JPRAS Open最新文献_第8页

Fowler syndrome post liposculpture and augmentation mammoplasty: Case report and literature review 脂肪塑形和隆乳术后 Fowler 综合征：病例报告和文献综述

IF 1.5

JPRAS Open Pub Date : 2024-09-26 DOI: 10.1016/j.jpra.2024.09.013

Rodrigo Domínguez-Millán , Tatiana Luna Pisciotti , Pamela Fernández Cuesta , Miguel Angel Bonilla Becerril

{"title":"Fowler syndrome post liposculpture and augmentation mammoplasty: Case report and literature review","authors":"Rodrigo Domínguez-Millán , Tatiana Luna Pisciotti , Pamela Fernández Cuesta , Miguel Angel Bonilla Becerril","doi":"10.1016/j.jpra.2024.09.013","DOIUrl":"10.1016/j.jpra.2024.09.013","url":null,"abstract":"<div><div>Fowler syndrome is a rare entity that occurs in young women, with a high incidence of polycystic ovary syndrome. It consists of episodes of acute urinary retention that have a characteristic electromyographic pattern. Its etiology is unclear and is usually preceded by a trigger such as a surgical procedure, childbirth, other acute medical conditions, and opioid use. There is no report in the literature that links any Plastic Surgery procedure to Fowler Syndrome. We present the case of a 31-year-old female patient who had an episode of acute urinary retention 36 hours after liposculpture and augmentation mammoplasty. Infectious, anatomical and functional causes were ruled out upon admission to the emergency room, confirming the diagnosis of Fowler Syndrome. The patient was treated with bladder catheterization for 72h and tamsulosin for 15 days, with adequate response. Subsequent to this she presented a favorable evolution without new episodes of difficulty for urination, without functional sequelae or complications in the aesthetic surgical result.</div></div>","PeriodicalId":37996,"journal":{"name":"JPRAS Open","volume":"42 ","pages":"Pages 292-295"},"PeriodicalIF":1.5,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527000","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

Letter is in response to a published manuscript, “Quality of the Information provided by ChatGPT for patients in breast plastic surgery: Are we already in the future?” 这封信是对一篇已发表的手稿 "ChatGPT 为乳房整形手术患者提供的信息质量：我们已经进入未来了吗？

IF 1.5

JPRAS Open Pub Date : 2024-09-19 DOI: 10.1016/j.jpra.2024.09.006

Abdul Rahman, Irfan Alam

引用次数: 0

Transient facial paresis as a complication of buccal fat removal 颊脂垫切除术并发的一过性面部瘫痪

IF 1.5

JPRAS Open Pub Date : 2024-09-19 DOI: 10.1016/j.jpra.2024.09.012

Alexa Franco , Anna Frants , Manuela von Sneidern , Danielle F. Eytan

{"title":"Transient facial paresis as a complication of buccal fat removal","authors":"Alexa Franco , Anna Frants , Manuela von Sneidern , Danielle F. Eytan","doi":"10.1016/j.jpra.2024.09.012","DOIUrl":"10.1016/j.jpra.2024.09.012","url":null,"abstract":"<div><h3>Aim</h3><div>This case highlights the rarely reported complication of facial paresis following buccal fat pad removal and its management.</div></div><div><h3>Background</h3><div>The buccal fat pad is a vital structure in facial aesthetics. In recent years, buccal fat pad removal for mid facial sculpting has gained popularity among patients owing in part to the rise of social media in plastic surgery. Although buccal fat pad removal is usually a safe procedure, potential complications can be quite severe, and can include infection, over-resection, asymmetry, hematoma, facial nerve or parotid duct injury and trismus.</div></div><div><h3>Case description</h3><div>Herein we describe a case of iatrogenic left facial paresis secondary to buccal fat removal, and discuss the importance of appropriate patient counseling, meticulous technique, and post-operative care in the event of a complication.</div></div><div><h3>Conclusion</h3><div>High dose corticosteroids and facial therapy can be effective in treating iatrogenic facial palsy secondary to buccal fat pad removal.</div></div><div><h3>Clinical significance</h3><div>Although buccal fat pad removal has become a common procedure for midface sculpting, the risks remain serious and patient counseling regarding possible complications, including transient facial palsy, is paramount. Meticulous technique as well as knowledge of the relationships between the buccal fat pad, the parotid duct, and the buccal branches of the facial nerve are vital in the prevention of facial paresis when removing buccal fat.</div></div>","PeriodicalId":37996,"journal":{"name":"JPRAS Open","volume":"42 ","pages":"Pages 244-249"},"PeriodicalIF":1.5,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142425908","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

