Plastic and Reconstructive Surgery Global Open最新文献_第2页

Reconstruction of Back Defect from Giant Congenital Melanocytic Nevus Using Dermal Substitute Matrix. 真皮替代基质重建巨大先天性黑素细胞痣背部缺损。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-01-21 eCollection Date: 2025-01-01 DOI: 10.1097/GOX.0000000000006487

Kareem W Makkawi, Paul T Beaineh, Saif E Emsieh, Edwin E Chrabieh, Amir E Ibrahim

引用次数: 0

The Lipo-DIEP Flap Breast Reconstruction: A Valuable Innovation for Maximizing Abdominal Tissue Volume. 脂肪- diep皮瓣乳房重建：一个有价值的创新，以最大限度地提高腹部组织体积。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-01-17 eCollection Date: 2025-01-01 DOI: 10.1097/GOX.0000000000006445

Benedetto Longo, Gennaro D'Orsi, Alessio Farcomeni, Martina Giacalone, Elettra Gagliano, Lisa Vannucchi, Maximilian Catenacci, Gianluca Vanni, Claudio Oreste Buonomo, Valerio Cervelli

{"title":"The Lipo-DIEP Flap Breast Reconstruction: A Valuable Innovation for Maximizing Abdominal Tissue Volume.","authors":"Benedetto Longo, Gennaro D'Orsi, Alessio Farcomeni, Martina Giacalone, Elettra Gagliano, Lisa Vannucchi, Maximilian Catenacci, Gianluca Vanni, Claudio Oreste Buonomo, Valerio Cervelli","doi":"10.1097/GOX.0000000000006445","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006445","url":null,"abstract":"Background: The deep inferior epigastric perforator (DIEP) flap is universally considered the gold standard technique for breast reconstruction (BR), though it cannot always be proposed to patients with insufficient donor-site volume. We explore the efficacy of autologous fat transfer (AFT) of the Holm abdomen zone IV in the retropectoral plane during DIEP flap reconstruction (lipo-DIEP flap), to enhance the volume provided by the abdominal donor site in patients with low body mass index (BMI).Methods: We prospectively enrolled patients with BMI less than 25 kg/m2 and candidates for lipo-DIEP flap BR (group A) comparing them with a control group (group B) undergoing traditional DIEP flap BR with the same characteristics of the first group (BMI < 25 kg/m2). Patients belonging to group A underwent magnetic resonance imaging preoperatively and 6 months after the BR, evaluating the adipose tissue volume retained in the retropectoral space.Results: A total of 40 breasts were included in the study. The 2 groups were homogeneous regarding the collected variables, except for mean delayed AFT sessions (0.25 versus 0.95; P= 0.00094). The average volume of retropectoral AFT was 116.25 mL (SD 31.36). Six months after the procedure, the mean retropectoral fat volume calculated through magnetic resonance imaging was 48.64 mL (SD 14.15), whereas the mean graft integration rate was 45.98% (range, 30.7%-64.2%).Conclusions: The lipo-DIEP flap is a valuable technique for patients with insufficient donor-site volume. Immediate retropectoral fat grafting from the Holm zone IV has proven to be safe in terms of complications, reducing the need for further AFT sessions.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 1","pages":"e6445"},"PeriodicalIF":1.5,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009740","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

Pygopagus Twins Separation Using a Rectangular Fasciocutaneous Flap: Case Report From Beirut, Lebanon. 用矩形筋膜皮瓣分离双生子：黎巴嫩贝鲁特1例报告。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-01-17 eCollection Date: 2025-01-01 DOI: 10.1097/GOX.0000000000006478

Christopher Hakim, Saif Emsieh, Edwin Chrabieh, Jana Zeineddine, Amir Ibrahim

引用次数: 0

Novel Frostbite Cooling Device for Real-time Assessment and Prevention of Chemotherapy-induced Peripheral Neuropathy. 用于实时评估和预防化疗引起的周围神经病变的新型冻伤冷却装置。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-01-17 eCollection Date: 2025-01-01 DOI: 10.1097/GOX.0000000000006423

Yuki Matsui, Hirotaka Kishi, Chihiro Matsui, Jun Morita, Hiroshi Mizuno, Hatan Mortada, Haruaki Sasaki, Takashi Fukagai

