Archives of Plastic Surgery-APS最新文献

Excision and Regional Flap Reconstruction with Radiation Therapy of Granuloma Annulare of the Digit: A Case Report. 手指环形肉芽肿切除及局部皮瓣重建1例报告。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-09-18 eCollection Date: 2025-09-01 DOI: 10.1055/a-2665-2132

Austin Y Jiang, Linda K Green, David Netscher

引用次数: 0

Implant Plane Does Not Seem to Impact Shoulder Function after Direct-to-Implant Breast Reconstruction in Non-Radiated Patients: A Randomized Controlled Trial. 一项随机对照试验：非放疗患者直接植入乳房重建术后，假体平面似乎不影响肩关节功能。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-09-18 eCollection Date: 2025-09-01 DOI: 10.1055/a-2662-2283

Signe von Buchwald, Diana Lydia Dyrberg, Farima Dalaei, Jens Ahm Sørensen, Jørn Bo Thomsen

{"title":"Implant Plane Does Not Seem to Impact Shoulder Function after Direct-to-Implant Breast Reconstruction in Non-Radiated Patients: A Randomized Controlled Trial.","authors":"Signe von Buchwald, Diana Lydia Dyrberg, Farima Dalaei, Jens Ahm Sørensen, Jørn Bo Thomsen","doi":"10.1055/a-2662-2283","DOIUrl":"10.1055/a-2662-2283","url":null,"abstract":"Background: Subpectoral implant placement in breast reconstruction has been associated with potential shoulder function impairment compared to prepectoral placement, though the evidence remains inconclusive. This study aimed to investigate differences in shoulder function following mastectomy and direct-to-implant breast reconstruction using prepectoral or subpectoral implant placement.Methods: Forty-two women aged 18 years or older, eligible for direct-to-implant breast reconstruction, were randomized 1:1 to undergo either prepectoral or subpectoral implant placement. Data were collected at baseline and at 3- and 12-month follow-ups. Shoulder function was assessed using the validated Constant Shoulder Score (CSS), which evaluates pain, activities of daily living, range of motion, and strength. Pectoralis major muscle (PMM) strength was also measured.Results: Baseline and demographic characteristics were comparable between the groups. No differences were observed in total CSS or the modified CSS (including the PMM strength) between the prepectoral and subpectoral groups at baseline or at the 3- and 12-month follow-ups. At 12 months, total CSS ( p = 0.74) and modified CSS ( p = 0.45) remained similar across both groups.Conclusion: There were no significant differences in shoulder and arm function between the sub- and prepectoral reconstruction groups. These findings suggest that concerns regarding shoulder function should not dictate the choice of implant placement plane in direct-to-implant breast reconstruction.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 5","pages":"273-280"},"PeriodicalIF":1.5,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114523","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

A Baton for Karaoke Intertwined with The Blade of The Surgeon. 卡拉ok指挥棒与外科医生之刃交织在一起。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-09-18 eCollection Date: 2025-09-01 DOI: 10.1055/a-2688-4145

Joon Pio Hong, Marco Innocenti, Geoffrey G Hallock

引用次数: 0

C-Shaped Frontalis Muscle Flap Suspension for Congenital Blepharoptosis: A Retrospective Analysis of Outcomes in Moderate to Severe Cases. c型额肌瓣悬吊治疗先天性上睑下垂：中重度病例的回顾性分析。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-09-01 DOI: 10.1055/a-2640-3975

