整形与美容研究(英文版)最新文献

{"title":"Early lymphaticovenous anastomosis in lymphedema management: a pilot study","authors":"Fumio Onishi, Hayato Nagashima, Nanae Okuda, T. Minabe","doi":"10.20517/2347-9264.2023.102","DOIUrl":"https://doi.org/10.20517/2347-9264.2023.102","url":null,"abstract":"Aim: Lymphedema is a progressive degenerative disease that can cause severe swelling and recurrent infections. Conservative and surgical treatments, such as lymphaticovenous anastomosis (LVA), are available; however, the optimal timing for LVA after the initiation of complex decongestive therapy (CDT) remains unclear. This study aimed to evaluate the effect of CDT duration prior to LVA on the treatment outcomes of upper extremity lymphedema.\u0000 Methods: Fifty patients with stage II upper extremity lymphedema who underwent LVA were retrospectively evaluated. Patients were divided into two groups based on the duration of CDT before LVA: < 6 months (early group) and > 6 months (non-early group). The primary outcome measures were percent excess volume (PEV) and reduction rate 12 months after LVA.\u0000 Results: The early group (CDT < 6 months) showed significantly better outcomes than the non-early group (CDT > 6 months) . The early group had a lower PEV (4%) and a higher reduction rate (56%) than the non-early group (PEV of 10% and reduction rate of 25%) at 12 months after LVA.\u0000 Conclusions: Early indication for LVA (within 6 months of CDT initiation) resulted in better treatment outcomes for stage II upper extremity lymphedema. This study highlights the potential benefits of early surgical intervention for improving the prognosis of lymphedema.","PeriodicalId":57346,"journal":{"name":"整形与美容研究(英文版)","volume":"3 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139593166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of transoral robotic surgery in the salvage setting: pitfalls and challenges","authors":"M. Stevens, A. Kejner","doi":"10.20517/2347-9264.2023.72","DOIUrl":"https://doi.org/10.20517/2347-9264.2023.72","url":null,"abstract":"As rates of oropharyngeal squamous cell cancer (OPSCC) increase and patients survive longer, the number of patients with recurrence will also increase. Surgery is the primary tool for the management of locoregional recurrence when feasible, and transoral robotic surgery (TORS) techniques are a useful adjunct in effectively managing these cases. Careful patient selection, surgical planning, a thoughtful reconstructive plan, and postoperative supportive therapy are crucial for adequate oncologic and functional outcomes.","PeriodicalId":57346,"journal":{"name":"整形与美容研究(英文版)","volume":"126 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139604891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic review on the centrocentral anastomosis technique for the surgical treatment of traumatic neuromas","authors":"Godard C. W. de Ruiter","doi":"10.20517/2347-9264.2023.80","DOIUrl":"https://doi.org/10.20517/2347-9264.2023.80","url":null,"abstract":"Aim: Centrocentral anastomosis (CCA) can be applied in the treatment of painful neuromas, by connecting nerve ends or fascicles after neuroma resection, with or without an interposed nerve graft. While this technique was developed directly after the introduction of microsurgical techniques, it is currently not frequently applied in neuroma treatment.\u0000 Methods: In this article, the literature on CCA was systematically reviewed, both for clinical and experimental studies. Specific attention was paid to the different surgical techniques, potential applications, and pathophysiologic mechanisms that might explain how CCA can prevent neuroma formation.\u0000 Results: A total of 15 articles were found on this subject, 11 clinical and 4 experimental studies. In clinical studies, CCA was mostly applied for neuroma treatment following amputation of fingers and lower limbs. In experimental studies, different combinations of nerve connections and grafts were investigated in the rat sciatic nerve model. Pain reduction in the clinical studies overall was good to excellent, but only in two studies control groups were used. Results from experimental studies showed that the use of an interposed graft was beneficial by entrapment of axons inside the graft.\u0000 Conclusion: Although CCA has shown promising results for neuroma treatment, there are only a few case series to date, one cohort and one randomized study, and in the latter two, no graft was used. More research is needed to investigate the outcome of CCA, especially for the option of an interposed nerve graft. This investigation should involve comparisons with alternative techniques, utilization of standardized outcome measures, and, preferably, inclusion of longer follow-up periods.","PeriodicalId":57346,"journal":{"name":"整形与美容研究(英文版)","volume":"69 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139606887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The mangled upper extremity: a principled approach to management","authors":"Ethan Y. Song, Jesse D. Meaike, Hannah C. Langdell, S. Mithani","doi":"10.20517/2347-9264.2023.99","DOIUrl":"https://doi.org/10.20517/2347-9264.2023.99","url":null,"abstract":"A mangled upper extremity often involves injury to soft tissue, bone, nerves, and vessels and presents a unique challenge to hand surgeons. The complexity of such injuries requires a multidisciplinary approach to achieve an optimal functional outcome. After obtaining a thorough history and performing a secondary survey, initial management is built upon a strong understanding of the likelihood of limb salvage. Initiation of antibiotics upon presentation, timely and