Journal of Plastic Reconstructive and Aesthetic Surgery最新文献

{"title":"Optimal technique of perineal reconstruction following extralevator abdominoperineal excision: A systematic review","authors":"Hamish Thomson ,&nbsp;Tharenya Uthayakumar ,&nbsp;Anirban Mandal","doi":"10.1016/j.bjps.2025.05.025","DOIUrl":"10.1016/j.bjps.2025.05.025","url":null,"abstract":"<div><div>The optimal method of perineal reconstruction following extralevator abdominoperineal excision (ELAPE) is a debated topic among plastic surgeons, with current options including direct closure, biological mesh, flaps or a combination. This systematic review was conducted in accordance with the PRISMA guidelines to evaluate the available medical literature on the optimal modality of perineal reconstruction. We hypothesised that the use of flaps is the superior method, with complex cases requiring the use of an additional flap or incorporation of a supporting biological mesh. The specific outcomes of each reconstruction modality assessed included the a) length of hospital stay, b) perineal complications, c) hernias, d) recurrence, e) mortality and f) functional outcomes. A comprehensive search of the MEDLINE and EMBASE databases yielded 1081 articles. Following independent screening using a PICOT framework-guided inclusion and exclusion criteria, and a subsequent quality assessment, 21 papers were incorporated into the review for qualitative analysis; Among the 21 papers, 15 were retrospective cohort studies, 4 were prospective cohort studies, 1 was an observational cohort study and 1 was a randomised control trial. The literature suggests that when used exclusively, flaps and biological meshes achieved a higher percentage of fully healed perineum without complications compared to flap–mesh or flap–flap hybrids. However, these findings are inconclusive and undermined by several critical limitations. Further long-term randomised control trials are required to determine the superior method for perineal reconstruction.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"106 ","pages":"Pages 223-233"},"PeriodicalIF":2.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144170134","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":"Impact of pregnancy-associated Bell’s palsy on quality of life and self-perception: A mixed methods study","authors":"Mai-Linh Nguyen,&nbsp;Susan E. Coulson","doi":"10.1016/j.bjps.2025.05.022","DOIUrl":"10.1016/j.bjps.2025.05.022","url":null,"abstract":"<div><h3>Background</h3><div>Pregnancy and Bell’s palsy both cause physical, psychological and social challenges. Incidence of Bell’s palsy rises in the third trimester of pregnancy and postpartum, yet few studies have explored the lived experiences of pregnancy-associated Bell’s palsy.</div></div><div><h3>Aim</h3><div>To assess the impact of pregnancy-associated Bell’s palsy on quality of life and self-perception compared to Bell’s palsy unrelated to pregnancy.</div></div><div><h3>Methods</h3><div>This survey study used a convergent mixed methods approach. Seventeen participants were recruited from the Sydney Facial Nerve Clinic. Data collected included demographics, clinical information, open-ended responses and patient-reported outcome measures. Quality of life was measured by the Facial Disability Index and a questionnaire, while self-perception was assessed with the Mirror Gazing Cognition and Affect Rating Scale. Associations between pregnancy status and the outcome measures were analysed using the Mann-Whitney U test. Other predictors were identified using the Fisher’s exact test and regression models. Thematic analysis was performed on qualitative data.</div></div><div><h3>Results</h3><div>Age was inversely associated with appearance-related distress (<em>β</em>=−.593, <em>p</em>=.025), with younger women having greater distress. No statistically significant differences in quality of life and self-perception scores were found between Bell’s palsy and pregnancy-associated Bell’s palsy groups. Thematic analysis identified 5 main themes: experience with healthcare, body image, impact on daily life, improving healthcare, and impact of pregnancy-associated Bell’s palsy.</div></div><div><h3>Conclusion</h3><div>This study highlights the functional and psychosocial challenges faced by pregnancy-associated Bell’s palsy patients. Targeted treatment guidance, referral pathways and specific support for pregnancy-associated Bell’s palsy are warranted to improve patient outcomes.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"106 ","pages":"Pages 294-302"},"PeriodicalIF":2.