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

Vulvovaginal Reconstruction With a Modified Pedicled Anterolateral Thigh Flap.

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-03 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006581

Akatsuki Kondo, Hiroki Umezawa, Marie Taga, Rei Ogawa

{"title":"Vulvovaginal Reconstruction With a Modified Pedicled Anterolateral Thigh Flap.","authors":"Akatsuki Kondo, Hiroki Umezawa, Marie Taga, Rei Ogawa","doi":"10.1097/GOX.0000000000006581","DOIUrl":"10.1097/GOX.0000000000006581","url":null,"abstract":"This case report presents a novel approach for vulvovaginal reconstruction using a modified pedicled anterolateral thigh (ALT) flap. The patient was a 62-year-old woman with a history of vulvar squamous cell carcinoma and radiation therapy, after which the cancer recurred. Total vulvectomy was performed with preservation of the urethra and vaginal introitus. The resulting defect was reconstructed using a boomerang-shaped ALT flap measuring 16 × 7 cm. The flap was harvested via intramuscular dissection and transposed into the vulvar defect through a subcutaneous tunnel. The excess skin was de-epithelialized and used to fill the defect around the urethra. Six months postoperatively, the patient had recovered successfully with satisfactory cosmetic and functional results. The advantages of the ALT flap include its versatility, long vascular pedicle, and the ability to harvest it from a nonirradiated area. The modified technique used a boomerang-shaped design and careful placement of the perforators. This technique eliminates the disadvantages associated with fenestrated and split ALT flaps, provides well-vascularized tissue, restores function, minimizes donor-site morbidity, and achieves a natural-looking aesthetic result. The modified pedicled ALT flap is a safe and effective method for vulvovaginal reconstruction, particularly in patients with a history of radiation therapy or large, complex vulvar defects.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6581"},"PeriodicalIF":1.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11875612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557689","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

Emergency Lateral Canthotomy Followed by Orbital Septum Release for Traumatic Retrobulbar Hemorrhage: 2 Case Reports.

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-03 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006582

Yosuke Ochi, Shimpei Ono, Rei Ogawa

{"title":"Emergency Lateral Canthotomy Followed by Orbital Septum Release for Traumatic Retrobulbar Hemorrhage: 2 Case Reports.","authors":"Yosuke Ochi, Shimpei Ono, Rei Ogawa","doi":"10.1097/GOX.0000000000006582","DOIUrl":"10.1097/GOX.0000000000006582","url":null,"abstract":"Retrobulbar hemorrhage can increase intraorbital pressure, thereby elevating intraocular pressure (IOP), inducing ischemia, and/or threatening the optic nerve. Emergent decompression is needed to preserve visual function. Multiple decompression methods that are favored by different clinical departments have been reported. Here, we report 2 emergency room cases of retrobulbar hemorrhage that were treated first with lateral canthotomy and inferior cantholysis (LC/IC) under local anesthesia followed an hour later by wide orbital septum release under general anesthesia. LC/IC permits the quickest possible decompression after injury, thus temporarily reducing IOP. Orbital septum release consolidates the decompression by permitting hematoma drainage and identification and hemostasis of the bleeding point. In our cases, IOP dropped from 55 and 52 mm Hg to 14 mm Hg in both cases, and corrected visual acuity improved from light perception/counting fingers to 20/20. Notably, LC/IC was only conducted 7 and 4 hours postinjury. This counters the commonly held view that decompression should occur within 2 hours of injury to achieve visual recovery. Thus, even though LC/IC followed by orbital septum release requires 2 surgical steps, it can result in excellent visual outcomes after retrobulbar hemorrhage.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6582"},"PeriodicalIF":1.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11875615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557606","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 Not Fade Away Phenomenon: 2 Cases of Delayed Nonabsorption of Biodegradable Fixation in Craniosynostosis.

