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

Outcome of Rotation Flap Combined with Incisional Negative Pressure Wound Therapy for Plantar Diabetic Foot Ulcers. 旋转皮瓣联合切口负压创面治疗足底糖尿病足溃疡的疗效。

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2025-05-15 eCollection Date: 2025-05-01 DOI: 10.1055/a-2544-2938

Jiajun Feng, Coeway Boulder Thng, Jason Wong, Quah Mei Fern Alison, Nicole Tao Ying Lim, Francis Keng Lin Wong, Kimberley Leow, Leon Timothy Charles Alvis, Sum Leong, Farah Gillan Irani, Wenxian Png, Eric Wei Liang Cher, Yee Onn Kok, Allen Wei-Jiat Wong, Khong Yik Chew

{"title":"Outcome of Rotation Flap Combined with Incisional Negative Pressure Wound Therapy for Plantar Diabetic Foot Ulcers.","authors":"Jiajun Feng, Coeway Boulder Thng, Jason Wong, Quah Mei Fern Alison, Nicole Tao Ying Lim, Francis Keng Lin Wong, Kimberley Leow, Leon Timothy Charles Alvis, Sum Leong, Farah Gillan Irani, Wenxian Png, Eric Wei Liang Cher, Yee Onn Kok, Allen Wei-Jiat Wong, Khong Yik Chew","doi":"10.1055/a-2544-2938","DOIUrl":"10.1055/a-2544-2938","url":null,"abstract":"Background Diabetic foot ulcers (DFUs) affect approximately 20% of diabetic patients and pose significant risks, especially for plantar wounds that bear weight. Conventional treatments often have suboptimal results, necessitating the exploration of reconstructive options. Plastic surgery interventions, such as skin grafts and flaps, have shown promising outcomes, but with considerable complications. This study evaluates the efficacy of rotation flap reconstruction with incisional negative pressure wound therapy (NPWT) for plantar DFUs. Methods We conducted a retrospective review of 42 patients who underwent rotation flap closure for plantar DFUs. We optimized the preoperative conditions with aggressive infection control and vascular assessment. We performed rotation flaps with incisional NPWT as the operative technique. We managed the postoperative conditions with offloading continuous incisional NPWT and footwear. Results All patients achieved initial wound healing, with a median duration of 36 days. Complications occurred in 14% of cases. The recurrence rate was 21% during follow-up, which was significantly higher in patients with Charcot foot deformity. We present three illustrative cases that demonstrate the efficacy of rotation flaps. Conclusion Rotation flap closure, supplemented by incisional NPWT, emerges as a viable option for plantar DFUs, achieving high initial healing rates, low complications, and reduced recurrence. Notably, patients with Charcot foot deformity require more attention and intervention to prevent recurrence.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 3","pages":"169-177"},"PeriodicalIF":1.3,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095412","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

Long-term Follow-up Study for Fractured and Non-Fractured Hand Enchondromas Treated by Sole Curettage. 足底刮除治疗骨折性和非骨折性手内生纤维瘤的长期随访研究。

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2025-05-15 eCollection Date: 2025-05-01 DOI: 10.1055/a-2466-4905

Cosima Prahm, Laura Kefalianakis, Johannes Heinzel, Jonas Kolbenschlag, Adrien Daigeler, Henrik Lauer

{"title":"Long-term Follow-up Study for Fractured and Non-Fractured Hand Enchondromas Treated by Sole Curettage.","authors":"Cosima Prahm, Laura Kefalianakis, Johannes Heinzel, Jonas Kolbenschlag, Adrien Daigeler, Henrik Lauer","doi":"10.1055/a-2466-4905","DOIUrl":"10.1055/a-2466-4905","url":null,"abstract":"Background Enchondromas are the most common primary tumors in the small tubular bones of the hand, and fractures are often the result of thinned cortical bone. The main question was whether fractured enchondromas influence long-term clinical and radiological outcomes. Methods Between 2000 and 2019, 57 patients with previously treated fractured (group I) and non-fractured (group II) hand enchondromas (34 female, 23 male; mean age 39.4 ± 13.7 years) were evaluated for clinical and radiological treatment outcomes. Short Form-36 Health Survey (SF-36) and Disabilities of the Arm Shoulder and Hand (DASH) questionnaires as well as patient-reported experience measures were used to assess subjective health outcomes. Subsequently, 43 patients underwent clinical and radiological follow-ups. Comparative evaluation of objective treatment outcomes in both groups was conducted in terms of hand functionality, perioperative complications, recurrence rates, and osteogenesis. Results Almost half of the patients suffered enchondromas with fractures (49.1%, n = 28). Two patients received additional k-wire stabilization due to intraoperative instability. Defect resolution could be reached in 97.7% ( n = 42) of all cases. No recurrence of enchondroma was observed. Groups were equal regarding radiological and clinical outcomes. The patient-reported experiences were predominantly positive (86%), and both cohorts had good to very good results with a DASH mean score of 4 (± 6.3). The SF-36 demonstrated a return to normal quality of life in both groups. The mean follow-up time was 7.78 years (± 4.8). Conclusion Sole curettage of enchondromas yields effective outcomes with good to excellent results regardless of the presence of a fracture. Long-term radiological follow-up is not required until symptomatic recurrence.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 3","pages":"137-144"},"PeriodicalIF":1.3,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095403","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

