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Seminars in Plastic Surgery最新文献

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Computerized Surgical Planning in Gender Affirming Facial Surgery 性别平权面部手术中的计算机化手术规划
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-05-13 DOI: 10.1055/s-0044-1786804
Jacqueline M. Ihnat, Ali Aral, Thayer Mukherjee, Michael Alperovich
{"title":"Computerized Surgical Planning in Gender Affirming Facial Surgery","authors":"Jacqueline M. Ihnat, Ali Aral, Thayer Mukherjee, Michael Alperovich","doi":"10.1055/s-0044-1786804","DOIUrl":"https://doi.org/10.1055/s-0044-1786804","url":null,"abstract":"<p>Computerized Surgical Planning (CSP) is a surgical tool that enables precise bony changes through the creation of custom cutting guides and/or custom plates. CSP has been shown to be a safe and effective tool in gender affirming facial surgery as well, specifically with regard to frontal sinus setback, zygomatic remodeling, genioplasty, and mandibular angle and body reshaping. CSP aids in trainee education, improves symmetry, reduces operative time, and can produce idealized results during complex revisions. Overall, CSP is a valuable tool in the field of gender affirming facial surgery that helps surgeons achieve optimal aesthetic and safety outcomes for patients.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140926974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric Facial Burn Reconstruction 小儿面部烧伤重建
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-04-26 DOI: 10.1055/s-0044-1786009
Tina Moon, Daniel N. Driscoll
{"title":"Pediatric Facial Burn Reconstruction","authors":"Tina Moon, Daniel N. Driscoll","doi":"10.1055/s-0044-1786009","DOIUrl":"https://doi.org/10.1055/s-0044-1786009","url":null,"abstract":"<p>Contrary to prior pediatric burn treatment philosophies, we now know that early burn excision and grafting for non life-threatening burns can compromise future reconstruction. Extensive scar excision should be minimized and scar rehabilitation maximized, as secondary iatrogenic deformities can become even more difficult to fix. Scar remodeling with local tissue rearrangement can relieve tension and soften scars over time. The majority of facial burns often only involve skin and can be adequately treated without the need for complex flap reconstruction. Facial burn scars are a different problem than facial burn scar contracture. The former needs scar rehabilitation, whereas the latter needs the addition of skin. Laser therapy has transformed the treatment of burn scars and is an incredibly valuable adjunct to local tissue rearrangement and grafting. The most favorable functional, aesthetic, and psychological outcomes require a long-term multidisciplinary effort and customized protocol utilizing the vast armamentarium of reconstructive tools described below.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140803679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Airway Management for Acute and Reconstructive Burns: Our 30-year Experience 急性和整形烧伤的气道管理：我们 30 年的经验
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-04-26 DOI: 10.1055/s-0044-1786008
Brita M. Mittal, Robert A. McQuitty, Mark Talon, Alexis L. McQuitty
{"title":"Airway Management for Acute and Reconstructive Burns: Our 30-year Experience","authors":"Brita M. Mittal, Robert A. McQuitty, Mark Talon, Alexis L. McQuitty","doi":"10.1055/s-0044-1786008","DOIUrl":"https://doi.org/10.1055/s-0044-1786008","url":null,"abstract":"<p>Airway management in both acute and reconstructive burn patients can be a major challenge for evaluation, intubation, and securing the airway in the setting of altered airway structure. Airway evaluation in both acute and reconstructive patients includes examination for evidence of laryngeal and supraglottic edema and structural changes due to trauma and/or scarring that will impact the successful approach to acquiring an airway for surgical procedures and medical recovery. The approach to acquiring a successful airway is rarely standard laryngoscopy and often requires fiberoptic bronchoscopy and a variety of airway manipulation techniques. Tracheostomy should be reserved for those with classic requirements of ventilatory and/or mechanical failure or severe upper airway burns. Even securing an airway for surgical procedures, especially with patients suffering injuries involving the head and neck, can be nonstandard and requires creative and flexible approaches to be successful. After much trial and error over the past 30 years in a large burn center, our multidisciplinary team has learned many valuable lessons. This review will focus on our current approach to safe airway management in acute and reconstructive burn patients.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140803678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Musculoskeletal Issues in Pediatric Burn Patients 小儿烧伤患者的肌肉骨骼问题
