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26건 · 최신순-
The LYMPH trial: comparing microsurgical with conservative treatment for chronic breast cancer-associated lymphoedema - study protocol of a pragmatic randomised international multicentre superiority trial.
[INTRODUCTION] Up to one-fifth of breast cancer survivors will develop chronic breast cancer-related lymphoedema (BCRL). To date, complex physical decongestion therapy (CDT) is the gold standard of treatment. However, it is mainly symptomat…
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The effect of various muscle transfer procedures on eye closure and blinking in longstanding facial palsy patients.
[BACKGROUND] Facial palsy causes paralytic lagophthalmos, which remarkably deteriorates a patient's quality of life. In cases where denervation time is over 18-24 months (longstanding facial palsy), a free or pedicled muscle transfer is nee…
- The perpetual changing paradigm in reconstructive surgery: Developing a vision for the future.
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Donor Site Morbidity after Lumbar Artery Perforator Flap Breast Reconstruction.
[BACKGROUND] The lumbar artery perforator flap is a second-choice flap in autologous breast reconstruction whenever a deep inferior epigastric artery perforator (DIEP) flap is not possible. Ideal candidates are pear-shaped women who do not…
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Delayed two-stage nipple sparing mastectomy and simultaneous expander-to-implant reconstruction of the large and ptotic breast.
[BACKGROUND] Large and ptotic breasts are considered an anatomical contraindication for nipple sparing mastectomy (NSM). Necrosis rates can be as high as 76%. The authors examined whether targeted preshaping mastopexy/reduction combined wit…
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Nipple reconstruction in autologous breast reconstruction after areola-sparing mastectomy.
[INTRODUCTION] The number of patients requesting prophylactic mastectomy with immediate reconstruction is rising. The oncological safety of techniques preserving the nipple and/or areola complex is still controversial. Nevertheless, nipple-…
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Lumbar Flap versus the Gold Standard: Comparison to the DIEP Flap.
[BACKGROUND] The lumbar artery perforator flap is an excellent free flap for breast reconstruction whenever the deep inferior epigastric perforator (DIEP) flap is not an option. The main indication is a lack of abdominal bulk, often seen in…
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Comparing the Lumbar and SGAP Flaps to the DIEP Flap Using the BREAST-Q.
[BACKGROUND] The deep inferior epigastric artery perforator (DIEP) flap is the gold standard in autologous breast reconstruction. When the abdomen is not available, alternative donor sites can be found at the buttock, the lumbar region, or …
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Autologous fat grafting: Latest insights.
A recent rise in the use of autologous fat transfer for soft tissue augmentation has paralleled the increasing popularity of liposuction body contouring. This creates a readily available and inexpensive product for lipografting, which is th…
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Human decellularized dermal matrix seeded with adipose-derived stem cells enhances wound healing in a murine model: Experimental study.
[OBJECTIVE] Full-thickness cutaneous wounds treated with split-thickness skin grafts often result in unaesthetic and hypertrophic scars. Dermal substitutes are currently used together with skin grafts in a single treatment to reconstruct th…
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The Thin bilateral and bipedicled DIEAP flap for axillary reconstruction in hidradenitis suppurativa.
[INTRODUCTION] Reconstruction after resection of advanced stage hidradenitis suppurativa is currently performed with pedicled perforator flaps, that allow functional reconstruction and preservation of shoulder function. Skin availability is…
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Exploratory analysis of the human breast DNA methylation profile upon soymilk exposure.
Upon soy consumption, isoflavone metabolites attain bioactive concentrations in breast tissue possibly affecting health. Though in vitro epigenetic activity of soy metabolites has been described, the in vivo impact on the epigenome is large…
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The serum estradiol concentration is the main determinant of the estradiol concentration in normal breast tissue.
[BACKGROUND] The estrogen concentration has been determined in breast tissue, focusing largely on samples obtained from breast cancers. In this study, estradiol concentration was determined in normal breast tissue obtained from women underg…
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Composite breast augmentation: soft-tissue planning using implants and fat.
[BACKGROUND] A variety of suboptimal results arise in breast augmentation due to failure of the overlying soft tissue to adequately cover the implant. The authors describe a new concept of composite breast augmentation surgery that combines…
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First global summit of national plastic surgery societies: joint statement.
This article constitutes the joint statement from the plastic surgery societies of Australia, Belgium, Brazil, France, Great Britain, New Zealand, South Africa, South Korea, Switzerland, and the United States. It reviews the background, his…
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Disposition of soy isoflavones in normal human breast tissue.
[BACKGROUND] Despite decades of research on the relation between soy and breast cancer, questions regarding the absorption, metabolism, and distribution of isoflavones in breast tissue largely remain unanswered. [OBJECTIVE] We evaluated th…
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Disposition of hop prenylflavonoids in human breast tissue.
Hop-derived products may contain xanthohumol (XN), isoxanthohumol (IX), and the potent phytoestrogen 8-prenylnaringenin (8-PN). To evaluate the potential health effects of these prenylflavonoids on breast tissue, their concentration, nature…
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Transatlantic Innovations: a new approach to international ideas and technology.
[BACKGROUND] In April of this past year, Transatlantic Innovations brought a variety of organizations and industry together for an international exchange of ideas, new technology, and current trends in plastic surgery. [METHODS] The meetin…
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Autologous breast augmentation with the lateral intercostal artery perforator flap in massive weight loss patients.
The body contour deformities that develop in morbidly obese patients following bariatric surgery often involve the breasts. Mastopexy is virtually always required in the female massive weight loss patient, and breast augmentation is often a…
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A two-stage phase I trial of Evolence30 collagen for soft-tissue contour correction.
[BACKGROUND] The ideal dermal filler should be nonpermanent but with a durable effect lasting between 1 and 2 years, which is not the case with the resorbable fillers that are currently available. Evolence30 is a new, porcine-derived collag…
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The versatility of the inter-costal artery perforator (ICAP) flaps.
[INTRODUCTION] Anatomy and classification of intercostal perforator flaps in addition to our experience with will be demonstrated for different indications. [MATERIAL AND METHODS] The intercostal vessels form an arcade between the aorta an…
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What exactly was wrong with the Trilucent breast implants? A unifying hypothesis.
Trilucent soybean oil-filled breast implants were initially announced as the ultimate prostheses for breast augmentation. However, after an increasing number of reports of local complications and hazardous metabolites attributable to lipid …
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Bilateral autogenous breast reconstruction using perforator free flaps: a single center's experience.
The authors present a single center's experience in bilateral breast reconstruction using perforator free flaps. The aim of this study was to show their indications, surgical technique, and results. A series of 53 patients underwent this pr…
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Autologous breast augmentation by pedicled perforator flaps.
A technique is described for autologous breast augmentation based on perforator flaps of the lateral chest wall. Raising these flaps as perforator flaps implies minimal donor site morbidity; however, the price to pay is a scar underneath th…
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Evaluation of nipple-areola complex sensitivity after the latero-central glandular pedicle technique in breast reduction.
[INTRODUCTION] Previous anatomical and clinical studies have shown that nipple-areola sensitivity decreased significantly after conventional superior and inferior pedicle technique for 3-6 months postoperatively. We found it necessary to mo…
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Minimal access cranial suspension lift: a modified S-lift.
There is a strong trend at hand toward less dramatic facial rejuvenation surgery. Most of the authors' patients want a cosmetic improvement but not at the cost of prolonged disfigurement or a high risk of complications. In 1999, a very simp…