Pub Date : 2026-01-01Epub Date: 2025-08-12DOI: 10.1016/j.anplas.2025.06.010
J.-B. de Villeneuve Bargemon, R. Dubian, A. Mayoly, M. Witters
Metal allergy remains a complex and poorly understood situation in surgical implants. The largest cohort (published in 2024) of metal hypersensitivity after upper limb prosthesis is limited to a dozen patients. The other series refer to case reports, and there is no description of metal hypersensitivity in wrist arthroplasty. It is important to consider metal allergies, particularly in painful patients with functional, well-positioned implants. In hand surgery, the use of pyrocarbon implants as a first-line treatment in patients at risk of allergy, or after removal of a poorly tolerated prosthesis, could be an effective solution. In this case report, we report on our experience in the management of metal hypersensitivity in a patient undergoing prosthetic wrist and trapeziometacarpal joint replacement surgery.
Level of incidence
4.
L’allergie aux métaux reste une situation complexe et mal comprise dans les implants chirurgicaux. La plus grande cohorte (publiée en 2024) d’hypersensibilité aux métaux après prothèse du membre supérieur est limitée à une douzaine de patients. Les autres séries font référence à des cas cliniques et il n’existe aucune description d’hypersensibilité aux métaux dans le cadre d’une arthroplastie du poignet. Il est important de prendre en compte les allergies aux métaux, en particulier chez les patients en souffrance dans le cadre d’implants fonctionnels bien positionnés. En chirurgie de la main, l’utilisation d’implants en pyrocarbone comme traitement de première intention chez les patients à risque d’allergie, ou après le retrait d’une prothèse mal tolérée, pourrait être une solution efficace. Dans ce cas clinique, nous faisons état de notre expérience dans la prise en charge de l’hypersensibilité aux métaux chez un patient ayant bénéficié une chirurgie de remplacement prothétique du poignet et de l’articulation trapézo-métacarpienne.
{"title":"Wrist prosthesis allergy: A rare complication to keep in mind","authors":"J.-B. de Villeneuve Bargemon, R. Dubian, A. Mayoly, M. Witters","doi":"10.1016/j.anplas.2025.06.010","DOIUrl":"10.1016/j.anplas.2025.06.010","url":null,"abstract":"<div><div>Metal allergy remains a complex and poorly understood situation in surgical implants. The largest cohort (published in 2024) of metal hypersensitivity after upper limb prosthesis is limited to a dozen patients. The other series refer to case reports, and there is no description of metal hypersensitivity in wrist arthroplasty. It is important to consider metal allergies, particularly in painful patients with functional, well-positioned implants. In hand surgery, the use of pyrocarbon implants as a first-line treatment in patients at risk of allergy, or after removal of a poorly tolerated prosthesis, could be an effective solution. In this case report, we report on our experience in the management of metal hypersensitivity in a patient undergoing prosthetic wrist and trapeziometacarpal joint replacement surgery.</div></div><div><h3>Level of incidence</h3><div>4.</div></div><div><div>L’allergie aux métaux reste une situation complexe et mal comprise dans les implants chirurgicaux. La plus grande cohorte (publiée en 2024) d’hypersensibilité aux métaux après prothèse du membre supérieur est limitée à une douzaine de patients. Les autres séries font référence à des cas cliniques et il n’existe aucune description d’hypersensibilité aux métaux dans le cadre d’une arthroplastie du poignet. Il est important de prendre en compte les allergies aux métaux, en particulier chez les patients en souffrance dans le cadre d’implants fonctionnels bien positionnés. En chirurgie de la main, l’utilisation d’implants en pyrocarbone comme traitement de première intention chez les patients à risque d’allergie, ou après le retrait d’une prothèse mal tolérée, pourrait être une solution efficace. Dans ce cas clinique, nous faisons état de notre expérience dans la prise en charge de l’hypersensibilité aux métaux chez un patient ayant bénéficié une chirurgie de remplacement prothétique du poignet et de l’articulation trapézo-métacarpienne.</div></div><div><h3>Niveau d’incidence</h3><div>4.</div></div>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"71 1","pages":"Pages 7-12"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01Epub Date: 2025-11-25DOI: 10.1016/j.anplas.2025.11.003
E. Lupon
{"title":"Artificial intelligence and plastic surgery: Between innovation and responsibility","authors":"E. Lupon","doi":"10.1016/j.anplas.2025.11.003","DOIUrl":"10.1016/j.anplas.2025.11.003","url":null,"abstract":"","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"71 1","pages":"Pages 1-2"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145643286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01Epub Date: 2025-10-15DOI: 10.1016/j.anplas.2025.09.002
M. Lherm , D. Chaltiel , A. Roulot , N. Leymarie , J.-F. Honart , F. Rimareix , S. Delaloge , S. Michiels , B. Sarfati
