Plastic surgery最新文献_第8页

Frostbite in Children: A Case Series and Development of a New Iloprost-Driven Protocol: Les engelures chez les enfants : une série de cas et l'élaboration d'un nouveau protocole faisant appel à l'iloprost. 儿童冻伤：一种新的伊洛前列素驱动协议的案例系列和发展。

IF 1.2 4区医学

Plastic surgery Pub Date : 2026-03-10 DOI: 10.1177/22925503261424890

Kessia S Varkey, Simon J Parsons, Thomas R Cawthorn, Rebecca L Hartley, Yoga Dhanapala, A Robertson Harrop, Frankie O G Fraulin

{"title":"Frostbite in Children: A Case Series and Development of a New Iloprost-Driven Protocol: Les engelures chez les enfants : une série de cas et l'élaboration d'un nouveau protocole faisant appel à l'iloprost.","authors":"Kessia S Varkey, Simon J Parsons, Thomas R Cawthorn, Rebecca L Hartley, Yoga Dhanapala, A Robertson Harrop, Frankie O G Fraulin","doi":"10.1177/22925503261424890","DOIUrl":"10.1177/22925503261424890","url":null,"abstract":"Introduction: Frostbite in children is uncommon; however, when severe, it can be associated with amputation of digits. Frostbite protocols have been established for adults but not for children. This project outlines our experience with the use of a newly developed iloprost-driven protocol for managing frostbite in children. Methods: Motivated by a severe case of frostbite in a teenager, resulting in amputations of multiple digits, the adult Yukon Frostbite Protocol was modified for use in children. Key elements of the new Frostbite Management in Children Protocol include rewarming, iloprost infusion, alteplase administration, and hyperbaric oxygen therapy, if required. Frostbite severity is categorized according to the Cauchy grading system which in turn dictates specific treatment. A review of 3 subsequent cases treated using the protocol was performed. Outcomes recorded included digital amputation rate, motor/sensory recovery, and adverse effects of treatment. Results: In December 2022 to March 2024, 3 patients met the criteria for treatment with iloprost under the new protocol: a 9-year-old female with grade 3 frostbite; a 15-year-old male with grade 2 frostbite; and a 16-year-old male with grade 2 frostbite. There were no amputations. All 3 patients recovered motor and sensory function, though one patient experienced significant hypersensitivity. There were no adverse effects from the treatment protocol, and it was well accepted by nursing and medical staff. Conclusion: An iloprost-based protocol has been developed for children with frostbite. The protocol was accepted by hospital staff and well tolerated by the patients.","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261424890"},"PeriodicalIF":1.2,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12975545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444617","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

Integrating Point-of-Care Ultrasound (PoCUS) in Plastic Surgery at an Academic-Community Hospital: Enhancing Patient Care and Resource Allocation. 整合点护理超声（PoCUS）在整形外科在学术社区医院：加强病人护理和资源分配。

IF 1.2 4区医学

Plastic surgery Pub Date : 2026-03-04 DOI: 10.1177/22925503261419802

Maleka Ramji, Veronica Pentland, Ryan E Austin, Sophocles H Voineskos

{"title":"Integrating Point-of-Care Ultrasound (PoCUS) in Plastic Surgery at an Academic-Community Hospital: Enhancing Patient Care and Resource Allocation.","authors":"Maleka Ramji, Veronica Pentland, Ryan E Austin, Sophocles H Voineskos","doi":"10.1177/22925503261419802","DOIUrl":"10.1177/22925503261419802","url":null,"abstract":"Introduction: Point-of-care ultrasound (PoCUS) utilization in plastic surgery is increasing, as it improves diagnostic and procedural precision through real-time anatomic assessment. PoCUS also optimizes system resource utilization by avoiding unnecessary diagnostic imaging (DI). This study evaluated surgeon-performed PoCUS within a plastic surgery department at an academic-community hospital, with a focus on diagnostic utility and its impact on DI referrals. Method: This retrospective cohort study included all patients who underwent PoCUS as part of their plastic surgery care at our hospital. All PoCUS exams were performed by staff plastic surgeons using a single handheld, high-frequency portable ultrasound device. Demographic data were collected by retrospective review of clinical records. Results: PoCUS was utilized in 70 patients between November 1, 2023, and October 31, 2024. PoCUS assessment was not only performed in the ambulatory clinic (65%) and minor surgery (26%) settings, but was also utilized in the operating room and on the ward. The Average patient age was 50 years (range: 9-88), and the most common anatomic regions scanned included the upper extremity (54.2%), back (13.9%), head and neck (11.1%), breast (9.7%), and lower extremity (8.3%). PoCUS was used to guide procedures in 44.4% of cases. In our study, PoCUS was an adequate substitute for DI referral in 96.8% of cases. Conclusions: PoCUS is valuable across a broad range of plastic surgery settings and can improve care quality by providing ultrasound guidance during procedures. PoCUS can also reduce unnecessary DI and associated follow-up appointments, thereby improving hospital resource utilization.","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261419802"},"PeriodicalIF":1.2,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12960261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147378294","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

