Annales De Chirurgie Plastique Esthetique最新文献

{"title":"Trans-flap nasal airway preservation in-house device","authors":"Í. Aragón-Niño,&nbsp;H. Ma,&nbsp;Z. Liu,&nbsp;S. Zhang,&nbsp;Y. He","doi":"10.1016/j.anplas.2025.03.001","DOIUrl":"10.1016/j.anplas.2025.03.001","url":null,"abstract":"<div><div>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.</div></div><div><div>Reconstruction de la pyramide nasale après une chirurgie ablative oncologique présente un ensemble unique de défis en raison de l’anatomie complexe de la région et de sa double importance fonctionnelle et esthétique. Dans les cas où une reconstruction nasale immédiate n’est pas réalisable, le maintien de la perméabilité des voies respiratoires nasales devient essentiel pour la sécurité du patient et les résultats postopératoires. Cette note technique propose une méthode pratique pour modifier et utiliser les tubes d’intubation nasale Naso-Flo® comme dispositif de préservation des voies respiratoires nasales lors des chirurgies reconstructives impliquant des lambeaux microvasculaires. La technique permet de préserver le flux d’air nasal à travers les deux cavités nasales en insérant deux tubes nasaux dans le lambeau pendant la reconstruction. La procédure débute par une planification préopératoire pour mesurer les cavités nasales et concevoir le lambeau tout en identifiant les zones sûres pour la mise en place des tubes, en évitant les perforateurs vasculaires. Lors de la mise en place du lambeau, des passages sont créés à travers l’épaisseur du lambeau pour accueillir les tubes nasaux, qui sont positionnés de manière sécurisée et suturés à l’extérieur. Ce dispositif offre une alternative respiratoire jusqu’à ce que des chirurgies reconstructives secondaires soient effectuées, avec des ajustements possibles lors des suivis. Cette modification réalisée en interne représente une solution efficace et économique pour préserver la per","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 5","pages":"Pages 445-447"},"PeriodicalIF":0.5,"publicationDate":"2025-05-08","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}

{"title":"Comparison of classic vs double concentrated dose botulinum toxin injections in the treatment of crow's feet","authors":"D. Labbe ,&nbsp;H. Alsajjan ,&nbsp;A. Abdulshakoor","doi":"10.1016/j.anplas.2025.03.005","DOIUrl":"10.1016/j.anplas.2025.03.005","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;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 0.5&lt;!--&gt; &lt;!--&gt;cm&lt;sup&gt;3&lt;/sup&gt;) compared to the double concentrated dose on the right (2 units per 0.25&lt;!--&gt; &lt;!--&gt;cm&lt;sup&gt;3&lt;/sup&gt;). The injections were administered using an auto-injecting syringe.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Contexte&lt;/h3&gt;&lt;div&gt;Lorsqu’il s’agit d’administrer de la toxine botulique pour traiter des rides, la plupart des injecteurs utilisent généralement une approche standard en ce qui concerne la concentration de la dose. Le but de cette étude est de comparer les résultats d’une dose classique, sans double concentration, par rapport à une double dose concentrée pour le traitement des pattes d’oie.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Méthode&lt;/h3&gt;&lt;div&gt;Nous avons injecté l’orbiculaire de l’œil chez une série de 10 patients avec le côté gauche comme côté témoin en utilisant la dose classiquement concentrée (2 unités pour 0,5&lt;!--&gt; &lt;!--&gt;cm&lt;sup&gt;3&lt;/sup&gt;) par rapport à la double dose concentrée du côté droit (2 unités pour 0,25&lt;!--&gt; &lt;!--&gt;cm&lt;sup&gt;3&lt;/sup&gt;). Les injections ont été administrées à l’aide d’une seringue auto-injectable.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Résultats&lt;/h3&gt;&lt;div&gt;Au 14&lt;sup&gt;e&lt;/sup&gt; jour, nous avons remarqué que la majorité des patients présentaient une réduction plus apparente des rides du côté gauche – classiquement concentré – (les rides semblaient plus importantes du côté droit en double concentration). Un bénéfice observé chez certains patients était une apparence plus symétrique des rides et parfois des sourcils avec des doses inégales.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Nous avons constaté que l’injection d’une dose doublement concentrée de toxine botulique ne signifie pas nécessairement une meilleure réduction de l’","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 4","pages":"Pages 273-278"},"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}

