Journal of Plastic Surgery and Hand Surgery最新文献

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10-Year single center experience in lower limb reconstruction with free muscle flaps - factors influencing complications in 266 consecutive cases. 10年单中心游离肌皮瓣下肢再造术266例并发症的影响因素分析。
IF 1.2 4区 医学
Journal of Plastic Surgery and Hand Surgery Pub Date : 2023-02-01 DOI: 10.1080/2000656X.2022.2142599
Inga S Besmens, Florian S Frueh, Christina Gehrke, Sophie Knipper, Pietro Giovanoli, Maurizio Calcagni
{"title":"10-Year single center experience in lower limb reconstruction with free muscle flaps - factors influencing complications in 266 consecutive cases.","authors":"Inga S Besmens,&nbsp;Florian S Frueh,&nbsp;Christina Gehrke,&nbsp;Sophie Knipper,&nbsp;Pietro Giovanoli,&nbsp;Maurizio Calcagni","doi":"10.1080/2000656X.2022.2142599","DOIUrl":"https://doi.org/10.1080/2000656X.2022.2142599","url":null,"abstract":"<p><p>The anatomy and technique of free muscle flaps - in particular gracilis flap and latissimus dorsi flap - in lower extremity reconstruction have been well described. There is a paucity of data on potential risk factors in larger patient series that affect the outcome. The objective of this study was to address this lack of knowledge by reporting outcomes and complications of free muscle flaps as a primary option in lower extremity reconstruction. From 2009 to 2020, a total of 253 consecutive patients with soft tissue defects of the lower limb from trauma, infection or malignancies underwent lower extremity reconstructive surgery with 266 free muscle flaps. Complications requiring revision surgery were noted in 36.1% of cases. Total flap loss occurred in 10.5% of cases. Patients requiring revision surgery were older, more likely to be female, more likely to be active smokers, and more likely to have a higher ASA score. Lower extremity reconstruction with free muscle flaps has a relevant complication rate that both patient and reconstructive surgeon need to be aware of. Prospective studies should try to further assess the factors affecting the outcome.</p>","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10854364","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}
引用次数: 1
The superficial peroneal neurocutaneous flap: a cadaveric study. 腓浅神经皮瓣:尸体研究。
IF 1.2 4区 医学
Journal of Plastic Surgery and Hand Surgery Pub Date : 2023-02-01 DOI: 10.1080/2000656X.2023.2168273
Thepparat Kanchanathepsak, Katanyata Kunsook, Wasit Panoinont, Chinnawut Suriyonplengsaeng, Sorasak Suppaphol, Ittirat Watcharananan, Panithan Tuntiyatorn, Tulyapruek Tawonsawatruk
{"title":"The superficial peroneal neurocutaneous flap: a cadaveric study.","authors":"Thepparat Kanchanathepsak,&nbsp;Katanyata Kunsook,&nbsp;Wasit Panoinont,&nbsp;Chinnawut Suriyonplengsaeng,&nbsp;Sorasak Suppaphol,&nbsp;Ittirat Watcharananan,&nbsp;Panithan Tuntiyatorn,&nbsp;Tulyapruek Tawonsawatruk","doi":"10.1080/2000656X.2023.2168273","DOIUrl":"https://doi.org/10.1080/2000656X.2023.2168273","url":null,"abstract":"<p><p>Soft tissue defects around the ankle are common and must be covered with thin and pliable flaps. A regional flap, particularly from the dorsum of the foot was considered ideal. A neurocutaneous flap, based on the superficial peroneal nerve (SPN) and its branches was designed as a proximally based flap <i>via</i> cadaveric dissection. This study aimed to demonstrate the vascularity and characteristics of the superficial peroneal neurocutaneous (SPNC) flap. The SPNC flap was created in 11 lower limbs (seven cadavers) using a proximally based design. The skin flap was dissected at the dorsum of the foot, followed by injection of diluted methylene blue through the anterior tibial artery, to visualize the vascularity. The flap pedicle above the anterior ankle joint line was dissected along the SPN for anatomical study of perforating branches, paraneural vessels, and flap territory. The mean distances of the most proximal perforating branches were 1.51 ± 1.48 cm from the anterior ankle joint line, and 5.12 ± 1.78 cm from the lateral malleolus. The mean distances of the most distal perforating branches were 2.75 ± 1.54 cm from the anterior ankle joint line, and 5.90 ± 1.81 cm from the lateral malleolus. The mean number of perforating branches was 3.73 ± 1.49. The mean flap territories were 5.51 ± 0.59 cm in length, and 7.15 ± 0.64 cm in width. The SPNC flap is an alternative method for soft tissue reconstruction around the ankle with a proximally based flap design. The antegrade flow has been shown to offer effective vascularity in flaps prepared <i>via</i> cadaveric dissection.</p>","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10855851","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}
