Annales De Chirurgie Plastique Esthetique最新文献

{"title":"[What's new in oncologic plastic surgery in 2025?]","authors":"L Chouquet, G Poissonnet, A Picard, O Camuzard, D Gangloff, E Lupon","doi":"10.1016/j.anplas.2025.06.016","DOIUrl":"https://doi.org/10.1016/j.anplas.2025.06.016","url":null,"abstract":"<p><strong>Introduction: </strong>Oncological plastic surgery plays a central role in the management of cancers requiring complex reconstruction. Recent years have seen significant advances in oncology, both therapeutic and technological. The aim of this article is to provide an overview of major recent developments in oncological plastic surgery, through a selection of impactful recent studies chosen by national experts in three of the main fields of this specialty.</p><p><strong>Methods: </strong>Between October and November 2024, national experts and/or representatives of French scientific societies were invited to participate in this analysis. The covered domains included senology, soft tissue sarcoma surgery, and oncological dermatologic surgery. Each expert selected two recent articles (≤5years) deemed relevant within their field of expertise. Selected studies had to have a direct impact on clinical practice in oncological plastic surgery. Each article was validated, analyzed, and synthesized with a focus on its practical implications for reconstructive plastic surgery.</p><p><strong>Results: </strong>Recent developments in oncological plastic surgery show profound changes in treatment strategies, largely influenced by the emergence of neoadjuvant immunotherapy and an increasingly personalized approach to reconstruction. In senology, there is a reduction in surgical indications, particularly with the decreasing use of sentinel lymph node biopsy in early breast cancer and reconsideration of axillary dissection in the presence of positive sentinel nodes (but normal axillary ultrasound). In soft tissue sarcomas, the role of the plastic surgeon is reinforced to ensure clear resection margins, and a risk-based reconstruction algorithm now guides the use of flaps in high-risk patients. In oncological dermatology, neoadjuvant immunotherapy is gaining a growing role in the treatment of advanced stages of melanoma and squamous cell carcinoma, reshaping the timing and indications for surgical intervention.</p><p><strong>Conclusion: </strong>Oncological plastic surgery is moving towards more targeted, less invasive approaches, integrated within multidisciplinary therapeutic strategies. In this context, understanding recent oncological advances - particularly in immunotherapy, neoadjuvant protocols, and patient selection criteria - is essential for plastic surgeons to ensure optimal and up-to-date patient care.</p>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576998","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}

{"title":"Scientific productivity in the field of rhinoplasty: A bibliometric analysis on global trends and regional contributions.","authors":"A U Kilictas","doi":"10.1016/j.anplas.2025.05.016","DOIUrl":"https://doi.org/10.1016/j.anplas.2025.05.016","url":null,"abstract":"<p><strong>Introduction: </strong>Rhinoplasty is a commonly performed surgical procedure for both aesthetic and functional purposes. In recent years, advancements in surgical techniques, the widespread adoption of minimally invasive methods, and an increasing emphasis on patient satisfaction have significantly contributed to the rapid growth of scientific productivity in this field. This study aims to evaluate scientific productivity in the field of rhinoplasty and identify global trends through a bibliometric analysis.</p><p><strong>Materials and methods: </strong>This study is based on bibliometric analyses conducted using the Web of Science (WoS) Core Collection database with the keyword \"rhinoplasty.\" The number of publications by country, citation distribution, and annual trends were evaluated. The position of a specific country in the global literature was examined and compared with leading nations. The most cited studies were analyzed to identify prominent research topics in the literature. Furthermore, VOSviewer software was used to visualize author collaborations, citation relationships, and keyword trends.</p><p><strong>Discussion: </strong>Between 1975 and 2024, a total of 2735 articles on rhinoplasty have been published, accumulating 91,714 citations. The United States ranks as the leading country in terms of the number of publications, while Turkey follows with 822 publications, representing 10.4% of the global literature. This country has received 8063 citations in total, with an average of 9.81 citations per publication. Global trends indicate a significant academic increase in rhinoplasty research since the 2000s. The rise in publication numbers has gained notable momentum, particularly after 2010. However, to sustain scientific impact, enhancing international collaborations and increasing publications in high-impact journals is essential. Additionally, the analysis revealed a statistically significant correlation between JIF (5years) and the number of citations (r=0.251, P=0.018). This finding suggests that articles published in high-impact journals receive more citations.</p><p><strong>Conclusion: </strong>Bibliometric analyses demonstrate that scientific productivity in rhinoplasty has increased on a global scale, with certain countries making notable contributions to the field. However, to ensure sustained scientific impact, greater emphasis should be placed on fostering international collaborations, encouraging multidisciplinary research, and prioritizing publications in high-impact journals.</p><p><strong>Level of evidence: </strong>Level V.</p>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562083","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}

