Plastic and reconstructive surgery最新文献_第9页

Adipose-Derived Stem Cell-Enhanced versus Conventional Fat Grafting for Breast Reconstruction: A Systematic Review and Meta-Analysis. 脂肪来源干细胞增强与传统脂肪移植乳房重建：系统回顾和荟萃分析。

IF 3.6 2区医学

Plastic and reconstructive surgery Pub Date : 2026-10-01 Epub Date: 2026-03-30 DOI: 10.1097/PRS.0000000000013089

Erin Lee, Anvith Reddy, Barite Gutama, George Karamitros, Hana Abbas, Feng Zhang, William Lineaweaver

引用次数: 0

The Aesthetic Imperative in Global Plastic Surgery: Building a Functional-Aesthetic Outreach Framework for Holistic Reconstruction. “全球整形外科的美学必要性：为整体重建建立一个功能美学外展框架”。

IF 3.6 2区医学

Plastic and reconstructive surgery Pub Date : 2026-10-01 Epub Date: 2026-03-31 DOI: 10.1097/PRS.0000000000013094

Aishwarya A Nair, Toni Zhong

引用次数: 0

Head and Neck Trauma as a Precursor for Occipital Neuralgia: Understanding the Temporal Relationship. 头颈部创伤是枕神经痛的前兆：了解时间关系。

IF 3.6 2区医学

Plastic and reconstructive surgery Pub Date : 2026-10-01 Epub Date: 2025-12-16 DOI: 10.1097/PRS.0000000000012716

Makayla Kochheiser, Merel H J Hazewinkel, Katya Remy, Matthew Depamphilis, Alison Kearns, Kristyn A Vicente, William G Austen, Lisa Gfrerer

{"title":"Head and Neck Trauma as a Precursor for Occipital Neuralgia: Understanding the Temporal Relationship.","authors":"Makayla Kochheiser, Merel H J Hazewinkel, Katya Remy, Matthew Depamphilis, Alison Kearns, Kristyn A Vicente, William G Austen, Lisa Gfrerer","doi":"10.1097/PRS.0000000000012716","DOIUrl":"10.1097/PRS.0000000000012716","url":null,"abstract":"Background: Occipital neuralgia (ON) has been linked to head and neck trauma, but the timing and development of symptoms following injury remain unclear. This study was performed to investigate the onset of ON after trauma and injury mechanisms that may predispose individuals to ON.Methods: A total of 212 patients with ON were assessed for previous head or neck injury, timing of pain onset, and injury mechanism at Weill Cornell Medicine and Massachusetts General Hospital from 2020 through 2024. Postoperative outcomes were evaluated for patients who underwent nerve decompression surgery.Results: A total of 117 patients (55.2%) reported a history of head or neck trauma. Among these, 65 patients (55.6%) reported pain onset following injury. Most patients (41.5%) reported pain starting on the same day; others reported onset within 1 week (15.4%), within 6 months (13.8%), or later (12.3%). Injury mechanisms included whiplash (64.6%), direct strike to head (46.2%), direct strike to head and neck (29.2%), direct neck strike (4.6%), and other (6.2%). Patients with a direct strike to the head and neck had significantly higher odds of experiencing pain following injury ( P = 0.01). Patients with trauma-related pain who underwent nerve decompression surgery ( n = 25 [38.5%]) experienced significant reductions in pain intensity (8.5 points), frequency (17.9 days/month), and duration (20.4 hours) ( P < 0.05).Conclusions: ON most commonly begins on the same day of injury, with whiplash and direct head or neck trauma being the most common mechanisms. Surgical decompression is an effective treatment for pain relief in patients with ON with past head or neck trauma.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"664-670"},"PeriodicalIF":3.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145763660","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

Vascularized Sural Nerve Graft with Its Chimeric Skin Paddle Using 3 Different Methods for Upper and Lower Extremity Reconstruction. 三种不同方法带血管腓肠神经移植及其嵌合皮肤瓣重建上肢和下肢。

IF 3.6 2区医学

Plastic and reconstructive surgery Pub Date : 2026-10-01 Epub Date: 2025-12-22 DOI: 10.1097/PRS.0000000000012747

Jo-Yun Sun, Soo-Min Cha, Laura Chia-Fang Chen, Soo-Ha Kwon, Lisa Wen-Yu Chen, Cheyenne Wei-Hsuan Sung, Johnny Chuieng-Yi Lu, Jung-Ju Huang, David Chwei-Chin Chuang, Tommy Nai-Jen Chang

