Journal of plastic and reconstructive surgery最新文献

{"title":"Japanese Clinical Practice Guidelines for Vascular Tumors, Vascular Malformations, Lymphatic Malformations, and Lymphangiomatosis 2022.","authors":"Yoshiaki Kinoshita, Kosuke Ishikawa, Sadanori Akita, Katsuyoshi Koh, Satoru Sasaki, Masatoshi Jinnin, Hidefumi Mimura, Keigo Osuga, Michio Ozeki, Michiko Nagahama, Akihiro Fujino, Yoko Aoki, Akiko Asai, Noriko Aramaki-Hattori, Ryohei Ishiura, Masanori Inoue, Yuki Iwashina, Takafumi Ohshiro, Keiko Ogawa, Mine Ozaki, Junko Ochi, Shiro Onozawa, Motoi Kato, Takahide Kaneko, Tamihiro Kawakami, Akira Kitagawa, Masakazu Kurita, Yoshihiro Kuwano, Taro Kono, Shien Seike, Shinsuke Takagi, Nobuyuki Takakura, Takao Tachibana, Shuichi Tanoue, Kumiko Chuman, Hiroki Nakaoka, Yasuhiro Nakamura, Fumio Nagai, Yasunari Niimi, Shunsuke Nosaka, Taiki Nozaki, Tadashi Nomura, Kazuki Hashimoto, Ayato Hayashi, Satoshi Hirakawa, Takeshi Hirabayashi, Taizo Furukawa, Hiroshi Furukawa, Yumiko Hori, Takanobu Maekawa, Kentaro Matsuoka, Hideki Mori, Eiichi Morii, Akira Morimoto, Yuta Moriwaki, Shunsuke Yuzuriha, Naoaki Rikihisa, Munezumi Fujita, Yasuyuki Yamahana, Kyoichi Deie, Asami Tozawa, Daisuke Hasegawa, Akira Higashiyama, Daisuke Maeda, Sachiko Asayama, Yuhki Arai, Yohei Iwata, Mayu Uka, Hidehito Usui, Mizuki Uchiyama, Saori Endo, Hideki Endo, Rintaro Ono, Naoya Oshima, Toshihiro Otsuka, Kuniaki Ohara, Shinji Kagami, Tomo Kakihara, Mototoshi Kato, Hiroki Kanamori, Masafumi Kamata, Ami Kawaguchi, Akiko Kishi, Hiroshi Kitagawa, Kiyokazu Kim, Tamotsu Kobayashi, Takeshi Saito, Yusuke Shikano, Shuichi Shimada, Keisuke Suzuki, Masataka Takahashi, Shohei Takami, Reiko Takeda, Aya Tanaka, Kaishu Tanaka, Satoru Tamura, Masashi Tamura, Kanako Danno, Kenji Tsuboi, Yuta Nakajima, Ryo Nakatani, Miho Noguchi, Akifumi Nozawa, Naoki Hashizume, Masashi Hayakawa, Daichi Hayashi, Takaya Fukumoto, Mamoru Honda, Norifumi Matsuda, Hayato Maruguchi, Naoki Murakami, Kiichiro Yaguchi, Shiho Yasue, Hiroki Yoshihara, Rika Yoshimatsu, Kiyohito Yamamoto, Shinji Wada","doi":"10.53045/jprs.2025-0205","DOIUrl":"10.53045/jprs.2025-0205","url":null,"abstract":"<p><p>The objective was to prepare guidelines to perform the current optimum treatment by organizing effective and efficient treatments of hemangiomas and vascular malformations, confirming the safety, and systematizing treatment, employing evidence-based medicine techniques and aimed at improvement of the outcomes. Clinical questions (CQs) were decided based on the important clinical issues. For document retrieval, key words for literature searches were set for each CQ and literature published from 1980 to the end of December 2020 was searched in PubMed, and Japana Centra Revuo Medicina (JCRM). The strengths of evidence and recommendations acquired by systematic reviews were determined following the Medical Information Network Distribution Service (Minds) technique. A total of 38 CQs were used to compile recommendations and the subjects included efficacy of resection, sclerotherapy/embolization, drug therapy, laser therapy, radiotherapy, and other conservative treatment, differences in appropriate treatment due to the location of lesions and among symptoms, appropriate timing of treatment and tests, pathological diagnosis deciding the diagnosis, and causal genes of vascular anomalies. Thus, the Japanese Clinical Practice Guidelines for Vascular Tumors, Vascular Malformations, Lymphatic Malformations, and Lymphangiomatosis 2022 have been prepared as the evidence-based guidelines for the management of vascular anomalies.</p>","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 Suppl","pages":"S1-S96"},"PeriodicalIF":0.2,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13075649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147694665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Successful Treatment of Lymphocele after Inguinal Lymph Node Dissection with OK-432 Sclerotherapy: A Report of Two Cases.","authors":"Yutaro Yamashita, Kenta Ikushima, Yoshiro Abe, Shinji Nagasaka, Kazuhide Mineda, Ichiro Hashimoto","doi":"10.53045/jprs.2024-0070","DOIUrl":"10.53045/jprs.2024-0070","url":null,"abstract":"<p><p>Lymphocele is a frequent complication