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-04-26 DOI: 10.1055/s-0044-1782651
William A. Phillips
{"title":"Musculoskeletal Issues in Pediatric Burn Patients","authors":"William A. Phillips","doi":"10.1055/s-0044-1782651","DOIUrl":"https://doi.org/10.1055/s-0044-1782651","url":null,"abstract":"<p>A burn injury affects virtually every organ system. The purpose of this article is to review musculoskeletal issues in children with burn injuries. Both acute and long-term problems will be discussed. A low threshold to consult a pediatric orthopaedist is recommended.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140803642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inhalation Injury 吸入性损伤
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-04-04 DOI: 10.1055/s-0044-1782646
Michael J. Erickson, Perenlei Enkhbaatar, Jong O. Lee
{"title":"Inhalation Injury","authors":"Michael J. Erickson, Perenlei Enkhbaatar, Jong O. Lee","doi":"10.1055/s-0044-1782646","DOIUrl":"https://doi.org/10.1055/s-0044-1782646","url":null,"abstract":"<p>Inhalation injury is a critical component of thermal injury that can significantly increase mortality in burn survivors. This poses significant challenges to managing these patients and profoundly impacts patient outcomes. This comprehensive literature review delves into the epidemiology, pathophysiology, diagnosis, classification, management, and outcomes of inhalation injury with burns.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140576243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric Burn Teams: Moving from Multidisciplinary to Transdisciplinary 儿科烧伤团队：从多学科转向跨学科
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-04-04 DOI: 10.1055/s-0044-1782644
Kathleen S. Romanowski
{"title":"Pediatric Burn Teams: Moving from Multidisciplinary to Transdisciplinary","authors":"Kathleen S. Romanowski","doi":"10.1055/s-0044-1782644","DOIUrl":"https://doi.org/10.1055/s-0044-1782644","url":null,"abstract":"<p>Pediatric burn care has improved to the point where even patients with massive burns have a reasonable chance of survival. An important component of this success is the pediatric multidisciplinary burn team. The pediatric burn team is made up of all the disciplines that are required to provide optimal care of the patient as well as their family. The pediatric burn team in its initial iteration was multidisciplinary, with each discipline focusing on their own area without much overlap. However, over time the burn team has become more cooperative and interdisciplinary leading to improved outcomes for children with burn injuries. Ultimately, pediatric burn teams may be able to function in a transdisciplinary manner which would potentially allow for even more innovation in the care of burn patients.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140576042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Initial Pediatric Burn Management: A Practical Guide 小儿烧伤初步处理：实用指南
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-04-04 DOI: 10.1055/s-0044-1782645
Tina L. Palmieri
{"title":"Initial Pediatric Burn Management: A Practical Guide","authors":"Tina L. Palmieri","doi":"10.1055/s-0044-1782645","DOIUrl":"https://doi.org/10.1055/s-0044-1782645","url":null,"abstract":"<p>Children have an imperative to explore their environment to grow and develop, which puts them at risk for sustaining burn injury. Burn injury remains the third leading cause of injury-related death worldwide. Plastic surgeons, as experts in the evaluation and management of cutaneous injuries, are frequently called upon to evaluate and treat children with burn injuries. This article focuses on the unique physiologic aspects of children and how they impact initial evaluation and management of burn injury. Children are not “little adults,” and they have different airway, circulatory, and cutaneous systems. Understanding the signs of potential child abuse is important to avoid further child harm. Finally, recognition of the criteria for referral to a pediatric burn center is important to optimize both short- and long-term outcomes for patients and families.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140576238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nutrition in Pediatric Burns 小儿烧伤的营养
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-04-04 DOI: 10.1055/s-0044-1782648
Amy A. Mrazek, Preston Simpson, Jong O. Lee
