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

Single-Stage Rigid Midfacial Reconstruction Using Split Calvarial Bone after Anterior Skull Base Surgery: A Case Report. 前颅底手术后劈开颅骨单期刚性面中部重建1例。

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Journal of plastic and reconstructive surgery Pub Date : 2025-12-25 eCollection Date: 2026-09-27 DOI: 10.53045/jprs.2025-0071

Naoya Ishida, Kentaro Tanaka, Yosuke Ariizumi, Yoshihisa Kawano, Rie Kayashima, Kyoichi Murakami, Mayu Ueno

{"title":"Single-Stage Rigid Midfacial Reconstruction Using Split Calvarial Bone after Anterior Skull Base Surgery: A Case Report.","authors":"Naoya Ishida, Kentaro Tanaka, Yosuke Ariizumi, Yoshihisa Kawano, Rie Kayashima, Kyoichi Murakami, Mayu Ueno","doi":"10.53045/jprs.2025-0071","DOIUrl":"https://doi.org/10.53045/jprs.2025-0071","url":null,"abstract":"Reports of frontal and nasal bone-involving composite midfacial bone defect reconstruction after anterior skull base tumor resection remain scarce. Here, we present the case of a 75-year-old man with recurrent ethmoid sinus carcinoma who underwent combined transcranial and endonasal endoscopic resection. The resulting defects included the anterior skull base and frontal and nasal bones. A pericranial flap was used for skull base closure, achieving rigid midfacial reconstruction in a single stage using the split outer and inner cranial bone tables harvested during craniotomy. Titanium plates were used for fixation. The medial canthal ligaments were reattached with intracranially placed sutures and embedded within the pericranial flap to reduce the risk of infection. One month postoperatively, the esthetic result was favorable, with no midfacial depression. Although the patient died from disease recurrence three months postoperatively, this method potentially offers a practical and cosmetically effective option for anterior skull base reconstruction.","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 5","pages":"464-469"},"PeriodicalIF":0.2,"publicationDate":"2025-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13635414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122506","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

A Case of Congenital Nasal Septal Cartilage Hypoplasia Requiring Secondary Rhinoplasty in Adulthood: Considerations on Timing and Graft Selection. 1例先天性鼻中隔软骨发育不全成人需要二次鼻成形术：对时机和移植物选择的考虑。

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Journal of plastic and reconstructive surgery Pub Date : 2025-12-25 eCollection Date: 2026-09-27 DOI: 10.53045/jprs.2025-0092

Yukako Shibasaki, Yoko Tomioka, Jun Oba, Mutsumi Okazaki

{"title":"A Case of Congenital Nasal Septal Cartilage Hypoplasia Requiring Secondary Rhinoplasty in Adulthood: Considerations on Timing and Graft Selection.","authors":"Yukako Shibasaki, Yoko Tomioka, Jun Oba, Mutsumi Okazaki","doi":"10.53045/jprs.2025-0092","DOIUrl":"https://doi.org/10.53045/jprs.2025-0092","url":null,"abstract":"Treatment of nasal septal defects or hypoplasia requires careful, long-term planning. We report a case of a 20-year-old male with congenital nasal septal cartilage hypoplasia who underwent auricular cartilage grafting at age 5 and costal cartilage transplantation at age 11. At adult evaluation, the nasal root was low, and the previously reconstructed L-strut was undersized for the matured facial skeleton, resulting in a short nose deformity. Revision surgery used re-harvested costal cartilage for dorsal and L-strut reconstruction and auricular dermochondral grafts for lining and rim support. Costal cartilage was readily available from the prior donor site, while auricular cartilage was limited due to previous use and donor-site concerns. Two years postoperatively, nasal aesthetics and facial balance improved markedly, with high patient and family satisfaction. This case underscores the importance of anticipating postpubertal facial growth, planning early reconstruction accordingly, selecting grafts strategically, and recognizing the likely need for secondary reconstruction in adulthood.","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 5","pages":"455-458"},"PeriodicalIF":0.2,"publicationDate":"2025-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13635421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122575","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

Comments on "A Case of Necrotizing Fasciitis That Rapidly Progressed after a Minor Injury". “一例小损伤后迅速发展的坏死性筋膜炎”。

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Journal of plastic and reconstructive surgery Pub Date : 2025-12-25 eCollection Date: 2026-09-27 DOI: 10.53045/jprs.2025-0151

Ethan Jarvis, Wilhelm Hansen

引用次数: 0

Compartment Syndrome in the Fibula Flap Donor Site: A Case Report and Review of the Literature. 腓骨皮瓣供区隔室综合征1例报告及文献复习。

