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35건 · 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. […
- Dual-nerve coaptation using Nerve Tape in DIEP flap breast reconstruction: A cost-effective and efficient alternative to traditional methods.
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Reduction Mammaplasty Prior to Nipple-Sparing Mastectomy Is Associated With Decreased Ischemic Complications in Large-Breasted Patients.
[BACKGROUND] Nipple-sparing mastectomy (NSM) improves aesthetic outcomes but carries a higher risk of ischemic complications, particularly in patients with large, ptotic breasts. This study evaluates whether reduction mammaplasty prior to N…
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Defining Predictors of Tactile and Thermal Sensory Recovery After Reduction Mammaplasty: Insights from Multimodal Testing.
[BACKGROUND] Sensory loss following reduction mammaplasty remains a key concern for patients. While general tactile recovery has been well studied, less is known about temperature sensation or region-specific recovery patterns. This study e…
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Trends in Medicare Reimbursement for Breast Procedures: A National and Geographic Analysis, 2010-2024.
[BACKGROUND] Medicare reimbursements have stagnated or declined despite rising practice costs. Because regional adjustments through the Geographic Practice Cost Index (GPCI) only partially account for cost variation, surgeons in high-cost o…
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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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Complications After Deep Inferior Epigastric Perforator Flap Breast Reconstruction for Nipple-Sparing Mastectomy: A Series of 380 Flaps.
[BACKGROUND] Nipple-sparing mastectomy (NSMs) and the deep inferior epigastric perforator (DIEP) flap for breast reconstruction represent the latest evolutions of breast and reconstructive surgery, with resemblance to the aesthetics and fee…
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Investigating the Safety of Breast Reconstruction With the Deep Inferior Epigastric Flap in Patients With Connective Tissue Diseases.
[BACKGROUND] Connective tissue diseases (CTDs) are associated with impaired wound healing and hypercoagulability. There is currently a paucity of research examining postoperative outcomes in these patients following microsurgical procedures…
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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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A new method of measuring temperature discrimination of the breast, and what to expect in the preoperative breast patient.
[BACKGROUND] Temperature sensitivity and discrimination of reconstructed breasts are important for the protection and longevity of reconstruction. There is a paucity of literature assessing the impact of breast surgeries on temperature disc…
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Sensation Alterations Following Superior and Superomedial Wise Pattern Breast Reductions.
[INTRODUCTION] Breast reduction has the potential to alter sensation of the breast and nipple-areolar complex (NAC) due to intraoperative sensory nerve disruption. There is currently a paucity of available literature pertaining to sensation…
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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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Comparative Analysis of Recurrence-Free Survival and Mortality in Postmastectomy Patients: Insights From Multidecade, Multiinstitutional Propensity Score Matching.
[INTRODUCTION] Disparities in postmastectomy reconstructive care are widely acknowledged. However, there is limited understanding regarding the impact of reconstructive services on cancer recurrence and breast cancer-related mortality. Ther…
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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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Establishing a Microsurgical Practice in a Limited Resource African Setting: The Kapsowar Hospital Experience.
[BACKGROUND] Microsurgical technique is still not readily available in many low- and middle-income countries. Few works in the scholarly literature describe the establishment of microsurgical practice on the African continent, and there are…
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Timeline and Incidence of Postoperative Complications in Prepectoral, Dual-Plane, and Total Submuscular Alloplastic Reconstruction With and Without Biosynthetic Scaffold Usage.
[INTRODUCTION] Acellular dermal matrices and synthetic meshes are commonly used to improve inframammary-fold definition, minimize muscle excision, and allow for greater control over the surgical technique in implant-based breast reconstruct…
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An Evaluation of Native Breast Dimension and Tissue Expander Inflation Rate on the Risk of Capsular Contracture Development in Postmastectomy Reconstruction.
[INTRODUCTION] Capsular contracture is a common complication after 2-stage breast reconstruction. The relationships between native breast size, the rate of tissue expander expansion, and capsule formation have not been elucidated. This stud…
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Machine-Learning Prediction of Capsular Contraction after Two-Stage Breast Reconstruction.
[BACKGROUND] Two-stage breast reconstruction is a common technique used to restore preoperative appearance in patients undergoing mastectomy. However, capsular contracture may develop and lead to implant failure and significant morbidity. T…
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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…
- Applicant Perspective on the Plastic Surgery Common Application (PSCA): A Cross-Sectional Analysis of the 2021-2022 National Residency Matching Program Applicant Pool.
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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…
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Delineating the risk factors of venous congestion: An analysis of 455 deep inferior epigastric perforator flaps with radiographic correlation.
[BACKGROUND] Venous congestion occurs in 2-15% of DIEP flaps for breast reconstruction. We previously showed that thicker suprascarpal fat pads are associated with increased SIEV caliber and may, by extension, indicate a dominant superficia…
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Prolonged Venous Thromboembolism Prophylaxis May Not Be Necessary for DIEP Flap Breast Reconstruction: A Tertiary Center's 10-Year Experience.
[BACKGROUND] Based on the 2005 Caprini Risk Assessment Model for venous thromboembolism, the American Society of Plastic Surgeons prevention guidelines would result in prolonged chemoprophylaxis (1 week or more) for the majority of patient…