Annales De Chirurgie Plastique Esthetique最新文献

{"title":"Submental liposuction under local anesthesia - About 695 patients.","authors":"M Aldihani, N Assaf, S Garson, R Sinna","doi":"10.1016/j.anplas.2024.08.003","DOIUrl":"https://doi.org/10.1016/j.anplas.2024.08.003","url":null,"abstract":"<p><p>There is more and more non-invasive treatment proposed in face rejuvenation. However, there are only a few treatments that decrease volume of the tissue efficiently. Submental liposuction is not classically considered as a non-invasive treatment.</p><p><strong>Material and method: </strong>We reviewed from October 2020 until August 2022; 695 patients were operated by the first author under local anesthesia.</p><p><strong>Results: </strong>Complications exist but are minimal. The most important is irregularity that can be managed by massage and ultrasound treatment.</p><p><strong>Discussion: </strong>With our experience of over 600 cases, we believe that submental liposuction should be considered and proposed to patient as non-invasive before of this efficiency and very low drawbacks, was presented.</p>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301758","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":"Surgical treatment of giant penile and scrotal lymphedema after syphilitic infection. Case report.","authors":"A Dominience Menezes, D Lorenzo Cantamissa de Faria, L Fernandez de Córdova Rio de la Loza, R Cavalcanti Ribeiro","doi":"10.1016/j.anplas.2024.08.012","DOIUrl":"https://doi.org/10.1016/j.anplas.2024.08.012","url":null,"abstract":"<p><p>Penile and scrotal lymphedema is characterized by an abnormal retention of fluid in the subcutaneous tissue of the penis and scrotum, due to a deficiency in lymphatic drainage, causing edema, pain, dysuria and sexual dysfunction. The present report describes a patient with a giant penile and scrotal lymphedema after syphilitic infection, treated by excision of all the compromised skin and subcutaneous cellular tissue, with primary reconstruction with partial skin autograft and flap rotation. Literature review showed good functional results (erections and ejaculation) with the use of techniques that resected the skin and subcutaneous tissue and reconstructed the penis using skin grafts. This report can help in the differential diagnosis of lymphedema in the external genitalia and presents an aesthetical and functional reconstructive approach, showing the versatility and applicability of the graft and the fasciocutaneous flap of the thigh in this topography.</p>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301759","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":"The use of peritoneum in female genital gender-affirming surgery: A systematic review.","authors":"M Tondu, K Allepot, A Youkharibache, S Cristofari","doi":"10.1016/j.anplas.2024.08.002","DOIUrl":"https://doi.org/10.1016/j.anplas.2024.08.002","url":null,"abstract":"<p><p>Genital gender-affirming surgery (GAS) plays a crucial role in alleviating psychological discomfort and assisting transgender patients in achieving their transition goals. One of the most common procedures for primary genital reconstruction in transwomen is penile inversion vaginoplasty. But it presents a risk of vaginal stenosis and limited depth, particularly in cases with inadequate penile and scrotal tissue. This limitation becomes more relevant as transgender individuals increasingly seek early hormone therapy and puberty blockade. We conducted a literature review focusing on studies published between 2000 and 2022 to explore the application of peritoneal vaginoplasty, a technique primarily used in cisgender women with congenital vaginal agenesis, to address these challenges in transwomen. Data were extracted from 13 selected articles reporting 313 patients who underwent peritoneal vaginoplasty. Peritoneal vaginoplasty was found to offer advantages in terms of neovaginal depth and width, with an average depth of 13.8cm and width of 3.5cm. Patient reporting satisfaction rates for sexual intercourse and dilatation achievement were high, with 96.2% and 94.4% respectively. The technique did not result in an increased rate of complications compared to traditional penile inversion vaginoplasty. This review suggests that peritoneal vaginoplasty could be consider first for transwomen genital GAS, especially in cases with limited penile tissue. The well-vascularized peritoneum provides tissue with regenerative capacities and reduces the risk of stenosis. Moreover, peritoneum remains unaffected by hormonal treatments and allows deep enough neovaginal canals. This method is safe and does not lead to increased complications compared to traditional techniques.