Plastic and Reconstructive Surgery Global Open最新文献_第10页

The Adipofascial Lateral Intercostal Perforator Flap in Partial Breast Reconstruction. 脂肪筋膜外侧肋间穿支皮瓣在部分乳房再造术中的应用。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-05-22 eCollection Date: 2025-05-01 DOI: 10.1097/GOX.0000000000006811

Joao Correia Anacleto, Carlos Mavioso, David Gomes Pinto, Pedro Gouveia, Marcio Debiasi, Ljuba Morando, Maria Joao Cardoso

{"title":"The Adipofascial Lateral Intercostal Perforator Flap in Partial Breast Reconstruction.","authors":"Joao Correia Anacleto, Carlos Mavioso, David Gomes Pinto, Pedro Gouveia, Marcio Debiasi, Ljuba Morando, Maria Joao Cardoso","doi":"10.1097/GOX.0000000000006811","DOIUrl":"10.1097/GOX.0000000000006811","url":null,"abstract":"Background: The lateral intercostal artery perforator flap, first described by Hamdi et al as a partial replacement technique for breast-conserving surgery (BCS), was traditionally a fasciocutaneous flap with the inherent skin scar on the lateral chest wall. Trying to limit donor site morbidity, we further modified the original lateral intercostal artery perforator flap, harvesting tissue on the same perforator without the skin paddle, the associated scar, and the need to reposition the patient on the operating table.Methods: We retrospectively analyzed 52 patients who underwent partial breast replacement after BCS between 2015 and 2020. We compared the 27 patients with the adipofascial lateral intercostal perforator flap (ALIP) with the remaining 25 replacement flaps regarding postoperative complications and aesthetic outcomes.Results: An increased number of postoperative seromas were detected in the ALIP group according to the Clavien-Dindo classification; however, most of them were minor and did not delay adjuvant treatments or compromise cosmetic results. The aesthetic outcome evaluated through the Web BCCT.core workstation 1 year after surgery was shown to be identical between both groups.Conclusions: The ALIP represents an alternative flap for tissue replacement in BCS, achieving overall similar complication rates and identical aesthetic outcomes when compared with other local perforator flaps, with reduced skin scars.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 5","pages":"e6811"},"PeriodicalIF":1.5,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nipple-Areolar Complex Neurotization Following Nipple-sparing Mastectomy and Breast Reconstruction for Solitary Breast Neurofibroma. 单独乳腺神经纤维瘤保留乳头乳房切除术和乳房重建后的乳头-乳晕复合神经化。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-05-22 eCollection Date: 2025-05-01 DOI: 10.1097/GOX.0000000000006814

Shahnur Ahmed, Maria Fernandez Olivera, Luci Hulsman, Rachel M Danforth, Carla S Fisher, Aladdin H Hassanein

{"title":"Nipple-Areolar Complex Neurotization Following Nipple-sparing Mastectomy and Breast Reconstruction for Solitary Breast Neurofibroma.","authors":"Shahnur Ahmed, Maria Fernandez Olivera, Luci Hulsman, Rachel M Danforth, Carla S Fisher, Aladdin H Hassanein","doi":"10.1097/GOX.0000000000006814","DOIUrl":"10.1097/GOX.0000000000006814","url":null,"abstract":"Neurofibromatosis type 1 (NF1) is a rare clinical entity when associated with breast tumors. Women diagnosed with NF1 are 5 times more likely to develop breast cancer from a preexisting neurofibroma lesion. Previous studies have recommended earlier breast cancer screening starting at age 30 for NF1 patients. Morbidity associated with NF1 lesions include pain, paresthesia, and motor deficits, which contribute to a decreased quality of life. Although breast involvement is rare, the most common location of neurofibromas involving the breast is the nipple-areolar complex (NAC). Mastectomy incision type and management of the NAC have not been well studied in NF1 patients with NAC-sparing breast neurofibromas. The purpose of this case report is to describe a 23-year-old woman with a severe breast deformity diagnosed with NF1 who underwent nipple-sparing mastectomy with immediate latissimus flap reconstruction and nipple neurotization. Neurotization of the nipple may restore sensation in NF1 patients who undergo nipple-sparing mastectomy and immediate breast reconstruction for an NAC-sparing solitary breast neurofibroma. Collaboration between surgical oncology and plastic surgery should guide surgical decision-making to optimize patient treatment and satisfaction outcomes.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 5","pages":"e6814"},"PeriodicalIF":1.5,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Novel Split Latissimus Dorsi Fasciocutaneous Flap With Vascularized Lymph Node Transfer. 新型分离背阔肌筋膜皮瓣伴血管化淋巴结转移。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-05-22 eCollection Date: 2025-05-01 DOI: 10.1097/GOX.0000000000006824

