Pub Date : 2024-11-16DOI: 10.1016/j.bjps.2024.11.013
Georgios Karamitros, Michael P. Grant, Gregory A. Lamaris
{"title":"Enhancing the QUINTET study: Exploring quality of life after open lower limb trauma while strengthening research methodology","authors":"Georgios Karamitros, Michael P. Grant, Gregory A. Lamaris","doi":"10.1016/j.bjps.2024.11.013","DOIUrl":"10.1016/j.bjps.2024.11.013","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"100 ","pages":"Pages 34-35"},"PeriodicalIF":2.0,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683449","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}
Pub Date : 2024-11-16DOI: 10.1016/j.bjps.2024.11.016
Abdallah Abdallah , Christoph Andree , Beatrix Munder , Mazen Hagouan , Dirk Janku , Andreas Wolter , Sonia Fertsch , Robert Musmann , Sarantos Papadopoulos , Marc Daniels
Breast cancer is the most common cancer diagnosed in women. Breast reconstruction can be performed with autologous fat tissue, implants, or a combination of both. Overall, there is no increased risk of breast cancer recurrence after autologous breast reconstruction compared to mastectomy alone. The aim of our study is to evaluate the recurrence rate after deep inferior epigastric perforator (DIEP) flap reconstruction in our patients’ series as well as to describe the management of local recurrence based on our experience. We conducted a retrospective, bi-centric observational study. A total of 666 patients who underwent breast reconstruction with a DIEP flap at the two breast centers were included. Among 238 patients of breast center no. 1 who received DIEP flap reconstruction, an axillary and five local recurrences were observed. At breast center no. 2, which included 428 patients, seven local recurrences occurred. In total, 13 cases of recurrence were identified, yielding a recurrence prevalence of 2% this study population. In case of local recurrence, tumor resection with preservation of the DIEP flap is possible. Different techniques can be used to preserve flap perfusion.
{"title":"Local recurrences after DIEP reconstruction of the breast – Epidemiology and strategies for treatment","authors":"Abdallah Abdallah , Christoph Andree , Beatrix Munder , Mazen Hagouan , Dirk Janku , Andreas Wolter , Sonia Fertsch , Robert Musmann , Sarantos Papadopoulos , Marc Daniels","doi":"10.1016/j.bjps.2024.11.016","DOIUrl":"10.1016/j.bjps.2024.11.016","url":null,"abstract":"<div><div>Breast cancer is the most common cancer diagnosed in women. Breast reconstruction can be performed with autologous fat tissue, implants, or a combination of both. Overall, there is no increased risk of breast cancer recurrence after autologous breast reconstruction compared to mastectomy alone. The aim of our study is to evaluate the recurrence rate after deep inferior epigastric perforator (DIEP) flap reconstruction in our patients’ series as well as to describe the management of local recurrence based on our experience. We conducted a retrospective, bi-centric observational study. A total of 666 patients who underwent breast reconstruction with a DIEP flap at the two breast centers were included. Among 238 patients of breast center no. 1 who received DIEP flap reconstruction, an axillary and five local recurrences were observed. At breast center no. 2, which included 428 patients, seven local recurrences occurred. In total, 13 cases of recurrence were identified, yielding a recurrence prevalence of 2% this study population. In case of local recurrence, tumor resection with preservation of the DIEP flap is possible. Different techniques can be used to preserve flap perfusion.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"100 ","pages":"Pages 112-119"},"PeriodicalIF":2.0,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142747528","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}
Pub Date : 2024-11-16DOI: 10.1016/j.bjps.2024.11.012
Juan Enrique Berner , Manuel Ortíz-Llorens , Charles Anton Fries , Jagdeep Nanchahal , Abhilash Jain
{"title":"Comments on: “Enhancing the QUINTET study: Exploring quality of life after open lower limb trauma while strengthening research methodology”","authors":"Juan Enrique Berner , Manuel Ortíz-Llorens , Charles Anton Fries , Jagdeep Nanchahal , Abhilash Jain","doi":"10.1016/j.bjps.2024.11.012","DOIUrl":"10.1016/j.bjps.2024.11.012","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"100 ","pages":"Pages 129-130"},"PeriodicalIF":2.0,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142747421","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}
Pub Date : 2024-11-15DOI: 10.1016/j.bjps.2024.11.006
Trisha Shang , Paul Marasco , Peng Ding
Facial nerve palsy can pose functional, psychosocial, and cosmetic issues for patients. Although various surgical techniques can improve facial functions and appearance for patients who do not fully recover following conservative management, they can be extensively invasive with limited restoration of facial movement and symmetry. Functional electrical stimulation (FES) is a technology that has been developed to stimulate paralyzed nerves or muscles and has 2 different applications in facial nerve palsy treatment: facial rehabilitation and neuroprosthesis. Our study focuses specifically on the neuroprosthesis application of FES, which uses signals from the healthy side of the face to stimulate the paralyzed side. This emerging neuroprosthetic technology is less invasive and holds promise in synchronizing facial movements. The purpose of our scoping review was to understand the landscape of the models that have been developed, as well as the outcomes of these studies in leading to facial movement on the paralyzed side. We found 22 studies in our review that each used varying methods for detecting facial movement from the healthy side and differing stimulation types and parameters, with each study describing successful stimulation of facial movement on the paralyzed side using healthy hemiface input.
