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Artificial Intelligence-Driven Mapping of Global Microsurgery Research: Dual Automation for Data and Classification.
[INTRODUCTION] Microsurgery is one of the most technically demanding and rapidly advancing domains in modern surgery. Despite its transformative role across reconstructive and restorative disciplines, global patterns of microsurgical resear…
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Sensory Restoration With Breast Reconstruction: Approaches, Managing Expectations, and Measuring Outcomes.
[BACKGROUND] Loss of breast sensation following mastectomy and reconstruction significantly impacts quality of life, influencing body image, intimacy, and overall emotional well-being. Despite advances in reconstructive techniques, sensory …
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Structural barriers and pathways to artificial intelligence integration in plastic surgery.
Plastic surgery stands at an inflection point: proofs-of-concept for artificial intelligence (AI) abound, yet responsible clinical integration remains limited. We argue this reflects an organizational readiness gap rather than a modeling de…
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Timing of Autologous Tissue Breast Reconstruction Does Not Affect Free Flap Failure.
This study aimed to determine whether there is a difference in free flap failure based on the decision to undergo immediate versus delayed autologous tissue breast reconstruction after mastectomy. The National Surgical Quality Improvement P…
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Preoperative visualization of the greater occipital nerve with magnetic resonance imaging in candidates for occipital nerve decompression for headaches.
Occipital nerve decompression is effective in reducing headache symptoms in select patients with migraine and occipital neuralgia. Eligibility for surgery relies on subjective symptoms and responses to nerve blocks and Onabotulinum toxin A …
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Patient Characteristics and Spending Among Individuals Undergoing Ambulatory Panniculectomy and Abdominoplasty in the US from 2016 to 2019.
[BACKGROUND] Abdominal contouring surgery can provide both functional and cosmetic benefits to patients with abdominal soft tissue laxity. Although these procedures have been studied in the inpatient setting, few studies describe abdominal …
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Trends in advanced practice providers in plastic and reconstructive surgery, 2013-2021.
This restrospective cohort study of Medicare payment data found increases in the number of advanced practice providers who bill for plastic and reconstructive surgery care. The growth in advanced practice providers is expected to continue i…
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Effect of a Perioperative Educational Video in Patients Undergoing Mohs Reconstruction: A Randomized Clinical Trial.
[BACKGROUND] Skin cancer is the most common type of cancer in the United States, and most are treated with Mohs micrographic surgery (MMS) by fellowship-trained dermatologic surgeons. Complex reconstruction in cosmetically and functionally …
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Free Tissue Transfer during the COVID-19 Pandemic: A Proposed Evidence-Based Protocol for Early Discharge.
[BACKGROUND] As free tissue transfer outcomes improve, institutions are examining early discharge protocols. "Early" is generally defined as between one and five days postoperatively, which correlates with the timing of most major complicat…
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Breast Reconstruction Free Flap Failure: Does Platelet Count Matter?
[BACKGROUND] Microvascular free tissue transfer is an increasingly popular modality for autologous tissue breast reconstruction. However, flap failure remains an ominous risk that continues to plague surgeons and patients even in the settin…
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Pulmonary Embolism Risk After Cosmetic Abdominoplasty and Functional Panniculectomy.
[BACKGROUND] Tighter abdominal wall reconstruction may increase intra-abdominal pressure, which can decrease lower extremity venous return. Decreased venous return through the inferior vena cava has been demonstrated to increase risk of dee…
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Reconstruction of Upper Third Ear Defects: Utility of a Limited Tanzer Reduction.
[BACKGROUND] Large ear defects (>3 cm) present a significant reconstructive challenge and often require extensive operations, which can lead to donor-site morbidity and contour abnormalities. Through our case series, we propose a limited Ta…