Plastic and Reconstructive Surgery Global Open最新文献_第4页

The Use of Reduction Rhinoplasty to Accommodate a Local Flap for Large Nasal Tip Defect Reconstruction. 鼻复位成形术配合局部皮瓣重建大面积鼻尖缺损。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-11 eCollection Date: 2025-06-01 DOI: 10.1097/GOX.0000000000006818

Linda Regina Gudjonsdottir, Gudjon Leifur Gunnarsson

引用次数: 0

Using Condoms to Practice Venous End-to-side Anastomosis in Microsurgery. 显微外科应用安全套进行静脉端侧吻合。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-11 eCollection Date: 2025-06-01 DOI: 10.1097/GOX.0000000000006869

Kento Yamamoto, Zuzanna Granek, Kenji Tsuboi, Eisei Yoshizawa, Mami Tanaka, Yasutaka Umemoto, Hiroshi Furukawa

引用次数: 0

Quantifying Research Productivity From First-year US Integrated Plastic Surgery Residents After USMLE Step I Pass/Fail Conversion. 量化美国综合整形外科住院医师在USMLE第一步通过/不通过转换后第一年的研究生产力。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-11 eCollection Date: 2025-06-01 DOI: 10.1097/GOX.0000000000006870

Andrew Hannoudi, Benjamin A Sarac, Jeffrey E Janis

{"title":"Quantifying Research Productivity From First-year US Integrated Plastic Surgery Residents After USMLE Step I Pass/Fail Conversion.","authors":"Andrew Hannoudi, Benjamin A Sarac, Jeffrey E Janis","doi":"10.1097/GOX.0000000000006870","DOIUrl":"10.1097/GOX.0000000000006870","url":null,"abstract":"Background: Matching into integrated plastic surgery residency is extremely competitive. Although previous studies have examined the research output of matched residents, a thorough investigation of their types of publications, authorship trends, and citation metrics has not been performed following the transition of Step 1 to a pass/fail system. Identifying trends among successful matriculants may guide medical students toward successful preparation for the current application process.Methods: Research profiles for 213 first-year US integrated plastic surgery residents from the 2024-2025 cohort were analyzed using Scopus. Variables included publication count, number of first-author publications, types of publications, and journal impact factor. Residents were tiered into quartiles based on the amount of National Institutes of Health (NIH) funding received by their programs' associated universities or hospitals. Univariate regression analysis was performed to determine the relationship between NIH tiers and various research output characteristics.Results: The 2024-2025 integrated plastic surgery residency cohort had a median of 5 publications. First authorship contribution was evident in 32.6% of all publications, and 59.2% of all publications discussed plastic surgery-related topics. Original research articles were 66.4% of the studies. Journals published in had a median impact factor of 2.1. No significant differences were observed between NIH funding tiers and any of the research output characteristic variables.Conclusions: This study may guide future US integrated plastic surgery applicants toward success in the match by offering a qualitative and quantitative overview of the current landscape of research output characteristics for successful matriculants.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 6","pages":"e6870"},"PeriodicalIF":1.5,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144275626","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

Free Flap Salvage Using Extracorporeal Tissue Plasminogen Activator Administration: A Comparative Study. 应用体外组织纤溶酶原激活剂修复游离皮瓣的比较研究。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-11 eCollection Date: 2025-06-01 DOI: 10.1097/GOX.0000000000006856

Anna Johansen, Martin Halle, Stina Rittri

{"title":"Free Flap Salvage Using Extracorporeal Tissue Plasminogen Activator Administration: A Comparative Study.","authors":"Anna Johansen, Martin Halle, Stina Rittri","doi":"10.1097/GOX.0000000000006856","DOIUrl":"10.1097/GOX.0000000000006856","url":null,"abstract":"Background: Flap thrombosis is a challenging complication in free flap surgery, which if untreated will lead to flap failure. Besides mechanical thrombectomy, the potential benefit of thrombolytic therapy with tissue plasminogen activator (tPA) in flap salvage surgery remains uncertain. We hypothesized that extracorporeal tPA administration combined with surgical revision would lead to fewer flap necroses without increased bleeding complications.Methods: A retrospective study involving 1308 free flaps was conducted, including 42 patients who underwent surgical revision due to established flap thrombosis. The administration of tPA was analyzed in relation to the outcome variables: total and partial flap necrosis, secondary blood transfusion, and exploration for a hematoma or a new thrombosis.Results: Twenty-two patients received tPA during reexploration, and 20 patients did not. In the tPA group, 9 (41%) total flap failures occurred, and 4 (18%) flaps experienced partial flap necrosis. By comparison, in the tPA naive group, there were 4 (20%) total flap failures and 2 (10%) with partial flap necrosis (not significant). No differences were found in terms of the need for blood transfusion, secondary reexploration for bleeding, or a new thrombosis between the tPA and tPA naive groups.Conclusions: We did not find that tPA reduced the risk for flap necrosis, nor did it increase the risk for secondary bleeding-related adverse effects. We believe that there was a selection bias toward more severely compromised flaps receiving tPA. We consider extracorporeally administrated tPA in the flap to be safe and a valuable tool in flap salvage surgery.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 6","pages":"e6856"},"PeriodicalIF":1.5,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144275624","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

