Plastic and Reconstructive Surgery Global Open最新文献

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Direct-to-Implant in the Era of Prepectoral Breast Reconstruction: Evaluation of the National Trend in 59,313 Patients.
IF 1.5
Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-18 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006633
Shahnur Ahmed, Jackson A Baril, Carla S Fisher, Rachel M Danforth, Ravinder Bamba, Mary E Lester, Aladdin H Hassanein
{"title":"Direct-to-Implant in the Era of Prepectoral Breast Reconstruction: Evaluation of the National Trend in 59,313 Patients.","authors":"Shahnur Ahmed, Jackson A Baril, Carla S Fisher, Rachel M Danforth, Ravinder Bamba, Mary E Lester, Aladdin H Hassanein","doi":"10.1097/GOX.0000000000006633","DOIUrl":"10.1097/GOX.0000000000006633","url":null,"abstract":"","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6633"},"PeriodicalIF":1.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11918641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658208","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
A Novel Percutaneous Surgical Approach Using Silicone Sheets for Lower Eyelid Lengthening: A Descriptive Case Series.
IF 1.5
Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-17 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006629
Shinsuke Kinoshita, Natsuko Kakudo, Hisaki Ukyo, Naonori Masuda, Shunsuke Osawa
{"title":"A Novel Percutaneous Surgical Approach Using Silicone Sheets for Lower Eyelid Lengthening: A Descriptive Case Series.","authors":"Shinsuke Kinoshita, Natsuko Kakudo, Hisaki Ukyo, Naonori Masuda, Shunsuke Osawa","doi":"10.1097/GOX.0000000000006629","DOIUrl":"10.1097/GOX.0000000000006629","url":null,"abstract":"<p><strong>Background: </strong>Lower eyelid lengthening is essential to correct eyelid retraction and preserve ocular surface integrity. We evaluated the efficacy of a novel percutaneous surgical technique that utilizes a silicone sheet to elongate the lower eyelids to minimize ocular surface inflammation and corneal damage.</p><p><strong>Methods: </strong>This case series included 15 patients (22 eyelids) with lower eyelid retraction who underwent a novel silicone-sheet-based lower eyelid elongation surgery by the same surgeon and completed at least 3 months of follow-up that involved consistent methods (ie, slit-lamp examination) between November 2014 and November 2023. Corneal epithelial damage and changes in the margin reflex distance-2 were measured preoperatively and postoperatively. Ocular surface discharge and foreign body sensation were assessed in patient interviews within the first postoperative week.</p><p><strong>Results: </strong>During a mean postoperative follow-up of 31.9 months, the mean margin reflex distance-2 decreased from 7.17 to 5.89 mm. No recurrence or complications were observed. In all cases, superficial punctate keratopathy diminished within the first postoperative week and resolved within 1 month. Ocular discharge and foreign body sensation significantly decreased within a few days after surgery.</p><p><strong>Conclusions: </strong>A novel surgical technique using silicone-sheet spacers for lower eyelid elongation showed promising results in reducing ocular surface damage and improving patient outcomes. Despite its potential benefits over traditional methods, further large-scale, multicenter studies, including clinical trials, with diverse study populations are needed to generate robust data to validate and expand the applicability of this technique for managing lower eyelid retraction, particularly when involving eyelash contact with the ocular surface.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6629"},"PeriodicalIF":1.5,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664285","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
Comparing Body Contouring Surgery Outcomes Inpatient Versus Outpatient in an Appalachian Tristate Population.
