Plastic and Reconstructive Surgery Global Open最新文献

{"title":"Bone Changes With Silicone Chin Implants: Clinical Case, Review, and Considerations for Technique Modification.","authors":"Simon J Madorsky, Orr A Meltzer","doi":"10.1097/GOX.0000000000006521","DOIUrl":"10.1097/GOX.0000000000006521","url":null,"abstract":"<p><strong>Background: </strong>Bone resorption has been imputed to silicone chin implants as the cause of the reported bone changes with chin augmentation. Bone remodeling is complex. Both neo-ossification and bone resorption can occur.</p><p><strong>Methods: </strong>A literature review was performed on bone complications of silicone chin implants and bone remodeling with periosteal manipulation. Available data from plastic surgical and dental literature, alongside a case observation showing neo-ossification 10 years after implantation, were analyzed and used to explain patterns of bone changes around chin implants.</p><p><strong>Results: </strong>Periosteal elevation induces bone formation. Spur-like neo-ossification with silicone chin implants is caused by subperiosteal implant placement. Our case describes such neo-ossification 10 years after silicone chin implantation. The pressure of an implant on bone can cause limited bone resorption. The pressure of an implant trapped under a forming bone shelf can cause significant bone resorption in rare cases.</p><p><strong>Conclusions: </strong>Previously reported mandibular bone resorption ascribed to silicone chin implants has been overwrought. Bone formation is more common with silicone chin augmentation. We propose surgical modifications to limit bone complications of chin implants based on the reviewed literature. Surgical approaches to periosteal elevation and implant insertion and consideration of alternate biomaterials to silicone chin implants may improve outcomes of chin augmentation.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6521"},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383229","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":"Comment on \"The Primacy of Ethics in Aesthetic Medicine: A Review\".","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1097/GOX.0000000000006520","DOIUrl":"10.1097/GOX.0000000000006520","url":null,"abstract":"","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6520"},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383230","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":"Skin Necrosis After Methylene Blue Dye Use in Immediate Breast Reconstruction.","authors":"Georgina Panopoulou, Antonia Fotiou","doi":"10.1097/GOX.0000000000006515","DOIUrl":"10.1097/GOX.0000000000006515","url":null,"abstract":"<p><p>Skin-sparing mastectomy or nipple-sparing mastectomy is usually combined with sentinel lymph node biopsy and often followed by immediate breast reconstruction. Currently, methylene blue dye (MBD) is being used for the localization of the sentinel lymph node during mastectomy in patients with early breast cancer. However, MBD has been associated with skin complications. Two patients underwent a nipple-sparing mastectomy followed by immediate reconstruction with silicone implants. MBD was injected into the subareolar area to identify the sentinel lymph node. The 2 cases were complicated by MBD. The first case developed 2 gangrenous areas on the site of the MBD injection. The second one developed skin necrosis as well. The use of MBD is responsible for skin complications, such as skin necrosis. In detail, discussion before surgery must be done when organizing immediate breast reconstruction using silicone implants.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6515"},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383235","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":"Addressing Ethics in Plastic and Aesthetic Surgery: Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica's Social Media Policy.","authors":"Fabrizio Schonauer, Anna Scarabosio, Matilde Tettamanzi, Monica Zena, Annachiara Cavaliere, Roberta Tornambene, Mirco Pozzi, Giulio Tarantino, Daniele Matta, Dorina Macchi, Stefania De Fazio","doi":"10.1097/GOX.0000000000006493","DOIUrl":"10.1097/GOX.0000000000006493","url":null,"abstract":"<p><strong>Background: </strong>The pervasive influence of social media on plastic surgery necessitates a robust ethical framework to guide professional conduct online. The Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica (SICPRE) recognized the need for an ethical code that addresses the unique challenges posed by social media in the field of plastic surgery.