Plastic surgery最新文献

{"title":"Commentary: Unplanned Emergency Department Visits Within 90 Days of Breast Reduction Surgery: A Retrospective Cohort Study.","authors":"Paul J Oxley","doi":"10.1177/22925503261485254","DOIUrl":"10.1177/22925503261485254","url":null,"abstract":"","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261485254"},"PeriodicalIF":1.2,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13562443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148956337","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: A Novel Approach to Breast Ptosis in Reduction Mammoplasty: Outcomes of the Paisley Pattern Incision.","authors":"Martin R LeBlanc","doi":"10.1177/22925503261485233","DOIUrl":"10.1177/22925503261485233","url":null,"abstract":"","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261485233"},"PeriodicalIF":1.2,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13562439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148956349","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 on Reducing Emergency Department Visits After Breast Surgery; Comparing Bilateral Reduction Mammoplasty to Free-Flap Breast Reconstruction.","authors":"Solaiman AlShawaf, Salem AlShammari, Alaa Alibrahim, Meredith Otley, Alaa AlSahli, Jo-Anne Douglas, Emily M Krauss","doi":"10.1177/22925503261485248","DOIUrl":"10.1177/22925503261485248","url":null,"abstract":"","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261485248"},"PeriodicalIF":1.2,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13562444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148956369","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: Primary Language as a Predictor of Perioperative Opioid Consumption and Clinical Outcomes in Breast Reconstruction.","authors":"Caroline Esmonde-White, Tyler Safran, Joshua Vorstenbosch","doi":"10.1177/22925503261482099","DOIUrl":"10.1177/22925503261482099","url":null,"abstract":"","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261482099"},"PeriodicalIF":1.2,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13553977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148920493","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: How Does Operative Time Affect Outcomes in Breast Reduction Surgery?","authors":"Nicholas Carr","doi":"10.1177/22925503261485223","DOIUrl":"10.1177/22925503261485223","url":null,"abstract":"","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261485223"},"PeriodicalIF":1.2,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13553975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148920483","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":"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":"Factors Associated With Research Productivity Among Canadian Plastic Surgery Residents.","authors":"Colm Guyn, Justin Lee, Curtis Budden","doi":"10.1177/22925503261477392","DOIUrl":"10.1177/22925503261477392","url":null,"abstract":"<p><strong>Introduction: </strong>Research productivity is a key marker of academic development in surgical training, yet considerable variability exists among residents. Understanding factors influencing scholarly output is critical for shaping program design and providing targeted support for academic development. This study aims to explore factors associated with research productivity among Canadian plastic surgery residents.</p><p><strong>Methods: </strong>A mixed methodology was utilized. First, a survey was distributed across Canadian plastic surgery programs to capture demographics, resident and program characteristics, and productivity metrics. Associations were examined using nonparametric tests given the non-normal distribution of data. Residents volunteered for follow-up interviews; interviews were transcribed verbatim, deidentified, and underwent thematic analysis to contextualize the associations found in the quantitative data.</p><p><strong>Results: </strong>Forty residents completed the survey (response rate 24%). Median (Q1-Q3) total publications were 8.0 (3.0-11.8), including 5.0 (3.0-7.5) preresidency and 1.5 (0.0-4.0) during residency. Greater preresidency publications, weekly hours dedicated to research, dedicated research during medical school, and completion of a MSc/PhD during residency had associations with increased productivity (P < .05). Interviews (n = 8) generated six themes spanning program architecture, time/capacity, infrastructure and administrative delays, supervisory engagement, baseline preparedness, and resident motivations/strategy.</p><p><strong>Conclusions: </strong>Resident research productivity is influenced by various interacting resident- and program-level factors. Our survey found that research productivity was associated with prior research experience, self-directed engagement, and research training through residency. Integrating these findings with our interviews we suggest programs may enhance productivity by strengthening early research onboarding, aligning expectations with usable protected time, improving coordination/analytic supports, and reducing administrative barriers.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261477392"},"PeriodicalIF":1.2,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13570231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148956333","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":"Piezoelectric Palatine Foraminotomy in Wide Cleft Palate Repair: A New Approach for Safe Neurovascular Pedicle Mobilization.","authors":"Ömer Kokaçya, İbrahim Tabakan, Abdullah Arslan, Gazi Kutalmış Yaprak, Ali Kuru","doi":"10.1177/22925503261477397","DOIUrl":"10.1177/22925503261477397","url":null,"abstract":"<p><strong>Introduction: </strong>Surgical repair of large cleft palates is challenging and is associated with high postoperative fistula rates. Midline tension is a critical factor in fistula formation. Foraminotomy enables increased medial mobilization of the palatal flaps, particularly in cases in which standard palatal closure would otherwise result in excessive midline tension; however, this procedure carries a risk of neurovascular pedicle injury and subsequent flap necrosis. In this study, we present our surgical technique for piezoelectric palatine foraminotomy to facilitate palatal flap mobilization and tension-free closure in large cleft palate repair.</p><p><strong>Methods: </strong>Seventeen patients with wide cleft palates (≥15 mm cleft width; Veau class II-IV) who underwent primary palatoplasty with piezoelectric foraminotomy between 2017 and 2020 were reviewed. All procedures were performed by a single senior surgeon. The piezoelectric device equipped with a sinus lift tip was used to enlarge the palatine canal via controlled removal of the posteromedial bony wall, allowing tension-free medial mobilization of the neurovascular pedicle. Postoperative outcomes including fistula formation, flap necrosis, and neurovascular complications were assessed over a minimum 12-month follow-up period.</p><p><strong>Results: </strong>No intraoperative or postoperative neurovascular pedicle injury, flap necrosis, or wound infection was observed. Oronasal fistula developed in 3 patients (17.6%), all with Veau class III or IV clefts, located at the hard palate-soft palate junction.</p><p><strong>Conclusions: </strong>Piezoelectric osteotomy for palatine foraminotomy is a feasible, controlled, and soft tissue-preserving technique that may enhance the safety of neurovascular pedicle mobilization in wide cleft palate repair.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261477397"},"PeriodicalIF":1.2,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13570232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148956304","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}