{"title":"[Corrigendum to \"Carcinologic surgery of the forehead\" [Ann. Chir. Plast. Esth. 69(6) (2024), 580-602]].","authors":"K Bustamante, E Sorrel Dejerine","doi":"10.1016/j.anplas.2025.01.006","DOIUrl":"https://doi.org/10.1016/j.anplas.2025.01.006","url":null,"abstract":"","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":"144057547","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":"Percutaneous approach for inframammary fold creation combined with exclusive adipose tissue transfer in post-mastectomy breast reconstruction","authors":"J. Urbain ,&nbsp;C. Brenac ,&nbsp;M. Lherm ,&nbsp;F. Boucher ,&nbsp;A. Mojallal","doi":"10.1016/j.anplas.2025.03.004","DOIUrl":"10.1016/j.anplas.2025.03.004","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This single-center, retrospective cohort study included female patients&lt;!--&gt; &lt;!--&gt;≥&lt;!--&gt; &lt;!--&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;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 1190&lt;!--&gt; &lt;!--&gt;mL. Six patients required IMF revisions, with no major complications observed. The technique showed favorable outcomes with stable IMF definition over time.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Le sillon sous-mammaire joue un rôle essentiel dans l’esthétique et la forme du sein et doit être restauré lors de la reconstructions mammaire après mastectomie. Plusieurs techniques ont été décrites, principalement avec une approche ouverte, qui ne conviennent pas en cas de reconstruction complète par transfert de tissu adipeux. Pour répondre à cette problématique, les auteurs proposent une approche percutanée pour la reconstruction du sillon sous-mammaire.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Méthodes&lt;/h3&gt;&lt;div&gt;Cette étude de cohorte rétrospective monocentrique inclut des patientes âgées de&lt;!--&gt; &lt;!--&gt;≥&lt;!--&gt; &lt;!--&gt;18 ans, présentant des antécédents de mastectomie unilatérale ou bilatérale, et ayant bénéficié d’une reconstruction mammaire différée par transfert de tissu adipeux avec fixation percutanée du sillon sous-mammaire. Les données comprenaient l’âge, l’IMC, l’antécédent de radiothérapie, détails des interventions et complications. La fixation percutanée du sillon sous-mammaire combine une liposuccion superficielle de la zone thoracoabdominale inférieure, un surjet percutané ancrant le d","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 4","pages":"Pages 341-348"},"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}

{"title":"Use of autologous vascularized joint flap for the thumb MCP joint arthroplasty","authors":"V.H. Trung ,&nbsp;T.A. Dung ,&nbsp;N. Van Cuong","doi":"10.1016/j.anplas.2025.03.002","DOIUrl":"10.1016/j.anplas.2025.03.002","url":null,"abstract":"<div><div>Occupational hand-related fractures are the most frequently encountered traumatic injuries sustained at work. Lesions in this area, especially those that combine bony and soft tissue defects, often require complex grafting techniques. Flaps for soft tissues are widely used, but those incorporating bones and joints have not been widely assessed. In this study, we performed a thumb metacarpophalangeal joint (MCPJ) reconstruction using an autologous vascularised joint flap from a non-salvageable 5th finger. Post-operatively, and on follow-up after 5 months, the patient restored thumb length, adequate range of movement (active 0°/65° and passive 20°/70°) alongside decent aesthetics. Compared to similar cases, this technique has many advantages over alternative interventions.</div></div><div><h3>Level of evidence</h3><div>Level IV.</div></div><div><div>Les fractures dans un contexte professionnel de la main constituent les lésions traumatiques les plus fréquemment observées en milieu de travail. Les atteintes de cette région, en particulier celles associant des pertes osseuses et des déficits des tissus mous, nécessitent souvent des techniques de greffe complexes. Si les lambeaux pour la couverture des tissus mous sont couramment utilisés, ceux intégrant des structures osseuses et articulaires ont fait l’objet de peu d’évaluations. Dans cette étude, nous avons réalisé une reconstruction de l’articulation métacarpophalangienne (MCP) du pouce en utilisant un lambeau articulaire autologue vascularisé issu d’un 5^e doigt non conservable. L’évaluation postopératoire et le suivi à 5 mois ont montré une restauration de la longueur du pouce, une amplitude articulaire fonctionnelle (mouvement actif 0°/65° et passif 20°/70°) ainsi qu’un résultat esthétique satisfaisant. Comparée aux techniques alternatives, cette approche présente de nombreux avantages.</div></div><div><h3>Niveau de preuve</h3><div>Niveau IV.</div></div>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 4","pages":"Pages 264-267"},"PeriodicalIF":0.