</p><p><strong>Methods: </strong>A dedicated group, referred to as the Social Media Chat, was formed within SICPRE in November 2022. The group comprised members with varying levels of expertise, including the SICPRE president, plastic surgeons, professors, and residents. Through a comprehensive review of existing ethical codes and social media policies from 26 national and international plastic surgery societies, the group identified key ethical considerations. Virtual meetings facilitated discussions and the creation of content for SICPRE's official social channels.</p><p><strong>Results: </strong>The analysis revealed that only a few societies had formal social media policies, whereas many had generic ethical codes with minimal guidance on social media use. SICPRE's ethical code, formulated through collaborative efforts and multiple revisions, includes 10 fundamental points addressing professionalism, transparency, patient privacy, and ethical marketing. The code was integrated into SICPRE's broader ethical guidelines to ensure consistency and comprehensiveness.</p><p><strong>Conclusions: </strong>SICPRE's ethical code offers a detailed framework for navigating the intersection of plastic surgery and social media, emphasizing honesty, transparency, and respect for patient dignity. By aligning with best practices and addressing gaps in existing policies, this initiative aimed to enhance professional standards and patient trust in the digital age. Future updates will ensure the policy remains relevant amid evolving digital communication landscapes.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6493"},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383227","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":"Impact of Race and Social Determinants on Operative Management of Distal Radius Fractures in Medicare Patients.","authors":"Nicole J Newman-Hung, Amil R Agarwal, Ambika E Paulson, Uma Srikumaran, Dawn Laporte, Lauren E Wessel","doi":"10.1097/GOX.0000000000006522","DOIUrl":"10.1097/GOX.0000000000006522","url":null,"abstract":"<p><strong>Background: </strong>Operative fixation of distal radius fractures (DRFs) in high-demand patients may provide functional benefit, particularly in the setting of significant displacement. Whether social determinants of health (SDOH) and race impact treatment remain unclear. The purpose of this study was to determine whether adverse SDOH modifiers and race are independent predictors of surgical intervention for DRF.</p><p><strong>Methods: </strong>A retrospective analysis was conducted using the Medicare Standard Analytical Files of the PearlDiver database of patients with a DRF from 2007 to 2016. Univariate and multivariable regression analyses were performed to observe whether race and adverse SDOH variables were independent predictors of undergoing open reduction internal fixation (ORIF) within 3 weeks of a new diagnosis of DRF after controlling for age and fracture type.</p><p><strong>Results: </strong>The average patient age was 76.3 years. A total of 10,697 (13.1%) patients underwent ORIF. Patients who underwent ORIF were less likely to have negative economic and social modifiers of SDOH and had lower odds of being non-White. Patients who underwent surgery also had higher odds of being younger, White, female, and having a type III open fracture.</p><p><strong>Conclusions: </strong>In the Medicare population, non-White race and adverse economic and social modifiers of SDOH were independent predictors of undergoing nonoperative treatment of DRF after controlling for age and fracture type. Future studies are needed to further elucidate the nuanced effects of race and SDOH on the management of DRFs.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6522"},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383232","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":"Nasal Reconstruction With Forehead Flap: Our 12 Years' Experience.","authors":"Santolo D'Antonio, Francesco Castellaneta, Vincenzo Rullo, Anna De Rosa, Piergiorgio Turco, Michele Pio Grieco, Tommaso Fabrizio","doi":"10.1097/GOX.0000000000006506","DOIUrl":"10.1097/GOX.0000000000006506","url":null,"abstract":"<p><strong>Background: </strong>The nose is the part of the face that is most exposed to trauma, sunlight, and other environmental factors. From the aesthetic and functional point of view, reconstruction of the defects occurring after skin cancer removal creates a great challenge for the surgeon. In this retrospective study, we present the success rates achieved in the past 12 years with paramedian forehead flaps used for large nasal defect repairing.