Archives of Plastic Surgery-APS最新文献_第5页

Breast Reconstruction after Blunt Breast Trauma: Systematic Review and Case Report Using the Ribeiro Technique. 钝性乳房创伤后乳房重建:系统回顾和使用Ribeiro技术的病例报告

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-11-30 eCollection Date: 2023-11-01 DOI: 10.1055/a-2121-7560

Horacio F Mayer, René M Palacios Huatuco, Mariano F Ramírez, Ignacio T Piedra Buena

{"title":"Breast Reconstruction after Blunt Breast Trauma: Systematic Review and Case Report Using the Ribeiro Technique.","authors":"Horacio F Mayer, René M Palacios Huatuco, Mariano F Ramírez, Ignacio T Piedra Buena","doi":"10.1055/a-2121-7560","DOIUrl":"10.1055/a-2121-7560","url":null,"abstract":"Blunt breast trauma occurs in 2% of blunt chest injuries. This study aimed to evaluate the evidence on breast reconstruction after blunt trauma associated with the use of a seat belt. Also, we describe the first case of breast reconstruction using the Ribeiro technique. In November 2022, a systematic search of MEDLINE, EMBASE, and Google Scholar databases was conducted. The literature was screened independently by two reviewers, and the data was extracted. Our search terms included breast, mammoplasty, blunt injury, and seat belts. In addition, we present the case of a woman with a left breast deformity and her reconstruction using the inferior Ribeiro flap technique. Six articles were included. All included studies were published between 2010 and 2021. The studies recruited seven patients. According to the Teo and Song classification, seven class 2b cases were reported. In five cases a breast reduction was performed in the deformed breast with different types of pedicles (three superomedial flaps, one lower flap, one superior flap). Only one case presented complications. The case here presented was a type 2b breast deformity in which the lower Ribeiro pedicle was used successfully without complications during follow-up. Until now there has been no consensus on reconstructive treatment due to the rarity of this entity. However, we must consider surgical treatment individually for each patient. We believe that the Ribeiro technique is a feasible and safe alternative in the treatment of posttraumatic breast deformities, offering very good long-term results.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10736189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47631286","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

Associated Factors and Prevention of Upper Pole Rippling in Prepectoral Direct-to-Implant Breast Reconstruction. 体外直接种植体乳房重建术中上极撕裂的相关因素及预防

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-11-30 eCollection Date: 2023-11-01 DOI: 10.1055/a-2125-7322

Da Hye Ryu, Oh Young Joo, Yun Ho Roh, Eun Jung Yang, Seung Yong Song, Dong Won Lee

{"title":"Associated Factors and Prevention of Upper Pole Rippling in Prepectoral Direct-to-Implant Breast Reconstruction.","authors":"Da Hye Ryu, Oh Young Joo, Yun Ho Roh, Eun Jung Yang, Seung Yong Song, Dong Won Lee","doi":"10.1055/a-2125-7322","DOIUrl":"10.1055/a-2125-7322","url":null,"abstract":"Background Despite its many advantages, prepectoral breast reconstruction also carries the risk of implant rippling. The recent introduction of partial superior implant coverage using a pectoralis muscle slip in prepectoral direct-to-implant (DTI) breast reconstruction has shown the potential to minimize upper pole rippling. The purpose of this study was to identify factors associated with rippling and the effectiveness of our surgical technique. Methods In total, 156 patients (186 breasts) who underwent prepectoral DTI breast reconstruction between August 2019 and March 2021 were identified retrospectively. Patient data were analyzed from medical records. Univariable and multivariable logistic analyses were performed to contextualize the risks associated with rippling deformity relative to demographic characteristics and other clinical factors. Retrospective propensity-matched analysis was performed to identify the relationship between rippling deformity and the reconstruction method. Results Patients with body mass index (BMI; odds ratio [OR], 0.736; p < 0.001), those with a postoperative chemotherapy history (OR, 0.324; p = 0.027) and those who received breast reconstruction via the superior coverage technique (OR, 0.2; p = 0.004), were less likely to develop rippling deformity. The median follow-up period was 64.9 weeks, and there were no significant differences between patients in types of mastectomy, implant, or acellular dermal matrix. Patients who underwent superior coverage technique-based reconstruction showed significantly reduced rippling (OR, 0.083; p = 0.017) Conclusion Patients with higher BMI and prior postoperative chemotherapy were less likely to develop rippling deformity. The superior coverage technique can be effective in minimizing upper pole rippling.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10736204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48609491","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

