Journal of Plastic Reconstructive and Aesthetic Surgery最新文献

{"title":"Predicting complications in breast reconstruction: External validation of a machine learning model","authors":"Anne M. Meyer ,&nbsp;Hyung Bae Kim ,&nbsp;Jin Sup Eom ,&nbsp;Lauren Sinik ,&nbsp;Sterling Braun ,&nbsp;Hyun Ho Han ,&nbsp;James A. Butterworth","doi":"10.1016/j.bjps.2025.06.020","DOIUrl":"10.1016/j.bjps.2025.06.020","url":null,"abstract":"<div><h3>Background</h3><div>Nipple-sparing mastectomy (NSM) with immediate implant-based breast reconstruction provides aesthetic and psychosocial benefits, but nipple-areolar complex (NAC) necrosis remains a significant risk. This study externally validated a previously developed machine learning (ML) model that predicted NAC necrosis with 97% accuracy on institutional data.</div></div><div><h3>Methods</h3><div>This retrospective cohort study identified an initial 394 patients who underwent NSM with immediate breast reconstruction at Asan Medical Center (January 2021 - August 2022). Though there were 6 incomplete patient profiles, which resulted in 388 cases being used for statistical analysis, as demonstrated in Table 1. Demographic, oncologic, and surgical data were collected, with complications defined as post-operative events occurring within 90 days. A previously validated random forest ML model was applied to predict NAC necrosis. Model performance was assessed using accuracy, area under the receiver operating characteristic curve (AUC-ROC), sensitivity, specificity, and predictive values.</div></div><div><h3>Results</h3><div>Of 388 patients, 19 (4.9%) developed NAC necrosis. Significant risk factors included older age (mean age: 51.3 vs. 46.2 years, p = 0.015), higher BMI (mean BMI: 24.2 vs. 22.4, p = 0.024), active smoking (p = 0.008), and cumulative smoking exposure (mean pack-years: 3.3 vs. 0.2, p &lt; 0.0001). Mastectomy specimen weight was significantly associated with NAC necrosis (mean: 394.2 g vs. 313.4 g, p = 0.021). The ML model achieved a predictive accuracy of 96%, with an AUC-ROC of 0.70 (95% CI: 0.55–0.85), indicating moderate discriminative ability.</div></div><div><h3>Conclusions</h3><div>The externally validated ML model accurately predicted NAC necrosis in a distinct patient population, demonstrating its potential for personalized risk assessment in NSM candidates. Future validation in diverse populations is needed.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"107 ","pages":"Pages 176-181"},"PeriodicalIF":2.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144572370","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":"Enhancing safety, patient experience and outcomes in an independent UK ambulatory aesthetic surgical clinic","authors":"Metin Nizamoglu,&nbsp;Nora Nugent,&nbsp;Marc Pacifico","doi":"10.1016/j.bjps.2025.06.018","DOIUrl":"10.1016/j.bjps.2025.06.018","url":null,"abstract":"<div><h3>Background</h3><div>The United Kingdom has witnessed a surge in independent aesthetic surgery clinics with ambulatory operating facilities. In this context, patient safety and satisfaction remain critical benchmarks of success.</div></div><div><h3>Aim</h3><div>This study presents a detailed analysis of a private aesthetic surgery clinic’s systems to optimise patient outcomes and ensure safety in day-case surgeries under general anaesthesia.</div></div><div><h3>Methods</h3><div>A retrospective analysis was conducted on prospectively collected data from 428 consecutive patients who underwent general anaesthesia for aesthetic surgical procedures at the clinic. Key metrics included times to discharge, complication rates and a patient questionnaire.</div></div><div><h3>Results</h3><div>Among the 428 patients, there were only four instances of urgent return to the operating theatre: three cases of postoperative infection and one patient requiring external transfer for a delayed presentation of a pulmonary embolus within 30 days of surgery. These findings correspond to a major complication rate of less than 2% (8/428), underscoring the safety of performing general anaesthesia aesthetic surgeries as day-case procedures when robust clinical systems are implemented.