</p><p><strong>Methods: </strong>Seventy-seven patients were included who underwent paramedian forehead flaps due to nasal skin tumor basal cell carcinoma and squamous cell carcinoma at the division of plastic surgery of IRCCS-Centro di Riferimento Oncologico di Basilicata in Rionero in Vulture from 2010 to 2022. Data on follow-up time, patients' age and sex, defect sizes, and tumor histology were obtained retrospectively from patient files, histopathologic examination results, and patient photographs. Additional diseases such as diabetes, hypertension, and coronary artery disease that could compromise flap success were noted.</p><p><strong>Results: </strong>Of 77 patients enrolled in our cohort, 42 were men and 35 were women. The average age was 68.3 years for male patients and 72.8 years for female patients. The mean follow-up period was 65 months. Of 77 patients, 45 (59.2%) were operated on for basal cell carcinoma and 31 (40.8%) for squamous cell carcinoma. Six patients (5.3%) had recurrence in their follow-up periods. There was no loss of the paramedian forehead flap.</p><p><strong>Conclusions: </strong>The paramedian forehead flap is a reliable option in the reconstruction of larger defects of the nose, even in smokers and older patients who have comorbid diseases.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6506"},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383234","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":"Arteriovenous Loops for Free Flaps to the Abdomen and Pelvis: Case Reports and Pearls.","authors":"Puja Jagasia, Shivani A Shah, Kazimir Bagdady, Gregory A Dumanian, Megan E Fracol","doi":"10.1097/GOX.0000000000006530","DOIUrl":"10.1097/GOX.0000000000006530","url":null,"abstract":"<p><p>Arteriovenous (AV) loops formed from the greater saphenous vein and femoral artery can facilitate free tissue transfer to the abdomen or pelvis when adequate recipient vessels are not available. Here, we present the application of this technique in 3 cases where patients had significant abdominal or pelvic defects due to oncological resection or trauma. AV loops were successfully created using a saphenous vein turned up into the femoral artery at the level of the groin. These loops were then tunneled through the groin and cut back to form recipient vessels for anterolateral thigh (ALT) flaps in a single-stage procedure. In all 3 cases, AV loops constructed with this technique served as reliable conduits for free ALT flaps. Only 1 complication occurred. Following a drop in tissue oximetry, 1 patient was taken back to the operating room. A stitch was found to be compressing the pedicle. Following release, no further complications were observed and all patients achieved complete wound healing. In this article, we highlight key surgical techniques to maintain the orientation of the vein during AV loop anastomosis, which prevents kinking. We provide technical insights regarding tunneling the AV loop through the groin without compression, anchoring the pedicle appropriately, and positioning the ALT flap anastomosis. Our success with this technique underscores its potential in facilitating complex pelvic and abdominal reconstruction.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6530"},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383228","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":"<i>Neisseria weaveri</i>: Atypical Infection in Breast Implant-Based Reconstruction.","authors":"Julia Maxey, Donald Harvey","doi":"10.1097/GOX.0000000000006505","DOIUrl":"10.1097/GOX.0000000000006505","url":null,"abstract":"<p><p>Surgical site infection (SSI) following breast implant surgery can have devastating complications. Infection is most commonly from coagulase-negative <i>Staphylococcus</i> bacteria. <i>Neisseria weaveri</i> is a gram-negative bacterium that is associated with animal bites. We present the first known case of <i>N. weaveri</i> causing SSI following breast implant reconstruction. We report the case of a 61-year-old woman with invasive ductal carcinoma who underwent bilateral skin-sparing mastectomy with immediate implant-based reconstruction. She presented on postoperative day 24 with malodorous drainage from her Jackson-Pratt drain. The patient explained that she has a shih tzu at home that frequently licked her. Cultures from the drain grew <i>N. weaveri.</i> The patient's antibiotic regimen was transitioned, and she completed her course without complications. Practitioners should counsel their patients on adequate postsurgery hygiene and take into consideration rare causes of SSI and how this may affect patient care.