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Seminars in Plastic Surgery最新文献

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A History of Gender-Affirming Surgery at the University of Michigan: Lessons for Today 密歇根大学性别确认手术的历史：对今天的启示
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-01-19 DOI: 10.1055/s-0043-1778042
Cole Roblee, Os Keyes, Gaines Blasdel, Caleb Haley, Megan Lane, Lauren Marquette, Jessica Hsu, William M. Kuzon Jr.
{"title":"A History of Gender-Affirming Surgery at the University of Michigan: Lessons for Today","authors":"Cole Roblee, Os Keyes, Gaines Blasdel, Caleb Haley, Megan Lane, Lauren Marquette, Jessica Hsu, William M. Kuzon Jr.","doi":"10.1055/s-0043-1778042","DOIUrl":"https://doi.org/10.1055/s-0043-1778042","url":null,"abstract":"<p>The University of Michigan has played an important role in advancing gender-affirming surgery programs in the United States. The University of Michigan was home to a little-known gender identity clinic shortly after the opening of the first such clinic at Johns Hopkins. Since 1995, the University of Michigan Comprehensive Services Program (UMCGSP) has been continually offering surgical services to transgender and gender diverse patients. Here, we present the history of both programs, drawn from program documents and oral history, and explore their implications for the future sustainability of gender-affirming surgery programs. The original gender identity clinic opened in 1968, and operated in a multidisciplinary fashion, similar to other clinics at the time. Eventually, the clinic was closed due to disinvestment and lack of sufficient providers to maintain the program, problems which are being increasingly recognized as barriers for similar programs. The modern program, UMCGSP is perhaps the longest continually running gender-affirming surgical program at an academic center. In spite of challenges, key investments in education, statewide community engagement, and the development of a comprehensive care model have helped UMCGSP avoid the pitfalls of the earlier clinic and remain relevant throughout its nearly 30-year history. In the face of rising challenges to gender-affirming care in the United States, much can be learned from the sustainability of the UMCGSP. Institutions seeking to maintain gender-affirming surgery programs should ensure the availability of comprehensive care and promote the education of the health care workforce.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"14 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139508467","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
A Historical Review of Racial, Ethnic, and Gender Diversity in Plastic Surgery at the University of Michigan 密歇根大学整形外科种族、民族和性别多样性的历史回顾
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-01-19 DOI: 10.1055/s-0043-1778044
Julien J.L. Levy, Rachel C. Hooper
{"title":"A Historical Review of Racial, Ethnic, and Gender Diversity in Plastic Surgery at the University of Michigan","authors":"Julien J.L. Levy, Rachel C. Hooper","doi":"10.1055/s-0043-1778044","DOIUrl":"https://doi.org/10.1055/s-0043-1778044","url":null,"abstract":"<p>In this article, we examine the 60-year history of diversity efforts within the Section of Plastic Surgery at the University of Michigan (UofM) in the context of national trends. We describe the experiences of pioneering Underrepresented in Medicine (URiM) and female graduates of the program. James Norris, MD, and Christine Sullivan, MD, were the first URiM and female graduates from UofM in 1974 and 1989, respectively. Currently, women constitute over one-half the plastic surgery trainees at UofM, but URiM trainee representation remains limited. Dr. Adeyiza Momoh and Dr. Amy Alderman were the first URiM and female faculty members hired in 2011 and 2004, respectively. At present, there are four URiM and seven female faculty members in the Section. With a shared vision, supportive leadership, and motivation to change, faculty diversity has increased substantially. Additional strategies, including ongoing pipeline programs in medicine and science for URiM and women, are needed to further increase workforce diversity in plastic surgery.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"55 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139508222","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
Pyrocarbon Lunate Arthroplasty: An Option for the Young Patient with Advanced Kienbock Disease 火碳月牙关节成形术：晚期基恩博克病年轻患者的一种选择
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-01-19 DOI: 10.1055/s-0043-1778036
Shashank S. Dwivedi, Kevin C. Chung
