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

The Use of Oxygen Therapy in Management of Mastectomy Flap Ischemia. 氧疗在乳房切除皮瓣缺血治疗中的应用。

IF 1.8

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-10-01 DOI: 10.1097/GOX.0000000000007157

Sravya L Chilukuri, Vaibhav Duggal, Amit Elazar, George D Xipoleas

引用次数: 0

Surgical Approach for Sciatic Nerve Entrapment Secondary to Biopolymer Injection. 生物聚合物注射后继发坐骨神经卡压的手术入路。

IF 1.8

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-10-01 DOI: 10.1097/GOX.0000000000007146

Paula Lancheros-Ramirez, Daniel Guerrero-Calderón, Alexander Ramirez-Folleco

引用次数: 0

Bilateral Lower Limb Acute Compartment Syndrome Related to Drug Abuse: Two Case Reports. 双侧下肢急性间室综合征与药物滥用：2例报告。

IF 1.8

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-10-01 DOI: 10.1097/GOX.0000000000007158

Takayuki Matsuda, Shimpei Ono, Taishi Murakami, Rei Ogawa

{"title":"Bilateral Lower Limb Acute Compartment Syndrome Related to Drug Abuse: Two Case Reports.","authors":"Takayuki Matsuda, Shimpei Ono, Taishi Murakami, Rei Ogawa","doi":"10.1097/GOX.0000000000007158","DOIUrl":"10.1097/GOX.0000000000007158","url":null,"abstract":"Acute compartment syndrome (ACS) is typically observed in a unilateral limb, whereas bilateral lower limb ACS is rare, and few cases are reported. We report 2 cases of bilateral lower limb ACS induced by drug abuse and prolonged Japanese traditional Seiza position. Case 1 involved a 34-year-old man who developed bilateral lower limb ACS after prolonged Seiza sitting while under the influence of amphetamines. He underwent bilateral fasciotomy but required below-knee amputation due to infection. Case 2 involved a 31-year-old man found unconscious in the Seiza position for 11 hours after a suspected benzodiazepine overdose. Despite fasciotomy, he required staged amputations due to poor wound healing. We believe that prolonged Seiza, a traditional Japanese sitting posture, is a key factor in both cases, leading to severe bilateral ACS. We also point out that bilateral ACS should raise clinical suspicion for drug or alcohol use, as substance-induced unconsciousness is a major contributing factor. These cases tend to involve prolonged compression, increasing the risk of severe tissue damage, delayed diagnosis, and even amputation. Clinicians should consider ACS in cases of substance abuse-related immobilization to enable early diagnosis and treatment for better outcomes.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 10","pages":"e7158"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213422","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

Reply: Deep Inferior Epigastric Perforator Flap Breast Reconstruction in Patients With or Without Previous Abdominal Surgery: A Systemic Review and Meta-analysis. 回复：有或没有腹部手术的患者的深下腹壁穿支皮瓣乳房重建：一项系统回顾和荟萃分析。

IF 1.8

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-10-01 DOI: 10.1097/GOX.0000000000007141

Gauthier Zinner, Carlo M Oranges

引用次数: 0

Free Parascapular Flap Versus Free Superficial Circumflex Iliac Artery Perforator Flaps in Upper Limb Reconstruction. 游离肩胛旁瓣与游离旋浅髂动脉穿支瓣在上肢重建中的应用。

IF 1.8

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-10-01 DOI: 10.1097/GOX.0000000000007202