{"title":"[Telemonitoring of digital flaps using the Pixacare tool: A prospective implementation study].","authors":"T Chevalier, C Berry, L Khaddaj, P Guerreschi","doi":"10.1016/j.anplas.2025.05.015","DOIUrl":"https://doi.org/10.1016/j.anplas.2025.05.015","url":null,"abstract":"<p><strong>Objective: </strong>The primary objective of this study is to assess the inter-observer agreement in the analysis of digital flap photos using the Pixacare application. The secondary objective is to evaluate the implementation of outpatient telemonitoring for these flaps via the Pixacare application.</p><p><strong>Methodology: </strong>This is a prospective monocentric study conducted at SOS Main Lesquin from January 1st to July 1st, 2023. Patients who underwent a digital flap procedure were included in the study. Home care nurses were asked to send a weekly photo of the flap via the Pixacare application. The collected photo sequences were then analyzed by three observers and classified into two categories (normal healing/complication). Patient satisfaction with the follow-up was rated on a scale of 5.</p><p><strong>Results: </strong>A total of 27 patients were included, with 76 photographic sequences collected via the application. Fleiss' Kappa coefficient, evaluating inter-observer agreement, was calculated at K=0.64, 95% CI [0.51; 0.77], with P<0.001, indicating strong agreement. The average patient satisfaction score was 4.63/5.</p><p><strong>Conclusion: </strong>The follow-up of digital flaps using the Pixacare application appears promising in reducing the frequency of consultations, given the strong inter-observer agreement. While patient satisfaction is very high, the implementation of this telemonitoring system will require some adjustments to ensure strong adherence from paramedical staff to photographic follow-up.</p>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546269","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}

{"title":"[Advanced facial tumors: Surgery as the first-line therapeutic option, even at the cost of disfigurement].","authors":"D Ar-Reyouchi, O Mansouri, G Charkaoui Belmaati, A A Oufkir","doi":"10.1016/j.anplas.2025.06.012","DOIUrl":"https://doi.org/10.1016/j.anplas.2025.06.012","url":null,"abstract":"<p><p>Advanced cutaneous tumors of the face represent a significant challenge in oncologic and reconstructive surgery due to their involvement of multiple aesthetic units. In our retrospective study of 16 patients treated over a five-year period, the primary objective was to achieve complete resection with clear margins (attained in 94% of cases) without emphasizing the reconstructive challenges, which may lead to suboptimal aesthetic outcomes. This finding underscores the necessity of opting for early resection to optimize tumor control and, consequently, enhance patient prognosis and quality of life, despite the inherent difficulties in reconstructing extensive facial tissue defects. A multidisciplinary approach remains essential to tailor treatment to the specific requirements of each case.</p>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499472","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}

{"title":"Revue de presse","authors":"","doi":"10.1016/j.anplas.2025.04.005","DOIUrl":"10.1016/j.anplas.2025.04.005","url":null,"abstract":"","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 4","pages":"Pages 357-358"},"PeriodicalIF":0.4,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288769","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}

