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45건 · 최신순-
Personal Strategies for DIEP Flap Breast Reconstruction in Patients with Prior Abdominal Surgery and Hernia Repairs.
Delayed breast reconstruction using deep inferior epigastric perforator (DIEP) flaps in patients with a history of abdominal wall hernias and/or cesarean sections presents unique challenges. This study examines 10 such cases, emphasizing ke…
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Application of Combined SCIP and Free Fibula Flaps for Reconstruction of a Massive Composite Oromandibular Defect: A Pioneering Approach.
Resection of advanced oral malignancies often leads to extensive composite tissue defects, which may involve skin, oral mucosa, mandible, and a significant amount of soft tissue. While the free fibula flap remains the primary choice of reco…
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Surgical outcomes of Spetzler-Martin grade III arteriovenous malformations in the multimodality era: a single centre retrospective cohort study.
Spetzler-Martin (SM) grade III arteriovenous malformations lie at the borderline between low- and high-risk lesions, so their ideal management strategy is still debated. We aim to examine functional, angiographic and seizure outcomes after …
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Intraglandular botulinum toxin in postoperative head and neck fistula: a retrospective analysis.
[PURPOSE] Orocervical (OCF) or pharyngocutaneous fistula (PCF) are one of the disastrous complications of head and neck cancer surgery. Conventional standards of management are predominantly conservative. Though a majority of such patients …
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Outcomes of abdominal wall reconstruction in complex ventral hernia patients: a single institution based prospective study.
[INTRODUCTION] Complex ventral hernias, especially in patients with prior surgeries, large defects, or comorbidities, are associated with high rates of recurrence and complications such as infection, pain, and loss of abdominal domain. This…
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A comprehensive review of evolution of advanced follicular unit excision systems.
Initially, the application of the follicular unit excision (FUE) technique for hair transplantation faced a challenge due to a significant occurrence of hair follicle damage. However, advancements in techniques, punch designs, and tools hav…
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Ergonomics in Facial Plastic and Reconstructive Surgery: A Clinical Evaluation.
[OBJECTIVES] Surgeons experience a risk for physical strain and injury secondary to physical demands in the workplace. To minimize injury and maximize career longevity, physicians should be aware of ergonomics pitfalls and postural correcti…
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Outcome Assessment of Three Different Methods of Root-end Preparation and Filling Materials in Endodontic Surgery: A Comparative Clinical Prospective Study.
[INTRODUCTION] The technique of endodontic surgery had evolved tremendously in the recent years with introduction of new instruments and materials. [AIM] This study aims to compare the clinical outcome of endodontic microsurgery using thre…
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A Unique Case of Venous Coupler Disruption and Salvage of Venous Anastomosis in a Case of Free Latissimus Dorsi Flap Reconstruction.
Free flaps are considered the gold standard for the reconstruction of various defects. Microvascular anastomosis is a very critical component of free flap surgery determining its success. The workhorse technique of hand suturing for microva…
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Is There a Difference in Abdominal Wall Muscle Strength, Endurance, and Motor Control Following Bilateral DIEP and TRAM Flaps for Breast Reconstruction?
[BACKGROUND] Abdominal donor site complications in bilateral pedicled transverse rectus abdominis muscle (TRAM) have been a concern when compared with bilateral deep inferior epigastric perforator (DIEP) flap breast reconstruction. This stu…
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Factors Predicting Discharge Disposition Following Head and Neck Free Flap Reconstruction.
[OBJECTIVES] Patients undergoing head and neck free flap reconstruction (HNFFR) may have significant change to their baseline functional status requiring inpatient rehabilitation (IPR) after discharge. We sought to identify patient/procedur…
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Temporalis Muscle Changes Following Botulinum Toxin A Injections in Masseter Hypertrophy Patients: A Randomized Triple-Blinded Trial.
[BACKGROUND] This study aimed to elucidate the effects of botulinum toxin A (BoNT-A) treatment for patients diagnosed with masseter hypertrophy on the temporalis muscle, with a particular focus on assessing alterations in muscle thickness, …
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Evaluation of Conflict of Interest in Consulting Fee Payments in Plastic Surgery and Related Specialties.
[BACKGROUND] The Physician Payments Sunshine Act was enacted to increase transparency regarding physician and industry financial interests. Consulting fee payments constitute a large proportion of these financial relationships. The authors …
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Trends and current aspects of reconstructive surgery for gynecological cancers.
