Journal of Plastic Reconstructive and Aesthetic Surgery最新文献

{"title":"Comment on: “Efficacy of indocyanine green fluorescence angiography in improving the reliability of pedicled flaps in head and neck reconstruction”","authors":"Sarah Aijaz, Hussain Ramzan, Naveed Ahmad","doi":"10.1016/j.bjps.2025.07.022","DOIUrl":"10.1016/j.bjps.2025.07.022","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"115 ","pages":"Pages 499-500"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818932","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}

{"title":"Invited Commentary on: “Assessing the costs of academic engagement in plastic surgery in the United States”","authors":"Antonio Rampazzo","doi":"10.1016/j.bjps.2025.12.025","DOIUrl":"10.1016/j.bjps.2025.12.025","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"115 ","pages":"Pages 480-481"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145954557","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}

{"title":"Development of a preliminary exploratory index to predict safety of same-day discharge following immediate alloplastic breast reconstruction","authors":"Arushi Biswas,&nbsp;Rafael Felix P. Tiongco,&nbsp;Katherine J. Zhu,&nbsp;Rena Atayeva,&nbsp;Iman F. Khan,&nbsp;Olga A. Duclos,&nbsp;Hafsa O. Sulaiman,&nbsp;Matthew J. Heron,&nbsp;Aidan S. Weitzner,&nbsp;Lily Zhu,&nbsp;Jeffrey Khong,&nbsp;Danielle J. Sim,&nbsp;Waldemar A. Rodriguez-Silva,&nbsp;Carisa M. Cooney ,&nbsp;Damon S. Cooney","doi":"10.1016/j.bjps.2026.02.002","DOIUrl":"10.1016/j.bjps.2026.02.002","url":null,"abstract":"<div><h3>Background</h3><div>Immediate alloplastic breast reconstruction often requires inpatient admission to monitor for postoperative complications. Outpatient procedures typically result in lower costs and fewer nosocomial infections. We sought to develop an index score predicting 48-h postoperative complications after immediate alloplastic reconstruction to determine the feasibility of same-day discharge.</div></div><div><h3>Methods</h3><div>We retrospectively reviewed patients who underwent immediate alloplastic reconstruction from July 2016 to January 2022 within our health system. We abstracted demographics, surgical details, and 48-h postoperative complications. Bivariate analyses examined the associations between complications and patient/surgery characteristics. We evaluated factors that applied to 10–60% of the sample with odds ratio &gt;1 to develop an index score. Significance was set at p&lt;0.05.</div></div><div><h3>Results</h3><div>We included 1297 patients. Median age was 51 years; median BMI was 24.9 kg/m². Twenty-three patients (1.77%) experienced 24 complications (hematoma, skin necrosis, medical complication, and seroma) within 48 h. We identified nine factors for our index: (1) Black race, (2) former smoking history, (3) history of anxiety, (4) ASA Class III, (5) unilateral surgery, (6) total/simple mastectomy, (7) no axillary procedures, (8) implant-based reconstruction, and (9) procedure duration ≥256 min. This index had statistically different distributions between patients who did and did not develop complications (p&lt;0.001) and having ≥3 factors corresponded to high risk. Applying our index, 69.6% of patients were recommended for outpatient reconstruction with expected complication rate of 0.7%.</div></div><div><h3>Conclusions</h3><div>We found a low 48-h postoperative complication rate (1.77%) for immediate alloplastic breast reconstruction. Our preliminary exploratory index recommended that over two-thirds of patients undergo outpatient reconstruction with a predicted 48-h complication rate &lt;1%. Larger confirmatory studies are warranted.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"115 ","pages":"Pages 482-492"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147319121","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}

{"title":"Comment on “Development of a preliminary exploratory index to predict safety of same-day discharge following immediate alloplastic breast reconstruction”","authors":"Luigi Losco","doi":"10.1016/j.bjps.2026.02.047","DOIUrl":"10.1016/j.bjps.2026.02.047","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"115 ","pages":"Pages 493-494"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370859","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}

