Journal of Plastic Reconstructive and Aesthetic Surgery最新文献

{"title":"Sensory restoration following breast reconstruction with operative reinnervation: A systematic review and meta-analysis","authors":"Ammara Ghumman ,&nbsp;Patrick J. Kim ,&nbsp;Kristen McAlpine ,&nbsp;Fanyi Meng ,&nbsp;Laura Snell ,&nbsp;Joan Lipa","doi":"10.1016/j.bjps.2024.10.021","DOIUrl":"10.1016/j.bjps.2024.10.021","url":null,"abstract":"<div><h3>Background</h3><div>There is currently no consensus on the efficacy of operative reinnervation at the time of post-mastectomy reconstruction. This review compares postoperative sensation between innervated and non-innervated flaps in breast reconstruction through systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>EMBASE, Ovid, and CENTRAL were searched from inception to December 6, 2023. The primary outcome was level of sensation postoperatively. Secondary outcomes included presence of sensation, breast-related complications, operative time, and quality of life. Meta-analysis was conducted using mean difference (MD) or standardized mean difference (SMD) for continuous outcomes and odds radio (OR) for dichotomous outcomes. Quality of evidence was appraised using RoB-2/ROBINS-I. Certainty of evidence was assessed with Grading of Recommendations, Assessment, Development and Evaluations.</div></div><div><h3>Results</h3><div>Twenty-eight studies were included; studies were observational studies except one randomized controlled trial. Common flaps were deep inferior epigastric perforator (11/28, 39.3%) and transversus rectus abdominis muscle (9/28, 32.1%). Innervated flaps were significantly associated with improved level of postoperative sensation (SMD: −0.94, 95% CI: [−1.35; −0.53], I²: 78%, p &lt; 0.01), presence of postoperative sensation (OR: 11.4, 95% CI: [5.09; 24.5], I²: 0%, p &lt; 0.01), and improved postoperative BREAST-Q scores (MD: 8.11, 95% CI: [4.33; 11.89], I²: 27%, p &lt; 0.01). However, certainty of evidence was low/very low for all outcomes. Most studies had moderate risk of bias (56.5%). There were no statistically significant differences in breast-related complications or operative time.</div></div><div><h3>Conclusions</h3><div>Operative reinnervation in breast reconstruction is significantly associated with improved level and presence of postoperative sensation and BREAST-Q scores without significant increase in breast-related complications/operative time. More high-quality studies are required to improve the certainty of outcomes.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"102 ","pages":"Pages 412-425"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559885","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":"Investigating the relationship between sensation and satisfaction in reduction mammaplasty: A systematic review and meta-analysis","authors":"Sophia Arbuiso ,&nbsp;Sophia Salingaros ,&nbsp;Lujain Al-Emadi ,&nbsp;Malini Chinta ,&nbsp;Ashley Zhang ,&nbsp;Paul Christos ,&nbsp;Kevin Pain ,&nbsp;Clara Choate ,&nbsp;David M. Otterburn","doi":"10.1016/j.bjps.2024.10.028","DOIUrl":"10.1016/j.bjps.2024.10.028","url":null,"abstract":"<div><h3>Background</h3><div>Reduction mammaplasties are among the plastic surgery procedures with the highest rates of patient satisfaction. However, the loss of postoperative sensation in the breast and nipple-areolar complex remains a concern. In light of increasing interest in nerve-preservation techniques, we sought to investigate the relationship between retained sensation with overall satisfaction in reduction mammaplasty in current literature.</div></div><div><h3>Methods</h3><div>The authors systematically reviewed all studies that reported postoperative sensation and satisfaction in patients who underwent reduction mammaplasty, using the MEDLINE, Embase, Cochrane, CINAHL, and Scopus databases in October 2023. Studies were evaluated for methodological quality using an NIH Quality Assessment Tool. Meta-analyses of proportions were conducted.</div></div><div><h3>Results</h3><div>A total of 48 studies met the eligibility criteria. The median quality assessment score was 8/10. For 28 studies eligible for statistical analysis, random effects pooled proportion for patients that retained preoperative sensation was 0.78 (95% CI: 0.67–0.87), and for patients that report postoperative satisfaction was 0.94 (95% CI: 0.91–0.97). Overall, the studies reported a relatively wide range of sensation outcomes with consistently high satisfaction scores.</div></div><div><h3>Conclusion</h3><div>The results of this systematic review suggest that other surgical factors (e.g., relief of macromastia symptoms, aesthetic appearance) play a greater role in patient satisfaction compared to sensation retention in reduction mammaplasty. Wide variability in assessment methodologies for both sensation and satisfaction was noted. Standardizing and objectifying measurement techniques, particularly for sensation, will help further characterize the relationship between sensation and satisfaction in future studies.