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Effect of Adjuvant Treatments on Recipient Vessel Diameter for Free Flap Breast Reconstruction Using Computed Tomographic Angiography Analysis.
: The quality of recipient vessels is critical for successful microsurgical breast reconstruction, and iatrogenic damage should be minimized. Adjuvant radiotherapy (RTx) and chemotherapy (CTx) are widely used for breast cancer and may induc…
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Development and impact of virtual reality-based training for the radial forearm free flap: A multi-center prospective feasibility study.
[INTRODUCTION] Surgical education faces growing challenges due to reduced theatre access, variable supervision and limited procedural exposure, particularly for complex reconstructive operations such as the radial forearm free flap (RFFF). …
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Strategic Approach for Effective Reduction Malarplasty: Depending on Malar Protrusion Type.
[BACKGROUND] Reduction malarplasty is a widely performed facial contouring procedure, particularly in Asian populations, to achieve a slimmer and more oval facial shape. While various surgical techniques exist, there is a lack of standardiz…
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Effect of Botulinum Toxin Injection in Hip Adductor Muscles on Gross Motor Function in Low-Functioning Children with Spastic Cerebral Palsy.
[PURPOSE] Botulinum toxin type A (BoNT-A) injections are used to manage spasticity in children with low-functioning cerebral palsy (CP), particularly in cases involving the hip adductor muscles. Despite their widespread use, research on the…
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Quantitative Analysis of Lower Facial Feminization: Cephalometric and AI-Based Evaluation of Surgical Outcomes in Transgender Patients.
[INTRODUCTION] Facial feminization surgery (FFS) aims to modify masculine facial characteristics to achieve traditionally feminine aesthetics. The lower jaw plays a pivotal role in gender recognition. This study quantitatively evaluates the…
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Comparative microbiome analysis of contracted breast capsules: a cross-sectional study.
[BACKGROUND] Despite the implication of bacterial biofilms in the etiology of capsular contracture, there is limited research on the microbial structure of the contracted capsule. Moreover, the potential role of the skin microbiome in capsu…
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Dental Prosthetic Rehabilitation in Mandibular Reconstruction: Optimizing Timing and Patient Selection.
[BACKGROUND] Dental prosthetic rehabilitation (DPR) plays a critical role in restoring function and quality of life following mandibular reconstruction. This study examines the rate of patients undergoing dental implants and DPR after recon…
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Early Functional Outcomes After Single-Stage Achilles Tendon Reconstruction Using Free Anterolateral Thigh Flap With Tubularized Fascia Lata.
[BACKGROUND] Achilles tendon injury with extensive soft tissue loss presents challenges to lower extremity (LE) reconstruction with functionally favorable results. The use of a free anterolateral thigh (ALT) flap incorporating a tubularized…
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The Management of Head and Neck Lymphoedema: A 2025 Systematic Review.
[BACKGROUND] Head and Neck Lymphoedema (HNL) is debilitating to many domains of patients' structure and function, yet it is the most poorly researched form of lymphoedema. This is due to the variety of signs and symptoms experienced by HNL …
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Microsurgical Outcomes in 1000 Patients With Cerebellopontine Angle Tumors: A Comprehensive Cohort Analysis.
[OBJECTIVE] To summarize the outcomes of 1000 consecutive microsurgical resection of cerebellopontine angle tumors. [STUDY DESIGN] Retrospective cohort study. [SETTING] Single tertiary care institution. [METHODS] We analyzed 1000 patient…
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Evaluation of Hyaluronic Acid Filler Injections in Mice Over 28 Days: A Controlled In Vivo Study.
[BACKGROUND] Initial and early swelling post injection of hyaluronic acid (HA) filler are considered to affect outcomes and complications in patients; however, the contribution of HA filler type to swelling postinjection remains undetermine…
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Investigation of exertional dyspnoea by cardiopulmonary exercise testing with continuous laryngoscopy.
[OBJECTIVES] Abnormal breathlessness at maximal exercise may be caused by a range of conditions, including exercise-induced bronchospasm, breathing pattern disorder, or exercise-induced laryngeal obstruction. These three disorders may not b…
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Biological threat preparedness through vaccine development and stockpiling: challenges and strategic implications.
Biological threat agents such as , , and botulinum toxin pose serious risk to national security and public health due to their high transmissibility, lethality, and potential for weaponization. This study analyzes the current status of vacc…
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BoNT Injection into Temporomandibular Joint Alleviates TMJ Pain in Forced Mouth Opening Mouse Model.
Temporomandibular disorder (TMD) significantly impairs the quality of life of patients due to chronic pain and limited jaw function. Many treatment options have been used such as pharmacologic management, physical therapy, oral appliance th…
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Postoperative Pain and Perioperative Antibiotic Management in Functional Rhinoplasty.