{"title":"Pyrocarbon Lunate Arthroplasty: An Option for the Young Patient with Advanced Kienbock Disease","authors":"Shashank S. Dwivedi, Kevin C. Chung","doi":"10.1055/s-0043-1778036","DOIUrl":"https://doi.org/10.1055/s-0043-1778036","url":null,"abstract":"<p>Kienbock disease, or avascular necrosis of the lunate, is an uncommon cause of a painful and stiff wrist. Management options range from conservative treatment in the form of immobilization and corticosteroid injections to a wide variety of surgical treatments that depend on the structural integrity of the lunate, intercarpal relationships, and the condition of the articular cartilage of the wrist. A particularly difficult problem lies in the management of young patient in whom vascularized bone grafting of the lunate has failed but in whom arthritis has not yet developed. Pyrocarbon lunate implant arthroplasty is a newer treatment option for such a patient, and allows the preservation of the remainder of the proximal carpal row while directly addressing the degenerative lunate. This article describes the evidence and surgical technique for lunate implant arthroplasty and presents an illustrative case example.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"29 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139508219","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
Preface: Pediatric Plastic Surgery. 序言：小儿整形外科。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2023-12-19 eCollection Date: 2023-11-01 DOI: 10.1055/s-0043-1776396
Larry H Hollier
{"title":"Preface: Pediatric Plastic Surgery.","authors":"Larry H Hollier","doi":"10.1055/s-0043-1776396","DOIUrl":"10.1055/s-0043-1776396","url":null,"abstract":"","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"37 4","pages":"230"},"PeriodicalIF":2.3,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10730281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832492","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
Larry H. Hollier, Jr., MD, FACS, FAAP. Larry H. Hollier, Jr., MD, FACS, FAAP.
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2023-12-19 eCollection Date: 2023-11-01 DOI: 10.1055/s-0043-1776397
Edward P Buchanan
{"title":"Larry H. Hollier, Jr., MD, FACS, FAAP.","authors":"Edward P Buchanan","doi":"10.1055/s-0043-1776397","DOIUrl":"10.1055/s-0043-1776397","url":null,"abstract":"","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"37 4","pages":"229"},"PeriodicalIF":2.3,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10730279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832491","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
Common Pediatric Hand Anomalies 常见小儿手部畸形
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2023-11-28 DOI: 10.1055/s-0043-1777096
Jacob H. McCarter, Ricardo A. Zeledon, Samuel H. Cole, Sarah A. Layon, Jenny Lee Nguyen
{"title":"Common Pediatric Hand Anomalies","authors":"Jacob H. McCarter, Ricardo A. Zeledon, Samuel H. Cole, Sarah A. Layon, Jenny Lee Nguyen","doi":"10.1055/s-0043-1777096","DOIUrl":"https://doi.org/10.1055/s-0043-1777096","url":null,"abstract":"<p>Upper extremity congenital anomalies in the newborn are second only to congenital heart anomalies. Some of the more commonly encountered upper extremity anomalies are trigger thumb, thumb hypoplasia, polydactyly, syndactyly, and amniotic band syndrome. While some conditions occur in isolation, others are known to commonly occur in association with syndromes. Familiarity with these conditions is important not only to provide adequate evaluation and workup of these patients but also to deliver appropriate surgical intervention and prepare parents with appropriate expectations. In this article, we outline the etiology, classification, surgical management, and outcomes of these five commonly encountered upper extremity congenital anomalies.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"42 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138531600","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
Craniofacial Distraction Osteogenesis 颅面牵张成骨
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2023-11-16 DOI: 10.1055/s-0043-1776298
Heather R. Burns, Daniel S. Wang, Amjed Abu-Ghname, Robert F. Dempsey
{"title":"Craniofacial Distraction Osteogenesis","authors":"Heather R. Burns, Daniel S. Wang, Amjed Abu-Ghname, Robert F. Dempsey","doi":"10.1055/s-0043-1776298","DOIUrl":"https://doi.org/10.1055/s-0043-1776298","url":null,"abstract":"<p>Distraction osteogenesis (DO) of the craniofacial skeleton has become an effective technique for the treatment of both nonsyndromic and syndromic conditions. The advent of craniofacial DO has allowed for earlier intervention in pediatric patients with less complication risk and morbidity compared to traditional techniques. In this review, we will discuss current application and technique for craniofacial DO by anatomical region and explore future applications in craniofacial surgery.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"28 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138531602","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 Microsurgery and Free-Tissue Transfer 儿科显微外科和游离组织移植