<div><h3>Background and purpose</h3><div>Robotic nipple-sparing mastectomy (RNSM) is becoming popular for the treatment of breast cancers because of the absence of scars on the breasts. The aim of this study is to assess the feasibility and the safety of RNSM with immediate prosthetic breast reconstruction (IPBR).</div></div><div><h3>Methods</h3><div>In this single-arm, monocentric and prospective study, RNSM with IPBR was offered, in case of prophylactic or therapeutic surgery of breast cancers, to patients with breast cup<!--> <!-->≤<!--> <!-->C and moderate ptosis. The primary goal was the rate of full thickness skin or areola necrosis. As a second objective we meant to assess the rate of conversion to open technique and postoperative complications. We also analysed pre- and postoperative BREAST-Q scores and aesthetic outcomes by submitting them to independent surgeons and to the patients themselves.</div></div><div><h3>Results</h3><div>In total, 138 RNSM with IPBR were performed in 79 patients between December 2015 and January 2020. There were two cases of full thickness skin or areolar necrosis (1.5%), nine infections (6.5%), and nine implants loss (6.5%). We had to switch to an open technique in two cases (1.5%) and in four cases we had to surgically drain four hematoma (2.9%). The patient's physical and sexual well-being evaluated by BREAST-Q was not impacted by the surgery. The aesthetical outcomes are satisfying for both the patients and the main surgeon as well as for a panel of independent plastic surgeons.</div></div><div><h3>Conclusions</h3><div>This study does attest to the feasibility, the reproducibility, and the safety of this approach.</div></div><div><h3>Introduction</h3><div>Les indications de mastectomie avec conservation de l’aréole sont en constante augmentation. La technique de mastectomie robot-assistée permet d’effectuer le geste avec une rançon cicatricielle minimale, située sous le bras. L’objectif de cette étude est d’attester de la faisabilité et de la sécurité de cette technique.</div></div><div><h3>Matériel et méthodes</h3><div>Nous présentons une étude prospective monocentrique de faisabilité et de sécurité, réalisée entre décembre 2015 et janvier 2020. Le geste chirurgical a été réalisée à l’aide du robot Da Vinci XI. L’objectif est de démontrer une non-infériorité par rapport aux techniques conventionnelles, avec une cicatrice réduite et en dehors du sein. Le critère principal d’évaluation est le taux de nécrose cutanée. Les critères secondaires relevés sont la durée de la procédure et les complications post opératoires. Nous avons aussi recueilli les réponse des patientes à un questionnaires de qualité de vie (BREASTQ).</div></div><div><h3>Résultats</h3><div>Cette chirurgie a été réalisée sur 138 seins et les patientes ont toutes bénéficié d’une reconstruction mammaire immédiate prothétique. Nous avons relevé 1 nécrose totale d’aréole (0,7 %) et 1 nécrose totale de mamelon (0,7 %), 9 infections de prothèse (6,5
{"title":"Robotic nipple-sparing mastectomy with immediate prosthetic reconstruction: A prospective study about 138 consecutive procedures","authors":"M. Lherm , D. Chaltiel , A. Roulot , N. Leymarie , J.-F. Honart , F. Rimareix , S. Delaloge , S. Michiels , B. Sarfati","doi":"10.1016/j.anplas.2025.09.002","DOIUrl":"10.1016/j.anplas.2025.09.002","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Robotic nipple-sparing mastectomy (RNSM) is becoming popular for the treatment of breast cancers because of the absence of scars on the breasts. The aim of this study is to assess the feasibility and the safety of RNSM with immediate prosthetic breast reconstruction (IPBR).</div></div><div><h3>Methods</h3><div>In this single-arm, monocentric and prospective study, RNSM with IPBR was offered, in case of prophylactic or therapeutic surgery of breast cancers, to patients with breast cup<!--> <!-->≤<!--> <!-->C and moderate ptosis. The primary goal was the rate of full thickness skin or areola necrosis. As a second objective we meant to assess the rate of conversion to open technique and postoperative complications. We also analysed pre- and postoperative BREAST-Q scores and aesthetic outcomes by submitting them to independent surgeons and to the patients themselves.</div></div><div><h3>Results</h3><div>In total, 138 RNSM with IPBR were performed in 79 patients between December 2015 and January 2020. There were two cases of full thickness skin or areolar necrosis (1.5%), nine infections (6.5%), and nine implants loss (6.5%). We had to switch to an open technique in two cases (1.5%) and in four cases we had to surgically drain four hematoma (2.9%). The patient's physical and sexual well-being evaluated by BREAST-Q was not impacted by the surgery. The aesthetical outcomes are satisfying for both the patients and the main surgeon as well as for a panel of independent plastic surgeons.</div></div><div><h3>Conclusions</h3><div>This study does attest to the feasibility, the reproducibility, and the safety of this approach.</div></div><div><h3>Introduction</h3><div>Les indications de mastectomie avec conservation de l’aréole sont en constante augmentation. La technique de mastectomie robot-assistée permet d’effectuer le geste avec une rançon cicatricielle minimale, située sous le bras. L’objectif de cette étude est d’attester de la faisabilité et de la sécurité de cette technique.