Journal of plastic and reconstructive surgery最新文献_第2页

Arteriovenous Fistula Pseudoaneurysm Mimicking Cutaneous a Neoplasm Arising from a Stenosed Arteriovenous Fistula. 由狭窄的动静脉瘘引起的模拟皮肤肿瘤的动静脉瘘假动脉瘤。

Journal of plastic and reconstructive surgery Pub Date : 2024-09-26 eCollection Date: 2025-01-27 DOI: 10.53045/jprs.2023-0065

Hayato Hanada, Shiro Niiyama, Akiko Hirata

引用次数: 0

Near-infrared Spectroscopy-guided Flap Delay: For Flap Training and Timing of Pedicle Division. 近红外光谱引导皮瓣延迟：用于皮瓣训练和蒂分割的时机。

Journal of plastic and reconstructive surgery Pub Date : 2024-09-26 eCollection Date: 2025-01-27 DOI: 10.53045/jprs.2023-0063

Sally Sj Chan, Chong H Pek, Yijun Wu, Yuan Kong, Wei M Ho, Jolie Jy Hwee

引用次数: 0

Scalp Reconstruction of an Extensive Full-thickness Postresection Defect of a Recurrent Scalp Sarcoma in a 3-year-old Boy. 1例3岁男孩复发性头皮肉瘤术后广泛全层缺损的头皮重建。

Journal of plastic and reconstructive surgery Pub Date : 2024-09-26 eCollection Date: 2025-04-27 DOI: 10.53045/jprs.2023-0060

Liu Yi, Wan Azman Wan Sulaiman, Zosimo Ken L Jimeno

{"title":"Scalp Reconstruction of an Extensive Full-thickness Postresection Defect of a Recurrent Scalp Sarcoma in a 3-year-old Boy.","authors":"Liu Yi, Wan Azman Wan Sulaiman, Zosimo Ken L Jimeno","doi":"10.53045/jprs.2023-0060","DOIUrl":"10.53045/jprs.2023-0060","url":null,"abstract":"We present a case of huge recurrent spindle cell sarcoma in a 3-year-old boy's right temporoparietal scalp, which was initially misdiagnosed as a hemangioma and was primarily excised after an unsuccessful trial of oral propranolol. The tumor recurred and responded to adjuvant chemotherapy. After wide local excision with a frozen section confirming clear margins, a combination of free latissimus dorsi myocutaneous flap, scalp rotational flap, and split-thickness skin graft was used to resurface the extensive postresection defect. However, the patient experienced marginal flap necrosis postoperatively and required multiple operations to achieve adequate soft tissue coverage. His hospitalization was also prolonged because of surgical site infection over the scalp and skin graft donor sites, which required intravenous antibiotics and regular dressing changes. The patient has been disease free after discharge with no remarkable functional deficit. In our opinion, the best tool for reconstruction of extensive scalp defects is free flaps.","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"4 2","pages":"92-99"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12240688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144629212","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}

引用次数: 0

Outcome of Liposuction for Limb Lymphedema in Men Compared with Women. 吸脂治疗男性肢体淋巴水肿的效果与女性比较。

Journal of plastic and reconstructive surgery Pub Date : 2024-09-13 eCollection Date: 2025-01-27 DOI: 10.53045/jprs.2023-0032

Helen Mackie, Belinda M Thompson, Robyn Ricketts, Kim Toyer, Asha Heydon-White, Louise A Koelmeyer, Thomas C Lam

{"title":"Outcome of Liposuction for Limb Lymphedema in Men Compared with Women.","authors":"Helen Mackie, Belinda M Thompson, Robyn Ricketts, Kim Toyer, Asha Heydon-White, Louise A Koelmeyer, Thomas C Lam","doi":"10.53045/jprs.2023-0032","DOIUrl":"10.53045/jprs.2023-0032","url":null,"abstract":"Objectives: Liposuction effectively reduces limb volume in cases of advanced fat-dominant lymphedema. This study compares surgical outcomes between men and women using Brorson's liposuction for lymphedema protocol.Methods: A total of 11 men and 11 women with unilateral limb lymphedema who underwent liposuction were matched based on preoperative volume difference (Vol Diff) and percentage volume difference (%Vol Diff) between the affected and unaffected limbs. Individuals were secondarily matched for age, body mass index, and lymphedema duration. The volume of fat aspirated was compared to preoperative Vol Diff to calculate a percentage (%) aspirate volume. The preoperative %Vol Diff and postoperative %Vol Diff at two-time intervals over 12 months were recorded. Differences between the groups were assessed for significance.Results: Preoperative male group mean %Vol Diff of 35.1% matched the female group mean %Vol Diff of 34.8% (p = 0.928). The surgical male mean %aspiration volume of 80.4% was significantly less than the female group of 119% (p = 0.004). The reduction in male mean %Vol Diff was significantly less at the two postoperative time intervals. At 3-6 months, the mean %Vol Diff for men was 20.7% and 3.8% for women (p = 0.009). At the 9-12 months, the mean %Vol Diff was 13.2% for men and 4.2% for women (p = 0.006).Conclusions: The male group matched for preoperative volume with a female group had a lower %aspiration volume and higher postoperative %Vol Diff which was most likely due to sex-based fat differences.","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"4 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11950556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757711","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}

