Plastic and reconstructive surgery最新文献_第10页

Discussion: Use of Auricular Composite Graft in Rib Cartilage-Based Rhinoplasty for Contracted Nose Correction.

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-03-01 Epub Date: 2025-02-24 DOI: 10.1097/PRS.0000000000011801

Kenneth K Kim

引用次数: 0

Philanthropy in Medicine.

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-03-01 Epub Date: 2025-02-24 DOI: 10.1097/PRS.0000000000010926

Alexandria Sherwood, Kevin C Chung

引用次数: 0

PRS Journal Club: Reinforcement of Fundamental Concepts in Hand Surgery.

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-03-01 Epub Date: 2025-02-24 DOI: 10.1097/PRS.0000000000011904

Christopher L Kalmar, Ilana G Margulies, Amanda R Sergesketter

引用次数: 0

Update on Dupuytren Disease: Pathogenesis, Natural History, Treatment, and Outcomes.

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-03-01 Epub Date: 2025-02-24 DOI: 10.1097/PRS.0000000000011854

Lucas B Ohmes, Umar M Ghilzai, David T J Netscher

引用次数: 0

A National Analysis of Targeted Muscle Reinnervation following Major Upper Extremity Amputation. 上肢大截肢后靶向肌肉再神经支配的全国性分析。

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-03-01 Epub Date: 2024-03-29 DOI: 10.1097/PRS.0000000000011439

Lauren Valentine, Allan A Weidman, Jose Foppiani, Angelica Hernandez Alvarez, Erin Kim, Natalie E Hassell, Nicholas Elmer, Toni F Engmann, Samuel J Lin, Sammy Dowlatshahi

{"title":"A National Analysis of Targeted Muscle Reinnervation following Major Upper Extremity Amputation.","authors":"Lauren Valentine, Allan A Weidman, Jose Foppiani, Angelica Hernandez Alvarez, Erin Kim, Natalie E Hassell, Nicholas Elmer, Toni F Engmann, Samuel J Lin, Sammy Dowlatshahi","doi":"10.1097/PRS.0000000000011439","DOIUrl":"10.1097/PRS.0000000000011439","url":null,"abstract":"Background: Postamputation pain is a debilitating sequela of upper extremity (UE) amputation. Targeted muscle reinnervation (TMR) is a relatively novel treatment that can help prevent pain and improve quality of life. The purpose of this study was to evaluate national trends in the application of immediate TMR following UE amputations.Methods: An analysis of the Nationwide Inpatient Sample database was conducted from 2016 to 2019. International Classification of Diseases, 10th Revision, codes were used to identify encounters involving UE amputation with and without TMR. Nationwide Inpatient Sample weights were used to estimate national estimates of incidence. Patient-specific and hospital-specific factors were analyzed to assess associations with use of TMR.Results: A total of 8945 weighted encounters underwent UE amputation, and of those, only 310 (3.5%) received TMR. The majority of TMR occurred in urban hospitals (>95%). Younger patients (47 years versus 54 years; P = 0.008) and patients located in New England were significantly more likely to undergo TMR. There was no difference in total cost of hospitalization among patients who underwent TMR ($55,241.0 versus $59,027.8; P = 0.683) but significantly shorter lengths of hospital stay when undergoing TMR versus other management (10.6 days versus 14.8 days; P = 0.012).Conclusions: TMR has purported benefits of pain reduction, neuroma prevention, and increased prosthetic control. Access to this beneficial procedure following UE amputation varies by demographics and geographic region. Given that TMR has not been shown to increase cost while simultaneously decreasing patient length of stay, increased efforts to incorporate this procedure into training and practice will help to ensure equitable care for amputation patients.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"566-573"},"PeriodicalIF":3.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140318904","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}

引用次数: 0

Comparison of Ligament Z-Plasty and Conventional Surgery for the Treatment of Carpal Tunnel Syndrome: A Randomized Clinical Trial. 韧带 Z 形成形术与传统手术治疗腕管综合征的比较。随机临床试验。

