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Seminars in Plastic Surgery最新文献

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Evolution and Innovation in Toe-to-Hand Transfers. 手到脚传递的进化与创新。
IF 1.2 3区 医学
Seminars in Plastic Surgery Pub Date : 2025-06-13 eCollection Date: 2025-08-01 DOI: 10.1055/s-0045-1809369
Yu-Te Lin, Fu-Chen Wei
{"title":"Evolution and Innovation in Toe-to-Hand Transfers.","authors":"Yu-Te Lin, Fu-Chen Wei","doi":"10.1055/s-0045-1809369","DOIUrl":"10.1055/s-0045-1809369","url":null,"abstract":"<p><p>Microsurgical toe-to-hand transfer has revolutionized the reconstruction of missing thumbs and fingers, either from trauma or congenital etiologies, since its introduction in the late 1960s. The subsequent developments by global pioneers have made it a reliable surgical procedure with good functional and aesthetic results, yet acceptable donor site morbidities. This review article aims to highlight some significant concepts, surgical skills, and reconstruction strategies developed at Chang Gung Memorial Hospital over the past four decades, which are pivotal to the current landscape of toe-to-hand transfers practice. Avoiding unnecessary shortening of bone, joint, neurovascular bundle, tendon, and pulley in the amputation stump at the initial emergency management, provision of adequate coverage, and several other factors are essential for good results. Retrograde dissection of the vascular pedicle facilitates a quick and safe toe harvest for less experienced surgeons. Developing a modified great toe and lesser toe wrap-around flap, trimmed great toe, and combined second and third toes allows for optimal thumb and finger reconstruction even for challenging metacarpal hands. Both preservation of the proximal 1 cm of proximal phalanx in the remaining great toe and inclusion of a smaller skin flap from the foot, especially in combined second and third toes transfer for primary wound closure, can ensure minimal donor site morbidities.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"39 3","pages":"157-163"},"PeriodicalIF":1.2,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advancements in Managing Intractable Raynaud Phenomenon: The Role of Integrated Neurectomy and Sympathectomy. 治疗难治性雷诺现象的进展：综合神经切除术和交感神经切除术的作用。
IF 1.2 3区 医学
Seminars in Plastic Surgery Pub Date : 2025-06-13 eCollection Date: 2025-08-01 DOI: 10.1055/s-0045-1809371
Po-Hao Lien, Shih-Heng Chen
{"title":"Advancements in Managing Intractable Raynaud Phenomenon: The Role of Integrated Neurectomy and Sympathectomy.","authors":"Po-Hao Lien, Shih-Heng Chen","doi":"10.1055/s-0045-1809371","DOIUrl":"https://doi.org/10.1055/s-0045-1809371","url":null,"abstract":"<p><p>Raynaud's phenomenon (RP) is characterized by digit discoloration including pallor, cyanosis, and rubor. While some experience only mild numbness or tingling during RP attacks, many progress to severe conditions, including intractable pain, nonhealing digital ulcers, and even self-amputation. Although mild symptoms can often be managed conservatively through lifestyle modifications, such as avoiding triggering factors, or with pharmacological interventions, surgical treatments are often required for those with persistent pain and ulcers. Advances in microsurgical techniques have introduced peripheral sympathectomy, peripheral neurectomy, and distal artery bypass as promising options for managing refractory and severe cases of RP. This review explores the epidemiology, pathophysiology, and particularly the evolution of microsurgical interventions for the treatment of RP.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"39 3","pages":"170-174"},"PeriodicalIF":1.2,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Jessica A. Ching, MD, FAAP. Jessica A. Ching，医学博士，FAAP。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2025-05-21 eCollection Date: 2025-05-01 DOI: 10.1055/s-0045-1808274
Edward P Buchanan
{"title":"Jessica A. Ching, MD, FAAP.","authors":"Edward P Buchanan","doi":"10.1055/s-0045-1808274","DOIUrl":"https://doi.org/10.1055/s-0045-1808274","url":null,"abstract":"","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"39 2","pages":"57"},"PeriodicalIF":2.3,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multidisciplinary Team Care in Plastic Surgery. 整形外科的多学科团队护理。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2025-05-21 eCollection Date: 2025-05-01 DOI: 10.1055/s-0045-1808275
Jessica A Ching
{"title":"Multidisciplinary Team Care in Plastic Surgery.","authors":"Jessica A Ching","doi":"10.1055/s-0045-1808275","DOIUrl":"https://doi.org/10.1055/s-0045-1808275","url":null,"abstract":"","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"39 2","pages":"58"},"PeriodicalIF":2.3,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multidisciplinary Care in Body Contouring: An Integrative Approach to Enhancing Outcomes. 身体轮廓的多学科护理：提高结果的综合方法。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2025-05-21 eCollection Date: 2025-05-01 DOI: 10.1055/s-0045-1807724
