BACKGROUND As artificial intelligence(AI)continues to expand across medical specialties,its application in medical imaging within plastic and reconstructive surgery(PRS)remains limited in the literature.Imaging plays ...BACKGROUND As artificial intelligence(AI)continues to expand across medical specialties,its application in medical imaging within plastic and reconstructive surgery(PRS)remains limited in the literature.Imaging plays a critical role in surgical planning,intraoperative decision-making,and postoperative monitoring in PRS,presenting an opportunity for AI to enhance clinical outcomes.AIM To evaluate the current applications of AI in medical imaging for plastic surgery,with a focus on its use in preoperative planning,intraoperative guidance,and postoperative monitoring.METHODS A literature search was conducted using MEDLINE,EMBASE,ScienceDirect,and OVID up to February 2025.Studies were included based on relevance to AI use in plastic surgery imaging.Extracted data included AI modality,surgical context,outcomes,and limitations.The search followed PRISMA guidelines and was registered with PROSPERO(CRD420251008741).RESULTS AI tools have improved preoperative planning through three-dimensional vascular mapping,augmented reality,and thermographic imaging.Intraoperatively,AI-enabled navigation and robotic systems have increased surgical precision.Postoperative AI applications,including deep learning algorithms and sensorbased monitoring,support early complication detection and wound healing assessment.However,persistent barriers include data variability,model generalizability,surgeon unfamiliarity,and lack of regulatory standards.CONCLUSION AI-driven imaging technologies show promise in enhancing decision-making and outcomes in PRS.To ensure safe clinical integration,future efforts must focus on structured validation,standardization,and ethical oversight.展开更多
Background: Missions organized by international societies and humanitarian organizations play a significant role in saving many patients’ lives and improving their quality of life, despite the surrounding frustrating...Background: Missions organized by international societies and humanitarian organizations play a significant role in saving many patients’ lives and improving their quality of life, despite the surrounding frustrating conditions. Methods: A team of plastic surgery volunteers was sent to Yemen by the KSHARC. Results: A successful mission was performed on 62 patients who underwent surgery, with more than 900 patients examined and receiving appropriate medications. Conclusion: Missions in disaster-affected areas are of great importance. The role of missions and humanitarian organizations should be empowered.展开更多
Objective:To explore the clinical application effect of autologous fat granule transplantation in facial depression plastic surgery.Methods:A total of 98 patients with facial depression admitted to the plastic surgery...Objective:To explore the clinical application effect of autologous fat granule transplantation in facial depression plastic surgery.Methods:A total of 98 patients with facial depression admitted to the plastic surgery department of our hospital from January 2021 to December 2023 were selected and divided into observation group(49 cases)and control group(49 cases)according to the random number table method.The observation group was treated with autologous fat granule transplantation,while the control group was treated with hyaluronic acid filling.The total effective rate of treatment,incidence of postoperative complications,improvement indicators of facial morphology(depth of depression,symmetry),and effect maintenance rate after 6 months of follow-up were compared between the two groups.Results:The total effective rate of treatment in the observation group was 93.88%(46/49),which was significantly higher than that in the control group(79.59%,39/49)(P<0.05).The incidence of postoperative complications in the observation group was 6.12%(3/49),which was lower than that in the control group(20.41%,10/49)(P<0.05).One month after surgery,the depth of depression(1.23±0.31 mm)and symmetry(1.02±0.15 points)in the observation group were better than those in the control group(P<0.05).After 6 months of follow-up,the effect maintenance rate in the observation group was 89.80%(44/49),which was significantly higher than that in the control group(67.35%,33/49)(P<0.05).Conclusion:Autologous fat granule transplantation for the treatment of facial depression can significantly improve facial morphology,enhance treatment effect and patient satisfaction,reduce the incidence of complications,and maintain a more durable effect.It is a clinically preferred facial depression plastic surgery solution.展开更多
The field of plastic surgery has developed rapidly in the last couple of decades in Hong Kong and Shanghai,China.Both cities have their own educational system for training plastic surgeons.Their training programs diff...The field of plastic surgery has developed rapidly in the last couple of decades in Hong Kong and Shanghai,China.Both cities have their own educational system for training plastic surgeons.Their training programs differ in many ways,including the surgical exposure of undergraduate studies,the structure,curriculum,and operative requirements of residency training.In general,Hong Kong has a single pathway of residency training with more early clinical exposure in an undergraduate study.On the contrary,Shanghai has multiple pathways of residency training that are heavily emphasized in academic research.Both Hong Kong and Shanghai should complement each other to modify their plastic surgery training programs that will eventually benefit the field of plastic surgery education。展开更多
In the diagnosis and treatment of plastic surgery,there are structural processing problems,such as positioning,moving,and reconstructing complex threedimensional structures.Doctors operate according to their own exper...In the diagnosis and treatment of plastic surgery,there are structural processing problems,such as positioning,moving,and reconstructing complex threedimensional structures.Doctors operate according to their own experience,and the inability to accurately locate these structures is an important problem in plastic surgery.Emerging digital technologies such as virtual reality,augmented reality,and three-dimensional printing are widely used in the medical field,particularly in plastic surgery.This article reviews the development of these three technical concepts,introduces the technical elements and specific applications required in plastic surgery,summarizes the application status of the three technologies in plastic surgery,and summarizes prospects for future development.展开更多