IF 1.5
Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-17 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006621
Gerard V Giangrosso, Armein Rahimpour, Abigail Murphy, Peter D Ray, David A Denning, Rahman G Barry
{"title":"Comparing Body Contouring Surgery Outcomes Inpatient Versus Outpatient in an Appalachian Tristate Population.","authors":"Gerard V Giangrosso, Armein Rahimpour, Abigail Murphy, Peter D Ray, David A Denning, Rahman G Barry","doi":"10.1097/GOX.0000000000006621","DOIUrl":"10.1097/GOX.0000000000006621","url":null,"abstract":"<p><strong>Background: </strong>Body contouring surgery is becoming increasingly popular. Many patients desire aesthetic improvement, but many also desire functional improvement after significant weight loss. Furthermore, there are few studies which analyze whether these patients need to be admitted postoperatively. We seek to evaluate whether outpatient surgery for body contouring surgery has any impact on outcomes and readmission rates in an Appalachian population.</p><p><strong>Methods: </strong>The authors performed a retrospective chart review of 370 patients from January 2010 to December 2023 age 18 years and older who underwent body contouring surgery at an Appalachian tertiary academic center. It was first noted what surgery the patient underwent and whether the patient was admitted postoperatively. Then, outcomes and complications within 90 days were noted. These included unexpected admission/readmission, infection, seroma/hematoma formation, wound separation, incision necrosis, venous thromboembolism, and mortality. We also examined rates of unexpected reoperation 1 year postoperatively. Statistical analysis was then performed.</p><p><strong>Results: </strong>There were 264 remaining patients who underwent outpatient surgery and 90 patients who underwent inpatient surgery. In regard to infection, seroma/hematoma formation, wound separation, incision necrosis, venous thromboembolism, and mortality, there was no statistical difference between inpatient or outpatient surgery. There was a statistically significant decreased risk in readmission for breast reduction when performed outpatient (odds ratio = 0.0519, <i>P</i> = 0.004) and a decreased rate of reoperation after bilateral breast augmentation (odds ratio 0.0417, <i>P</i> = 0.0453).</p><p><strong>Conclusions: </strong>Outpatient body contouring surgery is a safe and effective option for those in rural Appalachia and should be considered whenever possible.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6621"},"PeriodicalIF":1.5,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650020","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
One-stage Osseointegrated Implant, Abutment, and Loading for an Auricular Prosthesis.
IF 1.5
Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-17 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006638
Christophe Abi Zeid Daou, Kelly C Landeen, Byung-Joo Lee, Krishna G Patel
{"title":"One-stage Osseointegrated Implant, Abutment, and Loading for an Auricular Prosthesis.","authors":"Christophe Abi Zeid Daou, Kelly C Landeen, Byung-Joo Lee, Krishna G Patel","doi":"10.1097/GOX.0000000000006638","DOIUrl":"10.1097/GOX.0000000000006638","url":null,"abstract":"<p><p>The field of auricular reconstruction has witnessed significant advancements aimed at improving patient outcomes and streamlining treatment processes. Traditionally, complex reconstructions using autologous tissue or synthetic scaffolding have been utilized to address congenital malformations or acquired deformities of the pinna. However, such methods often involve multiple procedures and carry the risk of donor-site morbidity and complications. Osseointegrated implants offer a promising alternative, leveraging techniques derived from dental implantology to achieve stable fixation of alloplastic materials within the mastoid bone. Variations in surgical techniques, including the 1-stage and 2-stage processes, have been explored to optimize treatment protocols. We report the \"ear in a day\" technique, presenting a novel approach where implantation, abutment, and prosthesis placement are accomplished within the same surgery. This innovative strategy offers early functional restoration while minimizing patient discomfort and treatment duration. However, meticulous patient selection, preoperative planning, and interdisciplinary collaboration are imperative to ensure the success and safety of immediate loading techniques. Vigilant postoperative monitoring and adherence to follow-up appointments are essential for detecting and addressing potential complications promptly. The ear in a day method represents a promising advancement in auricular prosthetic implantation, underscoring the importance of a comprehensive, patient-centered approach in craniofacial reconstruction.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6638"},"PeriodicalIF":1.5,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649966","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
Microneedle for Botulinum Toxin: A Randomized, Case-control, Single-blind Study to Assess Clinical Efficacy and Patient Satisfaction.