引用次数: 0
The effect of implant loss after immediate breast reconstruction on patient satisfaction with outcome and quality of life after five years - a case-control study. 一项病例对照研究:即刻乳房再造术后植入物丢失对患者5年后预后和生活质量满意度的影响。
IF 1.2 4区 医学
Journal of Plastic Surgery and Hand Surgery Pub Date : 2023-02-01 DOI: 10.1080/2000656X.2022.2061501
Linn Weick, Carolina Lunde, Emma Hansson
{"title":"The effect of implant loss after immediate breast reconstruction on patient satisfaction with outcome and quality of life after five years - a case-control study.","authors":"Linn Weick,&nbsp;Carolina Lunde,&nbsp;Emma Hansson","doi":"10.1080/2000656X.2022.2061501","DOIUrl":"https://doi.org/10.1080/2000656X.2022.2061501","url":null,"abstract":"<p><p>Several advantages have been suggested for immediate breast reconstruction (IBR); however, there is little scientific high-quality evidence confirming those advantages. Disadvantages of IBR, compared to delayed breast reconstruction (DBR), include an increased risk for complications, such as implant loss (prevalence 5-10% vs. 1%). Little is known on how women experience implant loss and how it affects patients' long-term satisfaction and quality of life (QoL). The primary aim of our study was to compare patient satisfaction and QoL of women with implant loss after IBR, with that of women with a successful IBR. Breast-Q, Body Esteem Scale for Adults and Adolescents (BESAA) and Hospital Anxiety and Depression Scale (HADS) were sent to women who had experienced implant loss during the last 10 years. Women of a similar age who were reconstructed, without complications, during the same period were controls. The results suggest that there might be a more permanent negative effect on satisfaction and QoL following implant loss. The proportion of possible cases of depression was higher among patients who had experienced implant loss. The findings could indicate that in patients with an elevated risk for implant loss, the possible benefits with IBR should be carefully balanced against the effects of implant loss.</p>","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9343896","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}
引用次数: 0
Breast augmentation under local anesthesia with intercostal blocks and light sedation. 肋间阻滞和轻度镇静局部麻醉下隆胸。
IF 1.2 4区 医学
Journal of Plastic Surgery and Hand Surgery Pub Date : 2023-02-01 DOI: 10.1080/2000656X.2022.2069789
Martine Ditlev, Erik Loentoft, Lisbet R Hölmich
{"title":"Breast augmentation under local anesthesia with intercostal blocks and light sedation.","authors":"Martine Ditlev,&nbsp;Erik Loentoft,&nbsp;Lisbet R Hölmich","doi":"10.1080/2000656X.2022.2069789","DOIUrl":"https://doi.org/10.1080/2000656X.2022.2069789","url":null,"abstract":"<p><strong>Introduction: </strong>This study of breast augmentations performed under local anesthesia with intercostal blocks and light sedation describes the outcomes and evaluates benefits and complications.</p><p><strong>Method: </strong>From December 2005 until August 2019, 335 women consecutively underwent bilateral breast augmentation procedures. The anesthetic protocol consisted of an initial intravenous bolus of 1 mg midazolam and 0.25 mg alfentanil preoperatively. In 2017, this was changed to 2-4 mg midazolam intramuscularly, 1 mg midazolam intravenously, and 2.5 µg sufentanil intravenously. Intercostal blocks were injected at the midaxillary line into the intercostal spaces two to seven. The operating field was infiltrated with tumescent local anesthesia. Retrospective data extraction from patients' medical charts was done, registering demographics, dosage of anesthesia, surgical characteristics, complications, and reoperation rates.</p><p><strong>Results: </strong>Two hundred and eighty-one women underwent primary augmentation and 54 had implant replacement. The most common complications included suboptimal cosmetic results, asymmetry, and healing-related problems. The overall rate of reoperation was 16.1% within an average follow-up period of 2 years, ranging from 0 to 12.5 years. The majority of the reoperations were due to cosmetic reasons. The change in anesthetic regime was associated with a significantly (<i>p</i> < 0.0001) decreased need for supplementary medication with no increased risk of complications.</p><p><strong>Conclusion: </strong>Breast augmentations in local anesthesia with intercostal blocks and light sedation can be performed safely and can serve as an alternative to procedures in general anesthesia.</p>","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9343898","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}
