Annales De Chirurgie Plastique Esthetique最新文献

[Rethinking scientific integrity in plastic surgery: Reflections on editorial and institutional responsibilities]. [重新思考整形外科的科学诚信：对编辑和机构责任的反思]。

IF 0.4 4区医学

Annales De Chirurgie Plastique Esthetique Pub Date : 2025-05-14 DOI: 10.1016/j.anplas.2025.04.001

L Lantieri

{"title":"[Rethinking scientific integrity in plastic surgery: Reflections on editorial and institutional responsibilities].","authors":"L Lantieri","doi":"10.1016/j.anplas.2025.04.001","DOIUrl":"https://doi.org/10.1016/j.anplas.2025.04.001","url":null,"abstract":"Plastic surgery, by nature an innovative discipline, has historically relied on clinical case reports to advance its techniques. Often unique, these cases are a valuable vehicle for disseminating breakthroughs - especially in a field marked by highly individualized practices and artisanal surgical approaches, where randomized trials are often impractical. However, this reliance on case reports raises significant ethical concerns. In multidisciplinary settings, attribution of contributions often remains ambiguous. Misconduct, such as unauthorized publications or omission of institutional recognition, threatens the integrity of scientific output. As artificial intelligence reshapes biomedical research - automating literature reviews and meta-analyses - original case reports, by their singularity, escape these predictive models. Their heuristic value fully justifies their inclusion within the spectrum of scientific evidence. For this reason, their publication must be tightly regulated. Redefining publication standards in our field is essential. This includes the systematic application of international guidelines (CARE, SCARE, STROBE, GRIPP2), mandatory institutional approval before submission, formal training in research ethics for junior staff, and full transparency regarding patient consent and authorship attribution. When rigorous, novel, and well-contextualized, the clinical case remains a cornerstone of surgical progress. By safeguarding it from opportunistic misuse, we preserve its scientific and educational value.","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epidemiology and management of dog bite injuries to the hand and upper limb. 手部及上肢犬咬伤的流行病学及处理。

IF 0.4 4区医学

Annales De Chirurgie Plastique Esthetique Pub Date : 2025-05-14 DOI: 10.1016/j.anplas.2025.04.003

T Stoclet, A Laudat, F Monti, F Luc, I Auquit-Auckbur, M Payen

{"title":"Epidemiology and management of dog bite injuries to the hand and upper limb.","authors":"T Stoclet, A Laudat, F Monti, F Luc, I Auquit-Auckbur, M Payen","doi":"10.1016/j.anplas.2025.04.003","DOIUrl":"https://doi.org/10.1016/j.anplas.2025.04.003","url":null,"abstract":"Background: Dog bites to the hand and upper limb are common and carry a high-risk of severe injury and infection. However, epidemiological data, particularly comparing adult and pediatric populations, is limited. The study aims to describe patient demographics, injury severity, and the medical or surgical treatment provided. While comparing these results between adult and pediatric populations.Methods: This retrospective study recorded all the dog bites affecting the hand and upper limb over a 11-year period (2013-2023) in a single hospital using a Health Data Warehouse called 'Entrepôt de Données de Santé Normand' (EDSaN). Cases were identified using ICD-W54.0XXA codes, and cross-referenced with unstructured data via keyword-based queries. Patients were categorized as pediatric (<18years) or adult (≥18years) subgroups. Bite severity (fracture, tendon injury, nerve injury and infection), antibiotic prescriptions, and care pathway were assessed. Statistical analysis included Chi2 and Student's t-tests with an alpha risk of 0.05.Results: Among 5081 bites, 1444 (28.4%), involved pediatric patients and 3637 (71.6%) involved adults. Adults had significantly higher rates of severe injuries, including fractures (15.9% vs. 8.8%, P<0.01), nerve injuries (8.9% vs. 3.0%, P<0.01), tendon injuries (2.6% vs. 0.6%, P<0.01), and infections (16.2% vs. 12.8%, P<0.01). Adults had lower rates of antibiotics prescriptions (62.6% vs. 66.3% P<0.05). Surgical procedures were performed in 9.4% of cases with no statistical difference between groups.Conclusion: Dog bites are a common reason for emergency department visits. This large-scale epidemiological study highlights a low rate of surgical procedures, insufficient antibiotics prescription, and statistical differences in bites severity between adults and children. The low rate of surgical interventions may indicate barriers to operating room access.","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[What do our patients want? Patients' expectations and requests during an initial plastic surgery consultation]. 我们的病人想要什么？患者在初次整形手术咨询期间的期望和要求]。

