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Impact of Opioid Limiting Legislation on Prescribing in Adolescent Breast Surgery at a Tertiary Pediatric Hospital.
[BACKGROUND] The opioid epidemic is a critical issue in the adult and pediatric populations. This study examined the change in perioperative and discharge prescribing of opioids in adolescent breast surgical patients at a tertiary pediatric…
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Breast Cancer Hormone Therapy Modulates Breast Implant Capsular Contracture.
[BACKGROUND] Capsular contracture results in significant morbidity for patients with implant-based breast reconstruction, often requiring revisional operations. Preclinical studies have shown that hormone therapy, such as tamoxifen, may mit…
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Tamoxifen reduces silicone implant capsule formation in a mouse model.
Capsular contracture as a result of the foreign body response (FBR) is a common issue after implant-based breast reconstruction, affecting up to 20% of patients. New evidence suggests that tamoxifen may mitigate the FBR. C57BL/6 female mice…
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Opioid Overprescribing and Procedure-Specific Opioid Consumption Patterns for Plastic and Reconstructive Surgery Patients.
[BACKGROUND] Opioid prescribing practices contribute to opioid misuse, dependency, and diversion. There are currently no comprehensive and quantitative evidence-based guidelines that give procedure-specific recommendations regarding opioid …
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Preoperative Multimodal Analgesia Decreases Postanesthesia Care Unit Narcotic Use and Pain Scores in Outpatient Breast Surgery.
[BACKGROUND] The opioid epidemic demands changes in perioperative pain management. Of the 33,000 deaths attributable to opioid overdose in 2015, half received prescription opioids. Multimodal analgesia is a practice-altering evolution that …
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Targeted Peripheral Nerve-directed Onabotulinumtoxin A Injection for Effective Long-term Therapy for Migraine Headache.
[BACKGROUND] Onabotulinumtoxin A (BOTOX) is an FDA-approved treatment for chronic migraine headaches (MHs) that involves on-label, high-dose administration across 31 anatomic sites. Anatomically specific peripheral nerve trigger sites have …
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A National Curriculum of Fundamental Skills for Plastic Surgery Residency: Report of the Inaugural ACAPS Boot Camp.
[BACKGROUND] The Inaugural American Council of Academic Plastic Surgeons Plastic Surgery Boot Camp program was developed in response to ongoing changes in graduate medical education. The Boot Camp is a hands-on, practicum-based, 3-day cours…
- Education for the Future: What the Residents Want.
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Medical Student Mentorship in Plastic Surgery: The Mentee's Perspective.
[BACKGROUND] Mentorship is a universal concept that has a significant impact on nearly every surgical career. Although frequently editorialized, true data investigating the value of mentorship are lacking in the plastic surgery literature. …
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Medical Student Mentorship in Plastic Surgery: The Mentor's Perspective.
[BACKGROUND] The reproducible benefits of mentoring to mentees have been studied extensively. However, insights from the mentor perspective are less well described. This study evaluates mentorship of plastic surgery medical students from th…