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31건 · 최신순-
Closed-suction Drains Reduce Postoperative Complications After Inferior Pedicle Reduction Mammaplasty With Adjunct Liposuction.
[BACKGROUND] Adjunct liposuction is routinely performed during reduction mammaplasty (RM) to improve lateral chest contour. However, its impact on complications across pedicle techniques and whether drains modify this risk remains unclear. …
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Insurance Type Does Not Impact Adverse Outcomes Following Breast Reduction Surgery.
[BACKGROUND] Previous literature suggests that treatment delays and poorer baseline health among patients with Medicare and Medicaid, compared to those with private insurance, contribute to worse outcomes across a range of procedures. Howev…
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Fifty years of free tissue transfer: the past, present and future of microsurgical reconstruction.
G. Ian Taylor and Rollin Daniel described the first fasciocutaneous vascularized free tissue transfer in 1973 using the groin flap. Over the last 50 years, the field of microsurgery has advanced significantly, with the advent of improved su…
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Deep Inferior Epigastric Perforator Flap with Implant Placement has a Favorable Complication Profile Compared with Implant-Only or Flap-Only Reconstruction.
Hybrid deep inferior epigastric perforator (DIEP) flap and simultaneous silicone implant breast reconstruction procedures ("DIEP + I") have many conceptual advantages compared with either reconstruction method alone, but the outcomes of DIE…
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Simultaneous Microsurgery During Bilateral Autologous Breast Reconstruction Reduces Ischemia Time Without Increasing Complications.
In bilateral deep inferior epigastric perforator (DIEP) flap reconstruction procedures, the microsurgical anastomoses are usually performed consecutively, where one side is completed before the other side is started. However, when a co-surg…
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Population Assessment of Anatomic Eligibility for Robotic-Assisted DIEP Flap.
Compared with traditional deep inferior epigastric perforator (DIEP) flap breast reconstruction procedures, robotic-assisted DIEP (R-DIEP) minimizes abdominal wall morbidity by reducing fascial incision length. Optimal R-DIEP candidates hav…
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Impact of High Food Swamp Scores on Breast Reduction Outcomes: A Multivariate Analysis of 1052 Patients.
[INTRODUCTION] "Food swamps" are areas with a high density of fast-food restaurants (unhealthy foods) relative to grocery stores (healthy foods). Patients in regions with inequitable access to healthy foods may have worsened surgical outcom…
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Pulse Irrigation Reduces Rate of Postoperative Hematoma Following Breast Reduction.
[PURPOSE] Breast reduction (BR) involves a large surface area of manipulated tissue, increasing the risk of postoperative hematoma. Pulse irrigation (PI) uses a device to deliver intermittent pressurized irrigant intraoperatively. This stud…
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The safety of simultaneous versus delayed contralateral breast symmetrization: Systematic review and meta-analysis.
[BACKGROUND] While unilateral breast reconstruction often requires contralateral breast symmetrization procedures, the optimal timing of the matching procedure remains unclear. While the delayed approach may be traditionally perceived as sa…
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The Use of Recreational Cannabis Among Breast Reduction Patients: Characteristics, Complications, and Immediate Postoperative Analgesic Needs.
The characteristics, complications, and postoperative analgesic needs of patients with a recent or active history of recreational cannabis use have not been explored explicitly in plastic surgery. In this study, the characteristics, complic…
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Utility of Tranexamic Acid in Reduction Mammaplasty: A Systematic Review and Meta-Analysis.
[BACKGROUND] The use of tranexamic acid (TXA) in reduction mammaplasty is increasing among plastic surgeons. Its efficacy and impact on complications, however, are not yet well understood. This study aims to comprehensively evaluate the imp…
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Nerve Blocks in Reduction Mammaplasty: A Systematic Review and Meta-analysis of Pain Outcomes.
[INTRODUCTION] Postoperative pain can delay recovery following reduction mammaplasty (RM). While nerve blocks (NBs) are widely used in other surgeries, their efficacy in RM remains underexplored. This study evaluates the impact of periopera…
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Contextualizing the Impact of Pop Culture on Breast Implant Illness and its Medical Relevance.
[INTRODUCTION] Despite a lack of data demonstrating causation, there is growing concern over breast implants and systemic illness. This study examines the impact of rising public interest in breast implant illness (BII) and its implications…
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The Impact of Depression and Anxiety Comorbidities on Acute Postoperative Pain After DIEP Flap Breast Reconstruction.