IF 0.4 4区医学

Annales De Chirurgie Plastique Esthetique Pub Date : 2025-05-14 DOI: 10.1016/j.anplas.2025.03.009

N Dirhoussi, D Poisbleau, B Hersant, J-P Meningaud

{"title":"[What do our patients want? Patients' expectations and requests during an initial plastic surgery consultation].","authors":"N Dirhoussi, D Poisbleau, B Hersant, J-P Meningaud","doi":"10.1016/j.anplas.2025.03.009","DOIUrl":"https://doi.org/10.1016/j.anplas.2025.03.009","url":null,"abstract":"Background: The growing media exposure of plastic, aesthetic, and reconstructive surgery, particularly through social networks, significantly influences patient expectations. Understanding these expectations during initial consultations is essential to improving patient care and satisfaction.Objective: To identify the primary expectations of patients during a first consultation and analyze variations according to demographic groups and reasons for consultation.Methods: A survey was conducted among 104 patients attending their first consultation at the plastic surgery department of a university hospital in Paris. A structured questionnaire was used to gather data on key criteria for patients, including the practitioner's attitude, consultation duration, and the influence of social networks and scientific publications.Results: The most valued criteria were the surgeon's empathetic attitude (median: 10/10) and precise explanations (median: 10/10). Teleconsultation was poorly accepted by 77.9% of respondents. The ideal duration of a first consultation was 15 to 30min for 62.5% of patients. Social networks were considered important by 43% of patients, mainly for before/after photos. Scientific publications were valued by 55% of participants. Patients consulting for aesthetic reasons were more likely to consider social networking publications important (52%) than those with non-aesthetic reasons (34%). Among patients, 40% were referred by a doctor, while 21% discovered the surgeon via social networks. Finally, clear differences were observed between younger and older patients, notably concerning their tolerance of teleconsultation and their mode of discovery of the practitioner.Conclusion: Patients emphasize the need for empathetic and detailed communication. Plastic surgeons can leverage these findings to adapt their practice and enhance the consultation experience.","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Protective suture technique in chronic tendinous mallet finger deformities. 慢性腱状锤状指畸形的保护性缝合技术。

IF 0.4 4区医学

Annales De Chirurgie Plastique Esthetique Pub Date : 2025-05-14 DOI: 10.1016/j.anplas.2025.04.002

I F Adıgüzel, H Ertem

引用次数: 0

Comparison of classic vs double concentrated dose botulinum toxin injections in the treatment of crow's feet. 经典与双浓剂量肉毒毒素注射治疗鱼尾纹的比较。

IF 0.4 4区医学

Annales De Chirurgie Plastique Esthetique Pub Date : 2025-05-07 DOI: 10.1016/j.anplas.2025.03.005

