Plastic and reconstructive surgery最新文献_第2页

Noninferiority Study Design: Application to Clinical Trials. 非劣效性研究设计：应用于临床试验。

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-04-01 Epub Date: 2024-07-15 DOI: 10.1097/PRS.0000000000011633

Gordon C Wong, Sandra V Kotsis, H Myra Kim, Kevin C Chung

引用次数: 0

Discussion: A Comparison of Textured versus Smooth-Surfaced Implants in Subfascial Breast Augmentation.

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-04-01 Epub Date: 2025-03-21 DOI: 10.1097/PRS.0000000000011799

Amir H Dorafshar, Laura R Brown

引用次数: 0

An Introduction to the Orbital Buttresses. 轨道支座简介。

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-04-01 Epub Date: 2024-06-28 DOI: 10.1097/PRS.0000000000011603

Bashar A Hassan, Adam D Sylvester, Daniel J Wescott, Deborah L Cunningham, Adekunle Elegbede, Paul N Manson, Michael P Grant

{"title":"An Introduction to the Orbital Buttresses.","authors":"Bashar A Hassan, Adam D Sylvester, Daniel J Wescott, Deborah L Cunningham, Adekunle Elegbede, Paul N Manson, Michael P Grant","doi":"10.1097/PRS.0000000000011603","DOIUrl":"10.1097/PRS.0000000000011603","url":null,"abstract":"Summary: Facial buttresses are supportive bony structures of the facial skeleton that form a thick, strong, and protective framework for the face. Surgical fixation may be required to restore morphology and function when damage to these buttresses occurs. The authors sought to determine whether, similar to buttresses of the facial skeleton, buttresses of the internal orbit exist. They analyzed 10 human cadaver skulls imaged by microcomputed tomography. Image processing, and thickness and heat mapping, were performed using Avizo and ImageJ software. After identifying the orbital buttresses, the authors reviewed computed tomography scans of patients who had orbital fractures over a 3-year period to determine the frequency of fracture of the orbital buttresses. The authors identified 5 buttresses of the internal orbit: superomedial fronto-ethmoidal strut with the deep orbital buttress, inferomedial strut with the posterior ledge, inferior orbital fissure, sphenoid-frontal superolateral strut, and the sphenoid lip. The mean (SD) threshold orbital buttress thickness was 1.36 (0.25) mm. A total of 1186 orbits of 593 individuals were analyzed for orbital buttress involvement. Orbital buttresses were spared in 770 (65%) orbits. The inferomedial strut with the posterior ledge was the most commonly fractured buttress in 14.4% of orbits ( n = 171), followed by the sphenoid strut and lip (66 [5.6%]). To the authors' knowledge, this is the first description of the buttresses of the internal orbit. Orbital reconstruction for fracture repair or oncologic purposes requires the support of orbital buttresses. Understanding the anatomy of orbital buttresses is crucial for successful surgical planning, proper implant positioning, and restoration of function and appearance.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"780e-783e"},"PeriodicalIF":3.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141534982","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

Modified McKissock Technique for Secondary Breast Reduction: A Prospective Study on Safety and Surgical and Aesthetic Outcomes. 改良麦基萨克二次缩胸技术--关于安全性、手术和美学效果的前瞻性研究。

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-04-01 Epub Date: 2024-09-30 DOI: 10.1097/PRS.0000000000011785

Sandra Feldler, Maximilian Zaussinger, Gudrun Ehebruster, Kathrin Bachleitner, Theresia Steinkellner, Manfred Schmidt

