Plastic and Reconstructive Surgery Global Open最新文献

{"title":"Indonesian Translation and Cultural Adaptation of the BREAST-Q Reconstruction Module.","authors":"Mohamad Rachadian Ramadan, Diana Ashilah Rifai, Parintosa Atmodiwirjo, Sonar Soni Panigoro, Dewi Aisiyah Mukarramah, Farida Briani Sobri, Abrar Jurisman, Risal Djohan","doi":"10.1097/GOX.0000000000006705","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006705","url":null,"abstract":"<p><strong>Background: </strong>The BREAST-Q reconstruction module, a patient-reported outcome measurement tool, is widely used to assess the impact of breast surgery on patient satisfaction and health-related quality of life. However, translation to the Indonesian language has not been attempted or used for Indonesian-speaking women with breast cancer.</p><p><strong>Methods: </strong>The Indonesian translation of the BREAST-Q reconstruction module was performed in accordance with the International Society of Pharmacoeconomics and Outcomes Research guidelines, which included forward translation and reconciliation, back translation and review, cognitive debriefing, and cultural adaptation. The respondents who participated in the cognitive debriefing process were recruited from the Metropolitan Medical Centre Hospital, Dr. Cipto Mangunkusumo Hospital, and the Indonesian Breast Reconstruction Support Group.</p><p><strong>Results: </strong>The reconciliation meeting revealed that 34.8% of the translated items were discordant between the 2 forward translations, whereas the back-translation review revealed that 11 out of 279 items were discordant between the translated questionnaire and the original version. During the cognitive debriefing process, several comments and recommendations were produced, which were derived from the difficulties of understanding the questionnaires and the cultural context based on local norms, sociodemographics, and religious beliefs.</p><p><strong>Conclusions: </strong>The Indonesian translation of the BREAST-Q reconstruction module has been conducted according to the International Society of Pharmacoeconomics and Outcomes Research guidelines.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 4","pages":"e6705"},"PeriodicalIF":1.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12011567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042642","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":"Decision-making Tools for Postmastectomy Breast Reconstruction: A Scoping Review.","authors":"Sara Sheikh-Oleslami, Lucas Rempel, Caroline F Illmann, Emma Nicholson, Kathryn V Isaac","doi":"10.1097/GOX.0000000000006710","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006710","url":null,"abstract":"<p><strong>Background: </strong>Breast reconstruction is an essential consideration for patients with breast cancer undergoing a mastectomy. Patients commonly report inadequate education as an important cause of dissatisfaction with breast reconstructive care. Information sources for breast reconstruction vary in quality, accuracy, and validity. We sought to determine what academic and nonacademic resources exist supporting decision-making for patients undergoing breast reconstruction.</p><p><strong>Methods: </strong>A search was conducted of both academic literature and nonacademic social media sources. Three academic databases and 5 social media platforms were searched using keywords. Three independent reviewers performed the selection and data extraction of sources that met the inclusion criteria.</p><p><strong>Results: </strong>A total of 1172 academic articles and 1419 nonacademic records were screened, with 14 and 9 included for final review, respectively. Of the 5 nonacademic mediums searched, none were included from TikTok and Instagram. One decision-making tool (DMT) was included from Twitter, 4 from YouTube, and 4 from Google. Overall, the quality of available DMTs was very good. The one included academic DMT had a mean DISCERN score of 5, whereas the 4 DMTs from Google and Twitter had a median DISCERN score of 4. YouTube videos were ranked using the modified DISCERN tool with a median score of 5.</p><p><strong>Conclusions: </strong>Accessibility was found to be a significant barrier for patients in academic and nonacademic platforms with significant knowledge required to effectively search these platforms for resources. Efforts must be made to improve accessibility and awareness of these DMTs, as such tools are essential in shared decision-making.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 4","pages":"e6710"},"PeriodicalIF":1.