Annals of Plastic Surgery最新文献

{"title":"Professional Development for Early-Career Plastic Surgeons: A Snapshot of Opportunities for Involvement in Societies and Organizations.","authors":"Aniekanabasi I Ufot, Emily E Zona, Armin Edalatpour, Jacqueline S Israel","doi":"10.1097/SAP.0000000000004401","DOIUrl":"10.1097/SAP.0000000000004401","url":null,"abstract":"<p><strong>Background: </strong>Professional development is relevant to physicians at all stages of one's career, including early in practice. Specialty society membership offers opportunities for personal and professional growth and collaboration in many realms, including clinical practice, education, research and leadership. For early-career plastic surgeons, engagement in professional societies can facilitate career development as young surgeons navigate decision making and challenges at the start of their practices. The purpose of this article is to provide information regarding opportunities for early-career involvement and growth in professional societies related to plastic surgery.</p><p><strong>Methods: </strong>We sought to collate a single resource for early-career plastic surgeons as they hone their \"brand\" and seek additional engagement with their field. After web-based searches and seeking expert opinion from a variety of plastic surgeons, we generated a list of professional organizations and relevant opportunities.</p><p><strong>Results: </strong>For each professional organization, we created tables with programs and corresponding descriptions in the categories of leadership development, mentorship, research, and financial awards and scholarships. We identified dozens of opportunities for early-career plastic surgeons, from leadership committees to advocacy groups to grant funding.</p><p><strong>Conclusions: </strong>Regardless of practice type, given the many advantages of pursuing opportunities within and supported by professional societies, we advocate for engagement of early-career plastic surgeons in these organizations.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":" ","pages":"e18-e30"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144155914","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":"Radial Nerve Palsy Compression Injury at Spiral Groove From Self-myofascial Release: A Case Report and a Literature Review.","authors":"Helen Schafer, Barite Gutama, Nikolas K Popa, Sanjay K Sharma, J Bradford Hill, William Lineaweaver","doi":"10.1097/SAP.0000000000004427","DOIUrl":"https://doi.org/10.1097/SAP.0000000000004427","url":null,"abstract":"<p><strong>Abstract: </strong>This case report describes a 44-year-old woman who suffered a radial nerve compression injury from self-administered myofascial release using a lacrosse ball. She underwent decompression of the right radial nerve at the spiral groove of the humerus with intraoperative nerve stimulation. At 18-month follow-up, the patient had regained partial function of the radial nerve. This case highlights mechanisms of radial nerve compression injuries and discusses nonoperative versus operative treatment options.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537858","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":"An Indocyanine Green Light for Cross-Leg Free Flap Division: Presentation of the Technique and Review of Literature.","authors":"Can Ege Yalcin, Ece Davutluoglu, Levent Demir, Mehmet Demir, Berrak Karatan, Hakan Arslan","doi":"10.1097/SAP.0000000000004438","DOIUrl":"https://doi.org/10.1097/SAP.0000000000004438","url":null,"abstract":"<p><strong>Background: </strong>Cross-leg free flaps (CLFFs) and cross-leg cable bridge flaps (CLCBFs) are essential techniques in reconstructive surgery for complex lower limb defects when local options or suitable recipient vessels are unavailable. Although the surgical approaches are well established, standardized protocols for flap division, ischemic preconditioning, and perfusion assessment are lacking.</p><p><strong>Methods: </strong>This study presents a systematic review of the literature on CLFFs and CLCBFs, focusing on division timing, conditioning methods, and perfusion evaluation. A total of 38 studies involving 319 patients were identified through PubMed and EuroPMC searches in March 2025. Additionally, we present a case of a 23-year-old man with a 25 × 15-cm tibial defect reconstructed using a cross-leg latissimus dorsi free flap, where indocyanine green (ICG) angiography was employed to assess perfusion prior to flap division.</p><p><strong>Results: </strong>Pedicle division was most commonly performed between 3 and 6 weeks postoperatively. Ischemic preconditioning-typically through intermittent clamping-was reported in 54% of studies. Among studies that described perfusion assessment, 75% used clinical pedicle clamping, whereas 25% utilized ICG angiography. Our case demonstrated the successful application of ICG imaging to confirm neovascularization and enable safe, early flap division without complications.</p><p><strong>Conclusion: </strong>CLFF and CLCBF techniques are effective for limb salvage but require individualized postoperative protocols. Ischemic preconditioning and objective perfusion assessment, particularly using ICG angiography, may support earlier and safer flap division, minimizing patient morbidity and hospital stay.