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12건 · 최신순-
Lower Extremity Free Tissue Transfer in the Setting of Severe Medial Arterial Calcification: Limb Salvage Is Possible, But at What Cost?
[BACKGROUND] Medial arterial calcification (MAC) is emerging as a tool to predict adverse limb events, but its effects on microsurgery are unknown. This study evaluates the effects of MAC on microsurgical limb salvage outcomes. [METHODS] P…
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A Quadrant-based Algorithm for Oncoplastic Breast Reduction: The Use of Mirror Flaps for Filling Superior Pole Lumpectomy Defects.
[BACKGROUND] Reconstructing upper-quadrant defects in oncoplastic breast reduction (OBR) can be challenging due to upper-pole concavity after tumor resection. To address this, we adopted a dual-component technique using 2 separate flaps: (1…
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Superomedial Pedicle Breast Reduction in Patients with Sternal Notch-to-Nipple Distances Greater than 40 cm.
[BACKGROUND] The superomedial pedicle (SMP) is favored for preserving nipple-areolar complex (NAC) vascularity and superior pole fullness. However, its use in breast reductions (BR) with sternal notch-to-nipple (SN-N) distances ≥40 cm is de…
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Grafting in Rhinoplasty: A Survey of Surgeon Preferences When Donor Material Is Limited.
[BACKGROUND] Achieving functional results in nasal reconstruction necessitates a focus on structural integrity. Surgeons are often challenged by limited supply of donor material for grafting. This study aims to determine the types and mater…
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Clostridium difficile induced coagulopathy: Implications for microsurgery in the setting of limb salvage.
[BACKGROUND] Studies have demonstrated a correlation between Clostridium difficile infection (CDI) and hypercoagulability. This study evaluates CDI in patients undergoing lower extremity (LE) free tissue transfer (FTT) and quantifies its im…
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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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Lower Extremity Free Tissue Transfer in Peronea Arteria Magna: An Observational Retrospective Cohort Study of Anatomic and Microsurgical Considerations.
[BACKGROUND] Patients with only peroneal artery blood supply to the foot, known as peronea arteria magna (PAM), represent a rare cohort and a unique challenge in the setting of complex lower free (LE) tissue transfer (FTT). The present stud…
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Intraoperative Vasopressor Use Does Not Adversely Impact Free Flap Outcomes in Lower Extremity Limb Salvage Procedures in a Highly Comorbid Atraumatic Wound Population.
The use of vasopressors during microsurgical reconstruction is debated. Their effect on the comorbid lower extremity (LE) wound population is unstudied. This study characterizes the impact of intraoperative vasopressor use in LE free tissue…
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A Combined "Vasculoplastic" Approach to the Vasculopathic Patient Undergoing Limb Salvage: Understanding the Role of Endovascular Revascularization for Lower Extremity Free Tissue Transfer.
Multidisciplinary care with vascular surgery and plastic surgery is essential for lower extremity free flap (LEFF) success in the chronic wound population with diabetes and peripheral vascular disease. There is a lack of understanding on pe…
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Preoperative Deep and Superficial Venous Thrombosis in Limb Salvage Candidates: A Contraindication to Microsurgical Free Flap Reconstruction? Lessons Learned from Our 13-year Institutional Experience.
Although arterial inflow considerations dominate microsurgical planning, venous outflow is equally vital for flap survival. Patients requiring free tissue transfer (FTT) for lower extremity (LE) reconstruction frequently present with occult…
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Three Decades of Outpatient Plastic Surgery Safety: A Review of 42,720 Consecutive Cases.
[BACKGROUND] Outpatient plastic surgery offers cost-effective solutions and enhanced privacy, but demands careful patient assessment for suitability and vigilant anticipation of adverse events. To provide recommendations to enhance patient …
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Dispelling the Myths of Isotretinoin and Implications for Rhinoplasty.
Despite concerns from 1980s case reports, oral isotretinoin, a derivative of vitamin A, has largely proven to be safe in surgical procedures, with the exception of deep skin resurfacing. Isotretinoin modulates thinning skin and internal sca…