Plastic and Reconstructive Surgery Global Open最新文献

{"title":"Evolution of Cleft Lip and Palate Surgery and the Pursuit for Consensus on Standardized Algorithms of Care.","authors":"Priyanka Naidu, Alexander T Plonkowski, Caroline A Yao, William P Magee","doi":"10.1097/GOX.0000000000006643","DOIUrl":"10.1097/GOX.0000000000006643","url":null,"abstract":"<p><p>Cleft lip and palate (CLP) surgery has evolved over centuries in an attempt to achieve anatomical closure while optimizing speech and limiting fistulas and midface hypoplasia. Masters of cleft surgery and early pioneers inspired generations of surgical innovators to refine techniques and timing to improve surgical outcomes. Constant modification has resulted in significant diversity of cleft surgical protocols across institutions. Unlike many other surgical conditions, there is no gold-standard algorithm of care for CLP. Several international consortiums, including Eurocleft, Americleft, and Scandcleft, aimed to investigate the ideal cleft care protocol. Despite the inclusion of multiple institutions and attempts at long-term follow-up, these studies were limited by small sample sizes, lack of diversity in patient population, poor long-term follow-up, lack of standardized measurement tools, and inability to control for confounders such as severity. This article aimed to present the findings of these early pioneer consortiums in their pursuit for the optimal CLP surgical protocol and recommend a direction for future research with a global consortium of experts in cleft care.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6643"},"PeriodicalIF":1.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670609","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}

{"title":"Investigation of Cranial Bone Changes Indicative of Increased Intracranial Pressure in Diverse Phenotypes of Craniosynostosis.","authors":"Jasmine Chaij, Jiawei Liu, Brooke French, David Mirsky, Randy C Miles, Marius George Linguraru, Phuong D Nguyen, Allyson L Alexander, Carsten Görg, Antonio R Porras","doi":"10.1097/GOX.0000000000006618","DOIUrl":"10.1097/GOX.0000000000006618","url":null,"abstract":"<p><strong>Background: </strong>Despite the clinical importance of identifying increased intracranial pressure (IIP) in children with craniosynostosis (CS), its presence is often uncertain due to limited utilization of invasive measurement methods, inconclusive clinical evaluations, and its variability depending on the CS phenotype. Hence, prevalence reports are highly variable. We previously developed a computational method to identify pediatric chronic IIP of diverse etiology based on subtle cranial thickness and density anomalies quantified from computed tomography (CT) scans. In this study, we evaluate cranial signs of IIP in a large dataset of presurgical CT scans of patients with diverse phenotypes of CS and its prevalence.</p><p><strong>Methods: </strong>We quantified local cranial thickness and density in the CT scans of 417 patients with diverse phenotypes of CS (age 0-2 y). We used a normative reference of cranial development to quantify cranial bone anomalies in each phenotypic group and compared them with 48 patients with chronic IIP unrelated to CS. We then studied the risk of IIP and its prevalence in each phenotypic group of CS.</p><p><strong>Results: </strong>Patients with CS presented significant calvarial thickening and bone density decrease compared with normative patients (<i>P</i> < 0.001). Similar findings were found in patients with chronic IIP unrelated to CS (<i>P</i> > 0.23). Presurgical signs of IIP were more prevalent in patients with Apert syndrome (>74% patients) and nonsyndromic patients with coronal involvement (>30%) compared with other phenotypes (>18%).</p><p><strong>Conclusions: </strong>Computational evaluation of routinely acquired presurgical CT scans can potentially support the evaluation of IIP in patients with CS.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6618"},"PeriodicalIF":1.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670612","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}

