Archives of Plastic Surgery-APS最新文献_第7页

Application of the Lalonde (Horizontal-Only Scar) Technique Reduction Mammoplasty in Oncoplastic Breast-Conserving Surgery for Asian Patients: A Case Report. Lalonde（水平疤痕）技术缩乳术在亚洲肿瘤保乳手术中的应用：1例报告。

IF 1.4

Archives of Plastic Surgery-APS Pub Date : 2026-01-17 eCollection Date: 2026-03-01 DOI: 10.1055/a-2705-4640

Ryohei Katsuragi, Hisamitsu Zaha, Ayako Koki, Norie Abe

引用次数: 0

Extended Indications for Drug-Induced Sleep Endoscopy: Surgical Decision-Making in Neonatal Pierre-Robin Sequence-Associated Upper Airway Obstruction. 药物诱导睡眠内窥镜的扩展适应症：新生儿皮埃尔-罗宾序列相关上呼吸道阻塞的手术决策。

IF 1.4

Archives of Plastic Surgery-APS Pub Date : 2026-01-17 eCollection Date: 2026-05-01 DOI: 10.1055/a-2699-7977

Kelvin Yong Jie Lim, Lynn Huiting Koh, Angela Yun June Tan, Gale Jue Shuang Lim, Sam J Daniel, Ching Yee Chan

引用次数: 0

Adipofascial Flap Monitoring Using Masimo Regional Oximetry: A Case Report and Literature Review on Near-Infrared Spectroscopy for Flap Monitoring. 应用Masimo区域血氧仪监测脂肪筋膜瓣：近红外光谱监测皮瓣1例报告及文献综述。

IF 1.4

Archives of Plastic Surgery-APS Pub Date : 2026-01-17 eCollection Date: 2026-05-01 DOI: 10.1055/a-2668-3776

Zhen Luan Low, Nadia Hui Shan Sim, Allen Wei Jiat Wong

{"title":"Adipofascial Flap Monitoring Using Masimo Regional Oximetry: A Case Report and Literature Review on Near-Infrared Spectroscopy for Flap Monitoring.","authors":"Zhen Luan Low, Nadia Hui Shan Sim, Allen Wei Jiat Wong","doi":"10.1055/a-2668-3776","DOIUrl":"10.1055/a-2668-3776","url":null,"abstract":"Non-invasive monitoring with near-infrared spectroscopy (NIRS) has not been described in the monitoring of non-cutaneous flaps. We present a 29-year-old female with a traumatic left foot injury, where reconstruction was done with a right free adipofascial anterolateral thigh flap. A Masimo O3™ Regional Oximetry pediatric sensor probe was applied directly over the skin-grafted adipofascial flap for continuous flap monitoring and removed at postoperative day 7 uneventfully. We postulate that NIRS does not necessarily require a skin interface, as measurement depends on tissue thickness and penetration of near-infrared wavelengths. A limitation would be the lack of an optimal threshold for regional tissue oxygenation values, but it is reasonable to adopt a threshold of less than 60% absolute value or more than 20% drop from baseline. NIRS has the potential to monitor non-cutaneous flaps as it can detect deep tissue microvascular changes and provide information on tissue perfusion both accurately and non-invasively.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"53 3","pages":"282-286"},"PeriodicalIF":1.4,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13221260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139371","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

IF 1.4

Archives of Plastic Surgery-APS Pub Date : 2026-01-17 eCollection Date: 2026-07-01 DOI: 10.1055/a-2706-1145

Boonyaporn Kotistienkul, Nattanit Poungjantaradej, Natthapong Kongkunnavat, Warangkana Tonaree