</div></div><div><h3>Conclusion</h3><div>Our results demonstrate that aesthetic surgical procedures can be safely and efficiently performed in a standalone clinic setting as day-case operations, with minimal complications and high satisfaction. This model highlights the potential for redefining standards of care in ambulatory aesthetic surgery, emphasising the importance of rigorous safety protocols and patient-centred approaches.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"107 ","pages":"Pages 141-147"},"PeriodicalIF":2.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517625","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":"Institutional support for plastic surgery applicants: Letter in response to recently published manuscript, “Characterizing the past 5 years of integrated plastic surgery applicants: A Texas STAR analysis”","authors":"Emily E. Zona,&nbsp;Alisha S. Khosla,&nbsp;Kirsten A. Gunderson,&nbsp;Jacqueline S. Israel","doi":"10.1016/j.bjps.2025.06.019","DOIUrl":"10.1016/j.bjps.2025.06.019","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"107 ","pages":"Pages 192-195"},"PeriodicalIF":2.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144595552","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":"The “lymphatico-lymphatic bridge” technique: Maximising lymphatic drainage in challenging scenarios in supermicrosurgical lymphaticovenous anastomosis","authors":"Chad Chang ,&nbsp;Johnson Chia-Shen Yang","doi":"10.1016/j.bjps.2025.06.013","DOIUrl":"10.1016/j.bjps.2025.06.013","url":null,"abstract":"<div><div>Proximal lymphaticovenous anastomosis (LVA) achieves superior limb decompression; however, recipient veins in this region are often deep and disproportionately large in caliber relative to small lymphatic vessels (LVs). The resulting size mismatch frequently forces surgeons to forgo anastomoses with several LVs, undermining drainage, and no current technique reliably resolves this constraint.</div><div>We developed the Lymphatico-Lymphatic Bridge (LLB), a sequential end-to-side method that uses an adjacent LV as an autologous conduit, linking otherwise unreachable LVs to a single recipient vein. The LLB was added to &gt; 2,800 LVAs when LVs were distant or undersized.</div><div>The procedure avoids extra incisions or vein grafts and may enhance antegrade washout while reducing venous reflux. Preliminary follow-up results show limb-volume reduction comparable to that of standard LVA.</div><div>By incorporating additional proximal LVs, the LLB broadens indications for proximal LVA and may augment lymphatic pressure, thereby improving early patency. These findings support a proximal-first strategy for LVA surgery and warrant prospective controlled evaluation.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"107 ","pages":"Pages 130-133"},"PeriodicalIF":2.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501530","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 framework for the development and implementation of open trauma guidelines: A Delphi consensus validation","authors":"Juan Enrique Berner ,&nbsp;Carl Heneghan ,&nbsp;Jagdeep Nanchahal ,&nbsp;Abhilash Jain","doi":"10.1016/j.bjps.2025.06.014","DOIUrl":"10.1016/j.bjps.2025.06.014","url":null,"abstract":"<div><h3>Introduction</h3><div>Lower limb open fractures are severe injuries that can lead to long-term sequelae. Clinical guidelines for managing these patients are associated with expedited treatment and better outcomes. However, few countries have implemented guidelines for open lower limb fractures. The aim of this study was to develop and validate a framework for the introduction of clinical guidelines in settings that do not have one at present.</div></div><div><h3>Methods</h3><div>Using the qualitative analysis for the Limitations to the Implementation of Open Trauma Guidelines (LINEAGE) study, a framework proposal was designed. This included 4 clusters of inter-related concepts, including clinician, team, health and cultural factors. To validate this framework a modified Delphi study was devised. The elements of the framework were translated into 12 statements that were compiled in a Delphi questionnaire. A panel of orthopaedic and plastic surgeons was assembled to obtain structured feedback and assess the degree of consensus regarding the framework proposal.