Archives of Plastic Surgery最新文献_第3页

Aeromonas hydrophila Infection following Leech Therapy for the Treatment of Nipple–Areola Complex Congestion after Breast Reduction: A Case Report 用水蛭疗法治疗乳房缩小术后乳头乳晕复合体充血后的嗜水气单胞菌感染：病例报告

Archives of Plastic Surgery Pub Date : 2024-04-04 DOI: 10.1055/s-0043-1776696

M. Torresetti, Benedetta Peltristo, Francesco Mauro Junior Taddei, Giovanni Di Benedetto

引用次数: 0

Speech Task Force and Quality of Life after Surgery in Children with Cleft Lip and Palate: Limitation of Professionals 唇腭裂儿童手术后的语言能力和生活质量：专业人员的局限性

Archives of Plastic Surgery Pub Date : 2024-04-04 DOI: 10.1055/s-0043-1776738

B. Prathanee, Panida Thanawirattananit, Phrutthinun Surit, Ratchanee Mitkitti, Kalyanee Makarabhirom

{"title":"Speech Task Force and Quality of Life after Surgery in Children with Cleft Lip and Palate: Limitation of Professionals","authors":"B. Prathanee, Panida Thanawirattananit, Phrutthinun Surit, Ratchanee Mitkitti, Kalyanee Makarabhirom","doi":"10.1055/s-0043-1776738","DOIUrl":"https://doi.org/10.1055/s-0043-1776738","url":null,"abstract":"\u0000 Background Shortage of speech and language therapists results in lack of speech services. The aims of this study were to find the effectiveness of a combination speech therapy model at Level IV: General speech and language pathologist (GSLP) and Level V: Specific speech and language pathologist (SSLP) in reduction of the number of articulation errors and promotion the quality of life (QoL) for children with cleft palate with or without cleft lip (CP ± L).\u0000 Methods Fifteen children with CP ± L, aged 4 years 1 month to 10 years 9 months (median = 76 months; minimum:maximum = 49:129 months) were enrolled in this study. Pre- and post-assessment included oral peripheral examination; articulation tests via Articulation Screening Test, Thai Universal Parameters of Speech Outcomes for People with Cleft Palate, Hearing Evaluation, The World Health Organization Quality of Life Brief_Thai (WHOQOL-BRIEF-THAI) version questionnaire for QoL were performed. Speech therapy included a 3-day intensive speech camp by SSLP, five 30-minute speech therapy sessions by a GSLP, and five 1-day follow-up speech camps by SSLP that provided four 45-minute speech therapy sessions for each child.\u0000 Results Post-articulation revealed statistically significant reduction of the numbers of articulation errors at word, sentence, and screening levels (median difference [MD] = 3, 95% confidence interval [CI] = 2–5; MD = 6, 95% CI = 4.5–8; MD = 2.25, 95% CI = 1.5–3, respectively) and improvement of QoL.\u0000 Conclusion A speech task force consisting of a combination of Level IV: GSLP and Level V: SSLP could significantly reduce the number of articulation errors and promote QoL.","PeriodicalId":505284,"journal":{"name":"Archives of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140744241","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

PERISH OR PUBLISH? 毁灭还是出版？

Archives of Plastic Surgery Pub Date : 2024-03-07 DOI: 10.1055/a-2283-2269

Geoffrey Hallock, Jp Hong

引用次数: 0

Dupuytren's Disease: A Novel Minimally Invasive Pull-Through Technique 杜普伊特伦氏病：新型微创拉通技术

