Archives of Plastic Surgery-APS最新文献_第9页

The Effectiveness of Nasal Conformers in Patients with Unilateral Cleft Lip and Palate Following Primary Cheiloplasty: A Systematic Review and Meta-Analysis. 鼻部整形术在单侧唇腭裂术后的疗效：一项系统综述和meta分析。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-07-23 eCollection Date: 2025-07-01 DOI: 10.1055/a-2572-6342

Jutharat Chimruang, Saran Worasakwutiphong, Ratchawan Tansalarak

{"title":"The Effectiveness of Nasal Conformers in Patients with Unilateral Cleft Lip and Palate Following Primary Cheiloplasty: A Systematic Review and Meta-Analysis.","authors":"Jutharat Chimruang, Saran Worasakwutiphong, Ratchawan Tansalarak","doi":"10.1055/a-2572-6342","DOIUrl":"10.1055/a-2572-6342","url":null,"abstract":"Background: This study aims to evaluate the effectiveness of nasal conformers in patients with unilateral cleft lip and palate (UCLP) following primary cheiloplasty.Methods: We conducted a comprehensive search in PubMed, EMBASE, the Cochrane Central Register of Clinical Trials (CENTRAL), and EBSCO Open Dissertation from inception to November 2023. We included three retrospective and one prospective cohort studies evaluating the effect of postoperative nasal conformers after primary cheiloplasty. Data extraction and risk of bias assessment were performed using the Risk of Bias in Non-Randomized Studies of Intervention (ROBINS-I) tool. A meta-analysis was conducted using a random-effects model to pool data and determine overall effect sizes with a 95% confidence interval (CI). The mean difference (MD) was calculated for nostril height and nostril width outcomes. The study was registered with PROSPERO (CRD42024511395).Results: The four included studies represented 83 treated patients and 84 controls. The overall quality of studies was moderate, as assessed by the ROBINS-I tool. Meta-analysis results showed that nostril width was wider on the cleft side compared with controls (MD = 1.10; 95% CI: 0.64, 1.56), while nostril height was lower on the cleft side (MD = -0.73; 95% CI: -1.20, -0.26). Ratios for nostril width and nostril height were generally closer to symmetry.Conclusion: This study suggests that nasal conformers may improve nasal symmetry in patients with UCLP following primary cheiloplasty. Further research, including randomized controlled trials and long-term follow-up studies, is needed to confirm these findings and refine the use of nasal conformers in clinical practice.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 4","pages":"225-233"},"PeriodicalIF":1.5,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12286684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709439","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 Preoperative Planning, Design, and Execution of the Freestyle Propeller Flap: A Detailed Description and the Case Series. 术前规划，设计和执行自由式螺旋桨皮瓣：一个详细的描述和案例系列。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-07-23 eCollection Date: 2025-07-01 DOI: 10.1055/a-2620-3297

Hyung Bae Kim, Seong John Han, Joon Pio Hong, Hyunsuk Peter Suh

{"title":"The Preoperative Planning, Design, and Execution of the Freestyle Propeller Flap: A Detailed Description and the Case Series.","authors":"Hyung Bae Kim, Seong John Han, Joon Pio Hong, Hyunsuk Peter Suh","doi":"10.1055/a-2620-3297","DOIUrl":"10.1055/a-2620-3297","url":null,"abstract":"Background: Propeller flap reconstruction has been widely utilized in soft tissue reconstruction due to its versatility and aesthetic outcomes. However, technical challenges and the risk of complications persist. This study aims to provide detailed guidelines on the preoperative planning, intraoperative considerations, and execution of propeller flap surgery to reduce complications.Methods: A retrospective review was conducted on 20 consecutive patients undergoing propeller flap reconstruction between January 2018 and December 2020. Preoperative planning involved computed tomography (CT) angiography and color Doppler ultrasound. Flap designs prioritized perforator proximity (<3 cm from the defect), vessel axiality, and tissue laxity assessed by skin pinch tests. Surgical techniques including pedicle skeletonization, flap elevation, rotation, and inset were meticulously followed.Results: No total flap loss occurred. Partial flap loss was observed in one case (5%). Two flaps (10%) exhibited venous congestion, which resolved following leech therapy without necrosis. Defects were predominantly located on the trunk (80%), with malignancy as the primary cause (55%). Mean follow-up duration was 432 days.Conclusions: Careful preoperative planning and adherence to meticulous surgical techniques can significantly reduce complications in propeller flap reconstruction. This structured approach offers a reliable framework, particularly beneficial for surgeons less familiar with propeller flap techniques.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 4","pages":"239-246"},"PeriodicalIF":1.5,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12286683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709440","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