{"title":"Otoplasty in Saudi Arabia: Is There a Change in Demographic Trend?","authors":"Sari M Rabah, Ebtesam Almajed, Razan Albrahim, Alya AlZabin, Rand Alshabnan, Lara Alyahiwi, Reema Aldawish","doi":"10.1097/GOX.0000000000006639","DOIUrl":"10.1097/GOX.0000000000006639","url":null,"abstract":"<p><strong>Background: </strong>Prominent ears are a recognized ear deformity. Surgical correction of prominent ears aims to improve quality of life, particularly in children before school entry. This study examines patient demographics and surgical practices in otoplasty in Saudi Arabia, comparing findings with international trends.</p><p><strong>Methods: </strong>An online cross-sectional survey of plastic surgeons and otolaryngologists in Saudi Arabia was conducted. The questionnaire comprised sociodemographic data, otoplasty practice questions, and questions about the demographics of patients presenting with otoplasty from the surgeon's perspective.</p><p><strong>Results: </strong>A total of 155 respondents participated in the study, of whom 60.6% were plastic and reconstructive surgeons, and 49.7% of surgeons reported 5-6 years of age as the optimum timing for otoplasty. The Mustardé technique was the most chosen technique (35.3%). Additionally, 43.2% of surgeons stated that patients in the 6- to 12-year age group were the typical age group that presented with prominent ears seeking treatment. Aesthetic complaints were the most common reason (64.5%) for referral to the clinic. Moreover, the optimum timing of otoplasty was significantly associated with age of patients undergoing otoplasty (<i>P</i> = 0.043).</p><p><strong>Conclusions: </strong>The study's findings offered significant insights into the existing practices of otoplasty in Saudi Arabia and emphasized prospective areas that warrant future exploration.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6639"},"PeriodicalIF":1.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670618","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}

{"title":"A Comparison of Treatment With Skin Graft or Secondary Healing for Nasal Wound Defects After Tumor Excision: A Randomized Study.","authors":"Sinan Dogan, Ingrid Steinvall, Jamila Hogey Halimi, Elina Bergman, Åsa Gustavsson, Moustafa Elmasry","doi":"10.1097/GOX.0000000000006620","DOIUrl":"10.1097/GOX.0000000000006620","url":null,"abstract":"<p><strong>Background: </strong>A full-thickness skin graft is a commonly used method for repairing smaller nasal defects. Secondary healing is a simple alternative with many advantages, although it is associated with a long duration of healing. The aim was to compare the short- and long-term results of skin graft transplantation or secondary healing for small nasal wound defects after tumor excision.</p><p><strong>Methods: </strong>Adult patients admitted for nasal tumor resection were randomized to treatment with either full-thickness skin graft or secondary healing intent. Healing and complications were assessed at 1 and 4 weeks. Scar quality was assessed with the patient and observer scar assessment scale (POSAS) 6 months postoperatively.</p><p><strong>Results: </strong>Twenty-six patients were included. Three patients healed within a week in the skin graft group, whereas none had healed after a week in the secondary healing group (SHG). Healing time (median [interquartile range]) was 35.0 (28.0-41.0) days and 28.0 (12.0-48.0) days in the SHG and skin graft group, respectively (<i>P</i> = 0.47). Patient-POSAS scores reported better scores in the SHG for all 6 items (pain, itching, color, stiffness, thickness, and irregularity), although not significantly. Observer-POSAS reported better scores in the SHG for vascularity, pigmentation, thickness, and relief (<i>P</i> = 0.003, 0.007, 0.002, and 0.01, respectively).</p><p><strong>Conclusions: </strong>Healing time did not differ between the 2 groups. The cosmetic outcome showed promising results in the SHG, suggesting that allowing secondary healing for superficial, smaller nasal defects after tumor surgery may be beneficial. However, the strength of this conclusion is hampered by the small study group.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6620"},"PeriodicalIF":1.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670452","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}

{"title":"Effect of Different Body and Hand Postures on Microsurgical Tremor.","authors":"Andrey Bykanov, Oleg Titov, Maxim Kiryushin, Timur Zagidullin, David Pitskhelauri","doi":"10.1097/GOX.0000000000006602","DOIUrl":"10.1097/GOX.0000000000006602","url":null,"abstract":"","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6602"},"PeriodicalIF":1.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670606","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}

