Plastic surgery最新文献

{"title":"Is There a Plastic Surgeon on Call? A Population-Based Cross-Sectional Study on Plastic Surgery Call Coverage in Ontario.","authors":"Mira Madumere, Kimberley Yuen, Isabella Churchill, Farzana Akter, Yaqi Liu, Achilleas Thoma, Arthur Sweetman, Helene Retrouvey","doi":"10.1177/22925503261479690","DOIUrl":"10.1177/22925503261479690","url":null,"abstract":"<p><strong>Introduction: </strong>Plastic surgery consultations are frequently required in emergency department settings; however, some hospitals lack plastic surgery call coverage. This study evaluated the geographic distribution of plastic surgeons providing call coverage within Ontario and the accessibility of emergency plastic services for the population.</p><p><strong>Methods: </strong>Demographic data on practicing plastic surgeons were obtained from the College of Physicians and Surgeons of Ontario database. Call coverage was determined by the number of surgeons by primary practice location and hospital affiliations per surgeon in each region. A survey was sent to switchboard personnel at all hospitals in Ontario to further assess call coverage. Results were reported as absolute counts and surgeons per 100 000 population-ie, population density ratios (PDRs).</p><p><strong>Results: </strong>A total of 289 plastic surgeons reported their primary practice location in Ontario. Most practice within Metropolitan Toronto and Central Ontario (66.8%). Northern Ontario had the lowest PDR compared to Metropolitan Toronto with the highest (PDR = 1.29 vs 3.72, 95% CI: 1.41-3.78, <i>P</i> < .001). For 254 hospitals identified, our survey response rate was 64%. Fifty-eight percent of responding hospitals reported no plastic surgery coverage. Over half of hospitals in Metropolitan Toronto and Central Ontario reported plastic surgery call coverage, compared to only 24% in Northern Ontario.</p><p><strong>Conclusions: </strong>This study demonstrates that 95 (58%) hospitals are without plastic surgery call coverage and highlights the discrepancies in the geographic spread of plastic surgeons in Ontario. Further studies are needed to determine the impact of this discrepancy on patient outcomes.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261479690"},"PeriodicalIF":1.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13534362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Mentorship on Female Plastic Surgeons in Canada: A Cross-Sectional Survey.","authors":"Elly Dimya Htite, Caroline Esmonde-White, Rawan ElAbd, Sabrina Cugno","doi":"10.1177/22925503261479647","DOIUrl":"10.1177/22925503261479647","url":null,"abstract":"<p><strong>Introduction: </strong>Mentorship is important for professional development, reducing burnout, and promoting diversity within surgical programs. Notably, mentorship has been established as a tool for encouraging women to pursue surgical careers. In Canada, female plastic surgeons make up a third of surgeons. However, no study to date has investigated the effect of mentorship on female plastic surgeons in Canada.</p><p><strong>Methods: </strong>We conducted a cross-sectional study assessing the impact of mentor-mentee relationships of female plastic surgeons across Canada. An online questionnaire was sent to female plastic surgeons across 13 Canadian academic institutions. The survey included mentee and mentor demographics, mentee-mentor relationship, and mentorship perspectives.</p><p><strong>Results: </strong>Twenty-five participants completed the survey with a mean age of 33.2 (SD ± 9.4) from 10 academic institutions. 72% (n = 18) were residents and 28% (n = 7) were consultants. 60% (n = 15) had a mentor, with 40% (n = 6) having more than three mentors; 60% (n = 9) of mentors were women and 30% (n = 6) were men. Most participants met mentors through research (33%; n = 5) and formal mentorship programs (33%; n = 5). Main topics discussed include academic proclivity (80%; n = 12), surgical skills (80%; n = 12), and work-life balance (80%; n = 12). Main mentor contributions include development of surgical (93%; n = 14) and clinical skills (80%; n = 12), pursuit of plastic surgery (80%; n = 12), and research (73%; n = 11).</p><p><strong>Conclusion: </strong>Mentorship plays an instrumental role for female plastic surgeons in developing clinical and surgical skills and providing encouragement to pursue a career in plastic surgery. This investigation identifies strengths and gaps in mentor-mentee relationships that can promote future effective mentorship and diversity in plastic surgery.