Archives of Plastic Surgery最新文献

Anatomical Guidelines and Technical Tips for Neck Aesthetics with Botulinum Toxin 使用肉毒杆菌毒素进行颈部美容的解剖指南和技术窍门

Archives of Plastic Surgery Pub Date : 2024-08-09 DOI: 10.1055/s-0044-1788284

Hyewon Hu, Soo-Bin Kim, Jovian Wan, Lisa Kwin Wah Chan, Alvin Kar Wai Lee, Olena Sydorchuk, Arash Jalali, Maria Cesar Correa, Jong-Seo Kim, Kyu-Ho Yi

引用次数: 0

Comparison of Effects of Acellular Dermal Matrix and Latissimus Dorsi Muscle Flap on Radiation-induced Peri-implant Capsular Contracture in a Rabbit Model 比较细胞真皮基质和背阔肌肌皮瓣对兔子模型中辐射诱发的种植体周围挛缩的影响

Archives of Plastic Surgery Pub Date : 2024-07-17 DOI: 10.1055/a-2368-1813

S. Jang, Il Young Ahn, T. Bae, S. Kang, Soo Hyun Woo, W. Kim, Mi Kyung Kim, Chanutchamon Sutthiwanjampa, Han Koo Kim

{"title":"Comparison of Effects of Acellular Dermal Matrix and Latissimus Dorsi Muscle Flap on Radiation-induced Peri-implant Capsular Contracture in a Rabbit Model","authors":"S. Jang, Il Young Ahn, T. Bae, S. Kang, Soo Hyun Woo, W. Kim, Mi Kyung Kim, Chanutchamon Sutthiwanjampa, Han Koo Kim","doi":"10.1055/a-2368-1813","DOIUrl":"https://doi.org/10.1055/a-2368-1813","url":null,"abstract":"Backgrounds: Capsular contracture of breast implants is a major complication of breast surgery. Clinically, covering a breast implant with acellular dermal matrix or autologous tissue is considered to be the most effective technique to prevent capsular contracture. This study was designed to clearly compare the protective effects of acellular dermal matrix and latissimus dorsi muscle flap placement on capsular contracture by increasing the rate of capsular contracture through controlled radiation exposure in a rabbit model.\u0000Methods: Twenty New Zealand white rabbits were divided into three groups. After the implant was placed beneath the pectoralis major muscle, the lateral third of the implant was left exposed in the control group (n=6). In the acellular dermal matrix group (n=7), the exposed implant was covered with AlloDerm. In the latissimus dorsi flap group (n=7), the exposed implant was covered with a pedicled latissimus dorsi muscle flap. All groups were irradiated 3 weeks after implant insertion. After 6 months, peri-implant tissues were harvested and analyzed.\u0000Results: Acellular dermal matrix showed markedly lower myofibroblast activity than the latissimus dorsi flap. However, transforming growth factor β1 levels and the activity of collagen types I and III produced in fibroblasts were significantly lower in the acellular dermal matrix group than in the latissimus dorsi flap group.\u0000Conclusions: Based on the findings of our rabbit experiments, acellular dermal matrix is expected to have a comparative advantage in reducing the risk of capsular contracture compared to the latissimus dorsi flap.","PeriodicalId":505284,"journal":{"name":"Archives of Plastic Surgery","volume":" 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141831447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Injectable "Skin Boosters" in Aging Skin Rejuvenation: A Current Overview 注射 "皮肤促进剂 "在老化皮肤年轻化中的应用：当前概述

Archives of Plastic Surgery Pub Date : 2024-07-16 DOI: 10.1055/a-2366-3436

Nark-Kyoung Rho, Hyun-Seok Kim, Soo-young Kim, Won Lee

引用次数: 0

Case series and literature review of up-to-date surgical management of occipital neuralgia 枕神经痛最新手术治疗的病例系列和文献综述

