Seminars in Plastic Surgery最新文献

{"title":"History of Microsurgery: The Legacy of Harry J. Buncke, MD.","authors":"Gregory M Buncke","doi":"10.1055/s-0042-1758130","DOIUrl":"10.1055/s-0042-1758130","url":null,"abstract":"<p><p>A historical review of the history of Microsurgery including the important influence and contributions of Harry J. Buncke MD considered by many to be the \"Father of Microsurgery\". An chronological list of Historic Replants and \"Free Flap\" and microvascular transplants is included. Those who lived through the age of the birth of this new surgical specialty were fortunate.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"36 4","pages":"211-220"},"PeriodicalIF":2.0,"publicationDate":"2022-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9762998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10424540","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}

{"title":"Buncke Clinic Edition.","authors":"Andrew J Watt","doi":"10.1055/s-0042-1758694","DOIUrl":"10.1055/s-0042-1758694","url":null,"abstract":"","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"36 4","pages":"210"},"PeriodicalIF":2.0,"publicationDate":"2022-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9762990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10414106","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}

{"title":"Microsurgical Breast Reconstruction: Maximizing Success.","authors":"Rudolf Buntic, Alexander Y Li","doi":"10.1055/s-0042-1759573","DOIUrl":"10.1055/s-0042-1759573","url":null,"abstract":"<p><p>Breast reconstruction is becoming increasingly recognized as a fundamental component in comprehensive breast cancer treatment. The primary goal for any reconstruction is to safely restore a natural appearing breast. When it comes to achieving the elements of size, shape, symmetry, and softness, the use of autologous tissue has many advantages. The approach to autologous breast reconstruction has changed substantially over the years as microsurgical free tissue transplants become more routine and accessible. While a variety of flap donor sites exist, careful flap selection based on surgical history and the availability of donor tissue is critical in achieving reliable results. This article reviews the clinical considerations in patient evaluation, donor site selection, and surgical approach taken at the Buncke Clinic.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"36 4","pages":"253-259"},"PeriodicalIF":2.0,"publicationDate":"2022-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9762994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10424539","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}

{"title":"Free Flap Donor-Site Complications and Management.","authors":"Hunter Archibald, Joel Stanek, David Hamlar","doi":"10.1055/s-0042-1759795","DOIUrl":"10.1055/s-0042-1759795","url":null,"abstract":"<p><p>Free flap harvest will occasionally result in donor-site complications and morbidity. Most of these complications are managed simply without producing lingering effects on activities of daily living. However, some patients will sustain limb weakness, gait issues, chronic pain, and nonhealing wounds. Frank preoperative discussion between surgeon and patient is essential to maximize postoperative outcome and manage expectations. Fastidious surgical technique will help minimize the risks of hematoma, seroma, and infection, while newer techniques can help prevent some issues with wound healing, limb weakness, and sensory changes. In this article, we describe the rates of common and rare complications at free flap donor sites, as well as techniques to prevent and manage them.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"37 1","pages":"26-30"},"PeriodicalIF":2.0,"publicationDate":"2022-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9911222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10707056","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}

{"title":"Psychological Survivorship in Head and Neck Cancer.","authors":"Ciaran Lane, Ryan C Higgins, Neerav Goyal","doi":"10.1055/s-0042-1759798","DOIUrl":"10.1055/s-0042-1759798","url":null,"abstract":"<p><p>Survivorship for head and neck cancer patients presents unique challenges related to the anatomic location of their disease. After treatment, patients often have functional impairments requiring additional care and support. In addition, patients may have psychological challenges managing the effect of the disease and treatment. Routine screening is recommended for the identification of psychological conditions. This article reviews the latest research on key psychological conditions associated with head and neck cancer. It discusses risk factors for the development of each condition and provides recommendations for the management of patients who may present with psychological concerns.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"37 1","pages":"46-52"},"PeriodicalIF":2.0,"publicationDate":"2022-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9911224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10707058","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}

{"title":"Virtual Planning and 3D Printing in Contemporary Orthognathic Surgery.","authors":"Tulsi Roy, Derek M Steinbacher","doi":"10.1055/s-0042-1760209","DOIUrl":"10.1055/s-0042-1760209","url":null,"abstract":"<p><p>Orthognathic surgery is a powerful tool to improve facial balance, form, and function. Virtual planning and three-dimensional printing has improved our ability to visualize complex anatomy, consider various iterations and execute complex movements, and create accurate splints, plates, and cutting guides. This article will outline the distinct advantages of the use of virtual surgical planning over traditional planning, and it will explore the utility of computer-aided design and technology within contemporary orthognathic surgery, including its expanded applications and limitations.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"36 3","pages":"169-182"},"PeriodicalIF":2.3,"publicationDate":"2022-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9750797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9177840","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}

{"title":"Negative Pressure Wound Therapy in the Head and Neck: A Summary of Uses and Application Techniques.","authors":"Robert Michael Liebman, Krishna S Hanubal, Peter T Dziegielewski","doi":"10.1055/s-0042-1759562","DOIUrl":"10.1055/s-0042-1759562","url":null,"abstract":"<p><p>Negative pressure wound therapy (NPWT) has had an expanded role in the management of complex wounds including its increasing use for complex wounds in the head and neck region. Challenges for use in the head and neck region include variations in surface topography and the proximity of sensitive mouth, nose, ear, eye, and tracheal openings. Despite these challenges, NPWT has been used in the head and neck immediately following free flap surgery, to prepare wounds for skin grafting or local flaps, to treat orocutaneous and pharyngocutaneous fistulas, to treat necrotizing and deep neck space infections, to temporize and palliate, and to treat chronic wounds with exposed bone and hardware among others. This review demonstrates the proven track record of successful uses of NPWT in the aforementioned scenarios, provides suggestions to improve efficacy, as well as an algorithm for use in certain clinical situations.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"37 1","pages":"9-18"},"PeriodicalIF":2.0,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9911220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10712623","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}