{"title":"Letter to the editor regarding “Skin incision strategy in porous polyethylene-based microtia reconstruction: A novel subtype-specific algorithm”","authors":"Hitomi Yoshida,&nbsp;Wataru Sakai,&nbsp;Reiko Tsukuura","doi":"10.1016/j.bjps.2026.03.015","DOIUrl":"10.1016/j.bjps.2026.03.015","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"115 ","pages":"Pages 503-504"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482886","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}

{"title":"A comparison of health-related quality of life using Jaw-in-a-Day surgery versus jaw reconstruction with primary endosteal implant placement and secondary prosthetic rehabilitation","authors":"Yu Jin Jeong ,&nbsp;Masako Dunn ,&nbsp;Timothy Manzie ,&nbsp;Dale Howes ,&nbsp;James Wykes ,&nbsp;Carsten E. Palme ,&nbsp;David Leinkram ,&nbsp;Tsu-Hui (Hubert) Low ,&nbsp;Leba Sarkis ,&nbsp;Catriona Froggatt ,&nbsp;Yee Mon Aung ,&nbsp;Rebecca Venchiarutti ,&nbsp;Emma Charters ,&nbsp;Jonathan R. Clark","doi":"10.1016/j.bjps.2026.01.011","DOIUrl":"10.1016/j.bjps.2026.01.011","url":null,"abstract":"<div><h3>Background</h3><div>There are no studies evaluating health-related quality of life (HRQOL) outcomes after Jaw-in-a-Day (JIAD) surgery. We used validated patient-reported outcome measures (PROMs) to compare HRQOL following JIAD and jaw reconstruction with primary dental implant placement and secondary prosthetic rehabilitation (non-JIAD).</div></div><div><h3>Methods</h3><div>An exploratory, retrospective analysis of consecutive patients who underwent maxillomandibular reconstruction with primary endosteal dental implant placement with or without immediate dental rehabilitation was conducted from April 2022 to July 2025. HRQOL was assessed using the FACE-Q Head and Neck Cancer Module, MD Anderson Dysphagia Inventory (MDADI), and Speech Handicap Index (SHI) from baseline to 24 months postoperatively. Multivariable generalized estimating equation regression models were used to compare longitudinal HRQOL.</div></div><div><h3>Results</h3><div>Eighty patients were included in the study (JIAD, <em>n=</em>25 and non-JIAD, <em>n=</em>55). Dental implant failure and early prosthesis removal rates in the JIAD cohort were 7% and 16%, respectively. HRQOL domains following JIAD demonstrated partial recovery at 6 months postoperatively; however, deficits (≥20 points) persisted at 24 months for the SHI, and 10/14 FACE-Q and 4/5 MDADI subscales. Multivariable analysis adjusted for age, sex, anatomical location of defect, and irradiation identified JIAD as a modest but statistically significant predictor of superior HRQOL for the SHI, and 8/14 FACE-Q and 2/5 MDADI subscales.</div></div><div><h3>Conclusion</h3><div>Although JIAD was associated with greater HRQOL across several domains compared to primary dental implants with delayed dental prosthesis delivery, long-term deficits persisted across multiple subscales. Further prospective collection of HRQOL and functional outcomes is needed to inform the overall risk-benefit discussion of immediate dental rehabilitation.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"115 ","pages":"Pages 456-464"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183948","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}

{"title":"Letter comments on: “Inclusivity in plastic surgery – Insights, Recommendations, & Education (INSPIRE): A pilot identity-concordant mentorship programme for underrepresented students in plastic surgery”: Reflections from INSPIRE Mentees","authors":"Daniella C. Reyes ,&nbsp;Luke R. Mattey ,&nbsp;Kai Jian Chin","doi":"10.1016/j.bjps.2025.10.009","DOIUrl":"10.1016/j.bjps.2025.10.009","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"115 ","pages":"Pages 501-502"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145396037","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}

