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Development of Teleoperated Robotic System for Remote Intraocular Microsurgery.
Microsurgery has revolutionized modern surgery through its precision and favorable outcomes, but it remains limited by operational difficulty and the scarcity of skilled surgeons. Advances in robotics and communication technology have enabl…
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Feasibility and Safety of Using Perforators Through Tendinous Intersections of the Rectus Abdominis for DIEP Flap Breast Reconstruction: A Retrospective Study.
[BACKGROUND] The deep inferior epigastric perforator (DIEP) flap technique has gained popularity due to its muscle-sparing properties, significantly reducing morbidity and enhancing aesthetic outcomes in breast reconstruction. In a consider…
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Optimizing the choice between single- and bipedicled DIEP flaps: A strategy guided by 3D volumetrics and indocyanine green angiography.
[BACKGROUND] Determining the need for a bipedicled deep inferior epigastric perforator (DIEP) flap is a critical challenge in delayed breast reconstruction. The traditional, experience-based approach is often subjective and inaccurate. We a…
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Endoscopic Transaxillary High Dual-Plane Augmentation with Inframammary Fold Lowering: Feasibility and Limitations in the Correction of Breast Ptosis.
[BACKGROUND] The correction of breast ptosis using implants alone remains controversial. Given the preference for transaxillary approaches among Asian women, we developed a novel technique: endoscopic-assisted transaxillary high dual-plane …
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A reusable hydrogel biosensor array with electrically responsive hydrogel interfaces for noninvasive locating of perforating arteries.
Achieving accurate locating of perforating arteries (PAs) has great clinical value in various biomedical applications, such as free flap transfer. However, the anatomical variability of these arteries presents a major challenge in PA locati…
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Incidence of flap-related complications in the oral reconstruction area after free flap reconstruction in patients with oral cancer.
[BACKGROUND] This study aimed to ascertain the incidence of flap-related complications in the oral reconstruction area after free flap reconstruction (FFR) in patients with oral cancer (OC). [METHODS] Pubmed, Embase, Cochrane Library, and …
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"Autologous Breast Dermal Filler": A Novel Technique for Breast Reconstruction After Nipple- or Skin-Sparing Mastectomy in Pubertal Gigantomastia.
[BACKGROUND] For females in puberty, mastectomy caused by pathological gigantomastia usually brings significant psychological problems. Appropriate immediate breast reconstruction method is necessary. [OBJECTIVES] The aim of this study is …
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Delayed Stevens-Johnson syndrome induced by combined administration of carbamazepine and botulinum toxin: A case report.
[RATIONALE] Steven-Johnson syndrome (SJS) is characterized by severe illness, rapid progression, and high mortality rates, with the vast majority of cases induced by medications. Botulinum toxin, a neurotoxin produced by Clostridium botulin…
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Efficacy and Safety of Hyaluronic Acid Combined with Botulinum Toxin Type A in the Treatment of Midcheek Groove: A Prospective Study.
[BACKGROUND] The midcheek groove, a diagonal wrinkle in the infraorbital and infrazygomatic regions, disrupts the entire midface smooth lines and impacts facial aesthetics. Despite current treatments' limited effectiveness, including hyalur…
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Atrophy Masseter Recovery by Electrical Stimulation Mediated M2-Like Macrophage Polarisation via JAK/PI3K/AKT Pathway.
[BACKGROUND] Atrophy of the masseter muscle can result in an aged facial appearance and diminished chewing function. Electrical stimulation (ES) is known for its ability to facilitate tissue healing and functional recovery, but its precise …
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P21-activated kinase 4: a potent oncogene, molecular mechanisms and opportunities for targeted therapy.
[UNLABELLED] P21-activated kinase 4 (PAK4), recognized as a key effector protein of the Rho family of small G proteins Cell division regulatory protein 42 homologue (Cdc42) and Ras-related C3 botulinum toxin substrate 1 (Rac1), is a serine/…
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Graded Anterior Partial-thickness Blepharotomy for the Correction of Idiopathic Unilateral Upper Eyelid Retraction: A Case Report and Literature Review.
Idiopathic upper eyelid retraction is a rare ocular symptom characterized by abnormal upward displacement of the upper eyelid, often without any identifiable systemic disease. This condition not only affects the patient's appearance but may…
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Modified Infrabrow Blepharoplasty for Periorbital Rejuvenation in Asia Women.
[OBJECTIVE] The infrabrow blepharoplasty is a common surgical operation indicated in Asians for periorbital rejuvenation. This operation alone is difficult to achieve the correction of crow's feet. Therefore, the authors elucidate the autho…
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Minimally invasive buried guidance combined with stable orbital septal fat fixation for correction of tear trough-associated lower eyelid bags: application and outcomes.
[BACKGROUND] Traditional transconjunctival lower blepharoplasty procedures that remove only the orbital septal fat often fail to effectively correct tear trough deformities, and may even exacerbate lower eyelid hollowness. Thus, developing …
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Comparing the impact of three-dimensional digital visualization technology versus traditional microscopy on microsurgeons in microsurgery: a prospective self-controlled study.
