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The Multidisciplinary Team in Head and Neck Cancer Reconstruction: A Reference Manual for the Plastic Surgeon.
Head and neck cancers (HNCs) require a multidisciplinary team (MDT) approach to address their complex functional, aesthetic, and psychological impacts. This manuscript highlights the central role of plastic surgeons in the MDT, emphasizing …
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The First Dorsal Metacarpal Artery Perforator Free Flap: The Comet Flap.
[BACKGROUND] Distal extremity defects pose a particular challenge to the reconstructive surgeon; however, advances in perforator flaps have expanded the potential reconstructive options. In this article, the authors present their experience…
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Arteriovenous Malformations of the Hand: Optimizing Outcomes with Palmar Arch Reconstruction.
[BACKGROUND] Arteriovenous malformations are abnormal high-flow vascular anomalies that can greatly alter the structure of surrounding tissues. Treatment of symptomatic hand arteriovenous malformations must address the functional and aesthe…
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Extracorporeal Pedicles for Free Flap Reconstruction in Diabetic Lower Extremity Wounds.
Diabetic foot ulcers are a severe complication of diabetes, and their management requires a multidisciplinary approach for optimal management. When treating these ulcers, limb salvage remains the ultimate goal. In this article, we present t…
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Impact of Surgical Rejuvenation on Visual Processing and Character Attribution of Periorbital Aging.
[BACKGROUND] The perceptual response to aging changes in the periorbital region and the effects of surgical rejuvenation on that response have not been elucidated. The authors examined the reflexive visual response to periorbital aging befo…
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Sharing the Operating Room: A Descriptive Study of Combined and Collaborative Plastic Surgery Cases.
[BACKGROUND] Plastic surgeons are often asked for intraoperative assistance by other surgical services. Improvement of a plastic surgery service has been shown to improve patient outcomes, decrease length of stay, and increase hospital reve…
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Vascularized Bone Grafts for Spinal Fusion-Part 2: The Rib.
[BACKGROUND] Pseudoarthrosis, or failure to achieve bony union, is a well-known complication of spinal fusion operations. Rates range from 5% to 40% and are influenced by both patient and technical factors. Patients who do not achieve compl…
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Vascularized Bone Grafts for Spinal Fusion-Part 4: The Scapula.
[BACKGROUND] Solid arthrodesis is the long-term goal of most spinal reconstruction surgeries. A multitube of biologics as well as autograft is commonly used to augment the bony fusion. Medial scapular vascularized bone grafts (S-VBGs) are a…
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Vascularized Bone Grafts for Spinal Fusion-Part 1: The Iliac Crest.
[BACKGROUND] Iliac crest autograft has been the gold standard for harvest of fusion materials in spine surgery. The benefits of a vascularized version of this bone graft-including delivery of stem cells, ability to deliver antibiotics to th…
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Use of Single Chimeric Free Flaps or Double Free Flaps for Complex Head and Neck Reconstruction.
[BACKGROUND] Free flaps have become the preferred reconstructive approach to restore form and function for patients presenting with complex head and neck defects. For composite, complex defects for which a regular free flap might not meet …
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Are You Ready to Negotiate Your First Employment Contract? Experience of More Than 700 Plastic Surgeons.
[BACKGROUND] Plastic surgeons have been shown to be unprepared to negotiate their first employment contracts. Previous survey studies have attempted to assess plastic surgeons' first employment contracts to outline common pitfalls in contra…
- Reply: Impact Factor, h-Index, and Alternative Metrics: How Should We Measure the Impact of Publications in Plastic Surgery?
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The Importance of Financial Metrics in Physician Funding and Performance Evaluation.
[BACKGROUND] Financial key performance indicators are often used to evaluate performance. Understanding of key performance indicators can be crucial for career advancement and bargaining leverage in resource negotiations. This study aimed t…
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The Impact of Political Advocacy on the Plastic Surgeon: A Data-Driven Analysis.
[BACKGROUND] Despite successful legislative efforts by the American Society of Plastic Surgeons (ASPS), the Plastic Surgery Political Action Committee remains underused. Participation in advocacy and financial contributions of ASPS members …
- Reply: Changing United States Medical Licensing Examination Step 1 to Pass/Fail: Anticipated Ramifications for Plastic Surgery Residency Applicants and Programs.
- Reply: Four Strategies for Plastic Surgery Education amid the COVID-19 Pandemic.
- Reply: The COVID-19 Pandemic: Implications for Medical Students and Plastic Surgery Residency Applicants.
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Carving Out Financial Success: The Power of Insurance Carve-Outs in a Private Plastic Surgery Practice.
[BACKGROUND] Since the Patient Protection and Affordable Care Act was signed into law, there has been a push away from fee-for-service payment models. The rise of bundled payments has drastically impacted plastic surgeons' incomes, especial…
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A Systematic Review of Wellness in Plastic Surgery Training.
[BACKGROUND] Physician and resident wellness has been increasingly emphasized as a means of improving patient outcomes and preventing physician burnout. Few studies have been performed with a focus on wellness in plastic surgery training. …
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Cost-effectiveness of Multidisciplinary Care in Plastic Surgery: A Systematic Review.
[BACKGROUND] Multidisciplinary care has been previously shown to improve outcomes for patients and providers alike, fostering interprofessional collaboration and communication. Many studies have demonstrated the beneficial health care outco…
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Bringing Your Idea to the Market: A Primer for Plastic Surgeons.
The progress of biotechnology, medical instruments, and applied sciences contributes to a rapidly expanding space for the advancement of the medical field. Surgeons experience first-hand the limitations of current medical devices and thus h…
- Reply: The COVID-19 Pandemic: Implications for Medical Students and Plastic Surgery Residency Applicants.
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Employment as a Plastic Surgeon: A Review of Trends and Demand Across the Field.
Intrinsic to the field of plastic surgery, constant changes in health care policy, consumer demands, and medical technology necessitate periodic evaluation of trends in employment over time. In this article, we review the existing literatur…
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Patents for the Plastic Surgeon: A Primer.
Although innovation and entrepreneurship are complementary in the process of creating new products, plastic surgeons are frequently discouraged by the challenges associated with the regulatory and administrative environments in patent filin…
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Microsurgery Training in Plastic Surgery.
Advances in surgical instruments, magnification technology, perforator dissection techniques, and vascular imaging over the past decades have facilitated exponential growth in the field of microsurgery. With wide application potential inclu…
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Fat Grafting for Facial Rejuvenation.
For optimal results, facial rejuvenation procedures should address both the tissue laxity and volume deflation associated with facial aging. The lift-and-fill face lift, in which fat grafting provides volumetric rejuvenation to the face whi…
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Application of Fat Grafting in Cosmetic Breast Surgery.
The role of fat grafting to the breasts has evolved in the recent past, gaining several new applications within both reconstructive and aesthetic surgery. Initially used for reconstructive purposes to fill lumpectomy defects or to correct r…
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Prepectoral Breast Reconstruction in Nipple-Sparing Mastectomy With Immediate Mastopexy.
[BACKGROUND] Nipple-areola preservation positively impacts quality of life of the patients and helps them to achieve a better psychological and sexual well-being, as well as higher satisfaction with their reconstruction. Patients with large…
- Impact Factor, h-Index, and Alternative Metrics: How Should We Measure the Impact of Publications in Plastic Surgery?
- Four Strategies for Plastic Surgery Education amid the COVID-19 Pandemic.