thorough surgical debridement, and early revascularization efforts should be pursued. The surgical team should create a long-term plan involving skeletal stabilization and soft tissue reconstruction along with postoperative rehabilitation and social support. This article reviews current concepts of upper extremity limb salvage and recommendations for surgical management of the mangled extremity.","PeriodicalId":57346,"journal":{"name":"整形与美容研究(英文版)","volume":"4 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139525212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Therapeutic management of the painful nerve: a narrative review of common rehabilitation interventions","authors":"Chelsey Kratter","doi":"10.20517/2347-9264.2023.78","DOIUrl":"https://doi.org/10.20517/2347-9264.2023.78","url":null,"abstract":"There are many ways that rehabilitation therapists, including occupational and physical therapists, treat nerve-related pain. Commonly used interventions include neurodynamic treatment, pain neuroscience education, desensitization, exercise, physical agent modalities, mirror box therapy, and Kinesio taping. Despite common practice and anecdotal support, it can be challenging to determine the appropriate intervention for each patient. In this article, each of these treatment approaches is discussed, including indicated pain phenotypes and diagnoses, timing, efficacy, mechanism, contraindications, and limitations.","PeriodicalId":57346,"journal":{"name":"整形与美容研究(英文版)","volume":"120 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139615099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Operative technique for a combined transcaruncular-transconjunctival approach to double-walled orbital fractures.","authors":"Luke B Soliman,&nbsp;Julia L Lerner,&nbsp;Jung Ho Gong,&nbsp;Marcelo Paiva,&nbsp;Nikhil Sobti,&nbsp;Vinay Rao,&nbsp;Albert S Woo","doi":"10.20517/2347-9264.2022.106","DOIUrl":"https://doi.org/10.20517/2347-9264.2022.106","url":null,"abstract":"Double-walled orbital fractures involving the floor and medial wall are commonly encountered in instances of significant midface trauma. Operative intervention is indicated in the presence of persistent diplopia, significant enophthalmos, or muscle entrapment. Surgical repair of these injuries may be challenging due to large fracture sizes or loss of bony supports. The transconjunctival and transcaruncular approaches have been popularized to reconstruct isolated floor and medial wall fractures, respectively. However, surgical approaches for fractures involving both these walls have not been well described in the literature. In this technical note, we detail a combined transcaruncular-transconjunctival approach that is safe, effective, and aesthetically sensitive.","PeriodicalId":57346,"journal":{"name":"整形与美容研究(英文版)","volume":"10 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10139735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9455786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Boston lymphatic center's early experience with lymph node transplantation to the upper extremity.","authors":"Rosie Friedman,&nbsp;Monica Morgenstern,&nbsp;Valeria P Bustos,&nbsp;Aaron Fleishman,&nbsp;Kathy Shillue,&nbsp;Leo L Tsai,&nbsp;Jonathan F Critchlow,&nbsp;Dhruv Singhal","doi":"10.20517/2347-9264.2022.77","DOIUrl":"https://doi.org/10.20517/2347-9264.2022.77","url":null,"abstract":"<p><strong>Aim: </strong>Although vascularized lymph node transplantation (VLNT) has gained recognition as an effective treatment option for lymphedema, no consensus on the timing of transplant with other lymphatic procedures has been established. The aim of this study is to describe our institutional experience with VLNT, including our staged approach and report postoperative outcomes.</p><p><strong>Methods: </strong>A retrospective review of patients who underwent VLNT for upper extremity lymphedema from May 2017 to April 2022 was conducted. Patients were divided into fat- or fluid-dominant phenotypes based on preoperative workup. Patients with a minimum of 12-month follow-up were included. Records were reviewed for demographic, intraoperative, and surveillance data.</p><p><strong>Results: </strong>Twenty-three patients underwent VLNT of the upper extremity during the study period, of which eighteen met the study criteria. Nine patients had fluid-dominant disease and nine patients had fat-dominant disease and had undergone prior debulking at our institution. Fluid-dominant patients demonstrated slight reductions in limb volume and hours in compression, and improvement in quality-of-life scores at twelve months. Fat-dominant patients who underwent prior debulking had a slight increase in limb volume without a change in hours of compression, and demonstrated improvements in quality-of-life scores in nearly all subdomains. Overall, 17% of patients discontinued compression therapy entirely. Improvement in extremity edema was present in 83% of postoperative MRIs.</p><p><strong>Conclusion: </strong>VLNT had varying effects on limb measurements while reliably improving quality-of-life and allowing for the potential of discontinuing compression. Utilizing a staged approach wherein debulking is performed upfront may be particularly beneficial for patients with fat-dominant disease.