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29건 · 최신순-
Component Primary Unilateral Cleft Rhinoplasty: Balancing Dynamics of Overcorrection and Relapse.
[BACKGROUND] Primary rhinoplasty (PR) to correct the cleft nasal deformity at the time of unilateral cleft lip repair seeks to achieve durable improvement of nasal symmetry and projection. However, neither the components of primary cleft rh…
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Definitive Cleft Rhinoplasty: A 15-Year Single-Institution Review of Surgical Techniques and Outcomes.
Definitive cleft rhinoplasty is performed at or near skeletal maturity to improve nasal breathing, symmetry, and shape, with surgeons performing a variety of techniques depending on patient goals. This study explores the relationship betwee…
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Bilateral Cleft Lip Repair With and Without Primary Rhinoplasty: Comparing Two-Year Aesthetic and Anthropometric Outcomes.
ObjectiveTo compare aesthetic outcomes in patients with bilateral cleft lip treated with concurrent primary rhinoplasty (PR) versus non-primary rhinoplasty (NPR), using layperson and anthropometric assessments.DesignRetrospective review of …
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Patient-Reported Outcomes of Primary Cleft Rhinoplasty: A Long-Term Assessment Using CLEFT-Q.
ObjectiveRhinoplasty maneuvers at the time of cleft lip (CL) repair remain controversial. Particularly, the impact of primary rhinoplasty (PR) on patient-reported outcomes (PROs) and quality of life (QoL) is largely unknown. This study aims…
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Bilateral Cleft Lip Severity Index in primary cleft rhinoplasty: Correlation with anthropometric outcomes and layperson perception.
[BACKGROUND] The Bilateral Cleft Lip Severity Index (BCLSI) was developed to predict outcomes among patients who underwent bilateral cleft lip (CL) repair. However, its utility among cleft patients undergoing bilateral repair with primary r…
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Long-Term Surgical Outcomes of Primary Rhinoplasty.
ObjectiveTo examine the impact of primary rhinoplasty on subsequent rhinoplasties for patients with cleft lip nasal deformity.DesignRetrospective cohort study.SettingTertiary care pediatric hospital.Patients/ParticipantsIndividuals who unde…
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The Missing Perspective: Understanding the Plastic Surgery Applicant's Diversity Experience.
[INTRODUCTION] Numerous leaks in the pipeline of minority entry and advancement in plastic and reconstructive surgery (PRS) exist. This study aims to (1) describe attitudes toward diversity among integrated PRS applicants, (2) characterize …
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Expanding Indications of the Medial Femoral Condyle Free Flap: Systematic Review in Head and Neck Reconstruction.
[UNLABELLED] The medial femoral condyle free flap serves as an attractive reconstructive option for small- to intermediate-sized bony defects. It is commonly applied in the extremities with limited reports in the head and neck. [METHODS] A…
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A Longitudinal Study of Improvement in Nasal Airway Obstruction after Secondary Cleft Rhinoplasty.
[BACKGROUND] Nasal airway obstruction is an increasingly recognized phenomenon in patients with cleft lip and/or palate and has the potential to significantly affect quality of life in this patient population. To date, the effect of seconda…
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Crowdsourcing in Plastic and Reconstructive Surgery: A Systematic Review with Reporting Recommendations.
[BACKGROUND] Crowdsourcing uses online platforms to collect large data from laypersons and has been increasingly used over the past 5 years to answer questions about aesthetic and functional outcomes following plastic and reconstructive sur…
- Assessing Craniofacial Dysmorphology and Postoperative Outcomes: Past Perils and Promising Pearls in Plastic Surgery.
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Cleft Rhinoplasty: Does Timing and Utilization of Cartilage Grafts Affect Perioperative Outcomes?
[BACKGROUND] The purpose of this study was to evaluate the epidemiology and perioperative complications of different reconstructive strategies to correct cleft nasal deformity, with particular attention paid to type and timing of cartilage …
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Modern Mandibular Distraction Applications in Hemifacial Microsomia.
Phenotypic severity dictates the timing and type of surgical intervention required. Mandibular distraction in children without respiratory and feeding difficulties remains controversial with regard to long-term mandibular growth outcomes an…
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The Linton A. Whitaker Legacy: Cultivating Craniofacial Surgeon Leaders.
