Journal of Plastic Reconstructive and Aesthetic Surgery最新文献

{"title":"Banking of contra-lateral superficial inferior epigastric vein graft in unilateral deep inferior epigastric artery flap salvage","authors":"Jing Er Low, Mohammed Farid, 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}

{"title":"Time to final breast reconstruction: Effect on quality of life and associated factors","authors":"Unser Jaffry ,&nbsp;Catherine Bienert ,&nbsp;Dennis G. Foster ,&nbsp;Charalampos Siotos ,&nbsp;Michele A. Manahan ,&nbsp;Samuel Sarmiento","doi":"10.1016/j.bjps.2025.05.029","DOIUrl":"10.1016/j.bjps.2025.05.029","url":null,"abstract":"<div><h3>Background</h3><div>Breast cancer patients often undergo prolonged periods of care due to chemotherapy, radiation, and multiple breast reconstruction procedures. The time to final reconstruction (TTFR) after mastectomy can span years, during which time patients may experience reduced quality of life (QoL). However, the relationship between prolonging this interval and long-term QoL is unclear.</div></div><div><h3>Methods</h3><div>We analyzed a prospectively collected registry of patients who received breast reconstruction at our institution. We obtained data for patients meeting the following criteria: received breast reconstruction between 2010 and 2015; had at least 12 months of Breast-Q follow-up; and for whom TTFR was available. Patients who received final breast reconstruction on the same day as mastectomy were excluded.</div></div><div><h3>Results</h3><div>We identified 198 female patients. The median time to final reconstruction was 199 days. Women with a BMI of ≥35 kg/m² experienced the longest interval (936 days; p=0.001). African-American women also experienced greater delays (mean: 527 days; p=0.05). Women undergoing autologous reconstruction experienced a significantly greater delay compared to implant-based or fat grafting (325 days; p=0.02). However, this did not hold in the adjusted model. Compared to staged, women undergoing delayed reconstruction waited the longest (mean: 1269 days; p&lt;0.001). Regarding QoL, a linear regression revealed reductions across all domains per each day of delay in final reconstruction.</div></div><div><h3>Conclusion</h3><div>A longer interval between mastectomy and final reconstruction may be associated with decreases in QoL outcomes. Factors including mastectomy type, reconstruction type, and patient demographics may impact this interval. These factors are worth considering when discussing reconstruction options.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"106 ","pages":"Pages 203-212"},"PeriodicalIF":2.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144170136","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":"Priced out of progress: The financial strain of plastic surgery conferences on medical students","authors":"John A. Toms ,&nbsp;Daniel Najafali ,&nbsp;Elizabeth S. O’Neill ,&nbsp;Shahood Fazal ,&nbsp;Jubril Adepoju","doi":"10.1016/j.bjps.2025.05.030","DOIUrl":"10.1016/j.bjps.2025.05.030","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"106 ","pages":"Pages 187-190"},"PeriodicalIF":2.0,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138758","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":"Oral function in facial nerve palsy: A comparative analysis of flaccid and synkinetic palsy","authors":"Megan Lai ,&nbsp;Emma Charters ,&nbsp;Tsu-Hui Low Hubert","doi":"10.1016/j.bjps.2025.04.055","DOIUrl":"10.1016/j.bjps.2025.04.055","url":null,"abstract":"<div><h3>Background</h3><div>Facial nerve palsy (FNP) can have a profound impact on oral function and quality of life (QOL). However, the distinct challenges encountered by patients with flaccid compared with synkinetic facial movements have not been characterised. This study aimed to describe and compare speech, swallowing and QOL in patients with these 2 conditions.</div></div><div><h3>Methods</h3><div>Patients with lower motor neurone FNP were recruited from the Sydney Facial Nerve Service. Their oral competence was measured using clinician- and patient-rated outcome measures. This included a consonant analysis of a recorded reading sample and a subjective intelligibility rating by the clinician and patient and 2 validated questionnaires, the Speech Handicap Index (SHI) and Oral Competence Questionnaire (OCQ).</div></div><div><h3>Results</h3><div>Sixty-five participants were enrolled in the study (n=16 intact facial nerve function, prior to facial nerve sacrifice surgery, n=31 synkinetic FNP and n=18 flaccid FNP). The flaccid FNP group presented with more speech errors within each consonant group (p&lt;0.001), poorer intelligibility in clinician and patient ratings (p&lt;0.001 and p=0.01, respectively) and in the OCQ responses (p=0.01). No significant difference was observed in the SHI between the synkinetic and flaccid groups.</div></div><div><h3>Conclusions</h3><div>Flaccid and synkinetic FNP are 2 distinct conditions, presenting with differing characteristics and requiring different treatment pathways. These findings suggest that patients with flaccid FNP present with poorer functional outcomes in swallowing and speech-related QOL.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"106 ","pages":"Pages 435-442"},"PeriodicalIF":2.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251644","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}