Plastic and Reconstructive Surgery Global Open最新文献_第9页

Disparities in Facial Feminization Surgery Coverage: MassHealth Versus Private Insurance Coverage in Massachusetts. 面部女性化手术覆盖范围的差异：马萨诸塞州大众健康与私人保险的覆盖范围。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-07-17 eCollection Date: 2025-07-01 DOI: 10.1097/GOX.0000000000006927

Jessica J Farzan, Quynh Anh Annie Phan, Janelle P Renterghem, Wen Ting Zheng, Anna Bogursky, Janice F Lalikos, Joyce K McIntyre

{"title":"Disparities in Facial Feminization Surgery Coverage: MassHealth Versus Private Insurance Coverage in Massachusetts.","authors":"Jessica J Farzan, Quynh Anh Annie Phan, Janelle P Renterghem, Wen Ting Zheng, Anna Bogursky, Janice F Lalikos, Joyce K McIntyre","doi":"10.1097/GOX.0000000000006927","DOIUrl":"10.1097/GOX.0000000000006927","url":null,"abstract":"Background: Facial feminization surgery (FFS) is a component of gender-affirming care for transgender women and includes a variety of surgical procedures with the unified goal of improving patients' quality of life and mitigating mental distress. This study examined insurance coverage, costs, and claim denials for commonly desired FFS procedures in Massachusetts.Methods: Data from the Massachusetts Center for Health Information and Analysis claims database (2016-2021) were analyzed for transgender patients undergoing FFS procedures in Massachusetts. The study focused on comparing costs and denial rates between public and private insurance for frontal bone reduction, eyebrow lift, upper and lower blepharoplasty, canthopexy, rhinoplasty, genioplasty, and tracheal shave.Results: A total of 656 FFS claims were analyzed, with tracheal shave as the most frequently claimed procedure (n = 176), followed by rhinoplasty (n = 165). Private insurance patients incurred 2-4 times higher out-of-pocket costs than public patients, who generally had no copayments. Additionally, private insurance exhibited significantly higher claim denial rates compared with public insurance.Conclusions: Our findings revealed significant differences in insurance coverage, reimbursement, and claim denials for procedures across different insurance types in Massachusetts. These differences arise from varying interpretations of medical necessity, the dual cosmetic and functional nature of certain procedures, and the deeply personal experience of gender dysphoria. Our findings emphasize the need for expanded outcomes research on the efficacy and potential complications of FFS to better inform and enhance the comprehensive care provided to transgender patients.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 7","pages":"e6927"},"PeriodicalIF":1.5,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12269817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659861","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

Trends in Cosmetic Facial Plastic Surgery Post COVID-19 Pandemic. COVID-19大流行后美容面部整形手术的趋势。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-07-17 eCollection Date: 2025-07-01 DOI: 10.1097/GOX.0000000000006950

Daniel Farishta, Courtney B Shires, Karuna Dewan, Mark Knackstedt, Rafay Soleja, Paige Bundrick, Mohammad Alfrad Nobel Bhuiyan, Kenneth Sanders, Cherie-Ann O Nathan

{"title":"Trends in Cosmetic Facial Plastic Surgery Post COVID-19 Pandemic.","authors":"Daniel Farishta, Courtney B Shires, Karuna Dewan, Mark Knackstedt, Rafay Soleja, Paige Bundrick, Mohammad Alfrad Nobel Bhuiyan, Kenneth Sanders, Cherie-Ann O Nathan","doi":"10.1097/GOX.0000000000006950","DOIUrl":"10.1097/GOX.0000000000006950","url":null,"abstract":"Background: With the relaxation of COVID-19 pandemic-related operative restrictions, the scheduling of elective facial plastic surgery (FPS) cases has increased in comparison to the early pandemic levels. Our study aimed to compare the surgical volume of cosmetic FPS cases in 2018 (pre COVID-19 pandemic) to the volume in 2021 at both a tertiary care academic practice and community practice.Methods: A retrospective chart review was performed at a tertiary academic medical center and community practice. Information abstracted from the patient records included demographics, date of surgery, and procedures performed (blepharoplasty, septorhinoplasty, rhytidectomy, and brow lift).Results: A total of 139 patients met the inclusion criteria: 58 (41.7%) patients in 2018 and 81 (58.3%) patients in 2021. There was a significant increase in FPS among patients younger than 30 years of age-with a 13.6% increase from 2018 to 2021 (P = 0.02). Additionally, there was a significant increase in septorhinoplasty by 20.5% from 2018 to 2021 across all age groups (P = 0.01). Furthermore, the odds of having a septorhinoplasty in 2021 were 144% higher compared with 2018 (odds ratio: 2.44, 95% confidence interval [1.19-5.11]). The only cosmetic surgery to significantly decrease in volume during the postpandemic time period was rhytidectomy (odds ratio: 0.33, 95% confidence interval [0.12-0.82]).Conclusions: The COVID-19 pandemic saw a significant rise in FPS in patients younger than 30 years, particularly those opting for septorhinoplasty. The etiology of this increase is not clear. However, possible explanations include: increased disposable income, \"Zoom dysmorphia,\" and the ability for discreet recovery behind a mask.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 7","pages":"e6950"},"PeriodicalIF":1.5,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12269811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659881","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