{"title":"Vascularized Sural Nerve Graft with Its Chimeric Skin Paddle Using 3 Different Methods for Upper and Lower Extremity Reconstruction.","authors":"Jo-Yun Sun, Soo-Min Cha, Laura Chia-Fang Chen, Soo-Ha Kwon, Lisa Wen-Yu Chen, Cheyenne Wei-Hsuan Sung, Johnny Chuieng-Yi Lu, Jung-Ju Huang, David Chwei-Chin Chuang, Tommy Nai-Jen Chang","doi":"10.1097/PRS.0000000000012747","DOIUrl":"10.1097/PRS.0000000000012747","url":null,"abstract":"Summary: Reconstructing nerve gaps greater than 13 to 15 cm often requires vascularized nerve grafts. However, using the sural nerve presents a technical challenge due to the lack of a consistent adjacent artery. This study introduces various free vascularized sural nerve flap designs to overcome this limitation. From 2018 through 2020, 6 patients at Chang Gung Memorial Hospital underwent 8 free vascularized sural nerve graft reconstructions, including brachial plexus, median, ulnar, posterior tibial, and sciatic nerve reconstructions. Three types of flap designs were performed: shunt-restricted arterialized lessor saphenous venous flap, vascularized sural nerve graft, and chimeric flap with peroneal or posterior tibial artery perforator flap. Most flaps maintained circulation successfully, with only 1 requiring conversion due to thrombosis. Mild congestion occurred in some venous flaps but resolved spontaneously. The Tinel sign advanced progressively in all patients, suggesting active nerve regeneration. These findings demonstrate that free vascularized sural nerve flaps are a flexible and effective option for managing long nerve defects. Tailoring the flap design to the clinical context offers reconstructive surgeons with a versatile strategy for peripheral nerve repair.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"698e-702e"},"PeriodicalIF":3.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145820486","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

Techniques and Implants in Breast Augmentation after Massive Weight Loss: A Population-Based Study. 大规模减肥后隆胸的技术和植入物——一项基于人群的研究，包括817例和7023例对照。

IF 3.6 2区医学

Plastic and reconstructive surgery Pub Date : 2026-10-01 Epub Date: 2026-01-22 DOI: 10.1097/PRS.0000000000012844

Emma Hansson, Martin Halle, Johan Ottosson, Anna Grimby-Ekman, Anna Paganini

{"title":"Techniques and Implants in Breast Augmentation after Massive Weight Loss: A Population-Based Study.","authors":"Emma Hansson, Martin Halle, Johan Ottosson, Anna Grimby-Ekman, Anna Paganini","doi":"10.1097/PRS.0000000000012844","DOIUrl":"10.1097/PRS.0000000000012844","url":null,"abstract":"Background: Massive weight loss (MWL) after bariatric surgery is often associated with alterations in breast morphology, including ptosis, excess skin, poor tissue elasticity, and altered nipple position, which frequently motivate requests for breast surgery. However, data on implant-based augmentation after MWL are sparse and often limited to small series. In this study, the authors compare surgical techniques and implant selection among women undergoing primary augmentation who had or had not undergone bariatric surgery.Methods: The authors conducted a national, population-based case-control study within the Breast Reconstruction After Bariatric Surgery protocol. Patients from both the Scandinavian Obesity Surgery Registry and the Swedish Breast Implant Registry were identified. A control group of women receiving breast augmentation who had not undergone bariatric surgery was created.Results: A total of 817 postbariatric patients (1634 breasts) and 3512 controls (7023 breasts) were analyzed. Surgery occurred a median of 3.4 years after bariatric surgery. Postbariatric patients reported greater dissatisfaction with breast volume. They more often received larger implants, round shapes, and microtextured, macrotextured, or polyurethane surfaces. Dual-plane or submuscular placement was predominant in both groups, whereas subfascial and subglandular placements were less common in postbariatric patients. Augmentation mastopexy was more frequent, whereas the use of mesh or acellular dermal matrix and lipofilling was rare. Postoperative antibiotics were prescribed more often to postbariatric patients.Conclusion: Breast augmentation after MWL differs from standard practice, with larger and more textured implants and a higher frequency of mastopexies, highlighting surgical adaptation to complex anatomy.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"620e-627e"},"PeriodicalIF":3.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146019044","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

Biologic Matrices and Synthetic Meshes in Breast Aesthetic and Reconstructive Surgery. 生物基质和合成网格在乳房美容和重建手术中的应用。

IF 3.6 2区医学

Plastic and reconstructive surgery Pub Date : 2026-10-01 Epub Date: 2026-09-25 DOI: 10.1097/PRS.0000000000013240

