Plastic and reconstructive surgery最新文献

{"title":"Discussion: Long-Term Volume Retention of Breast Augmentation with Fat Grafting Depends on Weight Changes: A 3-Year Prospective Magnetic Resonance Imaging Study.","authors":"Nishant Ganesh Kumar, Sam S Jejurikar","doi":"10.1097/PRS.0000000000011913","DOIUrl":"https://doi.org/10.1097/PRS.0000000000011913","url":null,"abstract":"","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":"155 6","pages":"955-956"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Discussion: Radical Overlapping Intravelar Veloplasty during Primary Cleft Palate Repair Results in Decreased Secondary Speech Surgery.","authors":"Carolyn R Rogers-Vizena, Alexander C Allori","doi":"10.1097/PRS.0000000000011756","DOIUrl":"https://doi.org/10.1097/PRS.0000000000011756","url":null,"abstract":"","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":"155 6","pages":"1009-1010"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Discussion: Skin Graftless Dorsal Metacarpal Island VY Advancement Flap versus Dorsal Rectangular Flap with Skin Grafting in 213 Simple Syndactyly Releases.","authors":"Pradeep K Attaluri, Peter J Nicksic, Brett F Michelotti, Michael L Bentz","doi":"10.1097/PRS.0000000000011998","DOIUrl":"https://doi.org/10.1097/PRS.0000000000011998","url":null,"abstract":"","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":"155 6","pages":"982-983"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply: Patient-Reported Satisfaction and Health-Related Quality of Life in Patients with Breast Augmentation: A Follow-Up of 6 Months.","authors":"Kim Phi Luong, Magdalena Peters, Harm P Slijper, Stefan Hummelink, Dietmar J O Ulrich","doi":"10.1097/PRS.0000000000012084","DOIUrl":"https://doi.org/10.1097/PRS.0000000000012084","url":null,"abstract":"","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":"155 6","pages":"1083e-1085e"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utilization of Recipient Veins with Reflux during Supermicrosurgical Lymphaticovenous Anastomosis for Lower Limb Lymphedema.","authors":"Luca Patanè, Pao-Jen Kuo, Yu-Che Ou, Chad Chang, Shao-Chun Wu, Wei-Che Lin, Peng-Chen Chien, Ching-Hua Hsieh, Johnson Chia-Shen Yang","doi":"10.1097/PRS.0000000000011869","DOIUrl":"https://doi.org/10.1097/PRS.0000000000011869","url":null,"abstract":"<p><strong>Background: </strong>The use of recipient veins with venous reflux for lymphaticovenous anastomosis (LVA) is discouraged because it is commonly believed that this may lead to venous-lymphatic reflux (VLR). VLR is a phenomenon in which venous blood is refluxed into the lymphatic lumen after anastomosis, potentially lowering the long-term patency rate. However, this concept is yet to be validated. This study aimed to determine the impact on outcomes when recipient veins with reflux were used for LVA in treating unilateral lower limb lymphedema.</p><p><strong>Methods: </strong>Seventy-nine patients who underwent LVA as the primary treatment were enrolled. The study group included 31 patients who received only recipient veins with reflux. An additional 48 patients (control group) received only reflux-free veins. Patients with a history of LVA, liposuction, or excisional therapy were excluded. Patient characteristics, intraoperative findings, functional parameters, and pre-LVA and post-LVA volume changes were recorded and matched using propensity score matching. The primary endpoint was the volume change at 6 and 12 months after LVA.</p><p><strong>Results: </strong>After matching, 28 patients were included in each group. All parameters were matched except the study variables, where the study group demonstrated significantly higher venous reflux (P < 0.001) and VLR ratio (P < 0.001). However, at the 6- and 12-month follow-up, the postoperative percentage volume reduction was comparable between the groups (P = 0.385 and 0.391, respectively).</p><p><strong>Conclusion: </strong>When reflux-free veins are unavailable, using recipient veins with reflux for LVA is recommended.</p><p><strong>Clinical question/level of evidence: </strong>Therapeutic, III.</p>","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":"155 6","pages":"1034-1040"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of the Infected Tissue Expander.","authors":"Jonas A Nelson, Perri S Vingan, Francis D Graziano, Max Mandelbaum, Danielle Rochlin, Lillian A Boe, Julia Gutierrez, Evan Matros, Babak J Mehrara, Michelle R Coriddi","doi":"10.1097/PRS.0000000000011809","DOIUrl":"10.1097/PRS.0000000000011809","url":null,"abstract":"<p><strong>Background: </strong>Tissue expander (TE) infection is a critical postoperative complication in 2-stage implant-based breast reconstruction (IBBR). The authors assessed risk factors associated with TE infection and reconstructive loss and examined reconstructive salvage rates.