Plastic and Reconstructive Surgery Global Open最新文献_第6页

Internal Breast Lift: A New Method for Performing Internal Mastopexy. 乳房内提术：一种乳房内固定术的新方法。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-06 eCollection Date: 2025-06-01 DOI: 10.1097/GOX.0000000000006844

Horia R Șiclovan

引用次数: 0

Early Flap Reconstruction and Infection Rates in Open Lower Extremity Fractures: A Systematic Review and Meta-analysis. 开放性下肢骨折早期皮瓣重建和感染率：系统回顾和荟萃分析。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-06 eCollection Date: 2025-06-01 DOI: 10.1097/GOX.0000000000006829

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":"Background: 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.Methods: 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.Results: 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]).Conclusions: Flap coverage within 72 hours of injury reduces infection risk in patients undergoing lower extremity reconstruction for open fractures.","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}

引用次数: 0

Enhancing Aesthetic Outcomes Through Precise Application of Tissue Adhesive. 通过精确应用组织粘合剂提高美学效果。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-06 eCollection Date: 2025-06-01 DOI: 10.1097/GOX.0000000000006809

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":"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.","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}

引用次数: 0

A Narrative Scoping Review of Neuroaesthetics and Objective Understanding of Human Appearance. 神经美学与对人类外貌的客观理解的叙事范围综述。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-06 eCollection Date: 2025-06-01 DOI: 10.1097/GOX.0000000000006833

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":"Background: 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.Methods: 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.Results: Twenty-nine experimental studies specifically related to the neurobiological basis of aesthetic appraisal and judgments regarding the human face and body were identified.Conclusions: 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.","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}

引用次数: 0

A Decade of Medicare Part B Reimbursement to Plastic Surgeons: Gender Pay Gaps Persist. 十年来，医疗保险B部分对整形外科医生的报销：性别薪酬差距依然存在。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-06 eCollection Date: 2025-06-01 DOI: 10.1097/GOX.0000000000006850

Sacha C Hauc, Raymond Wen, Jeffrey E Janis

{"title":"A Decade of Medicare Part B Reimbursement to Plastic Surgeons: Gender Pay Gaps Persist.","authors":"Sacha C Hauc, Raymond Wen, Jeffrey E Janis","doi":"10.1097/GOX.0000000000006850","DOIUrl":"10.1097/GOX.0000000000006850","url":null,"abstract":"Background: Gender-based pay gaps among physicians remain a significant issue, with noticeable disparities continuing despite the increasing presence of women in the medical field. This gap is particularly pronounced in surgical specialties such as plastic and reconstructive surgery, where female surgeons often face a multifactorial system of barriers.Methods: This investigation used the Centers for Medicare & Medicaid Services data from 2013 to 2022, encompassing more than 42,000 physician entries. Analysis of covariance models estimated the average pay difference between male and female plastic surgeons, controlling for factors such as individual states, rural-urban designation, number of beneficiaries and unique CPT codes, total annual physician services, year of service, and patient morbidity risk scores to isolate the impact of sex on Medicare reimbursement.Results: Male surgeons performed an average of 541 services per year compared with 363 for female surgeons and billed for a wider range of unique CPT codes (56.2 versus 43.0). Despite controlling for practice volume and style, significant gender-based disparities persisted, with male plastic surgeons earning approximately $9000 more annually-representing a 12% pay gap. Geographic variations were notable, with states such as Iowa and Texas showing larger earnings for men, whereas a few states, such as Nebraska and Oklahoma, were exceptions where female surgeons out-earned their male counterparts.Conclusions: This investigation underscores the enduring gender-based compensation disparities among plastic surgeons. Our analysis also reveals substantial geographic variations in reimbursement trends, with only a limited number of outlier states exhibiting instances where female surgeons earn more than their male counterparts.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 6","pages":"e6850"},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249207","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

Pilot Study: A Prospective Placebo-control Trial Evaluating Topical Tranexamic Acid in Postmastectomy Breast Reconstruction. 初步研究：一项评估局部氨甲环酸在乳房切除术后乳房重建中的前瞻性安慰剂对照试验。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-06 eCollection Date: 2025-06-01 DOI: 10.1097/GOX.0000000000006863

Nisha Parmeshwar, Aileen Gozali, Michael Choi, Jacquelyn A Knox, Serena Bhaskerrao, Catherine Lu Dugan, Laura Esserman, Merisa Piper

{"title":"Pilot Study: A Prospective Placebo-control Trial Evaluating Topical Tranexamic Acid in Postmastectomy Breast Reconstruction.","authors":"Nisha Parmeshwar, Aileen Gozali, Michael Choi, Jacquelyn A Knox, Serena Bhaskerrao, Catherine Lu Dugan, Laura Esserman, Merisa Piper","doi":"10.1097/GOX.0000000000006863","DOIUrl":"10.1097/GOX.0000000000006863","url":null,"abstract":"Background: Tranexamic acid (TXA) has been used off-label in many surgical fields to reduce bleeding and ecchymosis. However, given its theoretical thrombotic potential, it has not been widely used in breast cancer patients. The goal of this study was to prospectively evaluate the utility of topical TXA in postmastectomy breast reconstruction patients.Methods: We performed a prospective trial of bilateral mastectomy patients after immediate implant-based reconstruction or flat closure, with each patient serving as her own internal control. After postmastectomy reconstruction and before skin closure, the right chest was treated with topical TXA solution and the left with normal saline. Demographics, surgical characteristics, and postoperative outcomes (hematoma, seroma, 24-h drain output, and total drain days) were compared.Results: Twenty-three women (46 breasts) were enrolled. Tissue expanders were placed in 26 breasts (56.5%), implants in 12 breasts (26.1%), and flat closure was performed in 8 breasts (17.4%). There was no difference in infection rates, hematoma, seroma, or drain duration or output between the TXA and saline cohorts. The degree and extent of ecchymoses also did not differ postoperatively.Conclusions: In this prospective trial uniquely designed for each patient to serve as their own control, we found no significant differences in key outcomes with the use of topical TXA solution after postmastectomy breast reconstruction. Continued studies evaluating topical TXA dosing and intravenous usage in a prospective fashion are necessary to determine its potential ongoing utility in postmastectomy reconstruction.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 6","pages":"e6863"},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249214","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 Domeless Arrow Flap: A Strategy to Enhance Realism in Reconstructed Nipples. 无圆顶箭头皮瓣：一种提高乳头重建真实感的策略。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-06 eCollection Date: 2025-06-01 DOI: 10.1097/GOX.0000000000006804

