Archives of Plastic Surgery-APS最新文献

{"title":"Prevention of Pressure Sore Recurrence with Fat Graft: Outcome Analysis with Recurrence, Thickness, and Scar-A Pilot Study.","authors":"Ondřej Troup, Barbora Blažková, Milena Troupová, Adam Skalický, Inka Třešková","doi":"10.1055/a-2702-1486","DOIUrl":"10.1055/a-2702-1486","url":null,"abstract":"<p><strong>Background: </strong>Pressure ulcers are a common and debilitating complication in patients with spinal cord injuries (SCIs), often requiring reconstructive surgery. However, scarred areas remain vulnerable to recurrence. This study evaluates lipografting as a secondary prevention strategy to enhance soft tissue padding over bony prominences and reduce ulcer recurrence. Additionally, it investigates whether fat resorption rates are higher in compromised tissue.</p><p><strong>Methods: </strong>Five wheelchair-bound male patients with SCIs who had previously undergone reconstructive surgery for ischial pressure sores were included. Lipografting was performed, and soft tissue thickness was measured using ultrasonography preoperatively, immediately postoperatively, and at 3 and 12 months. Scar pliability, patient satisfaction, and fat resorption rates in the compromised area were also assessed.</p><p><strong>Results: </strong>Significant soft tissue augmentation was observed immediately postoperatively, with an average retention rate of 60.7% at 1 year. Scar pliability improved in all patients, and no new pressure ulcers developed during the follow-up period. Patients reported high satisfaction, with one noting increased tolerance for prolonged sitting.</p><p><strong>Conclusion: </strong>Lipografting appears to be a promising, minimally invasive approach for secondary prevention of pressure ulcer recurrence in SCI patients. While these findings are encouraging, further studies with larger cohorts and longer follow-up are necessary to confirm the long-term benefits of this technique.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"53 1","pages":"38-44"},"PeriodicalIF":1.5,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107485","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}

{"title":"Analysis of Digital Ischemic Necrosis from Constrictive Finger Dressings: A Case Series.","authors":"Dong Chul Lee, Sung Hyun Hwang, Kyung Jin Lee, Sung Hoon Koh, Si Young Roh, Jin Soo Kim","doi":"10.1055/a-2749-5565","DOIUrl":"10.1055/a-2749-5565","url":null,"abstract":"<p><p>Digital ischemic necrosis can result from circumferential compression by medical dressings or domestic materials, particularly in pediatric patients. We present nine cases of ischemic necrosis caused by constrictive finger dressings between 2014 and 2024. Seven cases were iatrogenic, related to medical dressings, and two were caregiver-induced. Caregiver-induced cases tended to show more severe injuries, often necessitating reconstructive procedures such as free flaps, and these patients generally presented later than those with iatrogenic injuries. The contrast in timing and severity between the two groups suggests that delayed recognition may contribute to less favorable outcomes. These cases highlight the preventable nature of this condition and emphasize the importance of early recognition, proper wound monitoring, and caregiver education to minimize tissue loss and reduce the need for complex reconstructive surgery.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"53 1","pages":"86-90"},"PeriodicalIF":1.5,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107962","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}

{"title":"So You've Made a Novel Discovery: The History of Our Knowledge of Central Nervous System Lymphatics May Change Your Mind.","authors":"Peter C Neligan","doi":"10.1055/a-2775-6770","DOIUrl":"10.1055/a-2775-6770","url":null,"abstract":"","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"53 1","pages":"1-2"},"PeriodicalIF":1.5,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107579","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}

{"title":"Current Surgical Trends in Carpal Tunnel Syndrome.","authors":"Sang Hyun Woo, Bong Gyu Choi, Soo Jin Woo, Kwang Hyun Park","doi":"10.1055/a-2769-7554","DOIUrl":"10.1055/a-2769-7554","url":null,"abstract":"<p><p>This review highlights current surgical approaches for carpal tunnel syndrome (CTS), the most common compressive neuropathy of the upper extremity. Open, mini-open, endoscopic, and emerging minimally invasive techniques are compared in terms of outcomes, complications, pillar pain, and reoperation rates. Surgical indications, anatomical considerations, and management of recalcitrant CTS-including recurrent, persistent, and new-onset symptoms-are discussed. Adjunct procedures such as opponensplasty and flexor synovectomy are reviewed, with emphasis on patient selection, individualized decision-making, and the importance of thorough anatomical knowledge to ensure safe adoption of novel techniques.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"53 1","pages":"72-85"},"PeriodicalIF":1.5,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107959","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}