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12011573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049119","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":"How Does the Mandible Age? Comprehensive Artificial Intelligence-Assisted Shape Analysis in the White Population.","authors":"Sara M Hussein, Jess D Rames, Abdallah A Shehab, Alexandre M Pazelli, Victoria A Sears, Adam J Wentworth, Jonathan M Morris, Basel A Sharaf","doi":"10.1097/GOX.0000000000006650","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006650","url":null,"abstract":"<p><strong>Background: </strong>Mandible contour significantly influences facial appearance, framing the lower facial silhouette. Redefining mandibular contour is key for facial and neck rejuvenation. Yet, there is limited facial aging research across different lifespans and sexes. Here, we utilize artificial intelligence and advanced 3-dimensional (3D) analysis to elucidate mandibular aging patterns in male and female subjects.</p><p><strong>Methods: </strong>A retrospective analysis of facial computed tomography scans in White patients was conducted, categorizing subjects into 3 age groups (20-79 y) and stratifying them by sex. Artificial intelligence-assisted segmentation into 3D mandibles was done in Mimics v.25, and statistical shape modeling was used to create an average mandible for each group. Volume and linear measurements were assessed via 3D overlays.</p><p><strong>Results: </strong>Analysis of 280 mandibles demonstrated statistically significant aging changes in both sexes. Ramus height showed a marked decrease with age, by approximately 5.3 mm in women and 4.2 mm in men (<i>P</i> < 0.001). Interrami and intercondylar widths increased by a mean of 4-5 mm (<i>P</i> < 0.01). Women exhibited an increase in mandibular angle (<i>P</i> < 0.01), and bony resorption over the chin compared to men, who exhibited concentrated bone resorption at the gonion projection.</p><p><strong>Conclusions: </strong>Mandibular aging, independent of tooth loss, exhibits specific bone remodeling patterns by sex. Posteriorly, mandibular widths increase in both sexes, whereas ramus height decreases. Women experience more resorption at the anterior alveolar surface and chin than men. Statistical shape modeling effectively visualizes these patterns on a population level, bridging the gap between traditional aging research and current understanding.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 4","pages":"e6650"},"PeriodicalIF":1.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12011572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040598","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":"Pilot Study: Innovative Minimally Invasive Tarsal Tunnel Release for Diabetic Foot Ulcer Patients Minimizing Drawbacks.","authors":"Hian Kim Erica Ngiam, Wenxian Png, Eric Wei Liang Cher, Jack Kian Ch'ng, Allen Wei Jiat Wong, Yee Onn Kok, Jiajun Feng","doi":"10.1097/GOX.0000000000006719","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006719","url":null,"abstract":"<p><strong>Background: </strong>Diabetic foot ulcers are challenging to manage due to the multifactorial nature of the disease, with diabetic neuropathy being a primary contributing factor. Tarsal tunnel release has shown promise in restoring sensation, reducing ulcer recurrence through improved sensation, and enhancing microcirculation to promote ulcer healing. However, existing open and endoscopic techniques have notable limitations. This study introduces a novel minimally invasive tarsal tunnel release technique designed to address these shortcomings.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted at Sengkang General Hospital, a tertiary care center. The control group comprised 22 consecutive patients who underwent open tarsal tunnel release, whereas the treatment group included 34 consecutive patients treated with the novel minimally invasive approach. All patients were followed up for a minimum of 3 months.</p><p><strong>Results: </strong>Both groups demonstrated comparable efficacy in improving sensation (100% versus 95.5%) and 2-point discrimination (88.2% versus 86.4%; <i>P</i> = 0.19, <i>P</i> = 0.83, respectively). However, the treatment group exhibited significantly shorter wound lengths (2.3 ± 0.26 versus 5.8 ± 0.72 cm; <i>P</i> < 0.0001) and a faster wound healing duration (15 ± 5 versus 24 ± 17 d; <i>P</i> = 0.0052). Additionally, the treatment group experienced no major wound complications compared with a 13.6% complication rate in the control group (<i>P</i> = 0.029).</p><p><strong>Conclusions: </strong>This minimally invasive novel technique demonstrates similar efficacy in improving sensation while addressing the limitations of existing open and endoscopic methods. It offers significant advantages in terms of reduced wound size, faster healing, and lower complication rates.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 4","pages":"e6719"},"PeriodicalIF":1.