Minh Ngoc Pham, Rong-Min Baek, Anh Mong Vu Luong

{"title":"C-Shaped Frontalis Muscle Flap Suspension for Congenital Blepharoptosis: A Retrospective Analysis of Outcomes in Moderate to Severe Cases.","authors":"Minh Ngoc Pham, Rong-Min Baek, Anh Mong Vu Luong","doi":"10.1055/a-2640-3975","DOIUrl":"10.1055/a-2640-3975","url":null,"abstract":"Background: While various surgical techniques have been developed for blepharoptosis correction, the frontalis suspension technique is commonly applied in cases of poor levator function or prior surgical history. This study evaluates the efficacy of a modified frontalis muscle flap suspension technique in achieving satisfactory outcomes for severe or recurrent blepharoptosis with poor levator function.Methods: A retrospective study conducted from January 2014 to January 2017 reviewed the medical records of 47 patients with a mean age of 17.3 ± 9.17 years at 108 Military Central Hospital, Ha Noi, Vietnam. These patients were diagnosed with moderate to severe blepharoptosis (marginal reflex distance 1, MRD1 0-2 mm) with poor levator function (<4 mm) and underwent modified C-shaped frontalis muscle flap suspension. The outcomes were measured by the sum of functional and cosmetic grading scales at 6- and 12-month follow-ups. Postoperative complications were also noted.Results: There are 40 patients (85.1%) who have unilateral ptosis and 7 (14.9%) who have bilateral ptosis. Forty-seven patients (87%) had severe ptosis, while seven (13%) had moderate ptosis. A history of frontalis sling surgery was present in 38.9% of patients. At the 12-month follow-up, 37 patients (78.7%) had good outcomes, 9 patients (19.1%) had fair outcomes, and 1 patient (2.1%) had poor outcomes that underwent surgical revision.Conclusion: Our analysis of the modified C-shaped frontalis muscle flap suspension technique demonstrates its efficacy in treating moderate and severe blepharoptosis, particularly in cases with poor levator function and prior surgical history.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 5","pages":"264-272"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114703","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

Reconstruction of a Complex Foot Defect with a Chimeric Triple-Component Osteocutaneous SCIP-SIEA Free Flap: A Case Report and Literature Review. 嵌合三组分SCIP-SIEA骨皮游离皮瓣重建复杂足部缺损1例报告及文献复习。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-09-01 DOI: 10.1055/a-2635-2680

Yanis Berkane, Elise Lupon, Pierre Muret, Jérôme Laloze, Nicolas Bertheuil, Christian Herlin, Paul Girard, Hadrien Paoli

{"title":"Reconstruction of a Complex Foot Defect with a Chimeric Triple-Component Osteocutaneous SCIP-SIEA Free Flap: A Case Report and Literature Review.","authors":"Yanis Berkane, Elise Lupon, Pierre Muret, Jérôme Laloze, Nicolas Bertheuil, Christian Herlin, Paul Girard, Hadrien Paoli","doi":"10.1055/a-2635-2680","DOIUrl":"10.1055/a-2635-2680","url":null,"abstract":"Complex defects resulting from infected bone or joints with or without osteosynthesis or prosthetic material lead to significant challenges that need to be addressed through orthoplastic approaches. Foot and ankle reconstruction is particularly difficult due to the lack of local or regional flap solutions in this highly mobile joint, which often necessitates microsurgical flaps in extended defects. In addition, rigorous bone reconstruction is critical to acute bone infection to minimize the risks of functional impairments. We present a novel approach using a chimeric osteocutaneous flap to address a complex calcaneus fracture with extended postoperative skin necrosis and septic pseudoarthrosis. A dual skin paddle (16 × 6.5 cm and 14 × 4.5 cm) was created using a superficial inferior epigastric artery (SIEA)-to-superficial circumflex iliac artery (SCIA) anastomosis, while the 7-cm pedicle was increased using a deep inferior epigastric artery graft, which was anastomosed to the tibial anterior vessels. The vascularized iliac crest component enabled optimal reconstruction of the bone defect with rapid healing, while the combined SCIP (superficial circumflex iliac artery perforator)-SIEA skin flap was used to cover the bone reconstruction and skin defect. This microsurgical reconstruction allowed optimal functional recovery at 12 months with successful bone integration and soft tissue coverage. The step-by-step intraoperative technique is described through Video 1 and Supplementary Video 2 .","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 5","pages":"310-316"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114505","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

Analysis of Changes in Scalp Skin Thickness According to Age and Sex Based on Ultrasonography and Histometry. 基于超声和组织学的头皮皮肤厚度随年龄和性别变化分析。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-09-01 DOI: 10.1055/a-2646-8750

Kun Yong Sung, Seung Ho Lee, Suk Joon Oh, Chanho Jeong, Jong Dae Kim, Jeong Tae Kim