{"title":"Negative pressure wound therapy vs. standard dressings in penile inversion vaginoplasty: Provider perspectives on challenges, benefits, and workload","authors":"Nicole Sanchez Figueroa ,&nbsp;Barbara Mullen ,&nbsp;Maria Rios-Sanchez ,&nbsp;Holly Brakke ,&nbsp;Jorys Martinez-Jorge ,&nbsp;Vahe Fahradyan","doi":"10.1016/j.bjps.2025.09.019","DOIUrl":"10.1016/j.bjps.2025.09.019","url":null,"abstract":"<div><div>Penile inversion vaginoplasty (PIV) is the most common genital gender-affirming surgery for transfeminine individuals. Postoperative wound care often involves either traditional bolster dressings or incisional negative pressure wound therapy (iNPWT). While iNPWT has shown potential benefits in wound healing and infection reduction, its impact on nursing workload and practical application in perineal wounds remains underexplored. This study aims to evaluate nursing experiences with iNPWT compared to standard bolster dressings following PIV. A cross-sectional survey was conducted among floor nurses at a single institution with experience managing postoperative PIV patients. The survey assessed challenges encountered with each dressing method, strategies used to address complications, perceived workload, satisfaction, and observations on patient comfort. Descriptive statistics and thematic analysis were used to analyze the data. Sixteen nurses responded (59% response rate), most with ≥3 years of transgender surgical care experience. Overall, 81% reported satisfaction with iNPWT, and 47% perceived it as less burdensome than bolster dressings. Device malfunction, primarily due to air leaks, was the most common issue (81%). However, iNPWT was associated with improved hygiene and reduced need for dressing changes. Nurses employed strategies such as enhanced sealing techniques and increased monitoring to troubleshoot challenges. Despite early technical difficulties, iNPWT was well-received by nursing staff, offering workflow advantages and increased patient comfort. Findings suggest iNPWT is a feasible alternative to bolster dressings in PIV and highlight the importance of nursing support and training for successful implementation.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"115 ","pages":"Pages 495-498"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145498140","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}

{"title":"Invited commentary on “A comparison of health-related quality of life using Jaw-in-a-Day surgery versus jaw reconstruction with primary endosteal implant placement and secondary prosthetic rehabilitation”","authors":"Michael J. Brenner","doi":"10.1016/j.bjps.2026.01.025","DOIUrl":"10.1016/j.bjps.2026.01.025","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"115 ","pages":"Pages 465-466"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146097785","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}

{"title":"Assessing the costs of academic engagement in plastic surgery in the United States","authors":"Pushti Shah,&nbsp;Jacquelyn Roth,&nbsp;Sofia Aisiks,&nbsp;Edward Lee","doi":"10.1016/j.bjps.2025.12.011","DOIUrl":"10.1016/j.bjps.2025.12.011","url":null,"abstract":"<div><h3>Background</h3><div>Academic engagement plays a central role in education, leadership development, and career advancement in Plastic Surgery. While other surgical specialties have evaluated the financial barriers to such involvement, plastic surgery lacks a comprehensive cost analysis. This cross-sectional observational study seeks to quantify the cumulative costs associated with academic participation across societies, meetings, and publishing platforms.</div></div><div><h3>Methods</h3><div>Major plastic surgery societies, meetings, and journals were identified by two authors through author consensus and web-based searches. Cost data was collected in 2025 from official online sources or directly from society and meeting coordinators. A baseline academic engagement (BAE) cost was calculated for newly board-certified surgeons, and total lifetime costs were estimated assuming a 34-year clinical career. Descriptive statistics were used to summarise costs across categories and subspecialties.</div></div><div><h3>Results</h3><div>The average BAE was $19,367.32, with an annual continuation cost of $15,176.72. Over a 34-year career, the total estimated cost of academic engagement was $520,199.08. Median conference attendance cost was $876 for members, excluding travel and lost productivity. CME credit acquisition averaged $47.20 per credit for members and $55.71 for nonmembers. Journal subscriptions and open-access publication fees further added to the financial burden. Costs were highest in aesthetic and craniofacial subspecialties.</div></div><div><h3>Conclusions</h3><div>The cumulative costs of academic participation, including society membership, conference attendance, and publication, may limit engagement, particularly for early-career, international, and private practice surgeons. Expanding virtual CME options, increasing scholarship availability, and reevaluating CME accreditation criteria may help reduce disparities and ensure broader, sustained involvement in academic plastic surgery.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"115 ","pages":"Pages 467-479"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147319154","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}