Potential Role of Lymphovenous Bypass in Mitigating Alzheimer's Disease Dementia. 淋巴静脉旁路治疗在减轻阿尔茨海默病痴呆中的潜在作用。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-07-23 eCollection Date: 2025-07-01 DOI: 10.1055/a-2627-9243

Qingping Xie, Changsik John Pak, Jingeun Kwon, Sung-Chuan Chao, Joon Pio Hong

{"title":"Potential Role of Lymphovenous Bypass in Mitigating Alzheimer's Disease Dementia.","authors":"Qingping Xie, Changsik John Pak, Jingeun Kwon, Sung-Chuan Chao, Joon Pio Hong","doi":"10.1055/a-2627-9243","DOIUrl":"10.1055/a-2627-9243","url":null,"abstract":"This case report explores the therapeutic potential of lymphovenous bypass (LVB) surgery performed at the neck in neurodegenerative diseases, specifically Alzheimer's disease (AD) dementia. The subject is a 58-year-old woman who was previously healthy but began experiencing unexplained memory decline and frequent disorientation in the past 7 years, leading to an AD diagnosis. Despite ongoing pharmaceutical therapy, her symptoms progressed to severe dementia accompanied by behavioral and psychological symptoms of dementia (BPSD). Her Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) scores were both 0/30, and 18 F-AV-45 PET/CT revealed abnormal brain amyloid load. For salvage therapy, she underwent LVBs on her neck bilaterally. Postoperatively, she got better MMSE and MoCA scores with dramatic improvement in communication and activity. 18 F-AV-45 PET/CT scans 4 months after surgery indicated a reduction in abnormal brain amyloid deposits. This case report highlights the potential effectiveness of LVB surgery in reducing brain amyloid load and attenuating cognitive impairment and BPSD. Further research with animal experiments and clinical trials is necessary to confirm these findings.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 4","pages":"247-252"},"PeriodicalIF":1.5,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12286685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709437","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

Cooperation and Education. 合作与教育。

IF 1.3

Archives of Plastic Surgery-APS Pub Date : 2025-07-23 eCollection Date: 2025-07-01 DOI: 10.1055/a-2642-2254

Alberto Musolas

引用次数: 0

Assessment of Capsular Contracture Based on Morphological Change of Breast Implant Using Computed Tomography. 基于乳腺植入物形态变化的计算机体层摄影技术评价乳房植入物包膜挛缩。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-07-23 eCollection Date: 2025-07-01 DOI: 10.1055/a-2620-3350

Won Seok Oh, Seung Hoon Lee, Jae Woo Lee, Jung Yeol Seo, Choong Rak Kim, Su Bong Nam

{"title":"Assessment of Capsular Contracture Based on Morphological Change of Breast Implant Using Computed Tomography.","authors":"Won Seok Oh, Seung Hoon Lee, Jae Woo Lee, Jung Yeol Seo, Choong Rak Kim, Su Bong Nam","doi":"10.1055/a-2620-3350","DOIUrl":"10.1055/a-2620-3350","url":null,"abstract":"Background: Capsular contracture is a common complication following implant-based breast reconstruction. Current assessment methods, primarily relying on the subjective Baker grading system, lack objectivity and quantitative data, which hinders large-scale studies and the development of treatment guidelines. To solve these problems, we conducted a study using computed tomography (CT) scans to quantitatively evaluate morphological changes in breast implants associated with capsular contracture.Methods: We enrolled 94 patients who underwent breast reconstruction using implants and underwent periodic chest CT scans. We categorized them into two groups: Baker grade I or II ( n = 72) and Baker grade III or IV ( n = 22). We analyzed the CT scans to assess changes in the implant base and projection.Results: In the Baker grade III or IV groups, it was confirmed that the ratio of projection to base increased after capsular contracture compared with before contracture. On the other hand, there was no significant change in the ratio of projection to base in the Baker grade I or II groups.Conclusion: This study highlights the potential of CT scans as a reproducible method for evaluating capsular contracture. The ratio of projection to base could serve as a new quantitative index alongside the Baker grades for clinical assessment, treatment planning, and research on capsular contracture. When comparing the ratio of projection to base before and after capsular contracture, if the ratio of projection to base increases by more than 1.233 times, it can be considered Baker grade III or IV.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 4","pages":"217-224"},"PeriodicalIF":1.5,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12286679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709433","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