{"title":"Black Bone MRI for Virtual Surgical Planning in Craniomaxillofacial Surgery.","authors":"Krishna S Vyas, Marissa A Suchyta, Christopher H Hunt, Waleed Gibreel, Samir Mardini","doi":"10.1055/s-0042-1756451","DOIUrl":"10.1055/s-0042-1756451","url":null,"abstract":"Abstract Advances in computer-aided design and computer-aided manufacturing software have improved translational applications of virtual surgical planning (VSP) in craniomaxillofacial surgery, allowing for precise and accurate fabrication of cutting guides, stereolithographic models, and custom implants. High-resolution computed tomography (CT) imaging has traditionally been the gold standard imaging modality for VSP in craniomaxillofacial surgery but delivers ionizing radiation. Black bone magnetic resonance imaging (MRI) reduces the risks related to radiation exposure and has comparable functionality when compared with CT for VSP. Our group has studied the accuracy of utilizing black bone MRI in planning and executing several types of craniofacial surgeries, including cranial vault remodeling, maxillary advancement, and mandibular reconstruction using fibular bone. Here, we review clinical applications of black bone MRI pertaining to VSP and three-dimensional (3D)-printed guide creation for craniomaxillofacial surgery. Herein, we review the existing literature and our institutional experience comparing black bone MRI and CT in VSP-generated 3D model creation in cadaveric craniofacial surgeries including cranial vault reconstruction, maxillary advancement, and mandibular reconstruction with fibular free flap. Cadaver studies have demonstrated the ability to perform VSP and execute the procedure based on black bone MRI data and achieve outcomes similar to CT when performed for cranial vault reshaping, maxillary advancement, and mandibular reconstruction with free fibula. Limitations of the technology include increased time and costs of the MRI compared with CT and the possible need for general anesthesia or sedation in the pediatric population. VSP and 3D surgical guide creation can be performed using black bone MRI with comparable accuracy to high-resolution CT scans in a wide variety of craniofacial reconstructions. Successful segmentation, VSP, and 3D printing of accurate guides from black bone MRI demonstrate potential to change the preoperative planning standard of care. Black bone MRI also reduces exposure to ionizing radiation, which is of particular concern for the pediatric population or patients undergoing multiple scans.","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"36 3","pages":"192-198"},"PeriodicalIF":2.0,"publicationDate":"2022-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9729059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10330913","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}

{"title":"Virtual Surgical Planning and Three-Dimensional Printing in Rhinoplasty.","authors":"Alexandra Townsend, Oren M Tepper","doi":"10.1055/s-0042-1755463","DOIUrl":"10.1055/s-0042-1755463","url":null,"abstract":"<p><p>Recent developments in three-dimensional (3D) imaging technology offer a more comprehensive means of assessing facial features. 3D printing allows for the transition of planning from simply a preoperative tool to an intraoperative device with the use of tools such as 3D-printed cutting guides, marking guides, or positioning guides. With the advent of 3D printing technology, 3D surface images can now be used to generate new medical models, devices, or tools to assist with rhinoplasty during preoperative, intraoperative, and postoperative phases. In the field of rhinoplasty, 3D printing can be applied in three main areas: (1) reference models, (2) surgical guides, and (3) nasal splints. The value of 3D imaging extends far beyond the benefits of \"conversion\" during a preoperative consultation and has the potential to greatly enhance the overall treatment of rhinoplasty patients with enhanced communication and personalized devices that can be used during surgery and in the postoperative phase.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"36 3","pages":"158-163"},"PeriodicalIF":2.0,"publicationDate":"2022-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9729057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10331388","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}

{"title":"Virtual Planning and 3D Printing in the Management of Acute Orbital Fractures and Post-Traumatic Deformities.","authors":"Basel Sharaf, Daniel E Leon, Lilly Wagner, Jonathan M Morris, Cristina A Salinas","doi":"10.1055/s-0042-1754387","DOIUrl":"10.1055/s-0042-1754387","url":null,"abstract":"<p><p>Virtual surgical planning (VSP) and three-dimensional (3D) printing have advanced surgical reconstruction of orbital defects. Individualized 3D models of patients' orbital bony and soft tissues provide the surgeon with corrected orbital volume based on normalized anatomy, precise location of critical structures, and when needed a better visualization of the defect or altered anatomy that are paramount in preoperative planning. The use of 3D models preoperatively allows surgeons to improve the accuracy and safety of reconstruction, reduces intraoperative time, and most importantly lowers the rate of common postoperative complications, including over- or undercontouring of plates, orbital implant malposition, enophthalmos, and hypoglobus. As 3D printers and materials become more accessible and cheaper, the utility of printing patient-specific implants becomes more feasible. This article summarizes the traditional surgical management of orbital fractures and reviews advances in VSP and 3D printing in this field. It also discusses the use of in-house (point-of-care) VSP and 3D printing to further advance care of acute orbital trauma and posttraumatic deformities.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"36 3","pages":"149-157"},"PeriodicalIF":2.0,"publicationDate":"2022-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9729060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10331389","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}