自引率: 9.1%
被引量: 6717
通过率: 暂无数据
审稿周期: 5.75
版面费用: 暂无数据
国人发稿量: 29
投稿须知/期刊简介:
Published by Elsevier Science. ISSN: 1748-6815.<br /><br />JPRAS An International Journal of Surgical Reconstruction is one of the world's leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery. The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery. The journal has up-to-date papers, comprehensive review articles, letters to the editor and book reviews on all aspects of plastic surgery and related basic sciences. Formerly known as British Journal of Plastic Surgery (0007-1226).
期刊描述简介:
JPRAS An International Journal of Surgical Reconstruction is one of the world's leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery. The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery. The journal has up-to-date papers, comprehensive review articles, letters to the editor and book reviews on all aspects of plastic surgery and related basic sciences. Formerly known as British Journal of Plastic Surgery (0007-1226).
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A new surgical technique for the correction of severe cryptotia using retroauricular Z-shaped skin flap combined with auricular cartilage stretching surgery.
Cryptotia is a congenital auricular deformity characterized by the partial embedding of the upper auricle beneath the temporal scalp skin, leading to aesthetic and functional issues. This study introduced a novel surgical technique for severe cryptotia. From January 1, 2019 to January 1, 2023, patients with unilateral severe cryptotia treated at our center were included in this study. The surgical technique involved a retroauricular Z-shaped skin flap for sufficient skin coverage and auricular cartilage stretching for contour improvement. Auricular indicators including perimeter, width and length, and vertical distance from the highest point of the helix to the skull (defined as "D") were measured pre- and postoperatively. Patient satisfaction was assessed using the Visual Analog Scale (VAS). Data were analyzed with IBM SPSS Statistics. A total of 41 patients were included. Postoperatively, significant improvements were observed in auricular dimensions, with the affected ear achieving comparable perimeter, width, and length to the normal ear (98.40±9.82 mm vs. 100.92±10.15 mm, P=0.08; 29.54±2.51 mm vs. 29.76±3.02 mm, P=0.74; 53.53±4.80 mm vs. 54.56±5.08 mm, P=0.17). The D value of the affected ear also improved significantly (4.24±1.99 mm vs. 11.99±2.77 mm, P<0.05) immediately after the surgery, showing no significant difference when compared with the normal ear (11.99±2.77 mm vs. 12.35±3.60 mm, P=0.61). Patient satisfaction improved significantly (VAS: 1.49±0.90 to 7.93 ± 1.23, P<0.05). This technique effectively addressed the challenges of traditional cryptotia correction methods by reducing donor site morbidity and providing inconspicuous scarring.
被引量：- 发表：1970
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A registry study on nonsyndromic craniosynostosis: Long-term associations with academic achievement.
To assess the association between nonsyndromic craniosynostosis (NSC) and academic achievement. Registry data were analyzed on demographic background, presence of craniosynostosis and other comorbidities, grades, and results on national standardized tests (NSTs) across primary and upper secondary school, as well as the presence of academic degrees. The analysis used regression modeling on a sample of N = 1110 individuals with NSC and a matched cohort of N = 10,654 individuals. There was a significant negative association between NSC and NST scores in third grade for both mathematics (aOR 0.76, 95% CI 0.60-0.99, p = .020) and Swedish (aOR 0.69, 95% CI 0.54-0.89, p = .004). The association seemed to primarily be carried by females with NSC (aORs for the interaction term 0.26-0.45, all ps <.05). Further, a slightly stronger negative association was observed in individuals with psychiatric comorbidities (aOR 0.44, 95% CI 0.22-0.90, p = .025 for mathematics; aOR 0.45, 95% CI 0.21-0.98, p = .045 for Swedish). No statistically significant association was found between NSC and NST scores or grades in later school years, or with academic degrees. There is evidence for a limited temporary negative association between NSC and academic achievement. A stronger negative association between NSC and academic achievement seems to be present in girls, and for individuals with psychiatric comorbidities. This has important implications for clinical management and provision of support in educational contexts.
被引量：- 发表：1970
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Nail reconstruction using an osteo-onychocutaneous flap with the dorsal digital artery of the hallux as the pedicle: Techniques and anatomical insights.
