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Trends in opioid prescribing by plastic surgeons for medicare part D patients.
[PURPOSE] Previous analyses of Medicare part D opioid prescribing by plastic surgeons demonstrated decreasing prescription rates, but data in past 2017 have not been well-described. This study aims to elucidate more recent patterns in plast…
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A Regional Analysis of Medicare Reimbursement Rates for Plastic Surgery From 2012 to 2025.
[PURPOSE] The purpose of this analysis is to highlight trends in Medicare reimbursement rates in recent years and examine any regional differences in reimbursements that may exist over the past decade. [METHODS] The CMS Physician and Other…
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Tandem Reconstruction of the Femoral Diaphysis Using an Intercalary Prosthesis and a Fibular Free Flap.
[BACKGROUND] Femoral diaphyseal reconstructions with metal prostheses have mediocre results because of high mechanical forces that result in eventual implant failure. Biological alternatives require prolonged restrictions on weight-bearing …
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Outcomes and Perioperative Risk Factors after Oncologic Free-Flap Scalp Reconstruction.
[BACKGROUND] Little is known about the risk factors associated with complications after free flap scalp reconstruction. The purpose of this study was to identify patient, scalp defect, and flap characteristics associated with increased ris…
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Trends in Medicare Reimbursement for the Top 20 Surgical Procedures in Craniofacial Trauma.
[BACKGROUND] Research regarding financial trends in craniofacial trauma surgery is limited. Understanding these trends is important to the evolvement of suitable reimbursement models in craniofacial plastic surgery. The purpose of this stud…
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Operating in an Opioid Crisis: A Temporal Analysis of Pain Medication Prescribing Practices in Plastic Surgery.
[BACKGROUND] In response to the opioid epidemic, the United States declared a public health emergency in 2017. We evaluated pain medication prescribing practices among plastic and reconstructive surgeons, assessing pain medication prescript…
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Procedural Trends in Medicare Reimbursement and Utilization for Breast Reconstruction: 2000-2019.
[PURPOSE] Development of appropriate reimbursement models for breast reconstruction in the United States requires an understanding of relevant economic trends. The purpose of this study is to evaluate longitudinal patterns in Medicare reimb…
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Seldom one and done: Characterizing rates of reoperation with direct-to-implant breast reconstruction after mastectomy.
[BACKGROUND] Limited data exist outlining reoperations after direct-to-implant (DTI), tissue expander (TE) and autologous free-flap breast reconstruction. [METHODS] Patients undergoing mastectomy with reconstruction from 2008 to 18 were re…
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The Ever-Important Role of Ethics in Plastic Surgery Today.
As the field of plastic surgery continues to advance, so too do the number and complexity of ethical challenges faced by plastic surgeons. There is a paucity of literature, however, focusing on ethics in plastic surgery. Therefore, the auth…
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The Effects of Website and Social Media Presence of Integrated Plastic Surgery Residency Programs on Prospective Applicants: An Analysis During the Coronavirus Disease 2019 Pandemic.
[PURPOSE] Integrated plastic surgery residency programs have increased their social media presence to educate and recruit prospective residents. This study aims to understand the impact of integrated plastic surgery residency program social…
- The Scope of Plastic Surgery Is Distorted through the Lens of Social Media.
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Pyoderma gangrenosum confined to the irradiated chest wall of the reconstructed breast.
Pyoderma gangrenosum (PG) is a diagnosis of exclusion worsened by surgical debridement. This report presents two atypical manifestations of PG in the reconstructed breast, whereby the disease is only confined to the irradiated chest wall ti…
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Ultradelayed Arterial Thrombosis: Critical Flap Ischemia After Phalloplasty.
[BACKGROUND AND OBJECTIVES] Delayed arterial thrombus causing loss of a cutaneous free flap at or beyond 6 months is a rare phenomenon. The purpose of this report is to describe 2 cases of arterial compromise requiring medical and surgical …
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Vascularized omental lymphatic transplant for upper extremity lymphedema: A systematic review.
[BACKGROUND] Vascularized omental lymphatic transplant (VOLT) is an increasingly popular treatment of extremity lymphedema given its promising donor site. While the success of VOLT in the treatment of lymphedema has been reported previously…
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Analysis of 20-Year Trends in Medicare Reimbursement for Reconstructive Microsurgery.
[BACKGROUND] Microsurgery is being increasingly utilized across surgical specialties, including plastic surgery. Microsurgical techniques require greater time and financial investment compared with traditional methods. This study aimed to …
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Composite Anterolateral Thigh and Fascia Lata Free Flap for Abdominal and Groin Reconstruction in a Pediatric Patient.
Large abdominal wall and groin defects present complex reconstructive challenges. These defects typically require free flap reconstruction to bring in healthy vascularized tissue and recreate the complex full-thickness defect. A 6-year-old …
- Call to Action: Accreditation of Microsurgery Fellowship.
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Surgical Management of Chronic Encapsulated Abdominal Wall Seroma 8 Years after Abdominoplasty.
Seroma is a common complication of body-contouring surgery. Current literature focuses on prevention or initial management of seroma formation; however, no definitive evidence exists to guide management of chronic or recurrent seromas. We d…
- Liposuction and Patient Safety: Appropriately Credentialing Providers.
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Does Prior Breast Augmentation Affect Outcomes After Mastectomy With Reconstruction? An Analysis of Postoperative Complications and Reoperations.
[BACKGROUND] The purpose of this study is to evaluate how prior breast augmentation impacts rates of complications and risk for reoperation after mastectomy with concurrent breast reconstruction. [METHODS] Patients undergoing nipple-sparin…
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Aesthetic Surgery Research Funding: Where Does It Come From and to Whom Does It Go?
[BACKGROUND] Recent data show that aesthetic surgery research is lagging compared with reconstructive surgery: research funding and institutional disparities within aesthetic surgery are potential factors in this trend. [OBJECTIVES] The au…
- Breast implant-associated anaplastic large cell lymphoma and the obligation of insurance providers.
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Extended medial sural artery perforator free flap for groin and scrotal reconstruction.
The medial sural artery perforator (MSAP) flap is a versatile fasciocutaneous flap that has been used successfully in the reconstruction of defects across the body. In specific cases, it may prove superior to more commonly used options (e.g…
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Plastic Surgery's Contributions to Surgical Ethics.
We review Kevin Chung and colleagues' 2009 article, "A Systematic Review of Ethical Principles in the Plastic Surgery Literature," which shows that only 110 of the more than 100,000 plastic surgery articles clearly focus on ethical principl…