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261479647"},"PeriodicalIF":1.2,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13530041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Perspective on Preoperative Simulation in Plastic Surgery: A Systematic Review of Patient-Reported Outcomes.","authors":"Omar El Sewify, Andrew Gorgy, Marion Sylvain, Jack Legler, Dino Zammit","doi":"10.1177/22925503261478090","DOIUrl":"10.1177/22925503261478090","url":null,"abstract":"<p><strong>Introduction: </strong>Preoperative simulation technologies are increasingly utilized in plastic surgery to enhance surgical planning and patient communication. While their technical benefits have been established, the impact on patient-reported outcomes (PROs), in particular satisfaction and perceived accuracy, remain underexplored. This systematic review evaluated the effect of preoperative simulation on patient-reported satisfaction, decision-making, and perceived accuracy in breast and facial aesthetic plastic surgery.</p><p><strong>Methods: </strong>A systematic search of MEDLINE, Embase, and Cochrane databases up to April 2025 identified studies reporting PROs in adult patients undergoing breast (aesthetic or reconstructive) or facial aesthetic surgery with preoperative simulation. Data on demographics, simulation type, satisfaction, accuracy, and complications were extracted and analyzed.</p><p><strong>Results: </strong>Seventeen studies (1333 patients; 970 simulation, 363 control) met inclusion criteria. Breast surgery patients using simulation showed higher satisfaction with appearance (Breast-Q: 75.0 vs 58.1), surgical outcomes (84.9% vs 78.8%), and psychosocial well-being. Simulation patients reported higher satisfaction with the simulation experience (95.4%) and greater trust in their surgeon (95.2%), with lower complication rates (4.1% vs 41.5%). In facial surgery, simulation users demonstrated greater overall satisfaction (79.2% vs 67.3%) and improved understanding of outcomes. Perceived accuracy was higher in breast (91.0%) than facial surgery (74.1%). Across procedures, simulation enhanced shared decision-making and surgeon-patient rapport.</p><p><strong>Conclusion: </strong>Current evidence suggests that preoperative simulation may enhance patient satisfaction, trust, and engagement in plastic surgery, particularly in breast procedures. However, findings are based on heterogeneous studies with diverse patient populations, simulation technologies, and outcome measures. Further prospective comparative studies using standardized PRO measures are needed to better define the role of preoperative simulation across aesthetic and reconstructive plastic surgery.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261478090"},"PeriodicalIF":1.2,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13530028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Wellness to Competence: The Essential Role of Simulation in Modern Surgical Training.","authors":"Roberta Albanese, Federica Tomaselli, Damiano Tambasco","doi":"10.1177/22925503261477036","DOIUrl":"10.1177/22925503261477036","url":null,"abstract":"","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261477036"},"PeriodicalIF":1.2,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13518610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of Transgender and Gender Diverse Patients in Accessing Gender-Affirming Chest Masculinization: A Systematic Review and Qualitative Thematic Synthesis of the Literature.","authors":"Emma Lim, Justin Haas, Precious Adekoya, Sophia Hou, Kathleen Armstrong, Helene Retrouvey, Ammara Ghumman","doi":"10.1177/22925503261477385","DOIUrl":"10.1177/22925503261477385","url":null,"abstract":"<p><strong>Introduction: </strong>The objective of this review was to synthesize existing qualitative research regarding the experiences of transgender and gender diverse (TGD) individuals undergoing gender-affirming chest masculinization surgery, in order to identify critical barriers and facilitators which may affect access to and quality of care.</p><p><strong>Methods: </strong>We searched eight electronic databases in August 2025 for qualitative results analyzing the experiences of TGD individuals undergoing chest masculinization. We included primary qualitative or mixed-methods studies published in English/French that involved trans masculine or gender-diverse individuals ≥12 years undergoing chest masculinization. Exclusion criteria included cisgender or trans feminine populations, nonsurgical or nongender-affirming care, absence of qualitative data, and nonpeer-reviewed literature. The Critical Appraisal Skills Programme checklist was used to appraise the quality of included studies. A thematic synthesis was conducted following Thomas and Harden.</p><p><strong>Results: </strong>Sixty studies met the inclusion criteria. Four analytical themes were identified: (1) charting a course, (2) interactions with providers, (3) surgical goal setting, and (4) adjusting to oneself.</p><p><strong>Conclusion: </strong>TGD individuals face persistent structural and interpersonal barriers when accessing chest masculinization surgery. The domains identified in the present review form a patient experience-driven framework that healthcare stakeholders and providers can use to improve access to care. Healthcare providers should be aware that nonbinary and binary transgender patients may have varying surgical goals for chest masculinization.