Archives of Plastic Surgery-APS最新文献_第6页

A Novel, Deep Learning Based, Automatic Photometric Analysis Software for Breast Aesthetic Scoring 一种新颖的、基于深度学习的、用于乳房美学评分的自动光度分析软件

Archives of Plastic Surgery-APS Pub Date : 2023-10-12 DOI: 10.1055/a-2190-5781

Joseph Kyu-hyung Park, Seungchul Baek, Chan Yeong Heo, Jae Hoon Jeong, Yujin Myung

{"title":"A Novel, Deep Learning Based, Automatic Photometric Analysis Software for Breast Aesthetic Scoring","authors":"Joseph Kyu-hyung Park, Seungchul Baek, Chan Yeong Heo, Jae Hoon Jeong, Yujin Myung","doi":"10.1055/a-2190-5781","DOIUrl":"https://doi.org/10.1055/a-2190-5781","url":null,"abstract":"Background: Breast aesthetics evaluation often relies on subjective assessments, leading to the need for objective, automated tools. We developed the Seoul Breast Esthetic Scoring Tool (S-BEST), a photometric analysis software that utilizes a DenseNet-264 deep learning model to automatically evaluate breast landmarks and asymmetry indices. Methods: S-BEST was trained on a dataset of frontal breast photographs annotated with 30 specific landmarks, divided into an 80-20 training-validation split. The software requires the distances of sternal notch to nipple or nipple-to-nipple as input and performs image preprocessing steps, including ratio correction and 8-bit normalization. Breast asymmetry indices and cm based measurements are provided as the output. The accuracy of S-BEST was validated using a paired t-test and Bland-Altman plots, comparing its measurements to those obtained from physical examinations of 100 females diagnosed with breast cancer. Results: S-BEST demonstrated high accuracy in automatic landmark localization, with most distances showing no statistically significant difference compared to physical measurements. However, the nipple-to-inframammary fold distance showed a significant bias, with a coefficient of determination ranging from 0.3787 to 0.4234 for the left and right sides, respectively. Conclusions: S-BEST provides a fast, reliable, and automated approach for breast aesthetic evaluation based on 2D frontal photographs. While limited by its inability to capture volumetric attributes or multiple viewpoints, it serves as an accessible tool for both clinical and research applications.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135968615","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

Staged tendon repair to improve range of motion in Tamai zone 4 replantation: Two case reports 分阶段肌腱修复提高Tamai 4区再植活动范围2例报告

Archives of Plastic Surgery-APS Pub Date : 2023-10-12 DOI: 10.1055/a-2190-8487

Takeo Matsusue

{"title":"Staged tendon repair to improve range of motion in Tamai zone 4 replantation: Two case reports","authors":"Takeo Matsusue","doi":"10.1055/a-2190-8487","DOIUrl":"https://doi.org/10.1055/a-2190-8487","url":null,"abstract":"Tamai zone 4 replantation, defined as the replantation at a level proximal to the flexor digitorum superficialis’ insertion and distal to where the common digital artery branches into the proper digital artery, has poor functional results because making orthosis and rehabilitation protocols that protect the bone and the flexor and extensor tendons simultaneously is difficult. Two cases of Tamai zone 4 replantation are presented: one case of an index finger replantation at the proximal phalanx and a case of ring finger replantation at the proximal interphalangeal joint. The author did not repair the flexor tendon intentionally in the primary replantation and performed two-stage flexor tendon reconstruction later. The total active motions at the last follow-up were 215° and 180°, respectively, with the latter distal interphalangeal joint was an arthrodesis. Both cases had no extension lag in the proximal interphalangeal joint. These results were much better than those in previous reports, in which the mean total active motion was 133° or less. The good results appeared to be mainly due to the reasonable and clear postoperative rehabilitation protocols made by the proposed procedure. This procedure may be useful for obtaining reproducible functional results even in Tamai zone 4 replantation.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135967648","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

Venous Free Flap with Interposition Bypass Graft for Arteriovenous Fistula Preservation: A Case Report. 静脉游离皮瓣加介入式旁路移植术保存动静脉瘘1例

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-10-12 eCollection Date: 2023-11-01 DOI: 10.1055/a-2122-6029

Cyril Awaida, Marion Aribert, Natalie Weger, Kendall Keck, Andrei Odobescu

引用次数: 0

The Square-Plus Flap: A Modification to Release Long Post-Burn Scar Contractures 方形+皮瓣:一种解除烧伤后瘢痕挛缩的改良方法