引用次数: 0
Long-term follow-up of patients treated with pyrocarbon disc implant for thumb carpometacarpal osteoarthritis: the effect of disc position on outcomes measures. 热炭椎间盘植入治疗拇指腕掌骨关节炎患者的长期随访:椎间盘位置对结果测量的影响。
IF 1.2 4区 医学
Journal of Plastic Surgery and Hand Surgery Pub Date : 2023-02-01 DOI: 10.1080/2000656X.2022.2044835
Janna S E Ottenhoff, Cecile M C A van Laarhoven, Mark van Heijl, Arnold H Schuurman, J Henk Coert, Brigitte E P A van der Heijden
{"title":"Long-term follow-up of patients treated with pyrocarbon disc implant for thumb carpometacarpal osteoarthritis: the effect of disc position on outcomes measures.","authors":"Janna S E Ottenhoff,&nbsp;Cecile M C A van Laarhoven,&nbsp;Mark van Heijl,&nbsp;Arnold H Schuurman,&nbsp;J Henk Coert,&nbsp;Brigitte E P A van der Heijden","doi":"10.1080/2000656X.2022.2044835","DOIUrl":"https://doi.org/10.1080/2000656X.2022.2044835","url":null,"abstract":"<p><p>Pyrocarbon disc interposition arthroplasty is an effective treatment for thumb base osteoarthritis. However, as with all implant techniques, the disc can (sub)luxate over time. The relationship between disc position, the experienced pain, and the necessity for revision surgery is not known. This study evaluated the effect of radiographic pyrocarbon disc position on the Michigan Hand Questionnaire (MHQ) outcome measurement. In addition, the correlation between disc position and other factors, including pain intensity, thumb strength, and occupation, was assessed. In this retrospective study, we included 136 patients (161 thumbs) with a mean follow-up of 6.7 years (range 3.3-11). Radiographs were scored on disc position and classified as 'well aligned' (Grade 1) up to 'luxated' (Grade 4). A database used for outcome measures included MHQ scores, pain intensity, satisfaction, thumb strength, range of motion, occupation, and hand dominance. In bivariate analyses, we assessed any association between disc position and outcome measurements. Eighty of the 136 implants (59%) were well-positioned (not displaced), 41% were (slightly) displaced (grade 2-3). No relationship existed between the degree of disc displacement and MHQ scores. Manual labor occupation was the only factor that correlated with more severe disc displacement. We could not detect any association between disc position and other outcome variables including pain intensity, thumb strength, or hand dominance. In conclusion, our study suggests that radiographic disc displacement has little clinical consequences. Future studies must assess if there is a causality between heavy mechanical stress to the CMC1 joint and luxation of the pyrocarbon disc over time.<b>Level of evidence:</b> IV Therapeutic-Retrospective case series.</p>","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10796913","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}
引用次数: 1
Pain, hand function, activity performance and apprehensiveness, in patients with surgically treated distal radius fractures. 手术治疗桡骨远端骨折患者的疼痛、手功能、活动表现和忧虑。
IF 1.2 4区 医学
Journal of Plastic Surgery and Hand Surgery Pub Date : 2023-02-01 DOI: 10.1080/2000656X.2022.2060992
J Blomstrand, G Kjellby Wendt, J Karlsson, J Wangdell, M Fagevik Olsén
{"title":"Pain, hand function, activity performance and apprehensiveness, in patients with surgically treated distal radius fractures.","authors":"J Blomstrand,&nbsp;G Kjellby Wendt,&nbsp;J Karlsson,&nbsp;J Wangdell,&nbsp;M Fagevik Olsén","doi":"10.1080/2000656X.2022.2060992","DOIUrl":"https://doi.org/10.1080/2000656X.2022.2060992","url":null,"abstract":"<p><p>Distal radius fracture (DRF) is a common injury, affecting both function and activity performance. Postoperative rehabilitation is an essential part of the treatment of a surgically treated DRF. The study aims were to assess pain, hand function, activity performance and apprehensiveness and their association, during the first three months after a surgically treated DRF. Eighty-eight patients with a DRF were assessed for pain, hand function, activity performance and apprehensiveness three days and two, six and 12 weeks after surgery. The results indicated that pain, range of motion (ROM), grip strength, apprehensiveness, and activity performance (PRWE) improved significantly between