{"title":"Modified McKissock Technique for Secondary Breast Reduction: A Prospective Study on Safety and Surgical and Aesthetic Outcomes.","authors":"Sandra Feldler, Maximilian Zaussinger, Gudrun Ehebruster, Kathrin Bachleitner, Theresia Steinkellner, Manfred Schmidt","doi":"10.1097/PRS.0000000000011785","DOIUrl":"10.1097/PRS.0000000000011785","url":null,"abstract":"Summary: Secondary breast reductions are increasingly being performed, but they are potentially associated with higher complication rates than primary mammaplasty. Necrosis of the nipple-areola complex (NAC) is a devastating complication that can occur after repeated NAC transposition, particularly when the initially used pedicle is unknown. Thus, the authors established a modification of the McKissock technique for secondary breast reductions including 3 pedicle components to ensure safe vascular supply of the NAC. The presented technique incorporates a superior and inferior dermoglandular pedicle, according to the McKissock technique, and an additional central pedicle. The technique was applied for secondary breast reduction in a series of 25 breasts (14 patients: 11 bilateral, 3 unilateral). Complication rates, preoperative and postoperative BREAST-Q scores, and aesthetic outcomes were evaluated. Mean resection weight was 299 g (range, 40 to 646 g), and the NAC was transposed by 4.2 cm on average (range, 1 to 10 cm). No case of NAC necrosis was observed, and comparison of preoperative and postoperative BREAST-Q values indicated substantial improvement in all domains. After surgery, 84.6% of patients reported excellent satisfaction with breast appearance. According to these results, the modified McKissock technique is safe for patients requiring secondary breast reduction, even if the primarily used pedicle is unknown. The established technique is associated with improved postoperative patient-reported outcomes and yields aesthetically favorable results.Clinical question/level of evidence: Therapeutic, IV.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"670e-675e"},"PeriodicalIF":3.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142352035","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

Outcome of Patients with Complete Cleft Lip and Alveolus: 20-Year Follow-Up. 完全唇腭裂患者的预后：20 年随访。

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-04-01 Epub Date: 2024-07-09 DOI: 10.1097/PRS.0000000000011622

Yoshitsugu Hattori, Betty Chien-Jung Pai, Takafumi Saito, Pang-Yun Chou, Ting-Chen Lu, Chun-Shin Chang, Yu-Ray Chen, Lun-Jou Lo

{"title":"Outcome of Patients with Complete Cleft Lip and Alveolus: 20-Year Follow-Up.","authors":"Yoshitsugu Hattori, Betty Chien-Jung Pai, Takafumi Saito, Pang-Yun Chou, Ting-Chen Lu, Chun-Shin Chang, Yu-Ray Chen, Lun-Jou Lo","doi":"10.1097/PRS.0000000000011622","DOIUrl":"10.1097/PRS.0000000000011622","url":null,"abstract":"Background: Patients with cleft have functional and aesthetic impairment, and typically require several interventions as they grow. Long-term evaluation following a treatment protocol is essential, but such reports on patients with complete cleft lip and alveolus (CLA) are sparse in the literature.Methods: A retrospective review was conducted of all patients with complete CLA born between January of 1995 and August of 2002 and treated at our center. Patients who received continuous multidisciplinary team care until 20 years of age were included, and patients with cleft palate and syndromic abnormalities were excluded. Facial bone growth was evaluated using cephalometric analysis.Results: Eighty-seven and 11 patients with unilateral and bilateral CLA, respectively, were included. All patients underwent one-stage cheiloplasty with primary rhinoplasty. Revision lip/nose surgery was performed in 21.8% and 27.3% during growing age, and in 51.7% and 72.7% after skeletal maturity, respectively. Orthognathic surgery was performed in 20.7% and 27.3%, respectively. Compared with unilateral CLA patients, bilateral CLA patients had more operations (3.0 versus 3.7; P = 0.03) and a higher chance of undergoing alveolar bone grafting twice (1.1% versus 36.4%; P < 0.01). Patients with complete CLA had less hypoplastic maxilla, and underwent fewer operations than those with complete cleft lip and palate.Conclusions: Complete CLA is a less severe form of cleft, but the patients still require multiple interventions. This review revealed certain suboptimal results, and modifications have been made in the treatment protocol. Longitudinal follow-up and periodic assessment help to establish an ideal therapeutic strategy and improve overall cleft care.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"746e-757e"},"PeriodicalIF":3.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591034","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