</div></div><div><h3>Matériel et méthodes</h3><div>Nous présentons une étude prospective monocentrique de faisabilité et de sécurité, réalisée entre décembre 2015 et janvier 2020. Le geste chirurgical a été réalisée à l’aide du robot Da Vinci XI. L’objectif est de démontrer une non-infériorité par rapport aux techniques conventionnelles, avec une cicatrice réduite et en dehors du sein. Le critère principal d’évaluation est le taux de nécrose cutanée. Les critères secondaires relevés sont la durée de la procédure et les complications post opératoires. Nous avons aussi recueilli les réponse des patientes à un questionnaires de qualité de vie (BREASTQ).</div></div><div><h3>Résultats</h3><div>Cette chirurgie a été réalisée sur 138 seins et les patientes ont toutes bénéficié d’une reconstruction mammaire immédiate prothétique. Nous avons relevé 1 nécrose totale d’aréole (0,7 %) et 1 nécrose totale de mamelon (0,7 %), 9 infections de prothèse (6,5","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"71 1","pages":"Pages 71-79"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01Epub Date: 2025-07-31DOI: 10.1016/j.anplas.2025.06.006
W. Saraoui , S. Ivin , H. Letissier , C. Dumontier , W. Hu , C. Hemon
<div><h3>Introduction</h3><div>Bone gigantic cell tumours (BGCTs) are locally aggressive benign tumours, which can lead to significant functional impairment due to extensive bone destruction and soft tissue invasion and typically occur in the meta-epiphyseal region of long bones with the distal radius being the third most common site. Advanced BGCTs of the wrist present a significant challenge for the medical staff due to their occurrence in subarticular bone. Bone reconstruction of the hand with 3D assisted engineering has been described with promising results. In this article, we present a novel approach for bone reconstruction of a large radiocarpal defect following wide giant cell tumour resection, utilising a free transfer of a two-strut fibula with the aid of a 3D surgical planning.</div></div><div><h3>Results</h3><div>Patient reports no chronic pain with a DASH score of 20/100. The patient is stable with a grip strength of 26<!--> <!-->kg in the left hand and 40<!--> <!-->kg in the right hand. At 6 months, range of motion was 30° extension and 0° flexion, 80° pronation and 60° supination. Consolidation was successfully achieved with no bone resorption.</div></div><div><h3>Discussion</h3><div>Distal radius BGCTs present a complex therapeutic dilemma, necessitating strategies that balance oncologic control with functional preservation. Tumour removal is mainly achieved by curettage or wide en bloc resection. Bone reconstruction can be achieved through autologous bone grafting, autologous bone transfer, or arthroplasty. Numerous studies have reported good to excellent outcomes for wrist arthroplasty; however, this reconstruction technique carries risks. Wrist arthrodesis tends to achieve better results as it can restore better grip strength. Excellent functional and radiological outcomes were observed for malignant tumours of the distal radius treated with fibulo-scapho-lunate arthrodesis. Custom surgery assisted by 3D surgical planning improves postoperative outcomes and reduces complication rates especially for bone reconstruction. A detailed custom 3D surgical plan was developed prior to surgery using a two-strut free fibula transfer. Stable fixation was achieved with a custom-made titanium plate anchored on the radius and first carpal row, perfectly matching the bone transfer and recipient site. This technique achieved full bone consolidation at 6 months with margin free tumour resection and acceptable wrist range of motion. The patient is pain free and has return to his daily activity in 6 weeks after surgery.</div></div><div><h3>Conclusion</h3><div>This article showcases the successful use of a two strutted fibular free transfer for bone reconstruction to reconstruct a large distal radius defect following BGCT excision with the support of 3D surgical planning.</div></div><div><h3>Introduction</h3><div>Les tumeurs à cellules géantes (TCG) sont des tumeurs bénignes présentant un potentiel d’invasion local au niveau articulaire et musculai
{"title":"One stage custom made 3D vascularized bone reconstruction by free fibula transfert for large radiocarpal defect after wide gigantic cell tumor resection","authors":"W. Saraoui , S. Ivin , H. Letissier , C. Dumontier , W. Hu , C. Hemon","doi":"10.1016/j.anplas.2025.06.006","DOIUrl":"10.1016/j.anplas.2025.06.006","url":null,"abstract":"<div><h3>Introduction</h3><div>Bone gigantic cell tumours (BGCTs) are locally aggressive benign tumours, which can lead to significant functional impairment due to extensive bone destruction and soft tissue invasion and typically occur in the meta-epiphyseal region of long bones with the distal radius being the third most common site. Advanced BGCTs of the wrist present a significant challenge for the medical staff due to their occurrence in subarticular bone. Bone reconstruction of the hand with 3D assisted engineering has been described with promising results. In this article, we present a novel approach for bone reconstruction of a large radiocarpal defect following wide giant cell tumour resection, utilising a free transfer of a two-strut fibula with the aid of a 3D surgical planning.