[BACKGROUND] Depression and anxiety have a complex association with opioid dependence, though their impact on acute postoperative pain is unclear. The present study investigated the impact of depression and anxiety on acute postoperative pa…
- A 5-point framework for students evaluating plastic surgery research fellowship opportunities.
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Underrepresented in Medicine Applicants are Less Likely to Successfully Match into Plastic Surgery.
[IMPORTANCE] The lack of underrepresented in medicine physicians in academic plastic surgery has been a topic of interest for many years, and accordingly outreach has been undertaken to address the pipeline from medical school to residency …
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The Association of a Research Year With Matching Into an Integrated Plastic Surgery Residency.
[INTRODUCTION] The relationship between pursuing a research year (RY) and plastic surgery match outcomes is unclear. The present study investigated the association between a dedicated RY and the odds of matching into an integrated Plastic a…
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Vascular Mapping for Abdominal-Based Breast Reconstruction: A Comprehensive Review of Current and Upcoming Imaging Modalities.
[BACKGROUND] Preoperative vascular imaging is a very common element of surgical planning for abdominal-based breast reconstruction (ABBR). Surgeons must tailor which flap is best suited for each respective patient based on the patient's hea…
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Public Perception of Ideal Areola Proportions.
[BACKGROUND] In breast reconstruction, mastopexy, and breast reduction procedures, surgeons make decisions about the resulting areola size, and this significantly impacts the overall aesthetic result. Despite the importance of these decisio…
- The first 25 years of DIEP flap breast reconstruction publications.
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Long-term Growth, Functional, and Aesthetic Outcomes after Fibula Free Flap Reconstruction for Mandibulectomy Performed in Children.
[BACKGROUND] The long-term outcome of mandible reconstruction when performed in children has not been well documented. [METHODS] This is a retrospective case series of patients who underwent immediate oncologic mandible reconstruction with…
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Modified Superomedial Pedicle Breast Reduction or Mastopexy for Patients With Medially Positioned Nipple Areola Complex.
[BACKGROUND] Medially positioned nipple areola complex (NAC) is an anatomic configuration common in women who have undergone significant weight loss. The superomedial pedicle (SMP) technique is thought to have excellent long-term outcomes b…
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Nipple-areolar tattoo: Comprehensive review of history, theory, technique, and outcomes.
Breast reconstruction aims to achieve a natural look and can involve manipulation or removal of the nipple-areola complex (NAC) as well. One of the final steps of the breast reconstruction process involves creation of the appearance of a ne…
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Objective Comparison of FDA-Approved Breast Implant Products in the USA: 5-Year Update.
[BACKGROUND] There are currently four companies offering FDA-approved breast implants: Allergan, Sientra, Mentor, and Ideal Implant. In 2015, our paper "Objective Comparison of Commercially Available Breast Implant Devices" sought to provid…
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Novel Strategies for Evaluating and Improving Plastic Surgery Applicant Selection.
Residency applicant evaluation and selection is a critical part of developing and maintaining a high-quality plastic surgery residency program. Currently, many programs rely on objective measures such as the United States Medical Licensing …
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How to Optimize Prepectoral Breast Reconstruction.
Prepectoral breast reconstruction has become a popular method of postmastectomy breast reconstruction due to its numerous benefits in properly selected patients. Prepectoral reconstruction, as compared with retropectoral position, offers th…
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Microsurgery Fellows' Impression of Clinical and Educational Offerings during Fellowship Year.
[BACKGROUND] Acquisition of microsurgical skill and clinical knowledge is the primary goal of a microsurgery fellowship. There has yet to be any comprehensive reporting in the literature of how American microsurgery fellows viewed their cu…
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Microsurgery Training in the Digital Era: A Systematic Review of Accessible Digital Resources.
[INTRODUCTION] Significant variation exists in microsurgery training resources provided across plastic surgery residency programs, and dedicated microsurgery courses can be logistically difficult to access (cost, location, protected time, e…
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The "Superior Ledge": a Modification of the Standard Superomedial Pedicle Reduction Mammoplasty to Accentuate Nipple-Areola Complex Projection.
[BACKGROUND] The superomedial pedicle parenchymal excision pattern for reduction mammaplasty has the benefits of a reproducible breast shape and improved superomedial fullness, but is limited by a susceptibility to nipple retraction. The se…
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Objective Comparison of Commercially Available Breast Implant Devices.
[UNLABELLED] Breast implants are frequently used for both cosmetic breast augmentation and breast reconstruction after mastectomy. Three companies currently offer FDA-approved breast implants (Allergan, Mentor, and Sientra), but their produ…