Before the 70s, in Brazil, each city had its morbidly obese, considered as the “excessive fats”, in very small numbers if we compare it with the current percentage. There was no classification of the degree of obesi...Before the 70s, in Brazil, each city had its morbidly obese, considered as the “excessive fats”, in very small numbers if we compare it with the current percentage. There was no classification of the degree of obesity by the body mass index (BMI) as we have today. By chance, on a Saturday in June 1975, at the Outpatient Clinic of the 23rd Infirmary of Santa Casa da Misericórdia Hospital in Rio de Janeiro, arrived the patient I. S., 41 years old, 1.70 m tall, supported by her two children, weighing 210 kg in weight body. Knowing that bariatric surgery only appeared in the 1980s, before that, patients with morbid obesity were left to their own devices, with hypertension and diabetes. The patient I. S. was hospitalized for 3 years in our Plastic Surgery Service, having received nutritional monitoring, had sporadic discharges and undergone 9 reparative plastic surgeries. She was discharged weighing 71 kg, with self-esteem recovered and happy to start a new life, without hypertension and diabetes.展开更多
Objectives: The current medical school curriculum offers scant exposure to plastic surgery. Medical students and junior doctors are often inadequately prepared for in-hospital placements which may impact on patient sa...Objectives: The current medical school curriculum offers scant exposure to plastic surgery. Medical students and junior doctors are often inadequately prepared for in-hospital placements which may impact on patient safety and quality of care. We aimed to deliver a one-day “hands-on” practical session on basic surgical skills and principles in plastic surgery, and to assess its effectiveness at improving confidence to the specialty among junior trainees. Methods: The one-day practical session covered knot tying, suturing, LA administration, skin lesion excision and local flaps, with short concurrent lectures on principles of plastic surgery. Self-assessment confidence scores were recorded before and after the course on seven domains: a) knowledge: wound assessment and management, suture selection, and concepts of flaps;b) practical skills: Handling of surgical instrument, suturing, LA administration, and skin lesion excision. Results: Thirty-five participants attended: Six core surgical trainees, fifteen foundation doctors, and fourteen medical students. The overall course satisfaction was 9.13/10. Self-assessment confidence scores in all domains significantly improved after the course (p < 0.0001). Suturing (58.6%) and skin lesion excision (74.5%) demonstrated the largest improvement. Qualitative feedback was extremely positive. Conclusions: The hands-on nature of the course offered participants great opportunities to acquire the necessary confidence and practical skills required for in-hospital placements. It is vital for students and doctors interested in a career in plastic surgery to prepare adequately for this diverse specialty, which is covered in limited depth in medical school. The need for more practical skills courses on plastic surgery for this demographic is intuitive.展开更多
An increasing number of researchers have demonstrated that poloxamer 188(P188)can be used as a pharmaceutical excipient for clinical applications.Its membrane-sealing effects and inherent biological activities make it...An increasing number of researchers have demonstrated that poloxamer 188(P188)can be used as a pharmaceutical excipient for clinical applications.Its membrane-sealing effects and inherent biological activities make it an extremely promising agent for plastic surgery.In this review,we summarize the positive roles of P188 in autologous fat grafting,wound healing,and cartilage transplantation.These roles include improving the survival rate of fat grafts and chondrocytes,stimulating the metabolic activity of adipocytes,promoting wound healing,and contributing to cartilage formation.Although further research is still needed,it is clear that P188 has great potential and application value in the field of plastic surgery.展开更多
We present, for the first time, the repair by plastic surgery procedures of a large loss of perineal substance in a bonobo (hominin Pan paniscus). A 20-year-old male bonobo living in captivity in the Lola Ya Bonobo Sa...We present, for the first time, the repair by plastic surgery procedures of a large loss of perineal substance in a bonobo (hominin Pan paniscus). A 20-year-old male bonobo living in captivity in the Lola Ya Bonobo Sanctuary in Kinshasa in the Democratic Republic of the Congo was attacked by another bonobo. It was a large perineal wound through which urine flowed, located between the penis and the testicles, taking part of the anterior and posterior urethra, the bladder, as well as the elements of the spermatic duct. To repair the large loss of perineal substance, a pedicled flap of scrotal skin was removed, and then turned over, cutaneous surface on the trench of the loss of bladder substance and the urethral lumen. The postoperative course was satisfactory with healing by the first intention of the surgical wound, despite the wild postoperative behavior of the patient (removal of the vesicourethral catheter and protective plaster). We observed in the short term an urethro-cutaneous fistula, left in natural healing. The reconstructive surgery procedures applied in humans can also be applied with satisfactory results in bonobos, a species in the process of extension and whose members are our closest cousins. The bonobo is genetically close to humans. Based on this first successful experience, we advocate for reconstructive plastic surgery for all hominins (members of the human lineage), if indicated.展开更多
