Piotr Gierej, Marcin Radziszewski, Łucja Radziszewska, Maciej Rysz
{"title":"A New Technique of Breast Splitting: An Alternative Breast Reconstruction Technique Using a Pedicled Flap From the Contralateral Breast.","authors":"Piotr Gierej, Marcin Radziszewski, Łucja Radziszewska, Maciej Rysz","doi":"10.1097/GOX.0000000000006858","DOIUrl":"10.1097/GOX.0000000000006858","url":null,"abstract":"<p><p>Breast reconstruction following mastectomy is a vital component of comprehensive cancer care, with a variety of techniques available to restore symmetry and form. This case report describes a 54-year-old woman who underwent a unique \"breast-splitting\" technique for right breast reconstruction after a mastectomy for a metaplastic carcinoma. The reconstruction was performed using a pedicled flap derived from the hypertrophic contralateral left breast, supplied not only by parasternal perforators, but also by several intercostal perforators from the breast septum, and was prepared with internal mammary vessels. The main advantages of this procedure over the previously described breast-splitting technique (based on the parasternal perforator) are the possibility to use a high-volume flap and to obtain a long pedicle, which allows free rotation of the flap and avoids the synmastia effect after passing under the skin of the sternum. At the same time, a Thorek breast reduction was performed on the left breast. The procedure yielded satisfactory aesthetic outcomes, and there were no complications at the 6-month follow-up. Further research is needed to assess the long-term outcome and wider applicability of this approach in breast reconstruction.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 6","pages":"e6858"},"PeriodicalIF":1.5,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267032","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}
Ahmed Elsaftawy, Marta Jagosz, Maja Smorąg, Piotr Węgrzyn, Dorota Kamińska, Michał Bonczar, Patryk Ostrowski
{"title":"From Transplant to Reamputation: A Case Report on Chronic Rejection and Innovative Treatment in Hand Allotransplantation.","authors":"Ahmed Elsaftawy, Marta Jagosz, Maja Smorąg, Piotr Węgrzyn, Dorota Kamińska, Michał Bonczar, Patryk Ostrowski","doi":"10.1097/GOX.0000000000006893","DOIUrl":"10.1097/GOX.0000000000006893","url":null,"abstract":"<p><p>Vascularized composite allotransplantation provides upper limb amputation patients with functional and aesthetic restoration but is limited by the challenges of chronic rejection. This case report highlights a patient who underwent right-hand transplantation and experienced repeated rejection episodes, chronic pain, and functional decline. Despite standard immunosuppressive regimens and innovative interventions such as fat grafting with platelet-rich plasma, chronic rejection symptoms persisted. Fat grafting demonstrated short-term improvements in skin texture and inflammation but failed to prevent progressive deterioration. Ultimately, the patient opted for reamputation, prioritizing quality of life over the prolonged burden of managing a failing graft. This case showcases the complexities of managing chronic rejection in vascularized composite allotransplantation and highlights the need for individualized, patient-centered approaches that respect autonomy and prioritize overall well-being.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 6","pages":"e6893"},"PeriodicalIF":1.5,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12150955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267033","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}
Sydney Somers, Alexandra Vitale, Mitchell Dunklebarger, Aaron Dadzie, Barbu Gociman
{"title":"Successful Grafting with Allogenic Bone Following Benign Pediatric Mandibular Tumor Removal.","authors":"Sydney Somers, Alexandra Vitale, Mitchell Dunklebarger, Aaron Dadzie, Barbu Gociman","doi":"10.1097/GOX.0000000000006830","DOIUrl":"10.1097/GOX.0000000000006830","url":null,"abstract":"<p><p>The reconstruction of mandibular defects in pediatric patients presents a significant surgical challenge due to the unique anatomic and developmental considerations of the growing mandible. Advancements in bone tissue engineering have introduced the use of bone graft substitutes and osteoinductive materials such as demineralized bone matrix (DBX), recombinant human bone morphogenetic proteins (BMP), and freeze-dried bone chips (FDBC). Although the current literature using allogenic bone grafts for mandibular defects is limited, existing studies have demonstrated its efficacy in the immediate reconstruction of mandibular defects following benign tumor ablation. In this case series, we evaluate the outcomes of immediate mandibular reconstruction using a combination of DBX, rhBMP-2, and FDBC following 6 benign mandibular tumor removals. At 6 months postoperatively, we achieved no graft failures with 4 (67%) graft sites achieving 100% graft take and 2 (33%) defects achieving approximately 80% graft take. Our results indicate that bone grafting with DBX, BMP, and FDBC could potentially represent a valuable reconstructive technique for pediatric mandibular defects, offering a low-morbid and cost-effective alternative to traditional autologous grafting methods.