引用次数: 0

Complications of Skin Expansion in the Pediatric Population: A 10-year Retrospective Study. 儿童皮肤扩张并发症：一项10年回顾性研究

Journal of plastic and reconstructive surgery Pub Date : 2024-08-23 eCollection Date: 2024-10-27 DOI: 10.53045/jprs.2023-0048

Zakarya Alami Hassani, Nawfal Fejjal

{"title":"Complications of Skin Expansion in the Pediatric Population: A 10-year Retrospective Study.","authors":"Zakarya Alami Hassani, Nawfal Fejjal","doi":"10.53045/jprs.2023-0048","DOIUrl":"10.53045/jprs.2023-0048","url":null,"abstract":"Objectives: This study aimed to discuss the risks and complications associated with skin expansion in the pediatric population, a common plastic surgery technique.Methods: Fifty-one patients who underwent skin expansion between 2013 and 2022 at the Plastic Surgery and Burns Unit of the Children's Hospital in Rabat were included in this retrospective study. This study aimed to report all results, analyze them, and compare them with existing literature to determine predictive elements of complications in the pediatric population.Results: The study used 96 expanders of three different brands in 70 procedures. Only one expander was often used, but up to seven expanders were used in some cases. Expansion sessions began after an average of 15 days of expander placement, with an average total expansion rate of 105.5%. Complications were encountered in 16 of 96 expanders (16.6%), with infection being the most serious complication, found in four cases. Other complications included skin complications, expander malfunctions, skin necrosis, loose sutures, exposure of the valve, and hair loss with stretch marks. The use of multiple expanders was the only statistically relevant factor toward complications.Conclusions: The study concluded that skin expansion is not without risks and reported complication rate range from 9.6% to 30% in the pediatric population. Multicenter studies specific to each variable will allow better identification of the risk factors and standardization of the indications. The study provides valuable insights into the risks and complications associated with skin expansion in the pediatric population, which could help guide medical professionals in making informed decisions when considering this procedure.","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"3 4","pages":"151-156"},"PeriodicalIF":0.0,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143660239","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}

引用次数: 0

Scar Healing after Breast Reconstruction: A 5-year Follow-up in Asian Patients. 乳房重建后疤痕愈合：亚洲患者的5年随访。

Journal of plastic and reconstructive surgery Pub Date : 2024-08-23 eCollection Date: 2025-01-27 DOI: 10.53045/jprs.2024-0013

Risa Murakami, Tomohiro Shiraishi, Mikiko Imamura, Akihiko Takushima, Hirotaka Suga

{"title":"Scar Healing after Breast Reconstruction: A 5-year Follow-up in Asian Patients.","authors":"Risa Murakami, Tomohiro Shiraishi, Mikiko Imamura, Akihiko Takushima, Hirotaka Suga","doi":"10.53045/jprs.2024-0013","DOIUrl":"10.53045/jprs.2024-0013","url":null,"abstract":"Objectives: Hypervascularity, hypertrophy, and hyperpigmentation of breast scars often persist for several years after reconstruction. There are few reports on the long-term follow-up of postoperative scars after breast reconstruction. We previously reported that at 1 year after reconstruction, >30% of Asian patients showed abnormal scars. In this study, we followed these patients for as long as 5 years postoperatively.Methods: We followed 101 Asian patients who underwent immediate two-stage implant-based breast reconstructions between 2013 and 2017 and still had abnormal scars involving hypervascularity, hypertrophy, or hyperpigmentation at 1 year postoperatively. We conducted annual follow-up for an additional 4 years, assessing the time until improvement and performing statistical analysis of factors related to the persistence and healing of abnormal scars.Results: Hypervascularity improved in 12%, 37%, 68%, and 82% of patients at 2, 3, 4, and 5 years, respectively. Most cases improved between 3 and 4 years postoperatively. Among the patients with both hypervascularity and hypertrophy at 1 year, 36% had residual hypervascularity at 5 years compared with 9.8% of those with hypervascularity only at 1 year. Hypertrophy improved within 5 years in 56% of the cases. Hyperpigmentation improved within 5 years in only 21% of the cases. There was no significant association between abnormal scars and age or body mass index.Conclusions: Even in Asian patients with persistent hypervascularity of breast scars, most cases improve within 5 years after reconstruction. However, hypervascularity tends to persist in cases that also show hypertrophy. Compared with hypervascularity and hypertrophy, hyperpigmentation showed worse 5-year improvement.","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"4 1","pages":"20-25"},"PeriodicalIF":0.0,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11950569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757712","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}

引用次数: 0

Effects of Masks on the Preference of Laser Treatment during the COVID-19 Pandemic in the Japanese Population. COVID-19大流行期间口罩对日本人群激光治疗偏好的影响

Journal of plastic and reconstructive surgery Pub Date : 2024-07-05 eCollection Date: 2025-01-27 DOI: 10.53045/jprs.2024-0014

