The TABLE Technique: A Targeted Open Approach for Fibrous-dominant Dorsocervical Hump (Buffalo Hump).

IF 3 2区医学 Q1 SURGERY

Aesthetic Surgery Journal Pub Date : 2025-10-06 DOI:10.1093/asj/sjaf188

Renpeng Zhou, Angang Ding, Danru Wang

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引用次数: 0

Abstract

Background: The TARD technique (Tumescent anesthesia, sharp cannula Release, Debulking) achieves satisfactory outcomes in mild-to-moderate fibrofatty dorsocervical hump, but shows limitations in fibrous-dominant subtype.

Objectives: To introduce a novel TABLE technique (Tumescent anesthesia, Border release and liposuction, Limited-open access, Extraction and excision) for fibrous-dominant dorsocervical hump and to evaluate the safety and efficacy of this procedure.

Methods: A retrospective analysis was conducted on 72 patients treated between January 2022 and December 2023. Patients with fibrous-dominant dorsocervical hump were treated using the TABLE approach. Outcomes included the surgeon-assessed contour improvement (4-point scale, evaluated by two independent plastic surgeons), patient-reported Neck Extension Mobility Score (NEMS) and complications. Follow-up was 12 months.

Results: The TABLE technique demonstrated satisfactory outcomes in fibrous-dominant cases, with 93% good-to-excellent outcomes (36% excellent, 57% good) based on two surgeons' evaluation. Excellent inter-rater reliability was confirmed (Cohen's κ = 0.71). Neck mobility improved, with NEMS decreased from 2.6 to 1.3, and the overall complication rate was 20.8%.

Conclusions: TABLE is a safe and effective minimally invasive solution for fibrous-dominant dorsocervical hump, achieving improved aesthetic and functional outcomes.

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TABLE技术：一种有针对性的开放入路治疗纤维性颈背驼峰（水牛驼峰）。

背景：TARD技术（肿胀麻醉，尖锐插管释放，减压）在轻度至中度纤维脂肪性颈背驼峰中取得了满意的效果，但在纤维显性亚型中存在局限性。目的：介绍一种新的TABLE技术（肿胀麻醉，边界释放和吸脂，有限开放通道，提取和切除）治疗纤维为主的背颈驼峰，并评价该手术的安全性和有效性。方法：回顾性分析2022年1月至2023年12月收治的72例患者。纤维为主的颈背驼峰患者采用TABLE方法治疗。结果包括外科医生评估的轮廓改善（4分制，由两名独立整形外科医生评估），患者报告的颈部伸展活动评分（NEMS）和并发症。随访12个月。结果：TABLE技术在纤维为主的病例中显示出满意的结果，根据两位外科医生的评估，93%的预后良好（36%为良好，57%为良好）。证实了极好的评分者间信度（Cohen’s κ = 0.71）。颈部活动能力改善，NEMS从2.6下降到1.3，总并发症发生率为20.8%。结论：TABLE是一种安全有效的微创治疗纤维性颈背驼峰的方法，可改善美观和功能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Aesthetic Surgery Journal SURGERY-

CiteScore

6.20

自引率

20.70%

发文量

309

审稿时长

6-12 weeks

期刊介绍： Aesthetic Surgery Journal is a peer-reviewed international journal focusing on scientific developments and clinical techniques in aesthetic surgery. The official publication of The Aesthetic Society, ASJ is also the official English-language journal of many major international societies of plastic, aesthetic and reconstructive surgery representing South America, Central America, Europe, Asia, and the Middle East. It is also the official journal of the British Association of Aesthetic Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery and The Rhinoplasty Society.