Jacob Dinis, Sofia C Perez Otero, Diego M Quirarte, Winston R Owens, Sebastian J Winocour
{"title":"Multidisciplinary Care in Body Contouring: An Integrative Approach to Enhancing Outcomes.","authors":"Jacob Dinis, Sofia C Perez Otero, Diego M Quirarte, Winston R Owens, Sebastian J Winocour","doi":"10.1055/s-0045-1807724","DOIUrl":"10.1055/s-0045-1807724","url":null,"abstract":"<p><p>Body contouring procedures have become increasingly common to meet the growing demand for aesthetic surgery, particularly in the context of bariatrics. Massive weight loss (MWL) patients are complex and often require extensive management of comorbidities, malnutrition status, physical debilitation, and psychological sequelae. Patient optimization prior to body contouring surgery in addition to strict postoperative maintenance are crucial to achieve favorable and sustainable outcomes. Surgical candidates should be screened thoroughly, and in the MWL patient population specifically, multidisciplinary care is needed for proper evaluation and support. Notable specialists that routinely contribute in MWL and body contouring patient care include plastic surgeons, bariatric surgeons, primary care physicians, dieticians, endocrinologists, mental health providers, and physical therapists. This article details essential roles within the multidisciplinary approach to body contouring surgery and MWL patients and reviews critical pre-, intra-, and postoperative aspects of care.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"39 2","pages":"113-118"},"PeriodicalIF":2.3,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","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 Multidisciplinary Team in Head and Neck Cancer Reconstruction: A Reference Manual for the Plastic Surgeon. 头颈部肿瘤重建的多学科团队：整形外科医生参考手册。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2025-05-21 eCollection Date: 2025-05-01 DOI: 10.1055/s-0045-1808273
Benjamin D W Belfort, Winston R Owens, Olivia G Leonovicz, Amjed Abu-Ghname, Josephine L Schmidt, Edward P Buchanan, Amy S Xue
{"title":"The Multidisciplinary Team in Head and Neck Cancer Reconstruction: A Reference Manual for the Plastic Surgeon.","authors":"Benjamin D W Belfort, Winston R Owens, Olivia G Leonovicz, Amjed Abu-Ghname, Josephine L Schmidt, Edward P Buchanan, Amy S Xue","doi":"10.1055/s-0045-1808273","DOIUrl":"10.1055/s-0045-1808273","url":null,"abstract":"<p><p>Head and neck cancers (HNCs) require a multidisciplinary team (MDT) approach to address their complex functional, aesthetic, and psychological impacts. This manuscript highlights the central role of plastic surgeons in the MDT, emphasizing their collaboration with other MDT members to align aesthetic and functional surgical outcomes with oncologic and rehabilitative goals. Our intention is for this to be used as a practical guide for plastic surgeons detailing the roles of key MDT members and their contributions across the preoperative, intraoperative, and postoperative phases. We will also highlight how MDTs improve survival, functional outcomes, and quality of life for HNC patients.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"39 2","pages":"103-112"},"PeriodicalIF":2.3,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multidisciplinary Care: Facial Reanimation in the Pediatric Population. 多学科护理：儿科人群的面部再生。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2025-05-21 eCollection Date: 2025-05-01 DOI: 10.1055/s-0045-1808271
Vamsi C Mohan, Muhammad Akram, Benjamin D Belfort, Amjed Abu-Ghname, Amy S Xue
{"title":"Multidisciplinary Care: Facial Reanimation in the Pediatric Population.","authors":"Vamsi C Mohan, Muhammad Akram, Benjamin D Belfort, Amjed Abu-Ghname, Amy S Xue","doi":"10.1055/s-0045-1808271","DOIUrl":"10.1055/s-0045-1808271","url":null,"abstract":"<p><p>Facial reanimation refers to the array of options available to manage patients with facial nerve injury or palsy. From congenital to acquired etiologies, a multidisciplinary approach and team is needed to treat the functional and aesthetic deficits these patients may experience. This is particularly true in the pediatric population, who frequently experience significant psychosocial stress from their peers, and cannot adequately voice their experiences due to age. The purpose of this article is to highlight the multidisciplinary team members, their roles, and provide our perspective at Texas Children's Hospital.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"39 2","pages":"75-81"},"PeriodicalIF":2.3,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Multidisciplinary Approach to Brachial Plexus Birth Injury: An Overview and Institutional Experience. 臂丛出生损伤的多学科方法：综述和机构经验。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2025-05-21 eCollection Date: 2025-05-01 DOI: 10.1055/s-0045-1808270