{"title":"Analysis of Changes in Scalp Skin Thickness According to Age and Sex Based on Ultrasonography and Histometry.","authors":"Kun Yong Sung, Seung Ho Lee, Suk Joon Oh, Chanho Jeong, Jong Dae Kim, Jeong Tae Kim","doi":"10.1055/a-2646-8750","DOIUrl":"10.1055/a-2646-8750","url":null,"abstract":"Background: This study investigates scalp skin thickness using ultrasonography and histometry, exploring its relationship with age and sex.Methods: The study data were obtained from split-thickness skin grafting using hairy scalp skin as the donor site in 102 Korean patients. The skin thickness of the donor scalps was measured using preoperative ultrasound in all 102 patients, and the histometric thickness of a 3-mm punch biopsy near the donor site was measured in 61 patients postoperatively. The scalp skin thickness was statistically analyzed according to age and sex.Results: The mean ultrasonographic thickness was 1.71 ± 0.41 mm, while the mean histometric thickness was 1.93 ± 0.47 mm. The difference was statistically significant ( p < 0.001). Regression analysis showed a significant relationship between ultrasonographic scalp skin thickness and age, but not sex. Thickness increased up to 20 years, with no significant change beyond that.Conclusion: Scalp skin thickness correlates with age, but not sex. Preoperative ultrasonography is crucial for assessing scalp skin thickness, especially for younger patients under 21 years, to optimize scalp grafting outcomes.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 5","pages":"281-286"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114647","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

Combination Treatment with Depressor Anguli Oris Myectomy and Pedicled Buccal Fat Pad Flap for Sequelae of Facial Paralysis: Case Reports. 降角口肌切除术联合带蒂颊脂肪垫瓣治疗面瘫后遗症1例。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-09-01 DOI: 10.1055/a-2631-4203

Ko Nakao, Eri Matoba, Hisashi Sakuma

{"title":"Combination Treatment with Depressor Anguli Oris Myectomy and Pedicled Buccal Fat Pad Flap for Sequelae of Facial Paralysis: Case Reports.","authors":"Ko Nakao, Eri Matoba, Hisashi Sakuma","doi":"10.1055/a-2631-4203","DOIUrl":"10.1055/a-2631-4203","url":null,"abstract":"Facial paralysis sequelae result in functional and cosmetic deficits. Myectomy for facial contractures has been reported, and recently, selective myectomy of the smile antagonists (depressor anguli oris [DAO]) for perioral synkinesis has gained attention. Although less invasive, this approach can lead to postoperative depressed deformities of the myectomy site. We report two cases of facial nerve paralysis. In one case, DAO myectomy was performed for synkinesis with the upper lip levator muscles. In the other, the DAO and depressor labii inferioris were myectomized for facial contractures centered on the lower lip. A pedicled buccal fat pad flap was elevated to cover the myectomy defect, preventing postoperative depressed deformity. One year postoperatively, no depressed deformities were observed; lower lip symmetry and oral commissure movement improved, achieving a natural smile. As the procedure involves the transfer of vascularized blood-rich buccal fat, the risk of postoperative induration and contracture is lower than that with fat injections.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 5","pages":"295-299"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114729","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

Consumer Perceptions of Pattern Hair Loss: Insights from the South Korea Survey. 消费者对发型脱发的看法：来自韩国调查的见解。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-08-29 eCollection Date: 2025-09-01 DOI: 10.1055/a-2644-3558

Jino Kim, Jovian Wan, Olena Sydorchuk, Kyu-Ho Yi

引用次数: 0

The Effectiveness of Nasal Conformers in Patients with Unilateral Cleft Lip and Palate Following Primary Cheiloplasty: A Systematic Review and Meta-Analysis. 鼻部整形术在单侧唇腭裂术后的疗效：一项系统综述和meta分析。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-07-23 eCollection Date: 2025-07-01 DOI: 10.1055/a-2572-6342

