Journal of Plastic Reconstructive and Aesthetic Surgery最新文献

{"title":"Fat transfer for plantar heel pain: A retrospective case series","authors":"G. Lafford,&nbsp;S. Nour,&nbsp;S. Wharton","doi":"10.1016/j.bjps.2025.05.039","DOIUrl":"10.1016/j.bjps.2025.05.039","url":null,"abstract":"<div><h3>Background</h3><div>Plantar heel pain (PHP) affects 4–7% of the population. It encompasses a range of different pathologies. Heel fat pad atrophy is thought to be the second leading cause of PHP. Atrophy of the heel fat leads to decreased cushioning over the calcaneus. The associated pain can be disabling and lead to reduced mobility and social isolation. This case series describes how fat transfer can alleviate symptoms of PHP.</div></div><div><h3>Methods</h3><div>Twenty-one procedures of fat transfer were performed using the Coleman technique for PHP between 2013 and 2023. All surgical candidates had clinical and/or radiological evidence of heel fat pad atrophy and suffered with intractable PHP. Other pathologies including plantar fasciitis were excluded prior to surgery. All surgical candidates undertook the Manchester-Oxford Foot Questionnaire (MOXFQ) Patient Reported Outcome Measure prior to surgery and at 3 months postoperatively. Average patient follow-up was 6.5 months.</div></div><div><h3>Results</h3><div>The median preoperative MOXFQ Index score was 70.5 (Interquartile range = 7.0). The median postoperative MOXFQ score was 33.0 (Interquartile range= 21.5). The median reduction in MOXFQ Index score was 37.0 (Interquartile range 27.5). Wilcoxon signed-rank test confirmed a statistically significant reduction in MOXFQ scores (p &lt; 0.00001). Power analysis revealed an effect size of Cohen’s d = 2.03, with a statistical power of 1.0. There were no cases of reoperation. There were no recorded postoperative complications.</div></div><div><h3>Conclusions</h3><div>This case series study highlights the potential efficacy of autologous surgical fat transfer in alleviating intractable PHP associated with heel fat pad atrophy. This case series is limited by its small sample size and long study window. Despite initial and promising results, further research evaluating a larger cohort is warranted.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"106 ","pages":"Pages 350-352"},"PeriodicalIF":2.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144204909","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":"Preoperative ultrasound evaluation for decompressive surgery for occipital neuralgia: Preliminary results of a case-control study","authors":"Ilaria Baldelli ,&nbsp;Federico Zaottini ,&nbsp;Riccardo Picasso ,&nbsp;Federico Pistoia ,&nbsp;Hamedani Mehrnaz ,&nbsp;Giorgio Raposio ,&nbsp;Michele Piccioli ,&nbsp;Carlo Martinoli ,&nbsp;Edoardo Raposio","doi":"10.1016/j.bjps.2025.05.040","DOIUrl":"10.1016/j.bjps.2025.05.040","url":null,"abstract":"<div><div>Although no consensus yet exists on the pathogenesis of occipital neuralgia, alterations in the soft tissues surrounding the occipital nerves have been recently demonstrated. To investigate potential differences in these tissues between patients and healthy subjects, we decided to use ultrasound in the study of peripheral neurological pathology. Twenty patients who underwent occipital nerve decompression surgery were included in this retrospective observational study. A group of twenty-two healthy volunteers was considered as a control group for the ultrasound evaluation of the occipital region. Ultrasound was performed to detect morphological alterations and to measure the cross-sectional areas of the greater occipital nerve and the occipital artery in both groups. Pain during the preoperative examination was significantly higher in patients. Ultrasound-detected pathological alterations of the greater occipital nerve were observed in 16 out of 20 patients and 3 out of 22 healthy subjects. Patients suffering from occipital neuralgia could also present perineural fibrosis and morphological alterations of the occipital artery, which were generally not detected in healthy subjects.</div><div>During surgery, the appearance of the soft tissues was documented, and the crossing point between nerve and artery was checked. In all subjects evaluated, the greater occipital nerve was bilaterally identified throughout its course. Moreover, in 17 patients out of 20, the preoperative location of pain in the occipital region matched with the contact point of the greater occipital nerve with the occipital artery observed during surgery. Ultrasound appears to be a useful tool for the preoperative evaluation of the trigger points in the treatment of occipital neuralgia.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"107 ","pages":"Pages 24-34"},"PeriodicalIF":2.