</div></div><div><h3>Results</h3><div>Using purposive sampling, 43 clinicians enrolled in an international expert panel, including 20 orthopaedic and 23 plastic surgeons based in countries with no guidelines at present. Following three Delphi rounds, 11 out of the 12 assessed statements achieved the threshold for validation. The single statement that did not reach consensus status was then removed from the framework.</div></div><div><h3>Discussion</h3><div>Frameworks are a well-described aid in implementation science, being able to describe complexity and propose strategies for improvement. We present the first validated framework for the development and implementation of open fracture guidelines.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"107 ","pages":"Pages 93-100"},"PeriodicalIF":2.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144490333","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":"Muscle versus fasciocutaneous flaps in fracture healing: A scoping review of basic science evidence","authors":"Umar Arshad ,&nbsp;Matthew J. Heron ,&nbsp;Isabel A. Snee ,&nbsp;Jennifer Lee ,&nbsp;Ray Kung ,&nbsp;Kowsar Ahmed ,&nbsp;Augustine M. Saiz ,&nbsp;Lily R. Mundy","doi":"10.1016/j.bjps.2025.06.009","DOIUrl":"10.1016/j.bjps.2025.06.009","url":null,"abstract":"<div><h3>Background</h3><div>Open extremity fractures with extensive soft tissue damage may require reconstruction with a soft tissue flap. While either muscle or fasciocutaneous flaps may be used, clinical studies have not definitively determined which results in lower infection rates. Therefore, we aimed to review the basic science literature on muscle and fasciocutaneous flaps to identify translational evidence supporting the use of one flap type over another for extremity reconstruction.</div></div><div><h3>Methods</h3><div>We conducted a scoping review of PubMed, Embase, Scopus, and Web of Science to identify non-clinical studies of soft tissue reconstruction for fractures or other osseous defects. Outcomes of interest included vascularity, infection, and biomechanical strength, as well as the molecular and cellular characteristics of the healed bone.</div></div><div><h3>Results</h3><div>We included 19 studies. Eleven studies reported exclusively on muscle flaps, and 8 studies compared muscle and fasciocutaneous flaps. Most studies modeled extremity fractures. Fractures managed with muscle flaps demonstrated enhanced angiogenesis, fewer infections, greater biomechanical strength, increased stem cell recruitment, and greater growth factor concentration compared to fasciocutaneous flaps.</div></div><div><h3>Conclusions</h3><div>The basic science literature suggests that muscle flaps are superior to fasciocutaneous flaps across several key outcomes pertaining to traumatic lower extremity fractures. These findings underscore the discrepancy between basic science and clinical evidence and emphasize the need for prospective clinical trials on flap reconstruction that control for injury severity.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"107 ","pages":"Pages 119-129"},"PeriodicalIF":2.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501529","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":"Comprehensive smartphone-based 3D scanning framework for capturing the external ear","authors":"Renee C. Nightingale,&nbsp;Gemma L. Price,&nbsp;Edmund Pickering,&nbsp;Sean K. Powell,&nbsp;Maria A. Woodruff","doi":"10.1016/j.bjps.2025.06.011","DOIUrl":"10.1016/j.bjps.2025.06.011","url":null,"abstract":"<div><div>Congenital microtia manifests abnormalities in the external ear leading to potential adverse impacts on psychosocial health and hearing impairment. Three-dimensional (3D) technologies have demonstrated potential applications for personalised prosthesis fabrication; however, the large hardware costs limit their routine clinical use. Frugal 3D scan-model-print pipelines can disrupt