{"title":"Human Platelet Extract (Plated) Hair Serum for Hair Health Improvement: A Double-blind, Placebo-controlled Clinical Study.","authors":"David Weir, Saranya Wyles, Atta Behfar, Laura Eaton-Jankov, Michelle Secic, Michaela Bell, Krishna Vyas, Rod J Rohrich","doi":"10.1097/GOX.0000000000006562","DOIUrl":"10.1097/GOX.0000000000006562","url":null,"abstract":"<p><strong>Background: </strong>The primary aim of this study was to demonstrate the benefits of topical human platelet exosome extract (HPE) (plated) hair serum for improving hair and scalp health in participants with self-perceived thinning hair.</p><p><strong>Methods: </strong>This single-center, placebo-controlled, double-blind study enrolled 39 healthy men and women 18-65 years of age with self-perceived thinning hair. Participants applied either HPE for 9 months or a topical placebo for 6 months with the option to cross over to HPE at 6 months for an additional 3 months. End points included improvements in the global aesthetic appearance of hair, as assessed by a blinded live evaluator; participant-reported outcomes; hair trichoscopy; and independent physician photograph evaluations. Safety data included monitoring for adverse events.</p><p><strong>Results: </strong>Blinded live evaluator assessments demonstrated statistically significant improvements in the global aesthetic appearance of hair for volume/fullness, density, scalp coverage, and appearance, with all <i>P</i> values less than 0.0001 within the HPE group and statistical improvement over the control at months 3 and 6 for volume/fullness, density, and scalp coverage. Participant-reported outcomes for within-group changes for HPE were statistically significant for all hair health parameters, including density, volume fullness, scalp coverage, scalp health, thickness, amount, quality, color, dryness, strength, and overall health of the hair. Hair trichoscopy analyses were significantly improved from baseline within the HPE group. Independent physician photography review demonstrated greater improvements within the HPE group. No adverse effects were observed.</p><p><strong>Conclusions: </strong>This study demonstrates that topical HPE (plated) hair serum with Renewosome technology significantly improves hair and scalp health and is safe and well tolerated.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6562"},"PeriodicalIF":1.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11918706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658209","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}

{"title":"Optimizing the Incision Marking in Abdominoplasty: 2-year Series.","authors":"Giuliano B Borille, Gustavo A Pereira Filho, Mariana Zancanaro, Vinicius W Ribeiro, Renato Giannini, Lauro Carvalho","doi":"10.1097/GOX.0000000000006640","DOIUrl":"10.1097/GOX.0000000000006640","url":null,"abstract":"<p><strong>Background: </strong>The resultant horizontal scar in abdominoplasty is primarily the result of 3 main factors: (1) preoperative skin marking planning, (2) undermining area, and (3) dermal adipose flap traction symmetry. Although distinct preoperative marking routines have been described in the literature, there are few records of the systematic use of a standard template for that purpose. The authors created the template used in this study 12 years ago and now make an objective critical analysis of its results from the last 2 years.</p><p><strong>Methods: </strong>Over a period of 30 months, 147 patients underwent abdominoplasty using the standard template to optimize the preoperative skin markings. All patients underwent an evaluation, through digital photograph, by 2 independent senior plastic surgeons, using an objective grading system for aesthetic outcomes proposed by Strasser, at least 6 months after the operation. All resultant scar shapes underwent a measurement analysis through Mirror Image software, version 6.0.</p><p><strong>Results: </strong>According to the Strasser objective grade system, 147 (95%) patients were considered to have good and excellent results. Five (4%) patients were considered moderate, and 3 (2%) had poor results. The analysis of the scar shape through the Mirror software has shown reproducibility with an angle variation of only 3 degrees. The overall complication rate was 6%.</p><p><strong>Conclusions: </strong>The template described provides the reproducibility of its results, creating a symmetric and balanced abdominoplasty horizontal scar, saving operative time, and lowering cost.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6640"},"PeriodicalIF":1.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11918593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658210","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}

{"title":"The Anatomy of an Employment Contract.","authors":"Keenan S Fine, Pradeep Attaluri, Peter J Wirth, Ellen C Shaffrey, Venkat K Rao","doi":"10.1097/GOX.0000000000006635","DOIUrl":"10.1097/GOX.0000000000006635","url":null,"abstract":"<p><p>Understanding the anatomy of an employment contract in plastic surgery is essential for achieving financial stability and advancing career goals. The lack of formal training for residents on employment contracts can make it challenging to secure favorable terms postgraduation, potentially leading to career dissatisfaction and increased risk of burnout. This review aimed to provide a comprehensive overview of the key elements of an employment contract to empower plastic surgeons and residents in effective negotiation. It covers critical contract components, including compensation models, duties, and benefits, tailored to the unique needs of plastic surgeons. Furthermore, it discusses termination clauses, legal protections, and the advantages of legal assistance in contract negotiation. By equipping plastic surgeons and residents with this knowledge, they can attain greater career satisfaction, financial security, and sustained professional success.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6635"},"PeriodicalIF":1.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11918790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658211","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}

