Journal of plastic, reconstructive & aesthetic surgery : JPRAS最新文献

{"title":"Commentary to: Nationwide trends in breast reconstruction in Korea during the reimbursement era (2015-2023).","authors":"Uwe von Fritschen","doi":"10.1016/j.bjps.2026.10.001","DOIUrl":"https://doi.org/10.1016/j.bjps.2026.10.001","url":null,"abstract":"","PeriodicalId":94104,"journal":{"name":"Journal of plastic, reconstructive & aesthetic surgery : JPRAS","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198658","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":"Correspondence on: Decreased need for botulinum toxin and nerve blocks after headache surgery.","authors":"Samet Yavuzel, Nalan Çelebi","doi":"10.1016/j.bjps.2026.09.053","DOIUrl":"https://doi.org/10.1016/j.bjps.2026.09.053","url":null,"abstract":"","PeriodicalId":94104,"journal":{"name":"Journal of plastic, reconstructive & aesthetic surgery : JPRAS","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149187070","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":"Correspondence on: Reconstruction of advanced oral cancer defects with two or more free flaps: Long-term clinical outcomes.","authors":"Lisa Omura, Wataru Sakai","doi":"10.1016/j.bjps.2026.09.044","DOIUrl":"https://doi.org/10.1016/j.bjps.2026.09.044","url":null,"abstract":"","PeriodicalId":94104,"journal":{"name":"Journal of plastic, reconstructive & aesthetic surgery : JPRAS","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169341","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":"Correspondence on: Predicting device-related complications among women undergoing breast implant surgeries.","authors":"Rafet Ozbey, Ercan Yılmaz","doi":"10.1016/j.bjps.2026.09.043","DOIUrl":"https://doi.org/10.1016/j.bjps.2026.09.043","url":null,"abstract":"","PeriodicalId":94104,"journal":{"name":"Journal of plastic, reconstructive & aesthetic surgery : JPRAS","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149187045","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":"Immediate comprehensive mandibular reconstruction with fibula free flap, implant-supported dental rehabilitation, and nerve reconstruction in children: A multicenter retrospective study.","authors":"Nicholas Callahan, S Loren Moles, Dima Ghunaim, Ashleigh Weyh, Fayette Williams, Caitlyn McGue, Paul C Walker, Chi T Viet, Michael Han","doi":"10.1016/j.bjps.2026.09.017","DOIUrl":"https://doi.org/10.1016/j.bjps.2026.09.017","url":null,"abstract":"<p><strong>Background: </strong>Pediatric mandibular reconstruction with immediate dental rehabilitation remains challenging. We aimed to evaluate clinical, functional, and dental outcomes of immediate mandibular reconstruction using a vascularized fibula free flap (VFFF) with simultaneous jaw reconstruction (IJR) and dental implant placement in pediatric patients.</p><p><strong>Methods: </strong>This retrospective cohort study included a consecutive cohort of patients <18 years who underwent segmental mandibular resection followed by immediate VFFF reconstruction and IJR at three American hospitals between January 2020 and January 2026. The predictor variable was postoperative follow-up timepoint (immediate vs. long-term). The primary outcomes were grouped into clinical, functional, and growth assessments. Descriptive and appropriate bivariate statistics were performed with statistical significance set at P ≤ 0.05.</p><p><strong>Results: </strong>Sixteen patients with benign mandibular lesions met the inclusion criteria and were followed for 1265.94 days (range, 381 to 2161 days); 37.5% were female. The mean age at surgery was 15.25±1.65 years (range, 12-17 years). There were no cases of flap loss or bony non-union, whereas dental implant failure occurred in 6.5% of the implants. All patients achieved normal oral function and no developmental abnormalities were observed at the donor site. The mean postoperative vertical mandibular growth was 1.4 cm. Significant growth was observed in condylar height (mean increase, 2.84-5.84 mm; P < 0.01) and mandibular length (mean increase, 1.43 mm; P = 0.037).</p><p><strong>Conclusions: </strong>Despite the small sample size, immediate mandibular reconstruction using a VFFF with IJR appears to be a reliable treatment option for pediatric patients with benign mandibular tumors. However, the long-term outcomes of mandibular growth, dental implant stability, and occlusal function after skeletal growth completion require further investigation.</p>","PeriodicalId":94104,"journal":{"name":"Journal of plastic, reconstructive & aesthetic surgery : JPRAS","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139975","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":"Commentary on: Hair transplantation in scar reconstruction.","authors":"Greg Williams","doi":"10.1016/j.bjps.2026.09.028","DOIUrl":"https://doi.org/10.1016/j.bjps.2026.09.028","url":null,"abstract":"","PeriodicalId":94104,"journal":{"name":"Journal of plastic, reconstructive & aesthetic surgery : JPRAS","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149066889","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 Incidence and aetiology of symptomatic neuroma development following digital amputation; a single centre observational study.","authors":"Raveenjot Nagra, Sunil Parthiban, Toby Austin, Joseph Mano, Christopher McGhee, Zubair Ahmed, Dominic M Power, Paul Malone","doi":"10.1016/j.bjps.2026.09.021","DOIUrl":"https://doi.org/10.1016/j.bjps.2026.09.021","url":null,"abstract":"<p><strong>Background: </strong>Symptomatic neuromas are an uncommon but disabling consequence of digital amputation. Reported incidence varies widely, and there is limited evidence regarding the influence of amputation aetiology, level and intraoperative nerve management technique on subsequence neuroma formation. The aim of this study was to assess the incidence of symptomatic digital neuromas and to determine whether aetiology, amputation levels, or nerve management technique influenced their development.