Management of ptosis in Kearns Sayre syndrome (KSS): a case report and Literature review on Management of ptosis in KSS 卡恩斯·塞尔综合征(KSS)上睑下垂的处理:1例报告及文献综述

Archives of Plastic Surgery-APS Pub Date : 2023-11-09 DOI: 10.1055/a-2207-7587

MOULAY OMAR MOUSTAINE, Zakaria Azmour, Mohamed Frarrchi, Othman Benenda, Hicham Nassik, Mahdi Karkouri

引用次数: 0

Identifying Barriers Faced by Applicants without a Home Residency Program when Matching into Plastic Surgery 确定没有家庭住院医师计划的申请人在匹配整形手术时面临的障碍

Archives of Plastic Surgery-APS Pub Date : 2023-11-02 DOI: 10.1055/a-2202-9219

Steven Zeng, Gloria Zhang, Denisse Fimbres, Caitrin Curtis, Adam Glener, Andres J Hernandez, William Tian, Emmanuel O Emovon, Brett Phillips

{"title":"Identifying Barriers Faced by Applicants without a Home Residency Program when Matching into Plastic Surgery","authors":"Steven Zeng, Gloria Zhang, Denisse Fimbres, Caitrin Curtis, Adam Glener, Andres J Hernandez, William Tian, Emmanuel O Emovon, Brett Phillips","doi":"10.1055/a-2202-9219","DOIUrl":"https://doi.org/10.1055/a-2202-9219","url":null,"abstract":"BACKGROUND Applying into plastic surgery is competitive. Lacking a home residency program (HRP) is another barrier. Our goal is to characterize challenges faced by plastic surgery (PS) applicants without HRPs and identify solutions. METHODS Surveys were designed for current integrated PS residents and applicants in the 2022 Match without HRPs. Surveys were distributed electronically. Only U.S. allopathic graduate responses were included. RESULTS Of 182 individuals surveyed, 74 responded (39%, 33-residents, 41-applicants). Sixty-six percent reported feeling disadvantaged due to lacking an HRP. 76% of applicants successfully matched. Of these, 48% felt they required academic time off (research year) vs 10% of unmatched applicants. 97% of matched applicants identified a mentor vs 40% of unmatched applicants (p<0.05). Matched applicants identified mentors through research (29%) and cold calling/emailing (25%). Matched vs unmatched applicants utilized the following resources: senior students (74vs10%), (p<0.05) and social media (52vs10%), (p<0.05). Among residents, sixteen had PS divisions (48%). Thirty-six percent with divisions felt they had opportunities to explore PS, compared to 12% without divisions. Residents without divisions felt disadvantaged in finding research (94vs65%, p<0.05), delayed in deciding on PS (50vs28%), and obtaining mentors (44vs35%) and letters of recommendation (LOR) (31vs24%). CONCLUSIONS PS residents and applicants without HRPs reported feeling disadvantaged when matching. The data suggest access to departments or divisions assists in matching. We identified external outreach and research were successful strategies to obtain mentorship. To increase awareness for unaffiliated applicants, we should increase networking opportunities during local, regional, and national meetings.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135972910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dye-Perfused Human Placenta for Simulation in a Microsurgery Laboratory for Plastic Surgeons. 用于整形外科显微外科实验室模拟的染料灌注人胎盘

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-11-01 DOI: 10.1055/a-2113-4182

Laura C Zambrano-Jerez, Karen D Díaz-Santamaría, María A Rodríguez-Santos, Diego F Alarcón-Ariza, Genny L Meléndez-Flórez, Mónica A Ramírez-Blanco

