Plastic and Reconstructive Surgery Global Open最新文献_第5页

Minimal Pain Tumescent Local Anesthesia for Wide-awake Forehead Flap Nasal Reconstruction.

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-21 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006569

Tamara D Selman, You S Nam, Donald H Lalonde

引用次数: 0

Patients Tracking Pain Episodes Show Wide-awake Local Anesthesia Without Tourniquet Can Be Nearly Painless.

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-21 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006568

Jean Paul Brutus, Amir A Ahmad, Thomas Apard, Bianief Tchiloemba, Min Cheol Chang, Donald H Lalonde

{"title":"Patients Tracking Pain Episodes Show Wide-awake Local Anesthesia Without Tourniquet Can Be Nearly Painless.","authors":"Jean Paul Brutus, Amir A Ahmad, Thomas Apard, Bianief Tchiloemba, Min Cheol Chang, Donald H Lalonde","doi":"10.1097/GOX.0000000000006568","DOIUrl":"10.1097/GOX.0000000000006568","url":null,"abstract":"Background: Minimally painful tumescent local anesthesia ensures patients feel only the first needle insertion, with no further pain. This technique includes real-time patient feedback, where they report each pain event during injection.Methods: This prospective study involved 154 consecutive patients undergoing wide-awake local anesthesia no tourniquet surgery at 3 hand surgery centers (January-April 2024). Patients objectively scored pain events during injection and rated pain intensity (0-10 Likert scale), intraoperative pain, anxiety, and overall experience.Results: During local anesthesia injection, 61 (40%) patients reported no pain, 92 (59.7%) reported 1 pain event, and 1 (0.7%) patient reported 2 events. Among the 93 patients who felt pain, 90 reported only mild discomfort (1-2 of 10), whereas 3 reported moderate pain (3-5 of 10). Anxiety levels during anesthesia and surgery were 3 of 10 or less for 147 (95.5%) patients.Conclusions: Real-time patient feedback improved surgeons' ability to administer tumescent local anesthesia with minimal pain. As a result, most patients experienced no pain or only 1 minor event during local anesthesia injection for wide-awake local anesthesia no tourniquet surgery.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6568"},"PeriodicalIF":1.5,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693068","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

Minimally Painful Tumescent Local Anesthesia for Wide-awake Javid Loop Colostomy Reversal.

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-21 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006570

Javid M Shah, Hari K Ondiveeran, Sarvnaz Sepehripour, Donald H Lalonde

引用次数: 0

Wide-awake Local Anesthesia No Tourniquet Tendon Transfers in a Patient With High Median Nerve Palsy.

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-21 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006574

Egemen Ayhan, Kadir Cevik

引用次数: 0

Childbearing and Pregnancy Trends Among Female Plastic and Orthopedic/Trauma Surgeons in German-speaking Countries.

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-20 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006628

Aijia Cai, Raymund E Horch, Andreas Arkudas, Wibke Müller-Seubert, Theresa Promny, Anna Girard, Laura Hameyer

{"title":"Childbearing and Pregnancy Trends Among Female Plastic and Orthopedic/Trauma Surgeons in German-speaking Countries.","authors":"Aijia Cai, Raymund E Horch, Andreas Arkudas, Wibke Müller-Seubert, Theresa Promny, Anna Girard, Laura Hameyer","doi":"10.1097/GOX.0000000000006628","DOIUrl":"10.1097/GOX.0000000000006628","url":null,"abstract":"Background: Female surgeons face challenges when trying to balance family planning and surgical duties. Although US surgeons have been thoroughly investigated in terms of obstetric complications and perception toward pregnancy, information on surgeons in German-speaking countries is lacking.Methods: A multicentric online survey was conducted to analyze female plastic and orthopedic/trauma surgeons from Germany, and plastic surgeons from Switzerland and Austria.Results: Mean age during first pregnancy was 33 years. More than one-third of all surgeons intentionally postponed pregnancy for professional reasons. About one-third of the German surgeons was banned from clinical work during pregnancy, whereas 6% of all Swiss/Austrian surgeons were banned. Accordingly, the Swiss/Austrian surgeons were operating more often during pregnancy. Obstetric complications ranged from 41% to 58%. The Swiss/Austrian plastic surgeons had the lowest complication rate. The rate of cervical insufficiency was approximately 4%, which was higher than in the general and US surgeons' population, whereas fertility issues and miscarriage were lower in German-speaking plastic surgeons.Conclusions: Despite national maternity protection laws, obstetric complication rates of surgeons in German-speaking countries and the United States were similar. Cervical insufficiency was even more prevalent in the study population, which could be associated with an older age of the expectants. Therefore, those (strict) laws need to be reconsidered because a ban from surgery can lead to intentional postponement of pregnancy.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6628"},"PeriodicalIF":1.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670603","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

Laser Speckle Flowgraphy Can Support Intraoperative Assessment of Deep Inferior Epigastric Perforator Flap Blood Flow With Indocyanine Green.