Background:The rise of artificial intelligence in healthcare,particularly the development of large language models like ChatGPT,has opened new avenues for innovation in medical fields,including plastic surgery.ChatGPT...Background:The rise of artificial intelligence in healthcare,particularly the development of large language models like ChatGPT,has opened new avenues for innovation in medical fields,including plastic surgery.ChatGPT offers potential applications in patient education,surgical planning,and decision-making support,making it an important research subject.However,there has been limited investigation into its impact on plastic surgery.The objective of this study was to investigate the progress of research on ChatGPT and plastic surgery,focusing on key contributors and emerging topics within the field.Methods:Five distinct search strategies were employed to analyze relevant publications from the Scopus database.Results:The analysis identified and presented the top authors,universities,countries,sponsors,and journals(within each search strategy).The co-authorship networks of authors,universities,and countries are graphically presented.The authors’performance was depicted by various indicators,such as total publications,citations,hindex,g-index,and m-index.A co-word analysis revealed the focus of the papers,which were presented in 15 groups.This multifaceted approach provides a detailed understanding of key themes in the field.Conclusion:This report offers a comprehensive overview of the current state of research at the intersection of ChatGPT and plastic surgery.展开更多
Autologous fat grafting is an increasingly popular technique in plastic surgery for volume augmentation and rejuvenation.However,the unpredictability of long-term volume retention limits its clinical application.Vario...Autologous fat grafting is an increasingly popular technique in plastic surgery for volume augmentation and rejuvenation.However,the unpredictability of long-term volume retention limits its clinical application.Various animal studies have documented the positive effects of adipose tissue-derived stem cells(ADSCs)on the acceleration of lipofilling.However,the results have been inconsistent,and there is an insufficient number of high-quality clinical studies to formulate evidence-based recommendations for ADSC-enriched fat grafts.Moreover,related technical standards,such as the final count of harvested ADSCs and the enrichment ratio,have not yet been established.This systematic review included all clinical trials on ADSC-enriched fat grafts in plastic surgery from PubMed in the past 10 years,as well as all registered clinical trials on ClinicalTrials.Gov.To examine the current landscape of ADSCs harvest,we summarize the current applications of ADSCs in the field of plastic surgery and discuss the current barriers to universal clinical use.展开更多
Objective:To explore the effect of combined application of expanded polytetrafluoroethylene and autologous ear cartilage in nasal plastic surgery.Methods:76 cases of nasal plastic surgery patients in our hospital from...Objective:To explore the effect of combined application of expanded polytetrafluoroethylene and autologous ear cartilage in nasal plastic surgery.Methods:76 cases of nasal plastic surgery patients in our hospital from September 2019 to September 2020 were selected as the research objects and divided into experimental group(38 cases,treated with expanded polytetrafluoroethylene+autologous ear cartilage surgery)and control group(38 cases,treated with autologous ear cartilage surgery).The treatment effect,appearance score and complications were compared.Results:The total effective rate of the experimental group(97.37%,37/38)was higher than that of the control group(78.95%,30/38),P<0.05;After treatment,the appearance score of the experimental group was(8.97±0.37),which was significantly higher than that of the control group(P<0.05);The total incidence of complications in the experimental group(5.26%,2/38)was significantly lower than that in the control group(21.05%,8/38),P<0.05.Conclusion:In the process of nasal plastic surgery,the combined application of autologous ear cartilage surgery and expanded polytetrafluoroethylene has obvious effect,improves the appearance of patients,and has less postoperative complications,which is worthy of promotion.展开更多
Objective: to analyze the application and clinical significance of early burn plastic surgery. Methods: Methods: 156 cases of burn and plastic surgery patients in my hospital who received early plastic surgery after 1...Objective: to analyze the application and clinical significance of early burn plastic surgery. Methods: Methods: 156 cases of burn and plastic surgery patients in my hospital who received early plastic surgery after 10 days were compared. The cases of two groups of patients who received early plastic surgery after 10 days were compared, and 102 cases of two groups of patients who received early plastic surgery after 10 days were compared. Results: The excellent and good rates of the short-term therapeutic effects in the experimental group after the operation reached 93.99% respectively;However, in the control group, the excellent and good rate of the recent treatment after the recent treatment reached 79.29% respectively, and the comparative difference between the two was statistically significant (P<0.05). During the long-term follow-up of the patients, no case in the experimental group may have significant scar and scar hyperplasia in the operation area, so it is required to complete the secondary operation, which is equivalent to the control group. Only 19 hands may have significant scar and scar, and need to undergo the secondary operation again. The occurrence rate has reached 13.57%. The difference between the two groups has certain data and statistical significance (P<0.05). Conclusion: For patients with severe hand burn and inflammation, early reconstructive surgery should be adopted. In principle, the necessary surgical treatment should be completed. Effective surgical treatment or ideal recovery of body function should be given accordingly, which can be popularized and applied in clinical practice.展开更多
Objective: to study the factors influencing the effect of plastic surgery and its preventive measures. Methods: during the period from January 2020 to January 2021, 200 cases of patients receiving plastic surgery in o...Objective: to study the factors influencing the effect of plastic surgery and its preventive measures. Methods: during the period from January 2020 to January 2021, 200 cases of patients receiving plastic surgery in our hospital were taken as the main objects of analysis. Retrospective analysis was conducted to find out the factors influencing the therapeutic effect of plastic surgery through the relevant data of surgery, and relevant preventive measures were put forward. Results: according to the analysis of satisfaction questionnaire, the probability of dissatisfaction among 200 patients was 28.57%. The main factors included high preoperative expectation of surgical effect, defects in preoperative design, improper intraoperative and post-operative operation, which led to some complications, and inappropriate material, model and specification of prosthesis during operation. After communication with the patients, the patients were given secondary repair surgery or follow-up treatment, and the results were basically satisfactory. Conclusion: through the analysis of the factors affecting the effect of plastic surgery, find out the relevant factors, through the relevant preventive measures, strengthen the professional skills of medical workers, and improve the correct cognitive awareness of patients and other measures, so that the operation effect is more significant.展开更多