Archives of Plastic Surgery Pub Date : 2024-07-11 DOI: 10.1055/a-2364-5564

Seok Joon Lee, Joo Seok Park, Wooshik Jeong

{"title":"Case series and literature review of up-to-date surgical management of occipital neuralgia","authors":"Seok Joon Lee, Joo Seok Park, Wooshik Jeong","doi":"10.1055/a-2364-5564","DOIUrl":"https://doi.org/10.1055/a-2364-5564","url":null,"abstract":"Nerve decompression is an emerging surgical treatment option for patients with occipital neuralgia. However, limited research is available on the efficacy of this treatment in South Korea. This retrospective study evaluates the efficacy of nerve decompression surgery in patients with chronic migraines, specifically focusing on occipital neuralgia, in South Korea. Between January 2019 and December 2022, six patients diagnosed with occipital neuralgia, who had not responded to conservative treatments, underwent nerve decompression surgery. This procedure, performed under local anesthesia, involved decompression of the greater and/or lesser occipital nerves. Patient data was analyzed for headache frequency and intensity (using the Numeric Rating Scale [NRS]) and the decrease in oral medications needed post-surgery. Results showed significant improvement in headache symptoms post-surgery, with the average preoperative NRS score of 7.9 dropping to 3.7 postoperatively. Additionally, the average number of medications used decreased from 3.2 to 1.3. No significant surgical complications were reported. The study highlights the potential of nerve decompression as an effective treatment for occipital neuralgia, particularly in cases resistant to traditional medical management.","PeriodicalId":505284,"journal":{"name":"Archives of Plastic Surgery","volume":"139 41","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141656072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of neoadjuvant chemotherapy and preoperative irradiation on early complications in direct-to-implant breast reconstruction 新辅助化疗和术前照射对直接植入式乳房再造早期并发症的影响

Archives of Plastic Surgery Pub Date : 2024-07-02 DOI: 10.1055/a-2358-8864

Ji Won Hwang, Su Min Kim, Jin-Woo Park, Kyong-Je Woo

{"title":"Impact of neoadjuvant chemotherapy and preoperative irradiation on early complications in direct-to-implant breast reconstruction","authors":"Ji Won Hwang, Su Min Kim, Jin-Woo Park, Kyong-Je Woo","doi":"10.1055/a-2358-8864","DOIUrl":"https://doi.org/10.1055/a-2358-8864","url":null,"abstract":"Purpose\u0000Impact of previous radiation therapy and neoadjuvant chemotherapy (NACT) on early complication in direct-to-implant (DTI) breast reconstruction has not been clearly elucidated. This study investigated whether direct-to-implant reconstruction is viable in patients with NACT or a history of preoperative chest wall irradiation.\u0000Methods\u0000Medical records of breast cancer patients who underwent nipple-sparing or skin-sparing mastectomy with DTI breast reconstruction from March 2018 to February 2021, with at least one year of follow-up in a single tertiary center, were reviewed. Demographic data, intraoperative details, and postoperative complications, including full-thickness necrosis, infection, and removal were reviewed. Risk factors suggested by previous literature, including NACT and preoperative chest wall irradiation histories, were reviewed by multivariate analysis.\u0000Results\u0000A total of 206 breast cancer patients were included, of which, 9 were bilateral, 8 patients (3.9%) had a history of prior chest wall irradiation, and 17 (8.6%) had received NACT. From 215 cases, 11 cases (5.1%) required surgical intervention for full-thickness necrosis, while IV antibiotics or hospitalization was needed in 11 cases (5.1%), with 14 cases of failure (6.5%) reported. Using multivariable analysis, preoperative irradiation was found to significantly increase the risk of full-thickness skin necrosis (OR = 12.14, p = 0.034), and reconstruction failure (OR = 13.14, p = 0.005). Neoadjuvant chemotherapy was not a significant risk factor in any of the above complications. \u0000Conclusion\u0000DTI breast reconstruction is a viable option for patients who have received NACT, although reconstructive options should be carefully explored for patients with a history of breast irradiation.","PeriodicalId":505284,"journal":{"name":"Archives of Plastic Surgery","volume":"4 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141686337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Is 3mm surgical margin safe in head and neck basal cell carcinoma smaller than 2cm; in relation to various risk factor. 小于 2 厘米的头颈部基底细胞癌的 3 毫米手术切缘是否安全；与各种风险因素的关系。

