Annals of Plastic Surgery最新文献

{"title":"Implementing a Point-of-Care Image Application Into the Clinical Setting: Introducing a Viable Approach.","authors":"Sandra Scharfetter, Karl Schwaiger, Gottfried Wechselberger","doi":"10.1097/SAP.0000000000004243","DOIUrl":"10.1097/SAP.0000000000004243","url":null,"abstract":"<p><strong>Abstract: </strong>Photo documentation is an invaluable tool in many medical specialties, particularly in plastic surgery. Although camera-enabled smartphones have become omnipresent, point-of care clinical image applications are not established in most hospitals, especially smaller institutions with fewer means. To solve the problem, we decided to collaborate with an external company with an already existing and certified medical photo capturing mobile application. This point-of care image application provided us to implement a standardized photo documentation pathway without the need to invest means on the development of a new application.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":"94 6","pages":"627-629"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143974436","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":"Distinguishing Authentic Voices in the Age of ChatGPT: Comparing AI-Generated and Applicant-Written Personal Statements for Plastic Surgery Residency Application: Erratum.","authors":"","doi":"10.1097/SAP.0000000000003756","DOIUrl":"10.1097/SAP.0000000000003756","url":null,"abstract":"","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":" ","pages":"704"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71477294","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":"Extended Anterolateral Thigh Flaps: Maximum Size for Covering Cancerous Defects.","authors":"Kiichi Furuse, Daisuke Kageyama, Masaki Arikawa, Satoshi Akazawa, Takuya Higashino","doi":"10.1097/SAP.0000000000004330","DOIUrl":"10.1097/SAP.0000000000004330","url":null,"abstract":"<p><strong>Background: </strong>The anterolateral thigh perforator flap is frequently used for massive soft-tissue defect reconstruction. Cadaver perfusion examinations of isolated anterolateral thigh flaps have suggested a maximum skin area that may be vascularized based on the perforating vessels (ie, 250 cm 2 ). Therefore, this study aimed to evaluate a series of consecutive cases involving use of extended anterolateral thigh flaps for oncologic reconstruction of massive soft-tissue defects. To our knowledge, this is the largest study of extended anterolateral thigh flaps at a single center.</p><p><strong>Methods: </strong>Patients who underwent transfers of anterolateral thigh flaps exceeding 250 cm 2 at our institution between April 2018 and December 2022 were retrospectively identified. The operative data and results were analyzed.</p><p><strong>Results: </strong>Thirty-eight flaps in 36 cases were included. The 38 flaps consisted of 31 free flaps and 7 pedicled flaps. The average skin paddle size was 363 ± 101 cm 2 (range, 250-660 cm 2 ). The donor site was primarily closed in 7 flaps. The remaining 31 flaps required skin grafting to ensure donor-site closure. Neither total nor partial flap loss was observed. Four patients had wound dehiscence due to tightness. Three patients had surgical-site infections. Two patients had seromas. The postoperative courses of the 5 patients were complicated by partial skin graft loss at the donor sites.</p><p><strong>Conclusions: </strong>The anterolateral thigh flap is versatile and reliable for the treatment of massive oncological defects. Even flaps much larger than 250 cm 2 can usually be harvested safely based on 2 to 4 perforators without special techniques, such as compound flaps or additional vessel anastomoses.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":" ","pages":"670-675"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623292","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 Assessment of External Nasal Valve Efficiency After Le Fort I Surgery: Erratum.","authors":"","doi":"10.1097/SAP.0000000000004140","DOIUrl":"10.1097/SAP.0000000000004140","url":null,"abstract":"","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":" ","pages":"706"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456584","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":"A Letter to the Editor in Response to \"Resection Weight Formulas for Reduction Mammoplasty: A Systematic Review and Regression Analysis\".","authors":"Alexander F Dagi, Jarrod T Bogue","doi":"10.1097/SAP.0000000000004352","DOIUrl":"10.1097/SAP.0000000000004352","url":null,"abstract":"","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":"94 6","pages":"702-703"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967536","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 