Lipedema: Clinical Features, Diagnosis, and Management. 脂肪水肿：临床特征、诊断和管理。

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2025-05-15 eCollection Date: 2025-05-01 DOI: 10.1055/a-2530-5875

Hatan Mortada, Abdulmalek W Alhithlool, Nouf Z AlBattal, Rashika K Shetty, Ghaleb A Al-Mekhlafi, Joon Pio Hong, Feras Alshomer

{"title":"Lipedema: Clinical Features, Diagnosis, and Management.","authors":"Hatan Mortada, Abdulmalek W Alhithlool, Nouf Z AlBattal, Rashika K Shetty, Ghaleb A Al-Mekhlafi, Joon Pio Hong, Feras Alshomer","doi":"10.1055/a-2530-5875","DOIUrl":"10.1055/a-2530-5875","url":null,"abstract":"Lipedema is an adipose tissue disorder that principally affects women and is frequently misidentified as obesity or lymphedema. There have been relatively few studies that have precisely defined the pathogenesis, epidemiology, and treatment approaches for lipedema. However, successfully recognizing lipedema as a distinct condition is important for proper management. This review aimed to examine the existing literature on the epidemiology, pathogenesis, clinical presentation, differential diagnosis, and treatments for lipedema. The current research indicates that lipedema appears to be a clinical entity related to genetic factors and fat distribution, although distinct from lymphedema and obesity. Some available treatments include complex decongestive physiotherapy, liposuction, and laser-assisted lipolysis. The management of lipedema is complex and differs from that of lymphedema. Further high-quality randomized controlled trials are urgently needed to continue advancing our understanding of this often neglected disease and exploring optimal medical and surgical treatment regimens tailored specifically for lipedema patients. In summary, despite frequent misdiagnosis, enhanced recognition, and research into customized therapeutic strategies for this poorly characterized but likely underdiagnosed disorder represent promising steps forward. Level of evidence N/A.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 3","pages":"185-196"},"PeriodicalIF":1.3,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095399","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

Functional Reconstruction of Lower Eyelid Using Paramedian Forehead Flap Combined with Frontalis Muscle and Periosteum. 额旁正中瓣联合额肌骨膜重建下眼睑功能。

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2025-05-15 eCollection Date: 2025-05-01 DOI: 10.1055/a-2521-2337

Riku Katayama, Takako Fujii, Chie Kanayama, Hisashi Sakuma

{"title":"Functional Reconstruction of Lower Eyelid Using Paramedian Forehead Flap Combined with Frontalis Muscle and Periosteum.","authors":"Riku Katayama, Takako Fujii, Chie Kanayama, Hisashi Sakuma","doi":"10.1055/a-2521-2337","DOIUrl":"10.1055/a-2521-2337","url":null,"abstract":"Both cosmetic and functional aspects are important in reconstructing the lower eyelid tissue defects. In this case report, we describe a two-stage reconstruction of a skin defect, including the orbicularis oculi muscle, after resection of a basal cell carcinoma using a paramedian forehead flap combined with the frontalis muscle and periosteum. In the first stage, the paramedian forehead flap, including the frontalis muscle and periosteum, was elevated, the periosteal flap was fixed to the outer orbital periosteum to lift the lower eyelid, and the skin flap, including the frontalis muscle, was sutured to the defect. In the second stage, the flap was divided and the frontalis muscle flap was sutured to the medial palpebral ligament. Electromyography at 1 year postoperatively confirmed neurotization of the transferred muscle, and at 6 months, voluntary contraction of the transferred muscle was observed during eyelid closure. These results suggest that a paramedian flap combined with the frontalis muscle and periosteum is a useful option for reconstructing horizontal skin defects involving the orbicularis oculi muscle.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 3","pages":"132-136"},"PeriodicalIF":1.3,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095396","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

