Muhammad Abumanhal, Daisuke Shinohara, Yasuhiro Takahashi
{"title":"Inferior oblique muscle branch incarceration in orbital floor trapdoor fractures: Clinical characteristics and the impact of surgical timing.","authors":"Muhammad Abumanhal, Daisuke Shinohara, Yasuhiro Takahashi","doi":"10.1016/j.bjps.2026.08.030","DOIUrl":"https://doi.org/10.1016/j.bjps.2026.08.030","url":null,"abstract":"<p><p>Using a retrospective observational study design, we enrolled consecutive patients with unilateral orbital floor trapdoor fractures involving incarceration of orbital fat and the inferior oblique muscle branch (IOMB) of the oculomotor nerve who were treated at the Aichi Medical University Hospital over a 12.5-year period to evaluate the impact of surgical timing on postoperative functional recovery. The primary predictor variable was the interval from injury to surgery, categorized as 0-7, 8-14, or >14 days. The primary outcome variables were the postoperative Hess area ratio (HAR%) and binocular single vision (BSV%). Descriptive and bivariate statistical analyses were performed, and a P-value <0.05 was considered statistically significant. The final cohort comprised 70 patients (24.3% female) with a mean age at injury of 13.4 ± 6.6 years (range, 1-42 years). Surgical intervention significantly improved the mean HAR% from 66.2 ± 16.9 to 95.8 ± 6.9% (P<0.001) and mean BSV% from 42.5 ± 27.7 to 81.1 ± 17.1% (P<0.001). No significant differences in postoperative HAR% or BSV% were observed among the early, intermediate, and delayed surgery groups (P>0.05). These findings indicate that surgical repair of orbital floor trapdoor fractures involving the IOMB yields favorable functional outcomes irrespective of the timing of surgery.</p>","PeriodicalId":94104,"journal":{"name":"Journal of plastic, reconstructive & aesthetic surgery : JPRAS","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148898704","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}
Giovanni Francesco Dall'Amico, Avrey Camenforte, Rayshini Govidaraju, Kirsty Smith, Will Holmes, Nikolaos Lymperopoulos
{"title":"Correspondence on: Hand-performed minimal fascial incision DIEP flap breast reconstruction: A scoring system and early single-centre experience.","authors":"Giovanni Francesco Dall'Amico, Avrey Camenforte, Rayshini Govidaraju, Kirsty Smith, Will Holmes, Nikolaos Lymperopoulos","doi":"10.1016/j.bjps.2026.07.029","DOIUrl":"https://doi.org/10.1016/j.bjps.2026.07.029","url":null,"abstract":"","PeriodicalId":94104,"journal":{"name":"Journal of plastic, reconstructive & aesthetic surgery : JPRAS","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149142","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}
Petko Shtarbanov, Jason C C Kwok, Stephen Hamilton, Shadi Ghali, Sean G Boutros, Dariush Nikkhah
{"title":"Response to Dall'Amico et al. correspondence on: Hand-performed minimal fascial incision DIEP flap breast reconstruction: A scoring system and early single-centre experience.","authors":"Petko Shtarbanov, Jason C C Kwok, Stephen Hamilton, Shadi Ghali, Sean G Boutros, Dariush Nikkhah","doi":"10.1016/j.bjps.2026.07.036","DOIUrl":"https://doi.org/10.1016/j.bjps.2026.07.036","url":null,"abstract":"","PeriodicalId":94104,"journal":{"name":"Journal of plastic, reconstructive & aesthetic surgery : JPRAS","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148650109","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}
David Boccara, Kevin Serror, Olivier Mathieu, Thibaud Mernier, Marc Chaouat
{"title":"Correspondence on: Thermal versus tactile sensory recovery following alloplastic and neurotized autologous breast reconstruction.","authors":"David Boccara, Kevin Serror, Olivier Mathieu, Thibaud Mernier, Marc Chaouat","doi":"10.1016/j.bjps.2025.10.052","DOIUrl":"10.1016/j.bjps.2025.10.052","url":null,"abstract":"","PeriodicalId":94104,"journal":{"name":"Journal of plastic, reconstructive & aesthetic surgery : JPRAS","volume":" ","pages":"775-776"},"PeriodicalIF":2.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566837","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}
Carson Gundlach, Nancy Qin, Makayla Kochheiser, Annie B McVeigh, Anna M Vaeth, Lucy Wei, Ashley Zhang, Sophia Arbuiso, Malini Chinta, Marcos Lu Wang, Hao Huang, David M Otterburn
