Journal of plastic and reconstructive surgery最新文献

{"title":"Novel Umbilicoplasty Technique Using Anterior Rectus Sheath Flaps for Pediatric Umbilical Hernias.","authors":"Yuta Nakajima, Shoji Kondoh, Yoshito Mishima, Shunsuke Yuzuriha","doi":"10.53045/jprs.2025-0003","DOIUrl":"10.53045/jprs.2025-0003","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study is to present a new method for creating a deep umbilicus in pediatric umbilical hernias.</p><p><strong>Methods: </strong>A retrospective chart review of patients who underwent umbilicoplasty using anterior rectus sheath flaps from 2010 to 2021 was conducted. Surgical technique: after performing an umbilical hernia repair through a cruciate incision within the umbilical fossa, umbilicoplasty was carried out. Anterior rectus sheath flaps measuring 7 × 20 mm were created 15 mm cranially and caudally from the umbilicus. These flaps were elevated, inverted, and threaded through two slits in the opposite anterior sheath, then sutured back into their original position. This procedure allowed the approximation of the bilateral anterior rectus sheaths. Finally, the cruciate incised skin was sutured at the base of the umbilicus. Measurements of the distance between the rectus muscles and the thickness of subcutaneous fat were taken using ultrasound preoperatively and at the final follow-up.</p><p><strong>Results: </strong>The study comprised 31 patients-14 males and 17 females-with a mean age at surgery of 4 years and an average follow-up duration of 13 months. In all cases, a deep umbilicus was successfully created and maintained. Ultrasound examinations revealed a reduction in the distance between the rectus muscles at five peri-umbilical points and an increase in subcutaneous fat thickness (p < 0.05).</p><p><strong>Conclusions: </strong>The use of anterior rectus sheath flaps enabled the creation of a deep umbilicus that was sustainable over an extended period.</p>","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 4","pages":"250-256"},"PeriodicalIF":0.2,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13430246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671875","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":"Single-Stage Mastopexy with Broad-Based Inferior Dermal Pedicle in Nipple-Sparing Mastectomy with Immediate Reconstruction for Large, Ptotic Breasts.","authors":"Ng Ding Yi, Pek Chong Han, Wu Yijun, Jerry Goo Tiong Thye, Jolie Hwee","doi":"10.53045/jprs.2025-0042","DOIUrl":"https://doi.org/10.53045/jprs.2025-0042","url":null,"abstract":"<p><p>This paper introduces a novel approach to breast reconstruction in ptotic breasts undergoing nipple-sparing mastectomy (NSM). The technique integrates single-stage mastopexy with a broad-based inferior dermal pedicle and immediate reconstruction, inspired by the Boston Modified Robertson technique. It addresses the concerns of nipple viability as well as postoperative aesthetics compared with conventional mastopexy techniques. The case report describes a 41-year-old woman diagnosed with left breast carcinoma who underwent a left NSM, followed by single-stage mastopexy with a broad-based inferior dermal pedicle and immediate pedicled transverse rectus abdominis myocutaneous flap reconstruction. The approach resulted in favorable outcomes, including preserved nipple viability, high aesthetic satisfaction, and minimal complications. Advantages over traditional methods include elimination of a vertical scar component, avoidance of free nipple grafting, and precise control of the distance between the nipple-areolar complex and inframammary fold, thereby enhancing breast shape.</p>","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 5","pages":"424-430"},"PeriodicalIF":0.2,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13635429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122426","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":"Lip Replantation: Mid-term Follow-Up and Aesthetic Revision.","authors":"Junya Oshima, Kaoru Sasaki, Mitsuru Sekido","doi":"10.53045/jprs.2025-0077","DOIUrl":"https://doi.org/10.53045/jprs.2025-0077","url":null,"abstract":"<p><p>Upper lip trauma with tissue loss due to dog bites is relatively common; however, reports of replantation of amputated lip tissue remain rare. Even fewer studies have documented long-term changes in graft tissue or the implementation of revision surgery after replantation. We present a case of upper lip replantation after a dog bite, with follow-up and subsequent revision surgery conducted. Despite the absence of venous anastomosis, graft survival was achieved using medicinal leeches. Revision surgery was eventually performed after a follow-up period of 2 years and 8 months. Because replanted tissue may undergo changes over time, long-term follow-up observation with consideration for revision surgery is necessary to achieve optimal outcomes.