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Free Anterolateral Thigh Flap Reconstruction After Excision of Extensive Vascular Malformations in Toddlers: Report of Two Cases.
Vascular malformations often become symptomatic during childhood and require multidisciplinary intervention. However, reports of resection followed by free flap reconstruction in pediatric patients remain rare. We report two toddler cases o…
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Reconstruction of Extensive Midfacial Defects After Nasal Cavity Cancer Using Three Free Flaps.
Reconstruction of extensive midfacial defects poses significant challenges due to the need for simultaneous restoration of function and appearance. In this report, the authors present a case of an extensive midfacial defect following nasal …
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Sustained-release of 4-hydroxytamoxifen inhibits capsular contracture after breast implant placement in a mouse model.
[BACKGROUND] Capsular contracture is a major complication of breast reconstruction with silicone implants, affecting patients' quality of life due to pain and esthetic concerns. Capsular contracture is considered to result from an excessive…
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Gender and racial diversity Assumed by text-to-image generators in microsurgery and plastic surgery-related subspecialities.
[BACKGROUND] Since the release of ChatGPT by OpenAI in November 2022, generative artificial intelligence (AI) models have attracted significant attention in various fields, including surgery. These advancements have been particularly notabl…
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Breast Reconstruction With Low-Design Bilateral Conjoined Superficial Inferior Epigastric Artery Flap due to Abdominal Mercedes-Benz Incision Scar: A Case Report.
Breast reconstruction using an abdominal flap in patients with scarring on the upper abdomen is challenging. We present herein a new approach to two-stage breast reconstruction using a low-design bilateral conjoined superficial inferior epi…
- Visualize and Identify Perforators With a Novel Three Dimensional-Computed Tomography Viewer.
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Reconstruction of a Moderate Palatal Fistula and Facial Contour in a 61-Year-Old Patient After Cleft Lip and Palate Surgery Using a Free Latissimus Dorsi Muscle Flap Combined With the Scapular Bone.
A 61-year-old female patient with cleft lip and palate presented with a moderate palatal fistula and associated nasal deformity. The defect posed a surgical challenge, being too extensive for local mucosal flap closure, yet too confined to …
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Reconstruction of Osteoradionecrosis of Malar and Maxillary Bone Using Thoracodorsal Artery Perforator Flap Combined With Scapular Bone: 14-Year Follow-Up.
Osteoradionecrosis (ORN) of the maxilla is relatively uncommon. To the authors' knowledge, no previous reports have described reconstruction of malar and maxillary ORN using a thoracodorsal artery perforator flap combined with scapular bone…
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Long-term Follow-up of Secondary Reconstruction of Facial Paralysis and Depressive Deformities After Subtotal Temporal Bone Resection.
Subtotal temporal bone resection (STBR) frequently results in facial paralysis and depression, making reconstruction challenging due to significant tissue loss. This study aimed to evaluate the effectiveness of a procedure designed for simu…
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ChatGPT and Clinical Questions on the Practical Guideline of Blepharoptosis: Reply.
In a recent Letter to the Editor authored by Daungsupawong et al. in Aesthetic Plastic Surgery, titled "ChatGPT and Clinical Questions on the Practical Guideline of Blepharoptosis: Correspondence," the authors emphasized important points re…
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Advancement of Generative Pre-trained Transformer Chatbots in Answering Clinical Questions in the Practical Rhinoplasty Guideline.
[BACKGROUND] The Generative Pre-trained Transformer (GPT) series, which includes ChatGPT, is an artificial large language model that provides human-like text dialogue. This study aimed to evaluate the performance of artificial intelligence …
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Treatment Effectiveness and Recurrence of Extracranial Arteriovenous Malformations Following Surgical Operations: A 15-Year Retrospective Cohort Study.
[BACKGROUND] At present, there is no golden standard for treatment of extracranial arteriovenous malformations (AVMs) and recurrence remains a major challenge with limited available evidence on the associated factors. This study aimed to ev…
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The largest perforator of DIEP flap has a higher rate of continuity with the superficial inferior epigastric artery.
[BACKGROUND] In deep inferior epigastric artery (DIEA) perforator (DIEP) flap breast reconstruction, the network with the superficial inferior epigastric artery (SIEA) is key to achieving stable subcutaneous blood flow to the flap. This stu…
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Artery first and declamp it: A temporary revascularization method during microvascular anastomosis: A retrospective case series study.
[BACKGROUND] The optimal sequence of microvascular clamping during free flap transfer is yet to be established. Many surgeons are reluctant to perform temporary declamping and subsequent reclamping during microvascular anastomosis; however,…
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Objective Assessment of the Repeated Botox Treatment to the Synkinesis of Facial Paralysis by the Integrated Electromyography.