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144270494","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":"Older age may predict expedited care for motivated breast reconstruction patients","authors":"Jacquelyn Roth,&nbsp;Max Godek,&nbsp;Bernice Yu,&nbsp;Ethan Fung,&nbsp;Peter J. Taub","doi":"10.1016/j.bjps.2025.05.031","DOIUrl":"10.1016/j.bjps.2025.05.031","url":null,"abstract":"<div><h3>Background</h3><div>While outcomes and satisfaction with breast reconstruction are similar across ages, older patients have lower utilization rates. This study examines age-related differences in care timelines and surgery length to identify factors driving this disparity.</div></div><div><h3>Methods</h3><div>Data was collected on breast reconstruction patients from 2017 to 2023. Outcomes included index and aggregate procedure durations, as well as intervals between breast cancer diagnosis and Plastic Surgery (PS) consultation, index reconstructive procedure, and final reconstructive procedure. Multivariate regression was used to analyze both absolute age and age-quartile mediated differences in outcomes.</div></div><div><h3>Results</h3><div>1659 patients were divided into age-based quartiles (Q): Q1 (15.8–44.2 years, mean=38, n=415), Q2 (44.2–52.1, mean=48; n=415), Q3 (52.1–60.6, mean=56; n=416), and Q4 (60.6–85.4, mean=67; n=413). Insurance type, reconstruction modality and comorbidity burdens differed significantly between quartiles, with the latter highest among Q4 patients. Multivariate regression showed that increasing age predicted shorter index (β=−0.002, P=0.019) and aggregate (β=−0.002, P=0.005) procedure durations. Regarding clinical timelines, increasing age predicted shorter intervals between diagnosis and final operation (β = −0.006, p = 0.013). In addition, Q2 (β = −0.263, p = 0.046) and Q4 patients (β = −0.625, p = 0.021) showed shorter intervals between diagnosis and PS consult compared to Q1 patients.</div></div><div><h3>Conclusion</h3><div>Older patients undergoing breast reconstruction experience shorter operative durations and faster reconstruction completion than their younger counterparts. This may reflect greater motivation and fewer aesthetic concerns among suitable candidates, or a deliberate emphasis by surgeons on efficiency to minimize anesthesia exposure.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"106 ","pages":"Pages 416-425"},"PeriodicalIF":2.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144239584","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":"Banking of contra-lateral superficial inferior epigastric vein graft in unilateral deep inferior epigastric artery flap salvage","authors":"Jing Er Low,&nbsp;Mohammed Farid,&nbsp;James Douglas Martin-Smith","doi":"10.1016/j.bjps.2025.05.033","DOIUrl":"10.1016/j.bjps.2025.05.033","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"107 ","pages":"Pages 1-4"},"PeriodicalIF":2.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144239844","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":"Does short-term intraoperative electrical stimulation enhance nerve regeneration following peripheral nerve repair? A systematic review and meta-analysis","authors":"Jaimy E. Koopman ,&nbsp;Lucas G. de Groot ,&nbsp;Jelle M. Zuidam ,&nbsp;Liron S. Duraku ,&nbsp;Carlijn R. Hooijmans ,&nbsp;Caroline A. Hundepool","doi":"10.1016/j.bjps.2025.03.048","DOIUrl":"10.1016/j.bjps.2025.03.048","url":null,"abstract":"<div><h3>Background</h3><div>Although intraoperative electrical nerve stimulation appears to be a promising neuroenhancing adjunct to peripheral nerve repair, insight into its effects on nerve regeneration is essential to advocate its application in clinical settings.</div></div><div><h3>Objective</h3><div>This study examined whether electrical stimulation during microsurgical repair of peripheral nerve injury results in enhanced nerve regeneration compared to suture repair alone in experimental animals.</div></div><div><h3>Methods</h3><div>A systematic search in Embase, MEDLINE, Web of Science, and Google Scholar databases was performed from inception to March 22, 2024. The search included animal studies assessing outcomes following peripheral nerve repair with and without intraoperative electrical stimulation. Outcomes were subdivided into 4 categories: motor function, sensory function, electrophysiology, and histology. We calculated standardized mean differences and combined these using random effects models to estimate the overall effect. The risk of bias was assessed using the SYRCLE tool.</div></div><div><h3>Results</h3><div>From 3615 references, 21 articles were included. Thirteen studies evaluated motor functional outcomes and showed that electrical stimulation improved functional index, muscle mass, muscle force, footstep accuracy, footprint, and joint angle measures. Six studies examined sensory function and found that electrical stimulation improved mechanical algesimetry. Nine studies assessed electrophysiology outcomes. Although conduction velocity did not differ between the groups, electrical stimulation resulted in a higher amplitude and lower latency. Twenty studies evaluated the histological outcomes and demonstrated increased axon count and myelin thickness, whereas axon diameter and G-ratio did not differ.