Plastic surgery最新文献_第2页

Breast Cancer Local Recurrence in Patients With and Without Post-Mastectomy Immediate Breast Reconstruction: Systematic Review and Meta-Analysis. 乳腺癌局部复发患者在乳房切除术后立即乳房重建：系统回顾和荟萃分析。

IF 0.6 4区医学

Plastic surgery Pub Date : 2025-08-26 DOI: 10.1177/22925503251363108

Melissa Chao, Kellan Woo, David Long, Dana Toameh, Kathryn V Isaac

{"title":"Breast Cancer Local Recurrence in Patients With and Without Post-Mastectomy Immediate Breast Reconstruction: Systematic Review and Meta-Analysis.","authors":"Melissa Chao, Kellan Woo, David Long, Dana Toameh, Kathryn V Isaac","doi":"10.1177/22925503251363108","DOIUrl":"https://doi.org/10.1177/22925503251363108","url":null,"abstract":"Introduction: Despite rising rates of post-mastectomy immediate breast reconstruction (IBR), there are fears of local recurrence (LR) among patients and physicians. This systematic review and meta-analysis compare long-term LR incidence in patients with mastectomy and IBR (Mast + IBR) to patients with mastectomy alone (Mast - IBR). Methods: Medline, Embase, and Web of Science databases were searched for relevant articles. Articles published between January 2000 and December 2020 were included when LR rates were reported for patients with breast cancer (stage I or II) who underwent mastectomy with or without IBR. A random-effects model was used to calculate pooled odds ratios (ORs) with a 95% confidence interval (CI), adjusted for age, and follow-up time. Results: In total, 1475 unique articles were identified, with 1434 excluded in title abstract screening and 31 excluded in full-text screening. Ten articles, amounting to 15 173 patients (3478 Mast + IBR, 11 695 Mast - IBR), were included. In total, 111 (3.2%) patients in Mast + IBR experienced LR after a mean follow-up time of 72.9 months, while 245 (2.1%) in Mast - IBR experienced LR after a mean follow-up time of 73.3 months. There were no increased odds of LR in Mast + IBR, adjusted for age, and follow-up time (OR 1.17, CI 0.86-1.59, P = 0.59). Conclusion: This meta-analysis supports that IBR is not associated with increased LR odds compared to mastectomy alone. Patients with breast cancer may undergo mastectomy and IBR without concern of increased rates of LR, which contributes to improved quality of life.","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503251363108"},"PeriodicalIF":0.6,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12380726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144965014","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}

引用次数: 0

Industry Payments to Plastic Surgeons: A Blind Spot for Physician Accountability in Canada. 行业对整形外科医生的支付：加拿大医生问责的盲点。

IF 0.6 4区医学

Plastic surgery Pub Date : 2025-08-17 DOI: 10.1177/22925503251368749

Anna-Lisa V Nguyen, Rebecca Courtemanche, Mirko S Gilardino, Jugpal S Arneja

引用次数: 0

Necrotizing Soft Tissue Infections: A Call for Surgical Competence and System-Level Reform. 坏死性软组织感染：对外科手术能力和系统层面改革的呼吁。

IF 0.6 4区医学

Plastic surgery Pub Date : 2025-08-17 DOI: 10.1177/22925503251368745

David L Wallace, Alan D Rogers

引用次数: 0

Sensory Restoration of Trigeminal Nerve Territories V2 and V3 Using Nerve Transfers: A Systematic Review. 神经移植恢复三叉神经V2和V3区域感觉的系统回顾。

IF 0.6 4区医学

Plastic surgery Pub Date : 2025-08-12 DOI: 10.1177/22925503251364257

Samantha Cervantes-Valadez, Andrea P Muñoz-Villalvazo, Ana M Romero-Avendaño, Alexander Cardenas-Mejia, José E Telich-Tarriba