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 6","pages":"e6830"},"PeriodicalIF":1.5,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12150981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266957","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":"Rare Anatomic Variant of Septocutaneous Perforator of Fibula Osteocutaneous Flap Running Dorsally to Flexor Hallucis Longus.","authors":"Shinya Suzuki, Yoshichika Yasunaga, Jun Araki, Junichi Nakao, Hiroaki Mori, Takashi Mukaigawa, Shinichi Okada","doi":"10.1097/GOX.0000000000006860","DOIUrl":"10.1097/GOX.0000000000006860","url":null,"abstract":"<p><p>We report a rare anatomical variant of a septocutaneous perforator (SCP) arising from the peroneal artery (PA) and running dorsally around the flexor hallucis longus (FHL) muscle, identified during fibular osteocutaneous flap harvesting for maxillary reconstruction. Typically, SCPs from the PA run ventrally to the FHL, whereas musculocutaneous perforators (MCPs) penetrate the muscle. SCPs running dorsally around the FHL, particularly those arising from the PA, have not yet been reported. A 53-year-old male patient underwent total hard palatectomy, followed by maxillary reconstruction with a fibular osteocutaneous flap. Preoperative computed tomography angiography revealed a perforator from the PA, initially thought to be an MCP due to its mediodorsal course. Intraoperatively, the perforator was identified as the SCP running dorsally around the FHL. This perforator was accidentally ligated during flap harvesting, necessitating perforator-to-perforator anastomosis to restore blood flow. The flap was successfully transplanted into the maxilla, highlighting the importance of preoperative imaging in perforator mapping. If the course of the perforator was correctly identified preoperatively as an SCP arising from the PA and running dorsally around the FHL, the flap could have been harvested without additional microvascular anastomoses. Magnetic resonance angiography, which offers superior differentiation between SCPs and MCPs, may prevent this complication when computed tomography angiography does not provide a definitive assessment of the perforators' course.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 6","pages":"e6860"},"PeriodicalIF":1.5,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12150909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267035","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}
Nikhi P Singh, Kaitlin Burge, Sean Drummond, Ryan Zaniewski, Spencer MacLeod, Lauren Moradi, Reagan Hattaway, Timothy W King, Tiffany Mayo, Jorge I de la Torre
{"title":"Racial Disparities in Hidradenitis Suppurativa Management at a Single Institution.","authors":"Nikhi P Singh, Kaitlin Burge, Sean Drummond, Ryan Zaniewski, Spencer MacLeod, Lauren Moradi, Reagan Hattaway, Timothy W King, Tiffany Mayo, Jorge I de la Torre","doi":"10.1097/GOX.0000000000006803","DOIUrl":"10.1097/GOX.0000000000006803","url":null,"abstract":"<p><strong>Background: </strong>Hidradenitis suppurativa (H/S) disproportionately affects African Americans. We describe those affected by this disease to evaluate potential racial disparities.</p><p><strong>Methods: </strong>This retrospective review examined 1148 patients with H/S cared for by plastic surgery and/or dermatology. Analysis was performed between African Americans and non-African Americans (White, Hispanic, Asian, and other races).</p><p><strong>Results: </strong>Most patients identified as women (76%) and African American (66%). Mean age across all patients was 36.3 years and mean body mass index was 36.1 kg/m². A total of 1936 cases of H/S were identified, and African Americans more commonly experienced H/S of the bilateral axilla (<i>P</i> < 0.001), buttocks (<i>P</i> < 0.001), bilateral breasts (<i>P</i> = 0.001), abdomen (<i>P</i> < 0.001), and thigh (<i>P</i> < 0.001) than their non-African American counterparts. African Americans were more likely to undergo medical management only (<i>P</i> < 0.001), and non-African Americans were more likely to undergo surgery for H/S (<i>P</i> < 0.001). There was no difference in the rate of resolution of symptoms across cohorts; however, African American patients reported higher rates of symptom improvement than non-African Americans (<i>P</i> < 0.001). Non-African Americans had more emergency room visits (75) and more hospitalizations (67) than African Americans, who had 47 emergency room visits and 41 hospitalizations, respectively (<i>P</i> = 0.01 and <i>P</i> = 0.05).</p><p><strong>Conclusions: </strong>African Americans may face disparities in the management of this complex and often chronic disease course. It is important that those affected by H/S are managed by a multidisciplinary team to ensure optimal patient care.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 6","pages":"e6803"},"PeriodicalIF":1.5,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12150911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267034","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}