{"title":"Dye-Perfused Human Placenta for Simulation in a Microsurgery Laboratory for Plastic Surgeons.","authors":"Laura C Zambrano-Jerez, Karen D Díaz-Santamaría, María A Rodríguez-Santos, Diego F Alarcón-Ariza, Genny L Meléndez-Flórez, Mónica A Ramírez-Blanco","doi":"10.1055/a-2113-4182","DOIUrl":"10.1055/a-2113-4182","url":null,"abstract":"In recent decades, a number of simulation models for microsurgical training have been published. The human placenta has received extensive validation in microneurosurgery and is a useful instrument to facilitate learning in microvascular repair techniques as an alternative to using live animals. This study uses a straightforward, step-by-step procedure for instructing the creation of simulators with dynamic flow to characterize the placental vascular tree and assess its relevance for plastic surgery departments. Measurements of the placental vasculature and morphological characterization of 18 placentas were made. After the model was used in a basic microsurgery training laboratory session, a survey was given to nine plastic surgery residents, two microsurgeons, and one hand surgeon. In all divisions, venous diameters were larger than arterial diameters, with minimum diameters of 0.8 and 0.6 mm, respectively. The majority of the participants considered that the model faithfully reproduces a real microsurgical scenario; the consistency of the vessels and their dissection are similar in in vivo tissue. Furthermore, all the participants considered that this model could improve their surgical technique and would propose it for microsurgical training. As some of the model's disadvantages, an abundantly thick adventitia, a thin tunica media, and higher adherence to the underlying tissue were identified. The color-perfused placenta is an excellent tool for microsurgical training in plastic surgery. It can faithfully reproduce a microsurgical scenario, offering an abundance of vasculature with varying sizes similar to tissue in vivo, enhancing technical proficiency, and lowering patient error.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10736195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47296719","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

Nasal Osteotomies Revisited in Asian: Surface Aesthetics, Anatomical and Technical Considerations 亚洲的鼻截骨术:表面美学、解剖和技术考虑

Archives of Plastic Surgery-APS Pub Date : 2023-10-31 DOI: 10.1055/a-2201-8219

Jae-Yong Jeong, Taek-Kyun Kim, Inhoe Ku, Bakhtiyor Najmiddinov

{"title":"Nasal Osteotomies Revisited in Asian: Surface Aesthetics, Anatomical and Technical Considerations","authors":"Jae-Yong Jeong, Taek-Kyun Kim, Inhoe Ku, Bakhtiyor Najmiddinov","doi":"10.1055/a-2201-8219","DOIUrl":"https://doi.org/10.1055/a-2201-8219","url":null,"abstract":"Background: Although osteotomy is commonly performed in rhinoplasty, it is difficult for less experienced surgeon to understand mechanism of the procedure. The primary goal of this study is to improve understanding of nasal osteotomy in Asians by considering the surface aesthetics and anatomy of the nose as well as their relationships with the surgical procedure. Methods: Surface aesthetics, anatomic considerations, kinetics of medial and lateral osteotomy, fracture levels of osteotomy were discussed in detail by reviewing the previous publications and 18 years of our experience. Moreover, the technical details of osteotomy were explained and personal tips for performing successful osteotomy were described. Results: Dorsal and lateral aesthetic lines, dorsal and basal widths are main characteristics related to the surface aesthetics of nose to perform the osteotomy. In addition, these features are different in Asian population due to the anatomic difference with Caucasians, which makes the procedure difficult and requires more attention to perform osteotomy. Conclusion: Because osteotomy is one of the most traumatic and invasive part of the rhinoplasty, it is crucial for the rhinoplasty surgeon to understand the relationship between surface aesthetics and osteotomy techniques to produce consistent and reproducible results.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135808956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Serial Tissue Expansion and Skin Grafts in the Management of a Giant Congenital Nevus of the Face: Review of Literature and Case Report 连续组织扩张和皮肤移植治疗面部巨大先天性痣:文献回顾和病例报告

Archives of Plastic Surgery-APS Pub Date : 2023-10-31 DOI: 10.1055/a-2201-8061

Thiết Sơn Trần, Tuấn Nghĩa Phan, Pham Thi Viet Dung, Hồng Thúy Tạ Thị, Tuấn Anh Hoàng, Anh Huy Lê

引用次数: 0

Does lympho-venous anastomosis effect for mTOR inhibitor-associated lymphedema patients? 淋巴-静脉吻合术对mTOR抑制剂相关性淋巴水肿患者有效吗?