Winston R Owens, Vamsi C Mohan, Diego M Quirarte, John D Bovill, Gabrielle T Nguyen, James H Northcutt Ii, Jenny Lee Nguyen, William C Pederson
{"title":"A Multidisciplinary Approach to Brachial Plexus Birth Injury: An Overview and Institutional Experience.","authors":"Winston R Owens, Vamsi C Mohan, Diego M Quirarte, John D Bovill, Gabrielle T Nguyen, James H Northcutt Ii, Jenny Lee Nguyen, William C Pederson","doi":"10.1055/s-0045-1808270","DOIUrl":"10.1055/s-0045-1808270","url":null,"abstract":"<p><p>Without early diagnosis and intervention, brachial plexus birth injuries (BPBIs) can result in permanent upper extremity debilitation. Previously, BPBI was treated by single-specialty surgeons; however, given the complexity of the injury, BPBIs necessitate multidisciplinary team care. Common specialists involved within brachial plexus injury clinics include radiologists, physical medicine and rehabilitation physicians, occupational therapists, nerve surgeons, and shoulder surgeons. Care plans are meticulously designed by all team members, and depending on injury severity and clinical course, patients may undergo treatment including range-of-motion exercises, splinting, botulinum toxin injections, nerve surgery, or shoulder surgery. The objective of this article is to highlight and discuss key providers within BPBI clinics and describe the BPBI experience here at Texas Children's Hospital.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"39 2","pages":"69-74"},"PeriodicalIF":2.3,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multidisciplinary Team Care in Plastic Surgery: Vascular Anomalies. 整形外科多学科团队护理：血管异常。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2025-05-21 eCollection Date: 2025-05-01 DOI: 10.1055/s-0045-1808272
Josephine L Schmidt, Vamsi C Mohan, Richard Appel, Tara L Rosenberg, Jessica A Ching
{"title":"Multidisciplinary Team Care in Plastic Surgery: Vascular Anomalies.","authors":"Josephine L Schmidt, Vamsi C Mohan, Richard Appel, Tara L Rosenberg, Jessica A Ching","doi":"10.1055/s-0045-1808272","DOIUrl":"10.1055/s-0045-1808272","url":null,"abstract":"<p><p>Vascular anomalies consist of a wide range of diagnoses relating to abnormal vasculature. These lesions can affect a variety of anatomical structures, requiring the expertise of numerous specialists. Over the past few decades, the formation of multidisciplinary vascular anomalies clinics has allowed patients to meet multiple providers within the same clinic visit, leading to improved communication between patients and providers. Furthermore, diagnostic and treatment plans are discussed in multidisciplinary conferences allowing for enhanced diagnostic accuracy and more comprehensive management plans. The purpose of this article is to provide an overview of the multidisciplinary management of vascular anomalies, including descriptions of key team members, multidisciplinary clinics, and benefits and challenges of providing multidisciplinary care.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"39 2","pages":"82-88"},"PeriodicalIF":2.3,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","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 Approach to Multidisciplinary Oncologic Breast Care. 多学科乳腺肿瘤护理方法。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2025-03-31 eCollection Date: 2025-05-01 DOI: 10.1055/s-0045-1806808
Winston R Owens, Yang Ding, Diego M Quirarte, Linden Shih, Alexandria S Fritz, Lucas A Dvoracek
{"title":"The Approach to Multidisciplinary Oncologic Breast Care.","authors":"Winston R Owens, Yang Ding, Diego M Quirarte, Linden Shih, Alexandria S Fritz, Lucas A Dvoracek","doi":"10.1055/s-0045-1806808","DOIUrl":"10.1055/s-0045-1806808","url":null,"abstract":"<p><p>Breast carcinoma is the second leading cause of cancer-associated death nationwide in women and is also one of the most common in the world. Originally, the diagnosis of breast malignancy left patients with poor prognoses; however, improvements in screening, treatments, and genetic testing in combination with multidisciplinary care have enhanced survival. Multidisciplinary breast cancer clinics (MDBCC) are comprised of surgeons, oncologists, pathologists, and various other specialties who work in tandem to deliver comprehensive treatment. Despite models of MDBCCs being variable throughout the world, tumor board conferences remain a cornerstone for multimodal treatment planning. This article will review common specialists and additional health care workers who are essential to MDBCCs, while describing the experience at a cancer center in Houston, Texas.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"39 2","pages":"97-102"},"PeriodicalIF":2.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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