</p><p><strong>Methods: </strong>A single-centre retrospective cross-sectional cohort study was conducted of all patients undergoing digital amputation between 2014 and 2021 at a tertiary trauma centre. Patient records were reviewed for demographics, amputation aetiology, anatomical level, intraoperative nerve management technique, and clinical follow-up for evidence of symptomatic neuroma development.</p><p><strong>Results: </strong>A total of 815 digital amputations were performed amongst 689 patients. The total incidence of digital neuroma was 6.26%. Trauma was the lead indication for amputation (86.3%). There was no statistically significant association between developing neuroma and amputation aetiology or anatomical level. The most commonly employed nerve management techniques were traction neurectomy (231/815; 28.3%) and bipolar cautery (238/815; 29.2%). Neuroma incidence was higher following traction neurectomy compared with bipolar cautery (9.96% (23/231) vs 5.04% (12/238). Traction neurectomy was associated with a statistically increased risk of symptomatic neuroma formation compared with bipolar cautery (unadjusted odds ratio (OR) 2.08; 95% CI 1.01-4.29, P<0.046).</p><p><strong>Conclusion: </strong>This study provides contemporary incidence data on symptomatic digital neuromas following amputation. Traction neurectomy at the time of digital amputation is associated with an increased likelihood of subsequent neuroma development compared with bipolar cautery, highlighting the importance of nerve management technique in surgical planning.</p>","PeriodicalId":94104,"journal":{"name":"Journal of plastic, reconstructive & aesthetic surgery : JPRAS","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083447","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":"Commentary On: Is inferior oblique muscle branch incarceration truly an orbital emergency? Rethinking the timing of surgery for trapdoor fractures.","authors":"Poramate Pitak-Arnnop","doi":"10.1016/j.bjps.2026.09.029","DOIUrl":"https://doi.org/10.1016/j.bjps.2026.09.029","url":null,"abstract":"","PeriodicalId":94104,"journal":{"name":"Journal of plastic, reconstructive & aesthetic surgery : JPRAS","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149066950","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":"Correspondence on \"Predicting device-related complications among women undergoing breast implant surgeries\".","authors":"Luigi Annacontini","doi":"10.1016/j.bjps.2026.09.013","DOIUrl":"https://doi.org/10.1016/j.bjps.2026.09.013","url":null,"abstract":"","PeriodicalId":94104,"journal":{"name":"Journal of plastic, reconstructive & aesthetic surgery : JPRAS","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149066943","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":"Nationwide trends in breast reconstruction in Korea during the reimbursement era (2015-2023).","authors":"Woosang Jeon, Sunghwan Shin, Sung Hwa Kim, Sug Won Kim, Jun Young Lee, Jiye Kim","doi":"10.1016/j.bjps.2026.09.020","DOIUrl":"https://doi.org/10.1016/j.bjps.2026.09.020","url":null,"abstract":"<p><strong>Background: </strong>This nationwide retrospective study was used to characterize temporal trends in postmastectomy breast reconstruction in Korea during the National Health Insurance reimbursement era from 2015 to 2023.</p><p><strong>Methods: </strong>Using Health Insurance Review and Assessment Service claims data, total mastectomy (TM) and index breast reconstruction (BR) procedure episodes among female patients with breast cancer were identified from April 2015 through December 2023. Reconstruction was classified as implant-based or autologous, and the timing was operationally defined according to claim linkage with the mastectomy hospitalization episode. Second-stage expander-to-implant exchanges (N7150) were excluded from the primary reconstruction-volume and timing analyses.</p><p><strong>Results: </strong>A total of 114,141 TM and 44,374 BR procedure episodes were identified. The BR-to-TM procedure-volume ratio increased from 23.8% in 2015 to 56.9% in 2023 (p for trend < 0.001). Interpretation of the apparent increase between 2017 and 2018 is limited by a revision in the Korean mastectomy procedure coding system in July 2017. The proportion of implant-based reconstruction among all BR procedures increased from 56.8% to 82.0%, whereas the proportional share of autologous reconstruction decreased. The proportion of BR procedure episodes operationally classified as immediate reconstruction increased from 65.1% to 82.2%. Implant-based reconstruction was more frequent in the operationally defined immediate and delayed reconstruction groups, whereas autologous reconstruction accounted for a larger proportion of delayed reconstruction. Furthermore, BR procedures remained concentrated in tertiary hospitals.</p><p><strong>Conclusions: </strong>These findings describe substantial temporal changes in BR procedure patterns during the reimbursement era, including a sustained shift toward implant-based reconstruction and an increasing proportion of claims operationally classified as immediate reconstruction. As nationwide pre-reimbursement data were unavailable, we could not evaluate whether reimbursement expansion caused the observed changes.</p>","PeriodicalId":94104,"journal":{"name":"Journal of plastic, reconstructive & aesthetic surgery : JPRAS","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083449","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}