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-03 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006588

Aulon Jerliu, Iulianna C Taritsa, Jose Foppiani, Daniela Lee, David Hersh, Samuel J Lin, Christopher D Hughes

{"title":"The Not Fade Away Phenomenon: 2 Cases of Delayed Nonabsorption of Biodegradable Fixation in Craniosynostosis.","authors":"Aulon Jerliu, Iulianna C Taritsa, Jose Foppiani, Daniela Lee, David Hersh, Samuel J Lin, Christopher D Hughes","doi":"10.1097/GOX.0000000000006588","DOIUrl":"10.1097/GOX.0000000000006588","url":null,"abstract":"Bioresorbable plating systems have been more recently developed as an alternative to metal osteofixation systems and can be used for craniosynostosis operations. To date, the bioresorbable materials used for osteofixation have been used clinically with excellent safety outcomes and good patient outcomes without major plate-induced complications. In this report, we present 2 cases in which bioresorbable materials failed to degrade following operations for craniosynostosis in a chronic manner mandating removal and revision. We also provide a review of the existing literature regarding bioresorbable fixation and evidence of failure to degrade. Based on the clinical courses and pathological findings, it is likely that material factors, combined with the metabolic resorptive capacity and the patient host immune system, contributed to the failure of resorption. Treatment with the removal of implant debris has proven to be effective in other reports, and both patients ultimately progressed with acceptable clinical outcomes. Evaluating rare complications associated with these systems will help provide evidence to inform future product development and refinement. As the field of craniofacial surgery continues to evolve, the use of new materials and technologies promises to enhance patient outcomes, reduce complications, and expand the scope of surgical interventions.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6588"},"PeriodicalIF":1.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11875582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557655","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

Comparison of Tranexamic Acid Administration Methods in Rhytidectomy: A Prospective, Randomized, Double-blind Study.

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-03 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006559

Steven P Davison, Molly Ellor, Courteney Hedicke, Jennifer Groth, Karl Grimmer

{"title":"Comparison of Tranexamic Acid Administration Methods in Rhytidectomy: A Prospective, Randomized, Double-blind Study.","authors":"Steven P Davison, Molly Ellor, Courteney Hedicke, Jennifer Groth, Karl Grimmer","doi":"10.1097/GOX.0000000000006559","DOIUrl":"10.1097/GOX.0000000000006559","url":null,"abstract":"Background: Tranexamic acid (TXA) is an antifibrinolytic agent with promising benefits in facial rejuvenation surgery. The best way to administer this medication for therapeutic value is currently unknown. This study compared outcomes for facelift patients given TXA intravenously versus locally in tumescent solution.Methods: Sixty rhytidectomy patients were randomized to receive 1 g of TXA intravenously or 150 mg of TXA in facial tumescent. Blood loss and surgeon-assigned bleeding rate were recorded intraoperatively for each side of the face. On postoperative day 7, patients assessed surgical satisfaction and bruising and swelling levels, and the surgeon graded ecchymosis and edema. Time to drain removal and complication incidence were also documented.Results: Mean blood loss was 25.86 mL for intravenous (IV) TXA patients versus 30.00 mL for local patients (P = 0.23) on side 1. On side 2, average blood loss was 30.00 mL in the IV group and 35.54 mL in the local group (P = 0.51). The median bruising and swelling rating was 2 for IV patients and 3 for local patients (P = 0.14). The groups had equivalent median blood loss scores, satisfaction ratings, ecchymosis and edema ratings, and complication rates. Mean days to drain removal were lower in the IV TXA group (1.16 versus 2.04 d, P = 0.04). The local TXA group had significantly more variation in patient satisfaction (P = 0.04) and time to drain removal (P < 0.001).Conclusions: IV administration of TXA may have a slight advantage over local infiltration as it decreases days to drain removal and yields more precise outcomes for patient satisfaction and time to drain removal.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6559"},"PeriodicalIF":1.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11875600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557563","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

Considerations for Proper Use of Hyaluronidase in the Management of Hyaluronic Acid Fillers.

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-03-03 eCollection Date: 2025-03-01 DOI: 10.1097/GOX.0000000000006566

Kyu-Ho Yi, Jovian Wan, Song Eun Yoon

引用次数: 0

Erratum: A Retrospective Review Comparing Renuvion Helium Plasma Radiofrequency with BodyTite Bipolar Radiofrequency after Liposuction or Body Contouring: Erratum.

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-02-28 eCollection Date: 2025-02-01 DOI: 10.1097/GOX.0000000000006659

Michael Kluska, R Chad Deal, Kyle Summers, Steven Chang

引用次数: 0

Development of the Observer Scales of the Patient and Observer Scar Assessment Scale: An International Delphi Study.

