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Predicting risk factors that lead to free flap failure and vascular compromise: A single unit experience with 565 free tissue transfers.
[BACKGROUND] Even though the benefit of free tissue transfer is uncontested in complex reconstructive cases, vascular compromise and/or flap failure remain a challenge for the surgeon and identification of possible risk factors can aid in t…
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Neuromuscular reinnervation efficacy using a YFP model.
[INTRODUCTION] The gold standard reconstruction for facial reanimation is the functional muscle transfer. The reinnervation of a muscle is never complete, and clinical results are variable with 20% not achieving a satisfactory outcome. We h…
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Botulinum Toxin Therapy versus Anterior Belly of Digastric Transfer in the Management of Marginal Mandibular Branch of the Facial Nerve Palsy: A Patient Satisfaction Survey.
[BACKGROUND] Botulinum toxin (BT) chemodenervation and anterior belly of digastric muscle (ABD) transfer are both treatment options in the management of an isolated marginal mandibular branch of the facial nerve (MMB) palsy. We compare the …
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Abdominoplasty and seroma: a prospective randomised study comparing scalpel and handheld electrocautery dissection.
[BACKGROUND] Seroma formation remains a significant problem in abdominoplasty procedures--the cause of which remains to be elucidated. It has been suggested that one of the causative factors for seroma formation is the use of handheld elect…
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Is there an ideal outcome scoring system for facial reanimation surgery? A review of current methods and suggestions for future publications.
Facial reanimation is the surgical process of attempting to restore dynamic, spontaneous symmetry to the paralysed face. We undertook to review the most frequently used scoring systems and discuss a universal set of assessments which every …
- Dual-consultant led elective microsurgery: the implications on service provision and training.
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Diagnosis of skin lesions by trainee surgeons: experience improves accuracy.
[INTRODUCTION] Accurate clinical diagnosis depends on the reliable recognition of signs and symptoms. This expertise comes from experience in seeing patients which has been traditionally gained over a long training period. Shortened special…
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The MD-medical doctorate or mandatory doctorate?
The introduction in the UK of the Calman Registrar training scheme envisaged seamless progression from Senior House Officer (SHO) grade through to Consultancy. Within this framework research was acknowledged to be a valuable (but optional) …
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Tissue expansion as an adjunct to reconstruction of congenital and acquired auricular deformities.
The role of tissue expansion in ear reconstruction has not been clearly defined. Tissue expansion was used to reconstruct 16 ears for posttraumatic, burn and congenital defects. Previous surgery or scarring in the region of the reconstructi…