</div></div><div><h3>Results</h3><div>Patient reports no chronic pain with a DASH score of 20/100. The patient is stable with a grip strength of 26<!--> <!-->kg in the left hand and 40<!--> <!-->kg in the right hand. At 6 months, range of motion was 30° extension and 0° flexion, 80° pronation and 60° supination. Consolidation was successfully achieved with no bone resorption.</div></div><div><h3>Discussion</h3><div>Distal radius BGCTs present a complex therapeutic dilemma, necessitating strategies that balance oncologic control with functional preservation. Tumour removal is mainly achieved by curettage or wide en bloc resection. Bone reconstruction can be achieved through autologous bone grafting, autologous bone transfer, or arthroplasty. Numerous studies have reported good to excellent outcomes for wrist arthroplasty; however, this reconstruction technique carries risks. Wrist arthrodesis tends to achieve better results as it can restore better grip strength. Excellent functional and radiological outcomes were observed for malignant tumours of the distal radius treated with fibulo-scapho-lunate arthrodesis. Custom surgery assisted by 3D surgical planning improves postoperative outcomes and reduces complication rates especially for bone reconstruction. A detailed custom 3D surgical plan was developed prior to surgery using a two-strut free fibula transfer. Stable fixation was achieved with a custom-made titanium plate anchored on the radius and first carpal row, perfectly matching the bone transfer and recipient site. This technique achieved full bone consolidation at 6 months with margin free tumour resection and acceptable wrist range of motion. The patient is pain free and has return to his daily activity in 6 weeks after surgery.</div></div><div><h3>Conclusion</h3><div>This article showcases the successful use of a two strutted fibular free transfer for bone reconstruction to reconstruct a large distal radius defect following BGCT excision with the support of 3D surgical planning.</div></div><div><h3>Introduction</h3><div>Les tumeurs à cellules géantes (TCG) sont des tumeurs bénignes présentant un potentiel d’invasion local au niveau articulaire et musculai","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"71 1","pages":"Pages 51-63"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01Epub Date: 2026-01-29DOI: 10.1016/j.anplas.2025.09.001
Y. Berkane , P. Tawa , C. Guinier , N. Bertheuil , S. El Batti , A.G. Lellouch
{"title":"Retraction notice to “Reconstruction of a septic femoral triangle fistula with a pedicled DIEP flap: A case report and mini-review” (Reconstruction d’une fistule septique du triangle fémoral par un lambeau pédiculé de DIEP : cas clinique et mini-revue de la littérature) [Ann Chir Plast Esthet 2024;69(3):233–38]","authors":"Y. Berkane , P. Tawa , C. Guinier , N. Bertheuil , S. El Batti , A.G. Lellouch","doi":"10.1016/j.anplas.2025.09.001","DOIUrl":"10.1016/j.anplas.2025.09.001","url":null,"abstract":"","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"71 1","pages":"Pages 89-90"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146057402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01Epub Date: 2025-12-31DOI: 10.1016/j.anplas.2025.10.001
O. Mathieu , J.P. Foy , A. Revel , D. Boccara , T. Schouman , C. Bertolus , J. Bouaoud
<div><h3>Background</h3><div>Road traffic accidents are a leading cause of injury and death globally. Airbags are critical safety systems designed to protect vehicle occupants during collisions. Despite their benefits, concerns about airbag safety arose following the Takata Corporation scandal, which resulted in significant recalls due to defective airbags linked to serious injuries, including maxillofacial trauma.</div></div><div><h3>Methods</h3><div>This case series reports on adults with penetrating head and neck injuries caused by airbag malfunctions, treated at a maxillofacial trauma center in Paris, France, from November 2021 to September 2024. We also performed a literature review of cases published from 1992 to 2024, focusing on similar penetrating injuries.</div></div><div><h3>Results</h3><div>Three cases of penetrating trauma were analyzed, highlighting complex facial injuries requiring extensive surgical interventions, including reconstructions with free flaps. The literature review revealed seven reported cases, predominantly affecting young males, with high mortality rates due to vascular injuries from foreign bodies.</div></div><div><h3>Conclusions</h3><div>The findings underscore the severe consequences of airbag malfunctions, emphasizing the need for urgent medical interventions and reconstructive surgeries. This case series calls for a reevaluation of airbag safety standards to prevent future injuries and ensure enhanced training for healthcare providers managing such trauma.