Plastic and Reconstructive Surgery




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Strategies for Interviewer and Interviewee Success.

Fahmy, Joseph N. M.D.; Chung, Kevin C. M.D., M.S.

doi : 10.1097/PRS.0000000000009693

Volume 150(6) pgs. 1175-1385,1202e-1373e December 2022

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The Patient Narrative for Breast Implant Illness: A 10-Year Review of the U.S. Food and Drug Administration's MAUDE Database.

Taskindoust, Mahsa M.D.; Bowman, Trevor G.E.D.; Thomas, Samantha M. M.S.; Levites, Heather M.D.; Wickenheisser, Victoria M.D.; Hollenbeck, Scott T. M.D.

doi : 10.1097/PRS.0000000000009694

There is growing recognition of a condition known as breast implant illness. Very little information exists about the diagnosis and natural history of breast implant illness.

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Comparing Breast Sensation between Alloplastic and Autologous Breast Reconstruction Patients Using the BREAST-Q Sensation Module.

Voineskos, Sophocles H. M.D., M.Sc.; Olaiya, Oluwatobi R. M.D., M.Sc.; Tsangaris, Elena Ph.D.; Kaur, Manraj P.T., Ph.D.; Klassen, Anne F. D.Phil.; Pusic, Andrea L. M.D., M.H.S.

doi : 10.1097/PRS.0000000000009723

Sensory recovery of the breast is a compelling frontier in comprehensive postmastectomy breast reconstruction. This study uses the BREAST-Q Sensation Module to evaluate the differences in women who underwent an alloplastic versus autologous breast reconstruction.

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Animation Deformity: Evaluating the Role of Morphotopologic Features in Suggesting Preventive Surgical Procedures.

Onishi, Fumio M.D., Ph.D.; Suzuki, Ayumi M.D.; Yamakawa, Tomomi M.D.; Makino, Jun M.D.; Minabe, Toshiharu M.D., Ph.D.

doi : 10.1097/PRS.0000000000009725

Animation deformity is an undesirable complication after subpectoral implant reconstruction and is defined as skin distortion during activation of the pectoralis major muscle.

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Nipple-Sparing Mastectomy and Immediate Reconstruction: A Propensity Score-Matched Analysis of Satisfaction and Quality of Life.

Kokosis, George M.D.; Stern, Carrie S. M.D.; Shamsunder, Meghana G. M.P.H.; Polanco, Thais O. M.D.; Patel, Vaidehi M. B.A.; Slutsky, Hanna B.S.; Morrow, Monica M.D.; Moo, Tracy-Ann M.D.; Sacchini, Virgilio M.D.; Coriddi, Michelle R. M.D.; Cordeiro, Peter G. M.D.; Matros, Evan M.D., M.P.H., M.M.Sc.; Pusic, Andrea L. M.D., M.H.S.; Disa, Joseph J. M.D.; Mehrara, Babak J. M.D.; Nelson, Jonas A. M.D., M.P.H.

doi : 10.1097/PRS.0000000000009695

Although it is intuitive that nipple-sparing mastectomy in selected patients would result in excellent cosmetic outcomes and high patient satisfaction, studies of clinical outcomes and health-related quality of life are limited and show mixed results.

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Clinical Evaluation of Safety and Efficacy of Radiofrequency-Assisted Lipolysis on Breast Envelope and Nipple-Areola Complex Position.

Unger, Jacob G. M.D.; Agochukwu-Nwubah, Nneamaka M.D.; Theodorou, Spero M.D.; Maxwell, G. Patrick M.D.

doi : 10.1097/PRS.0000000000009729

Breast ptosis as a result of pregnancy and/or breastfeeding, age, genetics, and weight loss is a common complaint among women visiting a plastic surgeon.

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Opioid Coprescribing with Sedatives after Implant-Based Breast Reconstruction.

Santosa, Katherine B. M.D., M.S.; Wang, Christine S. M.D.; Hu, Hsou-Mei Ph.D., M.B.A., M.H.S.; Mullen, Connor R. M.D.; Brummett, Chad M. M.D.; Englesbe, Michael J. M.D.; Bicket, Mark C. M.D., Ph.D.; Myers, Paige L. M.D.; Waljee, Jennifer F. M.D., M.P.H., M.S.

doi : 10.1097/PRS.0000000000009726

Skeletal muscle relaxants and benzodiazepines are thought to mitigate against postoperative muscle contraction. The Centers for Disease Control and Prevention and the Food and Drug Administration warn against coprescribing them with opioids because of increased risks of overdose and death.

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Risk Factors Associated with Severe Macromastia among Adolescents and Young Women.

