Aesthetic Plastic Surgery最新文献

{"title":"Female Perioral Aesthetic and Therapeutic Strategies of Chinese Population in China.","authors":"Siqiao Wu, Nanze Yu, Xiaojing Liu, Jia Zhou, Haibin Wang, Cuiyun Chen, Yuyan Yang, Yiming Zhang, Fuchun Xu, Liuli Dai, Zhengzheng Jiang, Bailin Pan","doi":"10.1007/s00266-025-05040-2","DOIUrl":"https://doi.org/10.1007/s00266-025-05040-2","url":null,"abstract":"<p><strong>Background: </strong>With the increase in demand for lip aesthetics and antiaging solutions, coupled with advancements in medical aesthetic technology and changing beauty trends, there has been a growing focus on refining specific facial features. However, significant differences exist in the aesthetic perceptions of lips between Chinese and Western populations, and limited research has been conducted on the aesthetic preferences and personalized lip design for Eastern individuals. Therefore, understanding public preferences is essential for developing tailored treatment approaches.</p><p><strong>Objective: </strong>This study aimed to investigate the characteristics of perioral concerns among Chinese population, summarize lip shapes and facial contours that correspond with Chinese aesthetic ideals, and propose methods for designing various lip shapes.</p><p><strong>Methods: </strong>An online survey was conducted, distributing 1000 questionnaires to collect data on respondents' basic information, preferences for facial contours and lip shapes, and the most desired improvements in perioral issues. Statistical analysis was performed to identify the lip shapes and facial contours most aligned with Chinese aesthetics. Twelve senior plastic surgeons were invited to define aesthetic design and intervention principles for different facial contours.</p><p><strong>Results: </strong>The study identified five lip shapes and three facial contours that were considered aesthetically pleasing among Chinese population. For each of the five most popular lip shapes, five aesthetic intervention strategies were developed.</p><p><strong>Conclusion: </strong>The findings of this study provide insights into the aesthetic trends of lips and perioral areas among Chinese individuals, offering a reference for developing treatment plans focused on enhancing and rejuvenating these areas.</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":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144590254","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":"The Chestnut Technique: A Novel Approach to Enhancing Implant Stability in Breast Augmentation.","authors":"Mert Demirel, Mert Ersan","doi":"10.1007/s00266-025-05062-w","DOIUrl":"https://doi.org/10.1007/s00266-025-05062-w","url":null,"abstract":"<p><strong>Background: </strong>Despite advancements in implant technology and surgical techniques, achieving long-term implant stability in breast augmentation remains challenging, particularly in cases where enhanced soft tissue support is required.</p><p><strong>Objective: </strong>The chestnut technique was developed to enhance implant stability and address soft tissue support-related complications by incorporating a structurally supportive soft tissue framework. This study aims to describe the surgical steps of the chestnut technique and evaluate patient-reported outcomes following its application.</p><p><strong>Method: </strong>This retrospective study included 60 female patients who underwent primary breast augmentation between April 2020 and November 2024. Implants were placed in a customized subpectoral pocket, ensuring superior and inferior muscle and fascia coverage with pectoral fascia support at the midsection. Patient satisfaction was assessed using the BREAST-Q module preoperatively and at 1 year postoperatively.</p><p><strong>Results: </strong>The mean follow-up period was 31.8 months (range: 12-56 months). No cases of implant malposition, rippling, or animation deformity were observed. Minor complications occurred in 5% of patients and were successfully managed with conservative treatment. The mean BREAST-Q satisfaction score significantly increased from 23.44 ± 10.20 preoperatively to 84.46 ± 9.90 at 1 year, with similar improvements in psychosocial and sexual well-being (p < 0.001).</p><p><strong>Conclusion: </strong>The chestnut technique provides a safe and effective approach to primary breast augmentation, particularly in cases where enhanced soft tissue support is desired. By optimizing implant stability and minimizing displacement-related complications, it serves as a reliable alternative to conventional methods while ensuring predictable and aesthetically favorable outcomes.