{"title":"Factors Related to Recurrence Rates of Extramammary Paget Disease: A Case Series and Literature Review.","authors":"Boonyaporn Kotistienkul, Nattanit Poungjantaradej, Natthapong Kongkunnavat, Warangkana Tonaree","doi":"10.1055/a-2706-1145","DOIUrl":"10.1055/a-2706-1145","url":null,"abstract":"Extramammary Paget disease (EMPD) is a rare cutaneous malignant lesion. Surgical resection is the primary treatment. However, the ideal surgical margin remains uncertain. This study aimed to investigate the correlation between different margins and EMPD recurrence rates. A total of 35 EMPD patients underwent surgical resection between 2008 and 2018. This study considered multiple factors associated with the local recurrence rate, including surgical margin, depth of excision, pathological margin, tumor size, and the time until recurrence occurred. The study demonstrated that a surgical margin of 2 cm signified the outcome of local recurrence, with 20.8% in the <2 cm group and no local recurrence (0.0%) in the ≥2 cm group ( p = 0.157). The tumor size statistics significantly affected the local recurrence at 9 cm ( p < 0.05). Other managements had no statistical significance to the local recurrence rate. A surgical margin size of more than 2 cm is suggested for the wide excision of EMPD patients, considering the recurrence percentage and outcome in this study. This retrospective study aimed to find the relation of surgical margin and the disease outcome of extramammary Paget disease (EMPD) by considering multiple factors associated with the local recurrence rate, including surgical margin, depth of excision, pathological margin, tumor size, and the time until recurrence occurred. The result showed that a surgical margin of ≥2 cm gave a better outcome of disease, and a tumor larger than 9 cm significantly affected the recurrence rate. The study suggests surgical excision of more than 2 cm around the tumor.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"53 4","pages":"369-373"},"PeriodicalIF":1.4,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13461260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714213","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 Evolving Reconstruction Toolbox of the Plastic Surgeon. 整形外科医生不断发展的重建工具箱。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-11-20 eCollection Date: 2025-11-01 DOI: 10.1055/a-2716-4238

Hyunsuk Peter Suh

引用次数: 0

Forehead Arteriovenous Malformation Embolization Complicated by Glue Migration into the Cavernous Sinus: A Case Report of a Rare Complication. 额动静脉畸形栓塞并发胶移入海绵窦1例罕见并发症。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-11-20 eCollection Date: 2025-11-01 DOI: 10.1055/a-2688-3865

Khalifa Al Alawi, Alreem Al Khayarin, Fatma Al Habsi, Najla Al Meraikhi, Mohudoom Meera Sahib, Taimoor Al Balushi

{"title":"Forehead Arteriovenous Malformation Embolization Complicated by Glue Migration into the Cavernous Sinus: A Case Report of a Rare Complication.","authors":"Khalifa Al Alawi, Alreem Al Khayarin, Fatma Al Habsi, Najla Al Meraikhi, Mohudoom Meera Sahib, Taimoor Al Balushi","doi":"10.1055/a-2688-3865","DOIUrl":"10.1055/a-2688-3865","url":null,"abstract":"Arteriovenous malformations (AVMs) are uncommon congenital vascular anomalies characterized by direct, high-flow connections between arteries and veins. Forehead AVMs present unique challenges due to their aesthetic considerations, risk of complications, and proximity to critical neurovascular structures. A 26-year-old male presented with a pulsatile forehead swelling present since birth, which gradually increased in size. Doppler ultrasound and magnetic resonance imaging (MRI) revealed a forehead AVM fed by branches from the superficial temporal and ophthalmic arteries, without evidence of intracranial extension. Presurgical embolization using cyanoacrylate glue achieved 90% occlusion. However, the procedure was complicated by glue migration into the cavernous sinuses, resulting in headache and dizziness. The patient was initially managed with low-molecular-weight heparin and close clinical observation. Definitive surgical resection was performed successfully 1 month later. The wound healed without complications, and no recurrence was observed during 6 months of follow-up. This case highlights the importance of a multidisciplinary approach in managing AVMs and emphasizes the need to balance embolization risks with therapeutic benefits to achieve optimal outcomes.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 6","pages":"341-346"},"PeriodicalIF":1.5,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12634176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589549","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

Comprehensive Outcomes of the Keystone Design Perforator Island Flap: A Prospective Study of 121 Consecutive Cases. 梯形设计穿支岛状皮瓣的综合疗效：121例连续病例的前瞻性研究。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-11-20 eCollection Date: 2025-11-01 DOI: 10.1055/a-2668-4004

Sofija Pejkova, Gordana Georgieva, Sofija Tusheva, Katerina Jovanovska, Stefania Azmanova Mladenovska, Bisera Nikolovska, Blagoja Srbov