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-20 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006627

Kazuhiro Tsunekawa, Daisuke Yanagisawa, Shunsuke Yuzuriha

{"title":"Laser Speckle Flowgraphy Can Support Intraoperative Assessment of Deep Inferior Epigastric Perforator Flap Blood Flow With Indocyanine Green.","authors":"Kazuhiro Tsunekawa, Daisuke Yanagisawa, Shunsuke Yuzuriha","doi":"10.1097/GOX.0000000000006627","DOIUrl":"10.1097/GOX.0000000000006627","url":null,"abstract":"Background: Accurately evaluating cutaneous blood flow during the elevation of a deep inferior epigastric perforator (DIEP) flap may reduce postoperative complications in breast reconstruction surgery. This study examined whether laser speckle flowgraphy (LSFG) could be used to help objectively identify the safe areas of DIEP flaps.Methods: Forty-eight patients who underwent unilateral breast reconstruction with a DIEP flap at Shinshu University Hospital between 2020 and 2024 were prospectively studied. During flap elevation, skin blood flow throughout the flap was measured using LSFG and compared with results obtained by indocyanine green (ICG) angiography. The cohort was also divided according to the number and location of perforators, and an intergroup comparison was performed according to LSFG readings.Results: In all subjects, relative LSFG blood flow in zones 2 (89.1%) and 3 (87.9%) was comparable, whereas blood flow in zone 4 (72.8%) was significantly lower than in those areas (both P < 0.001). In the lateral row group, blood flow in zone 2 tended to be lower and in zone 3 tended to be higher than in the medial row group (zone 2: 82.6% versus 89.5%, zone 3: 93.6% versus 86.8%). LSFG values did not differ significantly in relation to perforator number. LSFG-determined blood flow in the stained side of the ICG-determined staining border was significantly higher than in the nonstained side (80.6% versus 71.4%, P < 0.001).Conclusions: LSFG enables objective, noninvasive evaluation of safety margins in DIEP flaps that may support ICG angiography. Safe zones may vary depending on the location of the selected perforator.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6627"},"PeriodicalIF":1.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670615","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

Evolution of Cleft Lip and Palate Surgery and the Pursuit for Consensus on Standardized Algorithms of Care.

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-20 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006643

Priyanka Naidu, Alexander T Plonkowski, Caroline A Yao, William P Magee

{"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":"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.","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}

引用次数: 0

Investigation of Cranial Bone Changes Indicative of Increased Intracranial Pressure in Diverse Phenotypes of Craniosynostosis.

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-20 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006618

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

{"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":"Background: 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.Methods: 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.Results: Patients with CS presented significant calvarial thickening and bone density decrease compared with normative patients (P < 0.001). Similar findings were found in patients with chronic IIP unrelated to CS (P > 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%).Conclusions: Computational evaluation of routinely acquired presurgical CT scans can potentially support the evaluation of IIP in patients with CS.","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}

引用次数: 0

Otoplasty in Saudi Arabia: Is There a Change in Demographic Trend? 沙特阿拉伯的耳部整形手术：人口趋势是否发生变化？

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-20 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006639

Sari M Rabah, Ebtesam Almajed, Razan Albrahim, Alya AlZabin, Rand Alshabnan, Lara Alyahiwi, Reema Aldawish

{"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":"Background: 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.Methods: 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.Results: 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 (P = 0.043).Conclusions: The study's findings offered significant insights into the existing practices of otoplasty in Saudi Arabia and emphasized prospective areas that warrant future exploration.","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}

引用次数: 0

A Comparison of Treatment With Skin Graft or Secondary Healing for Nasal Wound Defects After Tumor Excision: A Randomized Study.

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-20 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006620

Sinan Dogan, Ingrid Steinvall, Jamila Hogey Halimi, Elina Bergman, Åsa Gustavsson, Moustafa Elmasry

{"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":"Background: 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.Methods: 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.Results: 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 (P = 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 (P = 0.003, 0.007, 0.002, and 0.01, respectively).Conclusions: 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.","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}

引用次数: 0