Archives of Plastic Surgery-APS最新文献_第3页

Minimizing Surgical Margins in Basal Cell Carcinoma: A Single Institution's Experience with Excision and Reconstruction Methods. 减少基底细胞癌的手术切缘：单一机构的切除和重建方法经验。

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2024-12-27 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1788780

Sang-Oh Lee, Tae Gon Kim, Kyu Jin Chung

{"title":"Minimizing Surgical Margins in Basal Cell Carcinoma: A Single Institution's Experience with Excision and Reconstruction Methods.","authors":"Sang-Oh Lee, Tae Gon Kim, Kyu Jin Chung","doi":"10.1055/s-0044-1788780","DOIUrl":"10.1055/s-0044-1788780","url":null,"abstract":"Background Basal cell carcinoma (BCC) is the predominant nonmelanocytic skin cancer, with preservation of both function and aesthetics being essential during tumor removal. Existing surgical margin guidelines primarily target ill-defined BCCs prevalent in Western countries. Therefore, this study aims to demonstrate the efficacy of surgical removal, propose modified guidelines for wide excision tailored to Asian patients, and share experiences with various reconstruction methods. Methods This study encompasses 418 patients (447 cases) who underwent BCC excision from March 2015 to June 2023 at our institution. Wide excision extended 2 mm beyond the tumor edge universally, with an additional 2 mm resected if tumor cells persisted in the frozen biopsy, followed by appropriate reconstruction. Patient demographics, tumor features, reconstruction methods, complications, and recurrence rates were analyzed. Results Predominantly, reconstructions involved local flaps (244), skin grafts (102), and direct closure (72). Significant differences were noted in age, location, and tumor size among these groups. The rate of second resection increased from upper to lower facial subunits, peaking at 11.1% in the lower subunit, with a statistically significant difference ( p = 0.024). Additional resection was required in 5.50% of cases, with a significantly higher incidence of ill-defined borders, pigmentation, and the infiltrative subtype compared with others. Complications were minor; recurrence occurred in only one case, 6 months postinitial nasal dorsum surgery. Conclusion Surgical excision is highly effective, supported by various reconstruction options. We propose narrower guidelines for wide excision considering tumor characteristics and recurrence locations, resulting in smaller defects addressed with simpler reconstruction methods.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 1","pages":"30-35"},"PeriodicalIF":1.3,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025147","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

Successful Treatment of Primary Eyelid Lymphedema by Periorbital Lymphovenous Anastomosis: A Case Report. 眶周淋巴静脉吻合术成功治疗原发性眼睑淋巴水肿1例。

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2024-12-27 eCollection Date: 2025-03-01 DOI: 10.1055/s-0044-1792168

Han Gyu Cha, Dong Yun Hyun, Eun Soo Park, Chang Yong Choi, Seung Min Nam

引用次数: 0

Neoadjuvant Immunotherapy and De-escalation of Surgery in Locally Advanced Breast Implant-associated Anaplastic Large Cell Lymphoma. 局部晚期乳房植入物相关间变性大细胞淋巴瘤的新辅助免疫治疗和手术降级。

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2024-12-24 eCollection Date: 2025-01-01 DOI: 10.1055/a-2427-2066

Marzia Salgarello, Jaroslaw Krupa, Rebecca Allchin, Simon Pilgrim, Fiona Miall, Arianna Di Napoli, Maurizio Martelli, Giulio Tarantino