Soft Tissue Stabilization of Midcarpal Instability in Ehlers-Danlos Patients Using a Cadaveric Tendon Graft. 尸体肌腱移植对ehers - danlos患者腕中部不稳定的软组织稳定。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-07-16 eCollection Date: 2025-07-01 DOI: 10.1097/GOX.0000000000006963

Mohammed Muneer, Fadi Bouri, Kjell Van Royen, Saif Badran, Jorge I Quintero, Tuna Ozyurekoglu

引用次数: 0

Treatment of Postinflammatory Hyperpigmentation Following Acne With Microneedling and Panax Ginseng-Derived Exosomes. 微针和人参衍生外泌体治疗痤疮后炎症后色素沉着。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-07-16 eCollection Date: 2025-07-01 DOI: 10.1097/GOX.0000000000006975

Jovian Wan, Soo-Bin Kim, Song Eun Yoon, Hugues Cartier, Sebastien Garson, Kyu-Ho Yi

{"title":"Treatment of Postinflammatory Hyperpigmentation Following Acne With Microneedling and Panax Ginseng-Derived Exosomes.","authors":"Jovian Wan, Soo-Bin Kim, Song Eun Yoon, Hugues Cartier, Sebastien Garson, Kyu-Ho Yi","doi":"10.1097/GOX.0000000000006975","DOIUrl":"10.1097/GOX.0000000000006975","url":null,"abstract":"This case report evaluated the efficacy of microneedling therapy system (MTS) combined with topical exosome therapy for the treatment of postinflammatory hyperpigmentation (PIH) following acne. Two patients were included in the study: a 32-year-old woman with scattered PIH on her forehead, cheeks, nose, and perioral area, and a 37-year-old man with hyperpigmentation on both cheeks. Both patients underwent 3 sessions of MTS spaced 3 weeks apart, followed by the immediate application of a topical exosome (P198 RECORE SB PLUS, P198 ExoNature, Primoris International Co., Ltd., Seoul, Republic of Korea). PIH severity was assessed using the PIH severity scale, with baseline scores of grade 2 (mild) for both patients. One month after the final session, posttreatment scores improved to grade 1 (trace) for both patients, as evaluated by 2 dermatologists. Both patients demonstrated significant improvements in hyperpigmentation and overall skin tone. The female patient achieved a more even complexion with visible lightening in affected areas, whereas the male patient experienced a marked reduction in cheek pigmentation. Both patients expressed high satisfaction with the results, and no adverse effects were reported. These findings suggest that the combination of MTS and topical exosomes is a promising, safe approach for managing PIH, particularly in individuals with darker skin types prone to pigmentation disorders.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 7","pages":"e6975"},"PeriodicalIF":1.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650155","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

Artificial Intelligence-assisted Risk Stratification in Aesthetic Surgery: A Prospective Observational Study. 人工智能辅助的美容手术风险分层：一项前瞻性观察研究。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-07-16 eCollection Date: 2025-07-01 DOI: 10.1097/GOX.0000000000006948