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144189698","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":"Impact of tranexamic acid on postoperative complications and bleeding in facial aesthetic surgery: A systematic review and meta-analysis","authors":"Ashwin Prabhughate ,&nbsp;Depti Bellani ,&nbsp;Debraj Shome ,&nbsp;Rinky Kapoor ,&nbsp;Suhina Parkar ,&nbsp;Riya Shahare","doi":"10.1016/j.bjps.2025.05.024","DOIUrl":"10.1016/j.bjps.2025.05.024","url":null,"abstract":"<div><h3>Background</h3><div>Tranexamic acid (TXA) is a synthetic antifibrinolytic agent originally developed for hemostasis, which is now widely used in aesthetic and reconstructive surgery. Its application in facial cosmetic procedures is aimed at reducing bleeding, swelling, and bruising. This systematic review assesses the impact of TXA on postoperative outcomes in facial cosmetic surgery, focusing on blood loss, surgical time, edema, and ecchymosis.</div></div><div><h3>Methods</h3><div>This review followed the preferred reporting items for systematic reviews and meta-analyses guidelines and synthesized data from randomized controlled trials, cohort studies, and case-control studies published between 2004 and 2024. Eligible studies examined TXA in aesthetic facial surgeries (e.g., rhinoplasty, rhytidectomy, and blepharoplasty). Outcomes included intraoperative bleeding, surgical time, postoperative edema, ecchymosis, and patient satisfaction. A comprehensive search was conducted across the PubMed, Embase, Cochrane Library, and Google Scholar databases.</div></div><div><h3>Results</h3><div>Twenty-two studies involving 9005 patients were included. TXA significantly reduced blood loss, postoperative edema, and ecchymosis. The average surgical time was 122.17 (SD: 34.44) min, with mean blood loss of 86.63 (SD: 56.93) cc. TXA use consistently decreased drain output and postoperative complications, particularly in rhinoplasty and rhytidectomy. Various administration routes (intravenous, topical, or local infiltration) showed no significant systemic complications. Combining TXA with local anesthetics improved hemostatic and anesthetic efficacy.</div></div><div><h3>Conclusion</h3><div>TXA is an effective adjunct in facial cosmetic surgery that reduces intraoperative bleeding, surgical time, and postoperative sequelae such as edema and ecchymosis. Further studies are needed to establish standardized dosing and objective outcome grading. TXA demonstrated safety and efficacy indicating that it should become a standard practice in facial aesthetic procedures.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"106 ","pages":"Pages 265-275"},"PeriodicalIF":2.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144178176","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 robotic surgery have a role in abdominal wall reconstruction? A systematic review and meta-analysis","authors":"Laura Awad ,&nbsp;Benedict Reed ,&nbsp;Edward Bollen ,&nbsp;Benjamin J. Langridge ,&nbsp;Sara Jasionowska ,&nbsp;Dariush Nikkhah ,&nbsp;Shadi Ghali ,&nbsp;Peter EM Butler ,&nbsp;Allan Ponniah","doi":"10.1016/j.bjps.2025.05.009","DOIUrl":"10.1016/j.bjps.2025.05.009","url":null,"abstract":"<div><div>Robotic or robotic assisted surgery offers notable advantages in the operating theatre, particularly improved ergonomics and reduced mental and physical workload compared to laparoscopic surgery. This review assessed the feasibility of robotic surgery in abdominal wall reconstruction and hernia repair, as well as the barriers to clinical implementation and training.</div><div>Conducted in accordance with preferred reporting items for systematic reviews and meta-analyses guidelines, this systematic review included a literature search of PubMed, Medline, and Embase databases. Descriptive synthesis and mixed fixed/random effects meta-analysis were performed, with unpaired t-tests used for nonparametric data.</div><div>A total of 110 clinical and 4 educational articles were reviewed. Robotic surgery was associated with longer operative times than laparoscopic and open approaches, though steep learning curves were commonly reported. However, robotic surgery showed a significantly shorter hospital stay (mean difference: −1.59 days, 95% CI: −1.89 to −1.30) and fewer complications compared to open surgery (OR: 0.75, 95% CI: 0.56–1.01). When compared with laparoscopic surgery, robotic procedures showed a trend towards fewer complications (OR: 0.87, 95% CI: 0.56–1.37).</div><div>Although robotic procedures incur higher costs than laparoscopic surgery, the overall cost may be balanced by faster recovery and fewer complications when compared to open surgery.</div><div>In conclusion, robotic and robotic assisted surgery are technically feasible and safe for abdominal wall reconstruction. Further high-quality comparative studies, especially against laparoscopic surgery, are needed to justify higher costs and fully evaluate the patient care benefits.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"106 ","pages":"Pages 353-392"},"PeriodicalIF":2.