</div></div><div><h3>Discussion</h3><div>The results suggest that intraoperative electrical stimulation following peripheral nerve repair accelerates and improves nerve regeneration compared with nerve repair alone.</div></div><div><h3>Systematic review registration</h3><div>PROSPERO CRD42023455066.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"105 ","pages":"Pages 369-382"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143813264","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 “Clinical value of contrast-enhanced magnetic resonance lymphatic vessel imaging for precise localization of lymphatic vessels in patients with lymphaticovenous anastomosis”","authors":"Berk B. Ozmen","doi":"10.1016/j.bjps.2025.04.016","DOIUrl":"10.1016/j.bjps.2025.04.016","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"105 ","pages":"Pages 395-396"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055930","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":"Commentary for “Does short-term intra-operative electrical stimulation enhance nerve regeneration following peripheral nerve repair?: A systematic review and meta-analysis”","authors":"Suzanne E. Thomson","doi":"10.1016/j.bjps.2025.03.050","DOIUrl":"10.1016/j.bjps.2025.03.050","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"105 ","pages":"Pages 383-384"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033313","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":"Clinical value of contrast-enhanced magnetic resonance lymphatic vessel imaging for precise localization of lymphatic vessels in patients with lymphaticovenous anastomosis","authors":"Jieling Zhu ,&nbsp;Qiaofeng Guo ,&nbsp;Yijiang Huang ,&nbsp;Yansheng Zhu ,&nbsp;Hongtao Hou ,&nbsp;Neng Wang ,&nbsp;Haiyong Ren ,&nbsp;Xinjie Yu ,&nbsp;Guoqun Mao ,&nbsp;Bingyuan Lin ,&nbsp;Yiyang Liu ,&nbsp;Fuquan Wei","doi":"10.1016/j.bjps.2025.04.017","DOIUrl":"10.1016/j.bjps.2025.04.017","url":null,"abstract":"<div><h3>Background</h3><div>Magnetic resonance lymphangiography (MRL) is crucial for preoperative localization of lymphatic vessels for lymphaticovenous anastomosis (LVA), improving surgical success and treating limb lymphoedema. This study was performed to investigate the accuracy of indocyanine green (ICG) lymphography assisted by contrast-enhanced MRL (CE-MRL) in microsurgical incision planning and to evaluate the efficacy of LVA.</div></div><div><h3>Methods</h3><div>From August 2023 to October 2024, 35 patients with secondary upper or lower extremity lymphoedema who underwent LVA were selected. All patients underwent preoperative ICG angiography and CE-MRL imaging. After ICG angiography, lymphatic vessels were marked and re-evaluated using MRL images. The accuracy of CE-MRL-assisted ICG angiography in detecting lymphatic vessels and the efficacy of LVA were assessed, and accuracy was compared with ICG angiography alone.</div></div><div><h3>Results</h3><div>The 35 patients comprised 34 women and 1 man, with a mean age of 63.83 ± 11.89 years. Preoperative CE-MRL imaging identified 151 lymphatic vessels, of which 150 were accurately located and anastomosed during surgery, resulting in an accuracy rate of 99% (95% CI 0.980–1.00) for CE-MRL-assisted ICG angiography. Compared with ICG angiography alone, CE-MRL increased the number of identified lymphatic vessels by 12%. The effective rate of LVA was 94% (95% CI 0.857–1.00). Four weeks postoperatively, the limb circumferential difference improved by 14% ± 8.32%, while the circumferential reduction rate reached 49% ± 19%.</div></div><div><h3>Conclusion</h3><div>Contrast-enhanced MRL serves as a valuable complementary tool to ICG angiography in microsurgical LVA, enhancing the precision of lymphatic vessel localization. Lymphaticovenous anastomosis demonstrates a high effective cure rate, offering significant clinical benefits for patients with lymphoedema.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"105 ","pages":"Pages 385-394"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033311","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":"Commentary on “Factors associated with emergency free flap reoperation in post-mastectomy breast reconstruction: A population-based cohort study”","authors":"Jaskirat Singh ,&nbsp;Rachana Mehta ,&nbsp;Ranjana Sah ,&nbsp;Shubham Kumar ,&nbsp;Amogh Verma","doi":"10.1016/j.bjps.2025.03.061","DOIUrl":"10.1016/j.bjps.2025.03.061","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"105 ","pages":"Pages 397-399"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048874","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: Delineating upper limb longitudinal recovery after simple mastectomy, implant or autologous breast reconstruction using wearable activity monitors","authors":"Charlotte Rose Bairstow","doi":"10.1016/j.bjps.2025.05.028","DOIUrl":"10.1016/j.bjps.2025.05.028","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"106 ","pages":"Pages 329-330"},"PeriodicalIF":2.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144204908","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}