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41건 · 최신순-
Quantifying Thermal and Tactile Recovery in Dual-Neurotized Breast Flaps: A Pilot Intrapatient Control Study.
[BACKGROUND] Dual-nerve neurotization of deep inferior epigastric perforator (DIEP) flaps may enhance postmastectomy reinnervation, but the early timeline and regional patterns of tactile and thermal recovery remain incompletely defined. […
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Racial and ethnic differences in rates of reduction mammoplasty among women with macromastia: An analysis of the All of Us Research Program.
[BACKGROUND] Reduction mammoplasty, or breast reduction, provides improvements in quality of life for women with macromastia. Existing literature has not thoroughly characterized potential socioeconomic differences in receiving breast reduc…
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Efficacy and Safety of Polycaprolactone Filler in Nonsurgical Rhinoplasty: A Pilot Study.
[BACKGROUND] Nonsurgical rhinoplasty (NSR) is rapidly gaining popularity due to its convenience and lower complication risks. Polycaprolactone (PCL)-based collagen stimulator provides both immediate volumization and long-term neocollagenesi…
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Exploring Facial Asymmetry Metrics Correlated with Pre-operative SCHNOS Scores Using AI.
[BACKGROUND] Facial asymmetry is often overlooked in evaluations of nasal function and aesthetics, despite its potential impact on assessments in facial plastic surgery. [OBJECTIVE] This study aims to utilize AI tools to identify facial as…
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The Use of Low-Dose Chlorhexidine Gluconate Irrigation in Preventing Intraoperative Contamination in Tissue Expander-Based Breast Reconstruction.
[BACKGROUND] There are many intraoperative techniques and washes that are used to prevent bacterial contamination during breast reconstruction. Low-dose chlorhexidine gluconate (CHG) is a low-pressure irrigation that offers broad spectrum a…
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Impact of Chemotherapy and Radiation on Breast Sensation After Immediate Reconstruction.
[PURPOSE] This study explores the impact of chemotherapy and radiation therapy (XRT) on breast sensation in patients undergoing mastectomy with immediate reconstruction. [METHODS] This prospective study, conducted from 2019 to 2024, focuse…
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Sensation in Neurotized Deep Inferior Epigastric Perforator Flap Breast Reconstruction With Different Donor Nerves: Comparing T11 and T12.
[BACKGROUND] The deep inferior epigastric perforator (DIEP) flap can be reliably neurotized for autologous breast reconstruction. In standard fashion, a sensory branch of intercostal nerve T11 or T12 of the DIEP flap is coapted to the anter…
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Comparing Primary Coaptation and Allograft in Deep Inferior Epigastric Perforator Flap Breast Reconstruction: Long-Term Sensory and BREAST-Q Outcomes.
[BACKGROUND] Loss of breast sensation after mastectomy and breast reconstruction is associated with decreased psychosocial outcomes and quality-of-life, spurring applications of peripheral nerve repair to autologous breast reconstruction. W…
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Thermal versus tactile sensory recovery following alloplastic and neurotized autologous breast reconstruction.
[BACKGROUND] Loss of sensation after mastectomy impacts long-term satisfaction, yet thermal sensory outcomes remain understudied. This study compares tactile and thermal recovery following two-stage alloplastic versus neurotized autologous …
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Efficiency and Safety of Noninvasive and Intravesical Therapy for Adult Neurogenic Lower Urinary Tract Dysfunction: A Systematic Review and Network Meta-analysis of Randomized Controlled Trials.
[BACKGROUND] Neurogenic lower urinary tract dysfunction (NLUTD), a complex abnormality caused by multiple neurologic disorders, is a serious threat to patients' prognosis and quality of life. However, benefit and safety for various treatmen…
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Predicting the risk of postoperative venous thromboembolism in rhinoplasty patients: a cohort study.
[BACKGROUND] Venous thromboembolism (VTE) is a rare complication following rhinoplasty surgery, with an occurrence rate generally estimated to be between 0.5% and 1%. In contrast, the occurrence rate of VTE in orthopedic surgeries, particul…
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Family strategy for nasoalveolar molding in infants with unilateral complete cleft lip and palate.
[BACKGROUND] The aim of the study was to demonstrate the therapeutic outcomes after a family strategy for nasoalveolar molding (Family-NAM) in infants with unilateral complete cleft lip and palate. [METHODS] Forty patients with unilateral …
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Postoperative Differences in Dorsal Aesthetic Lines in Patients Undergoing Dorsal Preservation Rhinoplasty and Conventional Hump Resection.
[BACKGROUND] Dorsal preservation rhinoplasty (DPR) and conventional hump resection techniques (CHR) are two distinct methods for nasal hump reduction, affecting dorsal aesthetic lines (DALs) and midvault stability differently. There is limi…
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A Machine Learning Approach to Predicting Donor Site Complications Following DIEP Flap Harvest.
[BACKGROUND] The additional donor site incisions in autologous breast reconstruction can predispose to abdominal complications. The purpose of this study is to delineate predictors of donor site morbidity following deep inferior epigastric…
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3D Motion Manipulation for Micro- and Nanomachines: Progress and Future Directions.