{"title":"The application of neuroprosthesis in restoration of unilateral facial nerve paralysis: A scoping review","authors":"Trisha Shang , Paul Marasco , Peng Ding","doi":"10.1016/j.bjps.2024.11.006","DOIUrl":"10.1016/j.bjps.2024.11.006","url":null,"abstract":"<div><div>Facial nerve palsy can pose functional, psychosocial, and cosmetic issues for patients. Although various surgical techniques can improve facial functions and appearance for patients who do not fully recover following conservative management, they can be extensively invasive with limited restoration of facial movement and symmetry. Functional electrical stimulation (FES) is a technology that has been developed to stimulate paralyzed nerves or muscles and has 2 different applications in facial nerve palsy treatment: facial rehabilitation and neuroprosthesis. Our study focuses specifically on the neuroprosthesis application of FES, which uses signals from the healthy side of the face to stimulate the paralyzed side. This emerging neuroprosthetic technology is less invasive and holds promise in synchronizing facial movements. The purpose of our scoping review was to understand the landscape of the models that have been developed, as well as the outcomes of these studies in leading to facial movement on the paralyzed side. We found 22 studies in our review that each used varying methods for detecting facial movement from the healthy side and differing stimulation types and parameters, with each study describing successful stimulation of facial movement on the paralyzed side using healthy hemiface input.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"100 ","pages":"Pages 67-81"},"PeriodicalIF":2.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721152","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}
Pub Date : 2024-11-15DOI: 10.1016/j.bjps.2024.11.015
Allen Green , Shannon D. Francis , Maheen F. Akhter , Rahim S. Nazerali
Introduction
Recent studies have used comorbidity indexes to stratify postsurgical complication risk across multiple surgical fields, including plastic surgery. However, such studies are lacking in implant-based breast reconstruction (IBBR). Understanding how comorbidity scores affect postsurgical outcomes in IBBR can help identify patients who may require additional medical surveillance after surgery.
Methods
We conducted a retrospective analysis of adult female patients who underwent IBBR between January 2017 and December 2022 using the Merative™ Marketscan® Research Databases. ICD-10 diagnosis codes were used to calculate patients’ scores on four different comorbidity indexes. Chi-squared tests were performed for demographic analysis, and multivariable logistic regression controlling for demographic and surgical variables, was conducted to determine associations between comorbidity indexes and adverse outcomes.
Results
Among 16,287 IBBR patients, 3145 (19.3%) experienced a complication within 90 days. On regression analysis, the Modified Frailty Index 5-Item (mFI-5) demonstrated the strongest associations with complications (odds ratio=1.25 [1.18, 1.32]), compared to the Charlson Comorbidity Index, Elixhauser Comorbidity Index, and Modified Frailty Index 11-Item. Further regression analysis revealed that four out of the five mFI-5 comorbidities were independent risk factors for postsurgical complications.
Conclusion
This study highlights important associations between comorbidity indexes and adverse postoperative outcomes in IBBR. mFI-5 demonstrated superior performance in postoperative risk stratification compared to the other indexes analyzed. These findings suggest that using mFI-5 in clinical settings may help identify high comorbidity patients who may benefit from additional monitoring and prophylactic measures. Further research is needed to understand how to mitigate the increased postoperative complication risk in these patients.
