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The Modified Frailty Index Predicts Major Complications in Oncoplastic Reduction Mammoplasty.
[BACKGROUND] An important component of preoperative counseling and patient selection involves surgical risk stratification. There are many tools developed to predict surgical complications. The Modified Frailty Index (mFI) calculates risk b…
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Drain Removal Time in Pre-pectoral versus Dual Plane Prosthetic Breast Reconstruction following Nipple-sparing Mastectomy.
[UNLABELLED] Pre-pectoral prosthetic breast reconstruction following nipple-sparing mastectomy (NSM) has become a popular approach compared with the dual plane technique. Our objective was to determine if there was a difference in time to p…
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Incidence and Outcomes of Completion Mastectomy following Oncoplastic Reduction: A Case Series.
[BACKGROUND] Patients occasionally need completion mastectomy (CM) following oncoplastic reduction for various reasons necessitating definitive reconstructive techniques. The purpose of this study was to evaluate those patients who required…
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A Systematic Review of Breast Irrigation in Implant-Based Breast Surgery.
[BACKGROUND] Aesthetic and reconstructive implant-based breast surgeries are some of the most frequently performed procedures by plastic surgeons. As such, prevention of implant infection is of high importance. However, there remains no cri…
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The Incidence of Occult Malignant and High-Risk Pathologic Findings in Breast Reduction Specimens.
[BACKGROUND] The goal of this study was to determine the incidence of occult malignancy and high-risk breast pathologic findings in patients who undergo breast reduction procedures. [METHODS] Medical records of consecutive patients who und…
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Secondary Surgeries After Oncoplastic Reduction Mammoplasty.
[PURPOSE] The oncoplastic reduction approach is a popular option for women with breast cancer and macromastia. Although the benefits of this approach are numerous, data on the need for secondary surgeries are limited. We evaluated the need …
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Oncoplastic Breast Reduction Technique and Outcomes: An Evolution over 20 Years.
[BACKGROUND] Reduction mammaplasty at the time of lumpectomy is a good option in women with breast cancer and macromastia. We critically evaluated refinements and outcomes of this technique. [METHODS] A prospectively maintained database wa…
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The Management of Breast Cancer Detected by Reduction Mammaplasty.
The incidence of occult breast cancer detected by reduction mammoplasty is 0.06% to 5.45%. Preoperative screening mammography is indicated in all women 40 years and older and in women age 35 with a positive family or personal history of bre…
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Current Opinion on the Oncoplastic Approach in the USA.
The management of women with breast cancer who wish to preserve their breasts often includes partial reconstruction at the time of tumor resection. This is referred to as the oncoplastic approach and has been shown to improve outcomes. The …
- Response to "comments on 'breast implant-associated anaplastic large cell lymphoma: report of 2 cases and review of the literature'".
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Breast Implant-Associated Anaplastic Large Cell Lymphoma: Report of 2 Cases and Review of the Literature.
Although primary breast lymphomas are exceedingly rare, cases of breast implant-associated anaplastic large cell lymphoma (iALCL) continue to be reported. The authors describe their experience with 2 patients and review the literature. Both…
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Complications of latissimus dorsi flap breast reconstruction in overweight and obese patients.
[UNLABELLED] The latissimus dorsi flap (LDF) remains a widely used technique for postmastectomy autologous tissue breast reconstruction. The purpose of this study was to evaluate the effect of body mass index (BMI) on flap and donor-site co…
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The effects of breast size in unilateral postmastectomy breast reconstruction.
[BACKGROUND] Postmastectomy breast reconstruction is offered to women with breast cancer regardless of body habitus and breast size. The decision regarding technique for breast reconstruction includes patient preference, risk factors, and p…
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Immediate breast reconstruction in the previously augmented patient.
[BACKGROUND] Women who had undergone previous breast augmentation represent a unique subset of patients presenting for breast reconstruction. Much of the literature on breast augmentation and breast cancer has focused on cancer detection, p…
- Maurice J. Jurkiewicz: "I am a teacher".
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Management algorithm and outcome evaluation of partial mastectomy defects treated using reduction or mastopexy techniques.
[BACKGROUND] Reconstruction of the partial mastectomy defect has become increasingly popular because of poor cosmetic results in select patients. The purpose of this series was to try to create a treatment algorithm based on patient selecti…
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Trends in unilateral breast reconstruction and management of the contralateral breast: the Emory experience.
Recent trends in breast reconstruction have transitioned toward the skin-sparing type of mastectomy and immediate reconstruction using autologous tissue. This study was designed to document trends in the management of patients with unilater…
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Breast cancer after augmentation mammaplasty: treatment by skin-sparing mastectomy and immediate reconstruction.
Breast conservation has been associated with poor cosmetic outcome when used to treat breast cancer in patients who have undergone prior augmentation mammaplasty. Radiation therapy of the augmented breast can increase breast fibrosis and ca…
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Endoscopic techniques in aesthetic breast surgery. Augmentation, mastectomy, biopsy, capsulotomy, capsulorrhaphy, reduction, mastopexy, and reconstructive techniques.
Endoscopy is a new tool in the armamentarium for surgery of the breast. Endoscopic techniques may offer decreased scarring and morbidity rates for a variety of aesthetic and reconstructive procedures. Whereas initial clinical experiences ar…
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The detection of breast cancer after augmentation mammaplasty.
Thirty-five patients treated for 37 cases of breast cancer after augmentation mammaplasty were analyzed. All augmentations were performed with silicone gel prostheses at a mean age of 38 years (range 24 to 59 years). The mean interval from …
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Total reconstruction of the hypopharynx and cervical esophagus: a 20-year experience.
We have reviewed 145 patients who underwent 148 total reconstructions of the hypopharynx and cervical esophagus between 1970 and 1989. The types and numbers of reconstruction included 45 deltopectoral (DP) flaps, 35 musculocutaneous (MC) fl…