Jutharat Chimruang, Saran Worasakwutiphong, Ratchawan Tansalarak

{"title":"The Effectiveness of Nasal Conformers in Patients with Unilateral Cleft Lip and Palate Following Primary Cheiloplasty: A Systematic Review and Meta-Analysis.","authors":"Jutharat Chimruang, Saran Worasakwutiphong, Ratchawan Tansalarak","doi":"10.1055/a-2572-6342","DOIUrl":"10.1055/a-2572-6342","url":null,"abstract":"Background: This study aims to evaluate the effectiveness of nasal conformers in patients with unilateral cleft lip and palate (UCLP) following primary cheiloplasty.Methods: We conducted a comprehensive search in PubMed, EMBASE, the Cochrane Central Register of Clinical Trials (CENTRAL), and EBSCO Open Dissertation from inception to November 2023. We included three retrospective and one prospective cohort studies evaluating the effect of postoperative nasal conformers after primary cheiloplasty. Data extraction and risk of bias assessment were performed using the Risk of Bias in Non-Randomized Studies of Intervention (ROBINS-I) tool. A meta-analysis was conducted using a random-effects model to pool data and determine overall effect sizes with a 95% confidence interval (CI). The mean difference (MD) was calculated for nostril height and nostril width outcomes. The study was registered with PROSPERO (CRD42024511395).Results: The four included studies represented 83 treated patients and 84 controls. The overall quality of studies was moderate, as assessed by the ROBINS-I tool. Meta-analysis results showed that nostril width was wider on the cleft side compared with controls (MD = 1.10; 95% CI: 0.64, 1.56), while nostril height was lower on the cleft side (MD = -0.73; 95% CI: -1.20, -0.26). Ratios for nostril width and nostril height were generally closer to symmetry.Conclusion: This study suggests that nasal conformers may improve nasal symmetry in patients with UCLP following primary cheiloplasty. Further research, including randomized controlled trials and long-term follow-up studies, is needed to confirm these findings and refine the use of nasal conformers in clinical practice.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 4","pages":"225-233"},"PeriodicalIF":1.5,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12286684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709439","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

The Preoperative Planning, Design, and Execution of the Freestyle Propeller Flap: A Detailed Description and the Case Series. 术前规划，设计和执行自由式螺旋桨皮瓣：一个详细的描述和案例系列。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-07-23 eCollection Date: 2025-07-01 DOI: 10.1055/a-2620-3297

Hyung Bae Kim, Seong John Han, Joon Pio Hong, Hyunsuk Peter Suh

{"title":"The Preoperative Planning, Design, and Execution of the Freestyle Propeller Flap: A Detailed Description and the Case Series.","authors":"Hyung Bae Kim, Seong John Han, Joon Pio Hong, Hyunsuk Peter Suh","doi":"10.1055/a-2620-3297","DOIUrl":"10.1055/a-2620-3297","url":null,"abstract":"Background: Propeller flap reconstruction has been widely utilized in soft tissue reconstruction due to its versatility and aesthetic outcomes. However, technical challenges and the risk of complications persist. This study aims to provide detailed guidelines on the preoperative planning, intraoperative considerations, and execution of propeller flap surgery to reduce complications.Methods: A retrospective review was conducted on 20 consecutive patients undergoing propeller flap reconstruction between January 2018 and December 2020. Preoperative planning involved computed tomography (CT) angiography and color Doppler ultrasound. Flap designs prioritized perforator proximity (<3 cm from the defect), vessel axiality, and tissue laxity assessed by skin pinch tests. Surgical techniques including pedicle skeletonization, flap elevation, rotation, and inset were meticulously followed.Results: No total flap loss occurred. Partial flap loss was observed in one case (5%). Two flaps (10%) exhibited venous congestion, which resolved following leech therapy without necrosis. Defects were predominantly located on the trunk (80%), with malignancy as the primary cause (55%). Mean follow-up duration was 432 days.Conclusions: Careful preoperative planning and adherence to meticulous surgical techniques can significantly reduce complications in propeller flap reconstruction. This structured approach offers a reliable framework, particularly beneficial for surgeons less familiar with propeller flap techniques.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 4","pages":"239-246"},"PeriodicalIF":1.5,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12286683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709440","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