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Journal of plastic and reconstructive surgery Pub Date : 2025-12-25 eCollection Date: 2026-09-27 DOI: 10.53045/jprs.2025-0135

Koki Iha, Mizuki Sakamoto, Sei Yoshida, Takashi Maehara, Seita Fukushima, Chikafumi Oryoji, Shintaro Kawano, Hideki Kadota

{"title":"Compartment Syndrome in the Fibula Flap Donor Site: A Case Report and Review of the Literature.","authors":"Koki Iha, Mizuki Sakamoto, Sei Yoshida, Takashi Maehara, Seita Fukushima, Chikafumi Oryoji, Shintaro Kawano, Hideki Kadota","doi":"10.53045/jprs.2025-0135","DOIUrl":"https://doi.org/10.53045/jprs.2025-0135","url":null,"abstract":"Compartment syndrome (CS) is a rare but serious complication following fibula flap harvest. We report a 72-year-old man who developed donor-site CS on postoperative day 3 without pain but with edema, blisters, and paresthesia. Serum creatine phosphokinase rose to 17,677 IU/L, indicating its diagnostic utility. Immediate wound release, debridement, negative pressure therapy, and skin grafting achieved sensory and motor recovery with independent ambulation at 9 months. Review of eight previous cases showed a mean skin paddle width of 4.16 (3-5) cm. Seven donor sites were primarily closed under tight or slightly tight tension, and one was left open. The mean onset was postoperative day 5.62 (0-14). Clinical manifestations were dominated by cutaneous or motor changes, while pain was uncommon. CS may occur irrespective of skin paddle width and without pain, delaying recognition. Vigilant monitoring for cutaneous or neurologic signs and early intervention are essential to minimize sequelae.","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 5","pages":"445-450"},"PeriodicalIF":0.2,"publicationDate":"2025-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13635419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122665","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

Echoes of Fascia: Ultrasound Mapping of Superficial Fascia and Lymphatic Vessels in Lymphedematous Limbs. 筋膜回声：淋巴水肿肢体浅筋膜及淋巴管的超声定位。

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Journal of plastic and reconstructive surgery Pub Date : 2025-12-06 eCollection Date: 2026-09-27 DOI: 10.53045/jprs.2025-0106

Hisako Hara, Makoto Mihara

{"title":"Echoes of Fascia: Ultrasound Mapping of Superficial Fascia and Lymphatic Vessels in Lymphedematous Limbs.","authors":"Hisako Hara, Makoto Mihara","doi":"10.53045/jprs.2025-0106","DOIUrl":"https://doi.org/10.53045/jprs.2025-0106","url":null,"abstract":"Objectives: Although collecting lymphatic vessels are known to run beneath the superficial fascia, its ultrasonographic features, particularly in lymphedematous limbs, remain poorly understood. This study aimed to evaluate the structure of the superficial fascia and its relationship with lymphatic vessels.Methods: We analyzed the patients with secondary lower extremity lymphedema who underwent lymphaticovenous anastomosis under local anesthesia. Ultrasound images were obtained at four anatomical sites: 5 cm and 10 cm distal to the saphenofemoral junction and the popliteal fossa. Sites where lymphatic vessels could not be visualized by ultrasound were excluded. The superficial fascia was scored for clarity (0-4), and the number of fascia was counted. Measurements included the superficial fascia depth (shallowest and deepest), amplitude of undulation, and the depth and relative position of lymphatic vessels.Results: Of the 42 limbs (168 sites) in 21 patients, 158 sites were included. The superficial fascia was more clearly visualized in the thigh than in the calf, with visibility decreasing as lymphedema severity advanced. Lymphatic vessels were located at a mean depth of 7.0 mm, also increasing with severity, while the vessel-fascia distance (mean, 1.1 mm) showed no association. The number of fascial layers averaged 2.6, more in the thigh than in the calf, and 96.2% of lymphatic vessels lay beneath the first or second fascial layer.Conclusions: Lymphatic vessels are typically located just beneath the first or second superficial fascial layer, and ultrasound evaluation of fascia provides practical landmarks for preoperative mapping in lymphedema.","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 5","pages":"392-398"},"PeriodicalIF":0.2,"publicationDate":"2025-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13635424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122677","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

The Application of Small Intestinal Submucosa-Extracellular Matrix to Fingertip Injuries. 小肠黏膜下-细胞外基质在指尖损伤中的应用。