{"title":"Response to Correspondence on \"Thermal versus tactile sensory recovery following alloplastic and neurotized autologous breast reconstruction\".","authors":"Carson Gundlach, Nancy Qin, Makayla Kochheiser, Annie B McVeigh, Anna M Vaeth, Lucy Wei, Ashley Zhang, Sophia Arbuiso, Malini Chinta, Marcos Lu Wang, Hao Huang, David M Otterburn","doi":"10.1016/j.bjps.2025.11.025","DOIUrl":"10.1016/j.bjps.2025.11.025","url":null,"abstract":"","PeriodicalId":94104,"journal":{"name":"Journal of plastic, reconstructive & aesthetic surgery : JPRAS","volume":" ","pages":"773-774"},"PeriodicalIF":2.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145644016","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}
Klara Profeta, Yusuf Berkay Çinar, Canberk Gürbüz, Ceyhun Uzun, Emrah Kağan Yaşar, Murat Şahin Alagöz
{"title":"Correspondence on: \"Thermal versus tactile sensory recovery following alloplastic and neurotized autologous breast reconstruction\".","authors":"Klara Profeta, Yusuf Berkay Çinar, Canberk Gürbüz, Ceyhun Uzun, Emrah Kağan Yaşar, Murat Şahin Alagöz","doi":"10.1016/j.bjps.2025.10.053","DOIUrl":"10.1016/j.bjps.2025.10.053","url":null,"abstract":"","PeriodicalId":94104,"journal":{"name":"Journal of plastic, reconstructive & aesthetic surgery : JPRAS","volume":" ","pages":"772"},"PeriodicalIF":2.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566852","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}
Carson Gundlach, Nancy Qin, Makayla Kochheiser, Annie B McVeigh, Anna M Vaeth, Lucy Wei, Ashley Zhang, Sophia Arbuiso, Malini Chinta, Marcos Lu Wang, Hao Huang, David M Otterburn
{"title":"Response to Correspondence on \"Thermal versus tactile sensory recovery following alloplastic and neurotized autologous breast reconstruction\".","authors":"Carson Gundlach, Nancy Qin, Makayla Kochheiser, Annie B McVeigh, Anna M Vaeth, Lucy Wei, Ashley Zhang, Sophia Arbuiso, Malini Chinta, Marcos Lu Wang, Hao Huang, David M Otterburn","doi":"10.1016/j.bjps.2025.11.022","DOIUrl":"10.1016/j.bjps.2025.11.022","url":null,"abstract":"","PeriodicalId":94104,"journal":{"name":"Journal of plastic, reconstructive & aesthetic surgery : JPRAS","volume":" ","pages":"777-778"},"PeriodicalIF":2.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145644080","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":"When does ChatGPT refer someone to a plastic surgeon?","authors":"Alexander F Dagi, Nadeem E Jones, Jarrod T Bogue","doi":"10.1016/j.bjps.2025.07.038","DOIUrl":"10.1016/j.bjps.2025.07.038","url":null,"abstract":"<p><p>Recent advances in artificial intelligence (AI) are transforming the landscape of healthcare education and information-seeking behaviors. As these technologies become more integrated into clinical and public domains, it is increasingly important for plastic surgeons to understand how AI tools are being used by both patients and referring providers. Among the most prominent of these tools is ChatGPT (OpenAI, San Francisco, CA), a large language model (LLM) trained on a broad internet-based corpus using neural networks to generate human-like responses to natural language prompts. With patients frequently turning to AI chatbots for health information and clinicians exploring their utility in clinical decision support, it is critical to examine how frequently and prominently ChatGPT attributes plastic surgery involvement in the management of various conditions. Such insights may reveal underlying biases in training data and shape future referral patterns and specialty visibility. To evaluate how ChatGPT represents the role of plastic surgery, we submitted standardized prompts regarding 35 plastic surgery-related conditions and 24 control conditions, each submitted three times (177 total queries), to ChatGPT-4. We measured the frequency of plastic surgery mentions and their ranking among listed specialties. Plastic surgery was mentioned in 100% of relevant conditions, most often as the first specialty, with no mentions in control conditions. These findings suggest that ChatGPT consistently and prominently attributes a role to plastic surgery, highlighting strong specialty visibility within AI-generated health information.</p>","PeriodicalId":94104,"journal":{"name":"Journal of plastic, reconstructive & aesthetic surgery : JPRAS","volume":"109 ","pages":"20-24"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812729","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}
Chi-Chin Lo, Ellen Wen-Ching Ko, Pang-Yun Chou, Lun-Jou Lo
