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Transforming breast reconstruction: the pioneering role of artificial intelligence in preoperative planning.
Autologous breast reconstruction surgery is a vital part of the recovery process for patients with breast cancer. While various reconstructive options exist, the deep inferior epigastric artery perforator (DIEP) flap is often favoured for i…
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Lymphoedema surgery in Australia: a narrative review.
[BACKGROUND AND OBJECTIVE] Lymphoedema is a chronic condition that affects millions of people worldwide. It is often caused by the damage or removal of lymph nodes during cancer treatment. One of the most effective management options for ly…
- Hybrid breast augmentation: a surgical approach and formula for preoperative assessment of fat graft volume.
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Comparing the Efficacy of Large Language Models ChatGPT, BARD, and Bing AI in Providing Information on Rhinoplasty: An Observational Study.
[BACKGROUND] Large language models (LLMs) are emerging artificial intelligence (AI) technologies refining research and healthcare. However, the impact of these models on presurgical planning and education remains under-explored. [OBJECTIVE…
- Response to "Rhinoplasty Consultation with ChatGPT" by Kleebayoon et al.
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Using Generative Artificial Intelligence Tools in Cosmetic Surgery: A Study on Rhinoplasty, Facelifts, and Blepharoplasty Procedures.
Artificial intelligence (AI), notably Generative Adversarial Networks, has the potential to transform medical and patient education. Leveraging GANs in medical fields, especially cosmetic surgery, provides a plethora of benefits, including …
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Evaluating Chatbot Efficacy for Answering Frequently Asked Questions in Plastic Surgery: A ChatGPT Case Study Focused on Breast Augmentation.
[BACKGROUND] The integration of artificial intelligence (AI) and machine learning (ML) technologies into healthcare is transforming patient-practitioner interaction and could offer an additional platform for patient education and support. …
- Applications of Artificial Intelligence and Large Language Models to Plastic Surgery Research.
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Aesthetic Surgery Advice and Counseling from Artificial Intelligence: A Rhinoplasty Consultation with ChatGPT.
[BACKGROUND] ChatGPT is an open-source artificial large language model that uses deep learning to produce human-like text dialogue. This observational study evaluated the ability of ChatGPT to provide informative and accurate responses to a…
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The Rectus Abdominis Perforator Turndown Flap for Preserving Rectus Continuity: A DIEP Alternative?
[UNLABELLED] The deep inferior epigastric artery perforator (DIEP) flap for breast reconstruction has been popularized over the transverse rectus abdominis myocutaneous (TRAM) flap, as it spares rectus abdominis muscle and has low donor sit…
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The arterialised saphenous venous flow-through flap for managing the radial forearm free flap donor site.
[BACKGROUND] The radial forearm fasciocutaneous flap (RFFF) is a workhorse flap, however concerns with donor site morbidity include tendon exposure, delayed wound healing, impaired sensitivity, and poor cosmesis, have seen it fall out of fa…
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Delphi survey of intercontinental experts to identify areas of consensus on the use of indocyanine green angiography for tissue perfusion assessment during plastic and reconstructive surgery.
[BACKGROUND] In recent years, indocyanine green angiography (ICG-A) has been used increasingly to assist tissue perfusion assessments during plastic and reconstructive surgery procedures, but no guidelines exist regarding its use. We sought…
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A systematic review of systematic review methodology in plastic surgery journals.
[INTRODUCTION] Systematic reviews (SR) and meta-analyses (MA) are described as the top level of evidence in clinical research and are commonplace in plastic surgery literature. Their quality is limited both by the reliability of primary stu…
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3D-printed, patient-specific DIEP flap templates for preoperative planning in breast reconstruction: a prospective case series.
[BACKGROUND] Modern imaging technologies, such as computed tomographic angiography (CTA), can be useful for preoperative assessment in deep inferior epigastric artery perforator (DIEP) flap surgery. Planning perforator flap design can lead …
- Converting a previous fasciocutaneous free flap into a flow-through flap for scalp reconstruction.
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Free Flap Monitoring, Salvage, and Failure Timing: A Systematic Review.