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-02-28 eCollection Date: 2025-02-01 DOI: 10.1097/GOX.0000000000006416

Michelle E Carrière, Lidwine B Mokkink, Jonathon Pleat, Zephanie Tyack, Anouk Pijpe, Henrica C W de Vet, Paul P M van Zuijlen

{"title":"Development of the Observer Scales of the Patient and Observer Scar Assessment Scale: An International Delphi Study.","authors":"Michelle E Carrière, Lidwine B Mokkink, Jonathon Pleat, Zephanie Tyack, Anouk Pijpe, Henrica C W de Vet, Paul P M van Zuijlen","doi":"10.1097/GOX.0000000000006416","DOIUrl":"10.1097/GOX.0000000000006416","url":null,"abstract":"Background: This Delphi study aimed to develop the Observer Scale of the Patient and Observer Scar Assessment Scale (POSAS) 3.0 for measurements of scar quality in patients with all types of scars. The POSAS 3.0 Patient Scale has been developed using an extensive qualitative study, which has been published separately.Methods: An online, 3-round Delphi study was performed with 124 international scar experts from 23 countries spanning 7 continents. Panelists rated their (dis)agreement with proposals regarding the wording and relevance of scar characteristics on a 5-point scale (\"strongly disagree\" to \"strongly agree\"), and provided arguments for their decisions. Consensus was reached if ≥67% of the panelists agreed or strongly agreed to a proposal.Results: Consensus was reached on the inclusion of 9 items. Two versions of the Observer Scale of the POSAS 3.0 have been developed, 1 generic version including 7 items, and 1 linear scar version, containing the same 7 items and 2 additional scar-specific items.Conclusions: This is the first study using the Delphi process to develop an instrument for the assessment of scars. Panelists from all over the world reached a consensus on the content of 2 versions of the Observer Scale, the generic version and the linear scar version. By involving the potential end-user community of the new POSAS version in its development, we expect the developed instrument to have high content validity. For a comprehensive scar assessment, the Observer Scale should be used in combination with the Patient Scales of the POSAS 3.0.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6416"},"PeriodicalIF":1.5,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11872356/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542859","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 Use of Stromal Vascular Fraction, Platelet-rich Plasma, and Stem Cells in the Treatment of Thumb Carpometacarpal Osteoarthritis.

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-02-27 eCollection Date: 2025-02-01 DOI: 10.1097/GOX.0000000000006481

Peter Pumberger, Gottfried Wechselberger, Karl Schwaiger, Valentin Zimmermann

{"title":"The Use of Stromal Vascular Fraction, Platelet-rich Plasma, and Stem Cells in the Treatment of Thumb Carpometacarpal Osteoarthritis.","authors":"Peter Pumberger, Gottfried Wechselberger, Karl Schwaiger, Valentin Zimmermann","doi":"10.1097/GOX.0000000000006481","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006481","url":null,"abstract":"Background: Thumb function is integral to hand movement and overall hand function. Impairment, often caused by carpometacarpal (CMC) arthritis, reduces the quality of life. Here, we explored a novel approach using a mixture of the stromal vascular fraction, adipose-derived stem cells, and platelet-rich plasma to treat symptomatic trapeziometacarpal osteoarthritis.Methods: Retrospective data from 30 hands of 19 patients classified as Eaton and Littler stages 1-4 were analyzed. Platelet-rich plasma and fat were collected under sterile conditions, followed by centrifugation, stem cell extraction, and injection of the mixture into the thumb CMC joint under x-ray guidance. The measurement parameters included the visual analog scale pain score, grip strength, pinch strength, and Thumb Disability Examination (TDX) score. Statistical analysis was performed using paired t tests to evaluate the outcomes across the entire group, individual stages, and early/late stages.Results: We examined 30 hands of 19 patients with trapeziometacarpal osteoarthritis. Pain reduction was significant at 6 and 24 months for all stages, particularly stages 2 and 3. Substantial pain reduction was also observed at the early and late stages. The TDX score decreased significantly in all groups after 6 and 24 months. Hand function notably improved with significant gains in tip-to-tip pinch strength at 24 months and palmar pinch strength at 6 and 24 months. No complications were observed.Conclusions: The intra-articular injection of autologous conditioned plasma/stromal vascular fraction in patients with thumb CMC arthritis, in all stages, helps to improve pain symptoms and postpone potential resection arthroplasty with minimal surgical intervention and risks.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6481"},"PeriodicalIF":1.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11868437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542963","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

Minimizing Palato/velar Fistulas: A New Anatomic Perspective on Unilateral Cleft Lip and Palate.