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"102 ","pages":"Pages 426-466"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740475","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: “Effect of compression garments on post-abdominoplasty outcomes: A systematic review of the current evidence”","authors":"Benjamin H. Ormseth,&nbsp;Anna R. Schoenbrunner,&nbsp;Jeffrey E. Janis","doi":"10.1016/j.bjps.2024.07.053","DOIUrl":"10.1016/j.bjps.2024.07.053","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"102 ","pages":"Pages 525-526"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141839132","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":"Reply to the Letter to the Editor about the article “Capsular contracture in breast reconstruction: A systematic review and meta-analysis”","authors":"Neophytos Christodoulou,&nbsp;Murilo Secanho,&nbsp;George Kokosis,&nbsp;Rafael D. Malgor,&nbsp;Julian Winocour,&nbsp;Jason W. Yu,&nbsp;David W. Mathes,&nbsp;Christodoulos Kaoutzanis","doi":"10.1016/j.bjps.2025.01.004","DOIUrl":"10.1016/j.bjps.2025.01.004","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"102 ","pages":"Pages 520-521"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562716","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":"Editorial – JPRAS Renewed","authors":"Andrew McKay Hart","doi":"10.1016/j.bjps.2025.02.001","DOIUrl":"10.1016/j.bjps.2025.02.001","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"102 ","pages":"Pages A1-A2"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562137","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":"Complications of vascularized fibular grafts in the pediatric population for femoral neck reconstruction","authors":"Michael W. Wells","doi":"10.1016/j.bjps.2022.12.001","DOIUrl":"10.1016/j.bjps.2022.12.001","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"102 ","pages":"Page 524"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9177392","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":"Patient-reported and surgical outcomes of profunda artery perforator (PAP) flap breast reconstructions compared to deep inferior epigastric perforator (DIEP) using BREAST-Q","authors":"Rafsan A. Chowdhury,&nbsp;Ayush K. Kapila,&nbsp;Pari-Naz Mohanna,&nbsp;Marlene See,&nbsp;Mark Ho-Asjoe,&nbsp;Victoria Rose,&nbsp;Paul Roblin,&nbsp;Maleeha Mughal","doi":"10.1016/j.bjps.2024.01.031","DOIUrl":"10.1016/j.bjps.2024.01.031","url":null,"abstract":"<div><h3>Background</h3><div>Autologous breast reconstruction patients require thorough assessment, with the profunda femoris artery perforator (PAP) flap having become an important autologous reconstruction option alongside the deep inferior epigastric perforator (DIEP) flap. Breast reconstruction impacts patients psychologically, physically and mentally. The BREAST-Q aids in the assessment of patient-reported outcome measures (PROMs). We aim to critically compare postoperative clinical outcomes, aesthetic results, morbidity and patient satisfaction between patients undergoing DIEP and PAP flap reconstructions using clinical follow-up and PROMs.</div></div><div><h3>Methods</h3><div>A non-blinded two-armed prospective cohort study was performed. Patients undergoing PAP or DIEP flap reconstructions between January 2021 and February 2022 were included and followed up for at least one-year postoperatively. Demographic and per-operative data were acquired. BREAST-Q data were collected preoperatively and at 2-week, 3-month and 1-year intervals postoperatively.</div></div><div><h3>Results</h3><div>157 patients had autologous breast reconstruction (207 flaps), with 129 (82.1%) DIEP patients and 21 (13.3%) PAP patients. 37 (28.6%) patients underwent bilateral DIEP reconstructions, and 1 (5%) PAP case was bilateral. The remaining PAP cases used stacked flaps for unilateral breast reconstruction. Mean ischaemia time for PAP was 55.29 (±15.59 minutes) compared to 69.52 (±21.74 minutes) for DIEP (p = 0.014). Donor site wound dehiscence was significantly higher with PAP reconstructions (p = 0.014).</div></div><div><h3>Conclusions</h3><div>At one-year follow-up, no significant differences in PROMs across all domains between DIEP and PAP flap reconstructions were noted. This reflects that PAP flap reconstructions, despite having a more challenging donor site and higher donor site complications, provide an excellent reconstructive option with similar patient-reported outcomes when compared to the gold-standard DIEP flap reconstruction.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"102 ","pages":"Pages 489-497"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139668215","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 jewell letter to the editor regarding: Risk of breast implant associated anaplastic large cell lymphoma in a cohort of 3546 women prospectively followed long term after reconstruction with macro-textured breast implants","authors":"Bruce W. Van Natta","doi":"10.1016/j.bjps.2020.11.006","DOIUrl":"10.1016/j.bjps.2020.11.006","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"102 ","pages":"Pages e529-e530"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38677784","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":"Reply to: “Long-term survival analysis of free flap reconstruction in patients with collagen vascular disorders”","authors":"Emma Barlow,&nbsp;Zita M. Jessop,&nbsp;Giulia Colavitti,&nbsp;Naomi Patel,&nbsp;Philippa Jackson,&nbsp;Ahmed Emam,&nbsp;Sherif Wilson","doi":"10.1016/j.bjps.2023.10.088","DOIUrl":"10.1016/j.bjps.2023.10.088","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"102 ","pages":"Pages 518-519"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135760844","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":"In Reply to Comment on “Timing of sentinel lymph node biopsy and lymphoscintigraphy before surgery for melanoma: A systematic review and meta-analysis”","authors":"Zhen Yu Wong ,&nbsp;Pegah Damavandi ,&nbsp;Adam Tamas Misky, ,&nbsp;Jonathan Pollock","doi":"10.1016/j.bjps.2025.01.015","DOIUrl":"10.1016/j.bjps.2025.01.015","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"102 ","pages":"Pages 522-523"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070548","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}