[BACKGROUND] Microsurgical free tissue transfer has become a reliable technique with success rates around 99% and around 5% requiring exploration for vascular compromise. Protocols for flap monitoring between plastic surgery units vary. We…
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Refining our knowledge of macrovascular arteriovenous shunts (MAS): Anatomical and pathological studies.
[BACKGROUND] The macrovascular arteriovenous shunt (MAS) connecting the deep inferior epigastric artery (DIEA) and superficial inferior epigastric vein (SIEV) in the abdominal wall has already been identified as an important structure, and …
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Fat Necrosis After DIEP Flap Breast Reconstruction: A Review of Perfusion-Related Causes.
[INTRODUCTION] Fat necrosis is a common complication for the deep inferior epigastric perforator (DIEP) flap. A thorough understanding of the factors associated with fat necrosis will aid operative planning for reconstructive surgeons. [ME…
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Research trends and performances of breast reconstruction: a bibliometric analysis.
[BACKGROUND] The need for postmastectomy breast reconstruction surgery has increased dramatically, and significant progress has been made both in implant and autologous based breast reconstruction in recent decades. In this paper, we perfor…
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A systematic review of patient reported outcome measures for women with macromastia who have undergone breast reduction surgery.
Patient satisfaction and outcomes following reduction mammoplasty is important to measure, being a being a reconstructive procedure with physical and cosmetic benefits. This study aimed to evaluate patient satisfaction and the various quest…
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Incisional abdominal hernia repair with concomitant abdominoplasty: Maintaining umbilical viability.
[INTRODUCTION] Abdominoplasty and abdominal hernia repair are often carried out in two-stage procedures, and those describing single-stage surgery require careful dissection to preserve often only partial blood supply to the umbilicus to ma…
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Alloplastic adjuncts in breast reconstruction.
[BACKGROUND] There has been an increasing role of acellular dermal matrices (ADMs) and synthetic meshes in both single- and two-stage implant/expander breast reconstruction. Numerous alloplastic adjuncts exist, and these vary in material ty…
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Prosthetic breast reconstruction: indications and update.
[BACKGROUND] Despite 82% of patients reporting psychosocial improvement following breast reconstruction, only 33% patients choose to undergo surgery. Implant reconstruction outnumbers autologous reconstruction in many centres. [METHODS] A …
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Anaplastic large cell lymphoma (ALCL) and breast implants: breaking down the evidence.
Systemic anaplastic large cell lymphoma (ALCL) is a distinct disease classification provisionally sub-divided into ALCL, Anaplastic Lymphoma Kinase (ALK)(+) and ALCL, ALK(-) entities. More recently, another category of ALCL has been increas…
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The postauricular fascia: classification, anatomy, and potential surgical applications.
In recent times, there has been evolving interest in the fascial structure of the ear, especially in relation to otoplasty techniques. Although the fascial tissues used in these procedures are referred to as "postauricular/retroauricular fa…
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The effect of radiotherapy on implant-based breast reconstruction in the setting of skin-sparing mastectomy: clinical series and review of complications.
[BACKGROUND] With the increasing popularity of skin-sparing mastectomy techniques, implant-based breast reconstruction and use of perioperative radiation therapy, there is a growing need to scrutinize the effects they have on breast reconst…
- Deep inferior epigastric artery perforator flap harvest after abdominoplasty with the use of computed tomographic angiography.
- Successful DIEP flap for breast reconstruction in a patient with prior abdominoplasty.
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Images in plastic surgery: the anatomy of macrovascular arteriovenous shunts and implications for abdominal wall free flaps.
With the increasing use of preoperative imaging of the abdominal vasculature prior to free flaps based on the abdominal wall, the identification of a previously undescribed anatomic structure has, that of large-vessel (macroscopic) arteriov…
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Preserving the neurovascular supply in the Hall-Findlay superomedial pedicle breast reduction: an anatomical study.
[BACKGROUND] The Hall-Findlay superomedial pedicle technique is widely used for breast reduction, and, despite low complication rates, nipple-areola complex (NAC) necrosis and denervation are still the two most common complications, particu…