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-02-26 eCollection Date: 2025-02-01 DOI: 10.1097/GOX.0000000000006556

Gül Schmidt, Elena Hofmann, Friedrich Mrosk, Maria Franczyk, Carolin Bestendonk, Hubertus Koch, Max Heiland, Carsten Matuschek

{"title":"Minimizing Palato/velar Fistulas: A New Anatomic Perspective on Unilateral Cleft Lip and Palate.","authors":"Gül Schmidt, Elena Hofmann, Friedrich Mrosk, Maria Franczyk, Carolin Bestendonk, Hubertus Koch, Max Heiland, Carsten Matuschek","doi":"10.1097/GOX.0000000000006556","DOIUrl":"10.1097/GOX.0000000000006556","url":null,"abstract":"Background: Unilateral cleft lip and palates present unique anatomy at the palato-velar-vomerine junction. This region can be the widest and most challenging part of the cleft, where functional fistulas may occur. In 2017, an approach concentrating on the nasal part was implemented, which rendered the repair of this transition zone less challenging. This study detailed this surgical modification, which allows easy and effective palate repair and thereby reduces fistula rates.Methods: This study included 71 patients with unilateral cleft lip and palates who underwent 1-stage palatal repair using the same technique at the age of less than 1 year between 2017 and 2019 and were followed up until 2022. The surgical technique involved the incorporation of the unconnected vomer at the palato-velar-vomerine junction. Anatomical and speech assessments were performed during the annual follow-up period.Results: None of the patients developed fistulas. The rate of hypernasality was 11.9%.Conclusions: This study described a reliable technique to reduce fistula formation at the palato/velar junction during unilateral cleft lip and palate repair.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6556"},"PeriodicalIF":1.5,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516429","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

Evaluation of Lateral Triangular Flaps When Combined With Bilateral Superficial Epigastric Artery Flap for Shaft-only Penile Reconstruction.

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-02-25 eCollection Date: 2025-02-01 DOI: 10.1097/GOX.0000000000006485

Ashraf El Eebaie Mohamed, Ahmed Abdelsalam Hafez Hamza, Mohammed Ahmed Hussein

{"title":"Evaluation of Lateral Triangular Flaps When Combined With Bilateral Superficial Epigastric Artery Flap for Shaft-only Penile Reconstruction.","authors":"Ashraf El Eebaie Mohamed, Ahmed Abdelsalam Hafez Hamza, Mohammed Ahmed Hussein","doi":"10.1097/GOX.0000000000006485","DOIUrl":"10.1097/GOX.0000000000006485","url":null,"abstract":"Background: Phalloplasty represents a challenging complex genital reconstruction surgery. Phalloplasty should result in an aesthetic composite phallus, with the ability to void while standing, allowing placement of an implantable prostheses and preserving both tactile and erogenous sensation with minimal donor site morbidity.Methods: A bilateral superficial epigastric artery flap was design in the supra pubic area, extending upward till the lower boarder of the umbilicus. Two triangular flaps were designed at the base of the main rectangular flap to facilitate further mobilization of the neophallus. A penile prosthesis was implanted at the same stage in some patients. Finally, the lateral abdominal flaps were dissected and mobilized to be closed primarily in the mid line.Results: Twenty patients who were candidate for first stage of penile reconstruction were included in our study. The average flap dimensions were 18 × 15 cm; the largest was 32 × 18 cm, whereas the smallest flap was 15 × 113 cm. Eleven patients had immediate implantation with 2 failures due to impaired sensation. Four patients had tissue expansion before flap harvesting. Three patients developed partial flap loss during the first 2 weeks postoperatively.Conclusions: The modified bilateral superficial epigastric artery flap is a convenient flap for neophallus reconstruction. Flap design and harvesting is simple with a minimal learning curve. The flap has good color match with well-hidden donor site morbidity. Also, the bilateral triangular flaps permit adequate caudal repositioning of the neophallus, which gives a more natural position.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6485"},"PeriodicalIF":1.5,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11856887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143503411","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