Plastic and reconstructive surgery最新文献

{"title":"Surgical treatment of Rhinogenic Migraines: A Call to Action.","authors":"Viren Patel, Quan Lu, R'ay Fodor, Berk Ozmen, Neel Vishwanath, Daniel Bahat, Ali Totonchi","doi":"10.1097/PRS.0000000000013534","DOIUrl":"https://doi.org/10.1097/PRS.0000000000013534","url":null,"abstract":"","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149228579","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 Case for Procedure-Specific Risk Calculators in Plastic Surgery.","authors":"Mateen Motavaf, Danyal Raza, Ash Patel","doi":"10.1097/PRS.0000000000013548","DOIUrl":"https://doi.org/10.1097/PRS.0000000000013548","url":null,"abstract":"","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149228635","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":"Evaluation of Pediatric Skull Fracture Healing Using Non-Sedated Magnetic Resonance Imaging-Generated Synthetic CT: A Case Study.","authors":"Nora A Malloy, Sai Anusha Sanka, Tongyao Wang, Gary B Skolnick, Cihat Eldeniz, Paul K Commean, Corinne M Merrill, Yasheng Chen, Hongyu An, Kamlesh Patel","doi":"10.1097/PRS.0000000000013559","DOIUrl":"https://doi.org/10.1097/PRS.0000000000013559","url":null,"abstract":"","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149228644","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":"Penile Implant Illness: Does It Exist and What Can We Infer About Systemic Symptoms Associated With Breast Implants?","authors":"Jessie C Feng, Annabel E Baek, Nadia P Blanchet","doi":"10.1097/PRS.0000000000013554","DOIUrl":"https://doi.org/10.1097/PRS.0000000000013554","url":null,"abstract":"","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149228581","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":"Fingertip-First Indocyanine Green Lymphography: A Distal-to-Proximal Technique for Upper-Extremity Lymphaticovenous Bypass Planning.","authors":"Ronnie L Shammas, Hidehiko Yoshimatsu","doi":"10.1097/PRS.0000000000013555","DOIUrl":"https://doi.org/10.1097/PRS.0000000000013555","url":null,"abstract":"","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149228673","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":"A New Frontier: Partial Cellular Reprogramming in Plastic Surgery.","authors":"Amir-Ala Mahmoud, Arman Fijany, Libby Copeland-Halperin, Granger Wong","doi":"10.1097/PRS.0000000000013549","DOIUrl":"https://doi.org/10.1097/PRS.0000000000013549","url":null,"abstract":"<p><p>Partial cellular reprogramming employs Yamanaka factors to shift aging cells toward a younger epigenetic state without compromising cellular identity. Over two decades, this Nobel Prize winning breakthrough has advanced from the bench to a first in-human trial in 2026 for optic neuropathy and glaucoma. Here, we outline the foundation of partial cellular reprogramming and delineate its intersection with our field. Defined by innovation, plastic surgery can shape how partial reprogramming is applied in what may prove to be a transformative chapter for our specialty.</p>","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149228653","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":"Feasibility, Safety and Efficacy of Outpatient Lipoabdominoplasty with Sedation, TAP Block, and Tumescent Anesthesia.","authors":"Stéphane Stahl, Lukas Prantl, Tillmann Krüger, You-Shan Feng, Adelana Santos Stahl, Ana Cristina Seabra Robalo Gomes Jorge","doi":"10.1097/PRS.0000000000013553","DOIUrl":"https://doi.org/10.1097/PRS.0000000000013553","url":null,"abstract":"<p><strong>Introduction: </strong>Postoperative pain after abdominoplasty can reduce patient satisfaction, delay mobility, and increase complications like deep vein thrombosis (DVT). Multimodal analgesia, including transversus abdominis plane (TAP) blocks, improves pain control, reduces opioid use, improving recovery, minimizing DVT risks, and promoting early ambulation and recovery.</p><p><strong>Objective: </strong>This article examines the safety, effectiveness, and practical aspects of abdominoplasty under sedation and TAP block as an alternative to general anesthesia, detailing the anesthetic protocol and patient outcomes.</p><p><strong>Materials and methods: </strong>This prospective, single-center case series encompassed all consecutive lipoabdominoplasty patients from December 2020 to June 2025. Epidemiology, procedures, medications, patient-reported outcomes, satisfaction, and complications were collected via standardized questionnaires, including BodyQ, Patient and Observer Scar Assessment Scale (POSAS) and International Pain Outcome (IPO) questionnaire.</p><p><strong>Results: </strong>Forty patients (mean age 37 ± 11) underwent lipoabdominoplasty under conscious sedation and TAP-block; 45% also underwent breast surgery. During the first 24 postoperative hours, 31% of patients experienced at least one episode of severe pain, lasting a cumulative average of 2.4 hours. 90% reported minimal/no nausea. No antiemetics were required; 25% received one opioid dose. Analgesia satisfaction was 90%. Median discharge time was 2:42 h (interquartile range [IQR] 2:00-3:16). Appearance satisfaction was 100% (IQR 81-100%).</p><p><strong>Conclusion: </strong>Lipoabdominoplasty with sedation, TAP block, and tumescent anesthesia can be safely performed in the outpatient setting, with minimal to no nausea, low to moderate pain, and great patient satisfaction. The evidence supports revisiting postoperative care pathways to ensure prudent utilization of hospital assets, like minimizing unnecessary inpatient observation, without compromising outcomes.Level of Evidence: IV.