</p>","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 5","pages":"431-436"},"PeriodicalIF":0.2,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13635422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122680","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":"Epidemiology and Treatment Outcomes of Voriconazole-Induced Invasive Cutaneous Squamous Cell Carcinoma in Japanese Patients with Pulmonary Aspergillosis.","authors":"Yoshiro Abe, Koichi Iwamoto, Kazuhide Mineda, Yutaro Yamashita, Mai Nakagawa, Makoto Mizuguchi, Kenta Ikushima, Ichiro Hashimoto","doi":"10.53045/jprs.2025-0068","DOIUrl":"10.53045/jprs.2025-0068","url":null,"abstract":"<p><strong>Objectives: </strong>Voriconazole is a broad-spectrum antifungal agent known to be associated with cutaneous squamous cell carcinoma (cSCC) in White organ transplant recipients; however, such cases are rarely reported in Asian populations. This study aimed to examine the epidemiology and treatment outcomes of Japanese patients without a history of organ transplantation who developed invasive cSCC during voriconazole therapy.</p><p><strong>Methods: </strong>This retrospective observational study analyzed data from six Japanese male patients who were treated at our hospital between the years 2013 and 2023. All patients had Fitzpatrick skin type IV and were undergoing long-term voriconazole therapy for pulmonary aspergillosis. The diagnosis of invasive cSCC was confirmed via skin biopsy. Clinical, pathological, and treatment data were collected and analyzed descriptively.</p><p><strong>Results: </strong>Fifteen facial lesions were identified (nine at initial presentation and six during follow-up). The median duration of voriconazole treatment before cSCC diagnosis was 66.5 months. Tumors had a median diameter of 17 mm, with an estimated growth rate of 6 mm per month. Most lesions demonstrated deep invasion (Clark level IV or V), and some exhibited perineural or perivascular infiltration. All lesions were surgically excised, except for one that was treated with radiotherapy. No regional recurrence or distant metastasis was observed during a median follow-up period of 9 months.</p><p><strong>Conclusions: </strong>Prolonged voriconazole therapy may increase the risk of aggressive cSCC in Japanese patients, even in the absence of prior transplantation. Early identification of phototoxic skin changes and prompt intervention are crucial to prevent deep tissue invasion and improve clinical outcomes.</p>","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 4","pages":"265-273"},"PeriodicalIF":0.2,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13430232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671747","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":"Epidemiological Study of Rescue Records in University Karate Competitions in Japan.","authors":"Ikkei Tamada, Miki Suetsugu, Takashi Nakayama, Keiichirou Suzuki, Hiroshi Suzuki","doi":"10.53045/jprs.2025-0144","DOIUrl":"https://doi.org/10.53045/jprs.2025-0144","url":null,"abstract":"<p><strong>Objectives: </strong>In Japan, <i>Karate</i> is widely practiced as a traditional martial art. In a <i>kumite</i> (contact fighting) competition, as in other martial arts, the outcome of the contest is judged by the effectiveness of punches and kicks, which naturally makes it difficult to prevent injuries. The present retrospective observational study aimed to clarify the epidemiology of injuries sustained by <i>Karate</i> athletes to improve the safety of the sport.</p><p><strong>Methods: </strong>Data on sex, university year, injury site (head and neck, face, trunk, upper limbs, lower limbs), injury type, and examination and treatment details of individuals who were injured while performing <i>Karate</i> were extracted from the rescue records of the <i>Karate</i> competitions of the Kanto University Karate Federation between 2000 and 2014.</p><p><strong>Results: </strong>Records of 67 tournaments and medical interventions for 597 male and 156 female patients were identified. The number of interventions for injuries to the head and neck, face, trunk, upper limbs, and lower limbs was 85, 337, 22, 105, and 164, respectively. Sixty-two patients, with 23 and 25 injuries in total to the head and neck area and the face, respectively, required transport by ambulance.</p><p><strong>Conclusions: </strong>The present study revealed that male competitors suffered more injuries, that the most common site of injury was the face, and that injuries to the head and neck area and the face were most likely to be severe. The high frequency of facial injuries in combat sports warrants greater involvement of plastic surgeons in their treatment and prevention.</p>","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 5","pages":"407-411"},"PeriodicalIF":0.2,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13635416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122656","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":"Effective Treatment Approaches for Breast Cancer-Related Lymphedema.","authors":"Omar Ahmed Sharkaway, Ashraf Abolfotooh, Amr Ahmed Zaki, Abdulrahman Alnakeeb, Heba Aladaway, Shaimaa Mostafa Gad","doi":"10.53045/jprs.2025-0028","DOIUrl":"10.53045/jprs.2025-0028","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer related lymphedema (BCRL) is a distressing problem in breast cancer survivors. Chang and colleagues attempted to develop evidence based statements and recommendations for physiological technique is superior to another in lymphedema treatment and no procedure is more effective than others.