{"title":"Coexisting in a Crowded Field: A 10-year Comparison of Procedural Volumes of Plastic Surgeons and Other Surgical Specialties in the United States.","authors":"Ethan L MacKenzie, Doruk Orgun, Kasey Leigh Wood Matabele, Samuel O Poore","doi":"10.1055/a-2731-4559","DOIUrl":"10.1055/a-2731-4559","url":null,"abstract":"<p><strong>Background: </strong>Plastic surgery has broad overlap with other surgical subspecialties. Regarding procedures provided by both plastic surgery and other surgical specialties in the United States, the changes in plastic surgical case volume over time have not been previously investigated.</p><p><strong>Methods: </strong>Select common procedure terminology (CPT) codes from an array of areas of practice including breast reconstruction, hand, adult craniofacial, peripheral nerve, microsurgery, and ventral hernia were extracted from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) from 2010 to 2020. Case numbers, operative times, and complication rates among surgical subspecialties were compared. Aesthetic surgery cases were excluded as they are not well captured by the NSQIP database.</p><p><strong>Results: </strong>A total of 128,545 procedures were included. In 2010 and 2020, plastic surgeons performed 83.9% versus 89.3% of reconstructive breast ( <i>p</i>  < 0.001), 5.4% versus 4.3% of hand ( <i>p</i>  = 0.23), 33.6% versus 39.1% of adult craniofacial ( <i>p</i>  = 0.28), 36.7% versus 29.5% of peripheral nerve ( <i>p</i>  = 0.45), 9.3% versus 94.6% of microsurgical ( <i>p</i>  = 0.25), and 0.4% versus 0.4% of ventral hernia procedures ( <i>p</i>  = 0.99). Plastic surgery performed the majority of breast reconstruction and microsurgical procedures. Operative times and complication rates varied between specialties and were generally inversely proportional to the number of cases for included specialties.</p><p><strong>Conclusion: </strong>Plastic surgical involvement did not significantly decrease for any of the included procedural categories in ACS-NSQIP over the study period. Breast reconstruction and microsurgery remain areas of particular specialization with plastic surgeons performing the highest volume. Areas of shared practice suggest opportunities for collaboration.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"53 1","pages":"102-116"},"PeriodicalIF":1.5,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107970","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}

{"title":"Preservation versus Structural Cranioplasty: A New Concept for Craniosynostosis Treatment.","authors":"Chaline M Matushita, Ho Hyung Lee, Jong-Woo Choi","doi":"10.1055/a-2699-7853","DOIUrl":"10.1055/a-2699-7853","url":null,"abstract":"<p><p>Craniosynostosis, a condition characterized by the premature closure of one or more cranial sutures, can be classified based on the affected suture, the number of sutures involved, or the presence of syndromic features. Although numerous surgical techniques have evolved to address cranial deformities, there remains a need for systematic categorization of these approaches. This review aims to explore current craniosynostosis treatments, evaluate their respective advantages and disadvantages, and propose a new classification distinguishing preservation cranioplasty from structural cranioplasty. The choice between preservation and structural cranioplasty is influenced by factors such as patient age, complexity of suture involvement, and resource availability. Preservation cranioplasty techniques, including suturectomy and distraction osteogenesis, prioritize maintaining cranial vault integrity and minimizing dural detachment, thus reducing surgical risks and facilitating natural cranial growth. Conversely, structural cranioplasty involves extensive bone displacement and dural exposure, offering effective correction for complex deformities and syndromic cases but with increased procedural risks. We propose categorizing craniosynostosis surgical treatments into two primary approaches: Preservation and structural cranioplasty. Preservation cranioplasty focuses on minimal invasion to support natural brain and skull development, while structural cranioplasty involves extensive remodeling necessary for severe or syndromic cases. Understanding these paradigms enables better-tailored treatment strategies and may improve long-term craniofacial outcomes.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"53 1","pages":"52-59"},"PeriodicalIF":1.5,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107467","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}

{"title":"Comprehensive Update on Keloid Management.","authors":"Michael H Tirgan, Qi Yin, Albert Wolkerstorfer, Barbu Gociman, Tae Hwan Park","doi":"10.1055/a-2698-3574","DOIUrl":"10.1055/a-2698-3574","url":null,"abstract":"<p><p>Keloids remain one of the most challenging conditions in cutaneous wound healing, marked by complex pathophysiology and notoriously high recurrence rates. Although a universally accepted standard of care is still lacking, recent advances have significantly improved our understanding and management of this fibrotic disorder. Emerging evidence highlights genetic predisposition, prolonged inflammatory response, and aberrant fibroblast activity as key contributors to keloid formation. Current therapeutic approaches focus on multimodal strategies, including intralesional corticosteroids, cryotherapy, radiation therapy, and chemotherapy. Intralesional triamcinolone remains a first-line treatment, while chemotherapy agents like 5-fluorouracil and vincristine have shown promising efficacy in refractory cases. Surgical excision, often combined with adjuvant therapies such as radiation, is considered for large or recurrent lesions. Given the high recurrence rate, patient-centered, evidence-based treatment algorithms are essential. Stratifying keloids into categories enables tailored interventions. Both established and emerging treatments are now evolving toward more personalized and less invasive approaches to improve outcomes and patient satisfaction. Multimodal, individualized treatment approaches-guided by lesion morphology, anatomical location, treatment history, and patient factors-are essential for optimizing outcomes. Emerging therapies are expanding the therapeutic arsenal, offering additional strategies for resistant or recurrent cases. Moreover, the integration of molecular and genetic insights is paving the way for the development of targeted therapies, which may ultimately transform keloid treatment into a more precise and effective discipline. Future studies should focus on large-scale trials to establish standardized, data-driven treatment guidelines for keloids.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"53 1","pages":"15-27"},"PeriodicalIF":1.5,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107981","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}

