Journal of Plastic Reconstructive and Aesthetic Surgery最新文献

{"title":"Utility of the scratch collapse test for diagnosis of neurogenic thoracic outlet syndrome: Patient-reported outcomes after surgical treatment with at least 1 year follow-up","authors":"Syeda Hoorulain Ahmed ,&nbsp;Mohammed Mumtaz ,&nbsp;Ramin Shekouhi ,&nbsp;Harvey Chim","doi":"10.1016/j.bjps.2025.07.024","DOIUrl":"10.1016/j.bjps.2025.07.024","url":null,"abstract":"<div><h3>Introduction</h3><div>This study introduces the Scratch Collapse Test as a diagnostic tool for Neurogenic Thoracic Outlet Syndrome (NTOS) and analyzes and evaluates functional and patient-reported outcomes with at least one year of post-surgical follow-up.</div></div><div><h3>Methods</h3><div>Forty-four consecutive patients who underwent surgery for NTOS were reviewed. Patients were contacted at least one year postoperatively and assessed using standardized patient-reported outcome measures (PROMs), including Visual Analog Scale (VAS) for pain, Derkash classification, Disabilities of the Arm, Shoulder, and Hand (DASH) score, Michigan Hand Outcomes Questionnaire (MHQ), and Cervical Brachial Symptom Questionnaire (CBSQ). Data were analyzed using t-tests and linear regression models.</div></div><div><h3>Results</h3><div>The NTOS site of involvement was supraclavicular (SC) in 12 (27.3%) patients, infraclavicular (IC) in 16 (36.4%), and both (SC and IC) in 16 (36.4%). A distal compression site was treated in 20 (45.5%) patients. The overall success rate, as assessed through the Derkash classification, was 87.5%. The mean postoperative VAS score (2.6 <u>+</u> 3.2) was significantly improved from the preoperative VAS score (8.0 <u>+</u> 2.9). Mean postoperative DASH, MHQ, and CBSQ scores were 32.8 ± 21.8, 68.1 ± 26.5, and 39.2 ± 32.6, respectively. Multiple linear regression analysis showed that a longer duration of symptoms before surgery was the most significant factor for a higher mean postoperative VAS pain score.</div></div><div><h3>Conclusion</h3><div>Longer time to surgery was associated with higher postoperative VAS pain scores, suggesting that earlier surgical intervention in NTOS patients may be beneficial. Higher VAS scores were significantly correlated with poorer postoperative mid-term outcomes as assessed through the DASH, MHQ, CBSQ scores, and Derkash classification.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"108 ","pages":"Pages 111-120"},"PeriodicalIF":2.4,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144738486","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":"Facial aesthetic training in U.S. plastic surgery residency: A multi-source analysis of resident exposure and market demand","authors":"John A. Toms ,&nbsp;Nikki Rezania ,&nbsp;Elizabeth O’Neill ,&nbsp;Aaron L. Wiegmann ,&nbsp;Aaron N. Hendizadeh ,&nbsp;Daniel Najafali ,&nbsp;Krista Hardy","doi":"10.1016/j.bjps.2025.07.016","DOIUrl":"10.1016/j.bjps.2025.07.016","url":null,"abstract":"<div><div>This study assesses the relationship between operative exposure in U.S. plastic surgery residency and procedural demand in facial aesthetics by comparing national ACGME case log data from 935 independent-track residents (2013–2021) with global and U.S. procedural volume trends reported by the International Society of Aesthetic Plastic Surgery (2014–2022). A comparative trend analysis of five facial aesthetic procedures, rhinoplasty, blepharoplasty, facelift, brow lift, and other head and neck aesthetic procedures, showed that resident case volume increased significantly for rhinoplasty (4.35% annually, p=0.046), brow lift (4.22%, p=0.002), and other head and neck procedures (5.60%, p=0.048), while no significant growth was observed for blepharoplasty or facelift. In contrast, U.S. market demand for blepharoplasty and facelift increased by 4.90% and 5.70% annually, respectively. These findings highlight areas where current training exposure diverges from evolving procedural trends and provide an objective framework for evaluating alignment between residency education and market demand in facial aesthetic surgery.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"109 ","pages":"Pages 37-39"},"PeriodicalIF":2.4,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144827169","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":"Significance and implications of partial trapezoidectomy in management of scapho-trapezio-trapezoid (STT) osteoarthritis","authors":"Diane Jo,&nbsp;Ying Ku,&nbsp;Jacob Lammers,&nbsp;Ryan Khalaf,&nbsp;Mazen Al-Malak,&nbsp;R’ay Fodor,&nbsp;Antonio Rampazzo,&nbsp;Bahar Bassiri Gharb","doi":"10.1016/j.bjps.2025.06.021","DOIUrl":"10.1016/j.bjps.2025.06.021","url":null,"abstract":"<div><h3>Background</h3><div>Trapeziectomy with partial trapezoid excision is a common procedure for scapho-trapezio-trapezoidal osteoarthritis (STT OA). This study seeks to determine the impact of performing partial trapezoidectomy in the treatment of STT OA.