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537842","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 Retrospective Review: Treatment of Congenital Muscular Torticollis.","authors":"Brian Macias Martinez, John Stella, Marla C Fortoul, Chaimae Oualid, Jason Kim, George Kamel","doi":"10.1097/SAP.0000000000004436","DOIUrl":"https://doi.org/10.1097/SAP.0000000000004436","url":null,"abstract":"<p><strong>Background: </strong>Congenital muscular torticollis (CMT) is characterized by unilateral contraction of the sternocleidomastoid muscle, which causes head tilting and rotation. Treatment follows a stepwise approach, in which physical therapy (PT) serves as the first-line intervention, followed by botulinum toxin (Botox) injections for nonresponders and surgical lengthening of the sternocleidomastoid muscle in refractory cases. This study aims to evaluate the effectiveness of a stepwise treatment approach for CMT by assessing resolution rates following PT, Botox injections, and surgery.</p><p><strong>Methods: </strong>A retrospective review was conducted on 109 patients diagnosed with CMT and treated at the Atlantic Center of Aesthetic and Reconstructive Surgery between 2016 and 2021. Data on patient demographics, onset of torticollis, treatment interventions, and resolution rates were collected. Statistical analysis assessed differences in treatment outcomes and timing of intervention.</p><p><strong>Results: </strong>All patients initially underwent PT, and 71% (n = 77) achieved resolution. Botox injections were administered to nonresponders to PT (29%, n = 32), resulting in successful treatment in 56% (n = 18) of cases. Patients who were unresponsive to Botox (13%, n = 14) required surgical intervention. Earlier treatment initiation was significantly associated with improved outcomes (P < 0.00001). No major complications were reported with Botox or surgery. The average follow-up duration was the longest in the surgery group (27.2 months).</p><p><strong>Conclusions: </strong>This study highlights the role of each treatment within a progressive management strategy for CMT. Both Botox and surgery are safe and effective options for cases that do not respond to PT, with surgery reserved for most refractory cases. These findings reinforce the importance of early intervention for optimizing patient outcomes.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537840","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":"Quality and Readability of Online Rhinoplasty Information: A Systematic Review and Meta-analysis.","authors":"Antoinette T Nguyen, Rena A Li, Robert D Galiano","doi":"10.1097/SAP.0000000000004441","DOIUrl":"https://doi.org/10.1097/SAP.0000000000004441","url":null,"abstract":"<p><strong>Background: </strong>Patients increasingly rely on online resources for rhinoplasty education, yet the readability and reliability of these materials remain inconsistent. This systematic review and meta-analysis evaluated the quality and accessibility of online rhinoplasty-related patient education materials using DISCERN scores for reliability and Flesch-Kincaid Grade Level for readability.</p><p><strong>Methods: </strong>A systematic search identified 12 studies analyzing 882 websites and 259 videos. Meta-analyses were conducted using random-effects models. Subgroup analyses and meta-regression explored differences in information quality by source type and publication year.</p><p><strong>Results: </strong>The pooled mean DISCERN score across 5 studies (n = 197) was 42.96 (95% confidence interval: 36.28-49.63), indicating moderate quality. Heterogeneity was high (I2 = 93.8%, Q = 80.43, P < 0.0001), reflecting inconsistencies in study methodologies and content sources. Academic websites trended toward higher quality (mean DISCERN: 43.36) than private websites (36.40), but the difference was not statistically significant (P = 0.05906). Readability analysis (n = 95) showed a pooled Flesch-Kincaid Grade Level of 10.31 (95% confidence interval: 10.26-10.37), well above the recommended 6th-8th grade level. Heterogeneity was minimal (I2 = 0.0%, Q = 0.84, P = 0.3597), suggesting consistently excessive readability demands. No significant improvements in information quality were observed over time (pre-2020 DISCERN: 42.04 vs post-2020: 43.81; P = 0.8272).</p><p><strong>Conclusions: </strong>Online rhinoplasty materials remain difficult to read and of suboptimal quality, with no meaningful improvements over time. Standardized, accessible, and high-quality patient education resources are needed to support informed decision making.