Nail reconstruction with preserved pulp tissue can be challenging due to the use of oversized flaps, and nail deformities often resulting from bone resorption. This study describes a novel technique using the dorsal digital artery of the hallux as a pedicle for an osteo-onychocutaneous flap. A preoperative handheld Doppler was used to identify the course of the dorsal digital artery, and intraoperatively, the flap was elevated without disturbing the plantar tissue, thereby minimizing the risk of foot complications. A prospective study was conducted on all partial toe transplantation cases between September 2020 and March 2023 to analyze the anatomical variations of the dorsal digital artery. Thirty-one patients were included in the study. The dorsal digital artery was successfully identified preoperatively and confirmed intraoperatively in all cases. It branched from the first dorsal metatarsal artery in 24 cases and the plantar digital artery in seven cases. The branching location was found to be 24.3 ± 4.5 mm proximal to the web in the former group and 3.9 ± 3.9 mm (p < 0.001) in the latter group. The vascular diameter at the branching site was measured to be 0.8 ± 0.2 mm, with no significant difference based on the location. Nail reconstruction procedures were successfully performed using this flap for defects in the thumb, index finger, and little finger. Stable nails were reconstructed in all cases with minimal foot complications. In conclusion, this technique offers a reliable approach to nail reconstruction, minimizing donor site morbidity and preserving natural nail morphology.
被引量：- 发表：1970
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Analysis of risk factors for patients with traumatic optic neuropathy and comparison of visual outcomes of management strategies.
Traumatic optic neuropathy (TON) is a rare complication of facial trauma that results in vision loss. Clinical diagnosis of TON is based on a history of head trauma and an ophthalmic examination; however, the risk factors for TON and the ideal treatment strategy remain undetermined. This study aimed to identify predictive risk factors for TON and evaluate the effectiveness of current treatments with respect to visual outcomes in patients with TON. This study retrospectively enrolled patients with periorbital facial bone fracture between 2008 and 2019. Initial facial bone computed tomography, ophthalmic exam results, initial Glasgow Coma Scale, and Injury Severity Score were recorded. This study classified patients into 4 intervention groups (i.e., medication, surgery, combination therapy, and observation) to compare the outcome of visual acuity. This study enrolled 1168 patients with facial bone fractures, 93 (7.96%) of whom were diagnosed as having TON. Independent risk factors for TON included optic canal fracture, medial orbital wall fracture, retrobulbar hematoma, and head Abbreviated Injury Scale ≥4. Patients with TON who initially presented with no light perception tended to have poor final visual acuity (VA) outcomes. The results indicated no significant difference in VA improvement among patients receiving observation, megadose corticosteroid therapy, surgical decompression, or combined steroid therapy and decompression. Clinicians can achieve early prediction of TON in patients with an initial unconscious state and the identified risk factors. The results indicated that the conservative observation yielded noninferior VA outcomes in patients with TON compared with those receiving medication or surgical treatment.
被引量：- 发表：1970
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Patient satisfaction using wide-awake local anaesthesia no tourniquet (WALANT) in adults undergoing elective hand surgery: A systematic review and meta-analysis.
Wide-awake local anaesthesia no tourniquet (WALANT) is increasing in popularity within hand surgery. However, evidence is unclear on patient satisfaction rates when WALANT is compared against more traditional anaesthetic techniques where pneumatic tourniquets are used. The present study aimed to evaluate the satisfaction rates of patient with the WALANT technique. A literature search was performed using the PubMed, Embase and Cochrane databases for observational studies and randomised controlled trials (RCTs) from 2003 up to June 2023. The review was carried out among adults undergoing elective hand surgery. The mean difference in operation time and standardised mean difference (SMD) for patient satisfaction and post-operative pain (<24 h) were computed using the random effects model. The quality of studies was evaluated using RoB-2 for RCTs and risk of bias in non-randomised studies ROBINS-I for observational studies. Data were collated and a meta-analysis was performed. Five RCTs and 15 observational studies were included in our analysis, comprising a total cohort of 1800 patients. Among them, 899 patients received WALANT (50.0%). Among the RCTs, patient satisfaction was found to be higher in patients receiving WALANT (SMD 1.01, 95% CI 0.11-1.92, p = 0.03, I² = 93%). Post-operative pain was found to be non-significant using WALANT (95% CI -3.72-0.03, p = 0.10, I² = 99%), as was operative time difference (95% CI -0.42-0.40, p = 0.96, I² = 0%). The use of WALANT in elective hand surgery potentially results in higher satisfaction rates compared with anaesthesia with tourniquets. Post-operative pain and operation time were also found to be non-inferior in WALANT, but more robust studies are needed to verify these findings.
被引量：- 发表：1970
