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28건 · 최신순-
Safety of Brand Discordant Tissue Expanders and Implants in Staged Breast Reconstruction.
[INTRODUCTION] Device manufacturers generally recommend using concordant tissue expanders (TE) and implants during staged implant-based breast reconstruction (IBBR). In practice, discordant pairings may occur due to availability, patient or…
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Oncoplastic Reconstruction in the Setting of Prior Cosmetic Augmentation.
[BACKGROUND] This study explored the surgical management and reconstruction options for augmented breasts in the context of breast conservation therapy (BCT) for breast cancer. The authors hypothesized that there would be no difference in t…
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The Impact of PhD Degrees in Academic Plastic Surgery: An In-depth Analysis of Faculty and Residents.
[BACKGROUND] Doctor of Philosophy (PhD) is the highest academic degree awarded by universities in most fields of study. In surgery, it is thought to provide surgeons with skills to conduct high-quality research and advance academically. How…
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Outcomes of Autologous Free Flap Reconstruction Following Infected Device Explantation.
[BACKGROUND] Following implant-based breast reconstruction (IBR) infection and explantation, autologous reconstruction is a common option for patients who desire further reconstruction. However, few data exist about the outcomes of seconda…
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Comparing Donor Site Morbidity for Autologous Breast Reconstruction: Thigh vs. Abdomen.
[UNLABELLED] Although abdominally-based free flaps have long been the gold standard, the profunda artery perforator (PAP) flap has emerged as an important alternative option for autologous breast reconstruction. The aim of this study was to…
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Surgical and Patient-Reported Outcomes of Autologous versus Implant-Based Reconstruction following Infected Breast Device Explantation.
[BACKGROUND] Implant-based breast reconstruction infections often require implant explantation. Whereas some plastic surgeons pursue autologous reconstruction following the first implant-based breast reconstruction failure caused by infecti…
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An Algorithmic Approach to Umbilical Inset during DIEP Flap Reconstruction.
An aesthetically pleasing umbilicus is a critical component to the overall cosmesis and resultant patient satisfaction after deep inferior epigastric artery perforator (DIEP) flap breast reconstruction. Because of variables in body habitus,…
- Integrated Plastic and Reconstructive Surgery Residency: How Significant Research Involvement Serves to Distinguish Applicants.
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Impact of Predatory Journals in Plastic Surgery Literature: Researchers Beware.
[BACKGROUND] Predatory journals have exploited the open access publishing model and are considered as a major threat to the integrity of scientific research. The goal of this study was to characterize predatory publishing practices in plast…
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Master's Degrees Among Academic Plastic Surgeons and Plastic Surgery Residents: What Are the Trends?
[BACKGROUND] As more plastic surgery clinicians pursue advanced degrees and strive to become stronger physician-scientists, an objective understanding of how such degrees influence careers becomes important. We hypothesized that having a ma…
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When Benign Becomes Cancer: Malignant Degeneration of Chronic Inflammation.
Chronic inflammation, long implicated in the genesis of malignancy, is now understood to underlie an estimated 25% of all cancers. The most pertinent malignancies, to the plastic surgeon, associated with the degeneration of chronic inflamma…
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Current Concepts in Capsular Contracture: Pathophysiology, Prevention, and Management.
Over 400,000 women in the United States alone will have breast implant surgery each year. Although capsular contracture represents the most common complication of breast implant surgery, surgeons continue to debate the precise etiology. Gen…
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The Profunda Artery Perforator Flap: A Versatile Option for Head and Neck Reconstruction.
[BACKGROUND] Although the profunda artery perforator flap has gained popularity in breast reconstruction, it has not been well described for reconstruction of head and neck defects. The authors report their experience with free profunda art…
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Oncoplastic partial breast reconstruction: concepts and techniques.
Immediate oncoplastic breast reconstruction performed at the time of breast conserving surgery for the treatment of breast cancer merges the therapeutic goals of complete oncologic extirpation with preservation of breast form and function. …
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Surgical Decision Making in Autologous Fat Grafting: An Evidence-Based Review of Techniques to Maximize Fat Survival.
Autologous fat grafting is an important tool in plastic surgery and is widely used for a variety of applications, both aesthetic and reconstructive. Despite an ever-increasing list of indications and extensive research over many years into …
- Reply: Changing United States Medical Licensing Examination Step 1 to Pass/Fail: Anticipated Ramifications for Plastic Surgery Residency Applicants and Programs.
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Bringing Your Idea to the Market: A Primer for Plastic Surgeons.
The progress of biotechnology, medical instruments, and applied sciences contributes to a rapidly expanding space for the advancement of the medical field. Surgeons experience first-hand the limitations of current medical devices and thus h…
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Application of Three-Dimensional Printed Vascular Modeling as a Perioperative Guide to Perforator Mapping and Pedicle Dissection during Abdominal Flap Harvest for Breast Reconstruction.
[BACKGROUND] Advancements in three-dimensional (3D) printing have enabled production of patient-specific guides to aid perforator mapping and pedicle dissection during abdominal flap harvest. We present our early experience using this tool…
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Certification and Accreditation in Plastic Surgery Subspecialty Training.
There are multiple subspecialties that residents can pursue after core plastic surgery training, including 5 major fellowship categories: aesthetic, burn, craniofacial, hand, and microsurgery. Hand surgery remains the only plastic surgery s…
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Microsurgery Training in Plastic Surgery.
Advances in surgical instruments, magnification technology, perforator dissection techniques, and vascular imaging over the past decades have facilitated exponential growth in the field of microsurgery. With wide application potential inclu…
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The chicken or the egg? Relationship between venous congestion and hematoma in free flaps.
[BACKGROUND] Postoperative hematoma and venous congestion after free tissue transfer may occur independently or concurrently. We aimed to explore the association between these two events. [METHODS] All free flap reconstructions for head an…
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The impact of co-surgeons on complication rates and healthcare cost in patients undergoing microsurgical breast reconstruction: analysis of 8680 patients.
[PURPOSE] The use of two operating microsurgeons has been shown to improve the efficiency and reduce the operative duration of microsurgical breast reconstruction (MSBR). However, the impact of this practice on healthcare cost has not been …
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Bilateral Breast Reconstruction With Profunda Artery Perforator Flaps and Immediate Implant Augmentation.
The smaller volume of the profunda artery perforator (PAP) flap relative to that of abdominal flaps limits the size of breast reconstruction that may be achieved. Immediate implant augmentation of abdominal free flaps has been performed, bu…
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Fat Processing Techniques.
Autologous fat grafting is an aesthetic and reconstructive procedure in which an individual's own fat is harvested and injected into the soft tissues to correct contour and other abnormalities. Fat graft is considered the ideal soft tissue …
- Who Owns the Patient's Photographs? Consent and Legal Ramifications of Photography in Plastic Surgery.
- Commentary on: The Leaky Pipeline of Women in Plastic Surgery: Embracing Diversity to Close the Gender Disparity Gap.
- Changing United States Medical Licensing Examination Step 1 to Pass/Fail: Anticipated Ramifications for Plastic Surgery Residency Applicants and Programs.
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Immediate permanent implant reconstruction following mastectomy with capsule preservation in patients with prior augmentation mammoplasty.
Prior breast augmentation in patients desiring post-mastectomy reconstruction provides a unique opportunity for capsular preservation and immediate, single-step implant reconstruction. We report a case series of a single-surgeon experience …