{"title":"Sensory Restoration of Trigeminal Nerve Territories V2 and V3 Using Nerve Transfers: A Systematic Review.","authors":"Samantha Cervantes-Valadez, Andrea P Muñoz-Villalvazo, Ana M Romero-Avendaño, Alexander Cardenas-Mejia, José E Telich-Tarriba","doi":"10.1177/22925503251364257","DOIUrl":"10.1177/22925503251364257","url":null,"abstract":"Introduction: Sensory function in the V2 and V3 territories of the trigeminal nerve is critical for facial sensation and quality of life. Injuries to these branches often result in significant sensory deficits, impairing daily activities. Nerve transfer techniques offer potential solutions for restoring lost sensation for patients with loss of proximal nerve stump, central pathway damage, or in the presence of large nerve gaps. However, they remain underutilized in clinical practice. Objective: This systematic review assesses the feasibility and effectiveness of nerve transfer techniques for sensory reconstruction of the V2 and V3 territories. Methods: A comprehensive search of PubMed, Web of Science, and Scopus databases was conducted. Studies reporting sensory reconstruction outcomes, such as 2-point discrimination (2PD) or directional brush stroke detection, were included. Articles published from 2009 to 2024 were reviewed, alongside relevant references outside this timeframe providing important clinical insights. Ten studies meeting the inclusion criteria were analyzed, and their quality was assessed using PRISMA guidelines. Results: Sixteen patients (mean age: 32.1 years) and 24 repairs were identified. Trigeminal nerve injuries resulted from surgical complications (31.2%), trauma (25%), and oncological resections (18%) in most cases. Sixty-six percent of cases underwent cross-facial nerve grafts (CFNG), while the remaining repairs were reconstructed using regional nerve transfers. Recovery times varied, with a mean follow-up of 20.6 months. All patients achieved significant improvement in facial sensation and symptoms. Conclusion: CFNGs and nerve transfers are effective for restoring sensation in V2 and V3 territories, with promising recovery rates. Larger studies with extended follow-ups are needed to refine and validate these techniques.","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503251364257"},"PeriodicalIF":0.6,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12343539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856135","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}

引用次数: 0

Commentary on: The Sequence and Reconstructive Modality of Breast Cancer Treatments Affects Wait Times to Adjunctive Therapies in Patients Undergoing Mastectomy with Immediate Breast Reconstruction. 评论：乳腺癌治疗的顺序和重建方式影响乳房切除术后立即乳房重建患者等待辅助治疗的时间。

IF 0.6 4区医学

Plastic surgery Pub Date : 2025-08-11 DOI: 10.1177/22925503251334564

Ron Barry Somogyi

引用次数: 0

Postoperative Management of Kirschner-Wire Fixation of All Phalangeal and Metacarpal Fractures at a Single Tertiary Care Center: A Retrospective Review. 在一个三级医疗中心克氏针固定所有指骨和掌骨骨折的术后处理：回顾性回顾。

IF 0.6 4区医学

Plastic surgery Pub Date : 2025-08-08 DOI: 10.1177/22925503251363056

Andrew T Chen, Carolyn Wang, Victor Ripan, Elena Huang, Avalon O'Connor, Patrick J Kim, Emily Dunn, Achilleas Thoma, Helene Retrouvey

{"title":"Postoperative Management of Kirschner-Wire Fixation of All Phalangeal and Metacarpal Fractures at a Single Tertiary Care Center: A Retrospective Review.","authors":"Andrew T Chen, Carolyn Wang, Victor Ripan, Elena Huang, Avalon O'Connor, Patrick J Kim, Emily Dunn, Achilleas Thoma, Helene Retrouvey","doi":"10.1177/22925503251363056","DOIUrl":"10.1177/22925503251363056","url":null,"abstract":"Introduction: Kirschner-wire (K-wire) fixation (KF) is the most common operative technique for hand fractures among Canadian plastic surgeons. However, postoperative rehabilitation varies widely and rely on low-quality studies and expert opinion. The study reviewed KFs of phalangeal and metacarpal fractures at a single academic center to quantify practice variation and patient outcomes. Methods: This retrospective chart review analyzed all cases of KF of isolated phalangeal and metacarpal fractures performed by all plastic surgeons at a single tertiary care center in the last 7 years. The primary outcome was the duration from operation to K-wire removal. Secondary outcomes included the time from KF to range of motion (ROM) initiation, the interval between K-wire removal and ROM initiation, postoperative complications, and functional outcomes. Results:Among 289 patients, mean time from KF to K-wire removal was 28.6 days (SD 8.2). There was a high variability among the surgeons, with the shortest duration averaging 26 ± 6 days and the longest averaging 33.7 ± 8.6 days (P < .001). Mean time to initiation of ROM was similar across surgeons (mean 25.2 ± 11.4 days). Postoperative complications occurred in 26 patients (10.9%), primarily pin site infections (6.7%). Early versus late K-wire removal did not affect complication rates. There were no differences in functional outcomes between surgeons. Conclusion: There is considerable variability in postoperative rehabilitation following KF of hand fractures among surgeons at a single academic center. Our study suggests that supervised ROM can be initiated safely as early as 3 weeks postoperatively, regardless of whether K-wires remain in situ.","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503251363056"},"PeriodicalIF":0.6,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817269","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}

