Plastic and reconstructive surgery最新文献

{"title":"Facial Reanimation in Moebius Syndrome Using Bilateral Free Gracilis Transfer: 1-Stage versus 2-Stage Procedures.","authors":"Kenzo Alejandro Fukumoto-Inukai, Damián Palafox, Enrique Chávez-Serna, Nancy Adriana Mendoza-Molina, Valentina Prieto-Vargas, José Eduardo Telich-Tarriba, Alexander Cárdenas-Mejía","doi":"10.1097/PRS.0000000000012106","DOIUrl":"10.1097/PRS.0000000000012106","url":null,"abstract":"<p><strong>Background: </strong>Complete Moebius syndrome (MbS) is a congenital condition affecting cranial nerves VI and VII, causing bilateral facial paralysis and limited ocular abduction. Bilateral free gracilis muscle transfer (FGMT) is the standard treatment. Traditionally performed in 2 stages, a new 1-stage approach has been introduced at our center. This study compares the surgical and long-term outcomes of both methods in patients with complete MbS.</p><p><strong>Methods: </strong>This retrospective cohort study included patients with MbS who underwent 1-stage or 2-stage bilateral FGMT between March of 2016 and June of 2024, with a median follow-up of 8.1 years (range, 2 to 19 years). The authors evaluated sociodemographic characteristics, perioperative and postoperative parameters, total costs, satisfaction, and long-term aesthetic and functional outcomes. Statistical analyses included chi-square and Mann-Whitney U tests, with significance set at P < 0.05.</p><p><strong>Results: </strong>Eighteen patients with complete MbS underwent 36 FGMT procedures: 9 in group 1 (1-stage) and 9 in group 2 (2-stage). The median age was 15 years (range, 6 to 36 years), and 61.1% were women. No significant differences were observed in postoperative complications such as flap loss ( P = 0.303), hematoma ( P = 0.058), surgical-site infections ( P = 0.134), or flap revision ( P = 0.257). Group 2 had longer surgical procedures ( P = 0.050), extended hospital stays ( P = 0.001), and higher costs ( P = 0.001). Aesthetic and functional outcomes were similar between the groups ( P > 0.05).</p><p><strong>Conclusions: </strong>One-stage bilateral FGMT is as effective as a 2-stage approach in patients with complete MbS. The 1-stage procedure is more cost-effective, with shorter surgical procedures, reduced hospital stay, and lower patient costs. Both surgical methods demonstrated similar long-term aesthetic and functional outcomes.</p><p><strong>Clinical question/level of evidence: </strong>Therapeutic, III.</p>","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"567e-575e"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658204","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":"Assessing the Quality of Breast Reconstruction Outcomes Reporting: A 5-Year Scoping Review.","authors":"Sonali Biswas, Alexandria M Mullikin, Steven L Zeng, William M Tian, Brett T Phillips","doi":"10.1097/PRS.0000000000012133","DOIUrl":"10.1097/PRS.0000000000012133","url":null,"abstract":"<p><strong>Background: </strong>Outcomes reporting is essential to advancing health care quality in plastic surgery and aligns closely with patient satisfaction. At present, there is no widely used set of standards for breast reconstruction reporting in the literature. This study aimed to define how breast reconstruction outcomes are characterized in the literature and identify opportunities to improve consistency across studies.</p><p><strong>Methods: </strong>All articles published between 2015 and 2021 in Plastic and Reconstructive Surgery and Annals of Plastic Surgery were screened for original articles that pertained to breast reconstruction. Included articles were evaluated using existing outcomes reporting criteria for breast reconstruction that were adapted from general surgery literature.</p><p><strong>Results: </strong>Of 833 breast reconstruction articles reviewed, 192 met inclusion criteria. Approximately one-half of the articles ( n = 87 [45.38%]) pertained to autologous breast reconstruction, 127 (66%) pertained to prosthetic breast reconstruction, and 31 (16.15%) included both procedures. Less than one-fifth of studies ( n = 53 [27.42%]) defined at least half of the complications in their study. Less than one-third included at least half of the suggested procedure-specific complications ( n = 53 [27.42%]), used severity grades ( n = 46 [24.19%]), or considered risk factors in analyses ( n = 64 [33.33%]). Infection was the most reported complication ( n = 120 [62.71%]), and 18 distinct definitions were used. Outcomes reporting criteria assessment revealed the average number of criteria met was 3.3 of a possible 10.</p><p><strong>Conclusions: </strong>This study found significant gaps in outcomes reporting with regard to study design, complications included, and definitions used. There was little improvement in outcomes reporting from 2015 to 2021 compared with the period from 2000 to 2014. This study supports the need for outcomes reporting standards in breast reconstruction to improve study generalizability and quality.