In the past decade, micro- and nanomachines (MNMs) have made outstanding achievements in the fields of targeted drug delivery, tumor therapy, microsurgery, biological detection, and environmental monitoring and remediation. Researchers have…
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Impact of Comorbidities on Sensory Return After Breast Reconstruction.
[PURPOSE] Breast anesthesia after mastectomy and reconstruction has been an ongoing concern with few improvements made in recent years. At present, there is a lack of studies evaluating the impact of comorbidities on sensation restoration. …
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Dose and injection site of botulinum toxin type A for gummy smile management: A systematic review and bibliometric analysis.
[INTRODUCTION] Botulinum toxin type A (BoNT/A) is an effective non-surgical method for treating gummy smile (GS). This systematic review evaluated the efficacy, duration, and safety of different BoNT/A injections. [METHODS] Four electronic…
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Is it time to rethink microsurgical training for the treatment of intracranial aneurysms in Australia?
[BACKGROUND] Case volume and complexity for microsurgical treatment of cerebral aneurysms have changed due to the growing use of endovascular therapy in clinical practice. The authors sought to quantify the clinical exposure of Australian n…
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Postoperative Tachycardia in Deep Inferior Epigastric Perforator Flap Breast Reconstruction: Is It a Reason to Worry?
[BACKGROUND] Many patients who undergo free flap breast reconstruction develop postoperative hemodynamic changes, most noticeably, tachycardia. As there is currently no consensus on whether this tachycardia leads to clinically significant …
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Umbilical Complications following DIEP Flap Breast Reconstruction: Demonstrating the Added Benefit of Preoperative Imaging.
[BACKGROUND] Despite the umbilicus being an essential aesthetic unit, current literature on umbilical outcomes following abdominally based breast reconstruction is limited. In this study, the authors aim to elucidate the incidence and predi…
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A Comparative Analysis of Sensory Return in Delayed-Immediate Versus Immediate Neurotized Deep Inferior Epigastric Perforator Flap Breast Reconstruction.
[BACKGROUND] Breast reconstruction patients who anticipate adjuvant radiation are not suitable candidates for immediate deep inferior epigastric perforator (DIEP) flap reconstruction due to the risk of flap fibrosis, shrinkage, and fat necr…
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A Comparative Analysis of Risk Factors for Breast Skin Necrosis following Autologous versus Device-Based Breast Reconstruction.
[BACKGROUND] Mastectomy skin flap necrosis often necessitates prolonged wound care, surgical re-excision, and it increases the risk for infection. This study aims to compare rates of skin flap necrosis between autologous and device-based r…
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A Pilot Study Comparing Sensation in Buried Versus Nonburied Deep Inferior Epigastric Perforator Flaps.
[BACKGROUND] Neurotized deep inferior epigastic perforator (DIEP) flaps have been shown to improve sensory recovery after mastectomy and reconstruction. With the recent trend toward nipple-sparing mastectomies, sensation likely originates w…
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Preoperative flurbiprofen diminishes the rate of reoperation after free flap reconstruction: A retrospective study.
This study aimed to evaluate the association between preoperative flurbiprofen, a non-selective COX inhibitor, and reoperation for flap crisis after free flap reconstruction. In this retrospective study, patients who underwent head and neck…
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Microsurgical clipping of ruptured supraclinoid internal carotid artery aneurysm with extradural clinoidectomy.
[BACKGROUND] Supraclinoid Internal Carotid Artery (ICA) aneurysms require additional access to standard pterional craniotomy via extradural clinoidectomy. Existing texts and surgical videos lack clarity, explanation and a clear step by step…
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Recurrent haemorrhagic pontine cavernoma resection via a retrosigmoid microsurgical approach.
[BACKGROUND] Brainstem cavernomas occasionally require surgical treatment. Appropriate patient selection and thorough understanding of the anatomy and technical nuances involved in microsurgical resection is a pre-requisite in undertaking t…
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Application of a Novel Nasal Clip for Nostril Retention After Primary Unilateral Cleft Rhinoplasty.
[OBJECTIVE] This study aimed to investigate the outcomes of using a novel nasal clip designed for nostril retention after primary unilateral cleft rhinoplasty. [DESIGN] This is a retrospective study. [SETTING] Department of Cleft Lip and …
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The Necessity of Nostril Retention Application After Secondary Unilateral Cleft Rhinoplasty.
[BACKGROUND] This study aims to investigate the necessity of nostril retention after secondary unilateral cleft rhinoplasty. [METHODS] Seventy four patients who underwent secondary unilateral cleft rhinoplasty were categorized into control…
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Comparing Autologous to Device-Based Breast Reconstruction: A Pilot Study of Return in Breast Sensation.
[BACKGROUND] Poor breast sensation is common after mastectomy and reconstruction. In this study, we aim to define the temporal pattern of sensory changes after reconstruction and to compare the return in sensation between autologous and dev…
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A Comparison Between Immediate and Babysitter Deep Inferior Epigastric Perforator Flap Breast Reconstruction in Postoperative Outcomes.
[BACKGROUND] Delayed-immediate, or "babysitter," deep inferior epigastric perforator (DIEP) flap reconstruction, defined as immediate tissue expander or implant placement at the time of mastectomy followed by eventual exchange for DIEP flap…