[BACKGROUND] The widely used botox type A (BTX-A) is effective against synkinesis in facial palsy sequelae. Repeated injections are necessary and permanent improvements have been reported. We objectively evaluated the changes in synkinesis …
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Generating Informed Consent Documents Related to Blepharoplasty Using ChatGPT.
[PURPOSE] This study aimed to demonstrate the performance of the popular artificial intelligence (AI) language model, Chat Generative Pre-trained Transformer (ChatGPT) (OpenAI, San Francisco, CA, U.S.A.), in generating the informed consent …
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Performance of ChatGPT in Answering Clinical Questions on the Practical Guideline of Blepharoptosis.
[BACKGROUND] ChatGPT is a free artificial intelligence (AI) language model developed and released by OpenAI in late 2022. This study aimed to evaluate the performance of ChatGPT to accurately answer clinical questions (CQs) on the Guideline…
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Frontalis Suspension through Infrabrow Skin Excision for Blepharoptosis in Asian Patients.
[SUMMARY] Frontalis suspension is the preferred approach for blepharoptosis with compromised levator function. Various studies have explored the use of different materials or material shapes for performing this procedure; however, a limited…
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Blepharoptosis Consultation with Artificial Intelligence: Aesthetic Surgery Advice and Counseling from Chat Generative Pre-Trained Transformer (ChatGPT).
[BACKGROUND] Chat generative pre-trained transformer (ChatGPT) is a publicly available extensive artificial intelligence (AI) language model that leverages deep learning to generate text that mimics human conversations. In this study, the p…
- A nationwide online survey of current trends in microsurgical practice among Japanese plastic surgeons.
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Beneficial effects of transdermal administration of tamoxifen on capsular contracture after breast implantation in murine models.
[BACKGROUND AND AIM] Capsular contracture is the most common complication with smooth-type silicone implants. We investigated the preventive effect of an active metabolite of tamoxifen, 4-hydroxytamoxifen (4-OH TAM), on capsular contracture…
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Microsurgical Lymphovenous Anastomosis for Pelvic Lymphoceles after Gynecological Cancer Surgery.
[BACKGROUND] Pelvic lymphoceles are the most common complications after pelvic lymphadenectomy. Microsurgical procedures have attracted attention as an alternative treatment for lymphoceles. Here, we report six cases of refractory lymphocel…
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Total Maxillectomy and Free Flap Reconstruction in Hemodialysis Patients: Report of Two Cases.
Currently, an increasing number of patients are undergoing hemodialysis. However, little is known regarding the outcome or perioperative management of head and neck cancer reconstruction in patients undergoing hemodialysis. Here, we report …
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Robotically Assisted Recipient Site Preparation in Hair Restoration Surgery: Surgical Safety and Clinical Outcomes in 31 Consecutive Patients.
[BACKGROUND] Recent advances in robotic surgery have extended to hair restoration surgery, using a robotic recipient site creation device. [OBJECTIVE] This study aimed to assess the surgical safety and postoperative clinical outcomes of us…
- Potentially serious incidental findings on medical imaging in plastic surgery patients: A single-institution retrospective cohort study.
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Factors Associated With Late Admission to Facial Plastic Surgery Among Patients With Long-Standing Facial Paralysis.
[BACKGROUND] Facial plastic surgeons often encounter patients experiencing untreated long-standing facial paralysis who are unaware that their condition can be managed by facial reconstructive procedures. To promote timely admission of pati…
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Measurement of optical reflection and temperature changes after blood occlusion using a wearable device.
Early detection of compromised circulation is essential for postoperative monitoring of free flap. Hourly clinical check-ups such as inspection and palpation still result in a delay in detection. Conversely, optical reflection and temperatu…
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Two-stage Reconstruction Using a Free Jejunum/Ileum Flap After Total Esophagectomy.
[BACKGROUND] Reconstruction after esophagectomy is conventionally performed with a gastric conduit. However, in cases where a gastric conduit is unavailable, reconstructive procedures vary in terms of flap type, operative timing, and condui…
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Foot Web Space Transfer for Congenital Syndactyly.
Syndactyly of the hand is commonly treated using local flaps with skin grafts; however, contractures and/or pigmentation pose a challenge, requiring repeated surgery. Here, we describe a case of a 1-year-old boy who underwent web transplant…
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Endoscopic open rhinoplasty enables a cosmetic approach for a rare case of intraosseous cavernous hemangioma in the nasal bone.
A rare case of intraosseous cavernous hemangioma was identified in the nasal root. Using a combination of endoscopic surgery and open rhinoplasty, an osteotomy was performed and resection of the hemangioma was successfully achieved with tra…