traditional processes and increase accessibility. In this study, we aimed to further validate 3D photogrammetry using 3 different smartphone models. Both ears of 10 participants were scanned with 4 devices: Samsung Galaxy S8, Samsung Galaxy S9, Apple® iPhone 8S, and Artec Spider 3D scanner. Scan, processing times, accuracy, completeness, and repeatability of the smartphone models were analysed with no significant difference across all tested models (Accuracy: 1.1 ± 0.3 mm, Completeness: 81 ± 10%). This demonstrates a flexibility in capture device selection for smartphone photogrammetry, with the potential to broaden the translation of this frugal 3D scanning approach to personalised prosthesis production.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"108 ","pages":"Pages 26-33"},"PeriodicalIF":2.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655403","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":"Preliminary data on the oncological safety of autologous fat transfer (AFT) for total breast reconstruction from the BREAST trial","authors":"M.E.P. Rijkx ,&nbsp;W.B.W. van der Venne ,&nbsp;J.E. Hommes ,&nbsp;Z.M.A. Kuijlaars ,&nbsp;S.M.J. van Kuijk ,&nbsp;M. Moossdorff ,&nbsp;The BREAST trial investigators ,&nbsp;E.M. Heuts ,&nbsp;A. Piatkowski","doi":"10.1016/j.bjps.2025.06.002","DOIUrl":"10.1016/j.bjps.2025.06.002","url":null,"abstract":"<div><h3>Background</h3><div>Total breast reconstruction via autologous fat transfer (AFT) improves the quality of life compared to implant-based reconstruction (IBR). Hypotheses are that AFT may affect oncologic outcomes. As predetermined in the study protocol, we present the loco-regional recurrence data from the BREAST trial.</div></div><div><h3>Methods</h3><div>This prospective cohort study is based on participants from the BREAST trial, comparing AFT to IBR after mastectomy. Patients were randomised 1:1 to AFT or IBR. Oncological follow-up, including clinical exams and imaging, was conducted annually for five years post-reconstruction in the intervention group. Data on demographics, tumour characteristics, and treatment details of the first tumour were collected from medical records and national pathology databases. Primary outcome for analysis was loco-regional breast cancer recurrence (LRR).</div></div><div><h3>Results</h3><div>In total, 77 patients were included in the AFT arm and 86 in the control arm. Time from breast cancer diagnosis to first AFT exposure was considered control time to minimise immortal time bias. Eight patients in the AFT group and 5 in the control group experienced loco-regional recurrence. This was not significantly different (hazard ratio 1.74 (95% CI: 0.56 – 5.44, p = 0.341) in comparison to control. After adjustment for confounders, the difference remained non-significant.</div></div><div><h3>Conclusion</h3><div>Per study protocol, loco-regional recurrence in the BREAST trial was analysed: no significant difference was observed between AFT-reconstruction and IBR-reconstruction. This study was underpowered for oncological endpoints, the population was too heterogeneous, and not all participants received recommended oncological care.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"107 ","pages":"Pages 228-237"},"PeriodicalIF":2.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144604469","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":"Timing of oral feeding following head and neck mucosal free flap reconstruction – A systematic review and meta-analysis","authors":"Brandon He ,&nbsp;Jake Chia ,&nbsp;Faruque Riffat ,&nbsp;Huang-Kai Kao ,&nbsp;Frank Hsieh","doi":"10.1016/j.bjps.2025.06.004","DOIUrl":"10.1016/j.bjps.2025.06.004","url":null,"abstract":"<div><h3>Background</h3><div>Timing of oral feeding following head and neck mucosal free-flap reconstruction is a highly contentious issue. The typical 6–12 days “nil-by-mouth’ primarily revolves around the concern for post-operative complications. Conversely, early feeding has been shown to reduce the patient’s stress response, optimise physiological function, and facilitate recovery and healing. Nevertheless, the optimum time of oral feeding is unknown, and the impact of early feeding on post-operative complications and length of hospital stay (LOS) remains controversial.