follow-ups (<i>p</i> < .001-.01). Apprehensiveness correlated moderately with activity performance on all visits (0.40-0.47, <i>p</i> < .01), which implies a correlation between the variables, but the regression model showed that the differences in the PRWE at twelve weeks cannot be explained by the differences in apprehensiveness or range of motion at cast removal. At 12 weeks, the study participants had regained almost 70% of their grip strength and 74-96% of the ROM of the uninjured hand.The study shows that, during the study period, the participants improved in both pain, hand function and activity performance, and indicates that a simple question on apprehensiveness in terms of using the injured hand in daily life could be an important factor in distal radius fracture rehabilitation.</p>","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9343897","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}
引用次数: 0
Corset trunkoplasty is able to preserve postoperative abdominal skin sensation in massive weight loss patients. 胸衣躯干成形术能够保留大量减肥患者术后腹部皮肤感觉。
IF 1.2 4区 医学
Journal of Plastic Surgery and Hand Surgery Pub Date : 2023-02-01 DOI: 10.1080/2000656X.2022.2152822
Kathrin Bachleitner, Maximilian Mahrhofer, Friedrich Knam, Thomas Schoeller, Laurenz Weitgasser
{"title":"Corset trunkoplasty is able to preserve postoperative abdominal skin sensation in massive weight loss patients.","authors":"Kathrin Bachleitner,&nbsp;Maximilian Mahrhofer,&nbsp;Friedrich Knam,&nbsp;Thomas Schoeller,&nbsp;Laurenz Weitgasser","doi":"10.1080/2000656X.2022.2152822","DOIUrl":"https://doi.org/10.1080/2000656X.2022.2152822","url":null,"abstract":"<p><p>Conventional abdominoplasty techniques commonly cause postoperative peri- and infraumbilical skin hypesthesia due to abdominal skin flap undermining. The aim of this study was to evaluate abdominal skin sensation after corset trunkoplasty in massive weight loss patients. Forty-nine massive weight loss patients suffering from excess skin underwent corset trunkoplasty between April 2017 and July 2021. Patient demographics and perioperative complications were recorded. Sensibility of the abdominal skin was measured in three qualities postoperatively using a Semmes-Weinstein monofilament, Tip-Therm<sup>®</sup> device for thermal sensation and a cotton wooden stick for sharp/blunt discrimination. Results were compared with a control group of healthy individuals to create a baseline. Revision surgery for major complications was necessary in five cases (10%) including hematoma and major wound healing disturbances. Minor complications that did not require surgical intervention were observed in eight cases (16%). Postoperative abdominal sensibility did not show any significant difference between the patient and the control group in all 16 measured areas. Sharp/blunt and thermal discrimination was positive in all patients for the whole abdominal surface area. The corset trunkoplasty technique is able to address both horizontal and vertical soft tissue excess in massive weight loss patients and at the same time limits loss of sensibility of the abdominal skin. Compared to conventional abdominoplasty techniques the abdominal sensation can mainly be preserved due to absence of undermining abdominal skin flaps.</p>","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9345403","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}
引用次数: 0
The association between trauma and paediatric trigger thumb deformity; experience from a single tertiary referral hospital. 创伤与儿童触发拇指畸形之间的关系来自单一三级转诊医院的经验。
IF 1.2 4区 医学
Journal of Plastic Surgery and Hand Surgery Pub Date : 2023-02-01 DOI: 10.1080/2000656X.2022.2032104
Nadia L Salloum, Pauline McGee, Wee L Lam
{"title":"The association between trauma and paediatric trigger thumb deformity; experience from a single tertiary referral hospital.","authors":"Nadia L Salloum,&nbsp;Pauline McGee,&nbsp;Wee L Lam","doi":"10.1080/2000656X.2022.2032104","DOIUrl":"https://doi.org/10.1080/2000656X.2022.2032104","url":null,"abstract":"<p><p>Whilst the natural history and management of trigger thumb have been thoroughly investigated, the aetiology of the condition remains poorly understood. There are suggestions that this could be a congenital or acquired condition, but evidence remains limited. A history of trauma has repeatedly been noted in a proportion of patients presenting with trigger thumb. This retrospective study reviewed the presentations of 75 cases of trigger thumb in 65 consecutive children who underwent surgery for trigger thumb. We found that 28% of affected digits presented with a traumatic history to the thumb, of those 90% presented immediately post-injury with a flexion deformity. Those who presented with a traumatic history were typically younger at presentation (median age 27.0 months compared to 37.5 months for traumatic and atraumatic presentations respectively) but also tended to present earlier than the atraumatic group (one day compared to 12.17 months respectively). We conclude that a single traumatic event is unlikely to be the causative factor in the development of trigger thumb in children but it may expediate the development of individuals who are predisposed.