Delay of Thoracodorsal Artery Perforator Flaps for Total Autologous Breast Reconstruction: Erratum.","authors":"","doi":"10.1097/SAP.0000000000003963","DOIUrl":"10.1097/SAP.0000000000003963","url":null,"abstract":"","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":" ","pages":"705"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142360866","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":"Beyond One-Size-Fits-All: Pioneering a Zone-Based Strategy in Digital Nerve Autografting.","authors":"Daihun Kang","doi":"10.1097/SAP.0000000000004242","DOIUrl":"10.1097/SAP.0000000000004242","url":null,"abstract":"<p><strong>Background: </strong>Digital nerve injuries significantly affect hand function and quality of life, necessitating effective reconstruction strategies. Autologous nerve grafting remains the gold standard due to its superior biocompatibility, despite recent advancements in nerve conduits and allogenic grafts. This study aims to propose a novel zone-based strategy for donor nerve selection to improve outcomes in digital nerve reconstruction.</p><p><strong>Methods: </strong>A systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines, searching PubMed, Embase, Cochrane Library, and Web of Science for articles published from January 2004 to December 2023. Inclusion criteria included studies involving adult human subjects undergoing autologous nerve grafting for digital nerve reconstruction, with sensory recovery and donor site morbidity as primary outcome measures. Additionally, an anatomical study comparing donor nerves to digital nerves was included.</p><p><strong>Results: </strong>Five studies met the inclusion criteria: 4 clinical studies and 1 anatomical study. Analysis of the 4 included clinical studies showed that the posterior interosseous nerve had the lowest donor site morbidity (6.25%), while the lateral antebrachial cutaneous nerve (LABCN) demonstrated the best sensory recovery outcomes (mean 2-point discrimination of 5.92 mm, with 100% of patients achieving good to excellent recovery). The sural nerve exhibited acceptable donor site morbidity (15%) but showed the lowest sensory recovery outcomes (mean 2-point discrimination of 10.8 mm, with only 46% of patients reporting good to very good recovery). The anatomical study indicated that the LABCN had the closest match in cross-sectional area and fascicle count to most zones of the digital nerve, supporting its suitability as a graft source.</p><p><strong>Conclusions: </strong>Although there are many nerve reconstruction techniques available, autologous nerve grafting remains the gold standard. Based on the analysis of five studies, this review proposes a new zone-based approach for donor nerve selection, emphasizing matching donor nerves to specific injury zones. This tailored strategy can potentially optimize both functional recovery and donor site morbidity, moving beyond the one-size-fits-all paradigm. The posterior interosseous nerve, LABCN, and SN each provide unique benefits depending on the zone of injury, suggesting that this approach may lead to improved patient outcomes. Future research is needed to validate this framework.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":" ","pages":"663-669"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057832","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":"Implant Size Versus Mastectomy Weight in Breast Reconstruction: Does Matching Matter?","authors":"Katherine H Carruthers, Katya Remy, Matthew A DePamphilis, Eva Roy, Anna Reaman, Krishna Vyas, Eleanor Tomczyk, William G Austen","doi":"10.1097/SAP.0000000000004309","DOIUrl":"10.1097/SAP.0000000000004309","url":null,"abstract":"<p><strong>Introduction: </strong>During nipple-sparing mastectomy with direct-to-implant based breast reconstruction, if the size of the chosen implant is smaller than the mastectomy specimen, a volumetric mismatch occurs creating dead space. This study evaluates the effect of volumetric mismatch between chosen implant size and mastectomy weight on postoperative complications after breast reconstruction.</p><p><strong>Methods: </strong>A multicenter retrospective cohort study was conducted on patients undergoing nipple-sparing mastectomy with direct-to-implant based breast reconstruction. The effect of volumetric mismatch [mastectomy weight (g) - implant size (mL)] on postoperative complications were evaluated using receiver operating characteristic analysis and multivariable regression analyses.