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Seminars in Plastic Surgery最新文献

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Management of Avulsive Soft Tissue Ballistic Facial Injuries. 撕脱性软组织弹道面部损伤的处理。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2025-03-26 eCollection Date: 2025-02-01 DOI: 10.1055/s-0045-1801876
Yang Ding, Winston R Owens, Diego M Quirarte, Olivia G Leonovicz, Kerry P Latham
{"title":"Management of Avulsive Soft Tissue Ballistic Facial Injuries.","authors":"Yang Ding, Winston R Owens, Diego M Quirarte, Olivia G Leonovicz, Kerry P Latham","doi":"10.1055/s-0045-1801876","DOIUrl":"10.1055/s-0045-1801876","url":null,"abstract":"<p><p>Ballistic facial injuries are rare yet challenging cases for plastic surgeons that often comprise of avulsive tissue loss. They require in-depth assessment and staged reconstruction after patient stabilization. Each anatomic region of the face holds specific considerations that should be prioritized during reconstruction. Soft tissue repair techniques of facial gunshot wounds are widely variable and range from primary closure to multistage free flaps. Large, devastating facial defects after ballistic trauma previously posed significant challenges for reconstruction; however, advances in composite tissue transplant and allografts have expanded plastic surgeons' reconstructive arsenals. The goal of this review is to focus on the fundamentals of soft tissue management and reconstruction after ballistic facial injury. Through sound surgical principles, patients may achieve optimal aesthetic and functional outcomes despite experiencing highly morbid facial ballistic injuries.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"39 1","pages":"49-56"},"PeriodicalIF":2.3,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11945220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755348","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
Lip Reconstruction. 唇重建。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-12-17 eCollection Date: 2024-11-01 DOI: 10.1055/s-0044-1792107
Winston R Owens, Diego M Quirarte, Srinithya R Gillipelli, Sarah A Layon, John D Bovill, Lucas A Dvoracek
{"title":"Lip Reconstruction.","authors":"Winston R Owens, Diego M Quirarte, Srinithya R Gillipelli, Sarah A Layon, John D Bovill, Lucas A Dvoracek","doi":"10.1055/s-0044-1792107","DOIUrl":"10.1055/s-0044-1792107","url":null,"abstract":"<p><p>Lip reconstruction is challenging for plastic surgeons due to the unique functionality and aesthetic complexity of the lips within the lower third of the face. The etiology of lip defects varies from congenital to acquired causes of origin. The most common acquired cause of lip defects is resection of malignancy. Defects can present as various shapes and sizes and may affect any location on the lip. Each defect requires a full workup, and algorithms such as the rule of thirds, are commonly used to swiftly identify optimal reconstructive options. The goal of lip reconstruction is to ensure oral competence while restoring intricate, cutaneous landmarks. The approach to lip reconstruction makes use of many rungs of the reconstructive ladder. This article primarily focuses on repairing lip defects secondary to Mohs surgery; however, the reconstructive methods discussed are useful for lip defects of all causes. This article will review lip defect evaluation, reconstructive methods, common complications, and adjuvant therapies to ensure optimal lip function and cosmesis.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"38 4","pages":"304-320"},"PeriodicalIF":2.3,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856317","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
Scalp and Forehead Reconstruction following Mohs Micrographic Surgery. 莫氏显微摄影手术后头皮和前额重建。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-12-17 eCollection Date: 2024-11-01 DOI: 10.1055/s-0044-1792105
Vamsi C Mohan, Olivia G Leonovicz, Josephine L Schmidt, Srinithya R Gillipelli, Matthew J Parham, Sarah A Layon, Robert F Dempsey
