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31건 · 최신순-
Rhinoplasty in a Patient with Collapsed Nose Secondary to Granulomatosis with Polyangiitis: A Case Report.
Wegener's granulomatosis or Granulomatosis with polyangiitis (GPA) is aa necrotizing vasculitis of small to medium size blood vessels. It may present as limited forms, involving one or two ELK (E-ear, nose and throat involvement; L-lung inv…
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Digital Disputes: Minimizing Legal Vulnerability in the Information Age.
[BACKGROUND] This project aims to provide guidance for surgeons' online interactions by reviewing key legal decisions. [METHODS] The Nexis Uni database was queried to search for state and federal case law and law journal articles. Search t…
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Clinical utility of the modified frailty index in predicting adverse outcomes in patients undergoing lower extremity free flap reconstruction.
[BACKGROUND] Identifying at-risk patients for complications remains challenging in patients with chronic lower extremity (LE) wounds receiving free tissue transfer (FTT) for limb salvage. The modified-5 frailty index (mFI-5) has been utiliz…
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Revisiting failures in mucogingival surgery.
Failures of soft tissue grafting are relatively common and can be stressful when encountered for both the clinicians and patients. Soft tissue grafting has predictable success most of the time when proper selection and implementation of sur…
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Resection Weight Formulas for Reduction Mammoplasty: A Systematic Review and Regression Analysis.
[PURPOSE] Estimating resection weight for patients undergoing reduction mammoplasty (RM) informs surgical planning and outcomes. Existing formulas have limitations that make insurance coverage and accurate surgical planning challenging. We …
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Plastic Surgeons' Perspective on the FDA Breast Implant Regulatory Mandates.
[BACKGROUND] In 2021, the US FDA issued a new checklist, labeling, and rupture-screening recommendations for breast implants to improve the decision-making process. [OBJECTIVES] The aim of this study was to understand plastic surgeons' per…
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A comparative analysis of fasciocutaneous versus muscle free flaps in peripheral vascular disease patients.
[OBJECTIVE] Chronic lower extremity (LE) wounds are common in patients with peripheral vascular disease (PVD). Free tissue transfer (FTT) provides healthy soft tissue for wound coverage and additional blood supply to promote wound healing. …
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Prophylactic Lymphovenous Bypass at the Time of Axillary Lymph Node Dissection Decreases Rates of Lymphedema.
[BACKGROUND] Breast cancer-related lymphedema impacts 30% to 47% of women who undergo axillary lymph node dissection (ALND). Studies evaluating the effectiveness of prophylactic lymphovenous bypass (LVB) at the time of ALND have had small p…
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Comparison of Charlson Comorbidity Index and Modified 5-Factor Frailty Index as Clinical Risk Stratification Tools in Predicting Adverse Outcomes in Patients Undergoing Lower Extremity Free-Flap Reconstruction.
[BACKGROUND] Free tissue transfer (FTT) reconstruction is associated with a high rate of limb salvage in patients with chronic lower extremity (LE) wounds. Studies have shown perioperative risk stratification tools (e.g., 5-factor modified…
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Evaluation of the Risk of Hypertrophic Scarring and Keloid Following Eyelid Procedures: A Systematic Review.
[BACKGROUND] Eyelid surgeries are common operations performed for both cosmetic and functional purposes. Because the periorbital region is highly visible, it is important to avoid poor scar formation in this cosmetically sensitive region. N…
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Risk Factors Associated with Complications in Rhinoplasty Using Polydioxanone Plates.
[OBJECTIVE] Polydioxanone (PDS) plates are utilized in septorhinoplasty to reconstruct the nasal septum. Our goal was to analyze factors affecting short- and long-term complications in patients undergoing septorhinoplasty using PDS plates w…
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Effect of Rhinoplasty on Various Angles of Nose on Ideal Position and Alignment in Indian Population.
Study of anthropometric measurements of the nose makes possible a qualitative and quantitative analysis of surgical results. Analysis of pre- and post-operative changes in nasal tip projection, rotation and nasofrontal angle may also emphas…
- Remote Versus In-Person Interview Experience of American Academy of Facial Plastic and Reconstructive Surgery Fellowship Applicants in the COVID-19 Era.
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Gluteal Shape Framework for Augmentation Surgery: A Systematic Review of the Literature and Proposed Classification System.
[BACKGROUND] Gluteal augmentation is used to improve the size and shape of the buttocks. Unlike other anatomical areas, such as the breasts, where there are classification systems for size and projection, no standardized methods for classif…
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Non-Hodgkin's lymphoma Breast in a lactating mother : Case Report.