D Labbe, H Alsajjan, A Abdulshakoor

{"title":"Comparison of classic vs double concentrated dose botulinum toxin injections in the treatment of crow's feet.","authors":"D Labbe, H Alsajjan, A Abdulshakoor","doi":"10.1016/j.anplas.2025.03.005","DOIUrl":"https://doi.org/10.1016/j.anplas.2025.03.005","url":null,"abstract":"Background: When it comes to administering botulinum toxin for treating rhytids, a standard approach is usually used by most providers in terms of dose concentration. The aim of this study is to compare the outcomes of a classic, none double concentrated dose vs. a double concentrated dose for treating crow's feet.Method: We have injected the orbicularis oculi in a series of 10 patients with the left side as a control side using the classically concentrated dose (2 units per 0.5cm3) compared to the double concentrated dose on the right (2 units per 0.25cm3). The injections were administered using an auto-injecting syringe.Results: On control day 14, we noticed that the majority of patients had a more apparent reduction in wrinkles on the left-classically concentrated-side (wrinkling appeared to be more prominent on the double concentration right side). A benefit noticed in some patients was a more symmetrical appearance of periorbital rhytids and sometimes the eyebrows with the uneven doses.Conclusion: We found that injecting a double concentrated dose of botulinum toxin does not necessarily mean better reduction in the appearance of wrinkles even with the retrograde injection technique. However, certain implications may be found in tailoring the dosing of botulinum toxin depending on the needs of the patient on opposite sides of the face as opposed to unifying the dose for both sides.","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trans-flap nasal airway preservation in-house device. 经瓣鼻气道内部保存装置。

IF 0.4 4区医学

Annales De Chirurgie Plastique Esthetique Pub Date : 2025-05-07 DOI: 10.1016/j.anplas.2025.03.001

Í Aragón-Niño, H Ma, Z Liu, S Zhang, Y He

{"title":"Trans-flap nasal airway preservation in-house device.","authors":"Í Aragón-Niño, H Ma, Z Liu, S Zhang, Y He","doi":"10.1016/j.anplas.2025.03.001","DOIUrl":"https://doi.org/10.1016/j.anplas.2025.03.001","url":null,"abstract":"Reconstruction of the nasal pyramid following oncologic ablative surgery presents a unique set of challenges due to the region's intricate anatomy and dual functional and aesthetic significance. In cases where immediate nasal reconstruction is not feasible, maintaining nasal airway patency becomes critical for patient safety and postoperative outcomes. This technical note introduces a practical method for modifying and utilizing Naso-Flo® nasal intubation tubes as a nasal airway preservation device in reconstructive surgeries involving microvascular flaps. The technique ensures the preservation of nasal airflow through both nasal cavities by channeling two nasal tubes through the flap during reconstruction. The procedure begins with preoperative planning to measure the nasal cavities and design the flap while identifying safe zones for tube placement, avoiding vascular perforators. During flap inset, pathways are created through the flap's thickness to accommodate the nasal tubes, which are securely positioned and sutured externally. This device provides an alternative airway until secondary reconstructive surgeries are performed, with adjustable trimming during follow-up. This in-house modification demonstrates an efficient, cost-effective solution to preserve nasal airway patency, offering functional and safety benefits in complex nasal reconstructions where staged procedures are required.","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Corrigendum to "Carcinologic surgery of the forehead" [Ann. Chir. Plast. Esth. 69(6) (2024), 580-602]]. “前额癌手术”的勘误表。Chir。体。生物学报，69(6)(2024),580-602 [j]。

IF 0.4 4区医学

Annales De Chirurgie Plastique Esthetique Pub Date : 2025-05-07 DOI: 10.1016/j.anplas.2025.01.006

K Bustamante, E Sorrel Dejerine

引用次数: 0

Percutaneous approach for inframammary fold creation combined with exclusive adipose tissue transfer in post-mastectomy breast reconstruction. 经皮入路在乳房切除术后乳房重建中的乳下褶皱形成联合脂肪组织转移。

IF 0.4 4区医学

Annales De Chirurgie Plastique Esthetique Pub Date : 2025-05-07 DOI: 10.1016/j.anplas.2025.03.004

