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ACR Appropriateness Criteria® Breast Implant Evaluation: Update 2025.
For asymptomatic patients with saline implants, no imaging is recommended. If there is suspected saline implant rupture, ultrasound is usually appropriate, though saline implant rupture is often clinically evident. For asymptomatic patients…
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Oncoplastic Surgery: Where Are We Now?
In the 1970s, we learned breast conservation therapy (BCT) was not inferior to mastectomy. Early BCT methods could result in deformities that were unacceptable to patients and to their surgeons. By the 1990s, surgeons began to apply the pri…
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Preventive drug treatments for adults with chronic migraine: a systematic review with economic modelling.
[BACKGROUND] Chronic migraine is a disabling condition, affecting 2-4% of adults globally. With the introduction of expensive calcitonin gene-related peptide monoclonal antibodies, it is timely to compare the clinical effectiveness and cost…
- Hyper-dilute botulinum toxin as an effective treatment for refractory erythromelalgia.
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ACR Appropriateness Criteria® Breast Implant Evaluation: 2023 Update.
This document discusses the appropriate initial imaging in both asymptomatic and symptomatic patients with breast implants. For asymptomatic patients with saline implants, no imaging is recommended. If concern for rupture exists, ultrasound…
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The Use of Dissemination and Implementation to Improve Multimodal Analgesia in Head and Neck Surgery.
[OBJECTIVES] To optimize the delivery of multimodal analgesia to patients undergoing major head and neck oncologic surgeries. [METHODS] Pilot study included patients enrolled to receive either scheduled acetaminophen and as-needed opioids …
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A systematic review of economic evaluations of pharmacological treatments for adults with chronic migraine.
[BACKGROUND AND AIMS] Chronic migraine is a common neurovascular brain disorder with substantial economic costs. We performed a systematic review to identify economic evaluations of pharmacological treatments for adults with chronic migrain…
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Single Stage Nipple-Sparing Mastectomy and Reduction Mastopexy in the Ptotic Breast.
[PURPOSE] Given the proposed increased risk of nipple-areolar complex (NAC) necrosis, nipple-sparing mastectomy (NSM) is generally not recommended for patients with large or significantly ptotic breasts. NAC preserving strategies in this su…
- "Plastic surgery tourism" proving a boon for Costa Rica's surgeons.