Keystone Perforator Island Advancement Flap as Another Option for Closure after Radical Excision of Axillary Hidradenitis Suppurativa. 拱心石穿支岛状皮瓣作为腋窝化脓性汗腺炎根治术后闭合的另一种选择。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-07-23 eCollection Date: 2025-07-01 DOI: 10.1055/a-2575-1211

Timea H Virag, Geoffrey G Hallock, Ileana R Matei, Alexandru V Georgescu

{"title":"Keystone Perforator Island Advancement Flap as Another Option for Closure after Radical Excision of Axillary Hidradenitis Suppurativa.","authors":"Timea H Virag, Geoffrey G Hallock, Ileana R Matei, Alexandru V Georgescu","doi":"10.1055/a-2575-1211","DOIUrl":"10.1055/a-2575-1211","url":null,"abstract":"Surgical treatment of axillary hidradenitis suppurativa (HS) requires wide excision followed by definitive wound closure to not limit shoulder function. An international prospective study was undertaken to compare how a keystone perforator island advancement flap can be a reliable solution. Independently, two Transatlantic institutions, from 2019 to 2024, surgically resected axillary HS followed by a keystone perforator flap for defect management. A total of 23 patients were treated, including 4 with bilateral disease, employing 27 total flaps that permitted the comparison of demographic data, Hurley disease stage, flap viability and complications, need for secondary surgeries, duration of treatment, and functional outcome. Demographic data in both countries was similar with regard to mean age, female preponderance, presence of obesity, and prior means of treatment. Surgical treatment was not limited in either country only to Hurley stage III individuals. In Romania, 6/11 (54.5%) compared to 3/12 (25.0%) of U.S. patients were classified as Hurley stage II. No flap necrosis was observed, allowing unrestricted shoulder mobility within 3.5 (2-4) months in Romania, but more slowly by 4.4 (3-9) months in the United States. All complications were minor, occurring in 11 (43.5%) patients, albeit three times more frequently in the United States. Overall, the most common problem was lesser curvature dehiscence (63.6%). No disease recurrences were noted. The keystone perforator island advancement flap is a safe, rapid, and simple local flap option for the closure of the axillary defect after the excision of HS. The learning curve was straightforward, so reconstructive surgeons can readily adapt to utilize this approach.","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"52 4","pages":"211-216"},"PeriodicalIF":1.5,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12286678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709435","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 the Posterior Lamella of the Lower Eyelid Using a Long L-Shaped Periosteal Flap: Technical Modification and Literature Review. 长l型骨膜瓣重建下眼睑后板：技术改良及文献复习。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-07-23 eCollection Date: 2025-07-01 DOI: 10.1055/a-2621-7781

Hikaru Kono, Fumio Onishi, Yu Kagaya, Hiroto Obata

引用次数: 0

Plastic Surgery in Poland-Should We be Concerned? 波兰的整形手术——我们应该担心吗？

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-07-23 eCollection Date: 2025-07-01 DOI: 10.1055/a-2624-1691

Tomasz Korzeniowski, Jerzy Strużyna

引用次数: 0

Overcoming the Three-Dimensional Complexity of Vulvar Defects: A Stepwise, Multi-Flap Approach. 克服外阴缺损的三维复杂性：一种逐步的多瓣修复方法。

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-07-11 eCollection Date: 2026-01-01 DOI: 10.1055/a-2606-9515

Chuan-Han Ang, Walter J X Tan, Bien-Keem Tan, Khong-Yik Chew

引用次数: 0

Successful Surgical Treatment of Coronavirus Disease 2019 (COVID-19) Vaccination Related Upper Extremity Lymphedema: Case Report. 2019冠状病毒病（COVID-19）疫苗相关上肢淋巴水肿手术治疗成功一例

IF 1.5

Archives of Plastic Surgery-APS Pub Date : 2025-07-08 eCollection Date: 2025-09-01 DOI: 10.1055/a-2448-3403

Hyung Hwa Jeong, Dong Jin Kim, Hyunsuk Peter Suh, Chang Sik John Pak, Joon Pio Hong

引用次数: 0