IF 1.5
Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-17 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006610
Alberto Diaspro, Silvia Silenzi
{"title":"Microneedle for Botulinum Toxin: A Randomized, Case-control, Single-blind Study to Assess Clinical Efficacy and Patient Satisfaction.","authors":"Alberto Diaspro, Silvia Silenzi","doi":"10.1097/GOX.0000000000006610","DOIUrl":"10.1097/GOX.0000000000006610","url":null,"abstract":"<p><strong>Background: </strong>Lateral canthal lines can be effectively treated with injections of botulinum toxin, whereas the aesthetic effects can vary due to factors such as injection depth, which is essential for achieving predictable clinical outcomes. Microneedles (MNs) have proven effective in intradermal skin rejuvenation procedures. However, a comparison of their performance with traditional needles is still lacking in the scientific literature to reliably evaluate their efficacy.This study is therefore aimed to evaluate the clinical efficacy and patient satisfaction of botulinum toxin A injected intradermally using a standard needle versus an MN device.</p><p><strong>Methods: </strong>Twenty recruited participants received a single injection of 10 Speywood Units (US, 0.05 mL) for each of the six standard points (total dose: 60 US) at T0 using both the control needle and the MN, randomly assigned.Follow-up visits were scheduled at 30 (T1) and 90 (T2) days, along with patients and blind observer evaluation of the clinical improvement of periocular wrinkles.</p><p><strong>Results: </strong>The measurement of wrinkle depth showed that MN injection had similar efficacy to a normal needle, whereas blind evaluation indicated better results for the MN. Patient subjective assessments of procedure pain/discomfort and likelihood of repeating the procedure also favored the MN.</p><p><strong>Conclusions: </strong>This pilot study suggests that the MN device holds promise for optimizing the clinical results of botulinum toxin injections by controlling injection depth and enhancing patient acceptance and injection experience compared to standard needle injection. The absence of adverse events further supports the efficacy of MN for intradermal botulinum toxin use.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6610"},"PeriodicalIF":1.5,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650030","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 Translation and Cultural Adaptation of LYMPH-Q Upper Extremity Module to the Indonesian Language.
IF 1.5
Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-14 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006608
Mohamad Rachadian Ramadan, Diana Ashilah Rifai, Parintosa Atmodiwirjo, Sonar Soni Panigoro, Maryam Nur Arina, Risal Djohan
{"title":"The Translation and Cultural Adaptation of LYMPH-Q Upper Extremity Module to the Indonesian Language.","authors":"Mohamad Rachadian Ramadan, Diana Ashilah Rifai, Parintosa Atmodiwirjo, Sonar Soni Panigoro, Maryam Nur Arina, Risal Djohan","doi":"10.1097/GOX.0000000000006608","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006608","url":null,"abstract":"<p><strong>Background: </strong>The LYMPH-Q Upper Extremity module is a patient-reported outcome measurement tool developed by the Q-Portfolio team at McMaster University, Canada, and is widely used to determine the health-related quality of life of patients with upper extremity lymphedema. However, the translation of these patient-reported outcome measurement tools to the Indonesian language has not been attempted by any institution.</p><p><strong>Methods: </strong>The Indonesian translation of the LYMPH-Q Upper Extremity module was performed according to the International Society of Pharmacoeconomics and Outcomes Research guidelines. The steps included forward translation and reconciliation, back translation and review, and cognitive debriefing with cultural adaptation. The respondents in this study were recruited from Dr. Cipto Mangunkusumo Hospital and the Indonesian LYMPH-Q project community.</p><p><strong>Results: </strong>A total of 2.94% of the forward-translated items were discordant at the reconciliation meeting. During the back translation review, 4 of 102 items were discordant between the original items and the back translation result. This study also emphasized Indonesian respondents' understanding of the translated items, which were influenced by sociodemographics and religious beliefs tailored specifically to Indonesian characteristics.</p><p><strong>Conclusions: </strong>The Indonesian translation of the LYMPH-Q Upper Extremity module has already been conducted according to the International Society of Pharmacoeconomics and Outcomes Research guidelines, and future validation studies are necessary.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6608"},"PeriodicalIF":1.5,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649974","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
Delayed Total Scalp Replantation Following Catastrophic Blast: Success With Bilateral Single-vessel Anastomosis.