Comparison of Sensory Recovery between Random Pattern Flap and Axial Pattern Flap in Finger Defect Reconstruction. 随机型皮瓣与轴型皮瓣在手指缺损重建中的感觉恢复比较。

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2025-05-15 eCollection Date: 2025-05-01 DOI: 10.1055/a-2521-2291

Tien Duc Nguyen, Thanh Dinh Trinh, Thuong Van Pham

{"title":"Comparison of Sensory Recovery between Random Pattern Flap and Axial Pattern Flap in Finger Defect Reconstruction.","authors":"Tien Duc Nguyen, Thanh Dinh Trinh, Thuong Van Pham","doi":"10.1055/a-2521-2291","DOIUrl":"10.1055/a-2521-2291","url":null,"abstract":"Background This study aimed to investigate the association between the use of different flaps, including random and axial pattern flaps, and sensory recovery following finger soft tissue reconstruction using local pedicle flaps. Methods A longitudinal study was conducted on 115 patients with 130 finger soft tissue defects treated with local pedicle flaps between December 2016 and December 2020. Assessments were made at early postsurgery (119 flaps), 3 months postsurgery (110 soft tissue defects), and 6 months postsurgery (94 soft tissue defects). Sensory recovery outcomes were compared between soft tissue defects reconstructed using random and axial pattern flaps. Results In the early postsurgery period, there was a significantly higher prevalence of a static sense of two-point discrimination (s2PD) ≤6 mm among fingers with random pattern flaps (96.2%) than among fingers with axial pattern flaps (64.5%). The probability of s2PD ≤6 mm at the donor and recipient sites with the direct flap was 75.5% and 25.5%, respectively, which was significantly higher than that with the reversed flap. After 6 months, there was a significant difference in sensory recovery compared to that at 3 months postsurgery but not between different flap types. Conclusion Sensory recovery after reconstruction was observed with all flap types, and better sensory recovery can be achieved in a shorter time postsurgery using random pattern flaps.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 3","pages":"145-152"},"PeriodicalIF":1.3,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095394","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

Selective Neurectomy of the Facial Nerve with Cross-Face Nerve Graft for Treating Postparalytic Facial Nerve Syndrome. 选择性面神经切除术联合面神经移植治疗麻痹后面神经综合征。

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2025-05-15 eCollection Date: 2025-05-01 DOI: 10.1055/a-2531-3083

Ko Nakao, Takako Fujii, Hisashi Sakuma

引用次数: 0

Challenges with Conventional Dermal Filler Guidelines: Considering Multi-Axes Facial Rotation Asymmetry Patterns. 传统真皮填充指南的挑战：考虑多轴面部旋转不对称模式。

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2025-05-15 eCollection Date: 2025-05-01 DOI: 10.1055/a-2545-1758

Erik Koppert, Kyu-Ho Yi

{"title":"Challenges with Conventional Dermal Filler Guidelines: Considering Multi-Axes Facial Rotation Asymmetry Patterns.","authors":"Erik Koppert, Kyu-Ho Yi","doi":"10.1055/a-2545-1758","DOIUrl":"10.1055/a-2545-1758","url":null,"abstract":"Facial asymmetry is inherent from birth, and it becomes more pronounced with age due to changes in the facial skeleton at various rates and locations. As new insights into \"multi-axes facial rotation\" patterns emerge, there is a pressing need to update the standards for facial assessment, consultation, and treatment to align with modern aesthetic practices. Traditional methods like MD Codes™ and BeautiPHIcation™, which focus on enhancing specific features or applying mathematical beauty principles, may not adequately address overall facial balance and may neglect the underlying skeletal asymmetries that contribute to a person's appearance. These approaches, while innovative, can result in treatments that might not fully appreciate or correct the foundational asymmetries present in the facial skeleton. Therefore, a comprehensive approach that includes a detailed assessment by skilled practitioners is essential to achieve a balanced aesthetic outcome that not only meets individual aesthetic needs but also enhances patient satisfaction through improved education and trust-building between the clinician and the patient.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 3","pages":"202-205"},"PeriodicalIF":1.3,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095371","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

LVA for Advanced Unilateral Lower Extremity Lymphedema: Impact of ICG Lymphography of Normal Side in Improving the Lymphatic Detection Rate and Operative Time. LVA治疗晚期单侧下肢淋巴水肿：正常侧ICG淋巴造影对提高淋巴检出率和手术时间的影响。