The Use of Grayscale Muscle Ultrasound to Indicate Muscle Recovery after Peripheral Nerve Reconstruction. 使用灰度肌肉超声显示周围神经重建后的肌肉恢复情况。

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-04-01 Epub Date: 2024-10-15 DOI: 10.1097/PRS.0000000000011811

Sara Saffari, Andrea J Boon, Alexander Y Shin

{"title":"The Use of Grayscale Muscle Ultrasound to Indicate Muscle Recovery after Peripheral Nerve Reconstruction.","authors":"Sara Saffari, Andrea J Boon, Alexander Y Shin","doi":"10.1097/PRS.0000000000011811","DOIUrl":"10.1097/PRS.0000000000011811","url":null,"abstract":"Background: This study aimed to validate the use of grayscale muscle ultrasound by measuring echo intensity to longitudinally evaluate functional muscle reinnervation in a rabbit peroneal nerve defect model.Methods: Eighteen New Zealand white rabbits underwent a 30-mm peroneal nerve reconstruction with autografts or decellularized allografts. Ultrasound measurements of tibialis anterior muscles were performed before surgery and at 4, 8, 12, 16, 20, and 24 weeks postoperatively and included cross-sectional muscle area, mean gray value (MGV), and mean gray value normalized for area (MGVA). At 24 weeks, functional motor recovery was evaluated with isometric tetanic force (ITF) and compound muscle action potential (CMAP). MGVA data were compared with ITF and CMAP measurements by calculating the Spearman correlation coefficient.Results: Muscle area (left/right [L/R] ratio) of autografts was superior to allografts at 4, 12, 16, 20, and 24 weeks ( P < 0.03 for all comparisons). MGVs of the operated side were significantly higher for autografts at 4, 8, and 12 weeks and at 12, 16, 20, and 24 weeks for allografts ( P < 0.01 for all comparisons), compared with their unoperated sides. Similar patterns were seen in both groups for MGVA (operated versus control side). MGVA (L/R) demonstrated a strong correlation with ITF (L/R) for autografts (ρ = -0.7) and allografts (ρ = -0.87), but inconsistent with CMAPs (L/R).Conclusions: Quantitative muscle ultrasound demonstrated a reliable, noninvasive tool for evaluating motor recovery in a rabbit peroneal nerve reconstruction model. Clinical translation could provide valuable insights into muscle health and structural changes following nerve reconstruction.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"709-719"},"PeriodicalIF":3.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11945609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142472444","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

Does Surgical Sequencing Influence the Accuracy of Maxillary Positioning in Bimaxillary Cleft Orthognathic Surgery? 手术顺序是否会影响双颌裂正颌手术中上颌定位的准确性？

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-04-01 Epub Date: 2024-07-15 DOI: 10.1097/PRS.0000000000011634

Ryan K Badiee, Russell E Ettinger, Hitesh Kapadia, Barbara Sheller, Srinivas M Susarla

{"title":"Does Surgical Sequencing Influence the Accuracy of Maxillary Positioning in Bimaxillary Cleft Orthognathic Surgery?","authors":"Ryan K Badiee, Russell E Ettinger, Hitesh Kapadia, Barbara Sheller, Srinivas M Susarla","doi":"10.1097/PRS.0000000000011634","DOIUrl":"10.1097/PRS.0000000000011634","url":null,"abstract":"Background: The purpose of this study was to evaluate whether the sequence of osteotomies influences the accuracy of maxillary positioning in patients with cleft palate with or without cleft lip undergoing bimaxillary orthognathic surgery (OGS).Methods: This was a prospective study of patients with Veau II through IV clefts who underwent bimaxillary OGS at a tertiary-care children's hospital over a 3-year period. The primary predictor variable was the sequence of osteotomies (maxilla first versus mandible first). The primary outcome of interest was the concordance between the planned and achieved maxillary position, as assessed using linear and angular measurements. Secondary study predictors were demographic and surgical variables. Differences between groups were compared using nonparametric independent samples tests for continuous measures (data reported as median and interquartile range) and chi-square tests for categorical measures. For all analyses, P ≤ 0.05 was considered significant.Results: Participants who underwent maxilla-first ( n = 15) and mandible-first ( n = 16) operations were comparable with regard to age, sex, cleft type, skeletal classification, segmental maxillary osteotomy, and magnitude of maxillary movement ( P ≥ 0.09). The planned sagittal and vertical positions of the maxilla were similarly accurate between the 2 groups ( P ≥ 0.68). Angular accuracy was also comparable ( P ≥ 0.56) between the study groups.Conclusion: In patients with cleft palate with or without cleft lip undergoing bimaxillary OGS, use of mandible-first sequencing, when compared with maxilla-first sequencing, does not affect the accuracy of maxillary positioning in the immediate postoperative period in well-selected patients.Clinical question/level of evidence: Therapeutic, II.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"758e-766e"},"PeriodicalIF":3.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141760297","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