IF 1.5
Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-14 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006642
Rawad Chalhoub, Diya' S Hammoudeh, Jana Baajour, Georgio Atallah, Amir Ibrahim
{"title":"Delayed Total Scalp Replantation Following Catastrophic Blast: Success With Bilateral Single-vessel Anastomosis.","authors":"Rawad Chalhoub, Diya' S Hammoudeh, Jana Baajour, Georgio Atallah, Amir Ibrahim","doi":"10.1097/GOX.0000000000006642","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006642","url":null,"abstract":"<p><p>Total scalp avulsion is a rare but severe injury that challenges both functional and aesthetic recovery. Microsurgical replantation is the gold standard treatment, though outcomes may be affected by prolonged ischemia and vascular complications. This case report details successful scalp replantation following a 15-hour ischemia period and delayed intervention, requiring comprehensive management. A 23-year-old woman presented with complete scalp avulsion 6 hours postinjury, caused by hair entanglement in a rotary turbine. Surgery was delayed to 12 hours postinjury due to the Beirut blast. Bilateral superficial temporal arteries and veins were anastomosed, and perfusion was restored 3 hours after the operation began. Postoperative venous congestion was managed successfully with re-exploration and vein grafting. Skin necrosis in the occipital and frontotemporal areas was managed with debridement, split-thickness skin grafting, and later, secondary reconstruction using tissue expanders and local advancement flaps. Despite using single-vessel anastomoses on both sides, the patient had excellent perfusion and successful replantation, highlighting the redundancy of the scalp's vascular network. Four years follow-up showed complete hair regrowth, no residual alopecia, and partial recovery of frontalis muscle function, despite the absence of direct nerve repair. Scar revision and fat grafting enhanced aesthetic outcomes, and no further complications were observed. This case demonstrates that, even with limited vascular repair, successful scalp replantation is achievable under challenging conditions. Our findings suggest that a streamlined approach may be advantageous in time-sensitive situations, provided meticulous surgical technique and vigilant postoperative care are maintained.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6642"},"PeriodicalIF":1.5,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650026","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
Plastic Surgeons Are Underrepresented on Hospital Websites When Searching for Facial Aesthetics Procedures.
IF 1.5
Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-14 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006612
Akshay Aluri, Grant Wagner, Stefan Kovac, Paxton Peacock, Nikhi P Singh, Carter J Boyd, Jorge I de la Torre, Timothy W King
{"title":"Plastic Surgeons Are Underrepresented on Hospital Websites When Searching for Facial Aesthetics Procedures.","authors":"Akshay Aluri, Grant Wagner, Stefan Kovac, Paxton Peacock, Nikhi P Singh, Carter J Boyd, Jorge I de la Torre, Timothy W King","doi":"10.1097/GOX.0000000000006612","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006612","url":null,"abstract":"<p><strong>Background: </strong>Hospital websites play a key role when patients seek specialist care. Patients may become overwhelmed with the number of search results generated by hospital websites when looking for facial aesthetics procedures. This study characterizes plastic surgeons' representation on major hospital system websites in the United States for facial aesthetic procedures.</p><p><strong>Methods: </strong>The \"find a doctor\" tool on the top 20 US hospitals, as described in the US News and World Report's Hospital Rankings 2020-2021, was queried for 6 facial aesthetic procedures: rhinoplasty, facial rejuvenation, face lift, neck lift, blepharoplasty, and brow lift. Physician information such as their sex, medical specialty, medical school location, and residency program was recorded.</p><p><strong>Results: </strong>Our study revealed 1189 healthcare professionals, with 1077 being physicians. Plastic surgeons were consistently underrepresented in the results for each of the six search terms. The search term \"blepharoplasty\" produced the greatest number of plastic surgeons (44%), whereas the term \"facial rejuvenation\" produced the lowest number of plastic surgeons (32%). Nonsurgeons represented 6% of queries.</p><p><strong>Conclusions: </strong>This study highlights the underrepresentation of plastic surgeons on hospital websites when searching for common facial aesthetic procedures. Factors such as the prevalence of procedures performed outside of hospitals, overlapping procedural privileges, and search engine inaccuracies may contribute to this issue. Patients may face challenges locating a plastic surgeon and could benefit from more streamlined guidance when using hospital websites.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6612"},"PeriodicalIF":1.5,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649968","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
Swallowing and Speaking Evaluation After Resection and Reconstruction Versus Definite Radiochemotherapy for (Sub)total Tongue Cancer.
