PLASTIC AND RECONSTRUCTIVE SURGERY整形与重建外科
PLASTIC AND RECONSTRUCTIVE SURGERY(英文缩写 PLAST RECONSTR SURG),ISSN 0032-1052,eISSN 1529-4242,中文译名:整形与重建外科 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-09-27 至 2026-09-27，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 5.169 | Q1 |
| 2022 | 3.600 | Q1 |
| 2023 | 3.200 | Q1 |
| 2024 | 3.400 | Q1 |
| 2025 | 3.600 | Q1 |
PLASTIC AND RECONSTRUCTIVE SURGERY 最新收录文献
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2. Minimally Invasive Breast Augmentation: A Comparative Analysis of Satisfaction, Recovery, and Sensory Outcomes.
PMID:日期:2026-09-23With the emergence of a minimally invasive breast augmentation, designed to preserve tissue integrity, there is a growing interest in how this approach compares to conventional methods. This study aims to evaluate patient-reported outcomes, including satisfaction, recovery experience, postoperative pain, and sensory changes, by comparing a hybrid breast augmentation technique, defined as implant-based augmentation combined with adjunctive autologous fat grafting, and a novel minimally invasive technique. A prospective observational cohort study evaluating and comparing outcomes in women undergoing minimally invasive breast augmentation versus a hybrid technique was performed over a 12-month period. Patient-reported outcomes were assessed preoperatively and at 1 week, 1 month, and 6 months postoperatively using the BREAST-Q questionnaire. 60 women were included in this study and split into two cohorts, Cohort 1 (Mia) and Cohort 2 (hybrid augmentation). Both surgical approaches resulted in significant improvements in breast satisfaction, overall well-being, and psychosocial outcomes. While overall satisfaction levels were comparable, the Mia technique demonstrated significant advantages across key postoperative outcomes, including a 74% reduction in reported pain, a 41% improvement in nipple sensitivity, and a 61% faster recovery time compared to the hybrid technique. The Mia breast enhancement technique has demonstrated favorable patient-reported outcomes. This study highlights its advantages, including faster recovery, improved physical comfort, and greater aesthetic satisfaction. These benefits position Mia as a safe, low-downtime alternative to hybrid augmentation techniques for those suitable.
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3. Use of the same donor site after prior muscle-sparing latissimus dorsi flap for salvaging implant-based reconstructive failures.
PMID:日期:2026-09-23The latissimus dorsi (LD) flap is considered a "lifeboat" in breast reconstruction as it has a proven track record in salvaging implant-based reconstructive failures. As such, it should be used with caution as surgeons have only one opportunity to use this flap and must turn to other more complex autologous options after a conventional LD flap surgery has been previously performed. The author preferentially performs muscle-sparing latissimus dorsi (MSLD) flaps and has found that this allows for future attempts at reconstructive salvage by making use of the residual skin and muscle left behind at the donor site after the initial surgery. Here, we present seven patients who underwent an initial MSLD flap surgery for various reasons and required a return to surgery to harvest the residual soft tissue from the back for reconstructive salvage of their radiated implant-based reconstructions. These findings challenge our previous notions regarding the LD as a flap that can only be used once and suggest a possible advantage for using the MSLD in patients at high risk of reconstructive failure to keep this "lifeboat" available.
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4. Head and neck free flap reconstruction in frail patients with the Awake Integrated Microsurgical approach.
PMID:日期:2026-09-23General anesthesia (GA) is the standard of care for head and neck free flap reconstruction but may pose significant risks in elderly or medically fragile patients. In this study the authors present their experience with the innovative Awake Integrated Microsurgical approach (AIM), comparing peri-operative complications and post-operative results from patients undergoing head and neck free flap reconstruction with GA with those performed under loco-regional anesthesia and sedation (AIM). A retrospective cohort study was conducted on 40 patients undergoing microvascular head and neck reconstruction (excluding intraoral location) after oncological resection (20=GA; 20=AIM). Combined soft tissue and bone defects were more frequent in GA (60% vs. 37%) but this difference was not statistically significant. LD and ALT/VL represented 85% of the flaps employed. Peripheral and neuro-axial nerve blocks were combined with sedation in 90% and 40% of the AIM group. AIM patients were significantly older (p=0.004) and had higher comorbidity burden (p =0.004). Despite higher anesthetic risk, all AIM procedures were completed without conversion to GA. Operative time was shorter under AIM (p= 0.001), while ischemia time, transfusion rate, and flap outcomes were comparable. No AIM patient required ICU admission (p= 0.047). Rates of major surgical complications (Clavien-Dindo ≥ III) and total or partial flap loss were similar. The AIM approach allowed safe, effective, and resource-sparing microvascular reconstruction in frail patients unfit for GA, reducing anesthetic exposure, operative time and ICU utilization. These findings may help expanding the role of awake microsurgery to selected low-risk patients within ERAS protocols.
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6. Time from Migraine Onset to Surgery Predicts Postoperative Headache Frequency: A Retrospective Cohort Study.