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Journal of plastic and reconstructive surgery Pub Date : 2025-12-06 eCollection Date: 2026-09-27 DOI: 10.53045/jprs.2025-0043

Yasuhiro Sakata, Hikaru Watanabe, Maiko Inada, Suzuna Ishimoto, Akihiro Nariyama, Shinichi Asamura

{"title":"The Application of Small Intestinal Submucosa-Extracellular Matrix to Fingertip Injuries.","authors":"Yasuhiro Sakata, Hikaru Watanabe, Maiko Inada, Suzuna Ishimoto, Akihiro Nariyama, Shinichi Asamura","doi":"10.53045/jprs.2025-0043","DOIUrl":"10.53045/jprs.2025-0043","url":null,"abstract":"Objectives: To evaluate the clinical effectiveness of small intestinal submucosa-extracellular matrix (SIS-ECM) in the conservative treatment of traumatic fingertip injuries without residual tissue.Methods: We conducted a retrospective analysis of 11 patients (12 fingers) treated with SIS-ECM between 2022 and 2024. No surgical reconstruction or skin grafting was performed. Wound size, exposed tissue, wound conditions, healing duration, scar quality, sensory recovery, and patient satisfaction were recorded. Scar formation was assessed using the Vancouver Scar Scale, and sensory outcomes were evaluated with the Semmes-Weinstein Monofilament Test (S-W test).Results: All wounds achieved complete epithelialization, with a mean healing time of 42.8 days (range, 26-71). Small defects (≤1.5 cm2) healed in an average of 34.3 days (about five weeks), while medium-sized defects (1.6-3.0 cm2) required slightly longer (39.2 days). In contrast, large defects (>3.0 cm2) showed markedly prolonged healing (60.0 days) and more pronounced scarring. Cases with bone exposure also demonstrated delayed healing and inferior scar quality. No cases required secondary surgical intervention, and overall patient satisfaction was high.Conclusions: SIS-ECM appears to be a safe, effective, and minimally invasive alternative to skin grafting or flap procedures for fingertip injuries up to approximately 3 cm2 or without bone exposure. However, larger defects or those with bone exposure may require careful consideration due to the risk of delayed wound closure and inferior cosmetic results. The findings should be interpreted with caution given the lack of a control group.","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 5","pages":"385-391"},"PeriodicalIF":0.2,"publicationDate":"2025-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122457","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

A Simple Hump Measuring Technique in Rhinoplasty: A Prospective Study on Precision and Patient Outcomes. 鼻整形中一种简单驼峰测量技术：精度和患者预后的前瞻性研究。

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Journal of plastic and reconstructive surgery Pub Date : 2025-12-06 eCollection Date: 2026-09-27 DOI: 10.53045/jprs.2025-0065

Amr Nabil Rabie, Ahmed Yehia Hussein, Mena Maher Nassif

{"title":"A Simple Hump Measuring Technique in Rhinoplasty: A Prospective Study on Precision and Patient Outcomes.","authors":"Amr Nabil Rabie, Ahmed Yehia Hussein, Mena Maher Nassif","doi":"10.53045/jprs.2025-0065","DOIUrl":"https://doi.org/10.53045/jprs.2025-0065","url":null,"abstract":"Objectives: An aesthetically pleasing nasal side profile is a must for a successful rhinoplasty result. We offer a simple technique for accurate measurement of the desired reduction limit of the nasal hump and thus avoiding over- or under-reduction, plus obtaining a single long piece of cartilage that can be used as a graft in the operation.Methods: A prospective randomized intervention study compared 20 patients: group A (conventional hump reduction) versus group B (tool-assisted reduction). Outcomes were assessed via Likert scales (1-5) at 6 weeks, 3 months, and 6 months postoperatively.Results: Group B showed significantly higher median satisfaction scores for hump reduction (p = 0.006 at 6 weeks, p = 0.003 at 6 months) and overall rhinoplasty outcomes (p < 0.001). The tool enabled precise resection while preserving cartilage for grafts.Conclusions: This technique improves reproducibility and patient satisfaction, offering a cost-effective alternative to three-dimensional imaging/artificial intelligence planning.","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 5","pages":"376-384"},"PeriodicalIF":0.2,"publicationDate":"2025-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13635410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122551","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

Long-Term Volumetric Increase of a Free Omental Flap in Breast Reconstruction: A Case Report with a Focus on Body Weight Correlation. 游离网膜瓣在乳房重建中的长期体积增加：以体重相关性为重点的1例报告。

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Journal of plastic and reconstructive surgery Pub Date : 2025-12-06 eCollection Date: 2026-09-27 DOI: 10.53045/jprs.2025-0100