{"title":"Comparative analysis of comorbidity indexes in implant-based breast reconstruction","authors":"Allen Green , Shannon D. Francis , Maheen F. Akhter , Rahim S. Nazerali","doi":"10.1016/j.bjps.2024.11.015","DOIUrl":"10.1016/j.bjps.2024.11.015","url":null,"abstract":"<div><h3>Introduction</h3><div>Recent studies have used comorbidity indexes to stratify postsurgical complication risk across multiple surgical fields, including plastic surgery. However, such studies are lacking in implant-based breast reconstruction (IBBR). Understanding how comorbidity scores affect postsurgical outcomes in IBBR can help identify patients who may require additional medical surveillance after surgery.</div></div><div><h3>Methods</h3><div>We conducted a retrospective analysis of adult female patients who underwent IBBR between January 2017 and December 2022 using the Merative™ Marketscan® Research Databases. ICD-10 diagnosis codes were used to calculate patients’ scores on four different comorbidity indexes. Chi-squared tests were performed for demographic analysis, and multivariable logistic regression controlling for demographic and surgical variables, was conducted to determine associations between comorbidity indexes and adverse outcomes.</div></div><div><h3>Results</h3><div>Among 16,287 IBBR patients, 3145 (19.3%) experienced a complication within 90 days. On regression analysis, the Modified Frailty Index 5-Item (mFI-5) demonstrated the strongest associations with complications (odds ratio=1.25 [1.18, 1.32]), compared to the Charlson Comorbidity Index, Elixhauser Comorbidity Index, and Modified Frailty Index 11-Item. Further regression analysis revealed that four out of the five mFI-5 comorbidities were independent risk factors for postsurgical complications.</div></div><div><h3>Conclusion</h3><div>This study highlights important associations between comorbidity indexes and adverse postoperative outcomes in IBBR. mFI-5 demonstrated superior performance in postoperative risk stratification compared to the other indexes analyzed. These findings suggest that using mFI-5 in clinical settings may help identify high comorbidity patients who may benefit from additional monitoring and prophylactic measures. Further research is needed to understand how to mitigate the increased postoperative complication risk in these patients.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"100 ","pages":"Pages 120-128"},"PeriodicalIF":2.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142747529","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}
Pub Date : 2024-11-15DOI: 10.1016/j.bjps.2024.10.041
Smail Acimi
{"title":"Letter to the editor regarding “Dissociated urethral plate Onlay and standard Onlay urethroplasty for mid-distal hypospadias: A comparative study” The main element responsible for the formation of penile curvature associated with severe hypospadias is not the fibrous tissue present under the urethral plate","authors":"Smail Acimi","doi":"10.1016/j.bjps.2024.10.041","DOIUrl":"10.1016/j.bjps.2024.10.041","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"100 ","pages":"Pages 32-33"},"PeriodicalIF":2.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142678107","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}
Pub Date : 2024-11-14DOI: 10.1016/j.bjps.2024.10.040
Max Seabrook , Ahamed SM Navas , Ahsan Rao
Background
Immediate breast reconstruction (IBR) in locally advanced breast cancer (LABC) (stage 3A and above) is widely debated, both in terms of delay of adjuvant therapy and oncological safety. This study aims to systematically review and evaluate the long-term oncological safety of IBR in patients with LABC undergoing mastectomy.
Methods
Search conducted using Medline, Embase, PubMed and Google Scholar between 1 and 24 December 2023 involving patients with LABC who underwent mastectomy with or without IBR were included. The meta-analysis included studies comparing IBR with mastectomy alone in patients with LABC with the primary outcomes of 5-year overall survival, disease-free survival and local and distant recurrence rates.
