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32건 · 최신순-
Artificial intelligence outperforms a nomogram for osteoradionecrosis prognostication following fibula free flap reconstruction in oral cancer patients.
[BACKGROUND] Osteoradionecrosis (ORN) is a serious complication in oral cancer patients undergoing tumor excision and mandibular reconstruction, particularly after radiotherapy. This study compared a logistic regression-based nomogram with …
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Minutes that Matter? The Significance of Operative Time in Immediate Unilateral and Bilateral Free Flap Breast Reconstruction.
[BACKGROUND] Free flap breast reconstruction (FFBR) offers substantial benefits after mastectomy. However, the impact of operative time on outcomes remains unclear. [PATIENTS AND METHODS] In this retrospective cohort study, the American Co…
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Autonomization of Microvascular Free Flaps in Reconstructive Surgery: A Narrative Review.
[BACKGROUND] Microvascular free tissue transfer is a key technique in reconstructive surgery, enabling functional and aesthetic restoration of complex defects. While initial flap survival relies on the vascular pedicle, some flaps may becom…
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Complication drivers in head and neck free flap surgery: A single-center predictive analysis.
[PURPOSE] Head and neck free flap (HNFF) surgery is essential in reconstructive surgery, addressing complex defects with tailored approaches. Despite high success rates, complications remain significant, influenced by patient comorbidities,…
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Microsurgery on Steroids: The Impact of Chronic Immunosuppressive Therapy on Outcomes Following Free Flap Breast Reconstruction.
[BACKGROUND] Free flap breast reconstruction (FFBR) is a well-established technique for postmastectomy rehabilitation. However, chronic immunosuppressive therapy may compromise wound healing, increase infection susceptibility, and adversely…
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AI-Based Quantitative and Objective Analysis of Aesthetic Results in Genioplasty.
[BACKGROUND] Genioplasty and chin-augmentation are well-established procedures aimed at enhancing lower facial aesthetics. Traditionally, aesthetic outcomes have been assessed subjectively through expert opinions and patient-reported measur…
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Epidemiological and Economic Factors in Facelift Surgery in the USA: A Retrospective Multi-center Analysis.
[BACKGROUND] The demand for surgical facial rejuvenation procedures, such as facelifts, has risen in recent decades. However, limited research has addressed the epidemiological and economic aspects of these procedures. This study examines t…
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Liposuction, lipectomy, or combined techniques for Madelung's disease: A systematic review.
[BACKGROUND] Madelung's disease (MD) is a rare disorder with progressive, symmetric, non-encapsulated adipose deposition, predominantly in the cervicothoracic region. Surgery, lipectomy, liposuction, or combined procedures is the main treat…
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Robotics in facial plastic surgery: a systematic review and meta-analysis of the latest trends and innovations.
[BACKGROUND] Robotic-assisted surgery is increasingly incorporated into facial plastic and reconstructive surgery (FPRS) procedures. However, the extent to which robotics improves operative performance or clinical outcomes in FPRS remains u…
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Surgical Management of Breast Capsular Contracture-A Multi-institutional Data Analysis of Risk Factors for Early Complications.
[BACKGROUND] Capsular contracture (CC) is a common complication following implant-based breast surgery, often requiring surgical intervention. Yet, little is known about risk factors and outcomes following CC surgery. [METHODS] We reviewed…
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Indocyanine Green Fluorescence Angiography as a Predictor of Distal Flap Necrosis in Latissimus Dorsi Free Flaps.
[BACKGROUND] Vascularization of the distal latissimus dorsi (LD) muscle flap determines the success of the procedure, particularly in large defects. Failure due to distal flap necrosis can necessitate reoperation and increase mortality. Ind…
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Alloplastic implants for skeletal augmentation in Parry-Romberg syndrome: A systematic review.
Parry-Romberg syndrome (PRS) is a rare disorder characterized by progressive hemifacial atrophy affecting soft tissue and, in severe cases, bone. Reconstructive surgery is commonly used to manage PRS-related facial deformities. This systema…
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Osseous Genioplasty and Its Impact on Airway Volume-What is the Evidence?
Osseous genioplasty (OG) improves facial aesthetics by 3-dimensionally repositioning the chin and associated soft tissues. Although its effects on airway volumes and obstructive sleep apnea (OSA) have been investigated, the available eviden…
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Implant-Based Chin Augmentation Vs Osseous Genioplasty: A Systematic Review of Indications and Outcomes.
Osseous genioplasty (OG) and implant-based chin augmentation are 2 primary approaches for correcting microgenia. A comprehensive synthesis comparing their outcomes, safety profiles, and patient satisfaction is lacking. In this study, the au…
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Safety of Combined Versus Isolated Cosmetic Breast Surgery and Abdominoplasty: Insights from a Multi-institutional Database.