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-03-01 Epub Date: 2024-08-14 DOI: 10.1097/PRS.0000000000011677

Irene Calzado-Alvarez, Maria R Camacho-Sanchez, Rocio Carpintero-Lluch, Francisco Muñoz-Luna, Clementina Lopez-Medina, Jose Carlos Minarro, Alberto Izquierdo-Fernandez

{"title":"Comparison of Ligament Z-Plasty and Conventional Surgery for the Treatment of Carpal Tunnel Syndrome: A Randomized Clinical Trial.","authors":"Irene Calzado-Alvarez, Maria R Camacho-Sanchez, Rocio Carpintero-Lluch, Francisco Muñoz-Luna, Clementina Lopez-Medina, Jose Carlos Minarro, Alberto Izquierdo-Fernandez","doi":"10.1097/PRS.0000000000011677","DOIUrl":"10.1097/PRS.0000000000011677","url":null,"abstract":"Background: Conventional surgery performed to treat carpal tunnel syndrome (CTS) is associated with complications such as pillar pain or loss of strength. This study aimed to compare the incidence of pillar pain between 2 techniques at the 3-week and 6-month follow-up and to determine differences in the recovery of grip strength (GS), pinch strength (PS), and Boston Carpal Tunnel Questionnaire scores.Methods: This randomized clinical trial included 109 patients, 55 of whom underwent ligament Z-plasty and 54, conventional surgery (longitudinal section of the transverse carpal ligament without posterior closure). GS, PS, pillar pain, and Boston Carpal Tunnel Questionnaire scores were assessed preoperatively and 3 weeks and 6 months after surgery.Results: The incidence of pillar pain 3 weeks after surgery was lower in patients undergoing Z-plasty than in those undergoing conventional surgery (25.5% versus 44.4%; P = 0.04). Moreover, the absolute change in PS 3 weeks after surgery ( P = 0.01) and GS 6 months after surgery ( P = 0.05) and the absolute and relative changes in PS after 6 months ( P = 0.008 and P = 0.01, respectively) were significantly higher in the Z-plasty group than in the conventional surgery group.Conclusions: Z-plasty is a valid surgical procedure for treating CTS. It is associated with a lower incidence of pillar pain and better recovery of postoperative strength compared with the conventional surgical technique, with both techniques showing similar results in CTS recovery.Clinical question/level of evidence: Therapeutic, II.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"514-521"},"PeriodicalIF":3.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141976347","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}

引用次数: 0

Discussion: Osseous Maxillary Reconstruction with Immediate Dental Implant Placement: An Optimized Workflow for the Oncologic Patient.

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-03-01 Epub Date: 2025-02-24 DOI: 10.1097/PRS.0000000000011643

Matthew M Hanasono

引用次数: 0

Pitanguy Ligament Preservation in Structural Precision Rhinoplasty. 结构精密鼻整形术中的皮坦古韧带保留。

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-03-01 Epub Date: 2024-07-19 DOI: 10.1097/PRS.0000000000011652

Jeffrey Lisiecki, Michael Chiodo, Matthew Novak, Sebastian Cotofana, Rod J Rohrich

引用次数: 0

Impact of Regional Surgeon Competition on Use, Cost, and Outcomes of Breast Reconstruction in the United States. 地区外科医生竞争对美国乳房再造术的使用、成本和效果的影响。

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-03-01 Epub Date: 2024-07-30 DOI: 10.1097/PRS.0000000000011669