{"title":"DIEP breast reconstruction in a patient with an unknown Raynaud's phenomenon: A reflection on microvascular disorders and free flaps","authors":"B. Gherle ,&nbsp;S. Gandolfi ,&nbsp;V. Commenge ,&nbsp;A.G. Mohan ,&nbsp;B. Chaput ,&nbsp;T. Meresse","doi":"10.1016/j.anplas.2025.03.008","DOIUrl":"10.1016/j.anplas.2025.03.008","url":null,"abstract":"<div><div>Free flap reconstructions are the gold standard in autologous breast reconstruction. Although free flap reconstruction in a patient with Raynaud's phenomenon is not a contraindication, this phenomenon must be recognized by the surgeon and all the necessary measures taken. If the surgeon is aware of this particularity, he will be prepared to take the necessary measures in the immediate postoperative period. The presence of Raynaud's phenomenon can influence the immediate postoperative evolution of a free flap by making it difficult to monitor. We present a case of a 50-year-old woman with an unknown Raynaud's phenomenon who underwent breast reconstruction using a free DIEP flap. She was referred to our department where a one-stage reconstruction was performed using a free deep inferior epigastric artery perforator (DIEP) flap. The postoperative course of the flap progressed from pale to cyanotic to mottled, an evocative appearance for Raynaud's phenomenon. At the three-month follow-up evaluation, the aesthetic result was satisfactory, despite a worrying postoperative appearance. Good outcomes are possible by using appropriate methods in the postoperative period, even if the clinical evolution of the flap is atypical. By taking into account and specifically treating Raynaud's phenomenon, the flap was preserved with an usual result.</div></div><div><div>Les reconstructions par lambeaux libres sont le <em>gold standard</em> de la reconstruction mammaire autologue. Même si la réalisation d’une reconstruction par lambeau libre chez une patiente qui a un phénomène de Raynaud n’est pas une contre-indication, ce phénomène doit être reconnu par le chirurgien et toutes les mesures nécessaires doivent être prises. Si le chirurgien est au courant de cette particularité, il sera prêt à prendre les mesures nécessaires dans la période postopératoire immédiate. La présence du phénomène de Raynaud peut influencer l’évolution postopératoire immédiate d’un lambeau libre en rendant sa surveillance difficile. Nous présentons un cas d’une femme de 50 ans, qui avait un phénomène de Raynaud inconnu, qui a bénéficié une reconstruction mammaire par lambeau DIEP libre. Elle a été adressée dans notre service où une reconstruction en un temps a été réalisée avec un lambeau libre de l’artère perforante épigastrique inférieure profonde (DIEP). L’évolution postopératoire du lambeau est passée d’une pâleur à une cyanose puis à une marbrure, un aspect évoquant le phénomène de Raynaud. Lors du rendez-vous postopératoire à trois mois, le résultat esthétique était satisfaisant, malgré un aspect postopératoire inquiétant. De bons résultats sont possibles en utilisant les méthodes appropriées dans la période postopératoire, même si l’évolution clinique du lambeau est atypique. La prise en compte et le traitement spécifique du phénomène de Raynaud a permis de conserver le lambeau avec un résultat habituel.</div></div>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 5","pages":"Pages 361-365"},"PeriodicalIF":0.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175603","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}

{"title":"Repenser l’intégrité scientifique en chirurgie plastique : réflexions sur les responsabilités éditoriales et institutionnelles","authors":"L. Lantieri","doi":"10.1016/j.anplas.2025.04.001","DOIUrl":"10.1016/j.anplas.2025.04.001","url":null,"abstract":"&lt;div&gt;&lt;div&gt;La chirurgie plastique, discipline de l’innovation, s’est historiquement appuyée sur les cas cliniques pour faire progresser ses techniques. Ces cas, souvent uniques, constituent un levier précieux de diffusion des avancées, notamment face aux limites méthodologiques des essais randomisés dans ce champ aux pratiques individualisées et techniques artisanales. Cependant, cette dépendance aux cas cliniques soulève des enjeux éthiques majeurs. L’attribution des contributions dans des contextes multidisciplinaires reste floue, et certains abus – comme la publication non autorisée ou sans reconnaissance de l’environnement institutionnel – remettent en cause l’intégrité scientifique. Face à l’émergence de l’intelligence artificielle qui transforme la recherche biomédicale en automatisant les revues de littérature et les méta-analyses, les cas cliniques originaux, par leur unicité, échappent à ces modèles prédictifs. Leur valeur heuristique, justifie leur pleine reconnaissance dans l’éventail des preuves scientifiques. Ils doivent ainsi rester des objets de publication soigneusement encadrés. Il est donc important de redéfinir les normes de publication dans notre spécialité ce qui implique : l’application systématique de lignes directrices (CARE, SCARE, STROBE, GRIPP2), l’exigence d’un aval hiérarchique avant toute soumission, une formation à l’éthique de la publication pour les plus jeunes, et une transparence absolue sur les consentements patients et l’attribution des auteurs. Le cas clinique, s’il est rigoureux, novateur et bien contextualisé, reste un pilier incontournable du progrès chirurgical. En le protégeant des dérives opportunistes il conserve toute sa valeur scientifique et pédagogique.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;div&gt;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 ","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 4","pages":"Pages 253-257"},"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}