</p>","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"533-539"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143773038","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":"Severe Blepharoptosis Correction with the Fixation of Levator Complex and Conjoint Fascial Sheath.","authors":"Mostafa M Diab","doi":"10.1097/PRS.0000000000012150","DOIUrl":"10.1097/PRS.0000000000012150","url":null,"abstract":"","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"622e-623e"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042499","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":"Remote Incisions as an Alternative to Mastectomy Scars for Breast Tissue Expander-to-Implant Exchange: A Propensity Score-Matched Analysis: Correction.","authors":"Rami Elmorsi, Jose E Barrera, Alexander F Mericli, Mark V Schaverien, Donald P Baumann, J Bryce Olenczak","doi":"10.1097/PRS.0000000000012401","DOIUrl":"10.1097/PRS.0000000000012401","url":null,"abstract":"","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"676"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144965022","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: Identifying Diagnostic Criteria for Cubital Tunnel Syndrome.","authors":"Margaret M Botros, Noah S Llaneras, Susan E Mackinnon","doi":"10.1097/PRS.0000000000012234","DOIUrl":"10.1097/PRS.0000000000012234","url":null,"abstract":"","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":"156 4","pages":"590-593"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145150435","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":"Prepectoral Implant Placement with Pedicle Division and Resorbable Mesh Reinforcement for DIEP Flap Augmentation.","authors":"Michael N Mirzabeigi","doi":"10.1097/PRS.0000000000012156","DOIUrl":"10.1097/PRS.0000000000012156","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to review the safety and efficacy of delayed prepectoral deep inferior epigastric perforator (DIEP) flap augmentation in both primary DIEP flap augmentation and revision DIEP flap augmentation (ie, prepectoral conversion).</p><p><strong>Methods: </strong>A retrospective review of records was performed on all patients who underwent primary and revision breast reconstruction from August of 2018 to August of 2024 performed by a single surgeon.</p><p><strong>Results: </strong>A total of 585 abdominally based free flaps were performed by the author during the aforementioned 6-year period. Thirty-two of these autologous reconstructions (5.5%) proceeded to undergo prepectoral DIEP flap augmentation. Thirty-two primary DIEP flaps and 8 prepectoral conversions (subpectoral DIEP flap augmentation to prepectoral DIEP flap augmentation) were performed. There were no acute flap-related complications caused by implant placement. Two implants experienced inferior malposition prompting the adoption of TIGR matrix support later in the series. Following the adoption of a resorbable mesh for soft-tissue support, there were no further cases of inferior malposition.</p><p><strong>Conclusions: </strong>Delayed prepectoral DIEP flap augmentation is a safe and effective means of hybrid breast reconstruction. Inferior soft-tissue support should be strongly considered, particularly with use of smooth implants, in this setting.</p><p><strong>Clinical question/level of evidence: </strong>Therapeutic, IV.</p>","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"444e-450e"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026649","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":"Managing Injectable Fillers in the Long-Term Aesthetic Patient: Contemporary Approaches and Surgical Considerations.","authors":"Elizabeth L Malphrus, Sarah A Mess, Jose R Montes, Ivona Percec","doi":"10.1097/PRS.0000000000012315","DOIUrl":"10.1097/PRS.0000000000012315","url":null,"abstract":"<p><strong>Summary: </strong>Facial aging is a multifaceted process arising from changes in skin quality, soft-tissue volume, underlying bony anatomy, and the cumulative impacts over time of factors such as expressive animation, environmental exposures, and gravity. Although historically facial rejuvenation focused primarily on surgical correction of tissue descent, enhanced understanding of volume loss as a major contributor to aging has led to the widespread adoption of soft-tissue fillers as a nonsurgical adjunct-or stand-alone treatment-for signs of facial aging. These treatments are popular with patients due to their low risk profile; minimal downtime; avoidance of scarring; and, often, reversibility. The modern aesthetic surgeon must develop strategies for