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212519","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 Oral function in facial nerve palsy: A comparative analysis of flaccid and synkinetic palsy","authors":"Rebecca Kimber","doi":"10.1016/j.bjps.2025.05.023","DOIUrl":"10.1016/j.bjps.2025.05.023","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"106 ","pages":"Page 443"},"PeriodicalIF":2.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144228088","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":"Breast implant-associated malignancies: Do plastic surgeons have the awareness?","authors":"Thomas H. Jovic,&nbsp;Mohamed Abdelrazek,&nbsp;Amenah Dhannoon,&nbsp;Reza Arya","doi":"10.1016/j.bjps.2025.05.027","DOIUrl":"10.1016/j.bjps.2025.05.027","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"106 ","pages":"Pages 156-157"},"PeriodicalIF":2.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144124718","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: “Prevalence of contralateral lymphatic drainage patterns during sentinel lymph node biopsy for truncal melanoma: A retrospective, observational study”","authors":"Aurada Jitworawisut,&nbsp;Reiko Tsukuura","doi":"10.1016/j.bjps.2025.05.026","DOIUrl":"10.1016/j.bjps.2025.05.026","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"106 ","pages":"Pages 191-192"},"PeriodicalIF":2.0,"publicationDate":"2025-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144147626","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":"Ethnic representation in AI-generated faces: An exploratory analysis","authors":"Antoinette T. Nguyen ,&nbsp;Rena A. Li ,&nbsp;Emily D. Duckworth ,&nbsp;May X. Li ,&nbsp;Robert D. Galiano","doi":"10.1016/j.bjps.2025.05.021","DOIUrl":"10.1016/j.bjps.2025.05.021","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"106 ","pages":"Pages 160-163"},"PeriodicalIF":2.0,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144124720","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 “Scarpa fascia preservation abdominoplasty combined with precise liposuction for postpregnancy abdomen: A 10-year experience” Refining abdominoplasty: The role of adjunctive technologies in enhancing aesthetic and vascular safety","authors":"Albanese Roberta,&nbsp;Tomaselli Federica,&nbsp;Tambasco Damiano","doi":"10.1016/j.bjps.2025.04.054","DOIUrl":"10.1016/j.bjps.2025.04.054","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"106 ","pages":"Pages 158-159"},"PeriodicalIF":2.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144124719","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":"Use of antibiotic-impregnated discs in breast reconstruction among the obese population: A retrospective propensity score-matched analysis","authors":"Christian Palacios ,&nbsp;Sophia Salingaros ,&nbsp;Devi Lakhlani ,&nbsp;Max Silverstein ,&nbsp;Tooba Riaz ,&nbsp;Kathryn Kamperman ,&nbsp;Brian Thornton ,&nbsp;Chris M. Reid ,&nbsp;Rahim Nazerali","doi":"10.1016/j.bjps.2025.05.020","DOIUrl":"10.1016/j.bjps.2025.05.020","url":null,"abstract":"<div><div>Two-stage breast reconstruction is a well-established post-mastectomy surgical technique. Unfortunately, periprosthetic infections in tissue expanders remain a prevalent concern. Antibiotic-impregnated polymethylmethacrylate (PMMA) plates for infection prophylaxis in TE–based reconstruction have been shown to lower infection rates. With the growing obesity epidemic in the US, this propensity-score matched retrospective study aimed to evaluate the impact of PMMA plates on the obese population. A retrospective chart review was performed for patients with a BMI of 30 and above to record patient demographics, complications, operative details, and post-operative details. One-to-one propensity score matching was used to match the intervention and control group on age, diabetes status, smoking status, neoadjuvant chemotherapy, prior radiation history, and laterality of breast reconstruction, resulting in 48 patients in each group. Chi-squared analysis, and Barnard exact tests assessed significant differences between groups and infection rates. T-tests compared the normally distributed continuous variables. Logistic regression controlled for confounders that have been reported in previously published literature. Chi-square analysis revealed a significant association between PMMA plate usage and infection rate (4.2% compared to 16.7%; p = 0.045). Logistic regression analysis found that the PMMA antibiotic plate group had a statistically significant decrease in infection rate (OR: 0.18 [0.033–0.962]; p = 0.045). Though antibiotic-impregnated PMMA plates have demonstrated effective infection prophylaxis in the general population, this study is the first to explore their use in the obese population. Within our cohort, placing an antibiotic plate resulted in a reduced infection rate.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"106 ","pages":"Pages 246-253"},"PeriodicalIF":2.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144170133","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}