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The differential impact of plastic surgery subspecialties on the financial performance of an academic clinical practice.
[BACKGROUND] In an academic center, plastic surgery provides multiple important and distinct services. Limited data exist on how each service affects a department clinically and financially. [METHODS] All new patient consultations and surg…
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Tissue engineering.
Tissue engineering will potentially change the practice of plastic surgery more than any other clinical specialty. It is an interdisciplinary field that promises new methods of tissue repair. There has been more than $3.5 billion invested i…
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Web-based medicine as a means to establish centers of surgical excellence in the developing world.
The growth of the Internet has provided a unique opportunity for rapid, global communication. Web-based medicine uses this technology to help surgeons in developing regions of the world gain direct access to recognized experts. This serves …
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Secondary deformities following mandibular reconstruction.
Restoration of secondary deformities following mandible reconstruction is a difficult challenge. Prevention is sometimes possible by careful planning, but frequently these problems are unavoidable. Thoughtful analysis of the deformity and i…
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Reconstruction and the radiated breast: is there a role for implants?
The use of breast implants in irradiated patients is controversial. Recently, 39 irradiated implants were compared with 338 nonirradiated implants in 297 patients between January of 1975 and October of 1994 at The University of Texas M. D. …
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Endoscopic technique for free flap harvesting.
We have described the current state of development of endoscopic techniques used for harvest of the latissimus dorsi and rectus abdominis muscles, two of the most versatile reconstructive tissue sources available to plastic surgeons. We als…
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Minimally invasive techniques of tissue harvest in head and neck reconstruction.
Minimally invasive surgery (MIS) is a revolutionary method of performing complex invasive procedures with minimal direct surgical exposure. This type of surgery requires specially designed instruments and video imaging of the surgical field…
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Comparison of the rectus abdominis free flap with the pectoralis major myocutaneous flap for reconstructions in the head and neck.
The pectoralis major myocutaneous flap (PMMF) is often used in the reconstruction of large head and neck defects. Unfortunately, its use is associated with a high incidence of minor complications, can distort the contour of the neck, and ma…
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Cost analysis of microsurgical reconstruction in the head and neck.
In a cost-conscious environment, pressure exists to justify the use of expensive techniques such as reconstructive microsurgery in head and neck patients. Therefore, the costs and effectiveness of 39 consecutive free tissue transfers in pat…