Archives of Plastic Surgery-APS Pub Date : 2023-10-11 DOI: 10.1055/a-2189-9767

Mahmoud A. Hifny, Rei Ogawa

引用次数: 0

Reliability and Safety of Cross-Leg Free Latissmus Dorsi Muscle Flap in Reconstruction of Mutilating Leg Injuries Using End-to-Side Anastomosis. 小腿交叉游离背阔肌皮瓣端侧吻合重建小腿损伤的可靠性和安全性。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-10-05 eCollection Date: 2023-09-01 DOI: 10.1055/a-2126-7058

Ahmed Gaber Abdelmegeed, Mahmoud A Hifny, Tarek A Abulezz, Samia Saied, Mohamed A Ellabban, Mohamed Abdel-Al Abo-Saeda, Karam A Allam, Mostafa Mamdoh Haredy, Ahmed S Mazeed

{"title":"Reliability and Safety of Cross-Leg Free Latissmus Dorsi Muscle Flap in Reconstruction of Mutilating Leg Injuries Using End-to-Side Anastomosis.","authors":"Ahmed Gaber Abdelmegeed, Mahmoud A Hifny, Tarek A Abulezz, Samia Saied, Mohamed A Ellabban, Mohamed Abdel-Al Abo-Saeda, Karam A Allam, Mostafa Mamdoh Haredy, Ahmed S Mazeed","doi":"10.1055/a-2126-7058","DOIUrl":"10.1055/a-2126-7058","url":null,"abstract":"Background Free tissue transfer is considered the gold standard option for the reconstruction of distal leg defects. Free tissue transfer using recipient vessels in the contralateral leg (cross-leg bridge) is a potential option to supply the flap if there are no suitable recipient vessels in the injured leg. Most studies have described this technique using end-to-end anastomosis which sacrifices the main vessel in the uninjured leg. This study evaluated the use of a cross-leg free latissimus dorsi muscle flap for the reconstruction of defects in single-vessel legs, using end-to-side anastomosis to recipient vessels in the contralateral leg without sacrificing any vessel in the uninjured leg. Methods This is a retrospective study that included 22 consecutive patients with soft tissue defects over the lower leg. All the reconstructed legs had a single artery as documented by CT angiography. All patients underwent cross-leg free latissimus dorsi muscle flap using end-to-side anastomosis to the posterior tibial vessels of the contralateral leg. Results The age at surgery ranged from 12 to 31 years and the mean defect size was 86 cm 2 . Complete flap survival occurred in 20 cases (91%). One patient had total flap ischemia. Another patient had distal flap ischemia. Conclusion Cross-leg free latissimus dorsi muscle flap is a reliable and safe technique for the reconstruction and salvage of mutilating leg injuries, especially in cases of leg injuries with a single artery. As far as preservation of the donor limb circulation is concerned, end-to-side anastomosis is a reasonable option as it maintains the continuity of the donor leg vessels.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41113588","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

Dialogue with the Giants of Microsurgery: Professor Fu-Chan Wei and Professor Joon Pio Hong. 与显微外科的巨人对话：傅赞伟教授和Joon Pio Hong教授。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-10-05 eCollection Date: 2023-09-01 DOI: 10.1055/a-2113-3364

Ankur Khajuria, Wei F Chen, Jung Ju Huang, Susana Heredero, Joon-Pio Hong, Fu-Chan Wei, Tommy Nai-Jen Chang

引用次数: 0

Myanmar Articulation, Resonation, Nasal Emission, and Nasal Turbulence Test: A Preliminary Study. 缅甸发音、共振、鼻腔发射和鼻腔湍流测试：初步研究。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-10-05 eCollection Date: 2023-09-01 DOI: 10.1055/s-0043-1771522