</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/0026 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582839","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":"Engagement in Plastic Surgery Content on YouTube: A Comprehensive Analysis.","authors":"Pearl Shah, Brennan Bogdanovich, Parth Patel, Carter Boyd","doi":"10.1007/s00266-025-04851-7","DOIUrl":"https://doi.org/10.1007/s00266-025-04851-7","url":null,"abstract":"<p><strong>Background: </strong>As the digital age progresses, individuals are increasingly seeking online websites for the dissemination of information. YouTube, the most popular free video streaming platform worldwide, garners over 2 billion users. Plastic surgery information is widely available on YouTube and acts as a common interface for the distribution of plastic surgery-related information. This investigation aimed to identify trends in YouTube videos describing common plastic surgery search terms based on narrator gender, channel type, and language patterns.</p><p><strong>Methods: </strong>Top-ranking videos for six common plastic surgery search terms were queried. Video characteristics and transcripts for each video were extracted. Transcripts were subsequently analyzed using the Linguistic Inquiry and Word Count software. Comparisons were performed using various statistical analysis methods.</p><p><strong>Results: </strong>Significant differences in audience engagement were noted by search topic (p < 0.05). Speakers in plastic surgery videos were predominantly male only (108 [60%]), with notable variation observed across channel type and search topic. Significant differences were found for videos on medical professional channels (p = 0.004) and videos regarding gynecomastia (p < 0.05). Linguistic pattern analysis revealed that female speakers used more authentic (p = 0.01) and emotional (p = 0.012) language than male speakers.</p><p><strong>Conclusion: </strong>With YouTube being the most visited online video platform website worldwide, plastic surgeons must understand trends to appropriately tailor their content and maximize their social media reach. Also, while plastic surgery is making strides in the right direction, continued work should be done in promoting adequate representation among online material.</p><p><strong>No level assigned: </strong>This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. 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":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582836","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":"Response to: \"Comment to: Comparative Analysis of the Traditional Elliptic Excision and Dermoglandular Posteroinferior Flap Technique for Grade III Gynecomastia\".","authors":"Vivien Moris","doi":"10.1007/s00266-025-05069-3","DOIUrl":"https://doi.org/10.1007/s00266-025-05069-3","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582838","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":"Commentary on: Explantation Mastopexy Using Long Superior Dermoglandular Flap: A Retrospective Analysis of our Technique.","authors":"Natália Vieira Saint Clair Mafra, Mattias Liden, Gennaro Selvaggi","doi":"10.1007/s00266-025-04950-5","DOIUrl":"https://doi.org/10.1007/s00266-025-04950-5","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582835","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":"Augmentation Mastopexy-Antigravity Flap Technique.","authors":"Fernando S A Prado Filho, Camilo Canas, Melissa F Camahji, Diego S Cação, Carlos Nogueira, Osvaldo R Saldanha","doi":"10.1007/s00266-025-04805-z","DOIUrl":"https://doi.org/10.1007/s00266-025-04805-z","url":null,"abstract":"<p><strong>Background: </strong>This study aim to evaluate the effectiveness of an augmentation mastopexy technique utilizing an inferior-medial dermoglandular flap rotated and fixed to the lateral fascia of the pectoralis major muscle, along with the serratus muscle, to counteract the effect of gravity on the implant. The objective was to achieve satisfactory results with reduced recurrent ptosis and improved breast shape and projection.</p><p><strong>Material and methods: </strong>A retrospective study involving 472 patients who underwent mastopexy augmentation between 2011 and 2020 was conducted. Inclusion criteria were age between 20 and 70 years old, with varying degrees of ptosis and moderate to severe skin sagging. The surgical technique used the inferior-medial dermoglandular flap, with specific variations based on breast characteristics. Follow-up evaluations were performed at one month, six months, and one year post-surgery.</p><p><strong>Results: </strong>The antigravity dermoglandular flap technique resulted in a combined complication rate of 12.28%. Recurrent ptosis was observed in 4.44% of cases, with most cases requiring additional surgical intervention. The upper pole projection was satisfactory in 76.3% of cases, with some requiring revision for pseudoptosis. Breast symmetry improved progressively in 66% of cases over time. Areolar viability complications occurred in 3.17% of cases, and scar quality issues were noted in 3.60% of patients. Implant displacement occurred in 0.42% of cases, and capsular contracture was observed in 0.42% of patients.