Archives of Plastic Surgery-APS最新文献_第8页

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":"14 4","pages":"0"},"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

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":"26 1","pages":"0"},"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":"6 3","pages":"0"},"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":"1 1","pages":"578-585"},"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

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":"3 1","pages":"0"},"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":"1 1","pages":"0"},"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

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":"50 5","pages":"507-513"},"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