Single-Stage Reconstruction of Congenital Multifinger Syndactyly with Contiguous Cross-Shaped Advancement Flaps.

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-04-01 Epub Date: 2024-09-11 DOI: 10.1097/PRS.0000000000011741

Guang Yang, Fei Yin, Chunhua Yin, Wei Liu, Wentao Yu, Qinyuan Yu, Xiaofang Shen

{"title":"Single-Stage Reconstruction of Congenital Multifinger Syndactyly with Contiguous Cross-Shaped Advancement Flaps.","authors":"Guang Yang, Fei Yin, Chunhua Yin, Wei Liu, Wentao Yu, Qinyuan Yu, Xiaofang Shen","doi":"10.1097/PRS.0000000000011741","DOIUrl":"10.1097/PRS.0000000000011741","url":null,"abstract":"Background: The authors report the techniques and results of contiguous dorsal cross-shaped advancement flaps for reconstruction of 3- or 4-finger syndactyly in a single-stage operation for congenital syndactyly.Methods: Thirty-five patients with multiple-finger syndactyly who received webspace reconstruction using the contiguous dorsal cross-shaped advancement flaps in a single operation were retrospectively studied. The patients ranged in age from 5 to 96 months (average age, 29.6 months). The contiguous dorsal cross-shaped flaps were advanced to reconstruct both webspace and lateral walls of the bases of the conjoined fingers. Withey grading was used for postoperative evaluation of web creep. Scar hyperplasia was assessed using the Vancouver Scar Scale. A visual analog scale of 0 to 10 was applied to evaluate the subjective satisfaction of the parents.Results: In all cases, the syndactyly was successfully released in a single operation. There were no perioperative complications in this group. During a 12- to 58-month follow-up period, all reconstructed webspaces exhibited satisfactory appearance, and there was no obvious web creep. The dorsal hand scars were acceptable. Revision surgery was not needed in any patient. The average web creep was 0.45, and the average Vancouver Scar Scale score was 1.6. The average visual analog scale score for appearance was 1.2, and that for function was 2.5.Conclusions: Multiple syndactyly release in 1 stage is feasible and safe. The contiguous cross-shaped flaps can be used to reconstruct 2 or more webspaces simultaneously after releasing.Clinical question/level of evidence: Therapeutic, IV.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"661-670"},"PeriodicalIF":3.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143189435","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

Genetic Correlations between Migraine and Carpal Tunnel Syndrome. "致编辑的信：偏头痛与腕管综合征之间的遗传相关性"。

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-04-01 Epub Date: 2024-09-24 DOI: 10.1097/PRS.0000000000011772

Nienke A Krijnen, Teun Teunis

引用次数: 0

Effects of Nanofat in Plastic and Reconstructive Surgery: A Systematic Review. 纳米脂肪在整形外科中的作用：系统回顾

IF 3.2 2区医学

Plastic and reconstructive surgery Pub Date : 2025-04-01 Epub Date: 2024-09-24 DOI: 10.1097/PRS.0000000000011773

Alexandre Mendonça Munhoz

引用次数: 0