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6505"},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383187","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":"The Four-line Algorithm for the Treatment of Unilateral Cleft Lip.","authors":"Franklin J Paredes, Edwar C Alvarez, Emily M Jones, Valeri K Paredes","doi":"10.1097/GOX.0000000000006529","DOIUrl":"10.1097/GOX.0000000000006529","url":null,"abstract":"<p><strong>Background: </strong>Several factors affect the outcome of a repaired unilateral cleft lip (UCL). Some of these, like the surgeon's expertise, are hard to evaluate, whereas others can be better evaluated objectively using the cleft severity index and the surgical technique used.</p><p><strong>Methods: </strong>This study includes patients of Operation Smile Ecuador and was done in 2 parts. The retrospective part uses the medical records of 298 patients with UCL treated by Operation Smile Ecuador from January 2015 to December 2017. The correlation of the photographed measurements, surgical technique, and evolution of the patients was studied. In the prospective part, the participant surgeons of this article applied the algorithm to 136 patients treated from January 2018 to December 2019.</p><p><strong>Results: </strong>In the retrospective study, the resulting symmetry varied significantly among most Unilateral Cleft Asymmetry Index presurgical classifications, and 34% of the results were deficient. The four-line algorithm was developed using the case-technique analysis of the retroactive study. The algorithm was applied in the prospective part, which resulted in no deficient cases and 81% optimal results. There were significantly better results after applying the four-line algorithm for patients classified as Unilateral Cleft Asymmetry Index degrees III and IV (<i>P</i> < 0.001 and <i>P</i> = 0.041, respectively).</p><p><strong>Conclusions: </strong>Even though the cleft severity in the UCL is an important prognostic factor, the results of this study show that there are no universal surgical techniques to achieve optimal results. The four-line algorithm proposes to use a case-specific surgical technique to achieve the best functional and aesthetic result for our patients.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6529"},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383236","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":"Spanish Translation and Validation of the LIMB-Q: A Patient-reported Outcome Measure for Lower Extremity Trauma.","authors":"Sami Alahmadi, Daniela M Barata Herrera, Matthew J Heron, Amalia E Gomez-Rexrode, Krissia M Rivera Perla, Edgar Soto, Diane Ghanem, Babar Shafiq, Lily R Mundy","doi":"10.1097/GOX.0000000000006511","DOIUrl":"10.1097/GOX.0000000000006511","url":null,"abstract":"<p><strong>Background: </strong>Hispanic patients represent a notable portion of the adult trauma population in the United States, yet their participation in studies collecting patient-reported outcome measure data following lower extremity injuries is limited. This study aims to translate and linguistically validate the LIMB-Q in Spanish for use in this population.</p><p><strong>Methods: </strong>We followed guidelines from the World Health Organization and the Professional Society for Health Economics and Outcomes Research to conduct this translation. Two independent translators conducted a blind forward translation of the LIMB-Q from English to Spanish, followed by a back translation to confirm the conceptual preservation of each LIMB-Q item. Five patients then participated in cognitive debriefing interviews to collect feedback on comprehension, interpretation, and language.</p><p><strong>Results: </strong>Translators occasionally differed in the vocabulary they used in their forward translations. All conflicts were resolved by discussion and selection of the option with the greatest colloquial recognition and medical relevance. Back translation identified 25 differences, including items that did not fully convey semantics (n = 12), were missing parts (n = 9), or were listed out of order (n = 4). All items with inadequate semantics were revised to ensure full retention of their original meaning. Five patients participated in cognitive debriefing interviews, resulting in 5 revisions for diction and syntax.</p><p><strong>Conclusions: </strong>The Spanish (US) translation of LIMB-Q is now available. This instrument may be used in both clinical and research settings to better understand the quality of life and satisfaction of Hispanic patients after traumatic lower extremity injury.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6511"},"PeriodicalIF":1.5,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11798375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256364","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}