Predictive Career Factors for Medical Students Interested in Plastic Surgery. 对整形外科感兴趣的医学生的预测职业因素。

IF 1.2 4区医学

Plastic surgery Pub Date : 2026-03-03 DOI: 10.1177/22925503261424888

Todd Dow, Kenzie MacNeil, Katie Ross, Tammy Selman, Michael Bezuhly

{"title":"Predictive Career Factors for Medical Students Interested in Plastic Surgery.","authors":"Todd Dow, Kenzie MacNeil, Katie Ross, Tammy Selman, Michael Bezuhly","doi":"10.1177/22925503261424888","DOIUrl":"10.1177/22925503261424888","url":null,"abstract":"Purpose: Most medical students accurately identify the specialty to which they will ultimately match before entering clerkship. Understanding the factors that attract students to plastic surgery could help attract the strongest candidates and clarify misconceptions about the field. This study aims to identify these factors and the career values driving interest in plastic surgery. Methods: First- and second-year medical students at a single Canadian institution were surveyed on their career interests, goals, and factors influencing their ideal career. Data from a prospectively maintained database were analyzed from 2018 to 2025. Students who ranked plastic surgery among their top 3 choices and those who expressed interest in the specialty were compared to those who did not. Multivariate logistic regression models were used to identify factors associated with interest in plastic surgery. Results: A total of 608 individual medical students responded to the survey between 2018 and 2025. Most respondents were female (65.0%). Multivariate analysis revealed that students valuing \"high income potential\" (P = .032), \"status among colleagues\" (P = .026), \"results of interventions available immediately\" (P = .002), and \"research opportunities\" (P = .005) were more predictably likely to rank plastic surgery as a top 3 career choice. Similar trends existing for students interested in plastic surgery (Likert 4 or 5). Conclusions: Misconceptions about plastic surgery persist among medical students. Those attracted by high income, immediate results, research opportunities, and fewer long-term follow-ups were more likely to express interest in the field. Findings from this study highlight perceptions and values that may influence medical students' early interest in plastic surgery. Addressing these perceptions within medical education may support more informed and accurate understanding of the specialty.","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261424888"},"PeriodicalIF":1.2,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12956607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147365673","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: Oncoplastic Breast Reconstruction Complications and Patient-Reported Outcomes. 评论：肿瘤乳房重建并发症和患者报告的结果。

IF 1.2 4区医学

Plastic surgery Pub Date : 2026-02-27 DOI: 10.1177/22925503261425233

Charles Arcand, Tyler Safran, Joshua Vorstenbosch

引用次数: 0

Re: The Use of Negative Pressure Wound Therapy for Breast Surgeries: A Systematic Review and Meta-Analysis. 负压伤口治疗在乳房手术中的应用：一项系统回顾和荟萃分析。

IF 1.2 4区医学

Plastic surgery Pub Date : 2026-02-27 DOI: 10.1177/22925503261425245

Alan D Rogers

引用次数: 0

Lateral Thigh Reference Line in Body Contouring. 身体轮廓中的外侧大腿参考线。

IF 1.2 4区医学

Plastic surgery Pub Date : 2026-02-26 DOI: 10.1177/22925503261425668

Edoardo Raposio, Elisa Bertulla

引用次数: 0

The Tension Distributing, Appositional, Bilayer, Longitudinally Offset, Eversion Optimizing (TABLE) Suture: A Bilayer Mattress Geometry for Reliable Dermal Apposition and Controlled Eversion. 张力分布，贴合，双层，纵向偏移，外翻优化（表）缝合：可靠的真皮贴合和控制外翻的双层床垫几何。

IF 1.2 4区医学

Plastic surgery Pub Date : 2026-02-26 DOI: 10.1177/22925503261424894

Alan D Rogers

引用次数: 0

Evaluation of Commitment to Equity, Diversity, and Inclusion on Canadian Plastic Surgery Residency Program Websites. 加拿大整形外科住院医师计划网站对公平、多样性和包容性承诺的评估。

IF 1.2 4区医学

Plastic surgery Pub Date : 2026-02-26 DOI: 10.1177/22925503261424892

Meerab Majeed, Valentina Shamoun, Chantal R Valiquette, Jana Dengler, Laura Snell