Kshipra Hemal, Carter Boyd, Sofia Perez Otero, Raeesa Kabir, Thomas J Sorenson, Vishal Thanik, Jamie Levine, Oriana Cohen, Mihye Choi, Nolan S Karp
{"title":"Is a Seroma the \"Kiss of Death\" in Prepectoral Tissue Expander Reconstruction?","authors":"Kshipra Hemal, Carter Boyd, Sofia Perez Otero, Raeesa Kabir, Thomas J Sorenson, Vishal Thanik, Jamie Levine, Oriana Cohen, Mihye Choi, Nolan S Karp","doi":"10.1097/GOX.0000000000006842","DOIUrl":"10.1097/GOX.0000000000006842","url":null,"abstract":"<p><strong>Background: </strong>A seroma following prepectoral tissue expander (TE) reconstruction often begets other complications, which may compromise the reconstruction. This study investigated the association between seroma and subsequent complications.</p><p><strong>Methods: </strong>All consecutive prepectoral TE reconstructions performed between March 2017 and December 2022 at a single center were reviewed. Demographics, operative characteristics, and complications data were extracted for all patients and analyzed.</p><p><strong>Results: </strong>Two hundred patients (318 breasts) underwent reconstruction and were, on average, 53 years of age, nonsmokers (98%), and nondiabetic (91%), with a body mass index of 26 kg/m<sup>2</sup>. Seventy-six (24%) breasts were radiated, and 93 (47%) patients received chemotherapy. All 318 breasts underwent immediate reconstruction following prophylactic (34%) or therapeutic (66%) mastectomies. Seroma occurred in 50 (16%) breasts and was associated with higher body mass index (30 versus 27 kg/m<sup>2</sup>, <i>P</i> < 0.05) and higher mastectomy weight (662 versus 515 g, <i>P</i> < 0.05). Half of all breasts with a seroma (24 of 50, 49%) went on to develop other complications. Infection and explantation commonly followed, occurring in 18 (36%) and 21 (42%) breasts with a prior seroma, respectively. In adjusted multivariable models, prior seroma was associated with 9 times higher odds of infection (odds ratio 9.2; 95% confidence interval, 4-21, <i>P</i> < 0.01) and 7 times higher odds of explantation (odds ratio 6.8, 95% confidence interval, 3-17, <i>P</i> < 0.01).</p><p><strong>Conclusions: </strong>Although causality cannot be determined, our data suggests that seroma may be the \"kiss of death\" in prepectoral TE reconstruction because half of all breasts with a seroma went on to develop other complications.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 6","pages":"e6842"},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249213","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":"Internal Breast Lift: A New Method for Performing Internal Mastopexy.","authors":"Horia R Șiclovan","doi":"10.1097/GOX.0000000000006844","DOIUrl":"10.1097/GOX.0000000000006844","url":null,"abstract":"","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 6","pages":"e6844"},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249212","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}
Rafael Felix P Tiongco, Siam K Rezwan, Sami Alahmadi, Matthew J Heron, Scott A Sylvester, Stella M Seal, Tim de Jong, Ala Elhelali, Lily R Mundy
{"title":"Early Flap Reconstruction and Infection Rates in Open Lower Extremity Fractures: A Systematic Review and Meta-analysis.","authors":"Rafael Felix P Tiongco, Siam K Rezwan, Sami Alahmadi, Matthew J Heron, Scott A Sylvester, Stella M Seal, Tim de Jong, Ala Elhelali, Lily R Mundy","doi":"10.1097/GOX.0000000000006829","DOIUrl":"10.1097/GOX.0000000000006829","url":null,"abstract":"<p><strong>Background: </strong>Severe open lower extremity fractures often require soft tissue reconstruction with a flap. Infection is a common complication of lower extremity flap coverage and is associated with prolonged hospitalization, high costs, and poor patient-reported outcomes. Elapsed time from injury to flap coverage can increase infection risk, but the optimal timing threshold remains debatable. We aimed to synthesize the literature and determine if time to flap is associated with reduced infection rates following traumatic lower extremity injuries.</p><p><strong>Methods: </strong>We searched 5 databases for articles published before March 2023. We included studies of 10 or more patients undergoing flap reconstruction for open lower extremity fractures. We extracted data on patient demographics, operative details, and postoperative complications and grouped individual data by time-to-flap: 72 hours or less versus more than 72 hours and 7 days or less versus more than 7 days. We performed meta-analyses at a significance level of α equal to 0.05.