Archives of Plastic Surgery Pub Date : 2024-03-04 DOI: 10.1055/s-0043-1775882

M. Maruccia, P. Tedeschi, Francesco Sisto, Ilaria Converti, Giuseppe Giudice, R. Elia

{"title":"Dupuytren's Disease: A Novel Minimally Invasive Pull-Through Technique","authors":"M. Maruccia, P. Tedeschi, Francesco Sisto, Ilaria Converti, Giuseppe Giudice, R. Elia","doi":"10.1055/s-0043-1775882","DOIUrl":"https://doi.org/10.1055/s-0043-1775882","url":null,"abstract":"\u0000 Background Dupuytren's disease decreases quality of life significantly and often requires surgical treatment, nevertheless there is no actual gold standard. The aim of this study was to introduce the use of minimally invasive pull-through technique.\u0000 Methods From 2016 to 2020, 52 patients suffering from Dupuytren's contracture were treated with the minimally invasive pull-through technique. We evaluated the improvement in range of motion, pain, disability, and quality of life in the long term. Total extension deficit, quick disabilities of the arm, shoulder, and hand (QuickDASH), and EuroQol five dimensions—five levels index were systematically scored before each surgical intervention and reevaluated after 24 months.\u0000 Results Fourteen patients (26.9%) had already received a previous intervention (percutaneous needle aponeurotomy or collagenase Clostridium histolyticum). The mean preoperative total active extension deficit was 84.0 ± 23.3 degrees (55–130 degrees). Mean follow-up was 36 months. There were no cases of tendon rupture or neurovascular injury. Total active extension deficit at the final follow-up was 3.4 ± 2.3 degrees (0–12 degrees). The mean active range of motion of the MCP and PIP joints were, respectively, 90.5 ± 3.3 degrees (85–96 degrees) and 82.7 ± 2.5 degrees (80–87 degrees). At 24 months after cord excision, a mean 10.7 points improvement in the QuickDASH questionnaire was registered (p < 0.001). Pull-through technique was equally effective both on patients with a primary or a recurrent disease. Eight patients (15.4%) had a recurrence of disease in the metacarpophalangeal joint or proximal interphalangeal joint.\u0000 Conclusion The pull-through technique is a simple, accessible, and effective technique for the treatment of Dupuytren's contracture. The use of palmar mini-incisions combined with minimal dissection has a low risk of iatrogenic injury to the neurovascular bundles and tendons, and has a low risk of recurrence rate. This study reflects level of evidence IV.","PeriodicalId":505284,"journal":{"name":"Archives of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140079816","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

Comparison of Pain Management Strategies to Reduce Opioid Use Postoperatively in Free Flap Breast Reconstruction: Pain Catheter versus Nerve Block in Addition to Refinements in the Oral Pain Management Regime 比较疼痛管理策略以减少游离皮瓣乳房重建术后阿片类药物的使用：疼痛导管与神经阻滞以及口服止痛方案的改进

Archives of Plastic Surgery Pub Date : 2024-02-29 DOI: 10.1055/s-0043-1777673

A. Stefansdottir, Luis Vieira, Arni Johnsen, Daniel Isacson, Andres Rodriguez, Maria Mani

{"title":"Comparison of Pain Management Strategies to Reduce Opioid Use Postoperatively in Free Flap Breast Reconstruction: Pain Catheter versus Nerve Block in Addition to Refinements in the Oral Pain Management Regime","authors":"A. Stefansdottir, Luis Vieira, Arni Johnsen, Daniel Isacson, Andres Rodriguez, Maria Mani","doi":"10.1055/s-0043-1777673","DOIUrl":"https://doi.org/10.1055/s-0043-1777673","url":null,"abstract":"\u0000 Background Perioperative management in autologous breast reconstruction has gained focus in recent years. This study compares two pain management protocols in patients undergoing abdominal-based free flap breast reconstruction: a past protocol (PP) and a current protocol (CP)—both intended to reduce opioid consumption postoperatively. The PP entails use of a pain catheter in the abdominal wound and the CP consists of an intraoperative nerve block in addition to refinements in the oral pain management. We hypothesize that the CP reduces opioid consumption compared to PP.\u0000 Methods From December 2017 to January 2020, 102 patients underwent breast reconstruction with an abdominal-based free flap. Two postoperative pain management strategies were used during the period; from December 2017 to September 2018, the PP was used which entailed the use of a pain catheter with ropivacaine applied in the abdominal wound with continuous distribution postoperatively in addition to paracetamol orally and oxycodone orally pro re nata (PRN). From October 2018 to January 2020, the CP was used. This protocol included a combination of intraoperative subfascial nerve block and a postoperative oral pain management regime that consisted of paracetamol, celecoxib, and gabapentin as well as oxycodone PRN.\u0000 Results The CP group (n = 63) had lower opioid consumption compared to the PP group (n = 39) when examining all aspects of opioid consumption, including daily opioid usage in morphine milligram equivalents and total opioid usage during the stay (p < 0.001). The CP group had shorter length of hospital stay (LOS).\u0000 Conclusion Introduction of the CP reduced opioid use and LOS was shorter.","PeriodicalId":505284,"journal":{"name":"Archives of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140413149","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

Improved Patient Outcomes with Electrocauterization Following Wedge Resection and Curettage for Ingrown Toenails: A Prospective Comparative Study 楔形切除术和刮除术治疗嵌甲后使用电灼法可改善患者疗效：前瞻性比较研究

Archives of Plastic Surgery Pub Date : 2024-02-29 DOI: 10.1055/s-0043-1777280

Marzouq Amarin, Raed Al-Taher, Khaled Daradka, Amal Ibraheem Abd al Qader Abu Harb, R. Habashneh, N. Bustami, Yazan Hijazein, Hiba Hadadin, S. Al-Najjar