Results
A total of 19,907 patients were included spanning 10 papers. Of these, 89.1% underwent mastectomy alone, while 10.9% underwent IBR (51.2% autologous and 48.8% implant-based reconstruction). The 5-year overall survival rate was higher in IBR compared to mastectomy alone (IBR n = 2038/2491 81.8%, vs. Mx only n = 7468/10,124 73.7%, RR 1.10 [95% CI 1.07–1.12], P < 0.001). No significant difference found in 5-year disease-free survival (IBR n = 510/689 74.0% vs. Mx only n = 1339/1924 69.6%, RR 1.06 [95% CI 0.98–1.15], P = 0.17), 5-year local recurrence groups (IBR n = 52/646 8.0% vs. Mx only n = 122/1708 7.1%, RR 0.80 [95% CI 0.46–1.38], P = 0.42), or 5-year distant recurrence rates (IBR n = 117/594 19.6% vs. Mx only n = 211/882 23.9%, P = 0.11).
Conclusion
IBR in LABC may be associated with improved overall 5-year survival rates without affecting disease-free survival or recurrence rates. Therefore, IBR may be a safe option in the treatment of LABC when considering optimal oncological outcomes.
背景局部晚期乳腺癌（LABC）（3A 期及以上）患者的乳房即刻重建（IBR）在延迟辅助治疗和肿瘤安全性方面存在广泛争议。本研究旨在系统回顾和评估 IBR 在接受乳房切除术的 LABC 患者中的长期肿瘤学安全性。方法在 2023 年 12 月 1 日至 24 日期间使用 Medline、Embase、PubMed 和 Google Scholar 进行检索，纳入了接受乳房切除术并同时接受或不接受 IBR 的 LABC 患者。荟萃分析纳入的研究比较了IBR与单纯乳房切除术对LABC患者的治疗效果，主要结果包括5年总生存率、无病生存率以及局部和远处复发率。其中，89.1%的患者接受了单纯乳房切除术，10.9%的患者接受了IBR（51.2%为自体重建，48.8%为植入式重建）。与单纯乳房切除术相比，IBR的5年总生存率更高（IBR n = 2038/2491 81.8%，vs. Mx only n = 7468/10,124 73.7%，RR 1.10 [95% CI 1.07-1.12]，P <0.001）。5年无病生存率（IBR n = 510/689 74.0% vs. 仅Mx n = 1339/1924 69.6%，RR 1.06 [95% CI 0.98-1.15]，P = 0.17）、5年局部复发组（IBR n = 52/646 8.0% vs. 仅Mx n = 122/1708 7.1%，RR 0.80 [95% CI 0.结论IBR治疗LABC可能与5年总生存率的提高有关，而不会影响无病生存率或复发率。因此，考虑到最佳的肿瘤治疗效果，IBR可能是治疗LABC的一个安全选择。
{"title":"Meta-analysis and systematic review of long-term oncological safety of immediate breast reconstruction in patients with locally advanced breast cancer","authors":"Max Seabrook , Ahamed SM Navas , Ahsan Rao","doi":"10.1016/j.bjps.2024.10.040","DOIUrl":"10.1016/j.bjps.2024.10.040","url":null,"abstract":"<div><h3>Background</h3><div>Immediate breast reconstruction (IBR) in locally advanced breast cancer (LABC) (stage 3A and above) is widely debated, both in terms of delay of adjuvant therapy and oncological safety. This study aims to systematically review and evaluate the long-term oncological safety of IBR in patients with LABC undergoing mastectomy.</div></div><div><h3>Methods</h3><div>Search conducted using Medline, Embase, PubMed and Google Scholar between 1 and 24 December 2023 involving patients with LABC who underwent mastectomy with or without IBR were included. The meta-analysis included studies comparing IBR with mastectomy alone in patients with LABC with the primary outcomes of 5-year overall survival, disease-free survival and local and distant recurrence rates.</div></div><div><h3>Results</h3><div>A total of 19,907 patients were included spanning 10 papers. Of these, 89.1% underwent mastectomy alone, while 10.9% underwent IBR (51.2% autologous and 48.8% implant-based reconstruction). The 5-year overall survival rate was higher in IBR compared to mastectomy alone (IBR n = 2038/2491 81.8%, vs. Mx only n = 7468/10,124 73.7%, RR 1.10 [95% CI 1.07–1.12], P < 0.001). No significant difference found in 5-year disease-free survival (IBR n = 510/689 74.0% vs. Mx only n = 1339/1924 69.6%, RR 1.06 [95% CI 0.98–1.15], P = 0.17), 5-year local recurrence groups (IBR n = 52/646 8.0% vs. Mx only n = 122/1708 7.1%, RR 0.80 [95% CI 0.46–1.38], P = 0.42), or 5-year distant recurrence rates (IBR n = 117/594 19.6% vs. Mx only n = 211/882 23.9%, P = 0.11).</div></div><div><h3>Conclusion</h3><div>IBR in LABC may be associated with improved overall 5-year survival rates without affecting disease-free survival or recurrence rates. Therefore, IBR may be a safe option in the treatment of LABC when considering optimal oncological outcomes.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"100 ","pages":"Pages 45-54"},"PeriodicalIF":2.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721153","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}
Pub Date : 2024-11-14DOI: 10.1016/j.bjps.2024.11.014
K. Olsson , M. Ramklint , D. Nowinski , R.A. White , FC Papadopoulos , M.A. Frick
Objective
To assess the association between nonsyndromic craniosynostosis (NSC) and academic achievement.