Williams E Bukret

{"title":"Artificial Intelligence-assisted Risk Stratification in Aesthetic Surgery: A Prospective Observational Study.","authors":"Williams E Bukret","doi":"10.1097/GOX.0000000000006948","DOIUrl":"10.1097/GOX.0000000000006948","url":null,"abstract":"Background: Enhancing patient safety and minimizing complications are critical objectives in aesthetic surgery. In 2021, the author developed and validated an artificial intelligence (AI)-assisted risk stratification model to predict complications and support clinical decision-making. This study aimed to evaluate the clinical impact of surgical risk stratification on patient outcomes.Methods: A prospective observational study was conducted from January 2021 to May 2024 to assess 3347 patients, using an AI model. The patients were stratified into high-, moderate-, and low-risk groups and received tailored recommendations. A total of 74 patients proceeded with surgery, and their outcomes were analyzed. Statistical analyses included logistic regression and correlation tests (P < 0.05).Results: Of the 3347 patients assessed, 18.55% were high-risk, 30.56% were moderate-risk, and 50.88% were low-risk patients. Among the 74 patients who underwent surgery, 7 (9.46%) developed 11 complications, with the high-risk group showing a relative risk of 6.73. Logistic regression confirmed that age and Caprini score were independent risk factors, whereas body mass index and smoking showed no statistical association with complications, likely because of effective preoperative risk mitigation, including weight optimization and smoking cessation protocols enforced by the AI model.Conclusions: This study demonstrated that AI-assisted risk stratification effectively identifies risk factors in aesthetic surgery, enabling personalized preoperative recommendations to mitigate complications. AI can enhance patient safety and surgical outcomes by enabling systematic risk stratification. Integrating AI into surgical planning optimizes patient selection and supports its implementation in clinical decision-making.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 7","pages":"e6948"},"PeriodicalIF":1.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650148","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

Characteristics of Sciatic Nerve Repair With Neurolysis, End-to-end Repair, and Nerve Grafting: A Narrative Review. 坐骨神经松解、端到端修复和神经移植修复的特点：综述。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-07-16 eCollection Date: 2025-07-01 DOI: 10.1097/GOX.0000000000006946

Stuti P Garg, Joshua P Weissman, Krish V Shah, Anooj Patel, Abbas M Hassan, Jason H Ko

{"title":"Characteristics of Sciatic Nerve Repair With Neurolysis, End-to-end Repair, and Nerve Grafting: A Narrative Review.","authors":"Stuti P Garg, Joshua P Weissman, Krish V Shah, Anooj Patel, Abbas M Hassan, Jason H Ko","doi":"10.1097/GOX.0000000000006946","DOIUrl":"10.1097/GOX.0000000000006946","url":null,"abstract":"Background: Sciatic nerve injury can be traumatic or iatrogenic and causes significant motor deficits. The objective was to conduct a narrative review of the effectiveness of neurolysis, end-to-end repair, and nerve grafting after isolated sciatic nerve injury.Methods: PubMed, Cochrane, MEDLINE, and Embase libraries were searched for studies evaluating functional outcomes after sciatic nerve injury following nerve grafting, neurolysis, or end-to-end repair.Results: A total of 92 patients across 11 studies treated with neurolysis (64%), nerve grafting (32%), and end-to-end repair (4%) were included. The most common mechanism of injury was iatrogenic. Patients had a mean Medical Research Council (MRC) score of 2.6 ± 1.6. The mean MRC scores for neurolysis, end-to-end repair, and nerve grafting patients were 2.9 ± 1.5, 3.3 ± 0.6, and 1.6 ± 1.6, respectively. Sixty-nine percent, 100%, and 40% of neurolysis, end-to-end repair, and nerve grafting patients, respectively, achieved good outcomes (MRC ≥ 3). Good outcomes were achieved in 72% of patients with a preoperative interval of 6 months or less, 61% with an interval of 7-12 months, and 0% with an interval greater than 12 months. Of patients with a graft length less than 12 cm, 43% achieved good outcomes, whereas 17% with lengths greater than 12 cm did.Conclusions: Patients with end-to-end repair achieved the best outcomes (MRC ≥ 3). A preoperative interval of 6 months or less and graft length less than 12 cm are more likely to be associated with better outcomes. There was no significant correlation between age, donor nerve, and mechanism of injury with final MRC scores.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 7","pages":"e6946"},"PeriodicalIF":1.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650149","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 Novel Surgical Option Using Tissue Expanders for Intraparotid Facial Nerve Schwannoma. 使用组织扩张器治疗腮腺内面神经鞘瘤的新手术选择。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-07-16 eCollection Date: 2025-07-01 DOI: 10.1097/GOX.0000000000006978