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12011571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144011359","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":"Artificial Intelligence Versus Human Systematic Literature Review Into Negative-pressure Wound Therapy in Plastic Surgery.","authors":"Augustine J Deering, Payden A Harrah, Melinda Lue, Daanish Sheikh, C Anton Fries","doi":"10.1097/GOX.0000000000006699","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006699","url":null,"abstract":"<p><strong>Background: </strong>The potential of artificial intelligence (AI) to support physician evidence-based medicine is vast. We compared AI's ability to perform a systematic review of the literature to that of human investigators. Negative-pressure wound therapy (NPWT), a mainstay of wound management with a large but varied body of evidence, was therefore chosen as the subject of this investigation. Producing high-level evidence of NPWT's impact on wound healing has been challenging due to trial design issues, making a systematic review important and challenging. In this article, NPWT efficacy and the ability of AI to assess levels of evidence were evaluated.</p><p><strong>Methods: </strong>A literature search was conducted using PubMed, SCOPUS, and CINAHL. The resulting articles were screened using Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. The Grading of Recommendations, Assessment, Development, and Evaluations criteria were applied by both humans and AI to analyze the quality and evidence of each article.</p><p><strong>Results: </strong>Eighteen studies on 3131 patients were reviewed. Seven studies addressed length of stay; five showed shorter stays with NPWT. Fourteen studies examined infection rates. Eight found significant improvement with the use of NPWT. Twelve articles analyzed time to wound closure, and nine of those articles found reduced time when NPWT was utilized. AI generally assigned lower quality of evidence scores compared with humans.</p><p><strong>Conclusions: </strong>AI is a promising tool but remains limited in accurately determining evidence quality. AI's lower scores may reflect reduced bias. Multiple confounders and the diversity of its application lead to a lack of high-level evidence of NPWT's efficacy.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 4","pages":"e6699"},"PeriodicalIF":1.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037006","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":"Instagram Use Among Integrated Plastic Surgery Residency Programs: New Insight for Applicants?","authors":"Elizabeth M Hogue, Mathew J Gregoski, Sloan V Rhodes, Fernando A Herrera","doi":"10.1097/GOX.0000000000006717","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006717","url":null,"abstract":"<p><strong>Background: </strong>Social media has emerged as a valuable resource by which prospective applicants may evaluate residency programs, with Instagram being the most widely used platform. This study aims to categorize and evaluate the accuracy of Instagram content shared by integrated plastic surgery residency programs.</p><p><strong>Methods: </strong>Integrated plastic surgery residency program accounts were queried on Instagram. Post content in 2021 and 2022 was reviewed and categorized based on topics of interest to plastic surgery applicants. Regression analysis was performed to evaluate the relationship between program size and total number of posts and program diversity and diversity, equity, and inclusion posts. The relationship between research posts and faculty <i>h</i>-index was assessed using a 2-tailed <i>t</i> test.</p><p><strong>Results: </strong>Eighty-six program accounts with 3168 Instagram posts were analyzed. Resident life was the most common post category; 13.51% were surgical, with microsurgery being the most common subspecialty. Global health and mentorship were the least commonly posted. A weak correlation was found between program size and total posts. No significant relationship was found between diversity, equity, and inclusion posts and program diversity or between research posts and research productivity of the program.</p><p><strong>Conclusions: </strong>The widespread use of Instagram by integrated plastic surgery residency programs provides applicants with a valuable tool to select programs aligning with their interests. Post categorization by subjects of interest to applicants may be a useful guide for program selection. However, applicants should be aware that Instagram posts do not necessarily equate with reality.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 4","pages":"e6717"},"PeriodicalIF":1.