</p><p><strong>Methods: </strong>The authors retrospectively reviewed patients who underwent IBBR with TE placement from 2017 to 2022. Included were patients with TE infection treated with admission and intravenous antibiotics, interventional radiology (IR) drainage, and/or operative management (washout with or without TE removal and TE replacement, TE removal and replacement with implant, and/or TE removal without replacement). Reconstructive success was defined as maintenance of breast reconstruction for 1 year after TE placement.</p><p><strong>Results: </strong>Of 4498 patients who underwent IBBR, 305 (338 TEs) met the inclusion criteria. Cox modeling showed that higher body mass index, hypertension, radiation therapy, bilateral TEs, acellular dermal matrix use, increasing mastectomy weight, and nipple-sparing mastectomy were associated with increased hazard of TE infection. Patients with TE infection had a 54% reconstructive failure rate within 1 year; Cox modeling showed that Black race and Gram-negative cultures were associated with increased hazard of reconstructive failure within 1 year. Patients who underwent TE replacement with an implant had the most favorable success rate following infection.</p><p><strong>Conclusions: </strong>Overall, 46% of patients admitted with a periprosthetic infection had successful salvage. Patients with TE infection should be started on intravenous antibiotics with a low threshold for operative intervention based on examination and culture data. Although IR can guide operative intervention of periprosthetic infections, our practice has shifted away from IR drainage toward definitive operative management.</p><p><strong>Clinical question/level of evidence: </strong>Risk, III.</p>","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"961e-973e"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142505909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Racial Representation of Cosmetic Minimally Invasive Procedure Patients and Physicians on Social Media.","authors":"Evan Rothchild, Eliana R Weinstein, Joshua Cohen, Geena Jung, Joseph A Ricci","doi":"10.1097/PRS.0000000000011876","DOIUrl":"10.1097/PRS.0000000000011876","url":null,"abstract":"","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"1090e-1091e"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contemporary View on the Care of the Rheumatoid Wrist.","authors":"Leah R F Demetri, Kevin C Chung, Philip E Blazar","doi":"10.1097/PRS.0000000000011656","DOIUrl":"10.1097/PRS.0000000000011656","url":null,"abstract":"<p><strong>Summary: </strong>Rheumatoid arthritis (RA) is a common inflammatory condition that can lead to debilitating hand and wrist deformity. Since the introduction of disease-modifying antirheumatic drugs in the 1990s, the rate of surgery for rheumatoid arthritis has dramatically decreased. Nonetheless, surgical intervention remains an important tool in the management of patients with RA, and young surgeons must seek out expertise in this domain due to diminished exposure during their training. In this article, the authors provide a comprehensive review of the evaluation and management of patients with wrist pathology attributable to RA as well as surgical technical pearls.</p>","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"1005e-1014e"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141860599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraoperative Surgical Guidance for DIEP Flap Harvest Using Augmented Reality.","authors":"Philip M Edgcumbe, Tony Jiang, Joshua F Ho, Michael L Martin, Michael J Stein, Kathryn V Isaac","doi":"10.1097/PRS.0000000000011863","DOIUrl":"10.1097/PRS.0000000000011863","url":null,"abstract":"<p><strong>Summary: </strong>Augmented reality systems for surgical navigation provide the capability to project preoperative computed tomographic scans and segmented anatomical structures directly into the surgeon's field of view, along with virtual displays akin to traditional monitors. Using the Meta Quest 3 consumer augmented reality headset, the authors found that it can achieve clinically acceptable accuracy in surgical navigation for deep inferior epigastric perforator operations. Notably, the Quest 3 can operate independently because of a novel registration technique using hand tracking, suitable for use in sterile environments.</p>","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"932-935"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Body Mass Index on Adverse Outcomes Associated with Panniculectomy: A Multimodal Analysis.","authors":"Alexander F Dagi, Christine H Rohde, Jarrod T Bogue","doi":"10.1097/PRS.0000000000011908","DOIUrl":"10.1097/PRS.0000000000011908","url":null,"abstract":"","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"1085e-1086e"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}