Objective: to analyze the clinical effect of orthopedic surgery combined with 90Si-90Y radionuclide in the treatment of keloid. Methods: 76 keloid patients admitted from June 2018 to June 2019 were randomly divided in...Objective: to analyze the clinical effect of orthopedic surgery combined with 90Si-90Y radionuclide in the treatment of keloid. Methods: 76 keloid patients admitted from June 2018 to June 2019 were randomly divided into control group and observation group, with 38 patients in each group. The control group was treated with resection suture combined with 90Si-90Y radionuclide. Patients in the observation group underwent plastic surgery in addition to those in the control group, and scar scale scores related to treatment outcomes were statistically compared between the two groups. The scores of observation group were significantly lower than control group. The overall clinical effective rate was significantly higher than that of the control group, both of which had statistical significance (P < 0.05). Conclusion: the application of orthopedic surgery and 90Si-90Y radionuclide in keloid patients can effectively improve the clinical efficacy and has obvious application value.展开更多
Objective: to explore the plastic effect and clinical application of nasal tip plastic surgery. Methods: a total of 78 patients were selected in this study, who underwent nasal tip plastic surgery in our hospital from...Objective: to explore the plastic effect and clinical application of nasal tip plastic surgery. Methods: a total of 78 patients were selected in this study, who underwent nasal tip plastic surgery in our hospital from January 2021 to January 2022. They were randomly assigned into two groups according to the odd-even series method. The experimental group and the conventional group were treated with artificial dermis and silica gel nasal augmentation, respectively, to compare the surgical effects. Results: 97.44% of the patients in the experimental group had effective nasal tip plastic surgery, while only 84.62% of the patients in the conventional group had effective nasal tip plastic surgery, which was statistically significant (P < 0.05). After plastic surgery, the nasal tip protrusion, nasal length and nasal tip height in the experimental group were significantly higher than those in the conventional group, and the statistical significance was established (P < 0.05). In the experimental group, 5.13% of the patients had complications after nasal tip plastic surgery, the total incidence rate was lower than 20.51% in the conventional group, and the statistical significance was established (P < 0.05). 97.44% of the patients in the experimental group were satisfied with the nasal tip plastic surgery, while only 82.05% of the patients in the conventional group were satisfied, which was statistically significant (P < 0.05). Conclusion: in the process of nasal tip plastic surgery, the overall application effect of artificial dermis is better than that of silica gel nasal augmentation, which is more worthy of promotion and application in clinic.展开更多
209445 Fabrication and application of three-dimensional autogenous cartilage framwork in auricular reconstruction/Pan Bo(潘博,Plast Surg Hosp,Chin Acad Med Sci,Beijing 100144)…∥Chin J Plast Surg.-2009,25(3).-161～1...209445 Fabrication and application of three-dimensional autogenous cartilage framwork in auricular reconstruction/Pan Bo(潘博,Plast Surg Hosp,Chin Acad Med Sci,Beijing 100144)…∥Chin J Plast Surg.-2009,25(3).-161～164Objective To explore the fabrication and application of three-dimensional autogenous cartilage framwork in auricular reconstruction.Methods The process of fabrication of three-dimensional cartilage framework consisted of harvesting,carving and assembling the cartilage.The rib cartilage was harvested separately.The three-dimensional framework was composed of three main parts:the helix,the base and the pad,at different layer.The framework was fabricated according to the development of rib cartilage and contour and height of the reconstructed ear.Results From January 1992 to December 2006,5 248 patients of microtia were treated with 6 252 autogenous cartilage frameworks.Conclusion The three-dimensional framework is easily manipulated.The reconstructed ears look natural and had an erect contour.This method can effectively use the cartilage.10 refs,14 figs.展开更多
Background: There is a notable scarcity of comprehensive bibliometric studies examining plastic surgery research across extended or recent timeframes and diverse regions in relevant journals. The major objective of th...Background: There is a notable scarcity of comprehensive bibliometric studies examining plastic surgery research across extended or recent timeframes and diverse regions in relevant journals. The major objective of this study was to comprehensively map historical trends and the global distribution of plastic surgery research efforts.Methods: We conducted a comprehensive bibliometric analysis(using the Scopus database) of 35 core plastic surgery journals identified in these studies. All the data were extracted from the Scopus database in June 2025.The timeframe was set from 1946 to June 2025, and only original research and review articles were included in the detailed analysis. Countries(Regions) were grouped into seven regions(Europe, Asia, Latin America, the Middle East,Africa, Australia, and New Zealand, and the United States as standalone categories) to examine regional publication trends.Results: From 1946 to June 2025, 208 381 documents were published in 35 journals, of which 162 014 were eligible for analysis. The annual publication output has grown steadily, peaking at 8 277 by 2024. The United States led with 66 174 publications, followed by Europe(46 688), and Asia(31 785). Citation analysis of the top100 regional papers revealed that the United States(70 530 citations) was the most impactful, followed by Europe(43 869), Asia(28 657), and Australia and New Zealand(23 409). The 100 most-cited papers globally accrued 78 833 citations, were dominated by United States-based contributions(71%), and were primarily published in Plastic and Reconstructive Surgery(57 papers). Chung KC, Mulliken JB, and Coleman SR emerged as the top authors(among the 100 most-cited global publications). Authors' performance is presented as the number of publications, citations, h-index, g-index, m-index, HG composite, and Q2 index.Conclusion: This study extends prior bibliometric investigations by offering a complete historical and geographical perspective on plastic surgery research. This inclusive, regionalized methodology provides a robust framework for future benchmarking and global equity assessments in surgical scholarship.展开更多