</p><p><strong>Conclusions: </strong>The antigravity dermoglandular flap technique is a reproducible procedure that effectively counteracts the force of gravity, achieving aesthetically pleasing results in augmentation mastopexy. However, close monitoring and surgical intervention might be necessary for specific complications such as recurrent ptosis and pseudoptosis, to achieve optimal outcomes.</p><p><strong>Level of evidence ii: </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":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582834","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":"A New Approach to Surgical Rejuvenation of the Face and Neck: The Influence of Cone Beam Computed Tomography on Choice of Treatment Strategy in Patients with Involutional Changes.","authors":"Sekina M Alimova, Victor P Truten, Liudmila S Shamanaeva, Tatiana S Guseva","doi":"10.1007/s00266-025-05012-6","DOIUrl":"https://doi.org/10.1007/s00266-025-05012-6","url":null,"abstract":"<p><strong>Background: </strong>Preoperative assessment of age-related changes is crucial for predicting and preventing complications and for minimizing repeat interventions, in esthetic surgery of the face and neck. However, there is still a lack of evidence-based data and quantitative information concerning the use of diagnostic methods when planning surgical rejuvenation of the face and neck.</p><p><strong>Methods: </strong>This study included 73 patients who complained of age-related changes in the soft tissues of the face and neck and who sought esthetic surgical correction, between March 2022 and November 2024. Patients underwent a general clinical examination, assessment, age ranking, and gender categorization; their body mass indexes and aging morphotypes were also determined. Subsequently, a standard surgical correction plan for each patient was compared with a treatment plan obtained after cone beam computed tomography (CBCT).</p><p><strong>Results: </strong>Comparisons of standard treatment plans with plans based on CBCT results revealed that the latter exhibited significant advantages (p < 0.05) when selecting methods for surgical correction of the soft tissues of the face and neck.</p><p><strong>Conclusions: </strong>The use of CBCT scanning provides objective information about the condition and anatomical features of soft tissues and facial bones, enabling the planning of predictable, safe, and effective outcomes for surgical rejuvenation of the face and neck. It also helps to reduce the number of surgeries, lower treatment costs, and shorten the duration of treatment.</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":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582833","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":"Quantifying the Strength of the Facial Ligaments and Its Clinical Implications.","authors":"Gi-Woong Hong, Soo-Bin Kim, Deborah Chua, Sebastian Cotofana, Michael Alfertshofer, Konstantin Frank, Kyu-Ho Yi","doi":"10.1007/s00266-025-05060-y","DOIUrl":"https://doi.org/10.1007/s00266-025-05060-y","url":null,"abstract":"<p><strong>Background: </strong>Our understanding of facial anatomy has expanded recently through the introduction of the concept of facial biomechanics. A pivotal aspect in the concept of facial biomechanics is the presence of facial ligaments, which, by anchoring the layered soft tissue envelope of the face, create zones of adhesion that are essential pillars of the biomechanics of the face. This study analyzes the force required to penetrate the major facial ligaments forming the line of ligaments.</p><p><strong>Methods: </strong>Two fresh-frozen human cephalic cadavers were utilized and the force required to penetrate the facial ligaments (i.e., temporal ligamentous adhesion, lateral orbital thickening, zygomatic ligament proper, mandibular ligament) was measured using a 21-G cannula attached to a motorized force tester.</p><p><strong>Results: </strong>The greatest force required to penetrate the ligament was measured for the zygomatic ligament proper with 9.16 ± 0.63 N [range 7.79-10.10 N], followed by the zygomatic retaining ligament with 8.01 ± 0.98 N [range 5.93-9.40 N]. The force required to penetrate the mandibular ligament was measured with 3.64 ± 0.81 N [range 2.20-4.65 N]. The force required to penetrate the temporal ligamentous adhesion and the lateral orbital thickening were measured with a mean of 3.16 ± 0.52 N [range 2.15-3.90 N] and 2.90 ± 0.31 N [range 2.36-3.40 N], respectively.</p><p><strong>Conclusion: </strong>Understanding the different strengths of facial ligaments is essential for enhancing the effectiveness and safety of facial esthetic procedures, both surgical and non-surgical.