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027989","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":"Thrombotic thrombocytopenic purpura following plastic surgery: A case report","authors":"O. Mathieu ,&nbsp;K. Serror ,&nbsp;B. Tobalem ,&nbsp;J. Kaplan ,&nbsp;M. Chaouat ,&nbsp;D. Boccara","doi":"10.1016/j.anplas.2025.03.003","DOIUrl":"10.1016/j.anplas.2025.03.003","url":null,"abstract":"&lt;div&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;div&gt;Le purpura thrombotique thrombocytopénique (PTT) est une affection rare et potentiellement mortelle caractérisée par une thrombocytopénie, une anémie hémolytique microangiopathique et une possible atteinte d’organes. Le PTT est généralement associé à des pathologies sous-jacentes telles que des maladies auto-immunes, des infections, des cancers ou des prédispositions héréditaires. À ce jour, très peu de cas de PTT postopératoire ont été rapportés. Nous rapportons le premier cas de PTT survenant après une intervention de chirurgie plastique. Une patiente de 19 ans, ayant bénéficié d’une plastie mammaire de réduction sans complication initiale, s’est présentée au septième jour postopératoire avec un hématome, une anémie et une thrombocytopénie. Le diagnostic de PTT a été confirmé après l’évacuation de l’hématome, les résultats biologiques montrant une hémolyse sévère et une réduction marquée de l’activité d’ADAMTS13. La patiente a été rapidement traitée par échanges plasmatiques, corticostéroïdes et rituximab, ce qui a conduit à une régression rapide des symptômes et à une résolution des anomalies hématologiques. Ce cas met en évidence la rareté du PTT après une intervention chirurgicale, cette affection étant généralement liée à d’autres pathologies médicales sous-jacentes. La reconnaissance précoce et la prise en charge du PTT, en particulier par échanges plasmatiques, sont cruciales pour prévenir les complicati","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 4","pages":"Pages 268-272"},"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}

{"title":"Is YouTube™ a useful resource of information about bichectomy? A cross-sectional study.","authors":"H Ɪ Durmuş, B Ege, S Bayazıt, M Koparal","doi":"10.1016/j.anplas.2025.03.006","DOIUrl":"https://doi.org/10.1016/j.anplas.2025.03.006","url":null,"abstract":"<p><strong>Objectives: </strong>This study sought to evaluate the content and quality value of bichectomy-related YouTube™ videos.</p><p><strong>Material and methods: </strong>Four keywords (bichectomy, buccal fat removal, buccal lipectomy, Bichat's fat pad) related to bichectomy were searched on YouTube™. The top 100 videos were analyzed according to the number of views, taking into account video exclusion criteria for each keyword. The top 100 videos with the most views out of the 400 total videos included were used in our study. Video source, runtime, viewers, likes, dislikes, reliability, popularity, visibility, and usefulness were recorded and analyzed for each video. Among these videos, the top 10 videos with the best values according to all these criteria were also evaluated.</p><p><strong>Results: </strong>Of the 100 videos included, 60 were from health professionals, 21 from health sites, 14 from individual sources, and the remaining 5 from other sources. In the statistical analysis, based on their sources, reliability values were the only factor among videos that significantly differed (P<0.05). Nonetheless, no significant difference was determined in the values of views, likes, quality, and usefulness (P>0.05).</p><p><strong>Conclusion: </strong>After bichectomy-related content and video quality analysis, YouTube™ videos did not meet the criteria for being an adequate and trustworthy source of information for patients. Particularly the videos that are uploaded by health professionals and organizations ought to be of better quality with a higher level of information content.</p>","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":"144042623","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":"Reconstruction des séquelles de brûlure du sein de la jeune fille par expansion cutanée dès la prépuberté","authors":"A. Al Bahrani,&nbsp;M. Lherm,&nbsp;F. Boucher,&nbsp;A.-A. Mojallal,&nbsp;H. Person","doi":"10.1016/j.anplas.2025.02.003","DOIUrl":"10.1016/j.anplas.2025.02.003","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Les brûlures du thorax sont fréquentes chez les enfants. Lorsqu’elles sont profondes et étendues chez la fille, elles sont à risque de séquelles esthétiques et fonctionnelles, par trouble de la croissance mammaire. Le traitement de ces séquelles peut être proposé dès la prépuberté avec un premier temps de remplacement du revêtement cutané cicatriciel par expansion cutanée.