Fiona R Fragomen, Julia Maxey, James R Gatherwright

引用次数: 0

Plastic Surgery Research From Low- and Middle-income Countries Over a Decade: A Web of Science Analysis. 中低收入国家十年来的整形外科研究：一个科学分析网络。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-05-22 eCollection Date: 2025-05-01 DOI: 10.1097/GOX.0000000000006821

Andrew Hannoudi, Jeffrey E Janis

{"title":"Plastic Surgery Research From Low- and Middle-income Countries Over a Decade: A Web of Science Analysis.","authors":"Andrew Hannoudi, Jeffrey E Janis","doi":"10.1097/GOX.0000000000006821","DOIUrl":"10.1097/GOX.0000000000006821","url":null,"abstract":"Background: Research publications from low- and middle-income countries (LMICs) are underrepresented in the plastic surgery literature. Identifying trends in impactful research publications from LMICs can help guide strategies for more equitable contributions to the field from nations facing similar barriers to success.Methods: Using Web of Science, the top 100 most-cited plastic surgery articles published by researchers from LMICs over the past decade were collected. Trends in various factors, such as authorship contribution, country affiliation, and institutional affiliation were analyzed. Coauthorship collaborations were illustrated using VOSviewer.Results: The top 100 articles had a combined total of 3398 citations, ranging from 16 to 157 citations per article. India and Egypt accounted for 81% of publications, likely attributable to the research collaborations between these nations and high-income countries. Craniofacial surgery, which is performed at disproportionately higher rates in LMICs, was the main research focus in 22 of 100 publications.Conclusions: As plastic surgery continues to evolve worldwide, promoting the formation of partnerships between underrepresented LMICs and high-income countries will drastically improve the field. These findings provide a snapshot of key LMIC-based contributors to the plastic surgery literature, offering a resource that may be referenced by potential collaborators.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 5","pages":"e6821"},"PeriodicalIF":1.5,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mastectomy Flap Thickness Required for Successful Nipple Preservation, Mastopexy, and Reconstruction in Ptotic Breasts. 乳房切除皮瓣厚度对成功保留乳头，乳房切除术和重建上睑下垂乳房的要求。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-05-22 eCollection Date: 2025-05-01 DOI: 10.1097/GOX.0000000000006805

Jean-Claude D Schwartz

引用次数: 0

Epithelial Turn-in Flap for Nasal Lining Reconstruction. 上皮细胞翻转瓣用于鼻粘膜重建。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-05-22 eCollection Date: 2025-05-01 DOI: 10.1097/GOX.0000000000006822

Jessica S Wang, Rocio Perez, Lee J Yuan, Jong-Woo Choi

引用次数: 0

Efficacy and Safety of Incobotulinumtoxin-A for Trapezius Muscle Reduction: Quantitative Evaluation With Imaging Studies. 肉毒杆菌毒素a治疗斜方肌复位的疗效和安全性：影像学定量评价。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-05-20 eCollection Date: 2025-05-01 DOI: 10.1097/GOX.0000000000006782

Je-Young Park, Sooyun Park, Ji Su Lee, Dong Hun Lee

{"title":"Efficacy and Safety of Incobotulinumtoxin-A for Trapezius Muscle Reduction: Quantitative Evaluation With Imaging Studies.","authors":"Je-Young Park, Sooyun Park, Ji Su Lee, Dong Hun Lee","doi":"10.1097/GOX.0000000000006782","DOIUrl":"10.1097/GOX.0000000000006782","url":null,"abstract":"Background: Bilateral trapezius muscle hypertrophy can cause both aesthetic concerns and physical discomfort. This study aimed to objectively assess the clinical efficacy and safety of incobotulinumtoxin-A (INCO) injections in patients with bilateral trapezius muscle hypertrophy.Methods: This single-center retrospective study included 22 patients with bilateral trapezius muscle hypertrophy who received INCO injections and were followed up at 1, 3, and 6 months after treatment. Evaluation methods included clinical photography, imaging analysis with ultrasound and 3-dimensional computed tomography, and the Global Aesthetic Improvement Scale.Results: Photographic evaluations revealed significant reductions in surface area at 1 month (28.82% ± 3.93%), 3 months (26.83% ± 3.60%), and 6 months (28.74% ± 3.30%), compared with baseline (all P < 0.001). Ultrasonography showed significant reductions in thickness at 1 month (5.20 ± 1.01 mm) and 3 months (4.64 ± 0.80 mm), which were sustained until 6 months (5.23 ± 0.89 mm), compared with baseline (P < 0.001). A notable volume reduction in the upper trapezius muscle was detected in the 3-dimensional computed tomography scan of a single patient. The Global Aesthetic Improvement Scale scores indicated high satisfaction, with no significant adverse events.Conclusions: INCO injections effectively reduced trapezius muscle size, with sustained results up to 6 months posttreatment. This study supports the use of INCO as a safe and effective option for managing trapezius hypertrophy.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 5","pages":"e6782"},"PeriodicalIF":1.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Giant Intracranial Chondroma. 巨大颅内软骨瘤。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-05-20 eCollection Date: 2025-05-01 DOI: 10.1097/GOX.0000000000006726