</div></div><div><h3>Methods</h3><div>An IRB-approved retrospective review of patients who received trapeziectomy for isolated STT OA was conducted. Patients who received partial trapezoidectomy (PT group) were matched to patients who did not (NT group) via propensity-score matching. Patient demographics, clinical findings, and patient-reported outcomes (PROMs) were collected. Second metacarpal subsidence was measured. Radiographic and clinical outcomes were compared between the PT and NT groups.</div></div><div><h3>Results</h3><div>Fifty-three patients underwent 56 trapeziectomies, with 28 hands receiving partial trapezoidectomy. The median pain score reduction was 5 [3−7] in the PT group and 2.75 [1–5.9] in the NT group (p=0.03). QuickDASH scores decreased from 47.73 [30.68–67.61] to 11.36 [6.82–29.55] (p=0.002) and from 60.23 [50.57–75] to 23.87 [5.12–33.52] (p=0.005) for PT and NT, respectively. VR12 scores improved from 33.86 [30.05–40.62] to 46.77 [43.7–53.68] for PT (p=0.0003) and from 37.21 [30.61–42.84] to 51.97 [37.7–55.7] for NT (p=0.05). Change in QuickDASH (p=0.66) and VR12 scores (p=0.88) were not significantly different between groups. Median second metacarpal subsidence was 12.6% [−0.6–31.5] and 3.5% [−15.9–15.4] respectively for PT and NT (p=0.031). There was no correlation between subsidence and pain in either group (PT: p=0.43, NT: p=0.31).</div></div><div><h3>Conclusions</h3><div>Both procedures improved pain and PROMs for STT OA, with partial trapezoidectomy demonstrating superior pain reduction compared to trapeziectomy alone. Increased second metacarpal subsidence following partial trapezoidectomy did not adversely impact clinical outcomes.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"109 ","pages":"Pages 50-59"},"PeriodicalIF":2.4,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144831459","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":"Speech therapy only versus speech therapy combined with Furlow palatoplasty for the treatment of velopharyngeal insufficiency in submucous cleft palate: A systematic review and meta-analysis","authors":"Tim F.P. Ritzen ,&nbsp;Nina Wijnants ,&nbsp;Maud J.M. Verbeek ,&nbsp;Shauni A.D. Caenen-Drummen ,&nbsp;Sander M.J. van Kuijk ,&nbsp;Darren I. Booi ,&nbsp;René R.W.J. van der Hulst ,&nbsp;Moustapha Hamdi ,&nbsp;Rutger M. Schols","doi":"10.1016/j.bjps.2025.07.014","DOIUrl":"10.1016/j.bjps.2025.07.014","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this review is to investigate the speech outcomes of speech therapy only versus speech therapy in combination with Furlow palatoplasty for the treatment of velopharyngeal insufficiency (VPI) in submucous cleft palate (SMCP).</div></div><div><h3>Design</h3><div>Systematic review and 2 meta-analyses of speech therapy only and speech therapy in combination with Furlow palatoplasty in the treatment of VPI in SMCP.</div></div><div><h3>Setting</h3><div>Secondary and tertiary care centres in 10 different countries spread over 6 continents.</div></div><div><h3>Patients, participants</h3><div>Articles were selected after an elaborate literature search using PubMed, Embase and the Cochrane Library.</div></div><div><h3>Interventions</h3><div>Speech therapy only and speech therapy in combination with Furlow palatoplasty</div></div><div><h3>Main outcome measure</h3><div>The primary outcome measure of this study is the reduction of VPI-associated speech difficulties after treatment.</div></div><div><h3>Results</h3><div>Speech therapy only showed a risk difference (RD) of 0.015 to 0.036 for the presence of hypernasality; 0.045 for the presence of nasal emission; 0.015 for the presence of compensatory articulation and 0.089 for the presence of unintelligible speech. Speech therapy in combination with Furlow palatoplasty showed RDs of 0.46; 0.29 and 0.37 for the presence of hypernasality, clinically relevant hypernasality and nasal emission, respectively.</div></div><div><h3>Conclusion</h3><div>Both speech therapy only and speech therapy in combination with Furlow palatoplasty demonstrate a decrease in VPI-associated speech difficulties in SMCP. According to the current findings, speech therapy should accompany surgical correction by Furlow for the treatment of SMCP. However, larger prospective studies are required to investigate the precise role of speech therapy as a standalone intervention in mild cases of SMCP.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"108 ","pages":"Pages 93-107"},"PeriodicalIF":2.