</p><p><strong>Objectives: </strong>This study aimed to evaluate the results of the physiologic techniques to develop an algorithm for use in the management of breast cancer-related lymphedema.</p><p><strong>Methodology: </strong>This was a prospective case series study conducted on 23 patients. First, all patients underwent duplex ultrasonography (US) to detect the main component of the edema. If fluid was predominant, Indocyanine Green (ICG) lymphography was performed to choose which technique would be used after proper compression decongestive therapy.</p><p><strong>Results: </strong>In this study all cases showed postoperative significant improvement in International Society of Lymphology (ISL) staging, cellulitis attacks, and quality of life, as well as improvement in circumference measurements. This study showed that cases with dermal backflow better to be managed with Vascularized Lymph Node Transfer (VLNT), while those showing a linear pattern by ICG better managed by Lymphaticovenular Anastomosis (LVA).</p><p><strong>Conclusion: </strong>Physiologic operations are effective in downstaging lymphedema, improving social quality of life, and decreasing or preventing cellulitis attacks. Our algorithm integrates clinical assessment and staging, ICG staging, and ultrasound findings, which allows a tailored management plan for each patient, achieving the greatest gains in functional outcome and cosmesis.</p>","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 4","pages":"241-249"},"PeriodicalIF":0.2,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13430233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671814","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":"Major Upper Limb Replantation and Nerve Repair under Intraoperative Neurophysiologic Monitoring in a One-Year-Old Infant.","authors":"Damián Palafox, Alexander Cárdenas-Mejía","doi":"10.53045/jprs.2025-0041","DOIUrl":"https://doi.org/10.53045/jprs.2025-0041","url":null,"abstract":"<p><p>Major upper extremity replantation in pediatric patients remains a challenge despite advances in techniques and surgical devices. We present the case of a one-year-old child from an underserved rural area who sustained a traumatic transhumeral amputation caused by a farming machine. Replantation was performed within four hours of the injury, followed by staged reconstructive microsurgery. The initial surgery focused on vascular, musculoskeletal, and soft tissue repair, with delayed nerve reconstruction performed under intraoperative neurophysiologic monitoring (IONM). Sural nerve grafts were used for neurorrhaphy of the median, ulnar, and musculocutaneous nerves. At the three-year follow-up, the patient achieved a Chen Grade three functional outcome. This case highlights the value of IONM as an innovative tool in pediatric nerve reconstructive microsurgery, offering a potential novel dimension of intraoperative precision that may enhance surgical decision-making and improve functional outcomes in replantation.</p>","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 5","pages":"418-423"},"PeriodicalIF":0.2,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13635409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122380","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":"Long-term Evaluation of Mandibular Reconstruction with Fibular Flap in SAPHO Syndrome: 18 Years Post-onset.","authors":"Itaru Tsuge, Takuma Watanabe, Hiroki Yamanaka, Motoki Katsube, Naoki Morimoto","doi":"10.53045/jprs.2025-0070","DOIUrl":"https://doi.org/10.53045/jprs.2025-0070","url":null,"abstract":"<p><p>Synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome is a systemic inflammatory disease that involves mandibular osteomyelitis with diffuse sclerosis in 10% of cases. Drug therapy is the primary treatment choice; however, severe deformity resulting in restricted mouth opening requires mandibular reconstruction. We report a rare case of mandible reconstruction in a patient with SAPHO syndrome, using a vascularized fibular flap with long-term follow-up. One year after surgery, a fistula developed in the chin region following a rash on both lower extremities as a skin manifestation of SAPHO syndrome. Bone scintigraphy showed uptake in the remaining right mandible, although there was no uptake in the transplanted fibula bone. Five years after the surgery, the mandibular fistula was closed by removing the titanium plate. The transplanted vascularized fibula achieved osteosynthesis; however, further follow-up is required to identify early symptoms of relapse and determine the need for additional medications.