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Méthodes&lt;/h3&gt;&lt;div&gt;Nous présentons notre protocole de resurfaçage cutané des aires mammaires par expansion cutanée débutée en prépubertaire. Nous décrivons les indications (relatives au patient, à sa brûlure thoracique, et à ses brûlures associées). Nous détaillons le planning préopératoire et la technique opératoire, dont le placement des prothèses d’expansion et le type de lambeau réalisé. Nous illustrons cela par des cas cliniques.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Résultats&lt;/h3&gt;&lt;div&gt;Entre janvier 2018 et décembre 2023, six patientes ont été suivies en consultation multidisciplinaire pour des séquelles de brûlures thoraciques. Leur brûlure initiale s’est produite en moyenne à l’âge de 4,6 ans, avec une surface corporelle atteinte variant de 15 à 31 %. Toutes ont bénéficié des greffes cutanées précoces. Les séquelles affectaient au moins deux quadrants mammaires, impliquant les deux seins dans tous les cas. Le traitement par expansion cutanée a débuté en moyenne à 8,6 ans, avec un à trois protocoles par patiente. Vingt-quatre prothèses d’expansion ont été posées, parfois associées à d’autres chirurgies réparatrices. Celles-ci sont placées en priorité en sus-mammaire, afin de placer les cicatrices dans les sillons sous-mammaires, et les lambeaux sont d’avancement dès que possible pour diminuer la longueur des cicatrices. Les complications incluaient des prothèses menaçant la peau, des nécroses cutanées et des reprises chirurgicales limitées. Toutes les patientes ont pu suivre leur traitement sans échec thérapeutique majeur.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Le resurfaçage cutané des aires mammaires brûlées par expansion cutanée avant la poussée mammaire présente de nombreux avantages, et permet soit la croissance naturelle d’une glande non lésée, soit la reconstruction progressive du volume mammaire pendant la puberté. Cette stratégie thérapeutique, dans les indications adaptées, participe à diminuer précocement le retentissement esthétique et psychologique des séquelles de brûlure du sein de la jeune fille.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Burns on the thorax are common in children. When these burns are deep and extensive in girls, they pose a risk of aesthetic and functional sequelae due to impaired breast growth. The management of these sequelae can be initiated as early as the prepubertal phase, with an initial stage involving the replacement of the scarred skin with healthy skin by using tissue expansion.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;We present our protocol for skin resurfacing of the breast areas through tissue e","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 4","pages":"Pages 316-323"},"PeriodicalIF":0.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671898","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":"Dermatofibrosarcoma of the breast: A case report","authors":"Z. Taouji,&nbsp;D. Adam","doi":"10.1016/j.anplas.2025.02.004","DOIUrl":"10.1016/j.anplas.2025.02.004","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Dermatofibrosarcoma protuberans (DFSP) is a rare, low-grade fibroblastic mesenchymal tumor that develops in the dermal and hypodermal layers of the skin. DFSP arises typically on trunk and proximal limbs followed by the extremities. Intra-breast DFSP is even more uncommon, with only a handful of cases described in the literature.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Presentation of case&lt;/h3&gt;&lt;div&gt;We report the case of a 40-year-old woman who underwent her first breast screening. It revealed a 18&lt;!--&gt; &lt;!--&gt;mm mass in the lower outer quadrant of the right breast categorized as Breast-Imaging-Reporting and Data System (BIRAD) IV. A core-needle biopsy was performed and revealed a DFSP. We performed a monobloc cutaneous-glandular excision in the form of a T-shaped oncoplasty with a superior pedicle. Clear margins were obtained.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;Intra-breast localizations are rare. Only a handful of cases have been reported in the literature, and only a few of these are truly intramammary, where the tumor arises in the subcutaneous tissue, complicating the clinical differential diagnosis with other benign breast tumors. Imaging may suggest a benign breast tumor, MRI may be helpful in the diagnosis. The overall recurrence rate is 7.3% and is directly related to the surgical margins achieved. Given the dermal origin of this tumor and its “tentacular” invasion, resection of the skin seems to be indicated and should be taken into account in the surgical procedure.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;This case illustrates that dermatofibrosarcoma is not always an obvious diagnosis, particularly in its intramammary forms. A wide skin resection must be performed to obtain clear margins.