Hieu Lan Nguyen, Trung Thai Vo, Hong Van Hoang, Khoa Xuan Ngo, Mat Thi Nguyen, Anh Quang Pham, Duong Van Tran

引用次数: 0

Outcomes Following Implantation With Mesh Suture: A Registry of 1111 Patients. 植入补片缝线后的结果：1111例患者的登记。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-05-20 eCollection Date: 2025-05-01 DOI: 10.1097/GOX.0000000000006766

Megan M Perez, Taaha Hassan, Mehul Mittal, May Li, Kazimir Bagdady, Taylor G Hallman, Paige N Hackenberger, Gregory A Dumanian, Michael Shapiro

{"title":"Outcomes Following Implantation With Mesh Suture: A Registry of 1111 Patients.","authors":"Megan M Perez, Taaha Hassan, Mehul Mittal, May Li, Kazimir Bagdady, Taylor G Hallman, Paige N Hackenberger, Gregory A Dumanian, Michael Shapiro","doi":"10.1097/GOX.0000000000006766","DOIUrl":"10.1097/GOX.0000000000006766","url":null,"abstract":"Background: Mesh suture is a novel suture design intended to distribute pressure at the suture-tissue interface, potentially reducing suture pull-through and repair failures. This study aimed to evaluate the feasibility of mesh suture closures across surgical indications and assess early outcomes, with emphasis on abdominal wall closure.Methods: A registry was created using institutional implant logs from January 2023 to July 2024 across an integrated healthcare system. A retrospective chart review collected demographics, surgical details, and complications.Results: In total, 1111 patients received mesh suture by 86 surgeons. Most cases involved full-thickness abdominal wall closures (88.2%). Further analysis focused on abdominal wall closures without planar mesh (N = 862). The 90-day surgical site infection rate was 9.0%, and the surgical site event rate was 11.8%. There were 9 (1.0%) fascial dehiscence events, 3 (0.3%) chronic draining sinuses, and 2 (0.2%) enterocutaneous fistulae. The 90-day readmission and reoperation rates were 7.0% and 7.5%, respectively. The hernia formation rate was 4.8%. On univariate analysis, American Society of Anesthesiology class, wound class, and diabetes were significantly associated with major complications (P < 0.05). The mean follow-up was 162 days.Conclusions: Mesh suture appears versatile and user-friendly across specialties and indications. Early outcomes are encouraging; however, prospective studies with longer follow-up are needed to further evaluate long-term performance.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 5","pages":"e6766"},"PeriodicalIF":1.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Two-stage Implant-based Breast Reconstruction Without the Use of Tissue Expanders. 不使用组织扩张器的两阶段假体乳房重建。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-05-20 eCollection Date: 2025-05-01 DOI: 10.1097/GOX.0000000000006767

Jean-Claude D Schwartz

{"title":"Two-stage Implant-based Breast Reconstruction Without the Use of Tissue Expanders.","authors":"Jean-Claude D Schwartz","doi":"10.1097/GOX.0000000000006767","DOIUrl":"10.1097/GOX.0000000000006767","url":null,"abstract":"Background: The use of a tissue expander (TE) followed by a definitive implant is the most common approach for breast reconstruction after mastectomy. The purpose of this study was to determine if a first-stage, low-projection definitive silicone implant could replace the use of a TE.Methods: Between January 2016 and January 2024, 155 consecutive high-risk patients with breast cancer underwent breast reconstruction with a first-stage definitive implant after mastectomy in the implant-only (IO) group. All IO patients underwent a subsequent second-stage implant exchange to get to their goal reconstruction size. Outcomes were compared with a similar high-risk population who underwent conventional 2-stage reconstruction with a first-stage TE.Results: The risk of all complications, including reconstructive failure, was similar between the groups, except for an increased risk of minor postoperative wounds in the IO group and a higher risk of seroma requiring operative drainage in the TE group.Conclusions: The success rate of 2-stage breast reconstruction in high-risk patients after mastectomy is similar using either a first-stage TE or low-projection definitive implant. Two-stage reconstruction using the IO approach offers patients the opportunity to reduce the cost, discomfort, inconvenience, and complications associated with repeated TE fills. It also allows them to pursue their second-stage reconstruction at their convenience when compared with patients with TEs who are encouraged to undergo exchange in a timely fashion.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 5","pages":"e6767"},"PeriodicalIF":1.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0