{"title":"Vertical Breast Reduction Mammaplasty in the Adolescent Population.","authors":"Ashley E Rogers, Alexandra Junn, Esperanza Mantilla-Rivas, Haley S Oh, Nakul Ganju, Athena Zhang, Md Sohel Rana, Monica Manrique, Albert K Oh, Gary F Rogers","doi":"10.1097/GOX.0000000000006614","DOIUrl":"10.1097/GOX.0000000000006614","url":null,"abstract":"<p><strong>Background: </strong>Perioperative complications following reduction mammaplasty are well described in adults, yet there is a paucity of literature in the adolescent population, especially for the vertical reduction technique.</p><p><strong>Methods: </strong>We performed a retrospective chart review of patients younger than 18 years undergoing bilateral breast reduction with vertical pattern skin resection and a superomedial pedicle at our tertiary care institution (2012-2023). Patients with less than 30 days of follow-up were excluded.</p><p><strong>Results: </strong>A total of 48 patients with a mean age at surgery of 16.5 ± 1.7 years were included. Median time of last follow-up was 58.5 (interquartile range 37.2-232) days. Over the cumulative postoperative period, 12 (25%) patients experienced a complication. The most common complication was minor wound dehiscence (n = 9, 18.7%), followed by bleeding/hematoma (n = 3, 6.2%) and minor infection (n = 1, 2.1%). The complication rate was insignificantly greater in patients undergoing total excisions of 1000 g or more (29.2% versus 20.8%, <i>P</i> = 0.74). Perioperative complications were also higher in patients who were overweight (35.7%) and obese (29.2%) compared with patients with normal (0%) body mass index (<i>P</i> = 0.081), although this difference was not statistically significant.</p><p><strong>Conclusions: </strong>The complication rate after vertical breast reduction in adolescents is comparable to what is reported in the literature for adults, with all complications being minor and not requiring reoperation. Our study supports the safety of this approach in adolescents, although larger resection (≥1000 g) and higher body mass index trend toward higher complication rates.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6614"},"PeriodicalIF":1.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11918771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658212","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}

{"title":"Advancements in Face Lift Techniques: Preservation Face Lift With a Rotating Pedicle Flap.","authors":"Kevin Sadati, Olivier Mathieu, Curtis L Cetrulo, Alexandre G Lellouch","doi":"10.1097/GOX.0000000000006619","DOIUrl":"10.1097/GOX.0000000000006619","url":null,"abstract":"<p><strong>Background: </strong>Face lift surgery has witnessed a significant surge in popularity, particularly in the context of social media influence and heightened aesthetic awareness.</p><p><strong>Methods: </strong>The preservation face lift technique combines elements of the extended deep plane and high superficial musculoaponeurotic system face lift while adopting a tissue-sparing approach, minimizing skin delamination and preserving deep anatomical structures as much as possible. High-definition neck contouring for mild midline neck laxity is achieved through an innovative technique using lateral platysma purse-string hammock sutures. Deep neck content and submandibular gland resections are typically reserved for cases with moderate to significant neck fullness, requiring a more comprehensive approach to contouring. To further enhance the jawline by increasing the depth of the gonial angle, the lateral superficial musculoaponeurotic system flap is incised, mobilized, and rotated as a pedicled flap along the body of the ramus, resulting in a more defined contour. Through a retrospective analysis of 134 patients undergoing face and neck lift procedures, we compared outcomes between preservation face lift and extended deep plane face lift.</p><p><strong>Results: </strong>Results indicated shorter drainage durations and lower complication rates in the preservation face lift group, underscoring its efficacy and safety. Although our study provides valuable insights into the preservation face lift technique, future research should incorporate objective outcome measures such as patient-reported satisfaction surveys to further elucidate its benefits.</p><p><strong>Conclusions: </strong>Overall, the preservation face lift represents a nuanced approach to face lift surgery, prioritizing both aesthetic refinement and patient safety in pursuit of natural-looking results.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6619"},"PeriodicalIF":1.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11918738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658207","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}