Takeshi Nomura, Hanako Otsuka, Gan Muneuchi

{"title":"Effects of Masks on the Preference of Laser Treatment during the COVID-19 Pandemic in the Japanese Population.","authors":"Takeshi Nomura, Hanako Otsuka, Gan Muneuchi","doi":"10.53045/jprs.2024-0014","DOIUrl":"10.53045/jprs.2024-0014","url":null,"abstract":"Objectives: The coronavirus disease 2019 pandemic has encouraged the use of masks in Japan, and areas of the face that are covered by masks are less likely to be seen by others. This concealment may lead to a decrease in laser treatment in masked areas; however, no study has examined this change. This retrospective comparative study investigated the effects of mask use during the coronavirus disease 2019 pandemic on facial regions targeted for laser treatment among Japanese patients.Methods: We compared two groups of 103 patients who underwent facial laser treatment before and after the pandemic onset. We analyzed patient data, such as age, sex, treatment area, and preferences in masked and unmasked areas.Results: The number of patients seeking laser treatment remained unchanged during the two 3-year periods before and after the pandemic onset. However, after the onset of the pandemic, the number of patients who desired treatment only outside the masked area significantly increased. Treatment area preferences significantly shifted from the cheeks before the pandemic to the eyelids and glabella after the onset of the pandemic.Conclusions: The findings suggest that the coronavirus disease 2019 pandemic has influenced the facial areas where patients seek cosmetic enhancements, possibly due to changes in mask-wearing habits and social behaviors. Plastic and cosmetic surgeons should be aware of these changes in aesthetic preferences to provide updated and relevant treatments to their patients. Further studies are needed to better understand the impact of the pandemic on cosmetic preferences and practices.","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"4 1","pages":"7-12"},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11950568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757706","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}

引用次数: 0

Effectiveness of Sofpironium Bromide in Patients with Primary Axillary Hyperhidrosis Who Experienced Residual or Recurrence of Axillary Odor after Surgery for Axillary Osmidrosis. 索非溴铵治疗原发性腋毛多汗症术后腋臭残留或复发的疗效。

Journal of plastic and reconstructive surgery Pub Date : 2024-07-05 eCollection Date: 2025-01-27 DOI: 10.53045/jprs.2023-0067

Masanobu Sakisaka, Akihiko Takushima

{"title":"Effectiveness of Sofpironium Bromide in Patients with Primary Axillary Hyperhidrosis Who Experienced Residual or Recurrence of Axillary Odor after Surgery for Axillary Osmidrosis.","authors":"Masanobu Sakisaka, Akihiko Takushima","doi":"10.53045/jprs.2023-0067","DOIUrl":"10.53045/jprs.2023-0067","url":null,"abstract":"Objectives: Sofpironium bromide is the first topical anticholinergic drug approved in Japan for the treatment of primary axillary hyperhidrosis. This study aimed to investigate the effectiveness of sofpironium bromide in patients with primary axillary hyperhidrosis who experienced residual axillary odor or recurrence of axillary odor after surgery with subdermal excision of apocrine glands by skin flap procedure for axillary osmidrosis.Methods: A total of 56 patients who underwent surgery for axillary osmidrosis at our hospital between January 2022 and April 2023 were included in this study. Axillary odor and sweat volume were evaluated with patient-reported visual analog scale in 56 patients who underwent surgery for axillary osmidrosis and 13 patients administered with sofpironium bromide after the surgery.Results: Surgery in patients with axillary osmidrosis significantly improved axillary odor and excessive sweating by approximately 90% and approximately 54%, respectively. Treatment with sofpironium bromide in patients with axillary hyperhidrosis after the surgery significantly improved axillary odor and excessive sweating by approximately 70% and approximately 63%, respectively.Conclusions: These results suggest that sofpironium bromide is effective in patients with axillary hyperhidrosis after the surgery. Since this study was conducted with a small number of patients in a retrospective single-arm design, it is necessary to validate the results in a prospective controlled study with a large number of patients.","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"4 1","pages":"13-19"},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11950559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757705","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}

引用次数: 0

Delayed Presentation of a Middle Meningeal Arteriovenous Fistula after Le Fort I Osteotomy. Le Fort I型截骨术后延迟出现中脑膜动静脉瘘。

Journal of plastic and reconstructive surgery Pub Date : 2024-07-05 eCollection Date: 2024-10-27 DOI: 10.53045/jprs.2023-0019

Sean Neo, Hui-Chai Fong, Boon Hui Chan, Chee Liam Foo

引用次数: 0

Intraarticular Involvement of Extraarticular Giant Cell Tumor of the Tendon Sheath in the Thumb of a Pediatric Patient: A Case Report. 小儿拇指腱鞘关节外巨细胞瘤累及关节内1例报告。

Journal of plastic and reconstructive surgery Pub Date : 2024-07-05 eCollection Date: 2025-01-27 DOI: 10.53045/jprs.2024-0004

Aiko Makino, Susumu Saito, Tsuyoshi Taba

引用次数: 0