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Feasibility and Safety of Using Perforators Through Tendinous Intersections of the Rectus Abdominis for DIEP Flap Breast Reconstruction: A Retrospective Study.
[BACKGROUND] The deep inferior epigastric perforator (DIEP) flap technique has gained popularity due to its muscle-sparing properties, significantly reducing morbidity and enhancing aesthetic outcomes in breast reconstruction. In a consider…
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Optimizing the choice between single- and bipedicled DIEP flaps: A strategy guided by 3D volumetrics and indocyanine green angiography.
[BACKGROUND] Determining the need for a bipedicled deep inferior epigastric perforator (DIEP) flap is a critical challenge in delayed breast reconstruction. The traditional, experience-based approach is often subjective and inaccurate. We a…
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Endoscopic Transaxillary High Dual-Plane Augmentation with Inframammary Fold Lowering: Feasibility and Limitations in the Correction of Breast Ptosis.
[BACKGROUND] The correction of breast ptosis using implants alone remains controversial. Given the preference for transaxillary approaches among Asian women, we developed a novel technique: endoscopic-assisted transaxillary high dual-plane …
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Oil Cysts after Fat Grafting Breast Augmentation May Be Avoided: A Clinical Evaluation of An Effective Fat Processing Technique.
[BACKGROUND] Oil cyst formation is a common complication following autologous fat grafting (AFG) for breast augmentation. Despite various fat processing techniques, no consensus exists on the optimal method to mitigate this complication. Th…
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Surgical Decision Making in Incisional Blepharoplasty in Asians.
[BACKGROUND] Owing to the prevalence of congenital single eyelids among Asians, methods are needed to create a double-eyelid fold. Incisional blepharoplasty is considered an ideal method for this purpose. The classical approach tends to cre…
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Unveiling Patients' Concerns Before Plastic Surgery: A Cross-Sectional Study.
[BACKGROUND] The emotional and psychological complexities experienced by patients who will undergo plastic surgery are profound. This study aims to explore the origins of preoperative emotional challenges and their associated risk factors a…
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Perioperative Opioid Use and Risk of Persistent Use After Common Otolaryngologic Procedures.
[OBJECTIVE] The objective of this study was to evaluate the incidence of perioperative opioid prescription and the development of new persistent opioid usage in patients prescribed perioperative opioids for common otolaryngological procedur…
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Preexpanded Brachial Artery Perforator Propeller Flap: An Addition to the Armamentarium for Postburn Axillary Contracture Reconstruction.
[BACKGROUND] Postburn axillary contracture is a common complication that leads to functional impairment and unsatisfactory aesthetic outcomes. The authors present their experience with axillary contracture reconstruction using preexpanded b…
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Surgical treatment of giant sacral terminal filar cysts: a case report and review of the literature.
[BACKGROUND] Sacral terminal filar cysts are a rare and distinctive type of sacral canal cyst, which are anatomically characterized by the presence of filum terminale within the cyst rather than nerve roots. Given their rarity and therapeut…
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Autonomous Robot-Assisted Endodontic Microsurgery on First Molar in Complex Anatomical Scenarios: A Case Series.
Endodontic microsurgery (EMS) is an important approach for preserving teeth with failed root canal treatment. However, implementing minimally invasive osteotomies and accurate apicoectomies can be challenging in anatomically complex areas, …
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Response-Adapted Oncologic Surgery in Cutaneous Squamous Cell Carcinoma: A Paradigm Shift Following Neoadjuvant Immunotherapy.
[BACKGROUND] Recent studies suggested that neoadjuvant cemiplimab can achieve a significant pathologic response in patients with cutaneous squamous cell carcinoma (CSCC). This was a retrospective cohort study (2018-2021) to determine whethe…
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Endodontic microsurgery utilizing an autonomous robotic system for the maxillary second molar: a case report.
[BACKGROUND] Endodontic microsurgery (EMS) is a widely utilized technique for addressing periapical periodontitis that is unresponsive to conventional root canal treatment. Nevertheless, achieving precise root apex location and resection ca…
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Fresh human neck dissection specimens as vascular models for head and neck microsurgery training.
[BACKGROUND] Microsurgical techniques have advanced across various fields, requiring high precision, accuracy, and minimal invasiveness. While existing animal and cadaver models offer training opportunities for surgeons to practice surgerie…
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Risk Factors for Venous Thromboembolism Following Oral and Maxillofacial Cancer Surgery With Free Flap Reconstruction.
[BACKGROUND] Patients with oral maxillofacial cancer who undergo tumor resection and simultaneous free flap reconstruction face an increased risk of developing postoperative venous thromboembolism (VTE). However, the precise incidence, spec…
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Superficial Temporal Artery Pseudoaneurysm Following Facial Thread-Lift: A Rare Complication.
Thread lifting has become widely adopted worldwide as a nonsurgical facial rejuvenation technique due to its simplicity and short recovery period. However, despite its generally favorable safety profile, various complications may occur, wit…
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"Autologous Breast Dermal Filler": A Novel Technique for Breast Reconstruction After Nipple- or Skin-Sparing Mastectomy in Pubertal Gigantomastia.