Post-rhinoplasty pain control should use a multimodal regimen. Evidence suggests decreasing routine prescriptions of narcotics is reasonable for most individuals, and acetaminophen and nonsteroidal antiinflammatory drug combinations may be …
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A Survey of Applicants to Integrated Plastic Surgery Residencies and Factors Associated With a Successful Match.
[BACKGROUND] Since USMLE Step 1 converted to pass/fail, programs increasingly use signals, away rotations, and geographic ties to gauge applicant fit. Whether these program-specific engagement tools truly outweigh traditional metrics in int…
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Microsurgical treatment of distal middle cerebral artery aneurysm: A single-center review.
[OBJECTIVE] To review the characteristics of distal middle cerebral artery (MCA) aneurysm treated by microsurgery, the detailed surgical options, and the clinical result. [METHODS] We retrospectively reviewed cerebral aneurysm in the M2 an…
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Risk of Bleeding Versus Venous Thromboembolism After Surgery for Breast Cancer: A National Surgical Quality Improvement Program Analysis.
[INTRODUCTION] Patients who undergo surgery for breast cancer are at risk for venous thromboembolism (VTE) and bleeding, which can lead to significant consequences on outcomes. This study examined factors related to VTE and bleeding risk in…
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Feasibility of Obtaining Patient-Reported Outcome Measures in a High-Volume Multidisciplinary Surgical Limb Salvage Center.
[BACKGROUND] Completion of patient-reported outcome measures (PROMs) is labor-intensive but paramount in improving patient-centered care, allowing for advancement of techniques and scrutinization of outcomes. We report the feasibility of PR…
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Complex Surgical Management of Extensive Chest-Wall Desmoid Fibromatosis.
Desmoid fibromatosis (DF) is a rare tumor that arises from fibroblasts and myofibroblasts and typically presents on the trunk and limbs. While metastasis of fibromatosis is exceedingly uncommon, DF can spread rapidly to adjacent tissue. Its…
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Stem Cell-Derived Extracellular Vesicle-Bearing Injectable Hydrogel for Collagen Generation in Dermis.
Despite the remarkable advances of dermal fillers that reduce wrinkles caused by dermis thickness reduction, they still lack effective hydrogel systems that stimulate collagen generation along with injection convenience. Here, we develop a …
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Effectiveness of Extracorporeal Shock Wave Therapy after Botulinum Toxin Injection for Post-Stroke Upper Extremity Spasticity: A Randomized Controlled Study.
Post-stroke spasticity is a common complication that limits the functional performance of patients. Botulinum toxin (BTx) is an effective treatment for spasticity. Numerous researchers have applied extracorporeal shock wave therapy (ESWT) t…
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Safety of Outpatient Plastic Surgery: A Comparative Analysis Using the TOPS Registry with 286,826 Procedures.
[BACKGROUND] Outpatient plastic surgery at office-based surgery facilities (OBSFs) and ambulatory surgery centers (ASCs) has become increasingly prevalent over the past 30 years. Importantly, historical data are inconsistent regarding the s…
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One-stage reconstruction using a fibula osteocutaneous free flap and an anterolateral thigh free flap for an extensive composite defect after en bloc resection of squamous cell carcinoma on the mouth floor, mandible, and anterior neck: A CARE-compliant case report.
[RATIONALE] Although regional metastasis to the lymph nodes is common in advanced oral cancer, extensive local invasion into surrounding structures such as the mandible, skin and soft tissue of the neck, and masticator space is relatively r…
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Catastrophic rhabdomyolysis following breast reconstruction operation using an abdominal flap: a case report.
[BACKGROUND] Rhabdomyolysis is a potentially fatal clinical syndrome resulting from the damage or breakdown of skeletal muscle, which can also lead to permanent disabilities. Based on our review of studies on rhabdomyolysis after prolonged …
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Corrigendum: A Double-Blind, Split-Face, Randomized Study on the Effects and Safety of Intradermal Injection of Botulinum Toxin Type A 150 kD Neurotoxin in the Cheek.
This corrects the article on p. 442 in vol. 34, PMID: 36478426.…
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Efficiency of botulinum toxin injection into the arm on postural balance and gait after stroke.
The purpose of this study was to clarify the association between improvement of spasticity in hemiplegic patient's upper extremity with Botulinum toxin injection and improvement in postural balance and gait function. For this prospective co…
- Chronic chest wound treated with antifungal.
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Influence of Irradiation on Capsules of Silicone Implants Covered with Acellular Dermal Matrix in Mice.
[BACKGROUND] In advanced breast cancer, radiotherapy is recommended as adjuvant therapy following breast reconstructive surgery. This inevitably led to growing concerns over possible complications of radiotherapy on implants. In this experi…
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Prepectoral breast reconstruction with complete anterior implant coverage using a single, large, square-shaped acellular dermal matrix.
[BACKGROUND] Several studies have discussed various methods of prepectoral direct-to-implant (DTI) breast reconstruction using an acellular dermal matrix (ADM) prosthesis to achieve full coverage. However, methods for anterior coverage have…