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Comparison of revision surgery after implant-based breast reconstruction between smooth, textured, and polyurethane-covered implants: results from the Dutch Breast Implant Registry.
[BACKGROUND] Implant-based breast reconstruction is the most common technique after mastectomy. Breast implants are categorized by surface type as smooth, textured, or polyurethane-covered, each with specific attributed advantages and compl…
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Nationwide clinical practice variation for reconstructive surgery following oral cavity cancer from the Dutch Head and Neck Audit: are we all doing the same?
Quality registries provide real-world data that can drive quality improvement, which often starts with reducing inter-hospital variation. We explored outcomes and the extent of nationwide inter-hospital variation for patients undergoing rec…
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Assessing DIEP flap perfusion using handheld wireless laser speckle contrast imaging: A proof of principle study.
[BACKGROUND] In reconstructive surgery, adequate perfusion of flaps is essential for successful outcomes. Assessing normal flap perfusion and differentiating it from problematic perfusion is important and time-consuming. Laser speckle contr…
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Breast implant illness revisited: A cohort study of health symptoms in women with implant-based reconstruction.
[BACKGROUND] This study investigated the association between silicone breast implants and health symptoms believed to be related to breast implant illness (BII) in women who underwent implant-based breast reconstruction after breast cancer.…
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Patient-reported esthetic outcomes following lower extremity free flap reconstruction: A cross-sectional multicenter study.
[INTRODUCTION] The goal of lower-extremity reconstructions is primarily to salvage the leg; however, esthetic outcomes are also important. This study aimed to assess the impact of a lower extremity free tissue transfer regarding social func…
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Adverse Events Associated with Hyaluronic Acid Filler Injection for Non-surgical Facial Aesthetics: A Systematic Review of High Level of Evidence Studies.
[BACKGROUND] Hyaluronic acid (HA) dermal fillers are widely used in aesthetic medicine. While generally safe, potential complications can arise. [OBJECTIVE] This systematic review aims to identify and classify potential complications linke…
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Medical Specialist Care Utilization Prior to the Explantation of Cosmetic Silicone Breast Implants: A Nationwide Retrospective Data Linkage Study.
[BACKGROUND] Explantation is the proposed treatment for breast implant illness (BII). Little is known about which medical specialists are visited and what diagnoses are made before explantation is provided as the treatment. [OBJECTIVES] Th…
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Data quality assessment of the Dutch Breast Implant Registry by automated data verification using medical billing data.
[BACKGROUND] The Dutch Breast Implant Registry (DBIR) provides real-time population-based data to monitor and improve the quality and safety of breast implants and to trace patients in the event of an (inter)national recall. To serve these …
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Health symptoms and cosmetic silicone breast implants: A retrospective cohort study.
[BACKGROUND] There has been a growing concern about a possible causal relationship between silicone breast implants (SBIs) and health symptoms, referred to as breast implant illness. This study assessed the association between SBIs for cosm…
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From Data to Decisions: How Artificial Intelligence Is Revolutionizing Clinical Prediction Models in Plastic Surgery.
The impact of clinical prediction models within artificial intelligence (AI) and machine learning is significant. With its ability to analyze vast amounts of data and identify complex patterns, machine learning has the potential to improve …
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Variation in the use of infection control measures and infection-related revision incidence after breast implant surgery in the Netherlands.
[BACKGROUND] The use and effect of most infection control measures (ICMs) in breast implant surgery are still debated, likely resulting in undesired variation in current practices. [OBJECTIVES] This study investigated the relationship betw…
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Towards evidence based plastic surgery; how a national research agenda can unite research.
We describe the development of the Research Agenda of the Dutch Society for Plastic Surgery, supported and democratically created by plastic surgeons, patients, and other stakeholders. The agenda contains the 10 most relevant knowledge gaps…
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Toward International Harmonization of Breast Implant Registries: International Collaboration of Breast Registry Activities Global Common Data Set.
[BACKGROUND] The Poly Implant Prothèse incident and breast implant-associated anaplastic large cell lymphoma have pointed to the need for uniform registries for breast implants as key features to monitoring the outcomes of breast implant su…
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Chromosome 20 loss is characteristic of breast implant-associated anaplastic large cell lymphoma.
Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a very rare type of T-cell lymphoma that is uniquely caused by a single environmental stimulus. Here, we present a comprehensive genetic analysis of a relatively large s…
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Starting an autologous breast reconstruction program after plastic surgical training. Is it as good as it gets?
[BACKGROUND] Today, the deep inferior epigastric perforator (DIEP) flap is considered to be the gold standard in microvascular breast reconstruction. Although this procedure is known as technically demanding, novice plastic surgeons must be…
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The Dutch Breast Implant Registry: Registration of Breast Implant-Associated Anaplastic Large Cell Lymphoma-A Proof of Concept.
[BACKGROUND] The Dutch Breast Implant Registry (DBIR) was established in April of 2015 and currently contains information on 38,000 implants in 18,000 women. As a clinical registry, it evaluates the quality of breast implant surgery, includ…
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Breast Implant-Associated Anaplastic Large-Cell Lymphoma in a Transgender Woman.
[UNLABELLED] Breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL) is a rare but serious complication in patients with breast implants, Patients are at risk of BIA-ALCL whether they receive breast implants for cosmetic reasons…
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Introducing the International Confederation of Plastic Surgery Societies: ICOPLAST.
This article describes the formation of the International Confederation of Plastic Surgery Societies (ICOPLAST) as a novel, transparent, dynamic, and proactive confederation of national plastic surgery societies. ICOPLAST aspires to provide…