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037745","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":"Patient-Surgeon Satisfaction Discrepancy following Breast Reduction Surgery: A 10-year Analysis of Aesthetic Outcomes and Quality of Life.","authors":"Adriano Fabi, Julian C Gütermann, Benedict Kaiser, Vanessa Müller, Florian S Halbeisen, Florian Rueter, Patricia E Engels, Daniel F Kalbermatten, Martin D Haug, Dirk J Schaefer, Pietro G di Summa, Elisabeth A Kappos","doi":"10.1097/GOX.0000000000006709","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006709","url":null,"abstract":"<p><strong>Background: </strong>Breast reduction surgery has been recognized for its potential to improve quality of life in patients with macromastia or after unilateral oncological treatment. However, comparative analysis of different surgical techniques remains sparse. Patient-reported outcome measures have emerged as indispensable tools in assessing patient satisfaction and postoperative outcomes. Driven by the hypothesis of substantial differences between self-reported patient outcomes and professional assessments, this study aimed to compare different technical approaches, integrating both the patients' and plastic surgeons' perspectives.</p><p><strong>Methods: </strong>A 10-year retrospective single-center cohort study was conducted to compare patient- and surgeon-reported outcomes using pre- and postoperative BREAST-Q questionnaires and aesthetic self-assessments. Outcomes and postoperative complication rates of different technical approaches were analyzed using photographic documentation.</p><p><strong>Results: </strong>A total of 170 patients met the inclusion criteria, of which 92 agreed to further photographic documentation for aesthetic evaluation. The median follow-up duration was 4.9 years. BREAST-Q scores significantly improved across all surgical techniques, with comparable scores in both oncoplastic and nononcoplastic patients. Notably, patients reported greater satisfaction with the postoperative aesthetic outcomes than surgeons. Multivariable analysis confirmed body mass index as a significant risk factor for postoperative complications.</p><p><strong>Conclusions: </strong>Breast reduction surgery improves both aesthetic outcomes and long-term quality of life, regardless of surgical technique or the use of oncoplastic methods. The discrepancy between patient and surgeon satisfaction highlights the need for a patient-centered approach, such as incorporating patient-reported outcome measures to evaluate postoperative results.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 4","pages":"e6709"},"PeriodicalIF":1.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064536","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":"Order of Consonant Production as a Predictor of Speech Outcomes After Primary Palatoplasty.","authors":"Ushio Hanai, Tadashi Akamatsu, Tomoe Okawa, Akifumi Kaneko, Miki Watanabe, Hiroyuki Muramatsu, Yotaro Tsunoda, Hitoshi Nemoto, Kotaro Imagawa","doi":"10.1097/GOX.0000000000006688","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006688","url":null,"abstract":"<p><strong>Background: </strong>Reliable early prediction of long-term speech outcomes after primary palatoplasty has not been explored. This study aimed to (1) clarify the relationship between the pattern of initial consonant production and postoperative speech outcome in patients with cleft palate (CP), and (2) investigate whether differences exist in the order pattern of initial consonant production by CP presence.</p><p><strong>Methods: </strong>Consecutive children who underwent primary CP surgery between 2001 and 2016 at our hospital were retrospectively analyzed; 42 and 38 children were assigned to the CP and non-CP groups, respectively. The production order of the main Japanese consonants/k/,/g/,/t/, and/d/ was analyzed, and 3 groups were created: type td, where t/d precedes k/g; type kg, where k/g precedes t/d; and type same, where t/d and k/g occur simultaneously. We compared consonant patterns between groups and assessed the association between these patterns and the incidence of velopharyngeal insufficiency (VPI), abnormal articulations, and the need for additional treatment in the CP group.</p><p><strong>Results: </strong>At both 4 and 7 years, the likelihood of having VPI was significantly higher in type kg children than in type td children. Velar consonants did not precede alveolar consonants in the non-CP group. Significantly more type kg patients received additional treatment than type td (<i>P</i> < 0.001) and type same (<i>P</i> = 0.003) groups.</p><p><strong>Conclusions: </strong>Patients with normal velopharyngeal function acquired alveolar consonants (td) before velar consonants (kd), indicating that those who first produced velar consonants were more likely to present with VPI or require additional treatment.