Mutsumi Isobe, Katsumi Ebisawa, Miki Kanbe, Shinichi Higuchi, Yuzuru Kamei, Kazunobu Hashikawa

引用次数: 0

Relationship between Enophthalmos and Orbital Volume Changes following Costal Cartilage Grafting for Traumatic Enophthalmos. 外伤性眼内陷肋软骨移植术后眼眶体积变化与眼内陷的关系。

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Journal of plastic and reconstructive surgery Pub Date : 2025-12-06 eCollection Date: 2026-09-27 DOI: 10.53045/jprs.2025-0073

Yohei Sugi, Mine Ozaki, Yuki Iwashina, Naoya Oshima, Keigo Narita, Akihiko Takushima

{"title":"Relationship between Enophthalmos and Orbital Volume Changes following Costal Cartilage Grafting for Traumatic Enophthalmos.","authors":"Yohei Sugi, Mine Ozaki, Yuki Iwashina, Naoya Oshima, Keigo Narita, Akihiko Takushima","doi":"10.53045/jprs.2025-0073","DOIUrl":"https://doi.org/10.53045/jprs.2025-0073","url":null,"abstract":"Objectives: Traumatic enophthalmos is a common complication of orbital wall fracture. Costal cartilage grafting is the preferred surgical approach for traumatic enophthalmos. However, widely used clinical guidelines have not been established regarding the optimal volume of costal cartilage grafts required to correct enophthalmos. This study aimed to quantitatively evaluate the changes in the orbital volume (OV) and enophthalmos before and after surgery in patients who underwent costal cartilage grafting, and to analyze the relationship between them.Methods: The medical records of 12 patients with unilateral orbital wall fractures who underwent costal cartilage grafting between June 2012 and October 2020 were retrospectively analyzed. The OV and enophthalmos were measured using pre- and postoperative computed tomography scans. The OV difference (OVD) and OV ratio (OVR) between the affected and unaffected sides were calculated to assess their correlation with enophthalmos.Results: Among the nine patients in whom the OV was accurately measured, all demonstrated postoperative reductions in OVD, OVR, and enophthalmos. A significant positive correlation was observed between the OVR and enophthalmos postoperatively: R = 0.931 (p = 0.021). The analysis suggested that a volume of the transplanted costal cartilage that achieves a postoperative OVR of approximately 88% justly corrects the enophthalmos.Conclusions: This study quantitatively confirmed that costal cartilage grafting reduces OVR and improves enophthalmos. The OVR may serve as a potential predictive metric for enophthalmos and facilitate graft volume planning for reconstructive surgery.","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 5","pages":"345-353"},"PeriodicalIF":0.2,"publicationDate":"2025-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13635413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122382","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

Foreign Body Airway Obstruction Due to Food Residues during General Anesthesia Induction for Palatoplasty in a Patient with Cleft Palate. 腭裂患者腭裂成形术全麻诱导过程中食物残留引起的异物气道阻塞。

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Journal of plastic and reconstructive surgery Pub Date : 2025-12-06 eCollection Date: 2026-09-27 DOI: 10.53045/jprs.2025-0037

Ryoko Irie, Mariko Noto, Keisuke Imai

{"title":"Foreign Body Airway Obstruction Due to Food Residues during General Anesthesia Induction for Palatoplasty in a Patient with Cleft Palate.","authors":"Ryoko Irie, Mariko Noto, Keisuke Imai","doi":"10.53045/jprs.2025-0037","DOIUrl":"https://doi.org/10.53045/jprs.2025-0037","url":null,"abstract":"General anesthesia for cleft palate surgery carries significant risks, with most complications occurring during induction. We report the case of a 17-month-old boy with complete bilateral cleft lip and palate who developed bronchial obstruction during induction of general anesthesia for cleft palate surgery due to food residues. The foreign body was promptly removed via bronchoscopy. Severe bradycardia, hypoxemia, and atelectasis in the right upper lung field were observed but subsequently resolved. Although such residues rarely pose a problem during induction of general anesthesia, they can lead to serious complications and warrant careful perioperative management. Upon reviewing this case, we identified the risks associated with the induction of general anesthesia in cleft palate surgery and emphasized the importance of perioperative management. Even with adequate preoperative management, it is crucial to check for any foreign bodies in the oral and nasal cavities during induction of general anesthesia to prevent airway obstruction.","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 5","pages":"451-454"},"PeriodicalIF":0.2,"publicationDate":"2025-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13635426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122642","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