Aesthetic Plastic Surgery最新文献

{"title":"Immediate Oncoplastic Breast Reconstruction with Fat Grafting: Preliminary Radiological, Aesthetic, and Patient Satisfaction Outcomes.","authors":"Lior Har-Shai, Tomer Lagziel, Ahuva Grubstein, Tamir Shay, Dean Ad-El, Sagit Meshulam-Derazon, Eran Sharon, Michael Icekson","doi":"10.1007/s00266-025-04790-3","DOIUrl":"https://doi.org/10.1007/s00266-025-04790-3","url":null,"abstract":"<p><strong>Introduction: </strong>Fat grafting is a valuable tool for oncologic breast reconstruction, as it enhances aesthetic outcomes. However, concerns regarding oncologic safety and challenges in postoperative imaging have limited the adoption of immediate oncoplastic breast reconstruction (IOBR) with fat grafting. This approach can reduce the need for additional surgeries, shorten recovery time, improve aesthetics, and help mitigate the adverse effects of adjuvant radiation therapy. This study evaluates postoperative, radiological, aesthetic, and patient-reported outcomes of immediate fat grafting in oncoplastic breast reconstruction following lumpectomy.</p><p><strong>Methods: </strong>We conducted a retrospective study of patients undergoing IOBR with immediate fat grafting following lumpectomy (2020-2022). The plastic surgery team performed reconstruction simultaneously with lumpectomy by breast surgeons. Patient satisfaction was assessed using the Breast-Q questionnaire, while expert surgeons evaluated aesthetic outcomes. Lesion characteristics, specimen weight, and postoperative radiation details were recorded. Postoperative breast imaging was reviewed for fat grafting-related abnormalities.</p><p><strong>Results: </strong>Fifteen patients were included, with 87% undergoing postoperative radiotherapy. No major complications or readmissions occurred within 30 days. Breast imaging follow-up showed 91.1% had benign post-surgical changes, while 8.9% required short-term radiologic follow-up. Post-lipoid injection findings appeared in 37.8% of cases, none with calcifications. Patient satisfaction was high (average Breast-Q Score was 74.5), with only one patient requesting additional fat grafting post-radiation. Expert assessments confirmed improved aesthetic outcomes.</p><p><strong>Conclusion: </strong>IOBR with immediate fat grafting is a useful technique for lumpectomy defects across all breast quadrants, demonstrating low complication rates, high patient satisfaction, and positive aesthetic outcomes. Postoperative imaging follow-up revealed no adverse effects related to fat grafting, supporting its potential role as an additional tool in oncoplastic breast reconstruction.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Graft Hair Dropout Rates Between Slit-Forceps Transplantation and Hair Transplanter Transplantation at 1 Month After Follicular Unit Excision.","authors":"Taeho Jang, Jino Kim, Sung Yeon Kim, Jovian Wan, Kyu-Ho Yi","doi":"10.1007/s00266-025-04807-x","DOIUrl":"https://doi.org/10.1007/s00266-025-04807-x","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Patient-Reported Outcomes Between Dorsal Preservation and Conventional Dorsal Hump Reduction Rhinoplasty: A Systematic Review and Meta-Analysis.","authors":"Do Hyun Kim, David W Jang, Se Hwan Hwang","doi":"10.1007/s00266-025-04828-6","DOIUrl":"https://doi.org/10.1007/s00266-025-04828-6","url":null,"abstract":"<p><strong>Background: </strong>Recently, improvements in dorsal preservation rhinoplasty have been reported to minimize swelling, reduce scarring, and the aesthetic lines of the nasal dorsum.</p><p><strong>Methods: </strong>Sourcing studies from six databases, the change in patient-reported scores for cosmetic satisfaction (-C) (using a visual analogue scale [VAS] and the Standardized Cosmesis and Health Nasal Outcomes Survey [SCHNOS]) and nasal obstruction severity (-O) (using a VAS, the SCHNOS, and the Nasal Obstruction Symptom Evaluation [NOSE]) related to the presence of a nasal anatomical deformity were recorded from baseline (before treatment) to post-treatment and compared between an intervention group (dorsal preservation rhinoplasty) and a conventional group (conventional dorsal hump reduction rhinoplasty). The mean difference was chosen to calculate effect sizes of patient-reported outcomes.