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Osteo-cutaneous microvascular free-flaps are a viable option for reconstructing the temporomandibular joint.
[BACKGROUND] There are multiple reconstructive options after mandibular resection and disarticulation of the condyle. The purpose of this study was to assess the clinical outcomes and functionality of osteocutaneous free flaps in the recons…
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From Augmented to Virtual Reality in Plastic Surgery: Blazing the Trail to a New Frontier.
[BACKGROUND] Augmented reality (AR) and virtual reality (VR)-termed mixed reality-have shown promise in the care of operative patients. Currently, AR and VR have well-known applications for craniofacial surgery, specifically in preoperativ…
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Is Head and Neck Free Flap Reconstruction Feasible in Jehovah's Witness Patients?
[BACKGROUND] Jehovah's Witnesses (JW) population are members of a religious group that refuses blood transfusion. This presents a dilemma for surgical teams when performing major surgical procedures on these patients. [PURPOSE] This study …
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"Spin" in Plastic Surgery Randomized Controlled Trials with Statistically Nonsignificant Primary Outcomes: A Systematic Review.
[BACKGROUND] "Spin" refers to a manipulation of language that implies benefit for an intervention when none may exist. Randomized controlled trials (RCTs) in other fields have been demonstrated to employ spin, which can mislead clinicians t…
- Breast augmentation using autologous fat grafting optimised by negative pressure wound therapy.
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Assessing patient frailty in plastic surgery: A systematic review.
[PURPOSE] With the increase in the aging population, the level of frailty has become an important metric for assessing preoperative patient risk. Although medical and surgical specialties continue to adopt and standardize the use of frailty…
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Improving the Science in Plastic Surgery.
In 1906, George Bernard Shaw criticized the medical profession for its lack of science and compassion. Since then, advances in both medical and surgical subspecialties have improved quality of patient care. Unfortunately, the reporting of t…
- Seventy-Fifth Anniversary of Plastic and Reconstructive Surgery: How Evidence-Based Medicine Has Transformed Plastic Surgery.
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The Use of Local Perforator Flaps in Delayed or Secondary Breast Reconstruction.
Local perforator flaps are used as immediate volume replacement techniques in breast conserving surgery. Here, we describe a case series of local perforator flaps used in the delayed setting to correct defects following previous breast surg…
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Outcomes and Outcome Measures in Breast Reduction Mammaplasty: A Systematic Review.
[BACKGROUND] Reduction mammaplasty remains critical to the treatment of breast hypertrophy. No technique has been shown to be superior; however, comparison between studies is difficult due to variation in outcome reporting. [OBJECTIVES] Th…
- Commentary on: Levels of Evidence in Plastic Surgery Research: A 10-Year Bibliometric Analysis of 18,889 Publications From 4 Major Journals.
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Pregnancy and parental leave among plastic surgery residents in Canada: a nationwide survey of attitudes and experiences.
Small surgical residency programs like plastic surgery can be challenging environments to accommodate parental leave. This study aimed to report the experiences, attitudes and perceived support of Canadian plastic surgery residents, recent …
- Reply: Ethics in Plastic Surgery: Applying the Four Common Principles to Practice.
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Ethics in Plastic Surgery: Applying the Four Common Principles to Practice.
The topic of ethics in plastic surgery remains underrepresented in the literature. By applying the four principles of biomedical ethics-respect for autonomy, beneficence, nonmaleficence, and justice-as described by Beauchamp and Childress t…
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Introducing Knowledge Translation to Plastic Surgery: Turning Evidence into Practice.
Best evidence has no bearing on quality of life if it is not implemented in clinical practice. The authors introduce knowledge translation as a theoretical framework for closing the gap between evidence and practice in plastic surgery. The …
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The TeaM (hrpeutic ammaplasty) study: Protocol for a prospective multi-centre cohort study to evaluate the practice and outcomes of therapeutic mammaplasty.
[INTRODUCTION] Wide local excision and adjuvant radiotherapy is the standard of care for early breast cancer. For large tumours, however, mastectomy is frequently recommended as conventional breast-conserving techniques often result in poor…
- Immediate reconstruction of mandibular defects following tumor removal utilizing a stainless steel reconstruction plate.