in the early postoperative period following lymph node dissection. In this study, we performed sclerotherapy with OK-432 (picibanil) in two cases of lymphocele after groin lymph node dissection. Case 1 involved a 55-year-old male patient who underwent bilateral groin lymph node dissection. A lymphocele developed in the groin after drain removal. The lymphocele in the left groin worsened after the patient resumed work. After four sessions of sclerotherapy with OK-432, the lymphocele resolved. Case 2 involved a 67-year-old male patient who also underwent bilateral groin lymph node dissection. The lymphocele in the left groin persisted despite the initial treatment, but disappeared after four sessions of sclerotherapy with OK-432. The treatment duration for cases 1 and 2 were 51 and 23 days, respectively. Both cases showed mild dermal back flow on lymphoscintigraphy several years after surgery. Sclerotherapy with OK-432 resulted in acceptable results.</p>","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 2","pages":"105-109"},"PeriodicalIF":0.2,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comments to \"Successful Treatment of Lymphocele After Inguinal Lymph Node Dissection with OK-432 Sclerotherapy: A Report of Two Cases\".","authors":"Takumi Yamamoto","doi":"10.53045/jprs.2025-0201","DOIUrl":"10.53045/jprs.2025-0201","url":null,"abstract":"","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 2","pages":"110-111"},"PeriodicalIF":0.2,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to the Comments on \"Basics and Applications of the Fusuma Sliding Flap: A Versatile Method for Reconstruction of Full-Thickness Defects of the Lower Lip\".","authors":"Shogo Kasai, Toshiharu Minabe, Wataru Tsugu, Satoshi Fukuzumi, Kazuo Kishi","doi":"10.53045/jprs.2025-0166","DOIUrl":"https://doi.org/10.53045/jprs.2025-0166","url":null,"abstract":"","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 5","pages":"485-486"},"PeriodicalIF":0.2,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13635412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Demarcation Procedure: An Effective and Safe Method before Definitive Resection of Large Arteriovenous Malformations.","authors":"Tsubasa Shimizu, Mine Ozaki, Yuki Iwashina, Naoya Oshima, Akihiko Takushima","doi":"10.53045/jprs.2025-0139","DOIUrl":"https://doi.org/10.53045/jprs.2025-0139","url":null,"abstract":"<p><strong>Objectives: </strong>Surgical resection of large arteriovenous malformations (AVMs) is challenging owing to its prolonged operative time and massive bleeding, particularly in anatomically complex regions. This study aimed to evaluate the efficacy of a staged \"demarcation procedure,\" a partial incision designed to interrupt blood flow and form a scar plane, in reducing intraoperative bleeding and operative time during definitive resection.</p><p><strong>Methods: </strong>Between 2014 and 2021, six patients diagnosed with Schöbinger stage III AVMs were treated using our demarcation procedure, followed by definitive resection. Lesion locations included the head and neck (n = 5) and the hand (n = 1). Operative time and intraoperative blood loss were analyzed for both demarcation procedures and definitive resections. Reconstructive procedures were also performed during the final definitive resection.</p><p><strong>Results: </strong>The demarcation procedure was performed once in two patients, twice in three, and three times in one. Fascial grafts were used in two patients and artificial dermis in three. At definitive resection, free flaps (n = 5) or a pedicled flap (n = 1) were applied, often with additional skin grafting. The median blood loss was 95 mL for demarcation and 510.5 mL for definitive resection with reconstruction. Median operative time was 220 minutes for demarcation and 236 minutes for definitive resection. No recurrences were observed during follow-up.</p><p><strong>Conclusions: </strong>The demarcation procedure, which establishes a fibrous boundary and controls feeder vessels, reduces blood loss and operative time during definitive resection of AVMs. Although this method requires multiple surgeries under general anesthesia and relatively prolonged hospitalization, it may serve as a safe and effective option for the resection of large AVMs, particularly in the head and neck.