{"title":"Nutrition in Pediatric Burns","authors":"Amy A. Mrazek, Preston Simpson, Jong O. Lee","doi":"10.1055/s-0044-1782648","DOIUrl":"https://doi.org/10.1055/s-0044-1782648","url":null,"abstract":"<p>Nutrition and modulation of the hypermetabolic response to acute burns are reviewed in this article. Methods to determine caloric requirements are evaluated, including indirect calorimetry and predictive equations. Individual nutritional components of carbohydrates, fat, protein, vitamins, and trace elements are discussed specifically in relation to acute burn care. Selection of formula and route of administration are outlined, with an enteral high-carbohydrate, low-fat diet being preferable. Awareness and recognition of the signs and symptoms of malnutrition is critical in the management of variable caloric needs throughout hospitalization. Lastly, the catabolic state of acute burns is addressed through early excision and grafting and implementation of various pharmacologic agents, including growth hormone, insulin-like growth factor-1, insulin-like growth factor-binding protein-3, insulin, propranolol, and oxandrolone. Through a multipronged approach to nutrition, pediatric burn patients are provided the substrates for successful recovery and rehabilitation.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140602632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Global Surgery: Burn Outreach by Shriners Children's Texas 全球手术：德克萨斯州儿童医护人员烧伤外展项目
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-04-04 DOI: 10.1055/s-0044-1785217
Ramon L. Zapata-Sirvent, Ludwik K. Branski, Jong O. LEE
{"title":"Global Surgery: Burn Outreach by Shriners Children's Texas","authors":"Ramon L. Zapata-Sirvent, Ludwik K. Branski, Jong O. LEE","doi":"10.1055/s-0044-1785217","DOIUrl":"https://doi.org/10.1055/s-0044-1785217","url":null,"abstract":"<p>Global surgery describes a rapidly developing field that seeks to improve surgical treatment internationally, specifically in those specialized treatments that are not readily accessible, considered complex and expensive. Burns cause 300,000 deaths annually, 90% of which occur in low- and middle-income countries (LMICs).</p> <p>Burns are a public health problem since they can cause disability and death. Shriners Children's Texas is a unique model of global surgery for an important number of countries in Central and South Americas and Mexico, providing specialized acute burn care with low mortality for burned children.</p> <p>Survivors of severe burns may face devastating sequelae due to burn scar contractures and hypertrophic burn scars that may limit the social reintegration. Burn reconstruction is not easily accessible to patients in LMICs. After discharge from acute burn treatment at our hospital, patients may return every 6 months for in-person follow-up to assess any surgical, psychological, or rehabilitative needs. Telemedicine allows for monitoring of postoperative results and evaluation for new surgical procedures. Follow-up clinic visits called outreach clinics held in international hospitals or international Shriners Temples allow for evaluation of follow-up patients and new patients with reconstructive needs that may benefit from a treatment in Shriners Children's Texas in Galveston, Texas.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140576251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Historical Evolvement of Movement and Exercise Training in Patients with Severe Burns and Their Potential Effects on Grafts, Scars, and Function 严重烧伤患者运动和锻炼训练的历史演变及其对移植物、疤痕和功能的潜在影响
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-04-04 DOI: 10.1055/s-0044-1785216
Julia Kleinhapl, Kristine Knappskog, Celeste C. Finnerty, Ludwik Branski, Oscar E. Suman
{"title":"The Historical Evolvement of Movement and Exercise Training in Patients with Severe Burns and Their Potential Effects on Grafts, Scars, and Function","authors":"Julia Kleinhapl, Kristine Knappskog, Celeste C. Finnerty, Ludwik Branski, Oscar E. Suman","doi":"10.1055/s-0044-1785216","DOIUrl":"https://doi.org/10.1055/s-0044-1785216","url":null,"abstract":"<p>Exercise training for burn patients has become a major part of rehabilitation programs within the last decades. One of the main reasons for prolonged and long-term increased morbidity and mortality in this population is a persistent catabolic state with subsequent loss of lean body mass (LBM). A combination of resistance and aerobic exercises as well as stretching has shown to improve physical function by enhancing cardiopulmonary fitness, LBM, and strength and thus leading to ameliorated long-term outcomes of patients recovering from burns. In this literature review, we show an outline of the implementation of exercise training over the last decades into standardized care for patients with burns.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140576110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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