Evaluating the Efficacy and Safety of Poly-d,l-lactic Acid Administered via Cannula Technique in the Treatment of Moderate Rosacea. 评价聚d -l -乳酸套管技术治疗中度酒渣鼻的疗效和安全性。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-11 eCollection Date: 2025-06-01 DOI: 10.1097/GOX.0000000000006855

Jovian Wan, Suk Bae Seo, Kyu-Ho Yi

{"title":"Evaluating the Efficacy and Safety of Poly-d,l-lactic Acid Administered via Cannula Technique in the Treatment of Moderate Rosacea.","authors":"Jovian Wan, Suk Bae Seo, Kyu-Ho Yi","doi":"10.1097/GOX.0000000000006855","DOIUrl":"10.1097/GOX.0000000000006855","url":null,"abstract":"Rosacea is a chronic skin condition typically managed with treatments targeting surface symptoms such as erythema. Long-term solutions may require addressing deeper skin alterations. This study explored the efficacy and safety of poly-d,l-lactic acid (PDLLA, Juvelook, VAIM Inc., Seoul, Korea) administered via a cannula technique for moderate rosacea treatment. Four participants (32-62 years of age) with moderate rosacea unresponsive to conventional therapies underwent 3 PDLLA treatments at 3-week intervals. A 25G blunt-tip cannula was used to administer PDLLA into the subdermal layer. Erythema was assessed at baseline, 4 weeks, and 12 weeks using the Clinician's Erythema Assessment scale. Patient satisfaction was measured on a 4-point scale. PDLLA showed significant efficacy in reducing erythema and improving skin structure. All participants reported improved Clinician's Erythema Assessment scores with sustained effects at the 12-week follow-up. Patient satisfaction was high, and adverse effects were minimal (mild edema resolving spontaneously). PDLLA via cannula shows promise for treating refractory rosacea by addressing both superficial and deeper skin factors. Further research is needed to validate long-term efficacy and explore mechanisms of action.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 6","pages":"e6855"},"PeriodicalIF":1.5,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144275623","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

Single-stage Segmental Tibial Defect Reconstruction With Double-barrel Free Fibula Flap and Intramedullary Nail: An Innovative Technique Facilitating Early Load Bearing. 双管游离腓骨瓣加髓内钉一期重建胫骨缺损：一种促进早期负重的创新技术。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-11 eCollection Date: 2025-06-01 DOI: 10.1097/GOX.0000000000006859

Julia Isber, Kostas Triantafillou, Stefanos Boukovalas

引用次数: 0

Out-of-pocket Costs and Total Payments for Common Congenital Hand Difference Procedures. 常见先天性手差异手术的自付费用和总付款。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-11 eCollection Date: 2025-06-01 DOI: 10.1097/GOX.0000000000006864

Gordon C Wong, Yuxiao Nie, Lu Wang, Kevin C Chung

{"title":"Out-of-pocket Costs and Total Payments for Common Congenital Hand Difference Procedures.","authors":"Gordon C Wong, Yuxiao Nie, Lu Wang, Kevin C Chung","doi":"10.1097/GOX.0000000000006864","DOIUrl":"10.1097/GOX.0000000000006864","url":null,"abstract":"Background: Healthcare costs in the United States continue to rise, shifting an increasing financial burden onto patients. Families of children requiring surgery for congenital hand differences (CHDs) are particularly vulnerable, yet there are limited data on the costs associated with these procedures, hindering efforts to address healthcare inequities.Methods: Using data from the MarketScan Commercial Claims database from 2016 to 2022, we identified children aged 5 years or younger who underwent surgery for 5 common CHD conditions. Total payments and out-of-pocket payments, including deductibles, copayments, and coinsurance, were collected. Linear regression was used to analyze trends. All costs were inflation-adjusted to 2022 dollars.Results: The study included 3070 cases from 2016 to 2022, with trigger thumb release (70%) and syndactyly repair (16%) being the most common procedures. Median total payment across all procedures was $3763 (interquartile range [IQR] $4030), whereas median out-of-pocket payment was $544 (IQR $1376). Pollicization had the highest median total payment ($11,882 [IQR $16,915]), whereas constriction ring syndrome had the lowest ($2080 [IQR $3720]). High-deductible health plans were associated with higher total and out-of-pocket costs. Regional disparities were significant, with the Northeast having the highest total payments. Procedures performed in ambulatory surgical centers were associated with lower total payments but similar out-of-pocket costs compared with hospital settings.Conclusions: Children undergoing CHD surgery face substantial financial burdens, with significant variability in costs by procedure, region, insurance plan type, and provider specialty. Policymakers should prioritize measures to mitigate out-of-pocket costs and address regional and specialty-driven cost disparities to ensure equitable access to care.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 6","pages":"e6864"},"PeriodicalIF":1.5,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144275625","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 Effect of Establishment of an Integrated Plastic Surgery Program on General Surgery Resident Fellowship Aspirations. 建立综合整形外科项目对普通外科住院医师奖学金愿望的影响。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-10 eCollection Date: 2025-06-01 DOI: 10.1097/GOX.0000000000006854