{"title":"Novel Frostbite Cooling Device for Real-time Assessment and Prevention of Chemotherapy-induced Peripheral Neuropathy.","authors":"Yuki Matsui, Hirotaka Kishi, Chihiro Matsui, Jun Morita, Hiroshi Mizuno, Hatan Mortada, Haruaki Sasaki, Takashi Fukagai","doi":"10.1097/GOX.0000000000006423","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006423","url":null,"abstract":"Background: Chemotherapy-induced peripheral neuropathy (CIPN) affects 29%-68% of patients undergoing anticancer treatments within the first month. Traditional cryotherapy methods, such as frozen gloves, can pose risks. This study evaluates the cool-water electric circulation seat (CECS), which maintains a constant 15°C, as a safer alternative.Methods: In this prospective study, 21 healthy Japanese adults underwent 2.5 hours of hand cooling at 15°C, reflecting the standard duration of taxane anticancer drug administration. Microcirculation was evaluated using videocapillaroscopy before and after cooling.Results: Results showed significant reductions in blood vessel area and altered red blood cell movement postcooling. Finger temperature and vascular area decreased significantly (P < 0.001), and red blood cell movement changed significantly, with most cells shifting from slow (52.4%) or fast (47.6%) movement before cooling to slow (23.8%) or immobile (76.2%) afterward (P < 0.001). Thirty minutes postcooling, 38.1% of participants reported temporary redness, and 28.6% reported pain, both resolving by the next day.Conclusions: The CECS effectively provides secure cooling, offering a promising approach for CIPN prevention without frostbite risk. These findings highlight the potential advantages of CECS in sustained cooling therapy for CIPN prevention.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 1","pages":"e6423"},"PeriodicalIF":1.5,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009273","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

Recalcitrant Bilateral Volar Hand Burn Contracture in a Toddler Treated With Integra and Staged Full-thickness Skin Graft: A Literature Review. 顽固性双侧掌侧烧伤挛缩在幼儿治疗完整和分期全层皮肤移植：文献综述。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-01-17 eCollection Date: 2025-01-01 DOI: 10.1097/GOX.0000000000006430

James C Yuen, Jennifer L Wallace, Susan C Steelman

{"title":"Recalcitrant Bilateral Volar Hand Burn Contracture in a Toddler Treated With Integra and Staged Full-thickness Skin Graft: A Literature Review.","authors":"James C Yuen, Jennifer L Wallace, Susan C Steelman","doi":"10.1097/GOX.0000000000006430","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006430","url":null,"abstract":"Background: Recurrent burn contractures on the volar aspect of the hand present a formidable challenge, especially in the pediatric patient. We used Integra followed by staged full-thickness skin grafting for recurrent bilateral volar hand burn contracture in a toddler. We reviewed the literature to appraise the utility of full-thickness skin graft (FTSG) combined with Integra used for volar hand contractures.Methods: A systematic review of the world's literature was conducted identifying publications on the application of Integra and skin substitutes for palmar hand contractures and wounds, to include burn injuries. We describe a case of a pediatric patient with recurrent bilateral burn flexion contracture of the palm and digits treated with scar excision and application of Integra, followed by staged application of FTSG.Results: We identified 92 publications pertaining to volar hand defects or contractures managed with skin grafts, skin substitutes, and/or flaps. Ten articles referred to the use of Integra on volar hand wounds or contractures, and only 2 articles used FTSG instead of split-thickness skin graft in combination with Integra. Our systematic review of volar burn injuries of the hand and fingers demonstrated that the use of Integra combined with FTSG for postburn flexion contracture of the hand has not been previously reported.Conclusions: This case report suggests that application of FTSG instead of split-thickness skin graft to vascularized Integra offers protective value against recurrent burn contracture of the palmar hand, but more studies are needed to support our hypothesis.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 1","pages":"e6430"},"PeriodicalIF":1.5,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009334","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

The Efficacy of Single-Application NPWTi-d for the Salvage of Infected Breast Prostheses: A Multi-Center Study. 单次应用NPWTi-d修复感染乳房假体的疗效：一项多中心研究。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-01-17 eCollection Date: 2025-01-01 DOI: 10.1097/GOX.0000000000006467

Jason C Llaneras, Robert Craig Clark, Lauren Antognoli, Emily Finkelstein, Luci Hulsman, Luther Holton, Devinder Singh, R Jason VonderHaar, Risal Djohan, Aladdin H Hassanein, Chris M Reid