</div></div><div><h3>Methods</h3><div>A systematic review was conducted across the databases; Medline (Pubmed), EMBASE, Cochrane Central, and Scopus for studies comparing the outcomes of early (≤5 days) and/or late (&gt;5 days) oral feeding following reconstructive head and neck surgery involving mucosal free-flaps. Fixed and random-effects meta-analyses were utilised.</div></div><div><h3>Results</h3><div>The search yielded 1283 articles, of which thirteen met the inclusion criteria, encompassing a total of 1657 patients. Early feeding was significantly associated with lower risk of fistulas (3.66% vs 11.35%) (RR 0.37, 95%CI 0.22 to 0.64; P = 0.0004) and lower risk of pneumonia (6.31% vs 12.38%) (RR = 0.53, 95%CI 0.33 to 0.87; P = 0.011) compared to late feeding. Early feeding significantly reduced LOS compared to late feeding (x̄=9.85 vs 13.11 days) (MD −4.10, 95%CI −7.07 to −1.14; P=0.0067). The incidence of flap-failure, haematoma and dehiscence was similar between the two groups.</div></div><div><h3>Conclusions</h3><div>Early oral feeding initiation appears to be safe and associated with improved or similar patient outcomes and reduced LOS. Surgeons should consider early oral feeding in a carefully selected population.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"107 ","pages":"Pages 49-67"},"PeriodicalIF":2.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144297002","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":"Dorsal preservation versus dorsal reduction rhinoplasty techniques for aesthetic and functional outcomes: a systematic review and meta-analysis","authors":"Luiz Fábio Silva Ribeiro ,&nbsp;Lucas Rezende De Freitas ,&nbsp;Ofonime Chantal Udoma-Udofa ,&nbsp;Rafael Mateus Correa ,&nbsp;Pedro Henrique Reginato ,&nbsp;Lucas Kreutz-Rodrigues ,&nbsp;Uldis Bite ,&nbsp;Karim Bakri","doi":"10.1016/j.bjps.2025.05.044","DOIUrl":"10.1016/j.bjps.2025.05.044","url":null,"abstract":"<div><h3>Background</h3><div>The differences in outcomes between dorsal preservation (DP) and dorsal reduction (DR) techniques in rhinoplasty remain unclear. This meta-analysis evaluates the DP and DR in terms of functional and aesthetic outcomes, revisions surgeries, dorsal irregularities, and residual and recurrent hump.</div></div><div><h3>Methods</h3><div>We searched PubMed, Cochrane, and Embase up to January 20th, 2025, for studies comparing DP versus DR. Primary outcome was standardized functional scores in the long-term postoperative period. Secondary outcomes were: short-term standardized functional outcomes, subjective aesthetic outcomes (sort-term and long-term), long-term standardized aesthetic outcome and total SCHNOS, revisions surgeries needed, dorsal irregularities, and residual and recurrent hump. Subgroup analyses were performed to evaluate different scales (SCHNOS, NOSE, VAS and UQ).</div></div><div><h3>Results</h3><div>Ten studies (1339 patients) were included. DP showed a significantly higher satisfaction in the UQ subgroup for short-term subjective aesthetic outcome (MD 1.13 points [95% CI: 0.74–1.52]; p &lt; 0.001; I² = 0%), a significant reduction in dorsal irregularities (RR 0.28 [95% CI: 0.10–0.78]; p = 0.01; I² = 0%), and a significantly higher rate of residual and recurrent hump (RR 2.94 [95% CI: 1.23–7.03]; p = 0.02; I² = 0%), compared to the DR group. No significant differences were found in standardized functional outcomes, subjective aesthetic outcomes, standardized aesthetic outcomes, total SCHNOS, or revision surgeries.</div></div><div><h3>Conclusion</h3><div>DP was associated with greater short-term aesthetic satisfaction (UQ), fewer dorsal irregularities, and a higher risk of residual and recurrent hump compared to DR. There were no significant differences between the groups in the other outcomes.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"107 ","pages":"Pages 101-118"},"PeriodicalIF":2.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501528","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}