</p><p><strong>Level of evidence v: </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":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582837","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":"A Novel Six-Point Supraperiosteum Injection with Calcium Hydroxyapatite for Jawline Refining and Facial Anti-aging in Asian Patients.","authors":"Bing-Qi Wu, Yun-Jhen Lin, Chang-Cheng Chang, Man-Lok Lio, Wei-Chun Chang, Hsiu-Mei Chiang, Yung-Hsueh Huang, Ying-Chuan Hsu","doi":"10.1007/s00266-025-05045-x","DOIUrl":"https://doi.org/10.1007/s00266-025-05045-x","url":null,"abstract":"<p><strong>Background: </strong>Supraperiosteal injection by calcium hydroxyapatite (CaHA) fillers is an efficient treatment for facial rejuvenation to achieve bony recontouring, facial augmentation and lifting. However, a safe and efficient injection technique for Asians was not described, and an assessment scale to quantify \"facial anti-aging\" does not exist.</p><p><strong>Methods: </strong>We enrolled 16 Asian women (n = 32) to receive a single session of six-point calcium hydroxyapatite (CaHA, Radiesse® Plus) filler injections between July 1, 2021, and July 1, 2022. The six injection sites included the eyebrow arch, lateral eyebrow, lateral zygoma, piriform fossa, lateral chin, and anteromedial cheek. Efficacy was assessed at weeks 0 (immediately post-treatment), 4, 12, and 24 using a specialized angular and length measurement system, with outcomes further evaluated using an 11-level anti-aging scale.</p><p><strong>Results: </strong>Among the four angular and six linear parameters assessed, statistically significant variations were observed across five time points. Regarding post hoc analyses, the Eyebrow-Tail angle showed a statistically significant change at week 24, increasing by 2.84° (p < 0.001) and corresponding to an anti-aging scale value of 6. This parameter indicated eyebrow lifting. The Tragus-Oral (-10.4 mm, p = 0.004) and Lower Facial Contouring (-9.8 mm, p = 0.044) showed statistically significant reductions and received aging scale ratings of 10 and 9, respectively, at week 24. These two parameters indicated achieving jawline refining. Overall, the final anti-aging scale improved from an average of 50-59, with minimal or ignorable ecchymosis and swelling at week 24.</p><p><strong>Conclusions: </strong>The 6-point calcium hydroxyapatite filler injection achieved facial rejuvenation. After a single session, the injection recontoured the jawline and lifted the eyebrow tail.</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 Table of Contents or online Instructions to Authors www.springer.com/00266.</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558816","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":"A Novel Preoperative Design Utilizing the Rouleau Phenomenon for Sunken Eyelids.","authors":"Jin Hwang, Tae Hwan Park","doi":"10.1007/s00266-025-05006-4","DOIUrl":"https://doi.org/10.1007/s00266-025-05006-4","url":null,"abstract":"<p><strong>Background: </strong>Correcting sunken eyelids is challenging. This is because the eyelid skin easily moves according to orbital fat volume, making it difficult to predict, which can lead to asymmetrical or unfavorable results. Currently, the preoperative design method for understanding the Rouleau phenomenon and using it to push the lower bag can be helpful as it reduces asymmetry and offers greater predictability. The current study shares our experiences of sunken eyelid correction either by combined upper blepharoplasty and micro-fat grafting. We also introduce our unique preoperative design utilizing the Rouleau phenomenon.</p><p><strong>Methods: </strong>This study included 60 patients who underwent upper blepharoplasty with a fat graft to correct sunken eyelids. It is a retrospective review of 60 cases from August 2021 to April 2023.</p><p><strong>Results: </strong>This study included sixty patients who underwent fat grafting (FG) for sunken eyelid correction and/or upper blepharoplasty (UB) between August 2021 and April 2023. There were nine cases (15%) in which only FG was performed without the need for UB, and 43 cases (71.7%) involved patients who underwent both UB and FG together and achieved aesthetic satisfaction after only one surgery. Revisional surgery was performed when the results were unsatisfactory after the first surgery, which included persistently visible wrinkles, sunken undercorrection, and palpable lumps.</p><p><strong>Conclusions: </strong>We successfully corrected sunken eyelids in the Asian population with a customized approach using fat grafting and/or upper blepharoplasty based on our unique preoperative design utilizing the Rouleau phenomenon. This will assist plastic surgeons in achieving a better aesthetic outcome in this challenging area.</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":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558815","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}