Neil Tanna, Isabelle T Smith, Evan Rothchild, Gabrielle Odoom, Ben H Zhang

{"title":"Biologic Matrices and Synthetic Meshes in Breast Aesthetic and Reconstructive Surgery.","authors":"Neil Tanna, Isabelle T Smith, Evan Rothchild, Gabrielle Odoom, Ben H Zhang","doi":"10.1097/PRS.0000000000013240","DOIUrl":"https://doi.org/10.1097/PRS.0000000000013240","url":null,"abstract":"Learning objectives: After studying this article, the participant should be able to: 1. Describe the types, structural characteristics, and clinical indications for biologic matrices and synthetic meshes used in breast aesthetic and reconstructive surgery. 2. Evaluate the evidence on clinical outcomes, complication profiles, and aesthetic results associated with each material. 3. Apply key principles of material selection based on patient-specific factors, procedural context, and surgical goals.Summary: This article reviews the role of biologic matrices and synthetic meshes in breast aesthetic and reconstructive surgery. It discusses material composition, surgical applications, and emerging roles in aesthetic operations such as augmentation, mastopexy, and reduction. The authors compare complication rates, capsular contracture prevention, and aesthetic outcomes associated with each material type, highlighting differences in safety, cost-effectiveness, and long-term performance. Evidence-based data are presented to guide decision-making and improve patient outcomes, while acknowledging current limitations in the literature and opportunities for further investigation.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":"158 4","pages":"706e-717e"},"PeriodicalIF":3.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081377","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

Discussion: Body Mass Index, Comorbidities, and the New Lancet Obesity Definition: Implications for Risk Analysis in Plastic and Reconstructive Surgery. 讨论：体重指数、合并症和新柳叶刀肥胖定义：对整形和重建手术风险分析的影响。

IF 3.6 2区医学

Plastic and reconstructive surgery Pub Date : 2026-10-01 Epub Date: 2026-09-25 DOI: 10.1097/PRS.0000000000012941

Katherine C Benedict, Edward I Chang

引用次数: 0

PRS Journal Club: Contemporary Strategies for Improving Breast Reconstruction Outcomes. PRS杂志俱乐部：改善乳房重建结果的当代策略。

IF 3.6 2区医学

Plastic and reconstructive surgery Pub Date : 2026-10-01 Epub Date: 2026-09-25 DOI: 10.1097/PRS.0000000000013270

Lucas M Harrison, Christopher L Kalmar, Priyanka Naidu

引用次数: 0

Discussion: Long-Term Outcomes of Microform Cleft Lip Repair with Nasolabial Muscle Tension Line Group Reconstruction: A 19-Year Experience. 讨论：鼻唇肌张力线群重建显微唇裂修复的长期效果：19年的经验。

IF 3.6 2区医学

Plastic and reconstructive surgery Pub Date : 2026-10-01 Epub Date: 2026-09-25 DOI: 10.1097/PRS.0000000000012763

Arshad R Muzaffar

引用次数: 0

Pedicled Flaps for Nasal Septal Perforation and Graft Framework: Enhancing Outcomes in Preservation and Structural Rhinoplasty. 带蒂皮瓣用于鼻中隔穿孔和移植物框架：提高保存和结构鼻成形术的效果。

IF 3.6 2区医学

Plastic and reconstructive surgery Pub Date : 2026-10-01 Epub Date: 2025-10-09 DOI: 10.1097/PRS.0000000000012511

Franklin Mariño-Sanchez, Isam Alobid, Alfonso Santamaría-Gadea

{"title":"Pedicled Flaps for Nasal Septal Perforation and Graft Framework: Enhancing Outcomes in Preservation and Structural Rhinoplasty.","authors":"Franklin Mariño-Sanchez, Isam Alobid, Alfonso Santamaría-Gadea","doi":"10.1097/PRS.0000000000012511","DOIUrl":"10.1097/PRS.0000000000012511","url":null,"abstract":"Summary: Nasal septal perforation (NSP) repair has evolved with the development of advanced techniques, such as anterior ethmoidal artery and greater palatine artery flaps, achieving high success rates. Traditional challenges in combining NSP repair with rhinoplasty stem from reliance on the mucoperichondrial blood supply for graft survival and the risks of cartilage absorption or infection during exposure of the L-strut framework. This article presents modified \"racket-on-donut\" and \"boot-on-donut\" techniques for simultaneous NSP repair and rhinoplasty, incorporating innovations to bilaterally cover grafts with mucosal flaps and reconstruct the dorsal L-strut under a preserved dorsum. The combined approach offers superior outcomes by addressing functional and aesthetic issues in a single procedure, reducing complications such as graft necrosis and septal reperforation. Preservation rhinoplasty, traditionally contraindicated in NSP repair, proved effective with careful reconstruction of the L-strut and keystone area preservation. These techniques provide a versatile solution for complex NSP cases, integrating pedicled flaps with reconstructive rhinoplasty to achieve durable, aesthetic, and functional results.","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"615e-619e"},"PeriodicalIF":3.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145275446","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