</p><p><strong>Results: </strong>Data for meta-analysis were retrieved for six studies with a total of 753 patients. The cosmetic satisfaction of patients was significantly greater in the intervention group versus the conventional group (VAS-C: -0.5215 [-0.9616; -0.0814]/SCHNOS-C: 1.9385 [0.1648-3.7123]). There was no significant difference in nasal obstruction scores between the intervention and conventional groups (VAS-O: -0.1997 [-0.5337; 0.1343]/SCHNOS-O: 0.5204 [-1.0096; 2.0504]/NOSE: -3.7884 [-10.2381; 2.6612]). According to the timing of measurement, the intervention group maintained a better improvement in cosmetic satisfaction (VAS-C and SCHNOS-C) until six months postoperation (early), but there was no significant difference thereafter.</p><p><strong>Conclusion: </strong>Based on the patient-reported cosmetic or functional benefits, although dorsal preservation led to better cosmetic results in the early follow-up period, the results after six months were similar in the two groups. The two techniques led to similar functional improvements in nasal obstruction at one year of follow-up.</p><p><strong>Level of evidence iii: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Elliptical Lipoaspirate Activation Versus Coleman Technique: A Randomized Double-Blinded Clinical Trial on Adipose Tissue Grafting for Scar Treatment.","authors":"Valeriano Vinci, Flavio Bucci, Edoardo Caimi, Riccardo Di Giuli, Stefano Vaccari, Elisa Maria Ragaini, Maria Carlotta Francesca Gorio, Marco Klinger, Alfredo Gorio, Francesco Klinger","doi":"10.1007/s00266-025-04804-0","DOIUrl":"https://doi.org/10.1007/s00266-025-04804-0","url":null,"abstract":"<p><strong>Background: </strong>Autologous fat grafting is widely used in reconstructive surgery and its use is increasing in different areas of regenerative medicine. This study evaluates the impact of elliptical lipoaspirate activation on adipose tissue grafting outcomes, focusing on scar-related pain reduction, improved scar characteristics, and increased tissue elasticity, comparing these outcomes with the traditional Coleman method.</p><p><strong>Methods: </strong>This randomized double-blinded clinical trial study was conducted at the Humanitas Research Hospital in Milan from October 2022 to December 2023. Forty-three women aged 18-75 undergoing second-stage breast reconstruction were enrolled. The control group (19 patients) received the Coleman technique, while the study group (24 patients) underwent an additional elliptically oriented centrifugation. Method for evaluations included the Visual Analog Scale (VAS) for pain, Range of Movement (ROM), the Patient and Observer Scar Assessment Scale (POSAS), and shear wave elastography for tissue elasticity.</p><p><strong>Results: </strong>Both groups showed significant improvements over time. The case group demonstrated a greater decrease in VAS scores at 3 months (p = 0.015). POSAS scores were consistently better in the elliptical lipoaspirate activation group, significantly improving scar pruritus, pain, color, stiffness, thickness, and irregularity. Total POSAS score for both patient and observer scales were statistically higher for the case group at 12 months (p = 0.009 and p = 0.003, respectively). Elastography showed higher tissue softness in the case group at 6 months (p = 0.015) and 12 months (p = 0.0005). Tissue hardness, measured with elastography, was significantly lower for the case group at 12 months (p = 0.003).</p><p><strong>Conclusions: </strong>The elliptical lipoaspirate activation technique significantly enhances clinical outcomes, reducing pain and improving scar quality and tissue elasticity compared to the standard Coleman method.</p><p><strong>Level of evidence i: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aesthetic Hip Reconstruction with Bilateral Pedicled DIEP Flap.","authors":"Miguel De La Parra-Marquez, Selene Santander-Flores, Hugo Beyuma-Mora","doi":"10.1007/s00266-025-04844-6","DOIUrl":"https://doi.org/10.1007/s00266-025-04844-6","url":null,"abstract":"<p><p>The hip represents an important part of the female body silhouette, its anatomical alteration conditions an evident asymmetry. Both reconstructive surgery and aesthetic surgery of body contouring offer different options for correction. In this work, we present a case where both disciplines are combined, after performing a double-pedicled DIEP flap by abdominoplasty approach for the correction of a significant volume deficit at the hip level, secondary to sequelae of trauma.Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Double-Tunnel Creation in Mucoperichondrial-Mucoperiosteal Septal Flap to Preserve the Sagittal Stability of Dorsal Components in Rhinoplasty.","authors":"Ahmadreza Rajaee, Niloofar Tajik, Mahboobeh Karimi-Galougahi","doi":"10.1007/s00266-025-04835-7","DOIUrl":"https://doi.org/10.1007/s00266-025-04835-7","url":null,"abstract":"<p><p>Removal of the dorsal hump in structural rhinoplasty disarticulates the upper lateral cartilages (ULCs) from the septum, resulting in a loss of control over the medial and posterior displacement of the lateral nasal walls. This consequently leads to disruption of the dorsal aesthetic lines (DALs) in oblique and frontal views. The inability to control this disadvantage has been a major factor driving the search for alternative approaches, such as dorsal preservation rhinoplasty, over the past decade. We propose a novel technique for creating a double tunnel within the mucoperichondrial-mucoperiosteal septal flap to achieve reliable control over the vertical positioning of dorsal components. This method has been applied in over 2,000 cases, demonstrating favourable outcomes in preserving mid-vault stability while allowing for precise manipulation of the hump and other dorsal characteristics in structural rhinoplasty.Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Public Perceptions and Knowledge of Surgical Facial Rejuvenation: A Cross-Sectional Study in Saudi Arabia.","authors":"Abdulaziz Saud AlEnazi, Abdulrahman G Alosaimi, Leen Mohammad AlMazroa, Haila Alabssi, Nouf Fahad Almulhim, Hassan Assiri, Amani Obeid","doi":"10.1007/s00266-025-04797-w","DOIUrl":"https://doi.org/10.1007/s00266-025-04797-w","url":null,"abstract":"<p><strong>Background: </strong>Facial structures change with age, impacting individuals physically and psychologically. Surgical facial rejuvenation involves a surgical mode of treatment to restore the face to its youthful look. Understanding public knowledge and attitudes toward these procedures is essential for effective patient education and managing expectations regarding surgical outcomes. This study explores the general population's perceptions and knowledge of surgical facial rejuvenation in Saudi Arabia.</p><p><strong>Methods: </strong>A cross-sectional study was conducted between July 2023 and October 2023 via various social media platforms. The participants' awareness, understanding, and attitudes toward facial rejuvenation procedures were evaluated using motivational factors, barriers, and decision-making preferences. Data were analyzed using the statistical package for social sciences (SPSS v.23).</p><p><strong>Results: </strong>A total of 1067 (98.5%) of 1083 participants completed and submitted the survey. The participants included both males (25.1%) and females (74.9%), predominantly from the Eastern region of Saudi Arabia (79.8%). While only 34.7% belonged to the medical profession, 77.6% of participants were aware of facial rejuvenation procedures. A higher proportion of females (63.6%) reported having a relative undergo these procedures compared to males (39.7%, p < 0.001). 55.9% acknowledged associated risks, with more females recognizing the risks (58.7%) than males (47.7%, p = 0.003).</p><p><strong>Conclusions: </strong>The knowledge and awareness of surgical facial rejuvenation were favorable. However, religious concerns and safety considerations influenced the use of the procedures, emphasizing the importance of special medical expertise and the increased influence of social media on decision making for aesthetic medicine.</p><p><strong>Level of evidence iii: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conjoint Shield and Onlay Tip Graft, a Duo for Nasal Tip Camouflage and Refinement in Rhinoplasty.","authors":"Lehao Wu, Huan Wang, Hengyuan Ma, Binghang Li, Le Tian, Junsheng Guo, Xulong Zhang, Fei Fan, Jianjun You","doi":"10.1007/s00266-025-04827-7","DOIUrl":"https://doi.org/10.1007/s00266-025-04827-7","url":null,"abstract":"<p><strong>Background: </strong>An improperly established tip graft can lead to a narrow tip over time. To further refine the nasal tip and reduce the possibility of a narrow pointy tip, a shield graft and a tip onlay graft made from rib cartilage were fixated together and envelop the top of the alar dome and the caudal border of the tip graft. These conjoint grafts act as an overcoat, to camouflage any irregularities result in from assembling multiple structures together, while also providing supplementary width and thickness for tip and columellar improvement. We name these two conjoint grafts: the duo combo grafts.