Severe vascular complications after derotational osteotomy of the tibia salvaged with free functional latissimus dorsi muscle transfer. A case report 通过游离功能性背阔肌转移挽救胫骨脱位截骨术后的严重血管并发症。病例报告

IF 1.5

JPRAS Open Pub Date : 2024-09-19 DOI: 10.1016/j.jpra.2024.09.010

T. de Jong , N. van Alfen , R.J. van Heerwaarden , E.T. Walbeehm , T.H.J. Nijhuis

引用次数: 0

Available techniques to minimize scars in surgical management of gynecomastia – a comprehensive review 在妇科整形手术中尽量减少疤痕的可用技术--综合评述

IF 1.5

JPRAS Open Pub Date : 2024-09-18 DOI: 10.1016/j.jpra.2024.09.011

G. Frigerio , A. Serre , P.E. Engels , D.F. Kalbermatten , D. André-Lévigne

{"title":"Available techniques to minimize scars in surgical management of gynecomastia – a comprehensive review","authors":"G. Frigerio , A. Serre , P.E. Engels , D.F. Kalbermatten , D. André-Lévigne","doi":"10.1016/j.jpra.2024.09.011","DOIUrl":"10.1016/j.jpra.2024.09.011","url":null,"abstract":"<div><h3>Objective</h3><div>Gynecomastia and lipomastia are benign proliferations of the male breast affecting 32–65% of men. Numerous surgical procedures often result in stigmatizing scars when it comes to skin resection. The purpose of this study was to review skin-sparing techniques and to describe our skin-sparing approach to treat skin excess using transcutaneous netting.</div></div><div><h3>Materials and Methods</h3><div>A comprehensive review of the literature was conducted aiming at identifying available techniques to avoid skin resection in gynecomastia or lipomastia patients (Simon's grade IIb and III). Surgical techniques, patient satisfaction, time of follow-up, and complications were assessed.</div></div><div><h3>Results</h3><div>Seven studies detailed skin retraction techniques, including laser-, ultrasound-, and radiofrequency-assisted liposuction (LAL, UAL, and RAL), microneedling, and nipple-areolar complex (NAC) plaster lifting. All articles provided Simon's grade classification, with most studies including patients with and without skin laxity. Complication rates were low (1.5–10%), and patient satisfaction ranged from 87.5% to 100%.</div><div>While transcutaneous netting has been reported to reduce hematoma in gynecomastia surgery, no studies specifically examined its role in managing skin redundancy.</div></div><div><h3>Conclusions</h3><div>Limited data exist on scarless skin retraction techniques for gynecomastia. While LAL, UAL, and RAL show some potential, controlled studies are lacking, and skin resection is often performed for high skin redundancy. We recommend a skin-sparing approach using liposuction and transcutaneous netting for gynecomastia up to Simon's grade III, which allows for skin retraction and NAC fixation. No literature was found assessing the efficacy of transcutaneous netting in promoting skin retraction in gynecomastia.</div></div>","PeriodicalId":37996,"journal":{"name":"JPRAS Open","volume":"42 ","pages":"Pages 256-267"},"PeriodicalIF":1.5,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527002","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 in plastic surgery, where do we stand? 整形外科中的人工智能，我们的现状如何？