{"title":"Neoadjuvant Immunotherapy and De-escalation of Surgery in Locally Advanced Breast Implant-associated Anaplastic Large Cell Lymphoma.","authors":"Marzia Salgarello, Jaroslaw Krupa, Rebecca Allchin, Simon Pilgrim, Fiona Miall, Arianna Di Napoli, Maurizio Martelli, Giulio Tarantino","doi":"10.1055/a-2427-2066","DOIUrl":"10.1055/a-2427-2066","url":null,"abstract":"Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a rare form of non-Hodgkin T-cell lymphoma diagnosed in patients with a history of breast implants. Most patients develop a periprosthetic effusion at early stages of disease while less common presentations include a palpable mass, severe capsular contracture, lymphadenopathy, or cutaneous erythema. Due to the complex nature of this disease, a multidisciplinary approach is necessary for optimal management, particularly in locally advanced disease or inoperable patients. We present the successful use of neoadjuvant therapeutic protocols in two cases of locally advanced BIA-ALCL. The first case was a 52-year-old patient with a left breast mass-like stage III disease who underwent combined targeted immunotherapy and chemotherapy (brentuximab vedotin [BV]-cyclophosphamide, doxorubicin, prednisone [CHP]). Following a complete radiological and metabolic response, the patient underwent bilateral implant removal, right total intact capsulectomy, left en bloc capsulectomy, and skin resection from the left inframammary fold in continuity with the capsule. The second case was a 65-year-old patient with right breast swelling and mass-like stage IIA disease who received targeted immunotherapy, BV. Following a complete metabolic response, she underwent bilateral implant removal and en bloc capsulectomy. A literature review and the reported cases suggest the effectiveness of targeted immunotherapy as monotherapy or in combination with chemotherapy in locally advanced BIA-ALCL in disease downstaging, surgical de-escalation, reduction of significant postoperative complications, and an acceptable tolerance profile. Although surgery is an essential part of treatment, the timing and type of intervention should be carefully planned, especially when primary, radical resection is uncertain.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 1","pages":"11-20"},"PeriodicalIF":1.3,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025149","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

Evaluation of Nasolabial Aesthetics and Self-Image Satisfaction among 16- to 20-Year-Old Patients with Cleft Lip and Palate in Northeast Thailand. 泰国东北地区16 ~ 20岁唇腭裂患者鼻唇美学及自我形象满意度评价。

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2024-12-24 eCollection Date: 2025-03-01 DOI: 10.1055/s-0044-1792018

Palakorn Surakunprapha, Suteera Pradubwong, Kamonwan Jenwitheesuk, Poonsak Pisek, Bowornsilp Chowchuen

{"title":"Evaluation of Nasolabial Aesthetics and Self-Image Satisfaction among 16- to 20-Year-Old Patients with Cleft Lip and Palate in Northeast Thailand.","authors":"Palakorn Surakunprapha, Suteera Pradubwong, Kamonwan Jenwitheesuk, Poonsak Pisek, Bowornsilp Chowchuen","doi":"10.1055/s-0044-1792018","DOIUrl":"10.1055/s-0044-1792018","url":null,"abstract":"Background Cleft lip and palate (CLP) impact nasolabial appearance, influencing the physical, psychological, and quality of life (QoL) of affected individuals. Evaluations of the nasolabial aesthetics by patients and medical professionals (both experienced and inexperienced) are critical for enhancing patient care. Methods This cross-sectional study enrolled 32 patients aged 16 to 20 years with CLP who underwent continuous treatment at a university hospital in Thailand. Participants were asked to complete the Thaicleft QoL questionnaire for nasolabial aesthetic self-assessment and had their two-dimensional facial images captured and then evaluated by two groups of medical evaluators: four experienced and four inexperienced professionals. Data are presented as means and percentages, with analysis including standard deviations, Cronbach's α for evaluator consistency, kappa for interrater reliability, and the Wilcoxon signed-rank test to compare aesthetic judgments between the experienced and inexperienced medical evaluators. Results Among the 32 patients, 19 (59.37%) were females, and 22 (68.75%) had unilateral CLP and 10 (31.25%) had bilateral CLP, all reporting high nasolabial aesthetic satisfaction. Inexperienced evaluators assigned higher aesthetic scores than their experienced counterparts ( p = 0.01), with statistically significant agreement among inexperienced evaluators in their assessments ( p < 0.05). Both group of evaluators demonstrated high reliability in terms of the lip. Conclusion Experienced evaluators assigned lower aesthetic scores than inexperienced evaluators did. The patients themselves expressed high levels of satisfaction with their nasolabial appearance, indicating that the treatment outcomes were favorable from the patients' perspective.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 2","pages":"82-89"},"PeriodicalIF":1.3,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11896726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626351","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

Malignant Pilomatricoma with Lung Metastases: A Case Report and Literature Review. 恶性毛瘤伴肺转移1例并文献复习。

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2024-12-24 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1792022