</p>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301760","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":"Hair reconstruction of the burned chin region using a pre-expanded free temporo-parietal skin flap. About a case.","authors":"H Boukhenouna, F Bekara, F Boissiere, P Rouchaleou, M de Boutray, C Herlin","doi":"10.1016/j.anplas.2024.08.010","DOIUrl":"https://doi.org/10.1016/j.anplas.2024.08.010","url":null,"abstract":"<p><p>Reconstruction of the chin region represents a technical challenge due to its three-dimensional configuration and its location close to the mouth. It requires both a functional approach by restoring mobility and an aesthetic approach by restoring the perioral furrows. For men who want to wear a beard, it becomes more difficult to choose the donor site for hairy skin. In that case, strategies of full thickness skin graft or pre-expanded loco-regional flaps are unusable. We propose here a functional, aesthetic and hairy reconstruction by performing a pre-expanded temporal free flap which allowed to resolve the problem of adjacent cervical contractures and to restore an integrated the bearded chin subunit.</p>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301757","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":"Fournier's Gangrene reconstruction in black patients using SCIP flap and split thickness skin graft: 2 case reports and a literature review.","authors":"T Kazzi, H Oubari, C L Cetrulo, F Audenet, A G Lellouch","doi":"10.1016/j.anplas.2024.08.007","DOIUrl":"https://doi.org/10.1016/j.anplas.2024.08.007","url":null,"abstract":"<p><p>Fournier's gangrene is a potentially life-threatening infectious disease involving the perineum and genitals. Aggressive surgical and medical management is often required, leaving the patient with large integumentary defects. The multiplicity of reconstructive options reported highlights the lack of consensus on the best covering option. Functional and aesthetic considerations are in play, and the literature is scarce on male black patients. We report here two cases of dark-skinned patients presenting with scrotal and penile integumentary defects that were respectively reconstructed with a superficial circumflex iliac artery propeller perforator flap and a split-thickness meshed skin graft and discuss the available literature on the topic.</p>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301756","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":"Humeur massacrante","authors":"C. Volpei","doi":"10.1016/j.anplas.2024.08.004","DOIUrl":"10.1016/j.anplas.2024.08.004","url":null,"abstract":"","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"69 5","pages":"Page 337"},"PeriodicalIF":0.4,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142083116","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":"Case report: Hybrid reconstruction of quadriceps function after sarcoma resection using a reinnervated free flap and tendon transfer.","authors":"B Hoteit, A Delgove, D Adam, M Fau, A Michot","doi":"10.1016/j.anplas.2024.08.006","DOIUrl":"https://doi.org/10.1016/j.anplas.2024.08.006","url":null,"abstract":"<p><p>We describe a case of a leiomyosarcoma of the thigh, the resection of all the anterior muscular compartment, and the reanimation of knee extension, using a latissimus dorsi (LD) free flap and tendon transfer. Surgical technique and postoperative care management are described. Functional results, neuropathic pain, and range of motion (ROM) were assessed at 3 months and 12 months after discharge. A complete excision (R0) was carried out and rapid wound healing was obtained despite developing a seroma infection. The patient was able to walk without technical support nor limping at 3 months post-surgery. The patient was still in remission at 12 months follow-up, with Medical Research Council (MRC) scale assessed at 4/5 and ROM rated at 5-105°. In case of total quadriceps resection, knee extension reconstruction can be obtained with tendon transfers and reinnervated free muscular flaps. Combining these techniques could be a good strategy for rapid recovery, with optimal scarring and tissue coverage.</p>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142094243","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":"Cartographie anatomique du nerf radial dans la région du coude pour son application aux transferts nerveux intraradiaux dans la chirurgie de la spasticité","authors":"P. Maincourt ,&nbsp;J. Ramiere ,&nbsp;R. Seizeur ,&nbsp;W. Hu ,&nbsp;A. Perruisseau-Carrier","doi":"10.1016/j.anplas.2024.07.005","DOIUrl":"10.1016/j.anplas.2024.07.005","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;p&gt;La spasticité du membre supérieur est un défi chirurgical, tant dans la diminution de la spasticité des muscles agonistes que dans la réanimation des muscles antagonistes. Le muscle brachioradial (BR) est un muscle fréquemment impliqué dans la spasticité des fléchisseurs du coude. L’extension des doigts et du pouce est souvent déficitaire chez les patients présentant une spasticité du membre supérieur. Ce travail a pour but de démontrer la faisabilité du transfert d’une branche du BR sur le nerf interosseux postérieur (NIOP) dans le cadre des neurectomies du BR, et de cartographier les fascicules au sein du nerf radial au niveau du pli du coude pour faciliter le repérage du NIOP.