</div></div><div><h3>Contexte</h3><div>Les accidents de la route sont une cause majeure de traumatismes et de décès dans le monde. Les airbags sont des dispositifs de sécurité essentiels conçus pour protéger les occupants des véhicules lors de collisions. Malgré leurs avantages, des préoccupations concernant leur sécurité ont émergé après le scandale de la société Takata, qui a conduit à d’importants rappels en raison d’airbags défectueux associés à des lésions graves, notamment au niveau cervico-facial.</div></div><div><h3>Méthodes</h3><div>Cette série rapporte des traumatismes pénétrants cervico-faciaux survenus chez des adultes à la suite de dysfonctionnements d’airbags, pris en charge dans un centre de traumatologie français entre novembre 2021 et septembre 2024. Une revue de la littérature a également été réalisée, portant sur les cas publiés entre 1992 et 2024.</div></div><div><h3>Résultats</h3><div>Trois cas de traumatismes pénétrants ont été analysés, mettant en évidence des lésions faciales complexes nécessitant des interventions chirurgicales lourdes, dont des reconstructions par lambeaux libres. La revue de la littérature a identifié sept cas similaires, touchant majoritairement des hommes jeunes, avec des taux de mortalité élevés liés à des lésions vasculaires causées par des corps étrangers.</div></div><div><h3>Conclusions</h3><div>Ces résultats soulignent la gravité des traumatismes associés dysfonctionnements d’airbags, mettant en avant la néce
{"title":"Head and neck penetrating trauma caused by airbag dysfunction: A case series and literature review","authors":"O. Mathieu , J.P. Foy , A. Revel , D. Boccara , T. Schouman , C. Bertolus , J. Bouaoud","doi":"10.1016/j.anplas.2025.10.001","DOIUrl":"10.1016/j.anplas.2025.10.001","url":null,"abstract":"<div><h3>Background</h3><div>Road traffic accidents are a leading cause of injury and death globally. Airbags are critical safety systems designed to protect vehicle occupants during collisions. Despite their benefits, concerns about airbag safety arose following the Takata Corporation scandal, which resulted in significant recalls due to defective airbags linked to serious injuries, including maxillofacial trauma.</div></div><div><h3>Methods</h3><div>This case series reports on adults with penetrating head and neck injuries caused by airbag malfunctions, treated at a maxillofacial trauma center in Paris, France, from November 2021 to September 2024. We also performed a literature review of cases published from 1992 to 2024, focusing on similar penetrating injuries.</div></div><div><h3>Results</h3><div>Three cases of penetrating trauma were analyzed, highlighting complex facial injuries requiring extensive surgical interventions, including reconstructions with free flaps. The literature review revealed seven reported cases, predominantly affecting young males, with high mortality rates due to vascular injuries from foreign bodies.</div></div><div><h3>Conclusions</h3><div>The findings underscore the severe consequences of airbag malfunctions, emphasizing the need for urgent medical interventions and reconstructive surgeries. This case series calls for a reevaluation of airbag safety standards to prevent future injuries and ensure enhanced training for healthcare providers managing such trauma.</div></div><div><h3>Contexte</h3><div>Les accidents de la route sont une cause majeure de traumatismes et de décès dans le monde. Les airbags sont des dispositifs de sécurité essentiels conçus pour protéger les occupants des véhicules lors de collisions. Malgré leurs avantages, des préoccupations concernant leur sécurité ont émergé après le scandale de la société Takata, qui a conduit à d’importants rappels en raison d’airbags défectueux associés à des lésions graves, notamment au niveau cervico-facial.</div></div><div><h3>Méthodes</h3><div>Cette série rapporte des traumatismes pénétrants cervico-faciaux survenus chez des adultes à la suite de dysfonctionnements d’airbags, pris en charge dans un centre de traumatologie français entre novembre 2021 et septembre 2024. Une revue de la littérature a également été réalisée, portant sur les cas publiés entre 1992 et 2024.</div></div><div><h3>Résultats</h3><div>Trois cas de traumatismes pénétrants ont été analysés, mettant en évidence des lésions faciales complexes nécessitant des interventions chirurgicales lourdes, dont des reconstructions par lambeaux libres. La revue de la littérature a identifié sept cas similaires, touchant majoritairement des hommes jeunes, avec des taux de mortalité élevés liés à des lésions vasculaires causées par des corps étrangers.</div></div><div><h3>Conclusions</h3><div>Ces résultats soulignent la gravité des traumatismes associés dysfonctionnements d’airbags, mettant en avant la néce","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"71 1","pages":"Pages 22-32"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01Epub Date: 2025-11-06DOI: 10.1016/j.anplas.2025.05.014
M. Chen, X. Tang, R. Mao, C. Li, G. Zhang, H. Yao, W. Li