Archives of Plastic Surgery-APS Pub Date : 2023-10-30 DOI: 10.1055/a-2201-5881

Inah Yoon, HyungBae Kim, Jeongmok Cho, Changsik John Pak, Hyunsuk Peter Suh, Jae Yong Jeon, Jp Hong

{"title":"Does lympho-venous anastomosis effect for mTOR inhibitor-associated lymphedema patients?","authors":"Inah Yoon, HyungBae Kim, Jeongmok Cho, Changsik John Pak, Hyunsuk Peter Suh, Jae Yong Jeon, Jp Hong","doi":"10.1055/a-2201-5881","DOIUrl":"https://doi.org/10.1055/a-2201-5881","url":null,"abstract":"The mTOR inhibitors are used to prevent organ transplant rejection and is preferred over other immunosuppressants due to its low nephrotoxicity. However, mTOR inhibitors have been associated with various adverse effects including lymphedema. Although rare in incidence, previously known treatments for mTOR inhibitor induced lymphedema were limited to discontinuation of related drugs and complex disruptive therapy with variable results. In this article, three patients who developed lymphedema in their lower limbs after using mTOR inhibitors, including two bilateral and one unilateral case, were treated with physiologic surgery methods such as lympho-venous anastomosis and lymph node transfer. The efficacy of the treatment was evaluated. In the three cases described, cessation of the drug did not lead to any reduction in edema. The use of lympho-venous anastomosis (LVA) and lymph node transfer resulted in early reductions in volume but failed to sustain over time. All patients underwent secondary nonphysiologic surgery such as liposuction resulting in sustained improvement. This series presents the first physiologic approach to mTOR inhibitor induced lymphedema. Although further study is warranted, the physiologic surgical options may have limited success and nonphysiologic options may offer better sustainable results.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136104650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Modified Urethral Graciloplasty Cross-Innervated by the Pudendal Nerve for Postprostatectomy Urinary Incontinence: Cadaveric Simulation Surgery and a Clinical Case Report. Pudendal神经交叉支配改良尿道成形术治疗前列腺切除术后尿失禁：尸体模拟手术和临床病例报告

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-10-17 eCollection Date: 2023-11-01 DOI: 10.1055/a-1995-1513

Hisashi Sakuma, Masaki Yazawa, Makoto Hikosaka, Yumiko Uchikawa-Tani, Masayoshi Takayama, Kazuo Kishi

{"title":"Modified Urethral Graciloplasty Cross-Innervated by the Pudendal Nerve for Postprostatectomy Urinary Incontinence: Cadaveric Simulation Surgery and a Clinical Case Report.","authors":"Hisashi Sakuma, Masaki Yazawa, Makoto Hikosaka, Yumiko Uchikawa-Tani, Masayoshi Takayama, Kazuo Kishi","doi":"10.1055/a-1995-1513","DOIUrl":"10.1055/a-1995-1513","url":null,"abstract":"An artificial sphincter implanted in the bulbous urethra to treat severe postprostatectomy urinary incontinence is effective, but embedding-associated complications can occur. We assessed the feasibility, efficacy, and safety of urethral graciloplasty cross-innervated by the pudendal nerve. A simulation surgery on three male fresh cadavers was performed. Both ends of the gracilis muscle were isolated only on its vascular pedicle with proximal end of the obturator nerve severed and transferred to the perineum. We examined whether the gracilis muscle could be wrapped around the bulbous urethra and whether the obturator nerve was long enough to suture with the pudendal nerve. In addition, surgery was performed on a 71-year-old male patient with severe urinary incontinence. The postoperative 12-month outcomes were assessed using a 24-hour pad test and urodynamic study. In all cadaveric simulations, the gracilis muscles could be wrapped around the bulbous urethra in a γ-loop configuration. The length of the obturator nerve was sufficient for neurorrhaphy with the pudendal nerve. In the clinical case, the postoperative course was uneventful. The mean maximum urethral closure pressure and functional profile length increased from 40.7 to 70 cm H 2 O and from 40.1 to 45.3 mm, respectively. Although urinary incontinence was not completely cured, the patient was able to maintain urinary continence at night. Urethral graciloplasty cross-innervated by the pudendal nerve is effective in raising the urethral pressure and reducing urinary incontinence.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10736196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41680182","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 Classification of Gluteal Augmentation 臀隆的分类

Archives of Plastic Surgery-APS Pub Date : 2023-10-16 DOI: 10.1055/a-2192-0339

EBAA SABRI, Achraf DAOUD

引用次数: 0