Journal of Plastic Reconstructive and Aesthetic Surgery最新文献

{"title":"Comment on “The current state of tranexamic acid in mastectomy and breast reconstruction: A systematic review and meta-analysis”","authors":"Shubham Kumar, Renu Sah","doi":"10.1016/j.bjps.2025.05.035","DOIUrl":"10.1016/j.bjps.2025.05.035","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"107 ","pages":"Pages 22-23"},"PeriodicalIF":2.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254504","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: “A 5-point framework for students evaluating plastic surgery research fellowship opportunities”","authors":"Emily E. Zona, Keenan S. Fine, Aidan W. O’Shea, Armin Edalatpour, Kirsten A. Gunderson, Jacqueline S. Israel, Samuel O. Poore","doi":"10.1016/j.bjps.2025.05.032","DOIUrl":"10.1016/j.bjps.2025.05.032","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"107 ","pages":"Pages 19-21"},"PeriodicalIF":2.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144239845","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":"Characterization of post-mastectomy pain syndrome in breast cancer patients undergoing subsequent reconstruction: A scoping review","authors":"Arushi Biswas ,&nbsp;Aidan S. Weitzner ,&nbsp;Lily Zhu ,&nbsp;Jeffrey Khong ,&nbsp;Shreya Sriram ,&nbsp;Carisa M. Cooney ,&nbsp;Mehran Habibi ,&nbsp;Kristen P. Broderick","doi":"10.1016/j.bjps.2025.06.001","DOIUrl":"10.1016/j.bjps.2025.06.001","url":null,"abstract":"<div><h3>Background</h3><div>25–60% of mastectomy patients experience chronic pain, known as post-mastectomy pain syndrome (PMPS). However, there is a lack of consensus about the timeline and definition of PMPS. As mastectomy followed by breast reconstruction is commonly utilized by patients with breast cancer, how we define and diagnose PMPS will play a critical role in managing these patients. This review presents the scope of literature about chronic pain in breast cancer patients who received mastectomy and subsequent reconstruction.</div></div><div><h3>Methods</h3><div>Six databases were searched for articles about breast cancer patients undergoing mastectomy and reconstruction who experienced chronic pain. Details about pain and reconstruction type were extracted. Chronic pain definitions were analyzed descriptively.</div></div><div><h3>Results</h3><div>Thirty-six articles described 6906 patients (mean age 48.2 years) who underwent mastectomy and reconstruction between 1996 and 2022. Overall, 47% of patients experienced chronic pain. Six studies defined chronic pain, with one listing symptoms and four mentioning (but not specifying) pain duration. Eleven studies reported time to pain presentation, ranging from 1.3 to 94 months post-surgery. Of the eight that specified etiology, seven were limited to neuropathic pain, while one described musculoskeletal pain. Among patients for whom reconstruction type was specified, 54% of those with implant-based reconstruction (n=1336/2469) reported chronic pain, compared to 47% of those with autologous reconstruction (n=508/1077; p&lt;0.001).</div></div><div><h3>Conclusion</h3><div>Chronic pain can be an unfortunate, multifactorial complication of mastectomy and breast reconstruction. With mastectomy and subsequent reconstruction being a common option for breast cancer management, it is imperative to comprehensively characterize PMPS and its relationship with breast reconstruction.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"107 ","pages":"Pages 73-84"},"PeriodicalIF":2.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144471599","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 “Combined latissimus dorsi myocutaneous flap and 3D-printed PEEK implant for reconstruction of a large full-thickness chest wall defect: A retrospective study”","authors":"Renu Sah,&nbsp;Ankita Mathur","doi":"10.1016/j.bjps.2025.05.037","DOIUrl":"10.1016/j.bjps.2025.05.037","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"106 ","pages":"Pages 414-415"},"PeriodicalIF":2.