Nae-Ho Lee, Jung Kyun Park, Si-Gyun Roh, Jin Yong Shin, Yoon Kyu Chung, Kyu Yun Jang

引用次数: 0

Comparison of Patient-Reported Quality of Life Following Direct-to-Implant Prepectoral and Subpectoral Breast Reconstruction Using BREAST-Q: A Randomized Controlled Trial. 使用 BREAST-Q 对直接植入胸大肌前乳房重建术和胸大肌下乳房重建术后患者报告的生活质量进行比较：随机对照试验。

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2024-11-13 eCollection Date: 2024-11-01 DOI: 10.1055/a-2407-9183

Diana L Dyrberg, Farima Dalaei, Martin Sollie, Camilla Bille, Vibeke Koudahl, Jens A Sørensen, Jørn B Thomsen

{"title":"Comparison of Patient-Reported Quality of Life Following Direct-to-Implant Prepectoral and Subpectoral Breast Reconstruction Using BREAST-Q: A Randomized Controlled Trial.","authors":"Diana L Dyrberg, Farima Dalaei, Martin Sollie, Camilla Bille, Vibeke Koudahl, Jens A Sørensen, Jørn B Thomsen","doi":"10.1055/a-2407-9183","DOIUrl":"10.1055/a-2407-9183","url":null,"abstract":"Background Direct-to-implant breast reconstruction (DIR) is becoming more and more accepted. There is a lack of high-quality studies assessing differences in patient-reported quality of life (QoL) between different implant placement methods. The aim of this randomized controlled (clinical) trial was to compare QoL between women reconstructed by sub- or prepectoral implant placement. Methods We included women over 18 years eligible for DIR. Patients were randomly assigned to reconstruction by subpectoral or prepectoral implant placement. Assessment of QoL and patient satisfaction was made using the BREAST-Q questionnaire for postmastectomy breast reconstruction and compared between the sub- and prepectoral reconstructed groups preoperatively and after 3 and 12 months of follow-up. Results A total of 42 women were allocated to sub- or prepectoral reconstruction with 21 patients in each group. There were no differences in patient characteristics between groups. Regarding all the selected BREAST-Q scales: (1) satisfaction with the reconstructed breast, (2) satisfaction with the breast implant, (3) satisfaction with the overall outcome, (4) psychosocial well-being, (5) sexual well-being, and (6) physical well-being-we found no significant differences between the two groups. Assessing each group independently we found, that in both groups sexual well-being improved after surgery postoperatively compared to the preoperative scores. Conclusion We found high satisfaction and QoL following both sub- and prepectoral breast reconstruction. We found no significant differences between groups suggesting both methods for DIR can be used. Despite our high-quality data, a larger sample size and longer postoperative follow-up are needed to further investigate the differences in QoL between sub- and prepectoral breast reconstruction.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"51 6","pages":"542-548"},"PeriodicalIF":1.3,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11560329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629606","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 Flexor Digitorum Profundus Muscular Adhesion by Pseudo-Volkmann's Contracture without Fracture: A Case Report and Literature Review. 无骨折的假性沃尔曼挛缩引起的严重屈指深肌肌肉粘连：病例报告与文献综述

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2024-11-13 eCollection Date: 2024-11-01 DOI: 10.1055/a-2398-9052

Jae Woo Kim, Jong Chan Kim, Sung Hoon Koh, Jin Soo Kim, Si Young Roh, Kyung Jin Lee, Dong Chul Lee

引用次数: 0

What does it Mean to be a Good Mentor? 好导师意味着什么？

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2024-11-13 eCollection Date: 2024-11-01 DOI: 10.1055/a-2440-2332

Joon Pio Hong

引用次数: 0

The Old and the New-An Ellege. 新与旧--一种说法。

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2024-09-27 eCollection Date: 2024-09-01 DOI: 10.1055/a-2411-7005

Joon Pio Hong, Geoffrey G Hallock

引用次数: 0

Minilifting: Short-Scar Rhytidectomy with Thread Lifting. Minilifting：带线提升的短瘢痕韵线切除术

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2024-09-27 eCollection Date: 2024-09-01 DOI: 10.1055/s-0044-1788907

Kyu Hwa Jung, Won Lee

引用次数: 0