Background More patients receive organ transplantation surgeries due to the advancement in immunosuppressive agents and surgical techniques. Some of those patients may need to undergo plastic or reconstructive surgery...Background More patients receive organ transplantation surgeries due to the advancement in immunosuppressive agents and surgical techniques. Some of those patients may need to undergo plastic or reconstructive surgery. Long-term use of immunosuppressive agents raises some serious problems. Therefore, this study aimed to introduce our experience about the safety and effectiveness of plastic surgeries after solid organ allograft transplantation. Methods A retrospective review of 17 transplant recipients who underwent different reconstructive or cosmetic operations was carried out. The subjects included 1 heart transplant, 1 liver transplant and 15 kidney transplant recipients. Results All patients tolerated the plastic surgery procedures well. Flaps and skin grafts were the main constructive methods. There were no postoperative infections and wound dehiscence. Transferred flaps survived completely. Skin grafts took well. Three of the cosmetic surgery patients were satisfied with the results. Conclusions Immunosuppressed organ transplant recipients can successfully undergo major reconstructive and cosmetic surgery when given special attention.展开更多
文摘BACKGROUND As artificial intelligence(AI)continues to expand across medical specialties,its application in medical imaging within plastic and reconstructive surgery(PRS)remains limited in the literature.Imaging plays a critical role in surgical planning,intraoperative decision-making,and postoperative monitoring in PRS,presenting an opportunity for AI to enhance clinical outcomes.AIM To evaluate the current applications of AI in medical imaging for plastic surgery,with a focus on its use in preoperative planning,intraoperative guidance,and postoperative monitoring.METHODS A literature search was conducted using MEDLINE,EMBASE,ScienceDirect,and OVID up to February 2025.Studies were included based on relevance to AI use in plastic surgery imaging.Extracted data included AI modality,surgical context,outcomes,and limitations.The search followed PRISMA guidelines and was registered with PROSPERO(CRD420251008741).RESULTS AI tools have improved preoperative planning through three-dimensional vascular mapping,augmented reality,and thermographic imaging.Intraoperatively,AI-enabled navigation and robotic systems have increased surgical precision.Postoperative AI applications,including deep learning algorithms and sensorbased monitoring,support early complication detection and wound healing assessment.However,persistent barriers include data variability,model generalizability,surgeon unfamiliarity,and lack of regulatory standards.CONCLUSION AI-driven imaging technologies show promise in enhancing decision-making and outcomes in PRS.To ensure safe clinical integration,future efforts must focus on structured validation,standardization,and ethical oversight.
文摘Background: Missions organized by international societies and humanitarian organizations play a significant role in saving many patients’ lives and improving their quality of life, despite the surrounding frustrating conditions. Methods: A team of plastic surgery volunteers was sent to Yemen by the KSHARC. Results: A successful mission was performed on 62 patients who underwent surgery, with more than 900 patients examined and receiving appropriate medications. Conclusion: Missions in disaster-affected areas are of great importance. The role of missions and humanitarian organizations should be empowered.
文摘Objective:To explore the clinical application effect of autologous fat granule transplantation in facial depression plastic surgery.Methods:A total of 98 patients with facial depression admitted to the plastic surgery department of our hospital from January 2021 to December 2023 were selected and divided into observation group(49 cases)and control group(49 cases)according to the random number table method.The observation group was treated with autologous fat granule transplantation,while the control group was treated with hyaluronic acid filling.The total effective rate of treatment,incidence of postoperative complications,improvement indicators of facial morphology(depth of depression,symmetry),and effect maintenance rate after 6 months of follow-up were compared between the two groups.Results:The total effective rate of treatment in the observation group was 93.88%(46/49),which was significantly higher than that in the control group(79.59%,39/49)(P<0.05).The incidence of postoperative complications in the observation group was 6.12%(3/49),which was lower than that in the control group(20.41%,10/49)(P<0.05).One month after surgery,the depth of depression(1.23±0.31 mm)and symmetry(1.02±0.15 points)in the observation group were better than those in the control group(P<0.05).After 6 months of follow-up,the effect maintenance rate in the observation group was 89.80%(44/49),which was significantly higher than that in the control group(67.35%,33/49)(P<0.05).Conclusion:Autologous fat granule transplantation for the treatment of facial depression can significantly improve facial morphology,enhance treatment effect and patient satisfaction,reduce the incidence of complications,and maintain a more durable effect.It is a clinically preferred facial depression plastic surgery solution.
基金supported by grants from the Youth Doctor Collaborative Innovation Team Project(QC201803)of Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicinethe Project of Biobank(NO.YBKA201901)from Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine+1 种基金the Shanghai Youth Top-Notch Talent Program(201809004)“Chenguang Program”supported by Shanghai Education Development Foundation and Shanghai Municipal Education Commission(19CG18)and Science and Technology Commission of Shanghai Municipality(19JC1413),Shanghai Rising-Star Program(20QA1405600).