Giorgio Caddia, Paul Frobert, Emmanuel Delay, Maria A Dammacco

引用次数: 0

Unilateral Cleft Lip and Nasal Deformity: 8 Principles for Symmetrical Correction. 单侧唇裂和鼻畸形：对称矫正的8个原则。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-06 eCollection Date: 2025-06-01 DOI: 10.1097/GOX.0000000000006795

John G Meara, Kerry A Morrison

引用次数: 0

A Retrospective Study of Nonsurgical Management Options for Permanent Filler Complications of the Gluteal Region. 臀区永久性填充物并发症非手术治疗的回顾性研究。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-06 eCollection Date: 2025-06-01 DOI: 10.1097/GOX.0000000000006815

Tom S Decates, Tamar Schoonen, Armanda J Onderdijk, Martin van Leerdam, Peter J Velthuis

{"title":"A Retrospective Study of Nonsurgical Management Options for Permanent Filler Complications of the Gluteal Region.","authors":"Tom S Decates, Tamar Schoonen, Armanda J Onderdijk, Martin van Leerdam, Peter J Velthuis","doi":"10.1097/GOX.0000000000006815","DOIUrl":"10.1097/GOX.0000000000006815","url":null,"abstract":"Background: Gluteal or hip augmentation with nonresorable (permanent) fillers can lead to complications. Nonsurgical treatment options are unclear and are mainly based on case reports. This study aimed to examine which treatment option is the better choice for patients with complications after permanent fillers in the buttocks.Methods: In this retrospective cohort study, the data of patients visiting our hospital clinic with complications between 2016 and 2021 after gluteal or hip augmentation with fillers were analyzed. Contingency table analyses were conducted to determine which of the 5 types of treatments, minocycline, surgery, intralesional laser treatment (ILT), pressure garments, and omega-3 supplements, were related to pain relief and softening of the nodules.Results: Seventy-two patients (69 women and 3 men; mean age, 39 y) were selected. Inclusion criteria were men and women older than 18 years of age with complications after gluteal or thigh augmentation with permanent fillers. Filler material was mainly found in the buttocks and hips. Treatment options were antibiotics, surgery, laser, pressure garment, and omega-3 supplements. Pain relief was reported in 36 of the 42 responders. Softening of the nodules appeared to be positively associated with ILT (odds ratio = 20.25).Conclusions: The most common complication was subcutaneous inflammation (panniculitis) in the buttocks and hips. Most patients reported reduced pain and softening of the nodules after treatment. The latter outcome appears to be related to the ILT. Considering the information in the literature and our findings, a step-by-step treatment protocol was developed.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 6","pages":"e6815"},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249209","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

Engagement of Plastic Surgery Content on TikTok and Instagram. TikTok和Instagram上整形手术内容的参与度。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-05 eCollection Date: 2025-06-01 DOI: 10.1097/GOX.0000000000006843

Ishan S Patel, Anjali Om, Dev Dwivedi, Amulya Addepalli, Daniel Cuzzone, Gabriela Garcia Nores

{"title":"Engagement of Plastic Surgery Content on TikTok and Instagram.","authors":"Ishan S Patel, Anjali Om, Dev Dwivedi, Amulya Addepalli, Daniel Cuzzone, Gabriela Garcia Nores","doi":"10.1097/GOX.0000000000006843","DOIUrl":"10.1097/GOX.0000000000006843","url":null,"abstract":"Background: Social media is a powerful tool for plastic surgeons to connect with patients and to post both educational content and advertisements for their practices. TikTok is a platform that has gained popularity in the last 5 years, particularly for plastic surgeons. Although several studies have assessed engagement with plastic surgery content on other platforms, no studies have analyzed engagement on TikTok and compared engagement levels to those of Instagram.Methods: This study identified and evaluated the posts of the top 10 most popular plastic surgeons on TikTok and Instagram using the search term \"#plasticsurgery.\" The number of likes, views, and comments, and the surgical procedure covered in their 25 most recent posts was noted at 2 separate time points. Posts were categorized into the following categories: before-and-after, celebrity, private life, comedy, advertisement, or education. Engagement was calculated by totaling the number of views, likes, and comments.Results: A total of 1000 posts across both TikTok and Instagram were analyzed, 293 of which discussed specific procedures. TikTok had significantly higher total average engagement (438,261 per post) than Instagram (275,565 per post) (P = 0.03). Celebrity (P = 0.007) and abdominoplasty (P = 0.002) content received more engagement on Instagram than on TikTok.Conclusions: These data suggest that TikTok may have surpassed Instagram in user engagement with plastic surgery posts. However, Instagram may have higher engagement for posts in specific content categories. Plastic surgeons may use these data to maximize engagement by identifying the best platform for posts of different content.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 6","pages":"e6843"},"PeriodicalIF":1.5,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12140714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234810","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