<div><div>To compare the clinical efficacy of the medial sural artery perforator (MSAP) fascial flap with the traditional MSAP flap develop on the benefits and drawbacks of using two skin flaps to manage connective tissue anomalies in feet and hands and their applicability, and to provide a reference for such clinical repair. Twenty-three cases of soft tissue defects in the limbs involved were admitted from July 2018 to July 2021, comprising 6 females and 17 males, <!--> <!-->age range fron 18 to 65 years old (average 42,5). The treatment group and the control group chose at random from among the cases. The treatment group was repaired with the MSAP fascial flap, while the control group was repaired with the MSAP flap. Regular postoperative follow-ups, final follow-up evaluation on the comprehensive treatment effectiveness, and comparative evaluation of the clinical efficacy differences between the two groups were carried out, and a statistical analysis was utilized to quantitatively examine the data. The evaluation of indicators includes satisfaction in donor area, receiving area contentment, readmission rate, the operative time; and functional recovery with <em>P</em> <!--><<!--> <!-->0.05 finding a statistically significant difference. The MSAP fascial flap (MSAPFF) and MSAP flap (MSAPF) both survived without any arterial and venous compromise. Both groups completed surgery and followed up with appointments between six and twenty-four months following surgery, with the median of eleven months. Differences in satisfaction were not significantly significant between the two groups for the receiving site (<em>P</em> <!-->><!--> <!-->0.05). However, there was a significant difference in compliance between the MSAPFF and the MSAPF in the donor site (<em>P</em> <!--><<!--> <!-->0.05). The re-hospitalization rate for the MSAPFF group was lower compared to the MSAPF group, which was statistically significant (<em>P</em> <!--><<!--> <!-->0.05). The MSAPFF group underwent surgery significantly faster than the MSAPF unit (<em>P</em> <!--><<!--> <!-->0.05). Function recovery declined significantly between the two subgroups (<em>P</em> <!-->><!--> <!-->0.05). When fixing soft tissue injuries in the hands and feet, both the MSAP fascial flap and MSAP flap have advantages and disadvantages. The advantages with the MSAP fascial flap are little morbidity in the source area, negligible mass at the receiving site, and no subsequent flap thinning, it is consequently perfect for flaws in regions that don’t support weight. One benefit from the MSAP flap is its attractive appearance, soft texture, and good ductility, making it suitable for repairing defects in wear-resistant and weight-bearing areas.</div></div><div><div>Le but de notre étude était de comparer l’efficacité clinique du lambeau fascial perforant de l’artère surale médiale (MSAP) avec celle du lambeau MSAP traditionnel, développer les avantages et les inconvénients de l’utilisation de
{"title":"Reconstruction of hands and feet defects with medial sural artery perforator (MSAP) flap and MSAP fascial flap: A comparative study","authors":"M. Chen, X. Tang, R. Mao, C. Li, G. Zhang, H. Yao, W. Li","doi":"10.1016/j.anplas.2025.05.014","DOIUrl":"10.1016/j.anplas.2025.05.014","url":null,"abstract":"<div><div>To compare the clinical efficacy of the medial sural artery perforator (MSAP) fascial flap with the traditional MSAP flap develop on the benefits and drawbacks of using two skin flaps to manage connective tissue anomalies in feet and hands and their applicability, and to provide a reference for such clinical repair. Twenty-three cases of soft tissue defects in the limbs involved were admitted from July 2018 to July 2021, comprising 6 females and 17 males, <!--> <!-->age range fron 18 to 65 years old (average 42,5). The treatment group and the control group chose at random from among the cases. The treatment group was repaired with the MSAP fascial flap, while the control group was repaired with the MSAP flap. Regular postoperative follow-ups, final follow-up evaluation on the comprehensive treatment effectiveness, and comparative evaluation of the clinical efficacy differences between the two groups were carried out, and a statistical analysis was utilized to quantitatively examine the data. The evaluation of indicators includes satisfaction in donor area, receiving area contentment, readmission rate, the operative time; and functional recovery with <em>P</em> <!--><<!--> <!-->0.05 finding a statistically significant difference. The MSAP fascial flap (MSAPFF) and MSAP flap (MSAPF) both survived without any arterial and venous compromise. Both groups completed surgery and followed up with appointments between six and twenty-four months following surgery, with the median of eleven months. Differences in satisfaction were not significantly significant between the two groups for the receiving site (<em>P</em> <!-->><!--> <!-->0.05). However, there was a significant difference in compliance between the MSAPFF and the MSAPF in the donor site (<em>P</em> <!--><<!--> <!-->0.05). The re-hospitalization rate for the MSAPFF group was lower compared to the MSAPF group, which was statistically significant (<em>P</em> <!--><<!--> <!-->0.05). The MSAPFF group underwent surgery significantly faster than the MSAPF unit (<em>P</em> <!--><<!--> <!-->0.05). Function recovery declined significantly between the two subgroups (<em>P</em> <!-->><!--> <!