{"title":"Postoperative Outcomes of Masseteric Nerve Transposition versus Cross-Facial Nerve Graft in Facial Reanimation: A Systematic Review and Meta-Analysis.","authors":"Indri Lakshmi Putri, Klarina Elsa Siti Sarah, Imaniar Fitri Aisyah, Rachmaniar Pramanasari, Citrawati Dyah Kencono Wungu","doi":"10.1055/a-2707-0408","DOIUrl":"10.1055/a-2707-0408","url":null,"abstract":"<p><p>Facial reanimation surgery offers various approaches, with the choice of method influenced by numerous factors. Masseteric nerve transposition (MNT) has become a preferred neural source, often compared with cross-face nerve graft (CFNG) for its respective advantages. This systematic review and meta-analysis aim to compare postoperative outcomes between MNT and CFNG in facial reanimation surgery for patients with facial nerve paralysis sequelae. A comprehensive electronic search was conducted using databases such as PubMed/Medline, Scopus, ScienceDirect, EBSCO, Web of Science, and Cochrane Library, along with gray literature sources like Scopus Preprints and MedRxiv. Statistical analyses were performed using Review Manager version 5.4.1, with the quality of included studies assessed using the Newcastle-Ottawa Scale. Results showed that MNT provided statistically significant improvements in commissural excursion (CE; mean difference [MD] = 2.36 mm) and commissural contraction velocity (CCV; MD = 7.01 mm/s) compared with CFNG. Additionally, MNT had a higher recovery percentage for CE (MD = 26.86%) and CCV (MD = 13.00%). Superior outcomes were also noted for static and dynamic smile symmetry, quality of life, and patient satisfaction. This meta-analysis underscores the advantages of MNT over CFNG in the majority of parameters in the analysis, at once highlighting the need for further research with larger sample sizes for more precise comparisons.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"53 1","pages":"60-71"},"PeriodicalIF":1.5,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108012","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}

{"title":"Exploring the Etiologies of Acquired Unilateral Proptosis: A Literature Review with Case Presentations.","authors":"Nam-Kyu Lim","doi":"10.1055/a-2719-8908","DOIUrl":"10.1055/a-2719-8908","url":null,"abstract":"<p><p>Acquired unilateral proptosis is a clinically significant condition with diverse etiologies, including trauma, inflammation or infection, tumors, and hemodynamic complications. This study aimed to improve recognition by integrating a literature review with illustrative case reports. Four representative cases were described, covering orbital infection, traumatic hematoma, carotid-cavernous fistula, and metastatic tumor. A focused literature review of publications from 2020 to 2024 was conducted, identifying 338 relevant studies, of which 171 met the inclusion criteria. Among the 171 eligible studies analyzed, tumors were the most frequent cause (93/171, 54.4%), followed by hemodynamic disorders (24/171, 14.0%), thyroid-related ophthalmopathy (13/171, 7.6%), infection, and inflammation. In tumors, metastatic tumor ( <i>n</i>  = 10) represented the most common subtype, followed by sarcoma ( <i>n</i>  = 9), retinoblastoma ( <i>n</i>  = 7), and lymphoma ( <i>n</i>  = 7). The four clinical cases aligned with these categories and illustrated a spectrum of outcomes-from irreversible vision loss in infection to visual preservation through timely endovascular intervention. This study provided a more detailed understanding of the diverse etiologies of acquired unilateral proptosis, suggesting the necessity of a multidisciplinary approach. Integrating these findings into clinical practice is expected to enhance early recognition, optimize treatment strategies, and ultimately improve patient outcomes.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"53 2","pages":"164-171"},"PeriodicalIF":1.4,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13030925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575951","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}

{"title":"Asan Medical Center Plastic Surgery Visit: Insights from France.","authors":"Elise Lupon","doi":"10.1055/a-2726-3307","DOIUrl":"10.1055/a-2726-3307","url":null,"abstract":"","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"53 4","pages":"386-387"},"PeriodicalIF":1.4,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13461263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714245","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}