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17건 · 최신순-
Prevention and rehabilitation of facial palsy in patients with vestibular schwannomas.
The close anatomic position of the facial nerve in proximity to a vestibular schwannoma leads to an inherent risk of damage when managing this tumor. The nerve is particularly at risk from microsurgical tumor resection. A clearly transected…
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A Comparative Study of Platysmal Myoneurectomy With Variations of Selective Neurectomies in Post-Facial Palsy Synkinesis.
Synkinesis is a distressing sequela of facial palsy. The main treatment for this condition has been Botulinum toxin injections. However, more recently, selective neurolysis/neurectomies have shown promise, with some variations in practice e…
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Sural communicating nerve for application as a vascularized nerve graft: A microneurovascular anatomic study in cadavers.
[INTRODUCTION] Sural nerve harvest causes paraesthesia to the lateral heel of the foot, which can debilitate those with already compromised proprioception. To circumvent this, we investigated an alternative donor nerve, branch of the latera…
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Facial Nerve Revascularization Strategies in Facial Restoration.
[UNLABELLED] Facial transplants represent the current exemplar in the reconstruction of severely damaged faces, whereas conventional free flap reconstruction has its limitations in restoring both function and surface cover. [METHODS] In a …
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Comparative Study of Multimodal Therapy in Facial Palsy Patients.
In chronic facial palsy, synkinetic muscle overactivity and shortening causes muscle stiffness resulting in reduced movement and functional activity. This article studies the role of multimodal therapy in improving outcomes. Seventy-five…
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Targeted chemodenervation of the posterior belly of the digastric muscle for the management of jaw discomfort in facial synkinesis.
[BACKGROUND] Botulinum toxin (BT-A) chemodenervation has been proved to significantly improve the physical and psychological well-being of patients suffering from facial synkinesis. Despite this, a cohort of patients has persistent tightnes…
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Paradoxical Frontalis Activation: An Underrecognized Consequence of Facial Palsy.
[BACKGROUND] Aberrant reinnervation and synkinesis are common and debilitating after facial palsy. Paradoxical frontalis activation can antagonize eye closure and increase the risk of corneal damage. If recognized, judicious botulinum toxin…
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The effect of template-based sequential (TBS) coding on an NHS plastic surgical practice.
[INTRODUCTION] Clinical coding is often a mystery to us surgeons, but in actuality, it has a huge bearing on the financial sustainability of our services. Given the rapid innovations in plastic surgical procedures, clinical coders often str…
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Botulinum toxin treatment for facial palsy: A systematic review.
[BACKGROUND] Facial palsy may be complicated by ipsilateral synkinesis or contralateral hyperkinesis. Botulinum toxin is increasingly used in the management of facial palsy; however, the optimum dose, treatment interval, adjunct therapy and…
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An objective assessment of botulinum toxin type A injection in the treatment of post-facial palsy synkinesis and hyperkinesis using the synkinesis assessment questionnaire.
This study aimed to provide reliable and valid evidence that botulinum toxin type A (BTX-A) is a successful treatment for facial synkinesis in facial palsy by using the synkinesis assessment questionnaire (SAQ) tool. Fifty-one patients comp…
- Developing procedure-specific consent forms in plastic surgery: Lessons learnt.
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Cutaneous cooling to manage botulinum toxin injection-associated pain in patients with facial palsy: A randomised controlled trial.
[INTRODUCTION] Botulinum toxin injections are an effective, well-established treatment to manage synkinesis secondary to chronic facial palsy, but they entail painful injections at multiple sites on the face up to four times per year. Cutan…
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A cross-sectional study of the presence of United Kingdom (UK) plastic surgeons on social media.
[INTRODUCTION AND AIMS] To determine the uptake and usage of websites and social media (SM) by UK consultant (attending) plastic surgeons. [METHODS] Professional profiles of full BAPRAS members were searched on Facebook, Twitter, LinkedIn,…
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Implications of rationing and the European Working Time Directive on aesthetic breast surgery: a study of trainee exposure in 2005 and 2011.
[BACKGROUND] There are concerns that current trainees may be lacking operative experience in aesthetic and functional breast surgeries. Reduced exposure to such cases during training may stem from rationing, EWTD compliance, and an increasi…
- Medical student research electives: stimulating a new generation of clinician-scientists.
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Bilateral breast reduction surgery in England: a postcode lottery.
[INTRODUCTION] There is good evidence for the benefits of bilateral breast reduction (BBR). However, such surgery is often considered cosmetic and is rationed. The NHS Modernisation Agency and the British Association of Plastic Surgeons (as…
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The Asplund-Davies vertical scar breast reduction technique preserves the sub-areolar skin thickness in the long term: a matched comparative study with the inverted T technique.
[BACKGROUND AND AIM] The inverted T technique, a popular method of breast reduction, relies on stretching the skin over glandular breast tissue to create the breast shape. The Asplund-Davies vertical scar method of breast reduction by contr…