{"title":"Improved Patient Outcomes with Electrocauterization Following Wedge Resection and Curettage for Ingrown Toenails: A Prospective Comparative Study","authors":"Marzouq Amarin, Raed Al-Taher, Khaled Daradka, Amal Ibraheem Abd al Qader Abu Harb, R. Habashneh, N. Bustami, Yazan Hijazein, Hiba Hadadin, S. Al-Najjar","doi":"10.1055/s-0043-1777280","DOIUrl":"https://doi.org/10.1055/s-0043-1777280","url":null,"abstract":"\u0000 Background Ingrown toenail is a common condition that results in chronic pain, recurrent infections, and difficulty in performing daily activities. Our aim is to compare two surgical methods for the treatment of ingrown toenails: wedge resection with curetting versus wedge resection curetting followed by electrocauterization of the nail bed.\u0000 Methods A prospective, comparative study that included 130 patients with ingrown toenails. All patients had stage II or III disease. We divided the participants into two groups according to the type of surgery and all patients were followed up for 6 months. The outcomes measured were the incidence of postoperative bleeding and infection, recovery time, patient satisfaction, and recurrence rate 6 months after surgery.\u0000 Results Of the 130 patients included, 59 (45.4%) underwent excision and curetting of the nail matrix (group 1) and 71 (54.6%) underwent excision, curetting, and electrocauterization of the nail matrix (group 2). The postoperative infection rates were 20.3 and 4.2% in the first and second groups, respectively (p = 0.004). Patient satisfaction was 76.3% among the first group, while 91.5% of patients in the second group were satisfied with the results of surgery. Six months postoperatively, recurrence rates were 25.4 and 4.2% in the first and second groups, respectively (p = 0.001).\u0000 Conclusion Wedge excision and curettage, followed by electrocauterization of the ingrown toenail is a safe treatment modality with a high success rate, that is evident by a lower recurrence rate, and greater patient satisfaction, with no effect on postoperative pain score or recovery time.","PeriodicalId":505284,"journal":{"name":"Archives of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140408988","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

Towards Starting a Hand Transplant Unit and Achieving Success in a Hand Transplant: The Standard Operating Procedure 建立手部移植单位，实现手部移植手术的成功：标准操作程序

Archives of Plastic Surgery Pub Date : 2024-02-29 DOI: 10.1055/s-0043-1776435

Vinita Puri, N. Venkateshwaran, R. Shrotriya, Chandrashekhar Chalwade

引用次数: 0

Implantation of a Newly Designed Supratarsal Gold Weight versus the Traditional Pretarsal Model for the Correction of Long-standing Paralytic Lagophthalmos: A Retrospective Cohort Study 植入新设计的跗骨上黄金重块与传统的跗骨下模型来矫正长期存在的麻痹性眼睑下垂：回顾性队列研究

Archives of Plastic Surgery Pub Date : 2024-02-29 DOI: 10.1055/s-0043-1777287

Natthiya Lailaksiri, Pawarit Wanichsetakul, P. Saonanon

{"title":"Implantation of a Newly Designed Supratarsal Gold Weight versus the Traditional Pretarsal Model for the Correction of Long-standing Paralytic Lagophthalmos: A Retrospective Cohort Study","authors":"Natthiya Lailaksiri, Pawarit Wanichsetakul, P. Saonanon","doi":"10.1055/s-0043-1777287","DOIUrl":"https://doi.org/10.1055/s-0043-1777287","url":null,"abstract":"\u0000 Background The study determined to compare the clinical outcomes of traditional gold weight implantation for the correction of paralytic lagophthalmos with those of a newly designed model.\u0000 Methods In this retrospective cohort study, we enrolled 30 patients (76% females; average age 60.8 ± 12 years) with facial palsy who underwent implantation of either the traditional pretarsal gold weight (PT group; n = 15) or a new supratarsal model (ST group; n = 15) from May 2014 to April 2019. The main outcome measures were the 12-month postoperative weight prominence, weight migration, improvement of lagophthalmos, upper eyelid contour, and upper eyelid ptosis. The secondary outcome was long-term (24 months) reoperative rate.\u0000 Results The new model group had significantly better eyelid contour (risk ratio [RR] 3.16, 95% confidence interval [CI] 1.62–6.15, p = 0.001), less weight prominence (RR 1.74, 95% CI 1.13–2.70, p = 0.013), less weight migration (RR 1.31, 95% CI 1.12–1.54, p = 0.001), and less eyelid ptosis (RR 2.36, 95% CI 1.21–4.59, p = 0.011) than the traditional model group. Improvement of lagophthalmos was not statistically significant between the two groups (RR 1.44, 95% CI 0.72–2.91, p = 0.303). The 24-month reoperative rate was 53.3% in the PT group versus 13.3% in the ST group (RR 2.00, 95% CI 1.15–3.49, p = 0.015).\u0000 Conclusion The newly designed supratarsal gold weight showed superior postoperative outcomes than the standard traditional model.","PeriodicalId":505284,"journal":{"name":"Archives of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140413771","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