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261477385"},"PeriodicalIF":1.2,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13518616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary: Cubital Tunnel Release Under Local and Regional Anesthesia: A Scoping Review.","authors":"Donald H Lalonde","doi":"10.1177/22925503261477030","DOIUrl":"10.1177/22925503261477030","url":null,"abstract":"","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261477030"},"PeriodicalIF":1.2,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13457414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric Volar Plate Management: A Pilot Study.","authors":"Katie Garland, Sophia Shayan, Trina Stephens, Rebecca Courtemanche, Terence Kwan-Wong","doi":"10.1177/22925503261474467","DOIUrl":"10.1177/22925503261474467","url":null,"abstract":"<p><strong>Background: </strong>Proximal interphalangeal (PIP) joint volar plate injuries are common hand injuries in children. Commonly employed treatments include splinting or buddy taping, with no consensus regarding best practice. This pilot study compares outcomes by treatment protocol for children with PIP joint volar plate injuries and informs a power calculation for a larger study.</p><p><strong>Methods: </strong>A prospective observational pilot study of children with stable PIP joint volar plate injuries was conducted. Standard treatment protocols were: 1 or 2 weeks of splinting followed by buddy taping, or direct to buddy taping. Patient-reported pain and range of motion (ROM) at 1 to 2 weeks and 4-weeks post injury, as well as time to return to activity were analyzed. A power calculation for a future equivalency study was performed.</p><p><strong>Results: </strong>Ten patients per group were included in the study. At 1 to 2 weeks, the direct-to-buddy taping group had significantly greater active ROM and less pain than the 1-week splinting group (ROM 99^o vs 78^o, <i>P</i> = .03; FACES 1.6 vs 5.0, <i>P</i> = .02). At 4-weeks, there were no differences in ROM and pain by treatment group. Only one patient (direct to buddy taping) did not return to activity due to pain. Using pain with active ROM at 4-weeks, a sample size of 27 patients per group for an equivalence study was determined.</p><p><strong>Conclusion: </strong>This pilot study suggests similar outcomes at 4-weeks postinjury by 1 or 2 weeks of splinting followed by buddy taping, or direct to buddy taping treatment. These findings support performing a larger equivalency trial.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261474467"},"PeriodicalIF":1.2,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13447505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148689800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender Affirming Surgery During Canadian Plastic Surgery Residency: A Survey of Plastic and Reconstructive Surgery Residents' Experiences.","authors":"Camille Zeitouni, Alexandra Speak, Frédérique Leroux, Michelle Bonapace-Potvin, Dominique Tremblay","doi":"10.1177/22925503261471514","DOIUrl":"10.1177/22925503261471514","url":null,"abstract":"<p><strong>Introduction: </strong>Gender affirming surgery (GAS) is an umbrella term for procedures that can be a part of the transition process for transgender and nonbinary individuals. Plastic surgeons play an important role in gender affirming surgical care. Our purpose was to assess the GAS landscape in Plastic and Reconstructive Surgery (PRS) residency programs across Canada, including both the didactic and clinical context, along with assessing PRS residents on their perceived interest and competence relating to performing GAS.</p><p><strong>Methods: </strong>A survey was created based on existing literature relating to gender affirming care in surgical and medical postgraduate education. The survey was distributed to all PRS residents in Canada through their program director. Results were analysed using descriptive statistics.</p><p><strong>Results: </strong>Almost all residents surveyed agreed that transgender care is an important part of PRS. Despite this, little educational content regarding GAS was seen. The majority of individuals had never been exposed to any GAS clinically despite having at least one surgeon who performs GAS affiliated with their institution. For individuals who have had exposure, top surgery was the most common procedure seen. While few residents plan on pursuing a fellowship in GAS, some residents did comment they planned to offer top surgery or facial feminization as general plastic surgeons.</p><p><strong>Conclusion: </strong>The majority of PRS residents demonstrated a positive response towards the importance of GAS in PRS. As access to GAS in Canada remains limited, providing greater exposure to GAS in PRS residency may help in promoting willingness and competence to perform these procedures.