</p>","PeriodicalId":57346,"journal":{"name":"整形与美容研究(英文版)","volume":"9 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9910833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10705087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revisiting pedicled latissimus dorsi flaps in head and neck reconstruction: contrasting shoulder morbidities across mysofascial flaps.","authors":"Allen L Feng,&nbsp;Hassan B Nasser,&nbsp;Andrew J Rosko,&nbsp;Keith A Casper,&nbsp;Kelly M Malloy,&nbsp;Chaz L Stucken,&nbsp;Mark E Prince,&nbsp;Steven B Chinn,&nbsp;Matthew E Spector","doi":"10.20517/2347-9264.2021.03","DOIUrl":"https://doi.org/10.20517/2347-9264.2021.03","url":null,"abstract":"<p><p>Free tissue transfer has become the gold standard for reconstruction within the head and neck. However, there are still many instances where pedicled locoregional flaps are the optimal reconstructive option. When myofascial tissue is needed, several options have been described throughout the literature. Various trapezius flaps have been used, although these have variable vascular anatomy and significant donor site morbidity. The pectoralis major myofascial flap has become a mainstay in head and neck reconstruction for its ease of harvest and reliability but suffers from similar issues with donor site morbidity. The pedicled latissimus dorsi flap (PLDF) is another reliable option that has been used for multiple different ablative sites within the head and neck. The thin, pliable structure of the latissimus dorsi makes it a viable option for many defects, and recent reports also support its feasibility for use in an interdisciplinary two-team approach. Furthermore, the donor site morbidity of the PLDF is minimal compared to other similar myofascial options. In this article, we describe the surgical considerations and operative techniques for PLDF transfer along with a review of its associated donor site morbidity.</p>","PeriodicalId":57346,"journal":{"name":"整形与美容研究(英文版)","volume":"8 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8323836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39266406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Platelet-rich plasma for the treatment of lichen sclerosus.","authors":"Beija K Villalpando,&nbsp;Saranya P Wyles,&nbsp;Lauren A Schaefer,&nbsp;Katherine J Bodiford,&nbsp;Alison J Bruce","doi":"10.20517/2347-9264.2021.86","DOIUrl":"https://doi.org/10.20517/2347-9264.2021.86","url":null,"abstract":"<p><strong>Aim: </strong>Evaluate the clinical effectiveness of platelet-rich plasma as a treatment for lichen sclerosus.</p><p><strong>Methods: </strong>A systematic review was performed. The electronic databases PubMed, Ovid MEDLINE^®, Web of Science, Cochrane, clinicaltrials.gov were used to identify case studies, case series, prospective uncontrolled, and randomized controlled studies published between 1946 and April 21, 2021. Six prospective uncontrolled studies, one randomized double-blind prospective study, and one case report were included.</p><p><strong>Results: </strong>Platelet-rich plasma treatment was subjectively reported to improve quality of life, but objective measures demonstrating treatment efficacy were not observed. In addition, platelet-rich plasma preparation and administration between studies lacked standardization.</p><p><strong>Conclusion: </strong>Platelet-rich plasma may be used for symptomatic adjuvant treatment of lichen sclerosus, though additional double-blind controlled studies with standardized platelet-rich plasma protocols are needed to better characterize the efficacy of platelet-rich plasma.</p>","PeriodicalId":57346,"journal":{"name":"整形与美容研究(英文版)","volume":"8 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8694569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39761082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current and future trends in periodontal tissue engineering and bone regeneration.","authors":"Matthew Galli,&nbsp;Yao Yao,&nbsp;William V Giannobile,&nbsp;Hom-Lay Wang","doi":"10.20517/2347-9264.2020.176","DOIUrl":"https://doi.org/10.20517/2347-9264.2020.176","url":null,"abstract":"<p><p>Periodontal tissue engineering involves a multi-disciplinary approach towards the regeneration of periodontal ligament, cementum and alveolar bone surrounding teeth, whereas bone regeneration specifically applies to ridge reconstruction in preparation for future implant placement, sinus floor augmentation and regeneration of peri-implant osseous defects. Successful periodontal regeneration is based on verifiable cementogenesis on the root surface, oblique insertion of periodontal ligament fibers and formation of new and vital supporting bone. Ultimately, regenerated periodontal and peri-implant support must be able to interface with surrounding host tissues in an integrated manner, withstand biomechanical forces resulting from mastication, and restore normal function and structure. Current regenerative approaches utilized in everyday clinical practice are mainly guided tissue/bone regeneration-based. Although these approaches have shown positive outcomes for small and medium-sized defects, predictability of clinical outcomes is heavily dependent on the defect morphology and clinical case selection. In many cases, it is still challenging to achieve predictable regenerative outcomes utilizing current approaches. Periodontal tissue engineering and bone regeneration (PTEBR) aims to improve the state of patient care by promoting reconstitution of damaged and lost tissues through the use of growth factors and signaling molecules, scaffolds, cells and gene therapy. The present narrative review discusses key advancements in PTEBR including current and future trends in preclinical and clinical research, as well as the potential for clinical translatability.</p>","PeriodicalId":57346,"journal":{"name":"整形与美容研究(英文版)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9236184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40407524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}