Joseph N Fahmy, Jacob S Nasser, Hao Wu, Lu Wang, Kevin C Chung

{"title":"Impact of Regional Surgeon Competition on Use, Cost, and Outcomes of Breast Reconstruction in the United States.","authors":"Joseph N Fahmy, Jacob S Nasser, Hao Wu, Lu Wang, Kevin C Chung","doi":"10.1097/PRS.0000000000011669","DOIUrl":"10.1097/PRS.0000000000011669","url":null,"abstract":"Background: Breast reconstruction following mastectomy is underused in the United States. Evidence suggests that more competitive hospital markets offer increased access to procedural care across specialties. This study aimed to determine the impact of regional plastic surgeon competition on use, outcomes, and cost of breast reconstruction following mastectomy for breast cancer.Methods: The authors conducted a retrospective cross-sectional analysis using MarketScan claims data from 2009 to 2020. The Herfindahl-Hirschman Index, a measure of market concentration, was calculated using the sum of squares of the proportion of breast reconstruction cases performed by each surgeon in a metropolitan statistical area. Multivariable logistic regression was used to identify differences in rates, outcomes, and costs of reconstruction by the Herfindahl-Hirschman Index.Results: Odds of receiving breast reconstruction within 2 years of mastectomy were higher for those in moderately competitive (OR, 1.51 [95% CI, 1.37 to 1.66]; P < 0.001) or competitive (OR, 1.71 [95% CI, 1.58 to 1.86]; P < 0.001) regions compared with noncompetitive regions. Patient out-of-pocket costs decreased when comparing moderately competitive regions with noncompetitive regions (-$67.38 [95% CI, -$88.65 to -$46.11]; P = 0.007), and decreased further when comparing competitive with noncompetitive regions (-$113.06 [95% CI, -$137.00 to -$89.12]; P = 0.02). No linear association between total, surgeon, or facility cost and market competition strata was identified.Conclusions: Greater competition among surgeons is associated with improved access to reconstructive surgery, but no difference in cost. Application of this evidence may include system-level strategies to bolster care coordination, while targeting drivers of cost, such as hospitals and hospital systems, through policy.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"479e-487e"},"PeriodicalIF":3.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141860601","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}

引用次数: 0

Nasal Tip Deprojection in Rhinoplasty. 鼻整形术中的鼻尖凹陷。

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-03-01 Epub Date: 2024-08-23 DOI: 10.1097/PRS.0000000000011697

Shaishav Datta, Buğra Tugertimur, Steven A Hanna, Paige Goote, Matthew Morris, David Mattos, Richard G Reish

{"title":"Nasal Tip Deprojection in Rhinoplasty.","authors":"Shaishav Datta, Buğra Tugertimur, Steven A Hanna, Paige Goote, Matthew Morris, David Mattos, Richard G Reish","doi":"10.1097/PRS.0000000000011697","DOIUrl":"10.1097/PRS.0000000000011697","url":null,"abstract":"Background: Rhinoplasty is one of the most commonly performed facial operations in the United States, and many major and minor nasal tip support structures affect tip projection. Overprojection may result from anatomical factors or occur iatrogenically during primary rhinoplasty. Achieving reliable, reproducible, and stable results is the aim of nasal tip deprojection rhinoplasty. The authors' technique is designed to decrease nasal tip deprojection in patients with an overly projected nasal tip.Methods: A retrospective chart review of 2003 rhinoplasty cases in the senior author's (R.G.R.) practice was conducted for the period between July of 2014 and June of 2022. The inclusion criteria were cosmetic or functional rhinoplasty cases with nasal tip deprojection, with a minimum of 12 months of follow-up. Outcomes of interest included the rate of operative revisions and the rate of postoperative infection.Results: A total of 447 patients met the inclusion criteria. The mean age of our study group was 32.1 years, with 409 female patients, and 291 cases were primary rhinoplasties. The mean follow-up period was 22.4 months. Eight patients (1.8%) required empiric antibiotics postoperatively, and 17 patients (3.8%) required operative revision.Conclusions: The authors' case series demonstrates that combining resection of the medial crura with lateral crural steal and a columellar strut graft allows the surgeon to achieve considerable nasal tip deprojection. The comprehensive patient follow-up (mean, 22.4 months) further supports the reliability of the authors' technique.Clinical question/level of evidence: Therapeutic, IV.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"439-444"},"PeriodicalIF":3.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142110875","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}

引用次数: 0