with the transgender population. It is also of significant importance that doctors are aware of how to approach surgery during the intraoperative period. Physicians should be knowledgeable about the proper dosage and interactions corresponding to certain drugs and incorporate proper surgical management to prevent the risk of patients sustaining an injury. Following gender-affirming surgery, physicians should be aware of the postsurgical pain, nausea, and vomiting exhibited by their patients and address these issues accordingly. Vaginoplasties, metoidioplasties, and phalloplasties are all unique procedures and therefore require different postoperative care. It is through better familiarization with the complex needs of transgender patients and gender-affirming surgical procedures that physicians will develop a more inclusive quality of care for this disadvantaged population. The importance of professionals being informed regarding transgender-specific issues and treatment lies in improving the quality of treatment and care provided to this underserved population.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"100 ","pages":"Pages 155-163"},"PeriodicalIF":2.0,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142747344","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":"ChatGPT and mastectomy education: Correspondence","authors":"Isabel Snee,&nbsp;Christian X. Lava,&nbsp;Karen R. Li,&nbsp;Gabriel Del Corral","doi":"10.1016/j.bjps.2024.11.004","DOIUrl":"10.1016/j.bjps.2024.11.004","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"100 ","pages":"Pages 93-94"},"PeriodicalIF":2.0,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721239","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":"Preoperative perforator mapping of anterolateral thigh perforators via Projected Augmented Reality and Dynamic Infrared Thermography","authors":"Eva L. Meier,&nbsp;Tim de Jong,&nbsp;Dietmar J.O. Ulrich,&nbsp;Stefan Hummelink","doi":"10.1016/j.bjps.2024.11.008","DOIUrl":"10.1016/j.bjps.2024.11.008","url":null,"abstract":"<div><h3>Background</h3><div>The anterolateral thigh (ALT) flap is a reliable and versatile flap with the ideal characteristics for soft-tissue reconstruction. However, as it is known for its highly variable anatomy, it requires preoperative perforator localization to optimize flap design and dissection of the flap. Dynamic Infrared Thermography (DIRT) is a non-invasive and quick imaging method that provides real-time information. This study aimed to provide a proof-of-principle for the feasibility of projecting DIRT hotspots directly onto patient’s skin before ALT flap harvest.</div></div><div><h3>Methods</h3><div>The portable and self-aligning projection device prototype (Anatomy Projector) with an embedded thermal sensor was used to obtain and automatically project thermal images of DIRT on the patient’s thigh before ALT flap dissection. Preoperatively projected DIRT hotspots were validated using a hand-held Doppler (HHD) and compared with the locations of intraoperative perforators.</div></div><div><h3>Results</h3><div>A total of 133 DIRT hotspots were projected in 20 patients, of which 97.3% could be verified with HHD within a 1 cm radius. Intraoperative measurements identified 26 perforators, of which 53.8% could be matched to a DIRT hotspot within a 1 cm radius, 76.9% within a 2 cm radius, and 92.3% within a 3 cm radius.</div></div><div><h3>Conclusion</h3><div>This study highlights the clinical applicability of projecting thermal images directly onto a patient’s thigh before ALT flap reconstruction. Visualization of DIRT hotspots simplifies perforator localization and provides high consistency with Doppler and intraoperative findings. Future research should explore its applicability for the intraoperative- and postoperative settings as well as other fields of plastic surgery.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"100 ","pages":"Pages 60-66"},"PeriodicalIF":2.0,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ChatGPT and mastectomy education: Correspondence","authors":"Hinpetch Daungsupawong,&nbsp;Viroj Wiwanitkit","doi":"10.1016/j.bjps.2024.11.009","DOIUrl":"10.1016/j.bjps.2024.11.009","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"100 ","pages":"Pages 95-96"},"PeriodicalIF":2.0,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142747422","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}