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Le dermatofibrosarcome protubérans (DFSP) est une tumeur mésenchymateuse fibroblastique rare et de bas grade qui se développe dans les couches dermique et hypodermique de la peau. Le DFSP survient généralement au niveau du tronc et des membres proximaux, suivi par les extrémités. La localisation intramammaire du DFSP est encore plus rare, avec seulement quelques cas décrits dans la littérature.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Présentation du cas&lt;/h3&gt;&lt;div&gt;Nous rapportons le cas d’une femme de 40 ans qui a effectué son premier dépistage mammaire. Celui-ci a révélé une masse de 18&lt;!--&gt; &lt;!--&gt;mm dans le quadrant inféro-externe du sein droit, classée BIRADS IV (Breast-Imaging Reporting and Data System). Une biopsie à l’aiguille a été réalisée et a révélé un DFSP. Nous avons effectué une exérèse cutanéo-glandulaire monobloc sous forme d’une oncoplastie en T avec pédicule supérieur. Des marges saines ont été obtenues.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;Les localisations intra-mammaires sont rares. Seuls quelques cas ont été rapportés dans la littérature, et seulement une minorité d’entre eux sont véritablement intramammaires, où la tumeur se développe dans le tissu sous-cutané, compliquant ainsi le diagnostic d","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 3","pages":"Pages 160-163"},"PeriodicalIF":0.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671900","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":"Assessing the ability of ChatGPT to generate French patient-facing information to improve patient understanding in hand surgery.","authors":"C Brenac, D Kawamoto-Duran, A Fazilat, J Tarter, M Witters, C Rahbi, C Macni, J B de Villeneuve Bargemon, C Jaloux, D C Wan","doi":"10.1016/j.anplas.2025.02.005","DOIUrl":"https://doi.org/10.1016/j.anplas.2025.02.005","url":null,"abstract":"<p><strong>Introduction: </strong>The advent of artificial intelligence technologies, such as ChatGPT and Gemini, presents new opportunities to enhance physician-patient communication through tailored patient-facing medical information (PFI). Effective postoperative care is critical to successful patient outcomes in hand surgery, making it essential to deliver information in a clear, comprehensible, and accurate manner. This study aims to evaluate the ability of ChatGPT to generate accessible PFI to enhance patient understanding in hand surgery.</p><p><strong>Methods: </strong>A cross-sectional study was conducted involving five French hand surgeons and 28 non-medical individuals. Participants blindly evaluated PFI containing text and images generated by ChatGPT and Gemini compared to those provided by established organizations (EOs). The evaluations focused on three common hand surgeries: carpal tunnel syndrome, Dupuytren's disease, and synovial cyst. Hand surgeons evaluated PFI based on accuracy, clarity, comprehensiveness, and overall preference. Non-medical participants evaluated PFI based on clarity and overall preference. Surveys were used to capture these evaluations, allowing for a systematic and effective comparison between both sources. Readability was analyzed using six readability formulas, and Likert scale responses were statistically analyzed using paired t-tests.</p><p><strong>Results: </strong>No significant difference was found in terms of accuracy between ChatGPT-generated text responses and EO-provided text responses. However, text responses provided by EOs were rated significantly higher in terms of comprehensiveness and clarity by hand surgeons. Interestingly, non-medical participants rated the clarity and overall preference of ChatGPT-generated text responses higher than those from EOs. EO-provided images were also significantly favored in terms of comprehensiveness and clarity by hand surgeons. Notably, 65% of non-medical participants preferred EO-provided images over AI-generated ones. Both sources, however, produced information that exceeded the recommended readability levels for patient comprehension.</p><p><strong>Conclusion: </strong>This study underscores the potential of AI-generated medical information to enhance patient understanding, particularly through the comprehensive nature of materials created by tools like ChatGPT. The divergence in preferences between hand surgeons and patients highlights the need to refine the accuracy, clarity, and relevance of AI-generated content to align with the standards upheld by healthcare professionals. Continued exploration in this area is crucial for optimizing patient education and communication, particularly in the context of postoperative care.</p>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671899","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}