{"title":"Evaluation of Commitment to Equity, Diversity, and Inclusion on Canadian Plastic Surgery Residency Program Websites.","authors":"Meerab Majeed, Valentina Shamoun, Chantal R Valiquette, Jana Dengler, Laura Snell","doi":"10.1177/22925503261424892","DOIUrl":"10.1177/22925503261424892","url":null,"abstract":"Introduction: Equity, diversity, and inclusion (EDI) are increasingly recognized as essential to medical education. Although Canadian medical schools have advanced EDI efforts, gaps persist in postgraduate training, including plastic surgery. In the context of virtual recruitment, residency websites function as key reflections of program values. This study assesses the visibility of EDI-related content on Canadian plastic surgery residency program websites. Methods: We conducted a cross-sectional content analysis of all 14 plastic surgery programs participating in the 2026 CaRMS match. Program websites, CaRMS profiles, and CANPREPP pages were reviewed (August-September 2025). EDI content was assessed using 8 binary criteria adapted from Cummings et al. Two reviewers independently evaluated each site. Descriptive statistics summarized EDI scores overall and by region, language, and local visible minority population. Results: The mean number of EDI criteria met was 0.43 (SD = 0.76), ranging from 0 to 5. Only 1 program met more than 1 criterion. Twelve programs fulfilled zero criteria. The most common elements included standalone EDI statements (n = 2), followed by isolated mentions in mission statements, dedicated pages, or appointed leadership (n = 1 each). No programs displayed underrepresented minority-specific supports, EDI-related video content, or transgender-inclusive messaging. Stratified findings showed slightly higher scores in Anglophone programs (0.55) and cities with >30% visible minority populations (1.00), though overall representation remained limited. Conclusion: Canadian plastic surgery residency program websites show sparse and inconsistent EDI representation. Strengthening online EDI communication is critical to promoting equitable recruitment and diversity in surgical education.","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261424892"},"PeriodicalIF":1.2,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12948697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147326865","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

The Emerging Risk of "Malnourished Obesity": Nutritional Vulnerability in Modern Panniculectomy Patients. “营养不良肥胖”的新风险：现代胰腺切除术患者的营养脆弱性。

IF 1.2 4区医学

Plastic surgery Pub Date : 2026-02-26 DOI: 10.1177/22925503261425229

Federica Tomaselli, Roberta Albanese, Damiano Tambasco

引用次数: 0

Renal Ultrasound in Patients With Preauricular Skin Tags: Is It Necessary and Who Needs It? 耳前皮赘患者的肾超声检查：有必要吗？谁需要？

IF 1.2 4区医学

Plastic surgery Pub Date : 2026-02-25 DOI: 10.1177/22925503261419803

Hiteshi Patel, Matthew Viozzi, Candace Granberg, Dawn Davis, Samir Mardini, Uldis Bite, Shelagh Cofer, Waleed Gibreel

{"title":"Renal Ultrasound in Patients With Preauricular Skin Tags: Is It Necessary and Who Needs It?","authors":"Hiteshi Patel, Matthew Viozzi, Candace Granberg, Dawn Davis, Samir Mardini, Uldis Bite, Shelagh Cofer, Waleed Gibreel","doi":"10.1177/22925503261419803","DOIUrl":"10.1177/22925503261419803","url":null,"abstract":"Introduction: Congenital preauricular lesions, including skin tags, accessory tragi, and pits, have long been associated with renal anomalies due to their shared embryologic origin. Despite the common practice of recommending routine renal ultrasound screening for these patients, the necessity of this protocol has not been conclusively validated. Methods: A retrospective review was conducted at a single institution from 1996 to 2025. A total of 109 patients presenting with congenital preauricular lesions were identified. Data extracted included demographics, comorbidities, syndromic status, hearing assessments, external ear abnormalities, and renal imaging findings. Statistical analyses (chi-square, Fisher's exact test, and one-sample proportion z-tests) were employed to evaluate the prevalence of renal anomalies compared to the general population and explore associations with other clinical factors. Results: Of the 109 patients with congenital preauricular lesions, 69 underwent renal imaging, and 34.8% (24/69) were found to have abnormal findings, significantly higher (P = .0011) than the estimated 1.5% prevalence among the general US population. Hydronephrosis was the most frequent abnormality, while no significant differences emerged across syndromic versus nonsyndromic patients, external ear anomalies, or documented hearing loss. Conclusion: These findings indicate a higher-than-expected rate of renal pathology in patients with congenital preauricular lesions and support a low threshold for imaging regardless of syndromic status or other risk factors. Prospective research is needed to further refine screening recommendations.","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261419803"},"PeriodicalIF":1.2,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12935582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147326834","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