Henry Krasner, Noama Iftekhar, Brent Blackwell, Brett Allen, Casey Giles, Joshua MacDavid, Richard C Baynosa

引用次数: 0

Safety and Effectiveness of Real-time Direct Vision Liposuction Performed Using Intraoperative Ultrasonography. 术中超声实时直接视觉吸脂术的安全性和有效性。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-10 eCollection Date: 2025-06-01 DOI: 10.1097/GOX.0000000000006848

Raúl Martín Manzaneda Cipriani, Hector Duran, Gerardo Adrianzen, Luis Carvalho, Mauricio Viaro, Emmanuel Flores, Alexis Delobaux, Ricardo Babaitis, Hassan Ben Moussa, Jack Liu

{"title":"Safety and Effectiveness of Real-time Direct Vision Liposuction Performed Using Intraoperative Ultrasonography.","authors":"Raúl Martín Manzaneda Cipriani, Hector Duran, Gerardo Adrianzen, Luis Carvalho, Mauricio Viaro, Emmanuel Flores, Alexis Delobaux, Ricardo Babaitis, Hassan Ben Moussa, Jack Liu","doi":"10.1097/GOX.0000000000006848","DOIUrl":"10.1097/GOX.0000000000006848","url":null,"abstract":"Background: Liposuction is a frequently performed procedure for body contouring. Various advances, such as retraction technology and ultrasonography, have helped achieve better results, verify the correct anatomical level, and increase the safety of the procedure.Methods: The use of intraoperative ultrasonography during liposuction as part of a safety and effectiveness protocol is described in this study. Furthermore, a satisfaction survey was conducted to evaluate the techniques used and the naturalness of the results. Reduction of the deep fat layer at the abdominal and dorsal levels was evaluated via ultrasonography before, immediately after, and 6 months after liposuction. The satisfaction survey was conducted at the end of 6 months. Information regarding the incidence of complications was also obtained.Results: Eighty female patients (mean age: 20-38 y) from Peru, Mexico, Brazil, and Argentina scheduled to undergo liposuction were recruited in this multicenter study. Reduction of 99.26% and 99.07% in the deep fat layer was observed at the abdominal and dorsal levels, respectively. This reduction was maintained at 99.26% and 99.14% at the abdominal and dorsal levels, respectively, at 6 months. No intraoperative complications were encountered during the follow-up period (6 mo). The satisfaction survey revealed a high level of satisfaction with the results.Conclusions: The use of intraoperative ultrasonography aided in locating the anatomical repairs, thereby facilitating adequate infiltration and liposuction. No lesions or complications were encountered intraoperatively or during the follow-up period. The participants reported a high satisfaction rate at 6 months.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 6","pages":"e6848"},"PeriodicalIF":1.5,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12150931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266956","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 Surgical Approach to a Medial Epicondylectomy in Cubital Tunnel Syndrome. 内侧上髁切除术治疗肘管综合征的手术入路。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-10 eCollection Date: 2025-06-01 DOI: 10.1097/GOX.0000000000006861

Abdus S Burahee, Liron S Duraku, Rajive Jose, Michiel J Zuidam, Dominic M Power

{"title":"The Surgical Approach to a Medial Epicondylectomy in Cubital Tunnel Syndrome.","authors":"Abdus S Burahee, Liron S Duraku, Rajive Jose, Michiel J Zuidam, Dominic M Power","doi":"10.1097/GOX.0000000000006861","DOIUrl":"10.1097/GOX.0000000000006861","url":null,"abstract":"Cubital tunnel syndrome, a common neuropathy of the upper limb, presents with sensory and motor symptoms, impacting hand function and grip strength. Surgical interventions, such as medial epicondylectomy (ME), aim to alleviate symptoms by relieving pressure on the ulnar nerve at the elbow. Historical attempts to treat this condition date back to the early 19th century, with procedures evolving over time. Modern techniques, including in situ decompression, transposition, and various forms of epicondylectomy, offer different approaches to address nerve compression. This article examined the evolution of ME techniques, highlighting the shift toward anatomical landmark-based referencing for precise osteotomy. Notably, adherence to consistent landmarks such as the ulnar collateral ligament and medial intermuscular septum ensures reproducibility and safety in surgical practice. Through meticulous dissection and osteotomy, ME aims to create a clear pathway for the ulnar nerve, reducing tension and preventing postoperative complications such as symptomatic nerve subluxation. Surgical success relies on thorough preoperative evaluation, precise technique execution, and attentive postoperative care. Complications, including nerve injury and joint instability, underscore the importance of surgical precision and patient monitoring. By prioritizing anatomical landmarks and using meticulous technique, ME offers a reliable solution for cubital tunnel syndrome, providing patients with improved function and symptom relief.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 6","pages":"e6861"},"PeriodicalIF":1.5,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12150908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266959","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