IF 1.5

JPRAS Open Pub Date : 2024-09-14 DOI: 10.1016/j.jpra.2024.09.003

Omar Kiwan , Mohammed Al-Kalbani , Arash Rafie , Yasser Hijazi

{"title":"Artificial intelligence in plastic surgery, where do we stand?","authors":"Omar Kiwan , Mohammed Al-Kalbani , Arash Rafie , Yasser Hijazi","doi":"10.1016/j.jpra.2024.09.003","DOIUrl":"10.1016/j.jpra.2024.09.003","url":null,"abstract":"<div><div>Since the pandemic, artificial intelligence (AI) has been integrated into several fields and everyday life as well. Healthcare is not an exception. Plastic surgery is a key focus area of this technological revolution, with hundreds of studies and reviews already published on the use of AI in plastics. This review summarizes the entirety of the available literature from 2020 to provide a comprehensive overview on AI innovation in plastic surgery.</div><div>A systematic literature review (following the PRISMA guidelines) of all studies and papers that examined the application of AI in plastic surgery was carried out using Medline, Cochrane, Embase, and Google Scholar.</div><div>Outcomes of interest included the growing role of AI in clinical consultations, diagnosing potentials, surgical planning, intraoperative, and post-operative uses. Ninety-six studies were included in this review; six examined the role of AI in consultations, fifteen used AI in diagnoses and assessments, seventeen involved AI in surgical planning, fifteen reported on AI use in post-operative predictions and management, and nine involved administrations and documentation.</div><div>This comprehensive review of available literature found AI to be capable of transforming care throughout the entire patient journey. Certain challenges and concerns persist, but a collaborative effort can solve these issues to bring about a new era of medicine, where AI aids doctors in the pursuit of optimal patient care.</div></div>","PeriodicalId":37996,"journal":{"name":"JPRAS Open","volume":"42 ","pages":"Pages 234-243"},"PeriodicalIF":1.5,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142425911","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

Spinal cord stimulation trial can control pain caused by chronic limb-threatening ischemia 脊髓刺激试验可控制慢性肢体缺血引起的疼痛

IF 1.5

JPRAS Open Pub Date : 2024-09-14 DOI: 10.1016/j.jpra.2024.09.009

Yuta Terabe

{"title":"Spinal cord stimulation trial can control pain caused by chronic limb-threatening ischemia","authors":"Yuta Terabe","doi":"10.1016/j.jpra.2024.09.009","DOIUrl":"10.1016/j.jpra.2024.09.009","url":null,"abstract":"<div><h3>Background</h3><div>Patients with chronic limb-threatening ischemia experience long-duration pain during ulcer treatment. Hence, painkillers are gradually increased, but adverse events often occur. Spinal cord stimulation trial is one of the methods used to manage such pain.</div></div><div><h3>Method</h3><div>The study was performed at the Limb Salvage Center in Kasukabe Chuo General Hospital. Total 41 patients with mean age 70.4 ± 9.58 years underwent spinal cord stimulation trial for 2 weeks. Among them, 33 (80 %) were male, and 8 (20 %) were female. Numerical rating scores, wound results, spinal cord stimulation-related adverse events, and total dose of oral painkillers were evaluated.</div></div><div><h3>Results</h3><div>Postoperatively, itching and bleeding were reported. The numerical rating scores improved from 7/10 before to 2/10 at 2 days after the spinal cord stimulation (<em>P <</em> 0.001). The total doses of oral painkillers showed no change before and after spinal cord stimulation (<em>P ></em> 0.05).</div></div><div><h3>Conclusions</h3><div>Spinal cord stimulation is recommended for peripheral artery disease because it can improve numerical rating scores for a short term. Therefore, this trial approach can sufficiently control pain against chronic limb-threatening ischemia, without undergoing implantation.</div></div>","PeriodicalId":37996,"journal":{"name":"JPRAS Open","volume":"42 ","pages":"Pages 213-216"},"PeriodicalIF":1.5,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142425910","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