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144714484","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: “Exploring breast implant illness and its comorbid conditions: A systematic review & meta-analysis”","authors":"Forrest Bohler,&nbsp;Zachary A. Koenig,&nbsp;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":"Explainable artificial intelligence: enhancing decision-making in plastic surgery","authors":"Berk B. Ozmen ,&nbsp;Victor F.A. Almeida ,&nbsp;Piyush Mathur ,&nbsp;Graham S. Schwarz","doi":"10.1016/j.bjps.2025.07.012","DOIUrl":"10.1016/j.bjps.2025.07.012","url":null,"abstract":"<div><div>Artificial intelligence (AI) models increasingly influence plastic surgery practice through risk prediction, outcome forecasting, and treatment planning. However, their \"black box\" nature often prevents surgeons from understanding the reasoning behind AI-generated recommendations, limiting clinical adoption and trust. This manuscript presents Explainable Artificial Intelligence (XAI) approaches that can transform opaque AI systems into transparent decision support tools for plastic surgeons. We outline methods for individual case explanations, population-level insights, and visualization techniques specifically relevant to plastic surgery applications. By integrating XAI into clinical workflows, surgeons can leverage AI's predictive power while maintaining their critical role in patient-centered decision-making, ultimately enhancing both the art and science of plastic surgery.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"108 ","pages":"Pages 90-92"},"PeriodicalIF":2.0,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144711471","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: Artificial intelligence prediction model for readmission after DIEP flap breast reconstruction based on NSQIP data","authors":"Tariq Mehmood,&nbsp;FNU Shahzaib,&nbsp;Arifa Arifa","doi":"10.1016/j.bjps.2025.06.046","DOIUrl":"10.1016/j.bjps.2025.06.046","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"108 ","pages":"Pages 185-186"},"PeriodicalIF":2.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669184","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":"Response to the letter Re: Artificial intelligence prediction model for readmission after DIEP flap breast reconstruction based on NSQIP data","authors":"Berk B. Ozmen,&nbsp;Diwakar Phuyal,&nbsp;Ibrahim Berber,&nbsp;Graham S. Schwarz","doi":"10.1016/j.bjps.2025.07.011","DOIUrl":"10.1016/j.bjps.2025.07.011","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"108 ","pages":"Pages 187-188"},"PeriodicalIF":2.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661462","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":"Early Plastic Surgery Education in the United States through the Lens of Dr. Jerome P. Webster's Case Logs: 1943-1948","authors":"Alexander F. Dagi,&nbsp;Juliana Marquez,&nbsp;Catherine L. Ly,&nbsp;Christine H. Rohde,&nbsp;Jarrod T. Bogue","doi":"10.1016/j.bjps.2025.07.004","DOIUrl":"10.1016/j.bjps.2025.07.004","url":null,"abstract":"<div><div>Jerome P. Webster, known as the \"father of plastic surgery education\" in the United States, established Columbia University's first plastic surgery professorship and residency program. His educational philosophy was shaped by formative training with William Halsted, Sir Harold Gillies, and Vilray Blair, combined with World War I service and international teaching experience. This study examines Webster's case logs from 1943-1948, digitized from the Columbia University Medical Center Archives, to understand his educational approach and surgical practice. We categorized 820 documented procedures by type, anatomical location, and reconstructive technique while analyzing accompanying illustrations and patient notes. Webster's practice focused primarily on head, face, and neck procedures (51.6%), with ear reconstruction (107 cases), nasal procedures (94 cases), and lip repairs (46 cases) predominating. Hand and upper extremity procedures constituted 15.3% of cases, while breast and torso procedures accounted for just 5.5%. Common surgical techniques included split-thickness grafting (57 cases), pedicle flaps (121 cases), and tube pedicles (28 cases). Major etiologies included burn reconstruction (13.7%), congenital anomaly correction (8.7%), and scar revision (16.3%). Webster's educational methodology emphasized detailed visual documentation through illustrations co-created with painter Ivan Webster, hands-on technical training, and systematic recording of clinical judgment through resident notes. His approach established foundational principles that continue to influence contemporary plastic surgery training, demonstrating that the field was grounded in achieving functional and aesthetically adequate reconstruction rather than being purely anatomically focused.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"108 ","pages":"Pages 147-150"},"PeriodicalIF":2.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144780854","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}