Methods
Registry data were analyzed on demographic background, presence of craniosynostosis and other comorbidities, grades, and results on national standardized tests (NSTs) across primary and upper secondary school, as well as the presence of academic degrees. The analysis used regression modeling on a sample of N = 1110 individuals with NSC and a matched cohort of N = 10,654 individuals.
Results
There was a significant negative association between NSC and NST scores in third grade for both mathematics (aOR 0.76, 95% CI 0.60–0.99, p = .020) and Swedish (aOR 0.69, 95% CI 0.54–0.89, p = .004). The association seemed to primarily be carried by females with NSC (aORs for the interaction term 0.26–0.45, all ps <.05). Further, a slightly stronger negative association was observed in individuals with psychiatric comorbidities (aOR 0.44, 95% CI 0.22–0.90, p = .025 for mathematics; aOR 0.45, 95% CI 0.21–0.98, p = .045 for Swedish). No statistically significant association was found between NSC and NST scores or grades in later school years, or with academic degrees.
Conclusions
There is evidence for a limited temporary negative association between NSC and academic achievement. A stronger negative association between NSC and academic achievement seems to be present in girls, and for individuals with psychiatric comorbidities. This has important implications for clinical management and provision of support in educational contexts.
目的探讨非综合征性颅缝闭闭（NSC）与学业成绩的关系。方法对注册数据进行人口统计学背景、颅缝闭锁和其他合并症的存在、年级、小学和高中国家标准化测试（NSTs）结果以及学位的存在进行分析。分析采用回归模型对N = 1110例NSC患者和N = 10654例匹配队列进行分析。结果三年级学生数学（aOR 0.76, 95% CI 0.60 ~ 0.99, p = 0.020）和瑞典语（aOR 0.69, 95% CI 0.54 ~ 0.89, p = 0.004）的NSC与NST成绩呈显著负相关。这种关联似乎主要由患有NSC的女性携带（相互作用项的aor为0.26-0.45，所有ps <； 0.05）。此外，在精神合并症患者中观察到略强的负相关(aOR 0.44, 95% CI 0.22-0.90, p = 0.025；瑞典语为aOR 0.45, 95% CI 0.21-0.98, p = 0.045)。在以后的学年中，NSC和NST分数或成绩之间，或与学位之间，没有统计学上显著的关联。结论：有证据表明NSC与学业成绩之间存在有限的暂时性负相关。NSC与学业成绩之间更强的负相关似乎存在于女孩和患有精神疾病的个体中。这对临床管理和在教育背景下提供支持具有重要意义。
{"title":"A registry study on nonsyndromic craniosynostosis: Long-term associations with academic achievement","authors":"K. Olsson , M. Ramklint , D. Nowinski , R.A. White , FC Papadopoulos , M.A. Frick","doi":"10.1016/j.bjps.2024.11.014","DOIUrl":"10.1016/j.bjps.2024.11.014","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the association between nonsyndromic craniosynostosis (NSC) and academic achievement.</div></div><div><h3>Methods</h3><div>Registry data were analyzed on demographic background, presence of craniosynostosis and other comorbidities, grades, and results on national standardized tests (NSTs) across primary and upper secondary school, as well as the presence of academic degrees. The analysis used regression modeling on a sample of N = 1110 individuals with NSC and a matched cohort of N = 10,654 individuals.</div></div><div><h3>Results</h3><div>There was a significant negative association between NSC and NST scores in third grade for both mathematics (aOR 0.76, 95% CI 0.60–0.99, p = .020) and Swedish (aOR 0.69, 95% CI 0.54–0.89, p = .004). The association seemed to primarily be carried by females with NSC (aORs for the interaction term 0.26–0.45, all ps <.05). Further, a slightly stronger negative association was observed in individuals with psychiatric comorbidities (aOR 0.44, 95% CI 0.22–0.90, p = .025 for mathematics; aOR 0.45, 95% CI 0.21–0.98, p = .045 for Swedish). No statistically significant association was found between NSC and NST scores or grades in later school years, or with academic degrees.</div></div><div><h3>Conclusions</h3><div>There is evidence for a limited temporary negative association between NSC and academic achievement. A stronger negative association between NSC and academic achievement seems to be present in girls, and for individuals with psychiatric comorbidities. This has important implications for clinical management and provision of support in educational contexts.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"100 ","pages":"Pages 104-111"},"PeriodicalIF":2.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142747527","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}