</p>","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 5","pages":"399-406"},"PeriodicalIF":0.2,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13635428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Case of Bilateral Cheek Foreign Body Granulomas Caused by Absorbable Filler.","authors":"Miki Mohri, Keigo Narita, Tomohiro Shiraishi, Akihiko Takushima","doi":"10.53045/jprs.2025-0019","DOIUrl":"https://doi.org/10.53045/jprs.2025-0019","url":null,"abstract":"<p><p>The use of soft tissue fillers for cosmetic purposes has increased in recent years, accompanied by increasing complications. We report a case of foreign body granuloma after absorbable filler injection requiring surgical management. A subcutaneous cheek mass developed in a 60-year-old woman after hyaluronic acid and polycaprolactone-based filler (Ellansé) injection. The mass enlarged despite corticosteroid therapy, causing pain, sensory disturbance, orbital pressure, and visual discomfort. On referral, the lesion was at risk of skin invasion and was surgically excised. Histopathology confirmed foreign body granuloma. Five months later, cheek depression was reconstructed with an anterolateral thigh flap. Additional revisions, including fat injection, achieved near-complete contour restoration without recurrence. This case illustrates the potential for severe complications after filler injection and emphasizes the value of surgical and reconstructive techniques for both disease control and cosmetic recovery.</p>","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 5","pages":"470-475"},"PeriodicalIF":0.2,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13635418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Learning Curve and Technical Strategies in 100 Consecutive Head and Neck Free-Flap Reconstructions by an Early-Career Plastic Surgeon.","authors":"Naoki Matsuura, Yusuke Shimizu, Edward Hosea Ntege, Reiko Asato","doi":"10.53045/jprs.2025-0104","DOIUrl":"https://doi.org/10.53045/jprs.2025-0104","url":null,"abstract":"<p><strong>Objectives: </strong>Mastering microvascular techniques for head and neck reconstruction presents considerable challenges, particularly for early-career plastic surgeons in low-volume settings. This study evaluates the learning curve and technical strategies of a junior surgeon who performed 100 consecutive head and neck free-flap reconstructions at a tertiary referral center.</p><p><strong>Methods: </strong>We retrospectively analyzed 100 consecutive reconstructions by a single early-career surgeon at a university hospital in Okinawa, Japan. Cases were grouped into four sequential phases (25 each) to assess performance trends. Key parameters included operative duration, flap type, recipient vessel selection, complication rates, and flap survival.</p><p><strong>Results: </strong>Mean operative time declined from approximately 780 minutes in Phase 1 to 600 minutes in Phase 4 (23% reduction; p < 0.001). Flap survival rose from 92% to 100% across phases (overall 98%). Re-anastomosis rates decreased from 50% in the first 25 cases to 5% in the final 25 cases. Ischemic time shortened by 40% (p < 0.001). These improvements coincided with deliberate technical refinements and workflow optimizations, including expanded use of the transverse cervical artery.</p><p><strong>Conclusions: </strong>With a structured, evidence-based approach, early-career plastic surgeons can achieve excellent outcomes even in low-volume environments. The observed improvements underscore the importance of targeted technical refinements and strategic vessel selection in overcoming the microsurgical learning curve.