-->0.05). When fixing soft tissue injuries in the hands and feet, both the MSAP fascial flap and MSAP flap have advantages and disadvantages. The advantages with the MSAP fascial flap are little morbidity in the source area, negligible mass at the receiving site, and no subsequent flap thinning, it is consequently perfect for flaws in regions that don’t support weight. One benefit from the MSAP flap is its attractive appearance, soft texture, and good ductility, making it suitable for repairing defects in wear-resistant and weight-bearing areas.</div></div><div><div>Le but de notre étude était de comparer l’efficacité clinique du lambeau fascial perforant de l’artère surale médiale (MSAP) avec celle du lambeau MSAP traditionnel, développer les avantages et les inconvénients de l’utilisation de ","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"71 1","pages":"Pages 41-50"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145472306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01Epub Date: 2025-10-22DOI: 10.1016/j.anplas.2025.09.004
A. Vergnet , E. Zanchetta-Balint , P. Sohier , J. Chanal , V. Pozzo , A. Chansavang , L. Lantieri
Background
A 57-year old woman presented with a 18-month history of a vertex lesion. The first excisional biopsy showed an histopathology dermal proliferation of epithelioid splinded cells, arranged in nests or trabeculae, suggesting a tumoral pathology such as sarcoma or melanoma, without a definitive diagnosis. Further surgical treatment was realised. The definitive diagnosis is a clear cell tumor with melanocytic differentiation and MITF::CREM translocation. It is a recently described rare tumor, with less than 5 cases reported. This article addresses the management of a rare tumor in a plastic surgery ward.
Une patiente de 57 ans s’est présentée avec une lésion du vertex évoluant depuis 18 mois. La première biopsie-exérèse a révélé une prolifération dermique de cellules épithélioïdes fusiformes, disposées en amas ou en travées, évoquant une pathologie tumorale de type sarcome ou mélanome, sans qu’un diagnostic définitif ne puisse être posé. Un traitement chirurgical complémentaire a été réalisé. Le diagnostic final est une tumeur à cellules claires avec différenciation mélanocytaire et translocation MITF::CREM. Il s’agit d’une tumeur rare récemment décrite, avec moins de cinq cas rapportés dans la littérature. Cet article traite de la prise en charge d’une tumeur rare dans un service de chirurgie plastique.
{"title":"Management of exceptional tumor: MITF::CREM-rearranged tumor on the scalp","authors":"A. Vergnet , E. Zanchetta-Balint , P. Sohier , J. Chanal , V. Pozzo , A. Chansavang , L. Lantieri","doi":"10.1016/j.anplas.2025.09.004","DOIUrl":"10.1016/j.anplas.2025.09.004","url":null,"abstract":"<div><h3>Background</h3><div>A 57-year old woman presented with a 18-month history of a vertex lesion. The first excisional biopsy showed an histopathology dermal proliferation of epithelioid splinded cells, arranged in nests or trabeculae, suggesting a tumoral pathology such as sarcoma or melanoma, without a definitive diagnosis. Further surgical treatment was realised. The definitive diagnosis is a clear cell tumor with melanocytic differentiation and MITF::CREM translocation. It is a recently described rare tumor, with less than 5 cases reported. This article addresses the management of a rare tumor in a plastic surgery ward.</div></div><div><div>Une patiente de 57 ans s’est présentée avec une lésion du vertex évoluant depuis 18 mois. La première biopsie-exérèse a révélé une prolifération dermique de cellules épithélioïdes fusiformes, disposées en amas ou en travées, évoquant une pathologie tumorale de type sarcome ou mélanome, sans qu’un diagnostic définitif ne puisse être posé. Un traitement chirurgical complémentaire a été réalisé. Le diagnostic final est une tumeur à cellules claires avec différenciation mélanocytaire et translocation MITF::CREM. Il s’agit d’une tumeur rare récemment décrite, avec moins de cinq cas rapportés dans la littérature. Cet article traite de la prise en charge d’une tumeur rare dans un service de chirurgie plastique.</div></div>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"71 1","pages":"Pages 3-6"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01Epub Date: 2025-12-30DOI: 10.1016/j.anplas.2025.10.002
V. David , J. Obeida , C. Joliot , R. Van Damme , R. Chauvet , L. Cussinet , J. Usseglio , J. Tricard , J. Laloze
Soft tissue sarcomas are rare tumors requiring wide surgical excision to ensure local control. When located in complex anatomical areas such as the cervico-thoracic junction, these resections can involve vital structures that require immediate and reliable reconstruction. We report the case of a 63-year-old woman with a large radiation-induced sarcoma involving the right cervico-thoracic region. A wide excision was performed by a multidisciplinary team, followed by immediate reconstruction using a pedicled latissimus dorsi flap (LD) and an internal mammary artery perforator (IMAP) flap. These two flaps provided effective coverage of the exposed vital structures and allowed early initiation of adjuvant chemoradiotherapy. This clinical case illustrates how the involvement of a plastic surgeon within a multidisciplinary team facilitates extended resections of soft tissue sarcomas involving critical structures, which would otherwise be unresectable without reconstruction.
