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Resection of Skin Cancer Resulting in Free Vascularized Tissue Reconstruction: Always a Therapeutic Failure?
The globally increasing incidence of cutaneous malignancies leads, in parallel, to increasing numbers of locally advanced skin cancer resulting in reconstructive surgery. Reasons for locally advanced skin cancer may be a patient's neglect o…
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Delayed Reconstruction after Major Head and Neck Cancer Resection: An Interdisciplinary Feasibility Study.
A single immediate reconstruction with free tissue transfer is the method of choice after major head and neck cancer (HNC) resection, but this is frequently associated with long operating hours. Considering regulatory working hour constrain…
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Free Flap Outcome in Irradiated Recipient Sites: A Systematic Review and Meta-analysis.
[UNLABELLED] The impact of previous radiotherapy on free flap outcome is still a subject of debate. Clinical investigations have come to divergent conclusions and the true effect of radiotherapy (XRT) on flap survival is not definitely know…
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Simple, but effective: Nasal splinting for airway securement in free flap reconstruction following orbital exenteration.
Orbital exenteration is a disfiguring procedure that often results in free tissue transfer for reconstructive purposes. The reconstructive focus is the obliteration of dead space while sparing the nasal airway, particularly if the medial or…
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[Deep sternal wound infection after sternotomy - Report of the consensus workshop of the German-Speaking Society for Microsurgery of Peripheral Nerves and Vessels (DAM)].
Deep sternal wound infection (TSWI) is a potentially life-threatening complication that may occur after median sternotomy, contributing to prolonged hospital stay and increased health care costs. Bacterial infection is often characterized b…
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[Establishing and evaluating a multinational Science Academy: A new tool for fostering scientific young talents in microsurgical research - a Consensus Statement of the DAM].
[BACKGROUND] The formation of professional networks and cooperations - in addition to any qualified good education - seems fundamental for a successful career. In a number of disciplines, various symposia or conferences exist. In the field …
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[New concept for microsurgical education: The training academy of the German Working Group for Microsurgery of Peripheral Nerves and Vessels: Results of a 4-year evaluation].
[INTRODUCTION] A recent survey among plastic surgery residents and directors of microsurgical clinics demonstrates a great interest in high- quality microsurgery education. Unfortunately, due to economic pressures, limited operating resourc…
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[The interdisciplinary Microsurgeon - Results of the Consensus Workshop of the German Speaking Society for Microsurgery of Peripheral Nerves and Vessels].
Plastic and reconstructive surgery is characterized by a high degree of interdisciplinarity. Although Plastic surgery offers a wide range of reliable surgical treatment options independent departments for plastic and reconstructive surgery …
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Immunophenotypic characterization of human T cells after in vitro exposure to different silicone breast implant surfaces.
The most common complication of silicone breast implants is capsular contracture (massive scar formation around the implant). We postulate that capsular contracture is always a sequel to inflammatory processes, with both innate and adaptive…
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[Plastic reconstructive microsurgery in the elderly patient - Consensus statement of the German Speaking Working Group for Microsurgery of the Peripheral Nerves and Vessels].
During the last two decades, understanding and experience of microsurgical reconstruction have increased. This is linked to improved instruments and technical devices, as well as to the increased number of available donor sites for microvas…
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Presence of Biofilms on Polyurethane-Coated Breast Implants: Preliminary Results.
Polyurethane-coated breast implants seem to be associated with lower medium- and long-term capsular contracture rates in comparison to textured or smooth implant surfaces. Although the etiology of capsular contracture is uncertain, bacteria…
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Role of bacterial biofilms in patients after reconstructive and aesthetic breast implant surgery.
[INTRODUCTION] Capsular contracture is a feared complication following both reconstructive and aesthetic breast surgery. The etiology is uncertain, but bacterial biofilms have been suggested as trigger for chronic peri-implant inflammation,…
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Reduction mammaplasty: outcome analysis based on bodyweight.
[UNLABELLED] This retrospective study aimed to evaluate how reduction mammaplasty influences the bodyweight of patients 5 years after the procedure. The literature shows controversy regarding the effect of breast reduction on the progressio…
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Bacterial biofilms and capsular contracture in patients with breast implants.
[BACKGROUND] It has been hypothesized that bacterial biofilms on breast implants may cause chronic inflammation leading to capsular contracture. The association between bacterial biofilms of removed implants and capsular contracture was inv…
- Abdominoplasty access for desmoid tumor resection in the rectus abdominis muscle.
- Re: Late swelling after bilateral breast augmentation--sonication for detection of subclinical infection.
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Sonication of removed breast implants for improved detection of subclinical infection.
[BACKGROUND] Capsular fibrosis is a severe complication after breast implantation with an uncertain etiology. Microbial colonization of the prosthesis is hypothesized as a possible reason for the low-grade infection and subsequent capsular …
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Hemiface rhytidectomy.
In the current study, skin flaps raised in the subcutaneous plane were applied for 22 patients who underwent reconstruction for unilateral upper facial skin defects after skin tumor surgery. The defect was reconstructed with flaps designed …
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An individualized approach to abdominoplasty in the presence of bilateral subcostal scars after open gastric bypass.
[BACKGROUND] Patients requiring surgical skin excision after massive weight loss are challenging and require an individualized approach. The characteristic abdominal deformity includes a draping apron of panniculus, occasionally associated …
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Does abdominoplasty with liposuction of the love handles yield a shorter scar? An analysis with abdominal 3D laser scanning.
The aim of this study was to evaluate the combination of abdominoplasty with liposuction of both flanks with regards to length of scar, complications, and patient's satisfaction. A retrospective analysis of 35 patients who underwent estheti…
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Perforator-sparing abdominoplasty technique in the presence of bilateral subcostal scars after gastric bypass.
[BACKGROUND] The number of patients after gastric bypass being referred to plastic surgery units for secondary plastic surgery procedures is increasing. The characteristic abdominal deformity includes a draping apron of panniculus, occasion…
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Laser surface scanning analysis in reconstructive rhytidectomy.
The implementation of laser surface scanning to assess facial symmetry after unilateral face-lift procedures used to reconstruct defects after skin tumor resection is presented. Six patients who had undergone defect reconstruction with a fl…
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Surgical treatment of CHILD nevus.
We report a young girl with an unusual manifestation of CHILD syndrome in whom skin lesions showed involvement of the right side of her neck as well as symmetrically distributed ptychotropic involvement of the large body folds. Excision res…
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"Mammacompliance": an objective technique for measuring capsular fibrosis.
The results achieved with silicone implants are usually assessed on the basis of the clinical and therefore subjective technique of Baker's classification. Yet, for scientific studies, more objective measurements are clearly necessary. For …