Gynecologic cancers can lead to gynecologic tract destruction with extension into both the gastrointestinal and urinary tracts. Recurrent disease can also affect the surrounding bony pelvis and pelvic musculature. As opposed to advanced ova…
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An Innovative Technique of Microsurgical Training on Fresh "Chicken Quarter" Model: Our Experience.
Regular practice, quality clinical exposure, and academic discussion are essential in any surgical specialty training. This study discusses and validates the option of using a fresh "chicken quarter" model with a measurable scoring system,…
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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…
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Tap-Tap: Learning Endonasal and Percutaneous Nasal Osteotomy Techniques on 3D-Printed Midface Models.
Nasal osteotomy is one of the most challenging steps of rhinoplasty. Lack of hands-on training and confidence with this procedure adds to the complexity for learners and trainees. As three-dimensional (3D) printing becomes increasingly acce…
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Design, printing optimization, and material testing of a 3D-printed nasal osteotomy task trainer.
[BACKGROUND] For difficult or rare procedures, simulation offers an opportunity to provide education and training. In developing an adequate model to utilize in simulation, 3D printing has emerged as a useful technology to provide detailed,…
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Effect of apical microsurgery on force regulation of incisor teeth during unpredictable force control task.
[BACKGROUND] Apical microsurgery (AMS) involves removal of the root-end which can affect the force regulation of teeth. [OBJECTIVE] To investigate the force regulation of incisor teeth treated with AMS during the unpredictable force contro…
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Oral Fine Motor Control of Teeth Treated with Endodontic Microsurgery: A Single-Blinded Case-control Study.
[INTRODUCTION] Periodontal mechanoreceptors (PMRs) are refined neural receptors present in abundance at the root apex and have a pivotal role in oral fine motor control. This case-control study aimed to evaluate the oral fine motor control …
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Abdominal Plication for Better Cosmetic Outcomes During Deep Inferior Epigastric Perforator Flap Breast Reconstruction.
[BACKGROUND] Deep inferior epigastric perforator flap (DIEP) for breast reconstruction is a widely accepted technique for breast reconstruction. Secondary benefit of this technique is abdominal contour improvement. Because of direct access,…
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Salvage Following Transoral Laser Microsurgery for Early Glottic Cancer in National Veteran Database.
[OBJECTIVES] Transoral laser microsurgery (TLM) is commonly utilized for early glottic cancer and offers favorable oncologic and functional outcomes. However, the survival implications of salvage therapy for recurrent or persistent disease …
- A Novel Cost-effective Autologous Dermal Filler for Atrophic Acne Scar.
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Systemic Lupus Erythematosus Presenting as Pulmonary Embolism After Liposuction: A Clinical Conundrum.
Systemic lupus erythematosus (SLE) is an autoimmune disorder with a wide array of presentations and a predilection to affect women of certain ethnic backgrounds. The hallmark of the disease is multisystem involvement, dispersed in time and …
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Preservation of the Implant in Nipple-Sparing Mastectomies: A Retrospective Cohort Study.
[BACKGROUND] Mastectomies are an integral part of breast cancer treatment for many patients.1 Of those patients, a significant number have previously undergone breast augmentation before being diagnosed with breast cancer. Therefore, we dev…
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Industry Payments by Allergan, Inc to Plastic Surgery and Related Specialties in 2018.
In 2014, payments to medical providers from drug/device manufacturers were made public through the Open Payments Database. Although previous studies have used the Open Payments Database to describe relationships between specialties and indu…
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Long-Term Complications of Osteocutaneous Free Flaps in Head and Neck Reconstruction.
[OBJECTIVE] To determine the frequency at which patients with osteocutaneous free flap reconstruction of the head and neck develop long-term complications and identify predisposing perioperative factors. [STUDY DESIGN] A prospectively main…
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National Trends in Hospitalization Charges for Autologous Free Flap Breast Reconstruction.
[BACKGROUND] There is significant cost variation among patients undergoing autologous free flap breast reconstruction. Previous studies hypothesize that factors like length of stay and hospital volume are key drivers of cost; however, how t…
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Institutional Experience of Microsurgical Management in Posterior Circulation Aneurysm.
[INTRODUCTION] Posterior circulation aneurysm constitutes 15%-20% of all intracerebral aneurysms. With the advancement of endovascular techniques, the microsurgery for posterior circulation aneurysms has been pushed back a little. Even the …
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Natural History and Consequences of Nonunion in Mandibular and Maxillary Free Flaps.
[OBJECTIVE] To describe the natural history of bone segment union in head and neck free flap procedures and detail the association of poor segment union with postoperative complications. [STUDY DESIGN] Case series with chart review. [SETT…