[BACKGROUND] Emerging three-dimensional digital visualization technology (DVT) provides more advantages than traditional microscopy in microsurgery; however, its impact on microsurgeons' visual and nervous systems and delicate microsurgery …
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Reconstruction of Total Maxillectomy Defects Using Coronoid-Temporalis Pedicled Flap, Titanium Mesh, and Free Flap.
The maxilla plays a crucial role in maintaining midfacial contour, supporting the globe and dentition and separating the oral and nasal cavity. Reconstruction of total maxillectomy defects has always been a challenge in head and neck surger…
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Revision of residual deformities after primary surgery for Wassel-Flatt IV-D thumb duplication using a microsurgical free lateral great toe flap.
We report the application and results of skin defect coverage using the free lateral great toe flap in revision surgery for residual postoperative deformities in Wassel-Flatt type IV-D thumb duplications. This retrospective study included f…
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Methods and Strategies of Microsurgery Combined with Ilizarov Technique in the Treatment of Amputation of Limbs in Renji Hospital: A Report of 51 Cases.
[OBJECTIVE] Severe limb amputation trauma often results in bone and soft tissue defects after debridement. Traditional replantation aims to save the limb by shortening the ischemic period and using autologous transplantation for repair, but…
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Untethered Microgrippers for Biopsy in the Upper Urinary Tract.
Untethered microrobots offer the possibility to perform medical interventions in anatomically complex and small regions in the body. Presently, it is necessary to access the upper urinary tract to diagnose and treat Upper Tract Urothelial C…
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Variant of internal jugular vein reconstruction in bilateral radical neck dissection.
[BACKGROUND] The internal jugular vein (IJV) plays a major role in collecting venous blood from the cranium, face, and neck. Preserving or reconstructing at least one IJV during bilateral radical neck dissection (RND) allows preventing seve…
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Clinical efficacy and safety analysis of type A botulinum toxin in the treatment of adolescents with refractory overactive bladder.
The objective of this study was to assess the clinical effectiveness and safety of type A botulinum toxin in the treatment of refractory overactive bladder in adolescents. We conducted a retrospective analysis of 37 adolescent patients with…
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A case report on Madelung's disease and comprehensive review of the literature.
[BACKGROUND] Madelung's disease (MD), alternatively referred to as benign symmetric lipomatosis, multiple symmetric lipomatosis, or Launois-Bensaude syndrome, is an uncommon benign disorder marked by symmetric proliferation of adipose tissu…
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Clinical Efficacy of Bionic Blepharoplasty Using the Flexible Suspension and Semiflexible Suspension Double-Insurance Methods.
[OBJECTIVE] To investigate the clinical effect of the double insurance method of flexible suspension and semiflexible suspension in bionic blepharoplasty. [METHODS] Between January 2020 and January 2022, a total of 115 patients (230 eyes) …
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Montelukast Attenuates Retraction of Expanded Flap by Inhibiting Capsule Formation around Silicone Expander through TGF-β1 Signaling.
[BACKGROUND] Tissue expansion has tremendous applications in plastic surgery, but flap retraction provides insufficient tissue for use. Inspired by the use of montelukast to suppress capsular contracture, the authors investigated the effect…
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Beyond Magnification and Illumination: Ergonomics with a 3D Exoscope in Lumbar Spine Microsurgery to Reduce Musculoskeletal Injuries.
[OBJECTIVE] The risk of musculoskeletal injuries (MSIs) increases over years of practice which may lead to career-ending among surgeons. Exoscopes represent a new generation of imaging systems that help surgeons operate in a more comfortabl…
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Clinical application of magnetic resonance lymphangiography in the vascularized omental lymph nodes transfer with or without lymphaticovenous anastomosis for cancer-related lower extremity lymphedema.
[BACKGROUND] The recent increase in the number of patients with lower extremities lymphedema and the development of microsurgery techniques have led to a rise in lymphedema treatment. Vascularized omental lymph node transfer (VOLT), an emer…
- Quantization of extraoral free flap monitoring for venous congestion with deep learning integrated iOS applications on smartphones.
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Postural deformities in Parkinson's disease: A bibliometric analysis based on web of science.
[OBJECTIVE] Postural deformities are common debilitating conditions during the progression of Parkinson's disease (PD). However, the underlying pathophysiology and optimal treatment strategy are unclear. In this study, we aimed to identify …
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BREAST-Q-Based Survey of the Satisfaction and Health Status of Patients with Breast Reconstruction.
[AIMS] To explore the patients' satisfaction and health-related quality of life (HRQOL) of patients who received reconstruction after breast cancer surgery using the BREAST-Q questionnaire and further investigate the influencing risk factor…
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Effects of varicocele and microsurgical varicocelectomy on the metabolites in semen.
The influence of varicocele and microsurgical varicocelectomy on semen quality remains unclear. Few studies have investigated the relationship between semen metabolism and the abnormalities in reproductive function caused by varicocele, how…