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Impact of Early Versus Late Treatment with Botulinum Toxin A on Goal Attainment in Post-Stroke Spasticity: A Retrospective Cohort Study.
This study evaluated the effect of time of botulinum toxin A (BoNT-A) treatment on clinical outcomes in adults with post-stroke spasticity (PSS). Individual data were pooled from five studies. Eligible patients received ≥1 BoNT-A injection(…
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Transcollumelar Incision and Closure.
Achieving imperceptible scars is crucial in facial plastic surgery, particularly in rhinoplasty. The open rhinoplasty technique, which uses a transcolumellar incision with bilateral marginal incisions, provides enhanced visibility and contr…
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Career Paths After Microsurgery Fellowship: A 10-Year Analysis.
Over the past 10 years, microsurgery fellowship programs and positions have increased by 50%, underscoring the need to understand graduate career paths and provide trainees context about future practice. This study analyzed who pursues micr…
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Augmented Reality Navigation in Craniomaxillofacial/Head and Neck Surgery.
[OBJECTIVE] This study aims to (1) develop an augmented reality (AR) navigation platform for craniomaxillofacial (CMF) and head and neck surgery; (2) apply it to a range of surgical cases; and (3) evaluate the advantages, disadvantages, and…
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Safety and efficacy of preoperative embolization in the treatment of brain arteriovenous malformations with perinidal aneurysms and single draining vein: a multicenter study with propensity score-weighting.
[BACKGROUND AND OBJECTIVES] Arteriovenous malformations (AVMs) with perinidal aneurysms and single draining vein are associated with an elevated risk of rupture and increased procedural complexity. The role of preoperative embolization in t…
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Predicting Elevated Postvoid Residual Urine Volume Following OnabotulinumtoxinA Treatment for Overactive Bladder: A Pilot Study.
[OBJECTIVES] To evaluate possible predictors of elevated postvoid residual volume (PVR) following onabotulinumtoxinA administration in patients with idiopathic overactive bladder (OAB), a condition that may include urinary urgency, frequenc…
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Botulinum Toxin: Surely, We Can Do Better? Optimizing Results Beyond On-Label Techniques and Teaching.
Facial expressions and their emotional attributes are essential as an adjunct to verbal communication and for nonverbal communication. Botulinum toxin (BoNTA) used to limit wrinkles induced by aging changes on expressive faces. However, sub…
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Ultrasound-Guided External Trigger Point Injections for Female Patients With Myofascial Pelvic Pain: A Report of Two Cases.
Trigger point injections (TPIs) are used to relieve myofascial pain via injection with local anesthetics. External TPIs are commonly used to treat surface muscle groups such as the trapezius, while internal transvaginal or external pelvic T…
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Facial Feminization: Surgical Trends and Outcomes From a Single Institution.
[INTRODUCTION] Facial feminization surgery (FFS) has become a crucial component of transgender gender-affirming care. Despite the increasing number of transgender patients undergoing FFS, there is limited literature investigating surgical o…
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Race and Gender Bias in Narrative Letters of Recommendation for Plastic Surgery Residency Applicants.
[INTRODUCTION] It has been previously shown that gender bias exists in standardized letters of recommendation for plastic surgery residency. However, similar analysis has not been conducted for narrative letters of recommendation (NLORs). T…
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Quality and Reliability of 2D and 3D Clinical Photographs in Plastic Surgery: A Scoping Review.
[BACKGROUND] Clinical photography is a critical tool in plastic surgery practice. The primary aim of this scoping review was to assess the quality and reliability of various 2D and 3D photography modalities in plastic surgery. [METHODS] Th…
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Evaluation of Geographic Trends in Plastic Surgery Telemedicine Utilization.
[INTRODUCTION] Recent studies have suggested that telemedicine expansions during the coronavirus disease 2019 public health emergency may expand subspecialty care access to remote areas. However, the geographic distribution of telemedicine …
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The Influence of Patient and Surgeon Characteristics on Press Ganey Provider Ratings in Plastic Surgery.
[BACKGROUND] Although patient satisfaction ratings are increasingly used as hospital and provider performance metrics, these ratings may be affected by factors extraneous to surgeon performance. [OBJECTIVES] The aim of this study was to as…
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Defining the Incidence of the Impostor Phenomenon in Academic Plastic Surgery: A Multi-Institutional Survey Study.
[BACKGROUND] Impostor phenomenon occurs when high-achieving individuals have persistent self-doubt despite objective measures of competence and success, and has been associated with professional burnout and attenuated career advancement in …
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Paucity of Online Information About Gender-Affirming Surgery Fellowships in the United States.
[BACKGROUND] Despite growing demand for gender-affirming surgery (GAS), there are few formal GAS fellowships in the United States. Paucity of online information about GAS fellowships may discourage potential applicants and decrease the visi…
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What are Board-Certified Plastic Surgeons Posting on Instagram?