引用次数: 0

Long-term Nipple Projection Retention Following Local Flap-based Reconstruction: Insights From 3D Imaging Analysis. 局部皮瓣重建后长期乳头投影保留：来自3D成像分析的见解。

IF 0.7 4区医学

Plastic surgery Pub Date : 2025-07-15 DOI: 10.1177/22925503251355968

Jacob Levy, Francis D Graziano, Donovan White, Uche Amakiri, Ronnie L Shammas, Lillian Boe, Babak J Mehrara, Jonas A Nelson, Carrie Stern

{"title":"Long-term Nipple Projection Retention Following Local Flap-based Reconstruction: Insights From 3D Imaging Analysis.","authors":"Jacob Levy, Francis D Graziano, Donovan White, Uche Amakiri, Ronnie L Shammas, Lillian Boe, Babak J Mehrara, Jonas A Nelson, Carrie Stern","doi":"10.1177/22925503251355968","DOIUrl":"10.1177/22925503251355968","url":null,"abstract":"Background: Loss of nipple projection is a common concern following local tissue nipple-areolar complex (NAC) reconstruction, with contracture leading to inevitable projection loss over time. While multiple techniques have been developed, few studies have measured long-term projection loss, and none have utilized 3D imaging for accurate assessment. This study aimed to analyze long-term nipple projection loss using 3D imaging to improve patient education and expectations. Methods: A retrospective analysis of patients who underwent skin-sparing postmastectomy breast reconstruction with local flap-based (C-V flap) NAC reconstruction between 2010 and 2022 was conducted. Patients with available 3D images were included. The VECTRA Analysis Module (VAM) was used to measure nipple projection at 3, 6, 12, and 24 months postoperatively. Subgroup analysis was performed for autologous and implant-based reconstruction. Results: Among 136 patients (281 observational time points), nipple projection decreased by 14% at 3 months (P = .002), 15% at 6 months (P = .001), and 19% at 1 year (P < .001) compared to 1 month postoperatively. After 1 year, projection stabilized, with only a 2% decrease in height by year 2 (P = .13). C-V flap limb length was not significantly associated with long-term projection retention (P = .10). Subgroup analysis showed similar nipple projection retention patterns for autologous and implant-based reconstruction, stabilizing at 1 year postoperatively. Conclusions: Nipple projection following flap creation decreases significantly up to 1-year post-reconstruction and plateaus from year 1 to 2. Patients opting for local flap-based reconstruction should be counseled preoperatively regarding expected projection loss and when they can expect their nipple height to plateau.","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503251355968"},"PeriodicalIF":0.7,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659912","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}