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230182","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 new surgical treatment of pincer nail deformity using artificial dermis","authors":"Sakurako Murata,&nbsp;Asako Fukuju,&nbsp;Risa Murakami,&nbsp;Hirotaka Suga","doi":"10.1016/j.bjps.2025.05.034","DOIUrl":"10.1016/j.bjps.2025.05.034","url":null,"abstract":"<div><h3>Background</h3><div>Pincer nail deformity is an excessive transverse curvature of the nail plate. It often causes severe pain and reduces the patient's quality of life. Various surgical techniques have been reported for pincer nail deformity, but no studies have reported the use of artificial dermis to resolve the dead space on both sides of the distal phalanx after the deformed nail bed is elevated. We describe our new surgical method placing artificial dermis in these dead spaces, and we provide the results of our evaluation of the method’s effectiveness.</div></div><div><h3>Methods</h3><div>We examined the cases of the patients who underwent surgical treatment using artificial dermis for pincer nail deformity at our hospital between April 1, 2020, and March 31, 2024. The patients’ information was retrospectively reviewed from the medical records. In the surgery, we placed artificial dermis in the dead space on both sides of the distal phalanx. The change in nail curvature was evaluated using the height index (HI).</div></div><div><h3>Results</h3><div>A total of 19 toes of 11 patients were included. Postoperatively, the mean HI value was significantly improved from 64.8% to 12.9% (p&lt;0.05). All 11 patients were relieved of the pain. No early postoperative complications and no recurrences were observed in the patients.</div></div><div><h3>Conclusion</h3><div>Our new method of placing artificial dermis in the dead space on both sides of the distal phalanx is a simple and effective treatment for pincer nail deformity.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"106 ","pages":"Pages 409-413"},"PeriodicalIF":2.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144221522","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":"Acellular dermal matrix integration in hydrogel scaffolds: A novel approach to cartilage tissue engineering","authors":"Hojin Park ,&nbsp;Min-Sook Kim ,&nbsp;Tae-Yul Lee ,&nbsp;Han-Sang Song ,&nbsp;Deok-Woo Kim","doi":"10.1016/j.bjps.2025.05.038","DOIUrl":"10.1016/j.bjps.2025.05.038","url":null,"abstract":"<div><h3>Background</h3><div>Scaffold materials impact engineered cartilage properties, but current options like hydrogels and PCL have limitations, including insufficient strength and inflammatory responses. This study explored the efficacy of integrating hydrogel scaffolds with an acellular dermal matrix (ADM) to enhance structural integrity and chondrogenesis.</div></div><div><h3>Methods</h3><div>Human third costal cartilage was obtained and processed to isolate chondrocytes, which were assessed via flow cytometry for surface markers (CD44, CD54, CD31, CD45). Chondrocytes were cultured in a gelatin scaffold with (ADM group) or without ADM sheets (Hydrogel group), then implanted in BALB/c nude mice for 12 weeks. Histological staining and ECM analyses, including GAG and type II collagen ELISA, were conducted on harvested constructs.</div></div><div><h3>Results</h3><div>The rectangular shape was better preserved in the ADM group compared to the hydrogel group, indicating less contraction and deformation. The scaffold width in the ADM group was significantly greater (9.20±0.23 mm) than that in the hydrogel group (7.40±0.93 mm, p&lt;0.05). Histological analysis revealed an enhanced ECM formation in the ADM group with uniform ECM distribution. The quantitative assays demonstrated significantly higher glycosaminoglycan content (3.3±0.7 μg/mg) and type II collagen levels (11.3±1.6 μg/mg) in the ADM group compared to the hydrogel group (2.2±0.2 μg/mg and 4.6±0.4 μg/mg, respectively; p&lt;0.05).</div></div><div><h3>Conclusion</h3><div>The ADM-covered hydrogel scaffold effectively maintained its structural integrity and volume in vivo, promoting ECM production compared with the hydrogel-only scaffold. These findings indicate that the ADM-covered hydrogel scaffolds have significant potential for cartilage tissue engineering and reconstructive surgery.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"106 ","pages":"Pages 393-400"},"PeriodicalIF":2.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144220918","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":"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}