{"title":"Scalp and Forehead Reconstruction following Mohs Micrographic Surgery.","authors":"Vamsi C Mohan, Olivia G Leonovicz, Josephine L Schmidt, Srinithya R Gillipelli, Matthew J Parham, Sarah A Layon, Robert F Dempsey","doi":"10.1055/s-0044-1792105","DOIUrl":"10.1055/s-0044-1792105","url":null,"abstract":"<p><p>For proper reconstruction of scalp and forehead defects following Mohs micrographic surgery (MMS), knowledge of the unique anatomy and aesthetic importance of these structures is necessary to restore function and appearance. However, the inflexibility, convexity, and hair-bearing nature of the scalp and forehead can make reconstruction challenging. Detailed planning and precise management are essential to achieve adequate reconstructive results. Defect size, location, prior radiation history, and symmetry of hairlines should be taken into consideration during planning, and the simplest reconstructive technique should be utilized whenever feasible. This review will discuss the reconstructive options available for acquired defects of the scalp and forehead.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"38 4","pages":"268-278"},"PeriodicalIF":2.3,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856322","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
Judging Surgical Quality in Facial Reconstruction. 判断面部重建手术质量。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-12-17 eCollection Date: 2024-11-01 DOI: 10.1055/s-0044-1793917
Lauren McAllister, Nicholas Yim, James F Thornton
{"title":"Judging Surgical Quality in Facial Reconstruction.","authors":"Lauren McAllister, Nicholas Yim, James F Thornton","doi":"10.1055/s-0044-1793917","DOIUrl":"10.1055/s-0044-1793917","url":null,"abstract":"<p><p>Judging surgical quality within facial reconstruction is challenging for many reasons. Factors beyond the completion of surgery influence the quality of the result, demanding the surgeon to predict and mitigate potential confounders of quality. This skill is honed over years of experience and practice. Patient satisfaction, risk profile, and the ideals within the field are central to understanding the quality of the outcome.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"38 4","pages":"260-263"},"PeriodicalIF":2.3,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856316","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
James F. Thornton, MD. 詹姆斯F.桑顿，医学博士。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-12-17 eCollection Date: 2024-11-01 DOI: 10.1055/s-0044-1792103
Edward P Buchanan
{"title":"James F. Thornton, MD.","authors":"Edward P Buchanan","doi":"10.1055/s-0044-1792103","DOIUrl":"https://doi.org/10.1055/s-0044-1792103","url":null,"abstract":"","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"38 4","pages":"253"},"PeriodicalIF":2.3,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856315","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
Eyelid Reconstruction. 眼睑重建。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-12-17 eCollection Date: 2024-11-01 DOI: 10.1055/s-0044-1795099
Srinithya R Gillipelli, Diego M Quirarte, Winston R Owens, Matthew J Parham, Austin Y Jiang, Katherine J Williams, Amy S Xue
{"title":"Eyelid Reconstruction.","authors":"Srinithya R Gillipelli, Diego M Quirarte, Winston R Owens, Matthew J Parham, Austin Y Jiang, Katherine J Williams, Amy S Xue","doi":"10.1055/s-0044-1795099","DOIUrl":"10.1055/s-0044-1795099","url":null,"abstract":"<p><p>Reconstruction of the eyelid is a complex process that requires an understanding of eyelid anatomy and various reconstructive techniques to restore function and appearance. The eyelids, essential for globe protection, moisture retention, and expression, contain the lacrimal system and intricate musculature that make reconstruction challenging. Tumor excision commonly results in defects in the eyelid that require careful reconstructive planning, with consideration for defect dimensions, location, and involvement of surrounding tissue. This review presents reconstructive techniques commonly used in the management of eyelid defects.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"38 4","pages":"279-289"},"PeriodicalIF":2.3,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856313","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
Reconstruction of Small Nasal Defects. 鼻腔小缺损的重建。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-12-17 eCollection Date: 2024-11-01 DOI: 10.1055/s-0044-1795098
Pierce Hollier, Matthew Parham, Sarah A Layon, James F Thornton