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2023-11-16 DOI: 10.1055/s-0043-1776698
Heather R. Burns, Anna J. Skochdopole, Richardo Alfaro Zeledon, William C. Pederson
{"title":"Pediatric Microsurgery and Free-Tissue Transfer","authors":"Heather R. Burns, Anna J. Skochdopole, Richardo Alfaro Zeledon, William C. Pederson","doi":"10.1055/s-0043-1776698","DOIUrl":"https://doi.org/10.1055/s-0043-1776698","url":null,"abstract":"<p>Advancements in microsurgery, along with increased microsurgical experience in pediatric patients, have made free-tissue transfer a reliable modality for pediatric bone and soft tissue reconstruction today. Free-tissue transfer is most commonly used in children for the coverage of large or complex defects resulting from traumatic, oncologic, or congenital etiologies. While flap success and complication rates between pediatric and adult populations are similar, special considerations must be taken into account within the pediatric population. In this article, we will describe common indications, technical nuances, and clinical considerations for the management of the pediatric free-tissue transfer patient.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"16 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138531598","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
Updates in Cleft Care 唇裂护理的最新进展
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2023-11-16 DOI: 10.1055/s-0043-1776733
{"title":"Updates in Cleft Care","authors":"","doi":"10.1055/s-0043-1776733","DOIUrl":"https://doi.org/10.1055/s-0043-1776733","url":null,"abstract":"Cleft lip and/or palate is a congenital malformation with a wide range of presentations, and its effective treatment necessitates sustained, comprehensive care across an affected child's life. Early diagnosis, ideally through prenatal imaging or immediately postbirth, is paramount. Access to longitudinal care and long-term follow-up with a multidisciplinary approach, led by the recommendations of the American Cleft Palate Association, is the best way to ensure optimal outcomes. Multiple specialties including plastic surgery, otolaryngology, speech therapy, orthodontists, psychologists, and audiologists all may be indicated in the care of the child. Primary repair of the lip, nose, and palate are generally conducted during infancy. Postoperative care demands meticulous oversight to detect potential complications. If necessary, revisional surgeries should be performed before the child begin primary school. As the child matures, secondary procedures like alveolar bone grafting and orthognathic surgery may be requisite. The landscape of cleft care has undergone significant transformation since early surgical correction, with treatment plans now tailored to the specific type and severity of the cleft. The purpose of this text is to outline the current standards of care in children born with cleft lip and/or palate and to highlight ongoing advancements in the field.","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"42 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138531599","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 Craniofacial Tumor Reconstruction 儿童颅面肿瘤重建
3区 医学
Seminars in Plastic Surgery Pub Date : 2023-11-10 DOI: 10.1055/s-0043-1776330
Matthew J. Parham, Yang Ding, Daniel S. Wang, Austin Y. Jiang, Edward P. Buchanan
{"title":"Pediatric Craniofacial Tumor Reconstruction","authors":"Matthew J. Parham, Yang Ding, Daniel S. Wang, Austin Y. Jiang, Edward P. Buchanan","doi":"10.1055/s-0043-1776330","DOIUrl":"https://doi.org/10.1055/s-0043-1776330","url":null,"abstract":"Abstract Effective management of pediatric craniofacial tumors requires coordinated input from medical, oncologic, and surgical specialties. Reconstructive algorithms must consider limitations in pediatric donor tissue and account for future growth and development. Immediate reconstruction is often focused on filling dead space, protecting underlying structures, and ensuring skeletal symmetry. Staged reconstruction occurs after the patient has reached skeletal maturity and is focused on restoring permanent dentition. Reconstructive options vary depending on the location, size, and composition of resected tissue. Virtual surgical planning (VSP) reduces the complexity of pediatric craniofacial reconstruction and ensures more predictable outcomes.","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":" 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135141304","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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