[INTRODUCTION] Abdominoplasty and breast surgery are popular cosmetic procedures, often performed as stand-alone or combined procedures. However, the safety of combining these surgeries remains poorly understood. [METHODS] We analyzed data…
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Deep neck surgery in deep plane facelifts - learning from evidence and experience.
Deep plane facelifts have gained popularity for their natural and long-lasting results, prompting increased focus on advanced neck rejuvenation techniques. Both clinical experience and literature support refined strategies to address platys…
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The impact of intraoperative blood pressure levels on postoperative bleeding in common breast surgery procedures - a case-control study.
[BACKGROUND] Breast surgery, ranging from aesthetic adjustments to oncological reconstructions, has seen a significant rise in recent years, with over 4.3 million procedures globally in 2022. However, they pose risks like postoperative blee…
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Understanding the impact of eyebrow and lateral canthal height on the perception of character traits: A rating-based analysis of 2081 participants.
[BACKGROUND] Cosmetic surgery procedures in the United States increased by 5% from 2022 to 2023, with notable increase in eyelid surgeries and forehead lifts. These procedures often aim to alter the height and position of the eyebrow and la…
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Cellular therapeutics and immunotherapies in wound healing - on the pulse of time?
Chronic, non-healing wounds represent a significant challenge for healthcare systems worldwide, often requiring significant human and financial resources. Chronic wounds arise from the complex interplay of underlying comorbidities, such as …
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The combined risk predictive power of frailty and hypoalbuminemia in free tissue flap reconstruction: A cohort study of 34,571 patients from the NSQIP database.
[INTRODUCTION] Significant morbidity and mortality are hallmarks of the functional decline seen in physically frail patients. The modified frailty index 5 (mFI-5) represents a risk predictor score that has been validated as a comorbidity-ba…
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Isolated and combined breast augmentation in transgender patients: Multi-institutional insights into early outcomes and risk factors.
[BACKGROUND] The increasing demand for gender-affirming surgery (GAS) in transgender and gender-diverse healthcare highlights the importance of breast augmentation surgery (BAS) for transfeminine patients. Despite its significance, there is…
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Quality of life and satisfaction after breast augmentation: A systematic review and meta-analysis of Breast-Q patient-reported outcomes.
[BACKGROUND] Breast augmentation ranks among the most popular plastic surgery procedures. Yet, reports on post-operative patient-reported quality of life (QoL) and satisfaction remain conflicting. [METHODS] A systematic review was conducte…
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The impact of age on outcomes after breast reduction surgery - A multi-institutional data analysis of 40,958 cases.
[BACKGROUND] Reduction mammoplasty is popular among people of various age groups, yet the impact of age on postoperative outcomes remains debated. [METHODS] The American College of Surgeons National Surgical Quality Improvement Program (20…
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Turn Your Vision into Reality-AI-Powered Pre-operative Outcome Simulation in Rhinoplasty Surgery.
[BACKGROUND] The increasing demand and changing trends in rhinoplasty surgery emphasize the need for effective doctor-patient communication, for which Artificial Intelligence (AI) could be a valuable tool in managing patient expectations du…
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Modern Machiavelli? The illusion of ChatGPT-generated patient reviews in plastic and aesthetic surgery based on 9000 review classifications.
[BACKGROUND] Online patient reviews are crucial in guiding individuals who seek plastic surgery, but artificial chatbots pose a threat of disseminating fake reviews. This study aimed to compare real patient feedback with ChatGPT-generated r…
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Postoperative free flap monitoring in reconstructive surgery-man or machine?
Free tissue transfer is widely used for the reconstruction of complex tissue defects. The survival of free flaps depends on the patency and integrity of the microvascular anastomosis. Accordingly, the early detection of vascular comprise an…
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From bench to bedside - current clinical and translational challenges in fibula free flap reconstruction.
Fibula free flaps (FFF) represent a working horse for different reconstructive scenarios in facial surgery. While FFF were initially established for mandible reconstruction, advancements in planning for microsurgical techniques have paved t…
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Hair Transplantation in the United States: A Population-based Survey of Female and Male Pattern Baldness.
[BACKGROUND] Androgenetic alopecia, the most common type of hair loss, can impair the patient's overall mental health. Although there are pharmaceutical and surgical treatments available, little is known about the public standpoint toward h…
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Perioperative Outcomes and Risk Profile of 4730 Cosmetic Breast Surgery Cases in Academic Institutions: An ACS-NSQIP Analysis.
[BACKGROUND] Cosmetic breast surgery (CBS) can be subdivided into augmentation, mastopexy, reduction, and reconstruction. [OBJECTIVES] The aim of this study was to retrospectively analyze a multi-institutional national database to investig…
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Incidence and Risk Factors of Postoperative Complications After Rhinoplasty: A Multi-Institutional ACS-NSQIP Analysis.
[OBJECTIVE] Despite the popularity of rhinoplasty, outcome research has been mainly limited to single-surgeon or single-institution reports. Therefore, we performed a multi-institutional analysis to present a broader portrait of the postope…