文摘The field of plastic surgery has developed rapidly in the last couple of decades in Hong Kong and Shanghai,China.Both cities have their own educational system for training plastic surgeons.Their training programs differ in many ways,including the surgical exposure of undergraduate studies,the structure,curriculum,and operative requirements of residency training.In general,Hong Kong has a single pathway of residency training with more early clinical exposure in an undergraduate study.On the contrary,Shanghai has multiple pathways of residency training that are heavily emphasized in academic research.Both Hong Kong and Shanghai should complement each other to modify their plastic surgery training programs that will eventually benefit the field of plastic surgery education。
文摘In the diagnosis and treatment of plastic surgery,there are structural processing problems,such as positioning,moving,and reconstructing complex threedimensional structures.Doctors operate according to their own experience,and the inability to accurately locate these structures is an important problem in plastic surgery.Emerging digital technologies such as virtual reality,augmented reality,and three-dimensional printing are widely used in the medical field,particularly in plastic surgery.This article reviews the development of these three technical concepts,introduces the technical elements and specific applications required in plastic surgery,summarizes the application status of the three technologies in plastic surgery,and summarizes prospects for future development.
文摘Before the 70s, in Brazil, each city had its morbidly obese, considered as the “excessive fats”, in very small numbers if we compare it with the current percentage. There was no classification of the degree of obesity by the body mass index (BMI) as we have today. By chance, on a Saturday in June 1975, at the Outpatient Clinic of the 23rd Infirmary of Santa Casa da Misericórdia Hospital in Rio de Janeiro, arrived the patient I. S., 41 years old, 1.70 m tall, supported by her two children, weighing 210 kg in weight body. Knowing that bariatric surgery only appeared in the 1980s, before that, patients with morbid obesity were left to their own devices, with hypertension and diabetes. The patient I. S. was hospitalized for 3 years in our Plastic Surgery Service, having received nutritional monitoring, had sporadic discharges and undergone 9 reparative plastic surgeries. She was discharged weighing 71 kg, with self-esteem recovered and happy to start a new life, without hypertension and diabetes.
文摘Objectives: The current medical school curriculum offers scant exposure to plastic surgery. Medical students and junior doctors are often inadequately prepared for in-hospital placements which may impact on patient safety and quality of care. We aimed to deliver a one-day “hands-on” practical session on basic surgical skills and principles in plastic surgery, and to assess its effectiveness at improving confidence to the specialty among junior trainees. Methods: The one-day practical session covered knot tying, suturing, LA administration, skin lesion excision and local flaps, with short concurrent lectures on principles of plastic surgery. Self-assessment confidence scores were recorded before and after the course on seven domains: a) knowledge: wound assessment and management, suture selection, and concepts of flaps;b) practical skills: Handling of surgical instrument, suturing, LA administration, and skin lesion excision. Results: Thirty-five participants attended: Six core surgical trainees, fifteen foundation doctors, and fourteen medical students. The overall course satisfaction was 9.13/10. Self-assessment confidence scores in all domains significantly improved after the course (p < 0.0001). Suturing (58.6%) and skin lesion excision (74.5%) demonstrated the largest improvement. Qualitative feedback was extremely positive. Conclusions: The hands-on nature of the course offered participants great opportunities to acquire the necessary confidence and practical skills required for in-hospital placements. It is vital for students and doctors interested in a career in plastic surgery to prepare adequately for this diverse specialty, which is covered in limited depth in medical school. The need for more practical skills courses on plastic surgery for this demographic is intuitive.
基金The study was supported by the Scientific Research Staring Foundation for the Returned Overseas Chinese Scholars of the Peking University Third Hospital(grant no.BYSYLXHG2019001).
文摘An increasing number of researchers have demonstrated that poloxamer 188(P188)can be used as a pharmaceutical excipient for clinical applications.Its membrane-sealing effects and inherent biological activities make it an extremely promising agent for plastic surgery.In this review,we summarize the positive roles of P188 in autologous fat grafting,wound healing,and cartilage transplantation.These roles include improving the survival rate of fat grafts and chondrocytes,stimulating the metabolic activity of adipocytes,promoting wound healing,and contributing to cartilage formation.Although further research is still needed,it is clear that P188 has great potential and application value in the field of plastic surgery.
文摘We present, for the first time, the repair by plastic surgery procedures of a large loss of perineal substance in a bonobo (hominin Pan paniscus). A 20-year-old male bonobo living in captivity in the Lola Ya Bonobo Sanctuary in Kinshasa in the Democratic Republic of the Congo was attacked by another bonobo. It was a large perineal wound through which urine flowed, located between the penis and the testicles, taking part of the anterior and posterior urethra, the bladder, as well as the elements of the spermatic duct. To repair the large loss of perineal substance, a pedicled flap of scrotal skin was removed, and then turned over, cutaneous surface on the trench of the loss of bladder substance and the urethral lumen. The postoperative course was satisfactory with healing by the first intention of the surgical wound, despite the wild postoperative behavior of the patient (removal of the vesicourethral catheter and protective plaster). We observed in the short term an urethro-cutaneous fistula, left in natural healing. The reconstructive surgery procedures applied in humans can also be applied with satisfactory results in bonobos, a species in the process of extension and whose members are our closest cousins. The bonobo is genetically close to humans. Based on this first successful experience, we advocate for reconstructive plastic surgery for all hominins (members of the human lineage), if indicated.