managing patients across their lifetime, integrating nonsurgical and surgical approaches while maintaining natural-appearing results. This includes understanding how to plan filler for longevity and safety, modifying filler placement in previously treated areas, determining optimal timing for surgical intervention, and managing the transition between different treatment modalities. The integration of these various approaches requires not only product and technical expertise but also careful attention to patient education and long-term planning. This article provides a comprehensive framework for managing facial aesthetic patients throughout their treatment journey, with particular focus on the role of hyaluronic acid fillers at different life stages. We present strategies for assessment, treatment selection, and technical execution across different age groups and anatomical zones, supported by long-term case examples. Special attention is given to the interaction between injectable fillers and surgical procedures, as well as considerations for maintaining natural-appearing results over time.</p>","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":"156 4S-1","pages":"21S-29S"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145150252","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":"Introduction to \"Fillers: The State of the Science-A Multispecialty Evidence-Based Initiative\".","authors":"Ivona Percec, Arthur Y Yu","doi":"10.1097/PRS.0000000000012316","DOIUrl":"https://doi.org/10.1097/PRS.0000000000012316","url":null,"abstract":"","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":"156 4S-1","pages":"1S-3S"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145150327","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":"Enhancing Preoperative Iron Supplemenation in Lipoabdominoplasty: A Comparative Study of Ferric Carboxymaltose and Liposmal Iron.","authors":"Roberta Albanese, Federica Tomaselli, Claudio Arcudi, Damiano Tambasco","doi":"10.1097/PRS.0000000000012175","DOIUrl":"10.1097/PRS.0000000000012175","url":null,"abstract":"<p><strong>Background: </strong>Preoperative anemia is a significant concern in plastic surgery, particularly in procedures such as lipoabdominoplasty, where intraoperative blood loss can impact postoperative recovery. Although oral iron supplementation is a common approach, its limited bioavailability and gastrointestinal intolerance often hinder effective anemia management. This study compares the efficacy of ferric carboxymaltose (FCM) (Ferinject) versus liposomal iron (SiderAL Forte) in optimizing preoperative iron levels and preventing postoperative anemia in patients undergoing 360-degree lipoabdominoplasty.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 44 female patients undergoing lipoabdominoplasty. Patients were divided into 2 groups: group A received oral liposomal iron (14 mg, twice daily) for 1 month preoperatively, and group B received a single intravenous dose of FCM (1000 mg) 72 hours before surgery. Hemoglobin, hematocrit, and ferritin levels were assessed preoperatively, on postoperative day 1, and on postoperative day 7. Statistical comparisons were performed using independent t tests and Pearson correlation analysis.</p><p><strong>Results: </strong>Preoperative hemoglobin and hematocrit levels were comparable between groups. However, postoperative hemoglobin decline was significantly more pronounced in group A ( P < 0.05), whereas group B showed a better preservation of iron stores and faster hematologic recovery. Ferritin levels remained significantly higher in group B throughout the postoperative period ( P < 0.05). No patients required blood transfusions or exhibited symptoms of acute anemia.</p><p><strong>Conclusions: </strong>Intravenous FCM is a superior strategy for preoperative iron optimization in lipoabdominoplasty, ensuring better perioperative stability, faster recovery, and reduced anemia-related complications compared with oral liposomal iron. Integrating this approach into perioperative protocols could enhance surgical outcomes.</p><p><strong>Clinical question/level of evidence: </strong>Therapeutic, III.</p>","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":" ","pages":"560-566"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031316","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: LigaSure-Assisted Submandibular Gland Excision in Deep-Plane Neck Lift: Review of 83 Patients.","authors":"Karaca Basaran","doi":"10.1097/PRS.0000000000012165","DOIUrl":"10.1097/PRS.0000000000012165","url":null,"abstract":"","PeriodicalId":20128,"journal":{"name":"Plastic and reconstructive surgery","volume":"156 4","pages":"625e-626e"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149929","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}