Wael Mohamed Ayad, Mohamed Osama Ouf, Tarek Zayid, Ahmed I Rashed

{"title":"Free Parascapular Flap Versus Free Superficial Circumflex Iliac Artery Perforator Flaps in Upper Limb Reconstruction.","authors":"Wael Mohamed Ayad, Mohamed Osama Ouf, Tarek Zayid, Ahmed I Rashed","doi":"10.1097/GOX.0000000000007202","DOIUrl":"10.1097/GOX.0000000000007202","url":null,"abstract":"Background: Upper limb tissue reconstruction poses significant challenges in achieving stable coverage and functional restoration. This study evaluated the efficacy of the free parascapular (PS) flap and the free superficial circumflex iliac artery perforator (SCIP) flap for upper extremity defect reconstruction, comparing their unique characteristics, aesthetic outcomes, and complications.Methods: A prospective clinical trial was conducted at a tertiary care hospital between February 2023 and February 2025, involving 20 patients who were divided into 2 groups: 10 received PS flaps (group A) and 10 received SCIP flaps (group B). Data on flap characteristics, operative time, donor-site morbidity, and aesthetic outcomes were collected and analyzed.Results: Group A flaps exhibited significantly greater flap lengths (18.4 ± 6.9 versus 9.2 ± 3.2 cm), pedicle lengths (8.6 ± 1.6 versus 5.64 ± 0.82 cm), and pedicle diameters (3.19 ± 1.02 versus 0.77 ± 0.2 mm) (P < 0.001). SCIP flaps offered logistical advantages, including supine positioning and consistent use of a 2-team approach (100% versus 50%, P = 0.03), with shorter operative times (334.3 ± 40.03 versus 413.6 ± 85.3 min, P = 0.01). Aesthetic outcomes were comparable. Complications were infrequent, with 1 total flap loss in group A and partial necrosis in group B.Conclusions: Both PS and SCIP flaps are reliable options for upper limb reconstruction. PS flaps offer larger pedicle dimensions, whereas SCIP flaps enable shorter operative times and concealed donor sites.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 10","pages":"e7202"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213437","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

Management of Suprascapular Nerve Compression via Nonoperative Methods. 肩胛上神经压迫的非手术治疗。

IF 1.8

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-10-01 DOI: 10.1097/GOX.0000000000007148

Nirbhay S Jain, Kevin Y Chen, Lacey R Pflibsen, Lauren E Wessel

引用次数: 0

Erratum: Presence of Tissue Expanders Does Not Affect Radiotherapy Dose Distribution to Heart and Lungs: Erratum. 勘误：组织扩张剂的存在不影响放疗剂量在心脏和肺部的分布：勘误。

IF 1.8

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-10-01 DOI: 10.1097/GOX.0000000000007235

Jeewon Chon, Peter Laub, Mike Wesolowski, Audrey K Mustoe, Safi Bajwa, Taylor Drew, Naomi Desai, Nazanin Azarvash, Timothy King

引用次数: 0

Gauging the Optimal Simulator Complexity for Learning Cleft Lip Repair: A Cost-Benefit Analysis. 衡量学习唇裂修复的最佳模拟器复杂性：成本-收益分析。

IF 1.8

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-10-01 DOI: 10.1097/GOX.0000000000007156

Krystof Stanek, Michael Silver, Andrew Edman, Lisa Nussbaum, Peter H Weinstock, Carolyn R Rogers-Vizena

{"title":"Gauging the Optimal Simulator Complexity for Learning Cleft Lip Repair: A Cost-Benefit Analysis.","authors":"Krystof Stanek, Michael Silver, Andrew Edman, Lisa Nussbaum, Peter H Weinstock, Carolyn R Rogers-Vizena","doi":"10.1097/GOX.0000000000007156","DOIUrl":"10.1097/GOX.0000000000007156","url":null,"abstract":"Background: Simulation is valuable for surgical education. The popularity of high-fidelity cleft lip simulation has grown, yet cost limits widespread use. To address this, we developed a reduced-complexity prototype that preserves essential anatomy (skin/soft tissue and orbicularis oris muscle) but omits advanced features found in a previous trainer (nasal cartilages and skeleton). To evaluate the effect of simulator complexity, a hybrid retrospective-prospective cohort study compared trainees' self-assessed improvement using both the new lower complexity simulator (LCS) and its higher complexity simulator (HCS) predecessor.Methods: Residents' and fellows' self-assessed knowledge and confidence in specific aspects of cleft lip repair were compared pre- and postsimulation using a 6-question, 4-point, cleft lip self-assessment and a 6-question, 5-point self-confidence questionnaire. Poisson regression analysis was used to analyze the effects of simulator type on self-improvement.Results: Among 52 participants, 26 used the new LCS, and 26 trained with the old HCS. Significant improvements pre- to postsimulation were observed in both groups. The difference in net score improvement between the LCS (mean = 3.7, SD = 2.2, P < 0.01) and HCS (mean = 2.7, SD = 1.9, P = 0.03) groups was not statistically significant (P = 0.09). Multivariable analysis also did not show a significant effect of simulator type on net self-assessed improvement (odds ratio = 1.30, 95% confidence interval = 0.96-1.77).Conclusions: For relative novices, a reduced-complexity cleft lip simulator is likely as effective as its more complex counterpart. Cost-effective, reduced-complexity simulators have the potential to broaden accessibility of simulation-based education.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 10","pages":"e7156"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213443","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