[BACKGROUND] For females in puberty, mastectomy caused by pathological gigantomastia usually brings significant psychological problems. Appropriate immediate breast reconstruction method is necessary. [OBJECTIVES] The aim of this study is …
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Recombinant human collagen type III microgel: an advanced injectable dermal filler for rejuvenating aging skin.
Skin aging, characterized by reduced collagen regeneration, chronic inflammation and heightened skin cancer risk, poses a significant challenge. Collagen-based materials, employed as dermal fillers to smooth wrinkles, have attained extensiv…
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Submental Microneedles of Botulinum Toxin A for Double Chin After Neck Injection.
Neck injections of botulinum toxin A (BTX-A) are an effective, minimally invasive approach to improve lower face sagging, especially in Asian populations. However, cases of worsened "double chin" have been observed postinjection, likely due…
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Ultrasound Assessment of Muscle and Fascia Properties and the Effects of Spasticity and Botulinum Toxin Injections on Spastic Muscles in Chronic Stroke Survivors.
[OBJECTIVE] The aim of the study was to objectively quantify changes in muscle properties in chronic stroke survivors and the effects of spasticity and botulinum toxin injections on muscle properties using ultrasonography. [DESIGN] In this…
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Management Approaches to Spastic Gait Disorders.
Spastic gait presents clinically as the net mechanical consequence of neurological impairments of spasticity, weakness, and abnormal synergies and their interactions with the ground reaction force in patients with upper motor neuron syndrom…
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Curcumin alleviates lipopolysaccharide-induced alveolar epithelial Glycocalyx damage by modulating the Rac1/NF-κB/HPSE pathway.
The glycocalyx, a cell surface component implicated in various diseases, has recently been recognized for its role in acute lung injury (ALI). Also known as the alveolar epithelial polysaccharide coat, it is vital for maintaining lung barri…
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Botulinum Toxin Type A as a Therapeutic Agent in Epilepsy: Attenuation of Neuronal Ferroptosis and Cognitive Dysfunction.
[PURPOSE] Epilepsy is one of the most common neurological disorders with no effective drugs to prevent seizures or their progression. Iron modulation is a potential advanced treatment for seizures. We aim to investigate whether botulinum to…
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Advances in Transdermal Delivery Systems for Treating Androgenetic Alopecia.
Androgenetic alopecia (AGA) is the most prevalent form of alopecia areata. Traditional treatment options, including minoxidil, finasteride, and hair transplantation, have their limitations, such as skin irritation, systemic side effects, in…
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Periostin mediates collagen production, ECM remodeling and myofibroblast differentiation in breast prosthesis capsule formation.
Capsular contraction is the most common complication after breast augmentation or reconstruction, and is the main reason underlying patient dissatisfaction and additional subsequent surgeries. Periostin is an extracellular matrix protein an…
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Analysis of the Volume of the Liposuction-Derived Adipose Tissue in Clinical Application.
[INTRODUCTION] The strategy of adipose component transplantation has been proposed and widely used in both reconstructive and aesthetic surgery. However, there is no uniform standard for the preparation of component fat, and the volume calc…
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The Spectrum of Non-neoplastic Changes Associated With Breast Implants: Histopathology, Imaging, and Clinical Significance.
Breast implant-associated anaplastic large cell lymphoma has been recognized as a distinct entity in the World Health Organization classification of hematolymphoid neoplasms. These neoplasms are causally related to textured implants that we…
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The learning curve of the MS-TRAM/DIEP breast reconstruction by dual-trained breast surgeons.
[BACKGROUND] Breast cancer surgeries involving MS-TRAM/DIEP breast reconstruction has traditionally been collaborative efforts between breast surgeons and plastic surgeons. However, in our institution, this procedure is performed by dual-tr…
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The fusiform skin paddle in fibula free flap: a fusiform-designed skin paddle for maxillofacial soft defect reconstruction and reducing leg wound tension.
[OBJECTIVE] To investigate the feasibility of leg wound closure and reconstruction of maxillofacial soft defect by a fusiform-designed skin paddle in fibula free flap (FFF). [METHODS] Fifty patients who underwent FFF for reconstruction of …
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Oncological Outcomes of Transoral Laser Microsurgery for Early Stage Glottic Cancer with Involvement of the Anterior Commissure.
[OBJECTIVES] To assess the value of carbon dioxide transoral laser microsurgery (CO TOLMS) for early-stage glottic cancer with special regard to involvement of the anterior commissure (AC). [STUDY DESIGN] Single-center retrospective cohort…
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Dovetailing skin incision design of radial forearm free flap for forearm wound closure and maxillofacial reconstruction.
[OBJECT] This study aimed to examine the feasibility of the dovetailing skin incision design of radial forearm free flap (RFFF) for closing forearm wounds and performing maxillofacial reconstruction. [METHOD] A total of 27 patients were di…