{"title":"Comprehensive Outcomes of the Keystone Design Perforator Island Flap: A Prospective Study of 121 Consecutive Cases.","authors":"Sofija Pejkova, Gordana Georgieva, Sofija Tusheva, Katerina Jovanovska, Stefania Azmanova Mladenovska, Bisera Nikolovska, Blagoja Srbov","doi":"10.1055/a-2668-4004","DOIUrl":"10.1055/a-2668-4004","url":null,"abstract":"Background: The Keystone Design Perforator Island Flap (KDPIF), developed by Behan in 2003, has significantly impacted reconstructive surgery. This technique utilizes angiotomes, which integrate vascular, dermatomal, neural, and lymphatic networks, providing various approaches for complex reconstructions.Methods: This study enhances the initial PACE framework (Pain, Aesthetic appearance, Complication rates, Economic feasibility) by adding \"S\" for Sensibility, creating the PACES framework to include sensory improvements in the assessment.Our retrospective analysis included 121 patients over 51 months, primarily with defects from skin malignancies (66.9%) and chronic wounds (16.5%), mainly on the trunk (51.2%). The average age was 56.2 years, with males comprising 73.6% of the cohort.Results: Outcome measures included pain, assessed using the Visual Analog Scale at 1 and 12 months postoperatively, revealing a significant reduction in pain. Aesthetic outcomes were evaluated through the Manchester Scar Scale, showing notable improvements in scar appearance. Complication rates were low, indicating the safety of the flap in this series. Economic efficiency was assessed by operative time and hospital stay, with shorter durations indicating cost-effectiveness.Sensory outcomes, measured with the Postoperative Flap Sensitivity Self-Assessment Questionnaire, showed substantial gains in sensory function, enhancing patients' quality of life.Conclusion: The PACES framework facilitated a comprehensive evaluation of KDPIF, confirming its effectiveness across various defect types and patient populations. Our findings support the wider adoption of KDPIFs for reconstructive purposes, alongside ongoing efforts to optimize patient outcomes and functionality.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 6","pages":"355-367"},"PeriodicalIF":1.5,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12634180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589570","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 Importance of Partnerships with Developing Countries: How to Establish A Microsurgery Course in Kenya? 与发展中国家合作的重要性：如何在肯尼亚开设显微外科课程？

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-11-20 eCollection Date: 2025-11-01 DOI: 10.1055/a-2628-9710

Macarena Vizcay, Juan E Berner, Ferdinand W Nangole, Luigi Troisi

引用次数: 0

Very Rare Case of Hyaline Fibromatosis Syndrome Successfully Treated with Surgical Excision and Review of Literature. 手术切除成功治疗透明纤维瘤综合征罕见病例并文献复习。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-11-20 eCollection Date: 2025-11-01 DOI: 10.1055/a-2665-2209

Yong Uk Jung, Byung-Jun Kim, Eun-Hee Kim

引用次数: 0

Does Incorporation of the Dorsal Cutaneous Branch of the Proper Digital Nerve in Anterograde Neurovascular Island Flap Improve Outcomes? Results of A Retrospective Case Series. 在顺行神经血管岛状皮瓣中合并指神经背侧皮支能改善疗效吗？回顾性病例系列的结果。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-11-20 eCollection Date: 2025-11-01 DOI: 10.1055/a-2690-1599

Pervaiz M Hashmi, Abeer Musaddique, Muhammad Ali, Muhammad A A Khan, Muhammad Z N Khan, Marij Zahid

{"title":"Does Incorporation of the Dorsal Cutaneous Branch of the Proper Digital Nerve in Anterograde Neurovascular Island Flap Improve Outcomes? Results of A Retrospective Case Series.","authors":"Pervaiz M Hashmi, Abeer Musaddique, Muhammad Ali, Muhammad A A Khan, Muhammad Z N Khan, Marij Zahid","doi":"10.1055/a-2690-1599","DOIUrl":"10.1055/a-2690-1599","url":null,"abstract":"Background: Fingertip injuries present a challenge for surgeons. Factors such as appearance, sensation, and grip strength influence the choice of procedure. The neurovascular island (NVI) flap is commonly used due to its reliability and favorable results. However, it can lead to reduced sensation and a limited range of motion, which are significant concerns.Methods: This study analyzed 56 adult patients with 66 finger injuries treated with a modified NVI flap by a single surgeon. The flap is based on branches of the proper digital artery to the volar and dorsal skin, including two nerves in the resected flap. The FIOS score was used to assess long-term flap outcomes at follow-up. Patients with thumb injuries, incomplete records, or loss of follow-up were excluded.Results: The study found that NVI flaps had a survival rate of 98%. Post-surgery, the patients' outcomes were assessed using the FIOS score, with 61 cases rated as \"excellent,\" 4 as \"good,\" and 1 as \"fair.\" During long-term follow-up, none of the patients experienced cold intolerance or sensory abnormalities, which is attributed to the inclusion of the dorsal cutaneous nerve in the flap.Conclusion: In conclusion, the NVI flap procedure proved to be a reliable method for reconstructing fingertip pulp loss, offering long-term satisfactory outcomes. It provided good coverage with preserved sensation, dexterity, and preservation of finger length, meeting the patients' cosmetic expectations.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 6","pages":"347-354"},"PeriodicalIF":1.5,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12634177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589495","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