Archives of Plastic Surgery Pub Date : 2024-06-05 DOI: 10.1055/a-2338-9192

Hea Kyeong Shin, Min Jun Yong

{"title":"Is 3mm surgical margin safe in head and neck basal cell carcinoma smaller than 2cm; in relation to various risk factor.","authors":"Hea Kyeong Shin, Min Jun Yong","doi":"10.1055/a-2338-9192","DOIUrl":"https://doi.org/10.1055/a-2338-9192","url":null,"abstract":"Background \u0000Basal cell carcinoma(BCC) is the most common of non-melanoma skin cancer. Typically, resection requires a safety margin ≥ 4 mm. When removing tumor cells, achieving complete excision with minimal safety margins and reconstructing the defect to preserve the original appearance are important. In this study, we used a 3 mm resection margin to confirm recurrence and re-resection rates.\u0000\u0000Methods \u0000Electronic medical records and photographic data were obtained for patients with primary BCC lesions less than 2cm in diameter who underwent wide excision with a 3mm surgical margin from January 2015 to November 2021. We analyzed factors determining recurrence and re-resection rates, such as tumor size, location, age, sex, underlying diseases (including immunosuppression state), ethnicity, subtypes, tumor borders etc. \u0000\u0000Results \u0000This study included 205 patients. The mean age and follow-up period were 73.0 ± 11.5 years and 10.2 ± 8.0 months, respectively. The recurrence and re-resection rates were 1.95%, and 25.85%, respectively.\u0000A statistically significant correlation was found between recurrence rate and tumor border. (P = 0.013) And the re-resection rate was correlated statistically location (P = 0.022), and immunosuppressed patients. (P = 0.006) \u0000\u0000Conclusion \u0000We found that a 3 mm excision margin provided sufficient safety in small facial BCC, resulting in ease of surgery and better aesthetic outcomes.\u0000However, surgical margins must be determined case by case by integrating various patient factors. In particular, a surgical margin of ≥ 4 mm is required for BCC in high-risk areas or immunosuppressed patients or poorly-defined border.\u0000","PeriodicalId":505284,"journal":{"name":"Archives of Plastic Surgery","volume":"87 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141385252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A LIFEBOAT FOR FAILED NASAL RECONSTRUCTIONS: THE SUPRACLAVICULAR-SUBMENTAL SANDWICH FLAP 鼻重建失败的救生艇：锁骨上-耻骨下三明治皮瓣

Archives of Plastic Surgery Pub Date : 2024-06-03 DOI: 10.1055/a-2337-2131

M. Vaena, Kevin Sicalo, Caterina Goulart Alessio, Eduardo Pantoja Bastos

{"title":"A LIFEBOAT FOR FAILED NASAL RECONSTRUCTIONS: THE SUPRACLAVICULAR-SUBMENTAL SANDWICH FLAP","authors":"M. Vaena, Kevin Sicalo, Caterina Goulart Alessio, Eduardo Pantoja Bastos","doi":"10.1055/a-2337-2131","DOIUrl":"https://doi.org/10.1055/a-2337-2131","url":null,"abstract":"Many failures in total or subtotal nasal reconstructions result from an underestimation of the amount of skin required for an adequate result, especially for sufficient lining. Such planning errors usually lead to poor results, with exposure of structural grafts, infection, scar retraction, airway obstruction and finally loss of projection and shape of the reconstructed nose. Reconstruction options for cases in which previous attempts have failed are always limited, as well as in cases of trauma or burns affecting the soft tissues of the forehead and face. In such complex situations, one may employ free flaps or tissue expansion, but such resources may not be always available. We describe a technique indicated for salvage surgeries in patients whose previous nasal reconstruction have failed, allowing a generous amount of tissue transfer for the nasal region. The technique combines the use of supraclavicular and submental flaps, with simple execution, not requiring microsurgical skills or devices such as tissue expanders. Done in three stages, the described technique provides enough skin for a total nasal reconstruction. The final result is obtained after subsequent refinements, and the total number of procedures is equivalent to when more sophisticated techniques are employed, such as tissue expansion or microsurgery.","PeriodicalId":505284,"journal":{"name":"Archives of Plastic Surgery","volume":"20 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141271810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recovery of the Total Birth Brachial Plexus Palsy without Surgical Treatment: A Single Center Retrospective Study and Literature Review 无需手术治疗的全出生臂丛神经麻痹的康复：单中心回顾性研究与文献综述