</p>","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 5","pages":"364-375"},"PeriodicalIF":0.2,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13635415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Segmental Arterial Mediolysis in the Superficial Temporal Artery of a Young Patient: A Case Report.","authors":"Yukari Matsuda, Sumie Ohni, Hiroyuki Hao, Kazutaka Soejima","doi":"10.53045/jprs.2025-0094","DOIUrl":"https://doi.org/10.53045/jprs.2025-0094","url":null,"abstract":"<p><p>Segmental arterial mediolysis (SAM) is a rare arterial degenerative disease that starts with degeneration of the smooth muscle layer, leading to aneurysm formation. SAM commonly occurs in the colonic arteries and other abdominal, vertebral, internal carotid, coronary, and pulmonary arteries. Early detection is crucial because of the risk of intra-abdominal or subarachnoid hemorrhage. This report presents the case of a 15-year-old male who presented with a 6-month history of left-sided preauricular pain and a subcutaneous nodule. Ultrasonography revealed a superficial temporal artery aneurysm. Computed tomography angiography showed aneurysmal dilation, which led to excision. Histopathological examination confirmed SAM with medial smooth muscle cell disruption and vacuolar degeneration. Systemic vascular screening revealed no other abnormalities. Reports of SAM occurring in the superficial vessels of young patients are rare. This case highlights the importance of considering SAM in young patients with aneurysms and the need for comprehensive vascular evaluation.</p>","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 5","pages":"459-463"},"PeriodicalIF":0.2,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13635425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comments on \"Basics and Applications of the Fusuma Sliding Flap: A Versatile Method for Reconstruction of Full-thickness Defects of the Lower Lip\".","authors":"Ethan Jarvis, Wilhelm Hansen","doi":"10.53045/jprs.2025-0152","DOIUrl":"https://doi.org/10.53045/jprs.2025-0152","url":null,"abstract":"","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 5","pages":"483-484"},"PeriodicalIF":0.2,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13635420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Validation of the Japanese Versions of the Eye and HRQOL Modules of FACE-Q Aesthetics for Patients Who Undergo Blepharoptosis Surgery.","authors":"Sayuri Kato, Hiroki Mori, Noriko Uemura, Satoshi Usami","doi":"10.53045/jprs.2025-0058","DOIUrl":"https://doi.org/10.53045/jprs.2025-0058","url":null,"abstract":"<p><strong>Objectives: </strong>The face is an important factor for an individual to create an impression and engage in social activities such as seeing, talking, laughing, and eating. Treatment for people with blepharoptosis is covered under public health insurance in Japan. Many surgeons report that the operation improves patients' health-related quality of life (HRQOL); however, no patient-reported outcome (PRO) measures regarding the face and eyelids are available in Japanese. Therefore, this study developed the Japanese versions of the Eye and HRQOL Modules of FACE-Q Aesthetics and analyzed their validity and reliability.</p><p><strong>Methods: </strong>We translated FACE-Q Aesthetics following the procedure established by the copyright department of Q-Portfolio after obtaining permission to develop the Japanese version. Subsequently, we validated the translated modules by surveying 50 patients with blepharoptosis. Data were collected in the following three waves: preoperatively, 6 months postoperatively, and 2 weeks after the second phase. Data were analyzed to identify floor and ceiling effects, internal consistency, test-retest reliability, and concurrent validity.</p><p><strong>Results: </strong>No problematic floor or ceiling effects were identified. The non-response rate for all items was ≤10%. Cronbach's alpha coefficients were >0.7 for all scales. Moreover, the intraclass correlation coefficient between the first and second postoperative responses was also >0.7 for all scales. Several correlations were observed among the other PRO measures, which are available in Japanese.</p><p><strong>Conclusions: </strong>This study developed and validated the Japanese versions of the Eye and HRQOL Modules of FACE-Q Aesthetics. These versions were sufficiently valid, reliable, and in line with Japanese culture.</p>","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 5","pages":"354-363"},"PeriodicalIF":0.2,"publicationDate":"2025-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13635411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}