Yasuhiro Fukumoto, Shinsuke Akita, Nobuyuki Mitsukawa

{"title":"A Novel Surgical Option Using Tissue Expanders for Intraparotid Facial Nerve Schwannoma.","authors":"Yasuhiro Fukumoto, Shinsuke Akita, Nobuyuki Mitsukawa","doi":"10.1097/GOX.0000000000006978","DOIUrl":"10.1097/GOX.0000000000006978","url":null,"abstract":"Intraparotid facial nerve schwannomas (IFNSs) are slow-growing benign tumors. Their management is challenging due to their rare presentation. There are few reports on treatment strategies for IFNSs that have recurred after surgery; thus, the management of recurrent or regrown IFNSs is not standardized. We report a case of a regrown IFNS in a 38-year-old woman who had undergone subtotal resections twice and who developed moderate paralysis in the right mandibular branch of the facial nerve after the second surgery. Preoperative biopsy revealed infiltration of the tumor into the dermis, although there was no sign of malignant transformation. Thus, we performed a 2-stage surgery: in the first operation, we inserted tissue expanders, and in the second operation, we performed a subtotal resection of the tumor and resection of the overlying skin. After the operations, no facial nerve palsy was observed, and an aesthetically favorable result was achieved with scars being minimally visible. No evidence of tumor recurrence was observed during the 12-year follow-up period. Our case suggests that subtotal resection combined with the use of a tissue expander may be a surgical option for regrown IFNS cases with normal to moderate facial nerve function.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 7","pages":"e6978"},"PeriodicalIF":1.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650147","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

Efficacy of Transconjunctival Tucking Surgery in Comparison With the Phenylephrine-test Positive and Negative Involutional Blepharoptosis Groups. 经结膜收纳术与苯肾上腺素试验阳性和阴性睑下垂组的疗效比较。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-07-16 eCollection Date: 2025-07-01 DOI: 10.1097/GOX.0000000000006902

Kosuke Ogasawara

{"title":"Efficacy of Transconjunctival Tucking Surgery in Comparison With the Phenylephrine-test Positive and Negative Involutional Blepharoptosis Groups.","authors":"Kosuke Ogasawara","doi":"10.1097/GOX.0000000000006902","DOIUrl":"10.1097/GOX.0000000000006902","url":null,"abstract":"Background: This study aimed to determine whether there is a significant difference in the efficacy of transconjunctival tucking of the Müller muscle and levator aponeurosis in patients with involutional blepharoptosis who tested positive or negative on the phenylephrine test.Methods: The analysis involved 64 eyes of 42 patients with levator muscle function of the upper eyelid of 8 mm or more and a margin reflex distance 1 (MRD-1) of less than 2 mm. Patients who tested positive and negative for 5% phenylephrine were allocated to group A (41 eyes of 26 patients) and group B (23 eyes of 16 patients), respectively. The efficacy of surgery (ΔMRD-1) was compared by subtracting preoperative MRD-1 from postoperative MRD-1. Multiple comparison tests were performed to evaluate changes in MRD-1 and ΔMRD-1 every 3 months from 3 to 12 months after transconjunctival tucking of the Müller muscle and levator aponeurosis.Results: Regarding the mean ΔMRD-1 values at 3, 6, and 12 months postoperatively, the values at 6 and 12 months were significantly lower in group A than in group B, with 2.31, 1.98, and 1.81 mm, respectively, in group A and 2.73, 2.71, and 2.50 mm, in group B (P = 0.03 at 6 mo and P = 0.041 at 12 mo).Conclusions: The efficacy of transconjunctival tucking of the Müller muscle and levator aponeurosis was greater in group B than in group A, and the results were more stable. This is an interesting finding when considering the successful mechanism in the present surgical method.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 7","pages":"e6902"},"PeriodicalIF":1.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650150","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