</p><p><strong>Methods: </strong>A total of 41 cases were included in this retrospective study, ranging in age from 21 to 40 years. In all cases, the duo combo grafts were applied as the final element for camouflaging and finessing the nasal tip. The complications that arose were collected retrospectively. Three-dimensional stereophotogrammetric evaluations were performed. Anthropometric points were analyzed in a blinded fashion. Outcome variables were tip projection, nasal length and Goode ratio.</p><p><strong>Results: </strong>Postoperative analysis suggested significant improvement on the aesthetics over time, evidenced by the significant increase in the tip projection (22.93 ± 1.32 vs 26.63 ± 1.35 mm), as well as the nasal length (39.62 ± 1.64 vs 43.16 ± 1.47 mm) and the Goode ratio (0.58 ± 0.038 vs 0.62 ± 0.031). Global aesthetic improvement scale also rendered an average score of 1.12 ± 0.40.</p><p><strong>Conclusions: </strong>The duo grafts effectively camouflage and refine the nasal tip, imparting a pleasingly contoured and harmonious appearance. It has the merits of anatomically compliance and flexibility when it comes to concomitantly improving the tip profile. We propose that our findings provide a new perspective on the potential benefits of the duo graft, which can be considered a valuable addition to the armamentarium of rhinoplasty surgeons.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comments on \"The Efficacy and Safety of Botulinum Toxin Type A in Prevention of Hypertrophic Scars After Epicanthoplasty: A Split-Face Double-Blinded Randomized Controlled Trial\".","authors":"Chang-Zhong Qian, Jun-Jie Wu, Zhenyu Zhang","doi":"10.1007/s00266-025-04847-3","DOIUrl":"https://doi.org/10.1007/s00266-025-04847-3","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Analysis of Tear Strength Across Different Types of Maxillofacial Silicone Materials: A Systematic Review and Meta-analysis.","authors":"Ravinder S Saini, Gunjan Singh Aswal, Sunil Kumar Vaddamanu, Syed Altafuddin Quadri, Seyed Ali Mosaddad, Artak Heboyan","doi":"10.1007/s00266-025-04832-w","DOIUrl":"https://doi.org/10.1007/s00266-025-04832-w","url":null,"abstract":"<p><strong>Background: </strong>Maxillofacial materials have been developed to provide natural and long-lasting prosthetic solutions for patients with facial anomalies caused by trauma, surgery, or congenital diseases. The durability and lifespan of maxillofacial silicone materials are important factors to consider in prosthetic rehabilitation. The tear strength of these materials is a crucial characteristic that directly affects their ability to withstand wear, tear, and deformation over time. Comprehending the comparative examination of tear strength among various maxillofacial silicone materials is crucial to identifying the most appropriate material. This study aimed to compare tear strength among different types of maxillofacial silicone materials.</p><p><strong>Methods: </strong>Pertinent data for the current study were obtained from three databases: Web of Science, Cochrane, Scopus, Embase, and PubMed. The study objectives and topics were used to identify pertinent terms, which were then combined using the Boolean operators \"OR\" and \"AND\". The search queries generated for each database were utilized to obtain articles from the beginning until December 2024.</p><p><strong>Results: </strong>Twelve articles were eligible to be included in this study. The described types of maxillofacial silicone materials included VST50F maxillofacial silicone, A-2186 Platinum RTV Silicone Elastomer, and M511 Platinum silicone elastomer. The tear strength proportions of the VST-50 maxillofacial silicone elastomer, A-2186 RTV, and M511 platinum were 0.37, 0.29, and 0.33, respectively. The addition of additive particles to silicone maxillofacial materials significantly improved tear strength (SMD = 4.25, 95% CI: 2.32, 6.18, (p = 0.0001)) compared to the control group.</p><p><strong>Conclusions: </strong>Based on the present finding, 2186-RTV platinum maxillofacial silicone material exhibits strong tear strength, followed by VST50F maxillofacial silicone as a result of reinforced nano-filler particles (TiO2).</p><p><strong>Level of evidence iii: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}