Erratum: Surgical Approaches to Orbital Fractures: A Practical and Systematic Review: Erratum. 眼眶骨折的手术入路：一个实用和系统的回顾：勘误。

IF 1.8

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-09-29 eCollection Date: 2025-09-01 DOI: 10.1097/GOX.0000000000007237

Manoj H Palavalli, Maria T Huayllani, Yevgeniya Gokun, Yurong Lu, Jeffrey E Janis

引用次数: 0

The Thoracoepigastric Flap: An Effective Reconstructive Method for Large Upper Extremity Defects in Low- and Middle-income Countries-A Single-center Study. 胸腹皮瓣：中低收入国家大面积上肢缺损的有效重建方法-一项单中心研究。

IF 1.8

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-09-29 eCollection Date: 2025-09-01 DOI: 10.1097/GOX.0000000000007136

Ja'Neil G Humphrey, Mark Waithaka, Daniel Najafali, Amaka Ehighibe, Joseph Nthumba, Peter Nthumba

{"title":"The Thoracoepigastric Flap: An Effective Reconstructive Method for Large Upper Extremity Defects in Low- and Middle-income Countries-A Single-center Study.","authors":"Ja'Neil G Humphrey, Mark Waithaka, Daniel Najafali, Amaka Ehighibe, Joseph Nthumba, Peter Nthumba","doi":"10.1097/GOX.0000000000007136","DOIUrl":"10.1097/GOX.0000000000007136","url":null,"abstract":"Background: Injury to the upper limbs, among the most injured anatomical regions of the body, often results in the loss of the skin envelope and the exposure of vital structures, including bone and neurovascular bundles. Reconstructive options in resource-constrained environments are curtailed by both equipment and skilled manpower, necessitating avoidance of resource-intensive techniques. Thoracoepigastric flap (TEF) reconstructions of the forearm, wrist, and hand are simple to perform, provide a sizeable versatile integument cover, and avoid the hygiene and edema complications associated with classic groin flaps in these settings.Methods: Patients receiving upper extremity reconstruction with TEFs after upper extremity trauma by a single surgeon at our resource-limited tertiary care center were analyzed retrospectively. Patient demographics, mechanism of injury, surgical indication, and postoperative complications were collected.Results: Between 2011 and 2024, 42 patients, with a mean age of 31 years, underwent TEF reconstruction of upper extremity soft-tissue defects. Most patients in our cohort who had extensive soft tissue loss on an average had 5.3 visits to the operating theater and an average length of stay of 23 days. Defect and flap sizes were not uniformly available from patient charts and were therefore not analyzed. The commonest complication was flap tip necrosis requiring skin grafts in 2 patients.Conclusions: When raised as double flaps, TEFs are particularly advantageous in low- and middle-income countries because they do not require microsurgical skill, provide extensive coverage for large trauma-related defects, and offer a reliable option for limb reconstruction, especially in settings where follow-up care may be uncertain.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 9","pages":"e7136"},"PeriodicalIF":1.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12479104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145200727","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