PMID:日期:2026-09-23Migraine trigger-site surgery has been proposed for medically refractory migraine, yet predictors of postoperative outcome remain incompletely defined. The influence of the interval between migraine onset and surgical intervention has not been systematically evaluated. A retrospective cohort study of consecutive patients undergoing migraine trigger-site surgery in Taiwan (2019-2024) was conducted. The primary endpoint was postoperative headache frequency per month; Migraine Headache Index (MHI) was the secondary endpoint. Time-to-surgery (years from migraine onset to operation) was evaluated using Spearman correlation, group comparison, and multivariable regression adjusted for age, sex, preoperative frequency, trigger-site number, and nerve block status. Among 54 patients (70.4% female; mean age 38.0 years), 47 (87.0%) achieved successful treatment (≥50% frequency reduction) and 16 (29.6%) achieved frequency elimination. Median time-to-surgery was 15 years. Longer time-to-surgery was significantly correlated with higher postoperative frequency (Spearman ρ = 0.397; p = 0.003) and remained an independent predictor in multivariable regression (β = 0.342; 95% CI 0.107-0.577; p = 0.005), alongside preoperative frequency (β = 0.270; p = 0.011). Patients with time-to-surgery at or below the cohort median (15 years) achieved a 96% success rate with 43% complete elimination, compared with 77% success and 15% elimination among those with longer durations (p = 0.047 and p = 0.038, respectively). Time-to-surgery is an independent predictor of postoperative headache frequency, with each additional year of disease duration associated with 0.34 more headache days per month. These findings suggest that early surgery in appropriately selected patients may improve frequency outcomes.
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7. Detecting Manipulated Online Rhinoplasty Images Using an Artificial Intelligence Facial Authenticity Localization (FAL) Model.
PMID:日期:2026-09-21Publicly available before-and-after photos influence patient expectations and perceptions of surgical success. Online platforms host thousands of images, yet the authenticity of these representations remain unverified in an age where digitally altered photographs are increasingly common in aesthetic surgery. The Facial Authenticity Localization (FAL) model can detect subtle pixel-level irregularities indicative of digital tampering. This study represents the first large-scale application of an AI-based authenticity detector to aesthetic-surgery media. The first 600 consecutive postoperative rhinoplasty photographs in RealSelf.com's public gallery (October 2025) were analyzed without additional filtering or selection. FAL was implemented locally on macOS via an Anaconda-Python environment with pretrained global and local weights. Heatmap outputs visualized probable regions of digital manipulation. Positives were defined as nasalregion heatmap activations. Specificity was estimated on 200 presumed-unedited clinical photographs exported from RAW with minimal processing; sensitivity was assessed on 50 clinical, intentionally warped photographs. Manipulation prevalence on RealSelf.com was 19.5% (117/600; 95% CI, 16.3-22.7%). The validation falsepositive rate was 1.5% (3/200; 95% CI, 0.51-4.32%). Sensitivity for detecting Facetune-generated geometric warps was 100% (50/50; 95% CI, 93.0-100%). AIbased geometric manipulation detection identifies suspicious edits in roughly one in five public rhinoplasty photos on a major platform. Validation suggests high specificity and sensitivity for Facetune-generated edits. Integration of automated authenticity checks into clinical photography and platform workflows may improve transparency.
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8. Topical Application of Cultured Human Hair Follicle-Derived Epithelial Progenitor Cells Enhances Wound Healing and Epithelialization.
PMID:日期:2026-09-16Epithelial cell-based approaches - including cultured keratinocyte sheets, bilayered skin substitutes, and cell-enriched wound dressings derived from epidermal cells - have been explored to enhance wound epithelialization; however, most studies have focused on epidermis-derived cells. Wound-healing potential of epithelial cells originating from different regions of human hair follicle remains insufficiently characterized. Epithelial cells were isolated from distinct regions of human scalp hair follicles, including upper root epithelial cells (UECs), lower root epithelial cells (LECs), and bulb epithelial cells (BECs), and were compared with epidermal keratinocytes. Cell viability, proliferation, and phenotypic characteristics were evaluated in vitro. In vivo epithelialization was assessed using a full-thickness wound model in immunodeficient mice following topical application of each cell population. Histological analyses were performed on healed tissue, and donor-site outcomes were explored using a rat whisker model. BECs exhibited the highest viability and proliferative capacity, along with a lower proportion of differentiated keratinocytes. All cell-treated groups enhanced epithelialization compared to controls, with BECs-treated wounds showing the most pronounced improvement. Histological analysis demonstrated reduced scar formation and increased retention of human-derived cells in regenerated epidermis following BECs treatment. In rat model, hair follicle regeneration was observed after bulb removal, although regenerated whiskers exhibited reduced thickness and length. These findings provide proof-of-concept evidence that epithelial cells derived from the human hair follicle bulb possess favorable biological properties and enhance epithelialization in preclinical wound model. Hair follicle-derived epithelial cells may represent promising cell source for cutaneous regeneration, although further investigation is required to establish clinical applicability.