IF 1.5
Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-14 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006533
Tobias Ettl, Johannes K Meier, Peter Kummer, Fabian Pohl, Michael Gerken, Torsten E Reichert, Christopher Bohr, Sarah Vester
{"title":"Swallowing and Speaking Evaluation After Resection and Reconstruction Versus Definite Radiochemotherapy for (Sub)total Tongue Cancer.","authors":"Tobias Ettl, Johannes K Meier, Peter Kummer, Fabian Pohl, Michael Gerken, Torsten E Reichert, Christopher Bohr, Sarah Vester","doi":"10.1097/GOX.0000000000006533","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006533","url":null,"abstract":"<p><strong>Background: </strong>In very advanced tongue cancer, definite radiochemotherapy (RCHT) is often preferred over total or near total glossectomy due to organ preservation and functionality, particularly swallowing.</p><p><strong>Methods: </strong>This retrospective study compares the functionality and survival of 10 patients with very advanced tongue cancer who received (sub)total glossectomy with prior or adjuvant RCHT and reconstruction by a musculocutaneous anterolateral thigh flap. All 10 patients had comparable tongue carcinomas treated by definite RCHT. Airway protection and swallow efficiency were evaluated by fiberoptic endoscopic evaluation of swallowing and graded using the Rosenbek Penetration and Aspiration Scale (PAS) and the Yale Pharyngeal Residue Severity Rating Scale (YPRS).</p><p><strong>Results: </strong>Of 10 surgical patients, 7 were completely oralized after a mean of 17 days. For surgical patients, PAS scores swallowing saliva (mean 1.6 versus 2.9, <i>P</i> = 0.04) as well as vallecula (mean 4.0 versus 2.9, <i>P</i> = 0.05) and piriform sinus (mean 3.5 versus 2.5, <i>P</i> = 0.05) YPRS scores for saliva were significantly lower compared with definite RCHT. Irrespective of treatment, age older than 65 years (YPRS sinus piriformis H<sub>2</sub>O 3.4 versus 2.5, <i>P</i> = 0.47), body mass index less than 20 kg/m<sup>2</sup> (PAS Jelly 4.7 versus 2.2, <i>P</i> = 0.015, YPRS sinus piriformis 4.0 versus 2.7, <i>P</i> = 0.028), and Karnovsky index less than 80 (PAS saliva 2.8 versus 1.6, <i>P</i> = 0.049) were associated with worse swallowing. Speech was intelligible in 80% of patients of both groups. Overall survival did not differ between the surgical group and definite RCHT.</p><p><strong>Conclusions: </strong>Patients after (sub)total glossectomy with RCHT and adequate reconstruction with a musculocutaneous anterolateral thigh flap show equal or even better swallowing compared with patients after definite RCHT for advanced tongue cancer.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6533"},"PeriodicalIF":1.5,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649971","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
Application of Indocyanine Green Angiography for Perfusion Assessment of Buccal Myomucosal Flaps.
IF 1.5
Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-14 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006636
Julia Ting, Madeline Guy, Maura Guyler, Nidal Al Deek, Howard D Wang
{"title":"Application of Indocyanine Green Angiography for Perfusion Assessment of Buccal Myomucosal Flaps.","authors":"Julia Ting, Madeline Guy, Maura Guyler, Nidal Al Deek, Howard D Wang","doi":"10.1097/GOX.0000000000006636","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006636","url":null,"abstract":"<p><p>The indications for buccal myomucosal flaps (BMMFs) include velopharyngeal insufficiency (VPI) and palatal fistula. A major complication related to BMMF is partial flap necrosis due to its random blood supply. Indocyanine green (ICG) angiography is a proven technology to assess tissue perfusion, but there is limited report of its application to intraoral flaps, especially in cleft surgery. Two patients underwent BMMF for repair of palatal fistula and treatment of VPI. ICG angiography was performed to assess flap perfusion after flap elevation and again after flap inset. Patients were followed up for flap healing and speech assessments. In the first patient, ICG angiography confirmed excellent perfusion to both flaps after elevation and inset. In contrast, after elevation of bilateral BMMF in the second patient, ICG angiography identified excellent perfusion of the left BMMF but poor perfusion of the right BMMF. Debridement of the right flap was performed, and palatal reconstruction was completed with unilateral BMMF. Both patients healed uneventfully and had improvement in their hypernasality. In summary, ICG angiography can be a useful adjunct to assess the perfusion of BMMF during palatal reconstruction for VPI and/or palatal fistula. This intraoperative assessment may help to guide surgical decision-making with the aim of potentially reducing rates of flap necrosis and palatal fistula.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6636"},"PeriodicalIF":1.5,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650014","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
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