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261471514"},"PeriodicalIF":1.2,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13433571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148673840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between Race/Ethnicity and Keloid Formation: A Network Meta-Analysis.","authors":"Hui Jie Gwen Farm, Aaryan Dwivedi, Damoon Ranjbar, Brandon Chai, Michelle Le, Chaocheng Liu","doi":"10.1177/22925503261470272","DOIUrl":"10.1177/22925503261470272","url":null,"abstract":"<p><strong>Background: </strong>Keloids are benign, fibroproliferative skin lesions due to abnormal wound healing. While keloid formation disproportionately varies by race and ethnicity, epidemiological data on racial and ethnic differences remain fragmented. This study aimed to quantitatively compare keloid prevalence among different racial and ethnic groups.</p><p><strong>Methods: </strong>A systematic literature search identified keloid prevalence among different racial (White, Black, Asian, Unknown, and Other/Mixed) and ethnic (Hispanic/Latinx and non-Hispanic/Latinx) groups (CRD420251113908). Pairwise comparisons using a random-effects model and a network meta-analysis were conducted.</p><p><strong>Results: </strong>Eight studies were included in the network meta-analysis on race, encompassing 31,964 keloids and 373,390 nonkeloids. Compared to White individuals, pooled odds ratio (OR) was highest among Black individuals (OR = 6.14; 95% CI: 3.75-10.07), followed by Asian individuals (OR = 3.70; 95% CI: 2.16-6.34), Unknown race (OR = 1.94; 95% CI: 1.06-3.54), and Other/Mixed (OR = 1.93; 95% CI: 1.07-3.49). Four studies were included for the pairwise analysis on ethnicity. Pooled OR of keloid prevalence comparing Hispanic/Latinx with non-Hispanic/Latinx was 1.12 (95% CI 0.41-3.03).</p><p><strong>Conclusions: </strong>This study demonstrates a statistically significant association between race and keloid formation, with greater odds of keloid formation among Black and Asian individuals compared to White individuals. No statistical difference was demonstrated between ethnic groups, although findings were underpowered. Findings support race as an important risk factor for keloid development, further informing prevention strategies, patient counselling, and practices to provide equitable care.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261470272"},"PeriodicalIF":1.2,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13458316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Arnica and Bromelain for Improving Ecchymosis Following Facial Plastic Surgery: A Systematic Review.","authors":"Kimya Manouchehri, Shaishav Datta, Marc Levin","doi":"10.1177/22925503261470270","DOIUrl":"10.1177/22925503261470270","url":null,"abstract":"<p><strong>Introduction: </strong>Individual studies have suggested a benefit in using Arnica and Bromelain for reducing ecchymosis following facial plastic surgery; however, the literature remains inconsistent and methodologically heterogeneous. An up-to-date review is therefore necessary to synthesize the available evidence and provide clearer guidance to clinicians and patients alike. The objective of this study was therefore to investigate the effectiveness of Arnica and Bromelain in reducing postoperative ecchymosis after facial plastic surgery.</p><p><strong>Methods: </strong>A PRISMA-guided search of Medline, Embase, Cochrane databases, Epistemonikos, and ClinicalTrials.gov was conducted up to August 2025. Eligible studies included randomized controlled trials (RCTs) and observational studies evaluating Arnica and/or Bromelain use in facial plastic surgeries. The primary outcome was postoperative ecchymosis. Secondary outcomes included edema, adverse effects, and patient satisfaction.</p><p><strong>Results: </strong>Ten articles were included, comprising 6 RCTs, 3 prospective, and one retrospective cohort study, with a total of 696 patients (mean age 35 years, range 15-78). Most studies examined rhinoplasty (60%), followed by blepharoplasty (30%). Most studies (80%) evaluated Arnica use, of which 63% demonstrated significant reductions in postoperative ecchymosis at various time points. Edema was assessed in 2 Arnica studies, both of which showed significant reductions. Two studies evaluated Bromelain, with one demonstrating reduced ecchymosis by postoperative day 7. Adverse events were rare and mild.</p><p><strong>Conclusion: </strong>Arnica may help reduce postoperative ecchymosis and edema after facial plastic surgery; however, the evidence for Bromelain is limited. Marked heterogeneity in dosing and assessment tools limits the generalizability of findings and the ability to perform meta-analysis.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261470270"},"PeriodicalIF":1.2,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13423944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}