{"title":"The Efficacy of Single-Application NPWTi-d for the Salvage of Infected Breast Prostheses: A Multi-Center Study.","authors":"Jason C Llaneras, Robert Craig Clark, Lauren Antognoli, Emily Finkelstein, Luci Hulsman, Luther Holton, Devinder Singh, R Jason VonderHaar, Risal Djohan, Aladdin H Hassanein, Chris M Reid","doi":"10.1097/GOX.0000000000006467","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006467","url":null,"abstract":"Background: Breast prosthesis infections are challenging and traditionally managed with prosthesis removal and delayed reconstruction. Single-application negative pressure wound therapy with instillation and dwell (NPWTi-d) has shown promise for salvaging infected implants, though prior studies have been small and heterogeneous. This study analyzes outcomes and compares protocols from four institutions.Methods: Data were collected on 56 patients (59 breasts) who underwent NPWTi-d salvage for peri-prosthetic infections. Patients with fewer than 3 months of follow-up were excluded. Salvage protocols included explantation, NPWTi-d application, antibiotics, and replantation. Successful salvage was defined as prosthesis retention without further explantation for at least 90 days posttreatment.Results: Intervention occurred on average 66 days after the index procedure. Methicillin-resistant organisms were cultured in 15% of cases. NPWTi-d was applied for an average of 61 hours with dwell times of 18 minutes every 3 hours, using institution-specific instillates. All patients were discharged with new prostheses (65% expanders, 35% implants) after an average hospital stay of 4 days. At 90-day follow-up, 71% of patients had no further complications, and 85% were successfully salvaged.Conclusions: This is the largest study to evaluate NPWTi-d for salvaging infected breast prostheses. The high success rate highlights the method's efficacy, safety, and potential for preserving reconstruction. These straightforward protocols can significantly improve patient outcomes and reduce healthcare costs, offering a valuable option for managing prosthesis infections.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 1","pages":"e6467"},"PeriodicalIF":1.5,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009739","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

Use of Diced Cartilage for Management of Internal Mammary Vessel Exposure Sites in Autologous Breast Reconstruction. 自体乳房再造术中应用软骨切块处理乳腺内血管暴露部位。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-01-17 eCollection Date: 2025-01-01 DOI: 10.1097/GOX.0000000000006429

Ulf Dornseifer, My L Truong, Stephan Grumbrecht, Peter P Pfeiler, Uli D Haide, Philipp Moog, Michael Kimelman

{"title":"Use of Diced Cartilage for Management of Internal Mammary Vessel Exposure Sites in Autologous Breast Reconstruction.","authors":"Ulf Dornseifer, My L Truong, Stephan Grumbrecht, Peter P Pfeiler, Uli D Haide, Philipp Moog, Michael Kimelman","doi":"10.1097/GOX.0000000000006429","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006429","url":null,"abstract":"Background: Exposure of internal mammary vessels in autologous breast reconstruction often requires removal of a rib cartilage segment, which can lead to breast contour deformity. This study evaluated the use of diced cartilage (DC) to counteract substance loss in the microvascular anastomosis area.Methods: This retrospective, single-center cohort study included all breast reconstructions in which DC was used from October 2021 to June 2023. Reconstructions using DC were subdivided based on previous breast radiotherapy (DC versus DC with prior breast radiotherapy [DCR]). The control group consisted of an equal number of consecutive reconstructions performed before the use of DC. The effect of DC on breast contour was investigated using magnetic resonance imaging (>6 months postoperative) and photographic documentation (6-month follow-up).Results: DC was used in 114 of 173 included reconstructions (DC, n = 55; DCR, n = 59; control, n = 59). Magnetic resonance imaging analysis revealed less soft tissue sinking into resection zones in both DC groups (DC 0.2 ± 1.3 mm versus control 6.0 ± 1.6 mm, P = 0.002; DCR 0.4 ± 1.6 mm versus control 6.0 ± 1.6 mm, P < 0.003). Previous irradiation did not affect DC stability. The photographs indicated that there were no deformities after DC use, but deformities occurred in 13.6% of patients in the control group (P < 0.05). Flap failure did not occur in any group.Conclusions: DC is a safe procedure that prevents contour deformities associated with rib cartilage removal in breast reconstruction, regardless of prior breast irradiation.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 1","pages":"e6429"},"PeriodicalIF":1.5,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009785","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

Treatment of the Induration of the Soft Tissue of the Lower Eyelids After Accidental Oil Injections. 意外油注射后下眼睑软组织硬化的治疗。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-01-17 eCollection Date: 2025-01-01 DOI: 10.1097/GOX.0000000000006482