{"title":"Epidemiology and management of dog bite injuries to the hand and upper limb","authors":"T. Stoclet ,&nbsp;A. Laudat ,&nbsp;F. Monti ,&nbsp;F. Luc ,&nbsp;I. Auquit-Auckbur ,&nbsp;M. Payen","doi":"10.1016/j.anplas.2025.04.003","DOIUrl":"10.1016/j.anplas.2025.04.003","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;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 (&lt;&lt;!--&gt; &lt;!--&gt;18&lt;!--&gt; &lt;!--&gt;years) or adult (≥&lt;!--&gt; &lt;!--&gt;18&lt;!--&gt; &lt;!--&gt;years) subgroups. Bite severity (fracture, tendon injury, nerve injury and infection), antibiotic prescriptions, and care pathway were assessed. Statistical analysis included Chi&lt;sup&gt;2&lt;/sup&gt; and Student's &lt;em&gt;t&lt;/em&gt;-tests with an alpha risk of 0.05.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;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%, &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.01), nerve injuries (8.9% vs. 3.0%, &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.01), tendon injuries (2.6% vs. 0.6%, &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.01), and infections (16.2% vs. 12.8%, &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.01). Adults had lower rates of antibiotics prescriptions (62.6% vs. 66.3% &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.05). Surgical procedures were performed in 9.4% of cases with no statistical difference between groups.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Les morsures de chien touchant la main et le membre supérieur sont fréquentes, ce sont des affections graves présentant un risque élevé d’infections. Cependant, il existe peu de données épidémiologiques récentes, en particulier comparant les populations adultes et pédiatriques. Cette étude décrit les caractéristiques démographiques des patients, la sévérité des blessures ainsi que la prise en charge médicale et chirurgicale, tout en comparant ces résultats entre les populations adultes et pédiatriques.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Méthodes&lt;/h3&gt;&lt;div&gt;Cette étude rétrospective a inclus toutes les morsures de chien touchant la main et le membre supérieur sur une période de 11 ans (2013–2023) au sein d’un centre hospitalier universitair","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 5","pages":"Pages 438-444"},"PeriodicalIF":0.5,"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}

