Clinical Relevance of Sensory Nerve Coaptation in DIEP Flap Breast Reconstruction Evaluated Using the BREAST-Q
Conclusions:
This study demonstrated that nerve coaptation in DIEP flap breast reconstruction, specifically in delayed reconstruction, resulted in clinically relevant improved patient-reported outcomes on the physical well-being of the chest domain of the BREAST-Q and that better sensation was perceived. However, the BREAST-Q does not address sensation adequately, and the introduction and validation of new scales is required to confirm the clinical relevance of nerve coaptation reliably.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, III. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 29, 2022 Category: Cosmetic Surgery Tags: Breast: Original Articles Source Type: research
Prepectoral Direct-to-Implant Breast Reconstruction without Placement of Acellular Dermal Matrix or Mesh after Nipple-Sparing Mastectomy
Background:
The aim of this study was to report the results of prepectoral direct-to-implant reconstruction in nipple-sparing mastectomy without acellular dermal matrices or mesh.
Methods:
A multicenter cohort of patients undergoing prophylactic or therapeutic nipple-sparing mastectomy was included from 2013 to 2020. All sizes and types of breasts were included, except those with previously failed reconstruction, previous radiotherapy with severe skin damage, locally advanced breast cancer, gigantomasty, severe degree of ptosis, tumors close to the nipple-areola complex ( (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 29, 2022 Category: Cosmetic Surgery Tags: Breast: Original Articles Source Type: research
How Does Oncoplastic Surgery Compare with Standard Partial Mastectomy? A Systematic Review of Patient-Reported Outcomes
Conclusions:
Breast-conserving surgical choices that include a variety of oncoplastic surgery and partial mastectomy methods all score well in patient-reported outcome measures, with oncoplastic surgery significantly preferred over partial mastectomy. Oncoplastic surgery should be considered in all cases, and the appropriate breast-conserving surgical choice should depend on the patient’s tumor presentation and anatomy. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 29, 2022 Category: Cosmetic Surgery Tags: Breast: Original Articles Source Type: research
Large-Volume Fat Grafting: Identifying Risk Factors for Fat Necrosis
Conclusions:
Increased rates of fat necrosis were associated with volumes greater than 450 cc, patients undergoing concurrent implant exchange with fat grafting, and fat grafting after a history of lumpectomy or mastectomy without preexpansion. In addition, radiation therapy may be associated with a higher rate of complications.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Risk, III. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 29, 2022 Category: Cosmetic Surgery Tags: Breast: Original Articles Source Type: research
Discussion: Use of Magnetic Resonance Imaging in Patients with Breast Tissue Expanders
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 29, 2022 Category: Cosmetic Surgery Tags: Breast: Original Articles Source Type: research
Use of Magnetic Resonance Imaging in Patients with Breast Tissue Expanders
Conclusions:
The evidence on whether to perform magnetic resonance imaging in patients with tissue expanders with magnetic ports varies but underscores proceeding with caution. The risk-to-benefit profile for each patient must be weighed in each situation. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 29, 2022 Category: Cosmetic Surgery Tags: Breast: Original Articles Source Type: research
A Prospective, Randomized Comparison of Clinical Outcomes with Different Processing Techniques in Autologous Fat Grafting
Conclusions:
This is the first prospective, randomized study to compare clinical outcomes of adipose graft preparation. There was no significant difference in early complications, fat necrosis, or rates of additional grafting among the study groups. There was significantly higher risk of fat necrosis in patients with previous breast conservation treatment regardless of processing technique.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, II. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 29, 2022 Category: Cosmetic Surgery Tags: Breast: Original Articles Source Type: research
We Need to Talk about Grit
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 29, 2022 Category: Cosmetic Surgery Tags: Editor’s Perspective Source Type: research
Medicine as Art: The Potential Role of Nonfungible Tokens in Plastic Surgery
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 1, 2022 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research
Ethical Considerations in Palliative Reconstruction
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 1, 2022 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research
Novel Microvascular Clamps to Aid Trainee Surgeon Education: Smarter Than Acland Micro Clamps?
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 1, 2022 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research
Initial Experience of 4K Three-Dimensional Digital Microscope for Lymphaticovenular Anastomosis
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 1, 2022 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research
Facing Violence: The Protective Impact of Facial Gender-Affirming Surgery
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 1, 2022 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research
Efficacy of Sex-Based Procedure Analysis in Widely Used Surgical Databases: Caution Is Advised
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 1, 2022 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research
Which Is the Optimal Anthropometric Method for Asian Noses: Conventional Rulers, Two-Dimensional Photographs, Three-Dimensional Imaging, or Computed Tomography?
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 1, 2022 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research