</p><p><strong>Results: </strong>A total of 1617 breast reconstructions were performed in 1031 patients. The mean mastectomy weight was 442.6 g (±219.1), the mean implant size was 403.2 mL (±152.0) and the mean volumetric mismatch was 37.1 (±108.2). The mean follow-up was 25.3 months (±15.2). Total complication rate was 8.3%. A volumetric mismatch of ≥78 was associated with increased complications when controlled for mastectomy weight and implant size, with higher rates of any complication (14.6% vs 6.4%, P < 0.0001), explantation due to infection (2.9% vs 1.1%, P = 0.05), infection (4.5% vs 1.6%, P = 0.01), and seroma (6.9% vs 1.9%, P < 0.0001). On multivariable regression for any complication, volumetric mismatch [odds ratio 1.9 (95% CI 1.0-3.4) P = 0.043], smoking and age were significant predictors.</p><p><strong>Conclusions: </strong>A greater mismatch between implant size and mastectomy weight was a significant predictor of postoperative complications, including explantation. Knowing this, surgeons may choose to match implant size more evenly to mastectomy weight, opt for skin sparing mastectomies or consider operative techniques to minimize dead space.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":" ","pages":"634-638"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623212","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":"Giant Condyloma Acuminatum: A Review of Reconstructive Options.","authors":"Brooke E Barrow, Kwadwo O Ansah, Hani I Naga, Nicklas Sarantos, Brant A Inman, Andrew C Peterson, Detlev Erdmann","doi":"10.1097/SAP.0000000000004349","DOIUrl":"10.1097/SAP.0000000000004349","url":null,"abstract":"<p><strong>Abstract: </strong>The management of giant condyloma acuminatum in the male population remains challenging given the anatomic complexity of this region. Preservation of micturition and sexual function are key considerations. After primary resection, reconstructive plastic surgery is often necessary for coverage of soft-tissue defects, necessitating a multidisciplinary approach by urologic, plastic, and colorectal surgery. Because of the rarity of this disease, a defined treatment protocol has not been established. This review aims to outline key considerations and reconstructive options for this challenging disease, which are highlighted by two cases of successful reconstruction.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":"94 6","pages":"695-700"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143957789","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 Techniques for Cleft Lip Repair: Insights From Latin America and the Caribbean.","authors":"Atenas Bustamante, Jonathan Diaz, Emily Jones, Laura Herrera Gomez, Karel-Bart Celie, José Nuñez, Allyn Auslander, William P Magee, Wieslawa De Pawlikowski","doi":"10.1097/SAP.0000000000004379","DOIUrl":"https://doi.org/10.1097/SAP.0000000000004379","url":null,"abstract":"<p><strong>Background: </strong>Cleft lip (CL) repair techniques vary significantly, often depending on surgeons' experience, preference, and cleft characteristics. In Latin America and the Caribbean (LAC), where CL prevalence is high, research on surgical practices remains limited. This study aims to document and analyze preferences for unilateral (UCL) and bilateral cleft lip (BCL) repair among Operation Smile surgeons in LAC to support improved cleft care.</p><p><strong>Methods: </strong>A 22-question survey was distributed anonymously electronically to credentialed LAC surgeons performing UCL and BCL repairs. The survey explored demographics, preferred repair techniques, and surgical approaches such as nasal floor closure, gingivoperiosteoplasty, and setback techniques. Responses were analyzed using descriptive and inferential statistics.</p><p><strong>Results: </strong>A total of 101 surgeons from 13 countries participated, with Peru (20%) having the highest representation. Most respondents were male (71%), with 36% having less than 5 years of experience. The Fisher technique was the most preferred method for UCL (66%) and BCL (29%), particularly among less experienced surgeons. Technique preferences varied significantly by country (P < 0.001). For UCL, most surgeons (78%) closed the nasal floor by joining septal and lateral mucosa, and 50% performed gingivoperiosteoplasty. For BCL, 58% used labial adhesion for maxillary protrusion, and 24% performed premaxillary setbacks, both varying significantly by experience and technique (P < 0.001).</p><p><strong>Conclusions: </strong>This study reveals substantial variability in cleft repair techniques across LAC, with the Fisher technique emerging as a dominant preference. These findings provide a foundation for future research focusing on outcomes and complications to optimize cleft care in the region.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144155919","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}