</p>","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 5","pages":"437-444"},"PeriodicalIF":0.2,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13635430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122696","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":"Surendrakumar and Sukhen Nasal After Rhinoplasty Evaluation Score (SSNARES): An Innovative Leap in Rhinoplasty Outcome Analysis.","authors":"Surendrakumar Patil, Sukhen Doshi, Sonali Ingole","doi":"10.53045/jprs.2025-0054","DOIUrl":"10.53045/jprs.2025-0054","url":null,"abstract":"<p><strong>Objectives: </strong>The nose is the most prominent part of the face. The postoperative evaluation of the nose is vital to check if the desired surgical result was achieved. The scarcity of standardized scales/scores for nasal assessment inspired us to develop an entirely new scoring system (Surendrakumar and Sukhen Nasal After Rhinoplasty Evaluation Score [SSNARES]), which is universally applicable to people of all ethnic groups, ages, and genders, and yields a valid, reliable result.</p><p><strong>Methods: </strong>SSNARES consists of a questionnaire of 10 parameters that assesses the nose aesthetically, functionally, and psychologically. Patient's responses are graded between 0-4 scores per parameter. The addition of all scores yields the final score, which is correlated with a satisfaction grade (a quantitative measure of patient satisfaction after surgery). SSNARES was thoroughly analyzed by an interdisciplinary panel of experts and underwent stringent statistical analysis to prove its validity and reliability upon pilot testing on 20 patients.</p><p><strong>Results: </strong>The item content validity index and score content validity index of SSNARES were both 1 (excellent). Bartlett's Test of Sphericity showed a p-value of <0.001, indicating a highly significant test. The Kaiser-Meyer-Olkin test value for the overall score is >0.9 (marvelous category). The construct validity of SSNARES was tested by exploratory factor analysis, and questions with loadings >0.4 were considered significant to represent a specific factor. The confirmatory factor analysis of SSNARES showed a p-value of <0.001, indicating a high significance level and strong correlation. The Cronbach's α coefficient of SSNARES is 0.9646, which highlights excellent reliability.</p><p><strong>Conclusions: </strong>This cost-effective, efficient, easy-to-use, patient-oriented new score will be of prime significance for patients, clinicians, and researchers for score computation, decision-making for reintervention, and research purposes.</p>","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 4","pages":"257-264"},"PeriodicalIF":0.2,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13430236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671869","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":"Trends and Issues of Foreign Patients Undergoing Plastic Surgery Over the Past 15 Years.","authors":"Masaki Fujioka, Kohei Fujiwara, Kentaro Yoshino, Daisaku Yoshida","doi":"10.53045/jprs.2025-0088","DOIUrl":"https://doi.org/10.53045/jprs.2025-0088","url":null,"abstract":"<p><strong>Objectives: </strong>The Foreign Technical Intern Training Program, established in 1993, has undergone three revisions, and the number of foreign workers in Japan (as of October 2024) is expected to reach a record high of 2.3 million and continue to grow. In Nagasaki Prefecture, foreign residents account for more than 1% of the prefecture's population, and the number of foreign patients visiting plastic surgery departments is also increasing. We investigated the trends of foreign patients who underwent surgery at our hospital's plastic surgery department over the past 15 years and analyzed the results.</p><p><strong>Method: </strong>Foreign patients who underwent surgery at our hospital's plastic surgery department between April 1, 2010, and March 31, 2024, were retrospectively identified from medical records. The following factors were examined: 1) Patient background (nationality, employment type), 2) Clinical findings at the first consultation (mechanism of injury, disease name).</p><p><strong>Results: </strong>A total of 31 foreign patients underwent surgery. The number of patients increased sharply after 2017, when the Foreign Technical Intern Training Act came into effect, with Vietnamese patients accounting for the majority (55%). Seventy-one percent of surgical patients were foreign technical intern trainees, and most cases (61%) were work-related accidents.</p><p><strong>Discussion and conclusion: </strong>With the increase in foreign residents, especially technical intern trainees, the number of foreigners undergoing plastic surgery has also risen. Many cases involved work-related accidents among foreign technical intern trainees, more than 80% of whom were from Southeast Asia. As the number of foreign residents increases, the number of foreign surgical patients is also expected to rise. However, work-related accidents are likely to decrease as the working environment improves.</p>","PeriodicalId":520467,"journal":{"name":"Journal of plastic and reconstructive surgery","volume":"5 5","pages":"476-480"},"PeriodicalIF":0.2,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13635423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122418","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}