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Matériel et méthodes&lt;/h3&gt;&lt;p&gt;Dix avant-bras issus de 10 corps frais congelés ont été disséqués. Les branches motrices du BR, des extenseurs du poignet, du supinateur, le NIOP et la branche sensitive du nerf radial ont été identifiés. Le transfert de la branche du BR sur le NIOP a été réalisé et sa faisabilité étudiée (longueur du donneur, tension de la suture).&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Résultats&lt;/h3&gt;&lt;p&gt;Le transfert de la branche motrice du BR sur le NIOP était faisable dans 9 cas sur 10. La position de la branche sensitive du nerf radial était inférieure ou médiale dans tous les cas. La position du NIOP était latérale dans 90 % des cas.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;p&gt;Le transfert de la branche motrice du BR sur le NIOP semble faisable dans la plupart des cas. La prédominance d’une topographie d’émergence latérale du NIOP et inféromédiale de la branche sensitive au sein de notre échantillon nécessite d’être vérifiée sur un échantillon plus important, ce qui permettrait un meilleur repérage peropératoire lorsque la neurostimulation n’est pas possible.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Niveau de preuve&lt;/h3&gt;&lt;p&gt;IV, étude anatomique de faisabilité.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;p&gt;Upper limb spasticity is a surgical challenge, both in diminishing agonists spasticity and reconstructing antagonist function. Brachioradialis (BR) is often involved in elbow flexors spasticity. Finger extension is often impaired in spastic patients. This study aims to demonstrate the feasibility of BR motor branch to posterior interosseous nerve (PIN) during BR selective neurectomies, and to describe fascicles topography inside the radial nerve to facilitate PIN dissection.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Material and method&lt;/h3&gt;&lt;p&gt;Ten upper limbs from 10 fresh frozen anatomical specimens were dissected. Motor branches to the BR, wrist extensors, supinator, PIN and radial sensory branch were identified. BR to PIN transfer was realized and its feasibility was studies (donor length, tensionless suture).&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;BR to PIN transfer was achievable in 9 out of 10 cases. The position of the sensory branch of the radial nerve was inferior or medial in all cases. The position of the PIN was lateral in 90% of the cases.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;p&gt;BR to PIN ","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"69 5","pages":"Pages 343-354"},"PeriodicalIF":0.4,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141899043","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":"La première chirurgie de reassignation sexuelle réussie : Magnus, Dora et l’institut de sexologie de Berlin en 1931","authors":"Dr J.C. Rivera","doi":"10.1016/j.anplas.2024.06.003","DOIUrl":"10.1016/j.anplas.2024.06.003","url":null,"abstract":"<div><p>Magnus Hirschfeld fut un brillant médecin allemand militant pour la dépénalisation et la déstigmatisation de l’homosexualité. Pendant la très libérale République de Weimar (1918–1933) il publia ses articles avant-gardistes, il créa son Institut des sciences sexuelles (<em>Institut für Sexualwissenschaft)</em>, où eût lieu la première chirurgie transgenre publiée, réalisée sur Dora Richter en 1931 (nous nous intéresserons à ce premier compte rendu d’intervention réussie) et multiplia les interventions pour faire abolir le paragraphe 175 du code penal imperial, pénalisant « la sodomie ». Finalement la montée du nazisme l’obligea à fuir son pays et à finir sa vie en France. L’œuvre d’Hirschfeld resta inachevée. Son activisme politique, sa surmédiatisation lui valurent de nombreuses critiques au sein même du mouvement gay et lesbien de l’époque. Qui était cet étrange médecin (<em>l’Einstein du sexe</em>, comme le présentait un promoteur américain lors de ses conférences en 1930) qui cumulait les défauts, pour l’époque, d’être à la fois juif, homosexuel et gauchiste ?