Vladimir Safronov

{"title":"Treatment of the Induration of the Soft Tissue of the Lower Eyelids After Accidental Oil Injections.","authors":"Vladimir Safronov","doi":"10.1097/GOX.0000000000006482","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006482","url":null,"abstract":"Injection cosmetic procedures have shown rapid continuing growth in the last 2 decades. Various substances are injected into the periorbital region for skin quality increase and correction of tear trough deformity, including hyaluronic acid, peptides, collagen, and others. Sometimes patients get accidentally injected with different substances that are not approved for cosmetic treatment in this anatomic area. The author presents a case of a 51-year-old woman, injected with unknown oil solution into the lower eyelid skin by the local dermatologist. Inflammation and induration of the skin of the lower periorbital region have occurred after these injections. The patient was treated conservatively until the acute process stopped, and then surgical correction was performed to correct skin and orbicularis oculi muscle induration changes. Surgical treatment included direct oil cyst excision and removal after injection changed tissues between skin and orbicularis oculi muscle. The patient was observed for scheduled appointments and conservative treatment to prevent unfavorable scar formation and lower eyelid deformity. Although different kinds of oil substances are not approved for skin injections for cosmetic purposes, accidental injections occur and may lead to terrible results. Methods to correct eyelid deformity after oil solution injections are not presented in the literature. In this article, the author presents a case report with the method of correction of induration of soft tissues of the lower eyelids occurring after oil injections. Although cases like this are rare, they require correct surgical solution to provide a good aesthetic result after the treatment.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 1","pages":"e6482"},"PeriodicalIF":1.5,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009769","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

Modified Wise Pattern Inferior-central Pedicle Breast Reduction: Technical Pearls for Reliable Aesthetic Outcomes. 改良的智慧模式下中央蒂乳房缩小术：技术珍珠可靠的美学效果。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-01-17 eCollection Date: 2025-01-01 DOI: 10.1097/GOX.0000000000006453

Elie P Ramly, Amy S Colwell

引用次数: 0

Vascularized Iliac Crest Bone Graft for the Reconstruction of Anterior Vertebral Corpus Defects: A Literature Review and Cadaveric Feasibility Study. 带血管髂骨移植物重建前椎体缺损：文献回顾及尸体可行性研究。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-01-16 eCollection Date: 2025-01-01 DOI: 10.1097/GOX.0000000000006380

Jonathan L Jeger, Casey J Martinez, Maria Shvedova, Alec Simoni, Alanna Rebecca, Sebastian Winocour, Alexander E Ropper, Michael Bohl, William J Casey, Maziyar Kalani, Edward M Reece

{"title":"Vascularized Iliac Crest Bone Graft for the Reconstruction of Anterior Vertebral Corpus Defects: A Literature Review and Cadaveric Feasibility Study.","authors":"Jonathan L Jeger, Casey J Martinez, Maria Shvedova, Alec Simoni, Alanna Rebecca, Sebastian Winocour, Alexander E Ropper, Michael Bohl, William J Casey, Maziyar Kalani, Edward M Reece","doi":"10.1097/GOX.0000000000006380","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006380","url":null,"abstract":"Background: Vertebral body defects pose a significant challenge in spinal reconstructive surgery. Compression fractures of the vertebral corpus are typically treated with vertebral augmentation procedures. There are significant risks associated with the introduction of foreign material in the spine, including infection and pseudarthrosis. Vascularized bone grafts (VBGs) have become a popular alternative for spinal reconstruction in the last decade thanks to their robust blood supply and autologous nature. VBGs have been described predominantly for the reconstruction of posterior vertebral defects. The objective of this study is to describe a novel procedure for the reconstruction of vertebral corpus defects in the lumbar and distal thoracic spine.Methods: This is a cadaveric anatomy study. The authors performed the novel surgical technique on an anonymized cadaveric donor in the prone position and recorded the procedure through clinical photography. Consent for the procedure and photography was obtained from the Center for Procedural Innovation.Results: A 5-cm-long posterior iliac crest VBG (IC-VBG) was successfully harvested on a pedicle of the quadratus lumborum muscle. The VBG was rotated and mobilized anteromedially to the vertebral corpus. In this donor, the IC-VBG could be inset with minimal tension anywhere along the vertebral bodies of the spine from the L5 to the T9 level.Conclusions: A rotated, anteromedially mobilized IC-VBG represents a novel technique for reconstruction of the anterior vertebral corpus of the lumbar and distal thoracic spine with a lower risk of infection and pseudarthrosis than reconstruction with foreign materials.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 1","pages":"e6380"},"PeriodicalIF":1.5,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11737486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009805","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