Journal of Plastic Reconstructive and Aesthetic Surgery最新文献

{"title":"Letter Re: “Exploring breast implant illness and its comorbid conditions: A systematic review & meta-analysis”","authors":"Forrest Bohler, Zachary A. Koenig, Kongkrit Chaiyasate","doi":"10.1016/j.bjps.2025.06.047","DOIUrl":"10.1016/j.bjps.2025.06.047","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"108 ","pages":"Pages 86-87"},"PeriodicalIF":2.0,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144685546","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":"Robotic microvascular anastomoses in free flap reconstruction – A first UK report","authors":"Julie L. Paternoster ,&nbsp;Henry Shepherd ,&nbsp;Francesca Ruccia ,&nbsp;Andrew J. Hayes ,&nbsp;Theo Nanidis ,&nbsp;Kelvin W.D. Ramsey ,&nbsp;Kieran Power ,&nbsp;Aadil A. Khan","doi":"10.1016/j.bjps.2025.07.013","DOIUrl":"10.1016/j.bjps.2025.07.013","url":null,"abstract":"<div><div>We report the first UK case of a robot-assisted free flap reconstruction using the Symani Surgical System for microvascular anastomosis. Following resection of a pre-sternal DFSP, a DIEP flap was used for chet wall reconstruction, with the arterial anastomosis performed robotically. The procedure was completed safely, marking a significant step in integrating robotic technology into open microsurgery. Despite added setup time, the system offered enhanced precision and ergonomics, supporting its role in future complex reconstructive and supermicrosurgical procedures.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"108 ","pages":"Pages 63-65"},"PeriodicalIF":2.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144670551","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":"Re-contractures after application of dermal substitutes: A critical consideration for joints and dynamic areas","authors":"Julius M. Mayer,&nbsp;Thomas M. Sessler,&nbsp;Samuel Knoedler,&nbsp;Bong-Sung Kim","doi":"10.1016/j.bjps.2025.07.001","DOIUrl":"10.1016/j.bjps.2025.07.001","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"108 ","pages":"Pages 22-23"},"PeriodicalIF":2.0,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144632972","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":"Analysis of the maxillary sinus volumes via CBCT in patients with unilateral and bilateral cleft palate and lip","authors":"Mücahid Yıldırım ,&nbsp;Ali Altındağ ,&nbsp;E. Aybüke Erdur ,&nbsp;Ömer Erdur ,&nbsp;I. Şevki Bayrakdar ,&nbsp;Kaan Orhan","doi":"10.1016/j.bjps.2025.07.006","DOIUrl":"10.1016/j.bjps.2025.07.006","url":null,"abstract":"<div><h3>Background</h3><div>Cleft lip and palate (CLP) is a congenital condition that affects the development of midfacial structures. This study aimed to compare the maxillary sinus volumes (MSV) in patients with unilateral cleft lip and palate (UCLP) and bilateral cleft lip and palate (BCLP) to those of healthy controls using cone-beam computed tomography (CBCT).</div></div><div><h3>Materials and methods</h3><div>A total of 90 patients were included, consisting of 30 individuals with UCLP, 30 with BCLP, and 30 healthy controls. The age range of participants was 6 to 18 years. MSV was measured for both the cleft and non-cleft sides using Dolphin 11.95 Imaging Software. Statistical analysis was performed using one-way ANOVA to assess differences in MSV between groups, with a significance level set at p&lt;0.05.</div></div><div><h3>Results</h3><div>No significant differences were observed in age or gender distribution among the groups. In the UCLP group, the MSV on the cleft side was lower than on the non-cleft side (p&lt;0.027). Both UCLP and BCLP groups had significantly smaller MSV compared to the control group (p&lt;0.05). A significant difference was also observed between the BCLP and control groups (p&lt;0.05), indicating that CLP conditions notably affect MSV.</div></div><div><h3>Conclusions</h3><div>This study shows that maxillary sinus volumes are significantly reduced in patients with CLP compared to healthy controls, with the cleft side exhibiting smaller volumes. These findings highlight the importance of considering maxillary sinus volume variations in CLP patients, particularly in preoperative assessments and surgical planning, to avoid potential complications.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"108 ","pages":"Pages 10-17"},"PeriodicalIF":2.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144632992","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":"Gazi Yasargil: A microsurgical legacy beyond neurosurgery","authors":"Forrest Bohler ,&nbsp;Kongkrit Chaiyasate ,&nbsp;Jesse C. Selber","doi":"10.1016/j.bjps.2025.07.003","DOIUrl":"10.1016/j.bjps.2025.07.003","url":null,"abstract":"<div><div>The recent passing of Dr. Gazi Yasargil, widely regarded as the father of modern microneurosurgery, represents a profound loss for all surgical disciplines influenced by microsurgical innovation. Yasargil’s groundbreaking introduction of the surgical microscope and development of specialized instruments, including the Leyla retractor and Yasargil aneurysm clip, revolutionized operative precision and safety far beyond neurosurgery. His meticulous techniques and visionary approach laid the essential groundwork for modern plastic and reconstructive microsurgery, enabling advances in free tissue transfer, nerve coaptation, and complex reconstructions. More than a technical pioneer, Yasargil was a dedicated teacher whose influence endures through thousands of surgeons trained under his mentorship. As beneficiaries of his innovations, the plastic surgery community joins the broader surgical world in honoring his unparalleled legacy, which continues to shape the art and science of microsurgery across specialties.