Chung KC

The use of pragmatic clinical trials (PCTs) has been increasing within medical and surgical research departments, but has not yet been widely implemented in plastic surgery. PCTs are similar to randomized controlled trials (RCTs) in that th…

[OBJECTIVE] To assess the effect of complete decongestive therapy (CDT) and lymphedema microsurgery (LM) on the natural progression of extremity lymphedema. [BACKGROUND] The natural progression of extremity lymphedema includes interstitial…

This video demonstrates the case of a Cognard type V tentorial dural arteriovenous fistula that was successfully salvaged using augmented reality-assisted microsurgery following failed endovascular embolization. The patient had a spastic ga…

[BACKGROUND] Preoperative mammography in patients under 40 undergoing nononcologic breast reduction surgery is not recommended by national guidelines, including the 2014 ASPS Choosing Wisely statement. This study evaluated national trends, …

[BACKGROUND:] Precise nasal tip refinement is a cornerstone of Asian rhinoplasty that addresses characteristics such as bulbous tips, short columellas, and flared nostrils. The septal extension graft (SEG) and the derotation graft (DRG) are…

[BACKGROUND] Although the number of female physicians in the United States has been increasing, most practicing surgeons in the United States are men. By contrast, Indonesia has achieved notable gender parity among surgeons, with the number…

The P value is ubiquitous in research. However, misuse and misinterpretation are common. This article aims to demystify the P value for researchers, students, physicians, and experienced investigators alike. To accomplish this aim, the orig…

[BACKGROUND] Various surgical subspecialties, including plastic surgery, have begun to embrace virtual clinic visits, especially since the COVID-19 pandemic. However, the impact of video visits on time optimization and cost incurred in outp…

[BACKGROUND] Assessing the methodologic and reporting quality of randomized controlled trials (RCTs) in plastic surgery is crucial in maintaining the standards of evidence-based practice. Previous evaluations underscored deficiencies in rep…

Distal radius fractures are common. Plastic surgery trainees and practicing surgeons who encounter these patients should be familiar with the various treatment options. Although the volar locking plate has revolutionized treatment of these …

The upper extremity has unique functional and aesthetic requirements. Reconstruction of upper extremity soft tissue defects should ideally provide coverage for vital structures, facilitate early mobilization, be thin and pliable to match it…

Mangling injuries of the upper extremity are severe, high-energy traumas that damage multiple functional systems including skin, nerves, vascular, tendon, and bone. Management requires familiarity with various techniques in orthopedic, vasc…

[BACKGROUND] Prior authorization is common for privately administered Medicare Advantage plans but is rarely used for surgical care when considering publicly administered plans. A 2020 Centers for Medicare and Medicaid services (CMS) policy…

Aesthetic surgery is a visual specialty in which plastic surgeons and patients work together to enhance or restore facial and body harmony. The field of aesthetic surgery is advanced through descriptive technical procedures and outcomes res…

[BACKGROUND] Effective information transfer relies on the proper use of educational tools. Evaluating the quality of presentations permits us to improve educational materials in plastic surgery. The authors' aims were to assess the quality …

Informed consent is the principal tool that bridges the gap between clinical practice and our society's ethical ideals. The intricacies of informed consent, however, are frequently misunderstood, and its effective implementation can be chal…

[IMPORTANCE] Racial disparities influencing breast reconstruction have been well-researched; however, the role of implicit racial bias remains unknown. An analysis of the disparities in care for patients with breast cancer may serve as a po…

Extensive upper extremity traumatic defects are challenging to reconstruct. Regional flaps are often too small or have pedicles in the zone of injury. Free microvascular flaps are not ideal options in the presence of extensive vascular inju…

[BACKGROUND] Ethical discourse in the scientific community facilitates the humane conduct of research. The urgent response to COVID-19 has rapidly generated a large body of literature to help policymakers and physicians address novel pandem…

[BACKGROUND] The E-value is a statistical measure that is used to quantify the degree of unmeasured confounding that is necessary to undermine the treatment-outcome associations established in observational studies. Despite the substantial …

[IMPORTANCE] Risk-adjusted variation in surgeon outcomes has been traditionally explained by surgeon volume and hospital infrastructure, yet it is unclear how a surgeon's operative proficiency directly contributes to their patients' outcome…