Pub Date : 2024-11-14DOI: 10.1016/j.bjps.2024.11.017
Dongpo Li , Gaotian Liu , Yubo Wei , Lin Wang , Xinfeng Liu , Shuangyi Wang
Background
Many repair techniques have been recommended to treat lower lip defects. Although effective in many instances, some techniques are accompanied by complications, such as flap necrosis, dysesthesia of the lip, lip flattening, shortening, and loss of the vermillion roll. This study aimed to report the use of keystone design perforator island flap (KDPIF) in small to medium defects to achieve an effective and functional reconstruction of vermillion defects after Mohs surgery for lip cancer.
Methods
A retrospective review of consecutive patients who underwent lower lip reconstruction after Mohs cancer resection at the same institution from June 2022 to September 2023 was performed. Patient information, including medical history, flap size, operative time, complications, and postoperative recovery of the lip function, was comprehensively evaluated.
Case series
Six patients underwent reconstruction using KDPIF. The mean (range) operation time was 22.5 (19−31) min. None of the 6 patients exhibited flap splitting necrosis or infection, 6 patients (100%) had good to excellent cosmetic results, and no functional impairment was noted in any of the patients.
Conclusions
KDPIF is a reliable technique for the reconstruction of vermillion defects, preserving lip fullness and the vermillion roll.
{"title":"Keystone design perforator island flap for reconstruction of vermillion defects: A case series and literature review","authors":"Dongpo Li , Gaotian Liu , Yubo Wei , Lin Wang , Xinfeng Liu , Shuangyi Wang","doi":"10.1016/j.bjps.2024.11.017","DOIUrl":"10.1016/j.bjps.2024.11.017","url":null,"abstract":"<div><h3>Background</h3><div>Many repair techniques have been recommended to treat lower lip defects. Although effective in many instances, some techniques are accompanied by complications, such as flap necrosis, dysesthesia of the lip, lip flattening, shortening, and loss of the vermillion roll. This study aimed to report the use of keystone design perforator island flap (KDPIF) in small to medium defects to achieve an effective and functional reconstruction of vermillion defects after Mohs surgery for lip cancer.</div></div><div><h3>Methods</h3><div>A retrospective review of consecutive patients who underwent lower lip reconstruction after Mohs cancer resection at the same institution from June 2022 to September 2023 was performed. Patient information, including medical history, flap size, operative time, complications, and postoperative recovery of the lip function, was comprehensively evaluated.</div></div><div><h3>Case series</h3><div>Six patients underwent reconstruction using KDPIF. The mean (range) operation time was 22.5 (19−31) min. None of the 6 patients exhibited flap splitting necrosis or infection, 6 patients (100%) had good to excellent cosmetic results, and no functional impairment was noted in any of the patients.</div></div><div><h3>Conclusions</h3><div>KDPIF is a reliable technique for the reconstruction of vermillion defects, preserving lip fullness and the vermillion roll.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"100 ","pages":"Pages 55-59"},"PeriodicalIF":2.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721154","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}
Superficial circumflex iliac vein (SCIV) and venae comitantes were qualified for traditional superficial circumflex iliac artery perforator (SCIAP) flaps. Optimal approaches for multipaddle and chimeric SCIAP flaps remain elusive. The purpose of this study is to investigate validities of SCIV-only and VCs-only conduits for such extended SCIAP flaps.