Paradigm shift in rhinoplasty with virtual 3Dsurgery software and 3D printing technology 利用虚拟 3D 手术软件和 3D 打印技术实现鼻整形术的范式转变

Archives of Plastic Surgery Pub Date : 2024-02-20 DOI: 10.1055/a-2272-5273

Man-Koon Suh, Joo-Yun Won, Jung-Hwan Baek

{"title":"Paradigm shift in rhinoplasty with virtual 3Dsurgery software and 3D printing technology","authors":"Man-Koon Suh, Joo-Yun Won, Jung-Hwan Baek","doi":"10.1055/a-2272-5273","DOIUrl":"https://doi.org/10.1055/a-2272-5273","url":null,"abstract":"Most Asians have a nose with a short columella and a low dorsum; augmentation rhinoplasty using implants is commonly performed in Asian countries to achieve a taller and more well-defined nasal dorsum. However, the current knowledge is insufficient to fully understand the various subjective desires of patients, reflect them in surgery, or to objectively analyze the results after surgery. Advances in digital imaging technologies, such as 3D printing and 3D scanning, have transformed the medical system from hospital-centric to patient-centric throughout the medical field. In this study, we applied these techniques to rhinoplasty. First, we used virtual 3D plastic surgery software to enable surgical planning through objectified numerical calculations based on the visualized data of the patient's medical images, rather than simple virtual plastic surgery. Second, the customized nasal implant was manufactured by reflecting the patient's anatomical shape and virtual 3D plastic surgery data. Taken together, we describe the surgical results of applying these rhinoplasty solutions in four patients. Our experience indicates that high fidelity and patient satisfaction can be achieved by applying these techniques.","PeriodicalId":505284,"journal":{"name":"Archives of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140445334","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

Smooth versus Textured Tissue Expanders: Comparison of Outcomes and Complications in 536 Implants 光滑组织扩张器与纹理组织扩张器：536 例植入物的效果和并发症比较

Archives of Plastic Surgery Pub Date : 2024-02-07 DOI: 10.1055/s-0043-1775592

O. Allam, Jacob Dinis, Mariana N. Almeida, Alexandra Junn, M. A. Mozaffari, Rema Shah, Lauren Chong, Olamide Olawoyin, Sumarth Mehta, K. Park, Tomer Avraham, M. Alperovich

{"title":"Smooth versus Textured Tissue Expanders: Comparison of Outcomes and Complications in 536 Implants","authors":"O. Allam, Jacob Dinis, Mariana N. Almeida, Alexandra Junn, M. A. Mozaffari, Rema Shah, Lauren Chong, Olamide Olawoyin, Sumarth Mehta, K. Park, Tomer Avraham, M. Alperovich","doi":"10.1055/s-0043-1775592","DOIUrl":"https://doi.org/10.1055/s-0043-1775592","url":null,"abstract":"\u0000 Background Increasing concerns regarding the safety of textured surface implants have resulted in surgeons transitioning from textured tissue expanders (TEs) to smooth TEs. Given this change has only recently occurred, this study evaluated outcomes between smooth and textured TEs.\u0000 Methods Women who underwent two-stage breast reconstruction using TEs from 2013 to 2022 were included. TE-specific variables, perioperative information, pain scores, and complications were collected. Chi-squared, t-test, and linear regression analyses were performed.\u0000 Results A total of 320 patients received a total of 384 textured and 152 smooth TEs. Note that 216 patients received bilateral reconstruction. TEs were removed in 9 cases. No significant differences existed between groups regarding comorbidities. Smooth TEs had a higher proportion of prepectoral placement (p < 0.001). Smooth TEs had less fills (3 ± 1 vs. 4 ± 2, p < 0.001), shorter expansion periods (60 ± 44 vs. 90 ± 77 days, p < 0.001), smaller expander fill volumes (390 ± 168 vs. 478 ± 177 mL, p < 0.001), and shorter time to exchange (80 ± 43 vs. 104 ± 39 days, p < 0.001). Complication rates between textured and smooth TEs were comparable. Smooth TE had a greater proportion of TE replacements (p = 0.030). On regression analysis, pain scores were more closely associated with age (p = 0.018) and TE texture (p = 0.046). Additional procedures at time of TE exchange (p < 0.001) and textured TE (p = 0.017) led to longer operative times.\u0000 Conclusion As many surgeons have transitioned away from textured implants, our study shows that smooth TEs have similar outcomes to the textured alternatives.","PeriodicalId":505284,"journal":{"name":"Archives of Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139796446","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