文摘Background:The rise of artificial intelligence in healthcare,particularly the development of large language models like ChatGPT,has opened new avenues for innovation in medical fields,including plastic surgery.ChatGPT offers potential applications in patient education,surgical planning,and decision-making support,making it an important research subject.However,there has been limited investigation into its impact on plastic surgery.The objective of this study was to investigate the progress of research on ChatGPT and plastic surgery,focusing on key contributors and emerging topics within the field.Methods:Five distinct search strategies were employed to analyze relevant publications from the Scopus database.Results:The analysis identified and presented the top authors,universities,countries,sponsors,and journals(within each search strategy).The co-authorship networks of authors,universities,and countries are graphically presented.The authors’performance was depicted by various indicators,such as total publications,citations,hindex,g-index,and m-index.A co-word analysis revealed the focus of the papers,which were presented in 15 groups.This multifaceted approach provides a detailed understanding of key themes in the field.Conclusion:This report offers a comprehensive overview of the current state of research at the intersection of ChatGPT and plastic surgery.
文摘Autologous fat grafting is an increasingly popular technique in plastic surgery for volume augmentation and rejuvenation.However,the unpredictability of long-term volume retention limits its clinical application.Various animal studies have documented the positive effects of adipose tissue-derived stem cells(ADSCs)on the acceleration of lipofilling.However,the results have been inconsistent,and there is an insufficient number of high-quality clinical studies to formulate evidence-based recommendations for ADSC-enriched fat grafts.Moreover,related technical standards,such as the final count of harvested ADSCs and the enrichment ratio,have not yet been established.This systematic review included all clinical trials on ADSC-enriched fat grafts in plastic surgery from PubMed in the past 10 years,as well as all registered clinical trials on ClinicalTrials.Gov.To examine the current landscape of ADSCs harvest,we summarize the current applications of ADSCs in the field of plastic surgery and discuss the current barriers to universal clinical use.
文摘Objective:To explore the effect of combined application of expanded polytetrafluoroethylene and autologous ear cartilage in nasal plastic surgery.Methods:76 cases of nasal plastic surgery patients in our hospital from September 2019 to September 2020 were selected as the research objects and divided into experimental group(38 cases,treated with expanded polytetrafluoroethylene+autologous ear cartilage surgery)and control group(38 cases,treated with autologous ear cartilage surgery).The treatment effect,appearance score and complications were compared.Results:The total effective rate of the experimental group(97.37%,37/38)was higher than that of the control group(78.95%,30/38),P<0.05;After treatment,the appearance score of the experimental group was(8.97±0.37),which was significantly higher than that of the control group(P<0.05);The total incidence of complications in the experimental group(5.26%,2/38)was significantly lower than that in the control group(21.05%,8/38),P<0.05.Conclusion:In the process of nasal plastic surgery,the combined application of autologous ear cartilage surgery and expanded polytetrafluoroethylene has obvious effect,improves the appearance of patients,and has less postoperative complications,which is worthy of promotion.
文摘Objective: to analyze the application and clinical significance of early burn plastic surgery. Methods: Methods: 156 cases of burn and plastic surgery patients in my hospital who received early plastic surgery after 10 days were compared. The cases of two groups of patients who received early plastic surgery after 10 days were compared, and 102 cases of two groups of patients who received early plastic surgery after 10 days were compared. Results: The excellent and good rates of the short-term therapeutic effects in the experimental group after the operation reached 93.99% respectively;However, in the control group, the excellent and good rate of the recent treatment after the recent treatment reached 79.29% respectively, and the comparative difference between the two was statistically significant (P<0.05). During the long-term follow-up of the patients, no case in the experimental group may have significant scar and scar hyperplasia in the operation area, so it is required to complete the secondary operation, which is equivalent to the control group. Only 19 hands may have significant scar and scar, and need to undergo the secondary operation again. The occurrence rate has reached 13.57%. The difference between the two groups has certain data and statistical significance (P<0.05). Conclusion: For patients with severe hand burn and inflammation, early reconstructive surgery should be adopted. In principle, the necessary surgical treatment should be completed. Effective surgical treatment or ideal recovery of body function should be given accordingly, which can be popularized and applied in clinical practice.
文摘Objective: to study the factors influencing the effect of plastic surgery and its preventive measures. Methods: during the period from January 2020 to January 2021, 200 cases of patients receiving plastic surgery in our hospital were taken as the main objects of analysis. Retrospective analysis was conducted to find out the factors influencing the therapeutic effect of plastic surgery through the relevant data of surgery, and relevant preventive measures were put forward. Results: according to the analysis of satisfaction questionnaire, the probability of dissatisfaction among 200 patients was 28.57%. The main factors included high preoperative expectation of surgical effect, defects in preoperative design, improper intraoperative and post-operative operation, which led to some complications, and inappropriate material, model and specification of prosthesis during operation. After communication with the patients, the patients were given secondary repair surgery or follow-up treatment, and the results were basically satisfactory. Conclusion: through the analysis of the factors affecting the effect of plastic surgery, find out the relevant factors, through the relevant preventive measures, strengthen the professional skills of medical workers, and improve the correct cognitive awareness of patients and other measures, so that the operation effect is more significant.