引用次数: 0

Recommendations for a Canadian Breast Implant Registry. 对加拿大乳房植入物注册的建议。

IF 0.7 4区医学

Plastic surgery Pub Date : 2025-07-15 DOI: 10.1177/22925503251355977

Victoria M S Rea, Raveena Gowda, Emma Nicholson, Kathryn V Isaac

{"title":"Recommendations for a Canadian Breast Implant Registry.","authors":"Victoria M S Rea, Raveena Gowda, Emma Nicholson, Kathryn V Isaac","doi":"10.1177/22925503251355977","DOIUrl":"10.1177/22925503251355977","url":null,"abstract":"Introduction: Use of breast implants has nearly doubled for reconstructive and aesthetic surgery throughout North America. This growing demand highlights the need for breast implant registries to monitor safety and quality of care. Despite wide adoption of implant registries in other countries, there is currently no Canadian system to track implantation of breast prostheses. This review aimed to inform the development and implementation of a Canadian breast implant registry (BIR). Methods: A systematic review was conducted to include searches of Medline Ovid, Web of Science, Embase Ovid and grey literature databases. Data were extracted for: patient participation, registry structure, data quality, funding and reporting outputs. Results: Of 1577 articles, a total of 19 met inclusion criteria. The Dutch, Australian, American, German, United Kingdom and Korean implant registries were analyzed. Opt-out systems were commonly used and correlated with higher capture rates. Data input relied on physician or surgeon data entry. Funding was private for the Dutch BIR through a patient or insurance surcharge, and government funding was used in the United Kingdom, Australian and Korean registries. Finally, all registries disseminated outcomes via annual reports. Conclusion: Based on strategies used in existing registries, it is recommended a Canadian BIR have an opt-out structure, funding from a combination of government or private stakeholders, use a standardized data set and annual reporting.","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503251355977"},"PeriodicalIF":0.7,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659913","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}

引用次数: 0

Willingness to Pay Correlates With Social Perception of Pediatric and Adult Scars: Crowdsourcing Study. 支付意愿与儿童和成人疤痕的社会认知相关：众包研究。

IF 0.7 4区医学

Plastic surgery Pub Date : 2025-07-15 DOI: 10.1177/22925503251355979

Marina A Lentskevich, Alice Yau, Narainsai K Reddy, Sophia G Allison, Arun K Gosain

{"title":"Willingness to Pay Correlates With Social Perception of Pediatric and Adult Scars: Crowdsourcing Study.","authors":"Marina A Lentskevich, Alice Yau, Narainsai K Reddy, Sophia G Allison, Arun K Gosain","doi":"10.1177/22925503251355979","DOIUrl":"10.1177/22925503251355979","url":null,"abstract":"Background: Willingness to pay (WTP) has been an important tool in healthcare used to understand public priorities and satisfaction rates. We utilized a crowdsourcing platform to assess WTP for pediatric versus adult scar \"removals.\" Our hypothesis is that scar visibility and scar bearer's age will affect respondents' WTP. Objectives: To assess social perception of pediatric and adult scars on faces and hands, and to assess effects of crowdsourcing survey's respondents' income, gender, and having own children on WTP. Methods: Images of pediatric and adult face and hand scars were obtained on Shutterstock. Two crowdsourcing Qualtrics surveys assessed WTP, scar severity rating from 1 to 5, and demographics of interest. Results: Face and hand scar surveys obtained 100 and 142 responses, respectively. Willingness to pay was higher for pediatric face scar \"removal\" than adult (USD$4946 vs $3130; P < .001) and pediatric hand scar \"removal\" than adult (USD$1418 vs $807; P < .001). Higher income was associated with higher WTP for face scars, but not hand scars. Gender did not influence WTP for child versus adult. Having children demonstrated higher WTP only for face scars in children. The severity of both face and hand pediatric scars was perceived to be worse than that of similar scars in adults. Per one point on the scar severity rating, respondents were willing to pay more for pediatric scar \"removal\" compared to that for adults. Conclusions: Willingness to pay is a useful tool for understanding the general population's priorities regarding scar revisions.","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503251355979"},"PeriodicalIF":0.7,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659914","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}

引用次数: 0

First-Time Use of Diced Cartilage Glue Grafts for Post Trauma Orbital Rim Reconstruction. 软骨碎胶移植在创伤后眶缘重建中的首次应用。

IF 0.7 4区医学

Plastic surgery Pub Date : 2025-07-11 DOI: 10.1177/22925503251355976

Akhil Nair, Mark McRae, Matthew McRae, Joseph Catapano, Blake Murphy

引用次数: 0