{"title":"Que veulent nos patients ? Attentes et demandes des patients lors d’une première consultation en chirurgie plastique","authors":"N. Dirhoussi,&nbsp;D. Poisbleau,&nbsp;B. Hersant,&nbsp;J.-P. Meningaud","doi":"10.1016/j.anplas.2025.03.009","DOIUrl":"10.1016/j.anplas.2025.03.009","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Contexte&lt;/h3&gt;&lt;div&gt;La médiatisation croissante de la chirurgie plastique, esthétique et reconstructrice, notamment sur les réseaux sociaux, influence significativement les attentes des patients. Comprendre ces attentes lors d’une première consultation est essentiel pour améliorer la prise en charge et la satisfaction des patients.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectif&lt;/h3&gt;&lt;div&gt;Identifier les attentes principales des patients avant une première consultation et analyser les différences en fonction des groupes démographiques et des motifs de consultation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Méthodologie&lt;/h3&gt;&lt;div&gt;Une enquête a été menée auprès de 104 patients venus en consultation initiale au service de chirurgie plastique d’un hôpital universitaire. Un questionnaire structuré a permis de recueillir des données sur les critères importants pour les patients, incluant l’attitude du praticien, la durée de la consultation, et l’impact des réseaux sociaux et des publications scientifiques.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Résultats&lt;/h3&gt;&lt;div&gt;Les critères les plus valorisés étaient l’attitude empathique du chirurgien (médiane : 10/10) et des explications précises (médiane : 10/10). La téléconsultation était mal acceptée par 77,9 % des répondants. La durée idéale d’une première consultation était de 15 à 30&lt;!--&gt; &lt;!--&gt;min pour 62,5 % des patients. Les réseaux sociaux étaient jugés importants par 43 % des patients, principalement pour les photos avant/après. Les publications scientifiques étaient valorisées par 55 % des participants. Les patients consultant pour des motifs esthétiques étaient plus enclins à juger importantes les publications sur les réseaux (52 %) comparé à ceux ayant un motif non esthétique (34 %). Parmi les patients, 40 % ont été adressés par un médecin, tandis que 21 % ont découvert le chirurgien via les réseaux sociaux. Enfin, des différences claires ont été observées entre patients jeunes et âgés, notamment concernant leur tolérance à la téléconsultation et leur mode de découverte du praticien.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Les attentes des patients incluent une communication empathique et détaillée. Les chirurgiens plasticiens peuvent s’appuyer sur ces données pour adapter leur pratique et améliorer l’expérience des consultations.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To identify the primary expectations of patients during a first consultation and analyze variations according to demographic groups and reasons for consultation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;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 use","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 5","pages":"Pages 411-416"},"PeriodicalIF":0.5,"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}

{"title":"Protective suture technique in chronic tendinous mallet finger deformities","authors":"İ.F. Adıgüzel ,&nbsp;H. Ertem","doi":"10.1016/j.anplas.2025.04.002","DOIUrl":"10.1016/j.anplas.2025.04.002","url":null,"abstract":"<div><div>Adherence to splint use presents a significant challenge in the management of tendinous mallet finger injuries. This retrospective study aimed to evaluate the efficacy of the protective suture technique in improving treatment adherence and clinical outcomes in patients with chronic mallet finger deformities. A total of 48 patients treated between November 2022 and September 2023 were included in this study. The primary outcome measures included extensor lag before and after the procedure, average flexion deficit, mean Brief Michigan Hand Outcomes Questionnaire (MHQ) score, and Crawford criteria. The patients were categorised into subacute and chronic groups. The mean pre-procedure extensor lag was 52.08°, which improved to 3.6° post-procedure. The mean flexion deficit was 2.95°. The mean Brief MHQ score was 96.83. According to the Crawford criteria, 30 patients achieved excellent outcomes. These findings suggest that this technique enhances treatment success and yields favourable functional outcomes, particularly in patients with compliance issues with splint therapy.</div></div><div><h3>Level of evidence</h3><div>IV.</div></div><div><div>L’observance du port de l’attelle représente un enjeu majeur dans la prise en charge des lésions tendineuses du doigt en maillet. Cette étude rétrospective avait pour objectif d’évaluer l’efficacité d’une technique de suture protectrice dans l’amélioration de l’adhésion au traitement et des résultats cliniques chez des patients présentant des déformations chroniques du doigt en maillet. Un total de 48 patients traités entre novembre 2022 et septembre 2023 ont été inclus dans cette analyse. Les critères d’évaluation principaux comprenaient le déficit d’extension avant et après la procédure, le déficit moyen de flexion, le score moyen obtenu au Brief Michigan Hand Outcomes Questionnaire (MHQ), ainsi que les critères de Crawford. Les patients ont été répartis en deux groupes: subaigu et chronique. Le déficit moyen d’extension préopératoire était de 52,08°, avec une amélioration notable à 3,6° après l’intervention. Le déficit moyen de flexion s’élevait à 2,95°, tandis que le score MHQ moyen atteignait 96,83. Selon les critères de Crawford, 30 patients ont présenté des résultats qualifiés d’excellents. Ces résultats suggèrent que la technique décrite contribue significativement à l’amélioration du taux de succès thérapeutique et des résultats fonctionnels, en particulier chez les patients présentant une faible observance du traitement orthétique.</div></div><div><h3>Niveau de preuve</h3><div>IV.</div></div>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 4","pages":"Pages 335-340"},"PeriodicalIF":0.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081915","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}