[BACKGROUND] Plastic surgeons increasingly use social media to market their practices and educate prospective patients. Previous studies have investigated plastic surgery content on Instagram from the angle of hashtags and most popular plas…
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One treatment with onabotulinumtoxinA relieves symptoms of overactive bladder in patients refractory to one or more oral medications.
[INTRODUCTION AND HYPOTHESIS] Patients with overactive bladder (OAB) often undergo prolonged treatment with one or more oral OAB medications. OnabotulinumtoxinA (onabotA), a type A botulinum toxin, may provide an appropriate alternative to …
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The Effects of Age, Gender, and Postvoid Residual Volume on Catheterization Rates After Treatment with OnabotulinumtoxinA for Overactive Bladder.
[BACKGROUND] Transient increases in postvoid residual urine volume (PVR) requiring clean intermittent catheterization (CIC) have occurred with onabotulinumtoxinA treatment for overactive bladder (OAB). [OBJECTIVE] To evaluate onabotulinumt…
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Comparing Postoperative Taping vs Customized 3D Splints for Managing Nasal Edema after Rhinoplasty.
[BACKGROUND] Significant swelling after rhinoplasty can temporarily obscure results and lead to distress for patients and surgeons. We recently developed three dimensional (3D)-printed nasal splints that aim to protect the nose and limit ed…
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The Impact of Alar Flare Reduction Goes Beyond Just the Ala.
[BACKGROUND] Alar flare reduction (AFR) is a widely used technique in rhinoplasty. Although the impact of AFR on the alar base has been well studied, its effect on the surrounding tissues is largely unknown. This study aims to elucidate the…
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Risk Factors Associated with Complications in Rhinoplasty Using Polydioxanone Plates.
[OBJECTIVE] Polydioxanone (PDS) plates are utilized in septorhinoplasty to reconstruct the nasal septum. Our goal was to analyze factors affecting short- and long-term complications in patients undergoing septorhinoplasty using PDS plates w…
- Commentary on: The Price Is Right? An Economic Analysis of Factors Influencing Cosmetic Surgery Prices.
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Variability in Opioid Prescribing Among Plastic Surgery Residents After Bilateral Breast Reduction.
[BACKGROUND] Prescription opioid misuse in the United States accounts for significant avoidable morbidity and mortality. Over one third of all prescriptions written by surgeons are for opioids. Although opioids continue to provide needed an…
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Implants and Breast Pocket Irrigation: Outcomes of Antibiotic, Antiseptic, and Saline Irrigation.
[BACKGROUND] Breast implant-associated infection and capsular contracture are challenging complications that can result in poor outcomes following implant-based breast surgery. Antimicrobial irrigation of the breast pocket or implant is a w…
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Association of Radiation Timing with Long-Term Satisfaction and Health-Related Quality of Life in Prosthetic Breast Reconstruction.
[BACKGROUND] Radiation therapy is increasingly used after breast cancer surgery, which may impact patients' postoperative quality of life. This study assessed differences in long-term patient satisfaction and health-related quality of life …
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Does Surgeon Training Affect Patient Perception of Surgeon Skill in DIEP Flap Breast Reconstruction?
[BACKGROUND] The aim of this study is to investigate whether a surgeon's training background and years of experience advertised on a social media platform influences perception of surgeon competence, patient recruitment likelihood, and ref…
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Analysis of cost and outcomes in bony versus soft tissue midface free flap reconstruction.
[BACKGROUND] Outcomes and cost of soft tissue versus bony midface free flap reconstruction (MR) with and without virtual surgical planning (VSP) were evaluated. [METHODS] Retrospective review of MR including ischemic time (IT), operative d…
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Websites or Videos: Which Offer Better Information for Patients? A Comparative Analysis of the Quality of YouTube Videos and Websites for Cosmetic Injectables.
[BACKGROUND] YouTube is used by more than 70 percent of adults and 81 percent of 15- to 25-year-olds. The information quality of videos related to the two most performed aesthetic procedures-botulinum toxin type A (Botox) and soft-tissue fi…
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Scar Perception: A Comparison of African American and White Self-identified Patients.
[UNLABELLED] Scars can have significant morbidity and negatively impact psychological, functional, and cosmetic outcomes as well as the overall quality-of-life, especially among ethnic minorities. The objective of this study was to evaluate…
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Defining regional variation in nasal anatomy to guide ethnic rhinoplasty: A systematic review.
[BACKGROUND] Recently, there has been increasing focus on understanding nasal anatomy in ethnic populations and using it to guide rhinoplasty techniques in non-Caucasian patients. Many disparate groups have historically been inappropriately…