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"Immediate Free Nipple Grafting with Autologous Breast Reconstruction for Large and/or Ptotic Breasts: Preserving the "Nipple-Sparing" Option".
[BACKGROUND] Free nipple grafting (FNG) has been long reported as a viable alternative for aesthetic results and patient satisfaction in the setting of reduction mammaplasty in severe macromastia. This study demonstrates that FNG concepts u…
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Free Flap Reconstruction of Abdominal Wall Defects: A Systematic Review and Pooled Analysis.
[BACKGROUND] Reconstruction of extensive abdominal wall defects poses significant challenges, often requiring free tissue transfer when traditional methods are inadequate. This review examines the past decade's literature on free flaps for …
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Evaluating the Role of Digital Subtraction Angiography in Traumatic Lower Extremity Flap Reconstruction: A Comparative Analysis With CT Angiography.
[BACKGROUND] Despite its high sensitivity and specificity, CTA can yield inconclusive or inaccurate results due to technical limitations such as metallic streak artifacts or inadequate opacification of arteries. On the other hand, digital s…
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Flap-Based Reconstruction in Patients with Autoimmune Disease: An Institutional Experience with the Deep Inferior Epigastric Perforator Flap and Review of the Literature.
[BACKGROUND] Autoimmune diseases are associated with characteristic chronic inflammation, aberrations in tissue perfusion, and hypercoagulability, and thus have considerable implications for local and free-flap reconstruction. We seek to s…
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Association of Preoperative Debridements With Outcomes of Lower Extremity Reconstruction.
[INTRODUCTION] Lower extremity (LE) reconstruction is vital for restoring form and function after traumatic injuries, chronic wounds, or oncologic resections. Preoperative and intraoperative debridements are standard procedures that remove …
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Intraoperative Indocyanine Green Angiography Use for Perfusion Assessment in Immediate Breast Reconstruction Is Associated With Reduced Reoperation and Takeback.
[BACKGROUND] Immediate breast reconstruction has higher rates of complications than delayed breast reconstruction, in part due to the risks of mastectomy flap necrosis and adequate flap perfusion in implant-based and autologous reconstructi…
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A Novel Approach to Intermediate Cleft Rhinoplasty Utilizing a Pedicled Fibrofatty Flap.
Patients with cleft lip ± palate may experience psychosocial issues related to their secondary cleft nasal deformities. These concerns can be addressed earlier instead of being required to wait until skeletal maturity. A novel early rhinopl…
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The Impact of Increased Body Mass Index on Patient Outcomes and Complications in Microsurgical Lower Extremity Reconstruction.
[BACKGROUND] Elevated body mass index (BMI) is a known perioperative risk factor for complications such as delayed wound healing and infection. However, there is a gap in understanding how elevated BMI impacts outcomes after posttraumatic l…
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Flap-Based Lower Extremity Reconstruction in the Elderly-Is It Safe and Does Age Impact Ambulation?
[INTRODUCTION] Lower extremity (LE) reconstruction in the elderly population presents a multifaceted challenge, primarily due to age-related degenerative changes, comorbidities, and functional decline. Elderly individuals often encounter co…
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Effects of Preoperative Hemoglobin on Microsurgical Reconstruction and Perioperative Blood Transfusion Requirement: A Meta-Analysis and Systematic Review of the Literature.
[PURPOSE] Although blood loss in microsurgical reconstruction is rarely large enough to be life-threatening, preoperative anemia can be a particular issue in terms of postoperative morbidity, impaired wound healing, and compromised tissue v…