</p>","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224712","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":"Surgical Correction of Abdominal Step-Off Deformity Following Free Abdominal Flap Breast Reconstruction.","authors":"Hideyoshi Sato, Tomoki Hirata, Yuka Horie, Urara Yoshimura, Ryota Nakamura, Kazuhiro Toriyama","doi":"10.1097/PRS.0000000000013557","DOIUrl":"https://doi.org/10.1097/PRS.0000000000013557","url":null,"abstract":"","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224738","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":"Substantial preoperative weight loss increases odds of healthcare utilization after reduction mammoplasty in obese patients.","authors":"Thomas J Sorenson, Rebecca Lisk, Carter J Boyd, Kshipra Hemal, Mihye Choi, Nolan Karp, Oriana Cohen","doi":"10.1097/PRS.0000000000013550","DOIUrl":"https://doi.org/10.1097/PRS.0000000000013550","url":null,"abstract":"<p><strong>Background: </strong>Obesity is associated with increased complications following reduction mammoplasty (RM). Preoperative weight loss is commonly recommended to reduce surgical risk, although it remains unclear whether obese patients who have recently lost weight experience outcomes comparable to their weight-stable obese counterparts. This study evaluated the impact of recent preoperative weight loss on postoperative outcomes following RM.</p><p><strong>Methods: </strong>Epic COSMOS was used to identify obese patients undergoing RM. Patients who lost ≥5% body weight within two years before surgery were compared with weight-stable controls. Postoperative complications were assessed. Propensity score matching and multivariable regression were used to adjust for covariates.</p><p><strong>Results: </strong>After matching, 7,874 patients were included in each cohort. Patients with substantial (>10% body weight) weight loss demonstrated highest risk of surgical site infection [SSI] (aOR 1.26; 95% CI 1.04 - 1.52) and more than double the risk of hospital readmission (aOR 2.09, 95% CI 1.31 - 3.25). Independent of weight loss, severe morbid obesity (BMI 40-50) was associated with increased risk of SSI (aOR 1.77, 95% CI 1.48 - 2.1), wound dehiscence (aOR 2.24, 95% CI 1.81 - 2.77), fat necrosis (aOR 1.51; 95% CI 1.11-2.01), and ED revisit (aOR 1.49, 95% CI 1.21 - 1.82).</p><p><strong>Conclusion: </strong>In obese patients, preoperative weight loss exceeding 10% of body weight was associated with higher odds of SSI and hospital readmission following RM compared with weight-stable obese counterparts. Given the observational design and unmeasured factors including nutritional status and frailty, no broader inference regarding the effect of preoperative weight loss on surgical risk is drawn.</p>","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224689","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":"\"Surgical Outcomes in Body Contouring Procedures: A Retrospective Cohort Study of 168 Patients\".","authors":"Meg Quint, Allison C Hu, Breanna Y Jedrzejewski, Arya A Akhavan, John H Pang, Thomas Satterwhite","doi":"10.1097/PRS.0000000000013558","DOIUrl":"https://doi.org/10.1097/PRS.0000000000013558","url":null,"abstract":"<p><strong>Introduction: </strong>Transgender and gender diverse (TGD) individuals may undergo feminizing body contouring (FBC), liposuction with or without fat grafting to the buttocks and hips, to fulfill embodiment goals. There is currently little literature describing FBC outcomes.</p><p><strong>Methods: </strong>A retrospective review of patients who were ≥18 years old with ≥1 postoperative appointment who underwent FBC from 1/2019-10/2024 by four surgeons was performed. Demographic data, medical history, perioperative details, and complications were reviewed.</p><p><strong>Results: </strong>A total of 168 primary procedures were completed. Most patients (n=161, 96.4%) used hormones for an average of 8.5 years. Average age was 37.1 years old and average BMI was 29.3 kg/m2. Average fat transferred was 2.2 L, most commonly from the abdomen (98.8%), back (94.6%), and medial thighs (59.5%). A third of patients (33.3%) attended at least one hyperbaric oxygen chamber therapy session with an average of 12.7 sessions. At average follow-up of 318.5 days, 19.6% of patients experienced any complication, 4.2% with contour deformity, 3.0% with fat necrosis, 2.4% with cellulitis, 2.4% having seroma, and 2.4% being readmitted. Revision rate for fat loss or deformity was 20.2%. Increased age was associated with fat necrosis (p=0.05) and increased HBOT sessions was associated with decreased odds of any complication (p=0.03). While BMI did not correlate with complication rates, increasing fat grafting volume trended toward statistical significance for association with any complication (p = 0.07).</p><p><strong>Conclusion: </strong>FBC appears to be a safe and customizable procedure for transfeminine patients, with relatively low rates of major complications. Clinical counseling should emphasize potential need for revision due to fat loss or contour deformity.</p>","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224674","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}