{"title":"Reconstruction of Small Nasal Defects.","authors":"Pierce Hollier, Matthew Parham, Sarah A Layon, James F Thornton","doi":"10.1055/s-0044-1795098","DOIUrl":"10.1055/s-0044-1795098","url":null,"abstract":"<p><p>The nose maintains a central importance in both functional and aesthetic human anatomy. With such importance comes numerous possible defects with equally plentiful techniques available for repair. One of the most common causes for nasal reconstruction is Mohs micrographic surgery to excise basal and squamous cell carcinomas. Generally, these procedures create small defects which can be repaired via skin graft or flaps with possible assistance from biologic agents.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"38 4","pages":"290-296"},"PeriodicalIF":2.3,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856320","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
Esthetics of Facial Reconstruction following Mohs Surgery. 莫氏手术后面部重建的美学。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-12-17 eCollection Date: 2024-11-01 DOI: 10.1055/s-0044-1792104
James F Thornton
{"title":"Esthetics of Facial Reconstruction following Mohs Surgery.","authors":"James F Thornton","doi":"10.1055/s-0044-1792104","DOIUrl":"https://doi.org/10.1055/s-0044-1792104","url":null,"abstract":"","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"38 4","pages":"254"},"PeriodicalIF":2.3,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856312","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
Mohs Micrographic Surgery: A Brief Overview. 莫氏显微外科：简要概述。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-11-04 eCollection Date: 2024-11-01 DOI: 10.1055/s-0044-1791563
A Caresse Gamret, Jared E Roberts, Divya Srivastava, Rajiv I Nijhawan
{"title":"Mohs Micrographic Surgery: A Brief Overview.","authors":"A Caresse Gamret, Jared E Roberts, Divya Srivastava, Rajiv I Nijhawan","doi":"10.1055/s-0044-1791563","DOIUrl":"10.1055/s-0044-1791563","url":null,"abstract":"<p><p>Mohs micrographic surgery (MMS) is a tissue-sparing skin cancer resection technique that involves 100% margin analysis. This procedure is performed in the outpatient setting under local anesthesia by dermatologic surgeons who act as both the surgeon and the pathologist. The technique allows for prompt reconstruction immediately after cancer clearance and offers the highest cure rate for many skin malignancies, including basal and squamous cell carcinoma, as well as more rare tumors. Mohs surgery effectively ensures cancer clearance while minimizing defect size and optimizing cosmetic and functional outcomes for patients. Herein we will discuss the evolution, procedure, and indications of MMS.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"38 4","pages":"264-267"},"PeriodicalIF":2.3,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856318","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
Approaches to Cheek Reconstruction following Mohs Surgery. 莫氏手术后脸颊重建的方法。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-11-04 eCollection Date: 2024-11-01 DOI: 10.1055/s-0044-1791223
Lauren McAllister, James F Thornton
{"title":"Approaches to Cheek Reconstruction following Mohs Surgery.","authors":"Lauren McAllister, James F Thornton","doi":"10.1055/s-0044-1791223","DOIUrl":"10.1055/s-0044-1791223","url":null,"abstract":"<p><p>The native features of the cheek allow for a variety of approaches when considering reconstruction following Mohs surgery. Selecting the best approach requires consideration of deficit size and location, skin laxity, surrounding anatomy, aesthetic outcomes, and specific patient factors. Reconstruction options vary based on the zone of the cheek affected, but direct closure remains the gold standard. When direct closure is not suitable, the use of the cervicofacial advancement flap, biologic agents, or a combination of the two should adequately address the majority of cheek deficits resulting from Mohs surgery. During cheek reconstruction, great care should be taken to maintain and support the surrounding anatomy, most notably the lower eyelid. Postoperative management is mostly comprised of scar management, as immediate, urgent complications are rare. Options to address postoperative scarring range from silicone sheeting to revisional surgery, but most deficits will settle well if given adequate time and are properly cared for with noninvasive measures.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"38 4","pages":"321-325"},"PeriodicalIF":2.3,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856308","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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