J Urbain, C Brenac, M Lherm, F Boucher, A Mojallal

{"title":"Percutaneous approach for inframammary fold creation combined with exclusive adipose tissue transfer in post-mastectomy breast reconstruction.","authors":"J Urbain, C Brenac, M Lherm, F Boucher, A Mojallal","doi":"10.1016/j.anplas.2025.03.004","DOIUrl":"https://doi.org/10.1016/j.anplas.2025.03.004","url":null,"abstract":"Introduction: The inframammary fold has an important role in breast's aesthetic and maintain and should be restored during breast reconstruction after mastectomy. Several techniques have been described, mainly based on an open approach, not adapted in case of complete reconstruction by fat grafting. To address these concerns, the authors propose a percutaneous approach for inframammary fold reconstruction.Methods: This single-center, retrospective cohort study included female patients≥18 years old with a history of unilateral or bilateral mastectomy and deferred breast reconstruction using fat grafting with percutaneous inframammary fold creation. Patient data (age, BMI, prior radiotherapy, procedure details, complications) were collected. The percutaneous inframammary fold fixation combines a superficial liposuction of the lower thoracoabdominal area with a percutaneous overlock suture anchoring the dermis to the deep thoracic fascia, and a net suture in segment 4. This technique allows for moderate skin recruitment, simultaneous fat transfers in the same operation, and increase inframammary fold definition and breast ptosis.Results: A total of 26 patients (29 breast reconstructions) were included. The median age was 59 years, and patients underwent a median of 4 interventions with a total fat transfer volume of 1190mL. Six patients required IMF revisions, with no major complications observed. The technique showed favorable outcomes with stable IMF definition over time.Conclusion: This percutaneous inframammary fold creation technique, combined with fat grafting, broadens reconstructive options for mastectomy patients. It is safe, reproducible, and enhances breast aesthetics with minimal morbidity.","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Thrombotic thrombocytopenic purpura following plastic surgery: A case report. 整形手术后血栓性血小板减少性紫癜1例报告。

IF 0.4 4区医学

Annales De Chirurgie Plastique Esthetique Pub Date : 2025-05-07 DOI: 10.1016/j.anplas.2025.03.003

O Mathieu, K Serror, B Tobalem, J Kaplan, M Chaouat, D Boccara

{"title":"Thrombotic thrombocytopenic purpura following plastic surgery: A case report.","authors":"O Mathieu, K Serror, B Tobalem, J Kaplan, M Chaouat, D Boccara","doi":"10.1016/j.anplas.2025.03.003","DOIUrl":"https://doi.org/10.1016/j.anplas.2025.03.003","url":null,"abstract":"Thrombotic thrombocytopenic purpura (TTP) is a rare and life-threatening condition characterized by thrombocytopenia, microangiopathic hemolytic anemia, and potential multi-organ involvement. Typically, TTP is associated with underlying conditions such as autoimmune diseases, infections, cancer, or hereditary factors. To date, very few cases of post-operative TTP have been reported. We report the first known case of TTP following plastic surgery. A 19-year-old female initially recovered uneventfully after breast reduction surgery but presented on postoperative day 7 with a persistent hematoma, worsening anemia, and thrombocytopenia. The diagnosis of TTP was confirmed following hematoma evacuation, with laboratory results showing severe hemolysis and a marked reduction in ADAMTS13 activity. The patient was promptly treated with plasma exchange, corticosteroids, and rituximab, which led to significant clinical improvement and resolution of hematological abnormalities. This case underscores the rarity of TTP following plastic surgery, where it is more often linked to other medical conditions. Early recognition and management of TTP, particularly with plasma exchange, are crucial to preventing complications and improving patient outcomes. Although endothelial damage during surgery may contribute to the onset of TTP, the causal link in this case remains uncertain. Awareness of TTP as a potential postoperative complication is essential, especially when dealing with persistent anemia, bleeding, or thrombocytopenia.","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of autologous vascularized joint flap for the thumb MCP joint arthroplasty. 自体带血管关节瓣在拇指MCP关节置换术中的应用。

IF 0.4 4区医学

Annales De Chirurgie Plastique Esthetique Pub Date : 2025-05-07 DOI: 10.1016/j.anplas.2025.03.002

V H Trung, T A Dung, N Van Cuong

引用次数: 0