{"title":"LeFort III distraction in patients with syndromic craniosynostosis: Is overcorrection beneficial?","authors":"Chi-Chin Lo, Ellen Wen-Ching Ko, Pang-Yun Chou, Lun-Jou Lo","doi":"10.1016/j.bjps.2025.07.035","DOIUrl":"10.1016/j.bjps.2025.07.035","url":null,"abstract":"<p><strong>Background: </strong>Patients with syndromic craniosynostosis often require LeFort III advancement surgery due to significant midface retrusion. As long-term outcome is imperative, this study aimed to investigate the effect of LeFort III and distraction osteogenesis with overcorrection.</p><p><strong>Methods: </strong>Six consecutive patients with syndromic craniosynostosis and significant midface hypoplasia were enrolled. They underwent LeFort III osteotomy with over-distraction at an average age of 10.3 years. Longitudinal lateral cephalograms were collected at three time points of pre-operation (T0), early post-distraction (T1), and skeletal maturity (T2). Changes in cephalometric measurements and dental relationships were assessed between the timings.</p><p><strong>Results: </strong>LeFort III distraction created an anterior advancement of 20.8 mm at the anterior nasal spine (ANS) and 22.7 mm at the A-point immediately after the procedure (T0 to T1), and led to an overcorrected overjet of 9.0 ± 7.5 mm at T1. From T1 to T2, neither surgical relapse or maxillary forward development was observed. However, continuous mandibular development in the anterior and inferior direction resulted in a gradual phenotypic reversion, marked by decreasing ANB angle, Wits relationship, and overjet. At the end point, only one patient necessitated orthognathic surgery in adulthood.</p><p><strong>Conclusion: </strong>LeFort III distraction effectively achieved midface overcorrection and ensured favorable surgical stability. Sufficient overcorrection at the mixed dentition stage is beneficial in preventing long-term midface relapse and reducing the need for further skeletal interventions.</p>","PeriodicalId":94104,"journal":{"name":"Journal of plastic, reconstructive & aesthetic surgery : JPRAS","volume":"109 ","pages":"25-33"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812728","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":"Motivating factors for patients seeking rhytidectomies: An exploratory qualitative analysis.","authors":"Minh Nq Huynh, Amir Habib, Jack Zoumaras","doi":"10.1016/j.bjps.2025.07.019","DOIUrl":"10.1016/j.bjps.2025.07.019","url":null,"abstract":"<p><strong>Background: </strong>Rhytidectomy (facelift surgery) is commonly sought for aesthetic enhancement, yet little research has explored broader psychosocial motivations behind this aesthetic procedure.</p><p><strong>Objective: </strong>This study aimed to identify the underlying psychosocial factors motivating patients to pursue rhytidectomy.</p><p><strong>Methods: </strong>A retrospective, single-centre qualitative study was conducted on 131 consenting patients who presented for rhytidectomy between July 2023 and June 2024. Patients completed a structured questionnaire, and responses were analysed via thematic coding and descriptive statistics.</p><p><strong>Results: </strong>The cohort was predominately female (88%) with a mean age of 53.7 years. Using thematic analysis, six key motivational domains were identified: 1) Aesthetic concerns (97.7%), 2) Desire for self-control over aging (53.4%), 3) Anticipation of positive emotions (33.6%), 4) Improved self-confidence/self-esteem (29.8%), 5) Social adversity concerns (6.9%) and 6) Employment-related expectations (6.9%). No statistically significant associations were found between motivational domains and patient age or psychiatric history.</p><p><strong>Conclusion: </strong>These findings suggest that while aesthetic improvement remains a primary driver, patients' decisions to pursue rhytidectomy are often shaped by more nuanced psychological and social factors. Accordingly, surgeons are recommended to consider these multifaceted drivers during pre-operative consultations to align expectations, optimise satisfaction, and collectively improve holistic care. Future research should explore the long-term psychosocial outcomes of these motivational profiles.</p>","PeriodicalId":94104,"journal":{"name":"Journal of plastic, reconstructive & aesthetic surgery : JPRAS","volume":"109 ","pages":"34-36"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818933","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}