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Adapting Perspectives: Analyzing Dynamic Shifts in Breast Surgical Trends and Reconstructive Choices over 16 Years.
[BACKGROUND] Over the past 16 years, novel approaches to breast cancer surgical care have emerged. This study aimed to provide a contemporary surgical trend analysis for patients with breast cancer and reports trends across all aspects of b…
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Geographical Presence of Plastic Surgeons in Relation to Breast Surgeons in the United States for Breast Reconstruction.
[BACKGROUND] Despite advancements in oncoplastic breast surgery, barriers to breast reconstruction remain, particularly in rural and suburban areas. We aimed to assess the presence of plastic surgeons performing breast reconstruction relati…
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The Missing Perspective: Understanding the Plastic Surgery Applicant's Diversity Experience.
[INTRODUCTION] Numerous leaks in the pipeline of minority entry and advancement in plastic and reconstructive surgery (PRS) exist. This study aims to (1) describe attitudes toward diversity among integrated PRS applicants, (2) characterize …
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Prepectoral and Retropectoral Breast-implant-Associated Anaplastic Large-cell Lymphoma.
Breast-implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a non-Hodgkin lymphoma that arises in the space between the surface of a breast implant and the fibrous capsule that grows around the implant. Since its first descriptio…
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Post-Mastectomy Tissue Expander Placement Followed by Radiation Therapy: A Cost-Effectiveness Analysis of Staged Autologous Versus Implant-Based Unilateral Reconstruction.
[BACKGROUND] There is no preferred approach to breast reconstruction for patients with locally advanced breast cancer (LABC) who require post-mastectomy radiation therapy (PMRT). Staged implant and autologous reconstruction both have unique…
- Hairline Correction by Hair Transplantation for Reducing Apparent Face Length in Long-Face Women.
- Neuroaesthetics in Plastic and Reconstructive Surgery: Opportunities for Interdisciplinary Collaboration.
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Evaluation of Tongue Functions After Free Flap Reconstruction.
Squamous cell carcinoma of the tongue is the most common malignancy of the oral cavity, the lateral border being the commonest site. The treatment strategies mandate surgery followed by appropriate reconstruction as the first line of manage…
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Power-assisted Liposuction for Lymphedema: A Cost-utility Analysis.
[UNLABELLED] Lymphedema is a chronic, debilitating disease that has been described as the largest breast cancer survivorship burden. Debulking surgery has been shown to improve extremity volume, improve patient quality of life, and decrease…
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Comparing oncoplastic breast reduction with immediate symmetry surgery to standard breast reduction surgery: Are postoperative complications worse?
[INTRODUCTION] Oncoplastic breast reduction mammoplasty (ORM) is an excellent treatment option for women with breast cancer and macromastia undergoing breast conservation therapy. Here, we aim to better understand the risks associated with …
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A Cost-Utility Analysis Comparing Immediate Oncoplastic Surgery with Delayed Oncoplastic Surgery in Smoking Breast Cancer Patients.
[BACKGROUND] Oncoplastic reduction mammoplasty for smoking breast cancer patients committed to smoking cessation may be performed immediately (increasing smoking-related risk) or in a delayed fashion (increasing radiation-related risk). [O…
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The Use of Hemostatic Agents to Decrease Bleeding Complications in General Plastic Surgery Procedures.
[UNLABELLED] Within plastic surgery, hematomas and seromas are frequently reported complications that can negatively impact wound healing and result in significant morbidity in patients. As a result, there has been considerable interest in …
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Improving Results in Oncoplastic Surgery.
[LEARNING OBJECTIVES] After studying this article, the participant should be able to: 1. Describe the risks, benefits, and safety profile of oncoplastic procedures for partial breast reconstruction, and how they compare to breast conservati…
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The Adoption of Oncoplastic Surgery Using Breast Reduction or Mastopexy Techniques in an Academic Breast Cancer Center Program Can Increase Breast Conservation Rates.
[BACKGROUND] Interest in oncoplastic surgery (OPS), a form of breast conservation surgery (BCS), has grown in the United States over the last decade. Oncoplastic surgery allows for the removal of larger tumors without compromising esthetic …
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Malignant and High-Risk Lesions in the Contralateral Breast Symmetry Mastopexy and Reduction Specimens When Performing Large-Volume Displacement Oncoplastic Surgery.
[BACKGROUND] Large-volume displacement oncoplastic surgery using mastopexy/reduction mammaplasty designs is becoming increasingly popular in breast cancer surgery. A contralateral symmetry operation using similar mastopexy or breast reducti…
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The Impact on Mortality and Societal Costs From Smoking Cessation in Aesthetic Plastic Surgery in the United States.
[BACKGROUND] It is common practice to require patients to stop smoking prior to elective plastic surgery procedures. Scarce research exists describing the impact on mortality and associated societal cost savings with regard to smoking cessa…
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Poor Access to Breast Reconstruction: A Geographical Shortage of Plastic Surgeons Relative to Breast Surgeons in the United States.
[BACKGROUND] Breast cancer surgery involves removal of cancer performed by a breast surgeon and reconstruction performed by a plastic surgeon. Historically, many women have not undergone breast reconstruction surgery (BRS), with current lit…
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Early assessment of post-surgical outcomes with pre-pectoral breast reconstruction: A literature review and meta-analysis.
[BACKGROUND] Pre-pectoral breast reconstruction is an emerging surgical approach. This study provides an early assessment of outcomes with the technique. [METHODS] A comprehensive literature review was performed through searches of PubMed …
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Results from the American Society of Breast Surgeons Oncoplastic Surgery Committee 2017 Survey: Current Practice and Future Directions.
[INTRODUCTION] Oncoplastic surgery is emerging as a validated, safe, patient-centric approach to breast cancer surgery in the United States. The American Society of Breast Surgeons Oncoplastic Surgery Committee (ASBrS-OSC) conducted a surve…
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The underreporting of cost perspective in cost-analysis research: A systematic review of the plastic surgery literature.
[BACKGROUND] Cost-analysis research can influence healthcare policies and practices. There is inherent bias depending on the chosen cost perspective (hospital, third-party payer, societal), and conclusions can change based on the perspectiv…
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Anatomic and terminological description and processing of breast pathologic specimens from oncoplastic large volume displacement surgeries.
Oncoplastic surgery provides breast cancer patients with greater aesthetic satisfaction without compromising disease-free survival or overall survival rate. Large volume displacement oncoplastic surgical techniques have become increasingly …
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Injected corticosteroids for treating plantar heel pain in adults.
[BACKGROUND] Plantar heel pain, commonly resulting from plantar fasciitis, often results in significant morbidity. Treatment options include nonsteroidal anti-inflammatory drugs (NSAIDs), orthoses, physical therapy, physical agents (e.g. ex…
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A detailed analysis of level I evidence (randomized controlled trials and meta-analyses) in five plastic surgery journals to date: 1978 to 2009.
[BACKGROUND] Evidence-based medicine is the synthesis of clinical expertise, best available clinical evidence, and patient values to provide optimal health outcomes. A scant number of randomized controlled trials exist in the plastic surger…
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Opportunity cost: a systematic application to surgery.
[BACKGROUND] Opportunity cost is the potential gain or loss when a person chooses to perform an activity over its next best alternative. With respect to surgery, opportunity cost can occur if a less efficient technology uses more operating …
- Cosmetic neurology and cosmetic surgery: parallels, predictions, and challenges.