Evidence map›Paper›PMID 30730498›Full record

ArticlePlastic and reconstructive surgery2019

Fat Grafting into Younger Recipients Improves Volume Retention in an Animal Model.

Natalie N Chung, Ryan C Ransom, Charles P Blackshear, Dre M Irizarry, Derek Yen, Arash Momeni, Gordon K Lee, Dung H Nguyen, Michael T Longaker, Derrick C Wan

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Natalie N ChungFrom the Hagey Laboratory for Pediatric Regenerative Medicine, Department of Surgery, Plastic and Reconstructive Surgery Division, Stanford University School of Medicine; and the Institute for Stem Cell Biology and Regenerative Medicine, Stanford University.
Ryan C RansomFrom the Hagey Laboratory for Pediatric Regenerative Medicine, Department of Surgery, Plastic and Reconstructive Surgery Division, Stanford University School of Medicine; and the Institute for Stem Cell Biology and Regenerative Medicine, Stanford University.
Charles P BlackshearFrom the Hagey Laboratory for Pediatric Regenerative Medicine, Department of Surgery, Plastic and Reconstructive Surgery Division, Stanford University School of Medicine; and the Institute for Stem Cell Biology and Regenerative Medicine, Stanford University.
Dre M IrizarryFrom the Hagey Laboratory for Pediatric Regenerative Medicine, Department of Surgery, Plastic and Reconstructive Surgery Division, Stanford University School of Medicine; and the Institute for Stem Cell Biology and Regenerative Medicine, Stanford University.
Derek YenFrom the Hagey Laboratory for Pediatric Regenerative Medicine, Department of Surgery, Plastic and Reconstructive Surgery Division, Stanford University School of Medicine; and the Institute for Stem Cell Biology and Regenerative Medicine, Stanford University.
Arash MomeniFrom the Hagey Laboratory for Pediatric Regenerative Medicine, Department of Surgery, Plastic and Reconstructive Surgery Division, Stanford University School of Medicine; and the Institute for Stem Cell Biology and Regenerative Medicine, Stanford University.
Gordon K LeeFrom the Hagey Laboratory for Pediatric Regenerative Medicine, Department of Surgery, Plastic and Reconstructive Surgery Division, Stanford University School of Medicine; and the Institute for Stem Cell Biology and Regenerative Medicine, Stanford University.
Dung H NguyenFrom the Hagey Laboratory for Pediatric Regenerative Medicine, Department of Surgery, Plastic and Reconstructive Surgery Division, Stanford University School of Medicine; and the Institute for Stem Cell Biology and Regenerative Medicine, Stanford University.
Michael T LongakerFrom the Hagey Laboratory for Pediatric Regenerative Medicine, Department of Surgery, Plastic and Reconstructive Surgery Division, Stanford University School of Medicine; and the Institute for Stem Cell Biology and Regenerative Medicine, Stanford University.
Derrick C WanFrom the Hagey Laboratory for Pediatric Regenerative Medicine, Department of Surgery, Plastic and Reconstructive Surgery Division, Stanford University School of Medicine; and the Institute for Stem Cell Biology and Regenerative Medicine, Stanford University.
Institute for Stem Cell Biology and Regenerative Medicine · INStanford University · US

Funding

Induced pluripotent stem cells in the understanding and treatment of heart diseaseU01HL099776 · NHLBI · STANFORD UNIVERSITY · PI LONGAKER, MICHAEL T, WU, JOSEPH C. · 2009 to 2015
$8.2M
Osteogenic Enrichment of Adipose Derived Stromal CellsR01DE021683 · NIDCR · STANFORD UNIVERSITY · PI GURTNER, GEOFFREY C, LONGAKER, MICHAEL T · 2012 to 2016
$2.0M
Irradiated head and neck cancer soft tissue reconstruction by fat transfer.R01DE027346 · NIDCR · STANFORD UNIVERSITY · PI LONGAKER, MICHAEL T, WAN, DERRICK · 2018 to 2022
$1.9M
Defining BMP-responsive lncRNA for bone regenerationK08DE024269 · NIDCR · STANFORD UNIVERSITY · PI WAN, DERRICK · 2014 to 2018
$632k
Enhancing Bcl-2 Expression for Bone Regeneration.R21DE024230 · NIDCR · STANFORD UNIVERSITY · PI LONGAKER, MICHAEL T · 2014 to 2015
$443k
NHLBI NIH HHS U01 HL099776NIDCR NIH HHS K08 DE024269NIDCR NIH HHS R01 DE021683NIDCR NIH HHS R01 DE027346NIDCR NIH HHS R21 DE024230
6 · The paper itself

Abstract

backgroundSoft-tissue deficits associated with various craniofacial anomalies can be addressed by fat grafting, although outcomes remain unpredictable. Furthermore, consensus does not exist for timing of these procedures. Whereas some advocate approaching soft-tissue reconstruction after the underlying skeletal foundation has been corrected, other studies have suggested that earlier grafting may exploit a younger recipient niche that is more conducive to fat graft survival. As there is a dearth of research investigating effects of recipient age on fat graft volume retention, this study compared the effectiveness of fat grafting in younger versus older animals through a longitudinal, in vivo analysis.

methodsHuman lipoaspirate from three healthy female donors was grafted subcutaneously over the calvaria of immunocompromised mice. Volume retention over 8 weeks was evaluated using micro-computed tomography at three experimental ages: 3 weeks, 6 months, and 1 year. Histologic examination was performed on explanted grafts to evaluate graft health and vascularity. Recipient-site vascularity was also evaluated by confocal microscopy.

resultsThe greatest retention of fat graft volume was noted in the youngest group compared with both older groups (p < 0.05) at 6 and 8 weeks after grafting. Histologic and immunohistochemical analyses revealed that improved retention in younger groups was associated with greater fat graft integrity and more robust vascularization.

conclusionThe authors' study provides evidence that grafting fat into a younger recipient site correlates with improved volume retention over time, suggesting that beginning soft-tissue reconstruction with fat grafting in patients at an earlier age may be preferable to late correction.

Indexed as

Adipose TissueAge FactorsAnimalsGraft SurvivalMiceMice, NudeModels, AnimalX-Ray Microtomography

Identifiers

PMID30730498
PMCPMC6438719
OpenAlexW2917734441

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.