</p></div><div><p>Magnus Hirschfeld was a brilliant German doctor campaigning for the decriminalization and destigmatization of homosexuality. During the very liberal Weimar Republic (1918–1933) he published his avant-garde articles, he created his Institute of Sexual Sciences (Institut für Sexualwissenschaft), where the first published transgender surgery took place, performed on Dora Richter in 1931 (we will be interested in this first report of successful intervention) and multiplied the interventions to abolish paragraph 175, penalizing “sodomy”. Ultimately the rise of Nazism forced him to flee his country and end his life in France. Hirschfeld's work remained unfinished. His political activism and his over-media coverage earned him numerous criticisms even within the gay and lesbian movement of the time. Who was this strange doctor (the Einstein of sex, as an American promoter presented him during his conferences in 1930) who combined the faults, for the time, of being at the same time Jewish, homosexual and leftist?</p></div>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"69 5","pages":"Pages 338-342"},"PeriodicalIF":0.4,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891052","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 perfusion device for free flap salvage after ischemia in swine","authors":"S. Cristofari ,&nbsp;C. Halimi ,&nbsp;L. Van Dieren ,&nbsp;A. Stivala ,&nbsp;A.G. Lellouch ,&nbsp;A. Janin","doi":"10.1016/j.anplas.2024.07.004","DOIUrl":"10.1016/j.anplas.2024.07.004","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;p&gt;In free flap reconstruction, improving flap tolerance to warm ischemia (WI) is fundamental. WI is the result of a venous or arterial thrombosis, which can only be addressed through surgical revision. No additional treatments have shown superior efficacy at salvaging free flaps after or during WI. Custom perfusion machines (PM), used to reduce the intensity of lesions of the flap stored in cold ischemia, have not been evaluated for WI flap salvage. This proof-of-concept study assessed whether the Lifeport® perfusion machine could improve the salvage procedure's success rates after one hour of venous WI.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;Five different groups were evaluated with four porcine latissimus dorsi free flaps included in each group. Depending on the group, the flaps were subjected to one hour of WI followed by revascularization, static hypothermic submersion, or dynamic Lifeport® perfusion. Additionally, two flap perfusion liquids were evaluated: KPS-1® and IGL-1®. Biopsies were performed before &lt;em&gt;in vivo&lt;/em&gt; warm ischemia of the flap, after &lt;em&gt;in vivo&lt;/em&gt; warm ischemia of the flap, and after one and two hours of preservation. Interstitial edema, muscular cell size and muscular diffuse necrosis were quantified by histological assessment.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;Static submersion did not demonstrate any efficacy for venous flap salvage. Dynamic perfusion on Lifeport® machine showed a significant improvement in tissue parameters. Thrombi and fibrine, present during the WI period, were no longer visible inside vessels and the perfusion machine flow evacuated the inflammatory cells and their substrates from the flap. The flap weights did not increase during perfusion time, confirming the benefits of the Lifeport® perfusion machine.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;p&gt;Evaluating Lifeport® advantages on human free flap salvage is necessary to confirm the benefits for the tissue and to increase post-operative results after congestive free flap revision surgery.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;p&gt;Dans la reconstruction par lambeau libre, améliorer la tolérance du lambeau à l’ischémie chaude (WI) est fondamental. L’ischémie chaude est le résultat d’une thrombose veineuse ou artérielle qui ne peut être traitée que par révision chirurgicale. Aucun traitement supplémentaire n’a montré une efficacité supérieure pour sauver les lambeaux libres après ou pendant l’ischémie chaude. Les machines de perfusion sur mesure (PM), utilisées pour réduire l’intensité des lésions du lambeau conservé en ischémie froide, n’ont pas été évaluées pour le sauvetage des lambeaux après ischémie chaude. Cette étude de preuve de concept a évalué si la machine de perfusion Lifeport® pourrait améliorer les taux de succès de la procédure de sauvetage après une heure d’ischémie veineuse.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Méthodes&lt;/h3&gt;&lt;p&gt;Cinq groupes différents ont été évalués avec quatre lambeaux libres porcins inclus dans chaque groupe. Selon le gro","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"69 5","pages":"Pages 376-383"},"PeriodicalIF":0.4,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861752","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}