[BACKGROUND] Linton A. Whitaker is a pioneer of craniofacial surgery. He served as chief of plastic surgery at the Children's Hospital of Philadelphia and University of Pennsylvania and director of the craniofacial training program. Herein,…
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Orthognathic Hardware Complications in the Era of Patient-Specific Implants.
[BACKGROUND] Patients undergoing orthognathic skeletal correction present with a variety of comorbidities that may affect surgical outcomes. The purpose of this study was to determine how patient risk factors and operative technique contrib…
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Nasal Obstruction in Children With Cleft Lip and Palate: Results of a Cross-Sectional Study Utilizing the NOSE Scale.
[OBJECTIVE] To characterize the epidemiology and risk factors for nasal obstruction among subjects with cleft lip and/or cleft palate (CL/P) utilizing the well-validated Nasal Obstruction Symptom Evaluation (NOSE) survey. [DESIGN] Retrospe…
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The Public Face of Rhinoplasty: Impact on Perceived Attractiveness and Personality.
[BACKGROUND] The authors assess the impact of rhinoplasty on public perception of a patient's appearance and personality. [METHODS] A survey was created using standardized before-and-after photographs of 10 Caucasian women who had undergon…
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The impact of a parent liaison at a major craniofacial center.
The psychosocial impact of craniofacial disfigurement affects both the developing child and his/her family. The Facial Reconstruction Center at the Children's Hospital of Philadelphia has employed a Parent Liaison (PL) to provide psychosoci…
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Top five craniofacial techniques for training in plastic surgery residency.
[BACKGROUND] Despite increasing specialization of craniofacial surgery, certain craniofacial techniques are widely applicable. The authors identified five such craniofacial techniques and queried American Society of Plastic Surgeons members…
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Body image concerns of breast augmentation patients.
This study investigated the body image concerns of women who sought cosmetic breast augmentation. Thirty breast augmentation candidates completed several measures of body image before their initial surgical consultation. Thirty physically s…
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Bigger is not always better: body image dissatisfaction in breast reduction and breast augmentation patients.
This study investigated body image dissatisfaction in breast reduction and breast augmentation patients. Thirty breast reduction and 30 breast augmentation patients completed two body image measures preoperatively. Breast reduction patients…
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Avoiding pitfalls and managing complications of aesthetic contouring of the craniofacial skeleton.
Contouring of the facial skeleton has become applicable to a wide spectrum of patients. Although complications do occur, they now can be managed in a safe and predictable fashion. Moreover, it has been our experience that through increased …
- The treatment of "malignant" exorbitism with an extended supraorbital advancement.
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Controversies in the management of pediatric facial fractures.
The treatment of pediatric maxillofacial fractures demands consideration of different factors than those in the adult and, therefore, a different therapeutic approach. We currently believe that certain principles in the management of these …
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Evaluation of facial skeletal aesthetics and surgical planning.
Proper surgical planning for aesthetic facial skeletal surgery requires of the surgeon not only intimate knowledge of available techniques but also an understanding of how and when to apply those techniques. To this end, proper facial form …
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Skeletal alterations as a basis for facial rejuvenation.
A slight decrease in overall facial bone bulk coupled with the increased soft-tissue expansion associated with aging produce effects that should be reversed in both the bone and soft tissue where possible. The changes are best done at the l…
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The craniofacial dysostoses: guidelines for management of the symmetric and asymmetric deformities.
Although great diversity marks the craniosynostoses, our experience related to that from other centers allows us to draw certain conclusions for their management. For the asymmetric synostoses, operative intervention should be carried out i…
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Craniosynostosis: an analysis of the timing, treatment, and complications in 164 consecutive patients.
Treatment options for the craniosynostoses vary from conservative observation until completion of growth to radical remodeling in infancy. To further define the timing and type of treatment necessary in these complex disorders, we have retr…
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Thumb reconstruction by free microvascular transfer of an injured index finger.
Thumb reconstruction for amputation at the metacarpal phalangeal level was accomplished by microneurovascular transfer of the contralateral damaged index finger ray, including metacarpal phalangeal joint. This transfer accomplished a succes…