</p><p><strong>Results: </strong>Sixteen studies of 973 patients (986 extremities) were included. Reconstruction within 72 hours of injury was associated with a 52% reduction in infection (risk ratio [RR] 0.48 [95% confidence interval (CI) 0.25-0.89]) and a 41% reduction in all complications (RR 0.59 [95% CI 0.36-0.99]). Reconstruction within 7 days of injury was associated with a 50% reduction in infection (RR 0.50 [95% CI 0.31-0.82]) but no significant reduction in total complications (RR 0.57 [95% CI 0.28-1.15]).</p><p><strong>Conclusions: </strong>Flap coverage within 72 hours of injury reduces infection risk in patients undergoing lower extremity reconstruction for open fractures.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 6","pages":"e6829"},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249210","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}
Kwan Lok Benjamin Ng, Sheng-Hua Wu, Yu-Chi Wang, Tsung-Hsien Liu, Shu-Hung Huang
{"title":"Enhancing Aesthetic Outcomes Through Precise Application of Tissue Adhesive.","authors":"Kwan Lok Benjamin Ng, Sheng-Hua Wu, Yu-Chi Wang, Tsung-Hsien Liu, Shu-Hung Huang","doi":"10.1097/GOX.0000000000006809","DOIUrl":"10.1097/GOX.0000000000006809","url":null,"abstract":"<p><p>Wound closure is essential for faster healing and better aesthetics. Tissue adhesives offer an effective alternative to sutures, staples, and strips, as they are easy to apply, eliminate suture removal, and reduce inflammatory reactions. However, improper use can cause scarring, dehiscence, and delayed healing. This study evaluated a novel application method to enhance precision and improve healing. Over 2 years, a single surgeon used the cube technique on 190 patients: (1) wounds without tension (65%), (2) wounds with tension and good edge approximation (33.7%), and (3) wounds with tension but poor edge approximation (1.6%). For tension-free wounds, small adhesive-soaked cotton cubes ensured optimal coverage. For wounds under tension, sutures were used to approximate edges before adhesive application, after which the sutures were removed. All patients reported high satisfaction (average rating: 9.5 of 10), with no complications such as infection or dehiscence. Tissue adhesives provided superior aesthetics by minimizing scarring and improving skin alignment. The cube technique enhanced application precision, reducing infection risks. This method is recommended for surgical wound closure.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 6","pages":"e6809"},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249211","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}
Bishara Atiyeh, Paul Beaineh, Edwin Chrabieh, Kareem Makkawi, Lynn Lteif, Saif Emsieh
{"title":"A Narrative Scoping Review of Neuroaesthetics and Objective Understanding of Human Appearance.","authors":"Bishara Atiyeh, Paul Beaineh, Edwin Chrabieh, Kareem Makkawi, Lynn Lteif, Saif Emsieh","doi":"10.1097/GOX.0000000000006833","DOIUrl":"10.1097/GOX.0000000000006833","url":null,"abstract":"<p><strong>Background: </strong>Neuroaesthetics has made meaningful progress in unraveling the neurological mechanisms involved in the perception of various arts, landscapes, and architecture. Only recently, neural processes of artistic valuation and judgments have been investigated regarding the aesthetics of the human body. The current narrative review intended to summarize the recent advances made in this field.</p><p><strong>Methods: </strong>A literature review of PubMed, MEDLINE, Embase, PsycInfo, and Web of Science databases was conducted. Cerebral areas involved in aesthetic experience and judgment are reviewed, and the biological neural basis of judgment processes are analyzed in the multidimensional preference space with specific attention to visual perception and beauty appraisal of the human body.</p><p><strong>Results: </strong>Twenty-nine experimental studies specifically related to the neurobiological basis of aesthetic appraisal and judgments regarding the human face and body were identified.</p><p><strong>Conclusions: </strong>Aesthetic judgment emerges from the interaction among emotion-valuation, sensory-motor, and meaning-knowledge processes. There is objective evidence that human body beauty perception is shaped by natural selection and activates brain regions distinct from those activated by visual arts. It may still be early to grasp all the implications of neuroaesthetics, and much research is still needed. However, progress in the field holds promise for generating a more holistic understanding that will most probably have an impact on aesthetic interventions, which must aim to reproduce the characteristics of ideal mates. It also holds promise for possibly quantifying the outcomes of aesthetic interventions objectively.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 6","pages":"e6833"},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249208","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}