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2025-04-01 eCollection Date: 2025-05-01 DOI: 10.1055/a-2511-8588

Usama Abdelfattah, Tarek Elbanoby, Mona Omarah, Saber M Abdelmaksoud, Eatmad Allam, Serag Monir

{"title":"LVA for Advanced Unilateral Lower Extremity Lymphedema: Impact of ICG Lymphography of Normal Side in Improving the Lymphatic Detection Rate and Operative Time.","authors":"Usama Abdelfattah, Tarek Elbanoby, Mona Omarah, Saber M Abdelmaksoud, Eatmad Allam, Serag Monir","doi":"10.1055/a-2511-8588","DOIUrl":"10.1055/a-2511-8588","url":null,"abstract":"Background Indocyanine green (ICG) lymphography has limited use in the detection of functioning lymphatics in advanced lymphedema. This study presents the use of normal-side ICG lymphography to navigate the potential sites of functional lymphatics and reports its impact on the lymphatic detection rate and operative time. Methods This was a retrospective study of unilateral lower extremity late-stage II or III lymphedema patients who underwent lymphaticovenous anastomosis (LVA) between February 2018 and June 2022. Markings for possible lymphatic vessels were made on the affected side solely in the early group (2018-2019) and on both the affected and normal side in the late group (2020-2022) using ICG lymphography. Results Between 2018 and 2022, 86 patients had complete data for analysis. Dermal backflow stage III was present in 5 limbs (5.81%), stage IV in 40 limbs (46.51%), and stage V in 41 limbs (47.67%). The late group had a higher mean lymphatic detection rate, which was statistically significant in the proximal leg incision site (2.05 ± 0.91 vs. 0.74 ± 0.82; p = 0.041). There was a significant tendency toward lower total LVA operative time per limb in the late group, which was led by the normal side mapping, with a mean operative time of 158 ± 14.88 minutes compared with 199 ± 12.45 minutes in the early group ( p = 0.035). Conclusion Mirroring the affected limb by utilizing the normal-side ICG lymphography in guiding the incision sites for LVA could improve the lymphatic detection rate, minimize the number of incisions, and shorten the operative time.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 3","pages":"178-184"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095406","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

Targeted Muscle Reinnervation-an Up-to-Date Review: Evidence, Indications, and Technique. 靶向肌肉神经重建——最新综述：证据、适应症和技术。

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2025-04-01 eCollection Date: 2025-05-01 DOI: 10.1055/a-2521-2199

Ava G Chappell, Matthew D Ramsey, Seong Park, Gregory A Dumanian, Jason H Ko

引用次数: 0

Downward Repositioning of Breast Mound with Early Phase Intervention for Autologous Breast Reconstruction Patients. 自体乳房再造术患者乳房丘向下定位及早期干预。

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2025-03-24 eCollection Date: 2025-05-01 DOI: 10.1055/a-2525-5772

Makoto Shimabukuro, Naohiro Ishii, Naohiko Ikura, Kyoichi Matsuzaki, Kazuo Kishi

{"title":"Downward Repositioning of Breast Mound with Early Phase Intervention for Autologous Breast Reconstruction Patients.","authors":"Makoto Shimabukuro, Naohiro Ishii, Naohiko Ikura, Kyoichi Matsuzaki, Kazuo Kishi","doi":"10.1055/a-2525-5772","DOIUrl":"10.1055/a-2525-5772","url":null,"abstract":"In breast reconstruction with a flap transfer, symmetry is often difficult to achieve when the contralateral breast projection has a downward peak. Although minimally invasive and effective methods for postoperative correction of the reconstructed breast mound are desirable, none has been comprehensively reported. We devised a correction method comprising downward movement of the reconstructed breast mound using early postoperative dissection and pressure. This method was applied to four patients undergoing primary two-stage ptotic breast reconstruction with a flap transfer. All of their reconstructed breast mounds were positioned above the contralateral side in the early postoperative period. They underwent manual dissection of the upper edge in flaps under local anesthesia 3 weeks after reconstruction or downward pressure correction using a sponge for 6 months or both procedures. The reconstructed breast mound moved 2 to 2.5 cm downward with early postoperative manual dissection or pressure correction using a sponge and moved 3 cm downward with the combination of both dissection and pressure. Manual dissection in the early postoperative period under local anesthesia and compression with a sponge is minimally invasive and useful for the downward correction of the reconstructed breast mound. The combination of dissection and compression provides a greater corrective effect.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 3","pages":"119-124"},"PeriodicalIF":1.3,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095395","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