‘Bucket Handle’ bipedicled flap for reconstruction of large scalp defects 用于重建大面积头皮缺损的 "水桶柄 "双蒂皮瓣

IF 1.5

JPRAS Open Pub Date : 2024-09-13 DOI: 10.1016/j.jpra.2024.09.001

Dorian Hobday , Constantinos Kokkinos , Yazan Al-Ajam , Naghmeh Naderi , Norbert Kang

{"title":"‘Bucket Handle’ bipedicled flap for reconstruction of large scalp defects","authors":"Dorian Hobday , Constantinos Kokkinos , Yazan Al-Ajam , Naghmeh Naderi , Norbert Kang","doi":"10.1016/j.jpra.2024.09.001","DOIUrl":"10.1016/j.jpra.2024.09.001","url":null,"abstract":"<div><div>Although advances in free flap surgery have allowed the reconstruction of a wide range of complex scalp defects, simpler local options continue to play a role. We describe how bipedicled or ‘bucket handle’ scalp flap with skin grafting of the donor site can be used to resurface large scalp defects of up to 15 cm x 20 cm.</div><div>This retrospective case series of 11 patients describes flap outcomes, post-operative complications, pathology and patient-related outcomes collected via a questionnaire.</div><div>Defect sizes ranged from 56 cm<sup>2</sup> to 220 cm<sup>2</sup>. All 11 flaps survived with no readmissions or return to theatre. There were two minor post-operative infections. Pathologies requiring reconstruction were invasive squamous cell carcinoma involving the bone (45%), cranial bone necrosis after a cerebrovascular event (27%), trauma (9%) or cerebral malignancy (9%). Four patients (36%) underwent simultaneous cranial reconstruction with a cranioplasty plate. On an average, the patients who did not need to remain in the hospital for other reasons were discharged after two days. All patients reported subjective improvements in function post-operatively and that they were satisfied with the procedure.</div><div>This study suggests that large bipedicled scalp flaps with skin graft to the donor site are reliable, with positive patient-related outcomes and few post-operative complications. This technique is well suited for reconstructing long elliptical scalp defects created after the insertion of a cranioplasty plate. This procedure provides a robust alternative to patients who are unsuitable for free tissue transfer and those who may benefit from the short operative time and quick recovery time associated with a local flap.</div></div>","PeriodicalId":37996,"journal":{"name":"JPRAS Open","volume":"42 ","pages":"Pages 219-233"},"PeriodicalIF":1.5,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142425909","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

Anatomical analysis of the periosteal blood supply system of the fibula using fresh cadavers 新鲜尸体对腓骨骨膜供血系统的解剖分析。

IF 1.5

JPRAS Open Pub Date : 2024-09-12 DOI: 10.1016/j.jpra.2024.09.007

Eri Konno Matoba , Masaki Yazawa , Nobuaki Imanishi , Hiroki Kajita , Hisashi Sakuma , Kazuo Kishi