Kalyanee Makarabhirom, Benjamas Prathanee, Ampika Rattanapitak

{"title":"Myanmar Articulation, Resonation, Nasal Emission, and Nasal Turbulence Test: A Preliminary Study.","authors":"Kalyanee Makarabhirom, Benjamas Prathanee, Ampika Rattanapitak","doi":"10.1055/s-0043-1771522","DOIUrl":"10.1055/s-0043-1771522","url":null,"abstract":"Background This article describes the development of the Myanmar Articulation, Resonation, Nasal Emission, and Nasal Turbulence test for children with cleft lip and palate (CLP), and evaluation of its validity and reliability. Methods It was created by three Thai researchers and a Burmese research assistant based on Burmese phonology. The content validity was evaluated by six Burmese language experts. All test items were divided into three groups: high-pressure oral consonants, low-pressure oral consonants, and nasal consonants. Results All items (58-word and 32-phrase/sentence) gave an excellent level of the expert agreement (item-level content validity indexes = 1.00). The target items were illustrated as color pictures. Each picture was clearly drawn and easy to identify. As a pilot study of face validity, all pictures were administered to 10 typical-developing children. The actual testing was assessed by 10 CLP children, and the developed test was analyzed through consultation of the Burmese teachers and interpreters from a speech camp. Testing scores for a total including three groups of target items were shown acceptable for internal consistency reliability (ranged from 0.4 to 0.88). Conclusion The constructed test is valid in terms of its content.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41167829","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 Severe Open Tibiofibular Fracture using an Ipsilateral Vascularized Fractured Fibula with a Thoracodorsal Artery Perforator Free Flap. 应用胸廓动脉无穿孔皮瓣重建严重开放性胫腓骨骨折。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-10-05 eCollection Date: 2023-09-01 DOI: 10.1055/a-2119-3575

Lan Sook Chang, Dae Kwan Kim, Ji Ah Park, Kyu Tae Hwang, Youn Hwan Kim

{"title":"Reconstruction of a Severe Open Tibiofibular Fracture using an Ipsilateral Vascularized Fractured Fibula with a Thoracodorsal Artery Perforator Free Flap.","authors":"Lan Sook Chang, Dae Kwan Kim, Ji Ah Park, Kyu Tae Hwang, Youn Hwan Kim","doi":"10.1055/a-2119-3575","DOIUrl":"10.1055/a-2119-3575","url":null,"abstract":"The Gustilo IIIB tibiofibular fractures often result in long bone loss and extensive soft tissue defects. Reconstruction of these complex wounds is very challenging, especially when it includes long bone grafts, because the donor site is limited. We describe our experience using a set of chimeric ipsilateral vascularized fibula grafts with a thoracodorsal artery perforator free flap to reconstruct the traumatic tibia defects. A 66-year-old male suffered a severe comminuted tibia fracture and segmented fibula fracture with large soft tissue defects as a result of a traffic accident. He also had an open calcaneal fracture with soft tissue defects on the ipsilateral side. All the main vessels of the lower extremity were intact, and the cortical bone defect of the tibia was almost as large as the fractured fibula segment. We used an ipsilateral vascularized fibula graft to reconstruct the tibia and a thoracodorsal artery perforator flap to resurface the soft tissue, using the distal ends of peroneal vessels as named into sequential chimeric flaps. After 3 weeks, the calcaneal defect was reconstructed with second thoracodorsal artery perforator free flap. Reconstruction was successful and allowed rapid rehabilitation because of reduced donor site morbidity.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41173828","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

Charity Mission: Bringing Meaningful Impact and Sustainability. 慈善使命：带来有意义的影响和可持续性。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2023-10-05 eCollection Date: 2023-09-01 DOI: 10.1055/s-0043-1772588

Joon Pio Hong

引用次数: 0

A Case Report of Madelung's Disease. 马德隆病一例报告。

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2023-10-05 eCollection Date: 2023-09-01 DOI: 10.1055/a-2122-6121

Bo Hyun Lee, Young Mann Lee, Seong Oh Park, Lan Sook Chang, Youn Hawn Kim

{"title":"A Case Report of Madelung's Disease.","authors":"Bo Hyun Lee, Young Mann Lee, Seong Oh Park, Lan Sook Chang, Youn Hawn Kim","doi":"10.1055/a-2122-6121","DOIUrl":"10.1055/a-2122-6121","url":null,"abstract":"Madelung's disease (MD) is a rare disease characterized by diffuse, nonencapsulated, multiple fat masses in different areas of the body. In this case report, we present a case of MD in Asia and its management. A 66-year-old man with a history of hypertension presented with massive growth of soft tissue around the neck, breasts, upper back, and lower abdomen. Preoperative magnetic resonance imaging revealed remarkably hypertrophic fat tissue around the neck and anterior chest was wall, which consistent with the diagnosis of MD. Multiple linear incisions were made on the neck and 763, 186, 635 g of posterior, right, and left fat tissues were excised, respectively. A single wide, transverse incision was done to excise 1,072 g of fat from the upper back. Masses of both breasts were excised, preserving the inferior pedicle, weighing 1,086 (right) and 1,164 g (left). The recovery was optimal and the patient was discharged without complications. In this case, we excised the adipose masses as much as possible and improved contour and symmetry. However, the fat infiltrations in the patient were diffusely distributed, making total fat excision difficult. This rare case report may help in managing patients with MD.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41169357","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