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"108 ","pages":"Pages 24-25"},"PeriodicalIF":2.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655338","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":"Medial epicondylectomy for cubital tunnel syndrome: Outcomes from an 8-year retrospective cohort study","authors":"Abdus S. Burahee ,&nbsp;Liron S. Duraku ,&nbsp;Colin Shirley ,&nbsp;Magdalena Nowak ,&nbsp;Mark JW van der Oest ,&nbsp;Michiel J. Zuidam ,&nbsp;Dominic M. Power","doi":"10.1016/j.bjps.2025.07.007","DOIUrl":"10.1016/j.bjps.2025.07.007","url":null,"abstract":"<div><h3>Background</h3><div>Cubital tunnel syndrome (CuTS) reflects ulnar nerve dysfunction due to compression at the elbow. There is no consensus regarding optimal management, with conflicting evidence in the literature. This study aimed to report the treatment of CuTS with medial epicondylectomy (ME), including clinical outcomes and complication rates.</div></div><div><h3>Methods</h3><div>A retrospective cohort study of cubital tunnel decompression with medial epicondylectomy was conducted over an 8-year timeframe at a single centre for peripheral nerve surgery. A minimum of 24 weeks of follow-up was required for outcome analysis. Disease severity was assessed using McGowan grading and baseline neurophysiology studies. Clinical outcomes were rated using the Wilson-Krout reporting system for disease response to intervention. We compared the primary outcome variable (McGowan grade) using anova omnibus test and linear regression models to assess the effect of different intraoperative findings on the clinical outcome.</div></div><div><h3>Results</h3><div>In total 185 patients were included. 82% had a Wilson-Krout grade of Good or Excellent. Patients showed significant improvement during the first six weeks after surgery (MD 1.065, 95% CI 0.90 - 1.23). However, no statistically significant improvement was noted in the period between 6 and 24 weeks (24 MD 0.168, 95% CI −0.01 - 0.35). A severe neurophysiological score at intake was associated with worse outcomes (Df 5, X2 = 2.37, F = 3.69, p = 0.004). The overall rate of complications from performing ME was 7.6%, but no elbow instability was evident.</div></div><div><h3>Conclusions</h3><div>ME is a safe treatment option for cubital tunnel syndrome with an acceptable complication rate.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"108 ","pages":"Pages 66-74"},"PeriodicalIF":2.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144678807","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":"Superior axonal regeneration of non-commercially available PLA/PCL conduits vs commercially available PGA and collagen nerve conduits for the treatment of a rat sciatic nerve defects: A preliminary report","authors":"Ema Onode ,&nbsp;Takuya Uemura ,&nbsp;Kiyohito Takamatsu ,&nbsp;Takuya Yokoi ,&nbsp;Shunpei Hama ,&nbsp;Yusuke Miyashima ,&nbsp;Kosuke Saito ,&nbsp;Mitsuhiro Okada ,&nbsp;Hiroaki Nakamura","doi":"10.1016/j.bjps.2025.07.005","DOIUrl":"10.1016/j.bjps.2025.07.005","url":null,"abstract":"<div><h3>Background</h3><div>Bioabsorbable nerve conduits have recently emerged as alternatives to autologous nerve grafts in peripheral nerve defects. Two types of nerve conduits have thus far been approved for clinical use in Japan: a polyglycolic acid (PGA) conduit and a collagen conduit. However, no studies have yet compared their efficacy in peripheral nerve reconstruction. This study aimed preliminarily to compare the efficacy of three bioabsorbable nerve conduits, PGA and collagen conduits, and a poly-L-lactide and polycaprolactone (PLA/PCL) conduit, in a rat sciatic nerve gap model.</div></div><div><h3>Methods</h3><div>Twenty-three rats were assigned to five treatment groups: control (no treatment), PGA conduit, collagen conduit, PLA/PCL conduit, and autograft. Functional recovery was assessed based on improvements in the sciatic functional index (SFI) and histological gastrocnemius muscle atrophy. Axonal regeneration and the luminal structure of the conduits were evaluated histologically 12 weeks post-treatment.</div></div><div><h3>Results</h3><div>The PLA/PCL conduit group exhibited superior functional recovery compared to the PGA and collagen groups, but slightly inferior results to the autograft group. Axonal regeneration was greater in the PLA/PCL group compared to the PGA and collagen groups, and comparable to the autograft group. In the PLA/PCL group, only the inner layer of the lumen was rapidly absorbed, while the outer layer remained due to its very slow degradation, ultimately allowing the lumen to expand. The PLA/PCL conduit maintained luminal stability without collapsing, unlike the PGA and collagen conduits, which showed significant narrowing due to material degradation.