{"title":"Anatomical analysis of the periosteal blood supply system of the fibula using fresh cadavers","authors":"Eri Konno Matoba , Masaki Yazawa , Nobuaki Imanishi , Hiroki Kajita , Hisashi Sakuma , Kazuo Kishi","doi":"10.1016/j.jpra.2024.09.007","DOIUrl":"10.1016/j.jpra.2024.09.007","url":null,"abstract":"<div><div>A vascularized free fibula flap is often used to reconstruct bone defects. However, bone resorption within the osteotomized segment is often observed. This may be attributed to damage to bone blood flow supplied by nonpenetrating periosteal vessels (NPPVs); however, there are few studies on NPPVs in the fibula. In this study, we investigated dissection methods to assess the vascular network in the fibula and performed a detailed anatomical investigation of NPPVs using fresh cadavers provided by the Clinical Anatomy Laboratory at the Keio University. Three dissection methods were compared to assess the vascular network, and data on the branching, distribution, and number of NPPVs from the peroneal artery were collected. A method involving the elevation of the periosteal bone flap was found to be the most acceptable for assessing fibular NPPVs with less vascular damage. A total of 13 limbs from 7 male and 2 female cadavers were dissected. The number of detected NPPVs was 12-23 per limb (median: 17). No nutrient vessels were detected 5 cm from the proximal and distal ends of the fibula. Fibular NPPVs were distributed in the anterior and posterior directions along the peroneal artery trunk, with more NPPVs toward the posterior. Among the osteotomized segments of 1.0 cm, 30% did not contain any NPPVs, whereas segmentations of 1.5, 2.0, and 3.0 cm resulted in 87%, 95%, and 99% of the segments with at least one NPPV, respectively. These findings for the vascular network in the fibula may help to improve the graft blood supply and prognosis.</div></div>","PeriodicalId":37996,"journal":{"name":"JPRAS Open","volume":"43 ","pages":"Pages 309-316"},"PeriodicalIF":1.5,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013297","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

Pressure makes diamonds? The impact of closed incision negative pressure wound therapy on complications following abdominoplasty in patients with massive weight loss—results from a case controlled trial 压力造就钻石？闭合切口负压伤口疗法对大量减肥患者腹部整形术后并发症的影响--病例对照试验结果

IF 1.5

JPRAS Open Pub Date : 2024-09-11 DOI: 10.1016/j.jpra.2024.09.004

Torsten Schulz , Toralf Kirsten , Katharina Theresa Vogel , Stefan Langer , Rima Nuwayhid

{"title":"Pressure makes diamonds? The impact of closed incision negative pressure wound therapy on complications following abdominoplasty in patients with massive weight loss—results from a case controlled trial","authors":"Torsten Schulz , Toralf Kirsten , Katharina Theresa Vogel , Stefan Langer , Rima Nuwayhid","doi":"10.1016/j.jpra.2024.09.004","DOIUrl":"10.1016/j.jpra.2024.09.004","url":null,"abstract":"<div><h3>Background</h3><div>The effectiveness of closed incision negative pressure wound therapy (ciNPWT) has been shown across various studies. However, studies with large patient cohorts comprising post-bariatric patient populations are missing. The objective of this research was to assess the influence of ciNPWT on post-operative wound complications in this demanding patient collective.</div></div><div><h3>Methods</h3><div>We conducted a retrospective case-control study. Between 1 January 2013 and 31 December 2023, a total of 251 abdominoplasty procedures following massive weight loss were identified. Patients were matched based on resection weights. We matched 118 patients separated into two groups depending on post-surgical wound management (conventional wound dressings vs ciNPWT). The primary outcomes were wound-related disorders and secondary outcomes were the number of readmissions or reoperations within 30 days after the initial surgery.</div></div><div><h3>Results</h3><div>The study revealed equal incidence of seroma formation (15 vs 15, p = 1.0), rates of wound dehiscence (23 vs 20, p = 0.56), surgical site infection (11 vs 6, p = 0.18), hematoma (17 vs 9, p = 0.07), complete removal of all drainages (6.7 vs 6.1 days, p = 0.34) and total number of readmission (12 vs 11, p = 0.77) or reoperations (12 vs 10, p = 0.63) within 30 days. The second hospital stay caused by revision was significantly shorter in the ciNPWT group (5.8 days vs 12.0 days, p = 0.02).</div></div><div><h3>Conclusion</h3><div>Consequently, we did not find evidence to support the hypothesis that ciNPWT reduces complications after abdominoplasty in patients with massive weight loss.</div></div>","PeriodicalId":37996,"journal":{"name":"JPRAS Open","volume":"42 ","pages":"Pages 197-207"},"PeriodicalIF":1.5,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356892","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