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537857","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":"Evaluating Authorship Guidelines of Top Medical Schools and Plastic Surgery Journals: A Comparative Analysis.","authors":"Nicholas A Mirsky, Sara E Munkwitz, Wrood M Kassira, Pawan Pathagamage, Paulo G Coelho, Seth R Thaller","doi":"10.1097/SAP.0000000000004435","DOIUrl":"https://doi.org/10.1097/SAP.0000000000004435","url":null,"abstract":"<p><strong>Background: </strong>Authorship in research is crucial for academic recognition and accountability; however, there remain discrepancies throughout institutions regarding authorship inclusion. This review aimed to evaluate the similarities, variations and distinct approaches to authorship criteria. We intend to focus on how guidelines address issues like honorary authorship, authorship order, and the resolution of disagreements.</p><p><strong>Methods: </strong>Authorship criteria from the top 10 NIH-funded medical schools and the top 10 plastic surgery journals as defined by their Journal Citation Reports (JCR) quartiles were collected from August 30, 2024, to September 5, 2024.</p><p><strong>Results: </strong>Our findings revealed significant differences in authorship policies, with medical schools generally providing more comprehensive and educational approaches compared to journals. While most organizations referenced International Committee of Medical Journal Editors criteria, there was variability in addressing key issues such as ghost and honorary authorship, authorship order determination, and the use of AI in research. Medical schools more frequently defined and prohibited ghost and honorary authorships, offered guidance on authorship order, and provided mechanisms for dispute resolution. Notably, guidelines regarding AI usage in research were largely absent or ambiguous across all organizations.</p><p><strong>Conclusions: </strong>This study highlights the need for greater standardization and clarity in authorship guidelines, particularly in light of emerging challenges posed by AI and increasingly collaborative research environments. Implementing standardized contribution declaration systems, such as CRediT, could enhance transparency and fairness in authorship attribution. As research practices continue to evolve, regular reassessment and updating of authorship guidelines will be crucial to maintain the integrity of scientific publication in academic medicine.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473827","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":"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":"Annals of Plastic Surgery Introduction to the SESPRS Supplement.","authors":"Bruce A Mast","doi":"10.1097/SAP.0000000000004413","DOIUrl":"https://doi.org/10.1097/SAP.0000000000004413","url":null,"abstract":"","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":"94 6S Suppl 4","pages":"S485"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144207427","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":"A Comparison of Thermal Imaging to Doppler in Perforator Vessel Identification.","authors":"Nikitha Potturi, Stephanie H Carpentier, Mark E Feldmann","doi":"10.1097/SAP.0000000000004390","DOIUrl":"https://doi.org/10.1097/SAP.0000000000004390","url":null,"abstract":"<p><strong>Background: </strong>Precise identification of perforators is necessary for perforator flap planning and success. Various localizing modalities are currently utilized. Doppler is the perioperative modality of choice but can be time consuming and operator dependent. Thermal imaging is an affordable, easy-to-use technology that produces a color image based on surface temperature. This study aims to compare the proficiency and speed of thermal imaging to Doppler in perforator identification.</p><p><strong>Methods: </strong>Twenty-one participants (42 thighs) were studied. A circle with a 5-cm radius at the midpoint between theanterior superior iliac spine and lateral patella was marked. Two investigators independently utilized either Doppler or thermal imaging to identify perforators within the marked territory. Thermal hotspots were marked first with invisible UV ink to blind the other investigator, who then scanned the same territory with Doppler. Concordance was determined if respective perforator markings between modalities aligned within 1 cm. After first pass, any nonconcordant thermal hotspots were rescanned with Doppler. Initial time taken and number of perforators found at first pass, first-pass concordance, and overall concordance after Doppler rescan were recorded.</p><p><strong>Results: </strong>At first pass, average time to identify perforators using Doppler was 3.57 minutes and 1.06 minutes using thermal imaging (P < 0.001). Among 42 ALT flap territories, 143 perforators were identified by Doppler and 142 by thermal imaging on initial scan, from which there was 72.5% initial concordance between modalities. Of the 39 nonconcordant thermal hotspots on first pass, an additional 29 then had a Doppler signal confirmed on rescan, resulting in an overall concordance of 93%.</p><p><strong>Conclusions: </strong>When used as an adjunct for flap planning, thermal imaging allows more efficient perforator identification by more quickly scanning a cutaneous territory and unmasking perforators missed by handheld Doppler alone.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":"94 6S Suppl 4","pages":"S568-S571"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144207424","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}