</div></div><div><h3>Conclusion</h3><div>The PLA/PCL nerve conduit demonstrated superior axonal regeneration and functional recovery preliminarily compared to PGA and collagen conduits, attributable to its slower degradation and superior maintenance of the luminal structure, indicating its potential as an effective alternative to autologous nerve grafts.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"108 ","pages":"Pages 43-52"},"PeriodicalIF":2.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655337","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":"Concerns about the discontinuation of triamcinolone acetonide in the management of keloid and hypertrophic scars","authors":"Zahra Arabi ,&nbsp;Omar Hausien ,&nbsp;Norbert Kang","doi":"10.1016/j.bjps.2025.07.009","DOIUrl":"10.1016/j.bjps.2025.07.009","url":null,"abstract":"<div><div>Triamcinolone acetonide (TAC), a synthetic glucocorticoid, is commonly administered as an intralesional injection for patients who present in our clinics with keloid or hypertrophic scars (HTS). The use of TAC (i.e. Adcortyl® or Kenalog® supplied by Bristol-Myers-Squibb) for this purpose is also supported by many studies.¹ It therefore comes with great disappointment to learn the decision from Department of Health and Social Care to withdraw the license for use of Adcortyl® and Kenalog® in the UK, especially as there are limited studies evaluating the suitability of alternatives.^1,3 However, we encourage the investigation into the potential therapeutic effects of benzyl alcohol (15mg/ml), an excipient in Adcortyl® and Kenalog®, in the treatment of keloids and HTS in the future.⁵</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"108 ","pages":"Pages 8-9"},"PeriodicalIF":2.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144632755","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":"Leveraging novel diagnostic codes for craniosynostosis by suture type in surgical database research","authors":"Dylan K. Kim,&nbsp;Terrence C. Green,&nbsp;Jeffrey A. Ascherman","doi":"10.1016/j.bjps.2025.07.008","DOIUrl":"10.1016/j.bjps.2025.07.008","url":null,"abstract":"<div><h3>Background</h3><div>Craniosynostosis presents with a diverse range of presentations that influence surgical approach and postoperative outcomes. This study applies new diagnostic ICD-10 codes that stratify by craniosynostosis suture type to investigate trends in postoperative outcomes within a surgical database.</div></div><div><h3>Methods</h3><div>Patients undergoing craniosynostosis repair with specified suture types were identified in the 2023 National Surgical Quality Improvement Program (NSQIP) Pediatric database. Cases were characterized by clinical comorbidities and age at presentation. The outcome of interest was 30-day complications, including infection, reoperation, and blood transfusion, as well as the reception of endoscopic versus open repair.</div></div><div><h3>Results</h3><div>The final cohort included 336 patients. The most common suture type was sagittal (52.7%), followed by metopic (20.2%). The rate of opioid prescriptions at discharge was 41.4%. Rates of 30-day complications were highest in unicoronal craniosynostosis (12.1%), and rates of endoscopic repair were highest in sagittal craniosynostosis (16.4%) (<em>p</em>&lt;0.001). When comparing single-suture to multisuture involvement, the latter was associated with older age at repair (32.6±35.8 vs. 13.0±24.1 months, <em>p</em>=0.011) and longer operative time (3.7±1.3 vs. 2.7±1.7 h, <em>p</em>=0.0013). Rates of thirty-day complications and opioid prescriptions at discharge were not significantly different between the two cohorts (<em>p</em>&gt;0.05).</div></div><div><h3>Conclusion</h3><div>The release of new diagnostic codes has allowed for the confirmation of known trends, such as the prevalence of different suture types and the relative safety of craniosynostosis repair with respect to short-term complications, as well as the identification of areas for further exploration, such as national trends in postoperative opioid prescriptions, within craniosynostosis research.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"108 ","pages":"Pages 18-21"},"PeriodicalIF":2.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144632971","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 Re: “Efficacy of indocyanine green fluorescence angiography in improving the reliability of pedicled flaps in head and neck reconstruction”","authors":"Keerthi Sanapala,&nbsp;Rachana Mehta,&nbsp;Ranjana Sah","doi":"10.1016/j.bjps.2025.06.045","DOIUrl":"10.1016/j.bjps.2025.06.045","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"108 ","pages":"Pages 61-62"},"PeriodicalIF":2.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144662209","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}