Islanded Superficial Temporal Artery Fasciocutaneous Flap in Temporal Hairline Reconstruction Following Skin Cancer: A Novel Approach. 岛状颞浅动脉筋膜皮瓣在皮肤癌后颞发际重建中的应用：一种新方法。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-07-16 eCollection Date: 2025-07-01 DOI: 10.1097/GOX.0000000000006977

Beatrice L Lucchesi, John M Felder

{"title":"Islanded Superficial Temporal Artery Fasciocutaneous Flap in Temporal Hairline Reconstruction Following Skin Cancer: A Novel Approach.","authors":"Beatrice L Lucchesi, John M Felder","doi":"10.1097/GOX.0000000000006977","DOIUrl":"10.1097/GOX.0000000000006977","url":null,"abstract":"Skin cancer defects spanning the temporal hairline present unique challenges. The junction between hair-bearing and non-hair-bearing skin is not a straight line, making it difficult to recruit hair-bearing scalp tissue to precisely fit its geometry. An aesthetically pleasing reconstruction should place scars in natural positions along the hairline, minimize tension during closure, preserve the direction and location of hair growth, and replace like tissue with like. The islanded superficial temporal artery fasciocutaneous flap (ISTAFF) mobilized in a V-Y fashion includes the galea and superficial temporal fascia and is supplied by the superficial temporal artery and vein pedicle. It represents a valid but seldom-described alternative to commonly used random pattern flaps, large rotational flaps, and skin grafting with tissue expansion, which may fail to address the different qualities of skin and scalp subunits intersecting at the hairline. In this small 3-case series, we demonstrate that the ISTAFF mobilized in a V-Y fashion is a simple yet effective method for reconstructing smaller defects of the temporal hairline. We also present a novel combination of the ISTAFF with other local flaps, namely a rectangular advancement flap and a rhomboid flap, to achieve tension-free and aesthetically pleasing reconstruction of large defects in this area, while respecting hair growth patterns and the natural course of the hairline.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 7","pages":"e6977"},"PeriodicalIF":1.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650151","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 Model for Malpractice Preparedness for Plastic Surgery Residents. 整形外科住院医师的医疗事故防范模式。

IF 1.5

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-07-16 eCollection Date: 2025-07-01 DOI: 10.1097/GOX.0000000000006951

Simran K Chandawarkar, Neal R Reisman, Jeffrey E Janis

{"title":"A Model for Malpractice Preparedness for Plastic Surgery Residents.","authors":"Simran K Chandawarkar, Neal R Reisman, Jeffrey E Janis","doi":"10.1097/GOX.0000000000006951","DOIUrl":"10.1097/GOX.0000000000006951","url":null,"abstract":"Background: Plastic surgery has the fifth largest number of malpractice claims among all specialties. In 2023 alone, 73% of plastic surgeons across several states reported being involved in a medical malpractice case. Lawsuits are costly and disrupt physicians' personal and professional lives for years. Despite this, plastic surgeons are underprepared to face lawsuits, and most learn as they go. We aim to identify basic medicolegal tenets that plastic surgeons must know and propose a training model for residents.Methods: PubMed, Cochrane, Web of Science, and National Practitioner Data Bank databases were searched using relevant keywords related to plastic surgery and malpractice/medicolegal education. Relevant literature on medicolegal education was screened. Guidelines from surgical professional organizations were reviewed alongside internet sources. Using these materials, a comprehensive educational summary of relevant medicolegal principles was compiled.Results: Barely 3 of the 219 articles identified directly addressed malpractice education in plastic surgery-and none offered clear guidelines. Nonmedical sources such as YouTube provided more descriptive insight than many professional organizations. Some case-based modules were identified for general surgical trainees, but they were not useable for plastic surgery. An educational module is proposed to guide residents through each phase of a lawsuit, help them identify key strategic mitigation measures, and understand settlement options in simple terms that a clinician can easily understand. Relevant risk-mitigation strategies to avoid lawsuits via practical \"pain-point case scripts\" are included.Conclusions: Medicolegal education is essential to prepare plastic surgeons for clinical practice. Integrating this in their curriculum will bridge the current gap.","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 7","pages":"e6951"},"PeriodicalIF":1.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650138","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