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 4","pages":"e6688"},"PeriodicalIF":1.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012566","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":"Modified Lower Eyelid Retractor Relocation: A More Reliable Surgical Approach for Epiblepharon.","authors":"Tokuhide Oyama, Mari Oyama, Ayako Tazawa, Takeo Fukuchi","doi":"10.1097/GOX.0000000000006678","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006678","url":null,"abstract":"<p><strong>Background: </strong>Epiblepharon is a congenital anatopism characterized by a horizontal skinfold near the eyelid margin, causing corneal irritation and damage. Standard surgical management occasionally results in undercorrection and relatively high recurrence. In addition, a pronounced postoperative lower eyelid crease can be an unfavorable cosmetic alteration, particularly for Asian patients. This work describes a new surgical technique to reduce recurrence rates while improving cosmetic and functional outcomes for epiblepharon.</p><p><strong>Methods: </strong>Thirty-nine patients (75 eyelids) underwent epiblepharon surgery from January 2021 to April 2023. Their mean age was 15.0 years with a mean follow-up period of 16.5 months. Surgically, the lower eyelid retractors (LERs) were fully exposed and detached from the inferior tarsus margin and conjunctiva. The free LERs were sutured directly to the marginal orbicularis oculi muscle, maintaining flexible mobility to the LERs without standard anchoring to the tarsus margin.</p><p><strong>Results: </strong>All 39 patients achieved complete eversion of the cilia without cornea contact by the final follow-up. Of the 75 eyelids, 70 (93%) demonstrated a \"good\" outcome, 5 (7%) had a \"fair\" outcome, and none were classified as \"poor.\" Mean margin-to-reflex distance 2 remained statistically unchanged between preoperative and postoperative measurements.</p><p><strong>Conclusions: </strong>Our new surgical method provides satisfactory functional and cosmetic results, reducing recurrence rates and minimizing the risk of excessive lower eyelid crease, ectropion, and severe hypertrophic scarring. The method offers a reliable alternative, particularly for Asian patients, who typically have less pronounced eyelid creases.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 4","pages":"e6678"},"PeriodicalIF":1.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064530","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":"Necrotizing Fasciitis Due to <i>Acinetobacter baumannii</i> Complex Following Body Contouring Surgery: First Case Report.","authors":"Lázaro Cárdenas-Camarena, Cristopher Cárdenas-Cruz, Iván González Godínez","doi":"10.1097/GOX.0000000000006715","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006715","url":null,"abstract":"<p><p>The rise in aesthetic surgery in recent years has led to an increased incidence of complications associated with these procedures. Liposuction and autologous fat transfer have become some of the most common cosmetic interventions worldwide, also raising the risk of developing postoperative infections, including those caused by multidrug-resistant Gram-negative bacilli, which can be life-threatening. We present the case of a 40-year-old woman who developed septic shock secondary to deep necrotizing fasciitis in the right thigh following liposuction and autologous fat transfer to the buttocks. During the postoperative period, she developed a necrotizing soft tissue infection affecting the right thigh and buttock, which progressed to necrotizing fasciitis. The patient required surgical debridement, fasciotomy, and combined antibiotic therapy. Tissue cultures revealed multidrug-resistant <i>Acinetobacter baumannii</i> complex haemolyticus, sensitive to carbapenems. The patient had surgical debridement and a 14-day course of antibiotics, resulting in clinical recovery. <i>A. baumannii</i> is a significant cause of nosocomial infections worldwide, and its persistence on inanimate surfaces may be underestimated. Complications such as necrotizing soft tissue infections are typically caused by Gram-positive microorganisms such as methicillin-resistant <i>Staphylococcus aureus</i> and Gram-negative fermenting enterobacteria. The isolation of <i>A. baumannii</i> in soft tissue cultures is unusual, making this case notable, as necrotizing soft tissue infections caused by this nonfermenting Gram-negative bacillus have not been previously reported following aesthetic body contouring surgery.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 4","pages":"e6715"},"PeriodicalIF":1.5,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12005939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143974720","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}