Non-Hodgkin's lymphoma of breast is a rare condition. NHL breast constitute about 0.5% of all malignancies of breast. NHL breast constitute nearly 1% of all cases of NHL. Among all subtypes of NHL, DLBCL (Diffuse large B-cell Lymphoma) is t…
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Procedural Trends in Medicare Reimbursement and Utilization for Breast Reconstruction: 2000-2019.
[PURPOSE] Development of appropriate reimbursement models for breast reconstruction in the United States requires an understanding of relevant economic trends. The purpose of this study is to evaluate longitudinal patterns in Medicare reimb…
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Intensive care unit versus floor admission following lower extremity free flap surgery: Is there a difference in outcomes?
[BACKGROUND] Free tissue transfer (FTT) lower limb salvage requires costly multidisciplinary care. Traditionally, patients who undergo FTT reconstruction for lower extremity (LE) wounds were admitted to the intensive care unit (ICU) in the …
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Cost Utility Analysis of Costal Cartilage Autografts and Human Cadaveric Allografts in Rhinoplasty.
[BACKGROUND] Human cadaveric allograft (HCA) and costal cartilage autograft (CCA) have been described for reconstruction during rhinoplasty. Neither are ideal due to infection, resorption, and donor site morbidity. The clear superiority of …
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The Use of Autologous and Cadaveric Grafts in Rhinoplasty: A Survey Study.
[BACKGROUND] Both autologous and cadaveric grafts are often used during rhinoplasty to create volume and provide support. Despite discussion in the literature comparing the efficacy, cost-effectiveness, and complication rates between grafti…
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Facial Recognition Software Use on Surgically Altered Faces: A Systematic Review.
[OBJECTIVE] Facial recognition software (FRS) is becoming pervasive in society for commercial use, security systems, and entertainment. Alteration of the facial appearance with surgery poses a challenge to these algorithms, but several meth…
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Analysis of 20-Year Trends in Medicare Reimbursement for Reconstructive Microsurgery.
[BACKGROUND] Microsurgery is being increasingly utilized across surgical specialties, including plastic surgery. Microsurgical techniques require greater time and financial investment compared with traditional methods. This study aimed to …
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Treatment of focal hand dystonia: current status.
[BACKGROUND] Focal hand dystonia (FHD) is usually adult-onset focal dystonia that can be associated with marked occupational and functional disability leading to reduced quality of life. [METHODS] Relevant studies on treatment options for …
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Pyoderma Gangrenosum: A Rare Disease With Dire Consequences in Facial Aesthetic Surgery Patients.
Pyoderma gangrenosum (PG) is a rare, inflammatory dermatologic condition characterized by painful cutaneous ulcerations. Herein, we describe the third documented case of PG arising in an elective plastic surgery patient who had undergone an…
- Feasibility of a 3D printed nasal model for resident teaching in rhinoplasty.
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Peroral endoscopic myotomy is a safe and effective treatment modality for geriatric patients with achalasia.
[BACKGROUND] Peroral endoscopic myotomy (POEM) is an appealing treatment for older patients, as it is minimally invasive but highly efficacious similar to surgical myotomy. However, there is a lack of systematic studies analyzing POEM outco…
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The Plastic Surgery Social Media Influencer: Ethical Considerations and a Literature Review.
[BACKGROUND] Social media use has become a relevant tool in plastic surgery. These platforms are utilized for many reasons, such as business promotion. Although beneficial, social media can cause ethical dilemmas if used incorrectly. [OBJE…
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Trends in Medicare Reimbursement for Reconstructive Plastic Surgery Procedures: 2000 to 2019.
[BACKGROUND] An understanding of financial trends is important to advance agreeable reimbursement models in plastic surgery. This study aimed to evaluate trends in Medicare reimbursement rates for the 20 most commonly billed reconstructive …
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The COVID-19 Pandemic and Plastic Surgery: Literature Review, Ethical Analysis, and Proposed Guidelines.
[BACKGROUND] Coronavirus disease 2019 (COVID-19), known as the "coronavirus," has spread to over 170 countries. In response, many organizations have spoken out and called for cancellation of all elective surgical procedures. This study aime…
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Evaluation of a Neurotoxin as an Adjunctive Treatment Modality for the Management of Gummy Smile.
[INTRODUCTION] Excessive gingival display while smiling mars facial aesthetics, this condition is referred to as "gummy smile" (GS). Available literature suggests that Botulinum toxin type A (BTX-A) is effective in the management of excessi…
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Safety of Combined Facial Plastic Procedures Affecting Multiple Planes in a Single Setting in Facial Feminization for Transgender Patients.
[BACKGROUND] The objective is to evaluate the safety of performing multiple combined facial plastic surgical procedures affecting various planes of the face including rhytidectomy, forehead contouring with browlift, cheek implants, rhinopla…