Les sarcomes des tissus mous sont des tumeurs rares nécessitant une exérèse chirurgicale large afin d’assurer un contrôle local de la maladie. Lorsqu’ils sont situés dans des zones anatomiques complexes, comme la région cervico-thoracique, ces résections peuvent exposer des structures vitales, nécessitant une reconstruction immédiate et fiable. Nous rapportons le cas d’une patiente de 63 ans présentant un volumineux sarcome radio-induit de la région cervico-thoracique droite. Une exérèse large a été réalisée par une équipe multidisciplinaire, suivie d’une reconstruction immédiate à l’aide d’un lambeau pédiculé de grand dorsal (LD) et d’un lambeau perforant de l’artère mammaire interne (IMAP). Ces deux lambeaux ont permis une couverture efficace des structures vitales exposées et l’instauration rapide d’un traitement adjuvant par chimio-radiothérapie. Ce cas clinique illustre l’importance de l’implication du chirurgien plasticien au sein d’une équipe multidisciplinaire pour permettre la réalisation de résections étendues de sarcomes des tissus mous au contact de structures vitales. Ce type d’exérèse ne serait pas possible sans geste associé de reconstruction.
{"title":"Pedicled latissimus dorsi flap and internal mammary perforator flaps for coverage of the latero-cervico-thoracic area after soft-tissue sarcoma resection: A case report","authors":"V. David , J. Obeida , C. Joliot , R. Van Damme , R. Chauvet , L. Cussinet , J. Usseglio , J. Tricard , J. Laloze","doi":"10.1016/j.anplas.2025.10.002","DOIUrl":"10.1016/j.anplas.2025.10.002","url":null,"abstract":"<div><div>Soft tissue sarcomas are rare tumors requiring wide surgical excision to ensure local control. When located in complex anatomical areas such as the cervico-thoracic junction, these resections can involve vital structures that require immediate and reliable reconstruction. We report the case of a 63-year-old woman with a large radiation-induced sarcoma involving the right cervico-thoracic region. A wide excision was performed by a multidisciplinary team, followed by immediate reconstruction using a pedicled latissimus dorsi flap (LD) and an internal mammary artery perforator (IMAP) flap. These two flaps provided effective coverage of the exposed vital structures and allowed early initiation of adjuvant chemoradiotherapy. This clinical case illustrates how the involvement of a plastic surgeon within a multidisciplinary team facilitates extended resections of soft tissue sarcomas involving critical structures, which would otherwise be unresectable without reconstruction.</div></div><div><div>Les sarcomes des tissus mous sont des tumeurs rares nécessitant une exérèse chirurgicale large afin d’assurer un contrôle local de la maladie. Lorsqu’ils sont situés dans des zones anatomiques complexes, comme la région cervico-thoracique, ces résections peuvent exposer des structures vitales, nécessitant une reconstruction immédiate et fiable. Nous rapportons le cas d’une patiente de 63 ans présentant un volumineux sarcome radio-induit de la région cervico-thoracique droite. Une exérèse large a été réalisée par une équipe multidisciplinaire, suivie d’une reconstruction immédiate à l’aide d’un lambeau pédiculé de grand dorsal (LD) et d’un lambeau perforant de l’artère mammaire interne (IMAP). Ces deux lambeaux ont permis une couverture efficace des structures vitales exposées et l’instauration rapide d’un traitement adjuvant par chimio-radiothérapie. Ce cas clinique illustre l’importance de l’implication du chirurgien plasticien au sein d’une équipe multidisciplinaire pour permettre la réalisation de résections étendues de sarcomes des tissus mous au contact de structures vitales. Ce type d’exérèse ne serait pas possible sans geste associé de reconstruction.</div></div>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"71 1","pages":"Pages 13-21"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145879436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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