Methods
A retrospective study was conducted from August 2015 to July 2023 at the author’s institution. All patients who underwent multipaddle and chimeric SCIAP flaps with complete follow-up information were involved. The multipaddle SCIAP flaps included 2, 3, and 4-paddle variations, while the chimeric series involved cutaneous-iliac and cutaneous-sartorius SCIAP flaps. A comparison was made between the primary outcomes of the SCIV-only group and the VCs-only group in terms of the proportion of these variations and complications, as well as operation duration, and wound healing time.
Results
Of 195 patients, the VCs-only conduit accounts for 85.6% (n = 167) and the SCIV-only approach accounts for 14.4% (n = 28). In the SCIV-only group, 89.3% were performed for 2-paddle flaps. In the VCs-only group, 167 flaps were drained by this approach, including 43 (25.8%) cases of 2-paddle flaps, 38 (22.8%) cases of 3-paddle flaps, 22 (13.2%) cases of 4-paddle flaps, 36 (21.6%) cases of cutaneous-iliac flaps, and 28 (16.8%) cases of cutaneous-sartorius flaps. The utilization rate of the VCs-only conduit was 63.2% in 2-paddle flaps, 92.7% in 3-paddle flaps, and 100% in 4-paddle and chimeric SCIAP flaps.
Conclusion
This study stands in support of VCs-only drainage for multipaddle and chimeric SCIAP flaps due to its effective drainage capacity of suprafascial and subfascial tissues.
{"title":"SCIV-only versus VCs-only conduit: Which is optimal for multipaddle and chimeric SCIAP flaps?","authors":"Tinggang Chu , Jinlong Huang , Zengming Zheng , Jun Zhang , Kailiang Zhou , Yixin Zhang , Weiyang Gao , Jian Xiao","doi":"10.1016/j.bjps.2024.10.039","DOIUrl":"10.1016/j.bjps.2024.10.039","url":null,"abstract":"<div><h3>Background</h3><div>Superficial circumflex iliac vein (SCIV) and venae comitantes were qualified for traditional superficial circumflex iliac artery perforator (SCIAP) flaps. Optimal approaches for multipaddle and chimeric SCIAP flaps remain elusive. The purpose of this study is to investigate validities of SCIV-only and VCs-only conduits for such extended SCIAP flaps.</div></div><div><h3>Methods</h3><div>A retrospective study was conducted from August 2015 to July 2023 at the author’s institution. All patients who underwent multipaddle and chimeric SCIAP flaps with complete follow-up information were involved. The multipaddle SCIAP flaps included 2, 3, and 4-paddle variations, while the chimeric series involved cutaneous-iliac and cutaneous-sartorius SCIAP flaps. A comparison was made between the primary outcomes of the SCIV-only group and the VCs-only group in terms of the proportion of these variations and complications, as well as operation duration, and wound healing time.</div></div><div><h3>Results</h3><div>Of 195 patients, the VCs-only conduit accounts for 85.6% (n = 167) and the SCIV-only approach accounts for 14.4% (n = 28). In the SCIV-only group, 89.3% were performed for 2-paddle flaps. In the VCs-only group, 167 flaps were drained by this approach, including 43 (25.8%) cases of 2-paddle flaps, 38 (22.8%) cases of 3-paddle flaps, 22 (13.2%) cases of 4-paddle flaps, 36 (21.6%) cases of cutaneous-iliac flaps, and 28 (16.8%) cases of cutaneous-sartorius flaps. The utilization rate of the VCs-only conduit was 63.2% in 2-paddle flaps, 92.7% in 3-paddle flaps, and 100% in 4-paddle and chimeric SCIAP flaps.</div></div><div><h3>Conclusion</h3><div>This study stands in support of VCs-only drainage for multipaddle and chimeric SCIAP flaps due to its effective drainage capacity of suprafascial and subfascial tissues.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"100 ","pages":"Pages 1-7"},"PeriodicalIF":2.0,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635255","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号