</p>","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10795790","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}
引用次数: 1
Single versus dual venous anastomosis in radial forearm free flaps in head and neck reconstruction. 前臂桡骨游离皮瓣在头颈部重建中的单静脉与双静脉吻合。
IF 1.2 4区 医学
Journal of Plastic Surgery and Hand Surgery Pub Date : 2023-02-01 DOI: 10.1080/2000656X.2022.2152821
Hanjin Ruan, Zhengxue Han
{"title":"Single versus dual venous anastomosis in radial forearm free flaps in head and neck reconstruction.","authors":"Hanjin Ruan,&nbsp;Zhengxue Han","doi":"10.1080/2000656X.2022.2152821","DOIUrl":"https://doi.org/10.1080/2000656X.2022.2152821","url":null,"abstract":"<p><p>A retrospective cohort study of 253 radial forearm free flap (RFFF) procedures in head and neck reconstruction performed in our department between 2005 and 2018 was reviewed. In order to explore the effects between single and dual anastomoses, we applied Fisher's exact test for statistical analysis. Although no flap failure was identified, more venous compromises were observed in single anastomosis group (5/80 vs. 1/173). We conclude that dual venous anastomoses can reduce venous compromise resulted from unexpected causes in RFFF transfer. Therefore, we especially recommend dual venous anastomoses for those who cannot withstand a second surgery.</p>","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10798671","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}
引用次数: 0
Evaluation of an assessment scale for aesthetic outcome in breast reconstructions based on digital photos in both 2D and 3D format. 基于2D和3D格式数码照片的乳房重建美学效果评估量表的评价。
IF 1.2 4区 医学
Journal of Plastic Surgery and Hand Surgery Pub Date : 2023-02-01 DOI: 10.1080/2000656X.2022.2152820
Linda Tallroth, Nathalie Mobargha, Patrik Velander, Stina Klasson, Magnus Becker
{"title":"Evaluation of an assessment scale for aesthetic outcome in breast reconstructions based on digital photos in both 2D and 3D format.","authors":"Linda Tallroth,&nbsp;Nathalie Mobargha,&nbsp;Patrik Velander,&nbsp;Stina Klasson,&nbsp;Magnus Becker","doi":"10.1080/2000656X.2022.2152820","DOIUrl":"https://doi.org/10.1080/2000656X.2022.2152820","url":null,"abstract":"<p><p>The aesthetic outcome is crucial in a breast reconstruction. Our aim was to evaluate the intra- and interrater reliability of an aesthetic outcome assessment scale with digital photos of breast reconstructions in two-dimensional (2D) and three-dimensional (3D) format. Thirty-three women with delayed breast reconstructions, consecutively participating in a five-year follow-up between November 2019 and June 2021, were included in the study. Of these, 14 were reconstructed with an expander prosthesis (EP) and 19 with a deep inferior epigastric perforator (DIEP) flap. Photos of the breasts were assessed in 2D and 3D format by expert, layman and patient panels. Data were analysed with the weighted kappa (wk) statistics. The intrarater agreements were moderate to substantial, with wk between 0.66 and 0.73 for the panels. Within the panels, the interrater agreements were 0.46-0.62. Moderate agreements were found between the matched 2D and 3D format photos (wk 0.62-0.66). The patient panel graded scar appearance worse in 3D compared with 2D format. In all panels, there was a tendency towards DIEP flap reconstructions receiving higher aesthetic outcome grades compared with EP. Thus, the aesthetic outcome assessment scale demonstrated acceptable agreements between the individual panellists and within the panels. Scars captured in 3D format may provide a greater resemblance to the reality compared with 2D. Implications for clinics remain to be further studied.</p>","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10794415","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}
引用次数: 0
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