文摘Objective: to analyze the clinical effect of orthopedic surgery combined with 90Si-90Y radionuclide in the treatment of keloid. Methods: 76 keloid patients admitted from June 2018 to June 2019 were randomly divided into control group and observation group, with 38 patients in each group. The control group was treated with resection suture combined with 90Si-90Y radionuclide. Patients in the observation group underwent plastic surgery in addition to those in the control group, and scar scale scores related to treatment outcomes were statistically compared between the two groups. The scores of observation group were significantly lower than control group. The overall clinical effective rate was significantly higher than that of the control group, both of which had statistical significance (P < 0.05). Conclusion: the application of orthopedic surgery and 90Si-90Y radionuclide in keloid patients can effectively improve the clinical efficacy and has obvious application value.
文摘Objective: to explore the plastic effect and clinical application of nasal tip plastic surgery. Methods: a total of 78 patients were selected in this study, who underwent nasal tip plastic surgery in our hospital from January 2021 to January 2022. They were randomly assigned into two groups according to the odd-even series method. The experimental group and the conventional group were treated with artificial dermis and silica gel nasal augmentation, respectively, to compare the surgical effects. Results: 97.44% of the patients in the experimental group had effective nasal tip plastic surgery, while only 84.62% of the patients in the conventional group had effective nasal tip plastic surgery, which was statistically significant (P < 0.05). After plastic surgery, the nasal tip protrusion, nasal length and nasal tip height in the experimental group were significantly higher than those in the conventional group, and the statistical significance was established (P < 0.05). In the experimental group, 5.13% of the patients had complications after nasal tip plastic surgery, the total incidence rate was lower than 20.51% in the conventional group, and the statistical significance was established (P < 0.05). 97.44% of the patients in the experimental group were satisfied with the nasal tip plastic surgery, while only 82.05% of the patients in the conventional group were satisfied, which was statistically significant (P < 0.05). Conclusion: in the process of nasal tip plastic surgery, the overall application effect of artificial dermis is better than that of silica gel nasal augmentation, which is more worthy of promotion and application in clinic.
文摘209445 Fabrication and application of three-dimensional autogenous cartilage framwork in auricular reconstruction/Pan Bo(潘博,Plast Surg Hosp,Chin Acad Med Sci,Beijing 100144)…∥Chin J Plast Surg.-2009,25(3).-161～164Objective To explore the fabrication and application of three-dimensional autogenous cartilage framwork in auricular reconstruction.Methods The process of fabrication of three-dimensional cartilage framework consisted of harvesting,carving and assembling the cartilage.The rib cartilage was harvested separately.The three-dimensional framework was composed of three main parts:the helix,the base and the pad,at different layer.The framework was fabricated according to the development of rib cartilage and contour and height of the reconstructed ear.Results From January 1992 to December 2006,5 248 patients of microtia were treated with 6 252 autogenous cartilage frameworks.Conclusion The three-dimensional framework is easily manipulated.The reconstructed ears look natural and had an erect contour.This method can effectively use the cartilage.10 refs,14 figs.
文摘Background: There is a notable scarcity of comprehensive bibliometric studies examining plastic surgery research across extended or recent timeframes and diverse regions in relevant journals. The major objective of this study was to comprehensively map historical trends and the global distribution of plastic surgery research efforts.Methods: We conducted a comprehensive bibliometric analysis(using the Scopus database) of 35 core plastic surgery journals identified in these studies. All the data were extracted from the Scopus database in June 2025.The timeframe was set from 1946 to June 2025, and only original research and review articles were included in the detailed analysis. Countries(Regions) were grouped into seven regions(Europe, Asia, Latin America, the Middle East,Africa, Australia, and New Zealand, and the United States as standalone categories) to examine regional publication trends.Results: From 1946 to June 2025, 208 381 documents were published in 35 journals, of which 162 014 were eligible for analysis. The annual publication output has grown steadily, peaking at 8 277 by 2024. The United States led with 66 174 publications, followed by Europe(46 688), and Asia(31 785). Citation analysis of the top100 regional papers revealed that the United States(70 530 citations) was the most impactful, followed by Europe(43 869), Asia(28 657), and Australia and New Zealand(23 409). The 100 most-cited papers globally accrued 78 833 citations, were dominated by United States-based contributions(71%), and were primarily published in Plastic and Reconstructive Surgery(57 papers). Chung KC, Mulliken JB, and Coleman SR emerged as the top authors(among the 100 most-cited global publications). Authors' performance is presented as the number of publications, citations, h-index, g-index, m-index, HG composite, and Q2 index.Conclusion: This study extends prior bibliometric investigations by offering a complete historical and geographical perspective on plastic surgery research. This inclusive, regionalized methodology provides a robust framework for future benchmarking and global equity assessments in surgical scholarship.
文摘Background More patients receive organ transplantation surgeries due to the advancement in immunosuppressive agents and surgical techniques. Some of those patients may need to undergo plastic or reconstructive surgery. Long-term use of immunosuppressive agents raises some serious problems. Therefore, this study aimed to introduce our experience about the safety and effectiveness of plastic surgeries after solid organ allograft transplantation. Methods A retrospective review of 17 transplant recipients who underwent different reconstructive or cosmetic operations was carried out. The subjects included 1 heart transplant, 1 liver transplant and 15 kidney transplant recipients. Results All patients tolerated the plastic surgery procedures well. Flaps and skin grafts were the main constructive methods. There were no postoperative infections and wound dehiscence. Transferred flaps survived completely. Skin grafts took well. Three of the cosmetic surgery patients were satisfied with the results. Conclusions Immunosuppressed organ transplant recipients can successfully undergo major reconstructive and cosmetic surgery when given special attention.