Archives of Plastic Surgery Pub Date : 2024-05-07 DOI: 10.1055/a-2321-0468

Chaiyos Vinitpairot, Surut Jianmongkol

{"title":"Recovery of the Total Birth Brachial Plexus Palsy without Surgical Treatment: A Single Center Retrospective Study and Literature Review","authors":"Chaiyos Vinitpairot, Surut Jianmongkol","doi":"10.1055/a-2321-0468","DOIUrl":"https://doi.org/10.1055/a-2321-0468","url":null,"abstract":"Abstract\u0000Background: Spontaneous recovery of a birth brachial plexus disorder is difficult to predict. Although root avulsion is strongly indicated for surgical management, early nerve surgery in non-root avulsion patients is still doubtful. This study aimed to report the recovery time of birth brachial plexus palsy who did not undergo surgery. \u0000\u0000Methods: In this retrospective study review, 75 patients with a mean follow-up time of 33.5 months, were included. Although patients met indications, surgical management was abandoned for various reasons. All infants were classified according to anatomical involvement and evaluated for clinical improvement by motor power grading. The recovery time was reported as the median and interquartile range.\u0000\u0000Results: Forty-five patients were initially diagnosed with total brachial plexus injury type. Thirty - seven patients had clinical evidence of recovering their hand motion in a median of 3 (IQR 2-5.5) months. The median time of recovery for elbow flexion and shoulder abduction was both 4 (IQR 3-6) months. The medians of antigravity or full motion recovery of shoulder abduction, elbow flexion, and hand flexion were 7.5 (IQR 5-16), 8 (IQR 5-17), and 7 (4-13) months, respectively.\u0000\u0000 \u0000Conclusion: In this study, spontaneous recovery of shoulder, elbow and hand motion substantially occurred even in the patient initially diagnosed with a total birth brachial plexus palsy. True total plexus palsy can be distinguished from transient palsy by the recovery of hand motion at 3 months. Most of the shoulders and elbows of the patient, who had a spontaneous recovery, achieved antigravity movement without surgery.","PeriodicalId":505284,"journal":{"name":"Archives of Plastic Surgery","volume":"90 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Summarizing the advantages of the intraflap versus cranial-caudal anastomoses in stacked free flap breast reconstruction. 总结堆叠式游离皮瓣乳房重建中皮瓣内吻合与颅尾吻合的优势。

Archives of Plastic Surgery Pub Date : 2024-05-07 DOI: 10.1055/a-2321-6279

Alberto Franchi, L. Patanè, Bettina Gogh, Florian Jung, Abdul Rahman Jandali

引用次数: 0

TFL perforator flap – complementing and completing the ALT-AMT flap axis. TFL 穿孔瓣--补充和完善 ALT-AMT 瓣轴。

Archives of Plastic Surgery Pub Date : 2024-05-03 DOI: 10.1055/a-2319-1564

D. Jaiswal, Bharat Rajivkumar Saxena, S. Mathews, Mayur Mantri, Vineet Pilania, A. Bindu, V. Shankhdhar, P. Yadav

{"title":"TFL perforator flap – complementing and completing the ALT-AMT flap axis.","authors":"D. Jaiswal, Bharat Rajivkumar Saxena, S. Mathews, Mayur Mantri, Vineet Pilania, A. Bindu, V. Shankhdhar, P. Yadav","doi":"10.1055/a-2319-1564","DOIUrl":"https://doi.org/10.1055/a-2319-1564","url":null,"abstract":"Background: Antero-lateral thigh flap (ALT) is the most common soft tissue flap used for microvascular reconstruction of head and neck. Its harvest is associated with some unpredictability due to variability in perforator characteristics, injury or unfavorable configuration for complex defects. Antero-medial thigh flap (AMT) is an option, but the low incidence and thickness restricts its utility. TFL perforator flap (TFLP) is an excellent option to complement ALT. Its perforator is consistent, robust, in vicinity and lends itself with ALT perforator, to large conjoint flap, chimeric designs and possible two free flap harvest from the same thigh. \u0000\u0000 Methods: Analysis of 29 cases with a free flap for head neck reconstruction with an element of TFLP.\u0000\u0000Results: All cases were primarily planned for an ALT reconstruction. There was absence of the ALT perforator in 16 cases but a sizable TFL perforator was available. In 13 cases the complex defect warranted use of both ALT plus TFL in a conjoint (5), chimeric (5) and multiple (3) free flaps manner. Most common perforator location was septo-cutaneous between the TFL and Gluteus Medius. There was complete flap loss in two cases and partial necrosis in two. No adjuvant therapy was delayed. \u0000 \u0000 \u0000Conclusion:\u0000TFLP can be used to counter ALT/AMT unavailability, injury, suboptimal quality or need of a thicker flap. Chimeric ALT-TFL can be harvested for large, complex, multicomponent and multidimensional defects. We recommend, harvesting flaps from the thigh with a non-committal straight line incision initially, perceiving ALT-AMT-TFL perforators as a unit. \u0000","PeriodicalId":505284,"journal":{"name":"Archives of Plastic Surgery","volume":"33 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141015835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0