Massey, Gabrielle G. B.S.; Firriolo, Joseph M. M.D.; Nuzzi, Laura C. B.A.; Pramanick, Tannishtha B.A.; Malloy, Shannon M. B.S.; DiVasta, Amy D. M.D., M.M.Sc.; Labow, Brian I. M.D.

doi : 10.1097/PRS.0000000000009719

Macromastia is common among adolescents and young women and has well-documented negative physical and psychosocial effects. The pathogenesis of idiopathic macromastia has been attributed to increased end organ sensitivity to circulating gonadal hormones.

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Modifications of the LICAP/LTAP Flap Technique in Partial Breast Reconstruction for Difficult Tumor Locations.

Zhygulin, Andrii M.D.; Fedosov, Artem M.D.; Palytsia, Valentyn M.D.

doi : 10.1097/PRS.0000000000009697

The authors propose modifications of the lateral thoracic artery perforator/lateral intercostal artery perforator flap partial breast reconstruction that can help achieve improved aesthetic results, especially for centrally and medially located tumors.

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Asymmetric Four-Flap Breast Reconstruction with DIEP Flaps and PAP Flaps.

Evgeniou, Evgenious M.D.; Teotia, Sumeet S. M.D.; Haddock, Nicholas T. M.D.

doi : 10.1097/PRS.0000000000009700

Autologous breast reconstruction is considered superior to alloplastic options. In cases of large-volume breast reconstruction, stacked flaps from a single area or multiple donor areas are required.

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Restylane Lyft for Aesthetic Shaping of the Nasal Dorsum and Radix: A Randomized, No-Treatment Control, Multicenter Study.

Wang, Xiaojun M.D.; Li, Bi M.D.; Li, Qin M.D.

doi : 10.1097/PRS.0000000000009732

Hyaluronic acid fillers are widely used in nonsurgical rhinoplasty. Methods: The authors performed a no-treatment control, multicenter, 12-month follow-up study to evaluate efficacy and safety of Restylane Lyft (Galderma, Uppsala, Sweden) in shaping the nasal dorsum and radix.

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A Randomized Trial to Assess Effectiveness and Safety of a Hyaluronic Acid Filler for Chin Augmentation and Correction of Chin Retrusion.

Marcus, Keith M.D.; Moradi, Amir M.D.; Kaufman-Janette, Joely M.D.; Ablon, Glynis M.D.; Donofrio, Lisa M.D.; Chapas, Anne M.D.; Kazin, Rebecca M.D.; Rivkin, Alexander M.D.; Rohrich, Rod J. M.D.; Weiss, Robert M.D.; George, Rosalyn M.D.

doi : 10.1097/PRS.0000000000009733

The chin is important for facial appearance, affecting overall balance and harmony of the face. The purpose of this study was to evaluate effectiveness of the hyaluronic acid filler Restylane Defyne for chin augmentation and correction of chin retrusion versus a no-treatment control.

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Facial Scars: Do Position and Orientation Matter?.

Zapatero, Zachary D. M.D.; Workman, Clifford I. Ph.D.; Kalmar, Christopher L. M.D., M.B.A.; Humphries, Stacey Ph.D.; Kosyk, Mychajlo S. M.D.; Carlson, Anna R. M.D.; Swanson, Jordan W. M.D., M.Sc.; Chatterjee, Anjan M.D.; Taylor, Jesse A. M.D.

doi : 10.1097/PRS.0000000000009728

This study tested the core tenets of how facial scars are perceived by characterizing layperson response to faces with scars. The authors predicted that scars closer to highly viewed structures of the face (i.e., upper lip and lower lid), scars aligned against resting facial tension lines, and scars in the middle of anatomical subunits of the face would be rated less favorably.

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Effectiveness of Botulinum Toxin Type A Injection on Scars: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Li, Man-Yun M.D.; Chiu, Wen-Kuan M.D., Ph.D.; Wang, Hsian-Jenn M.D.; Chen, I-Fan Ph.D.; Chen, Jin-Hua Ph.D.; Chang, Ta-Pang B.S.; Ko, Yu Ph.D.; Chen, Chiehfeng M.D., Ph.D.

doi : 10.1097/PRS.0000000000009742

Scars can cause pain, long-term physical dysfunction, and psychological harm. Botulinum toxin type A (BoNT-A) is one treatment choice for scars, but further evidence is needed to confirm its efficacy.

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Decision-Making Algorithm for Advanced Excisional Body Contouring: Dynamic Definition Solutions for Skin Laxity.

Hoyos, Alfredo E. M.D.; Perez, Mauricio E. M.D.; Mogollon, Ivan R. M.D.; Arcila, Andres M.D.

doi : 10.1097/PRS.0000000000009740

Excisional body contour surgery is the cornerstone treatment for skin laxity. Decision-making can be challenging when selecting the procedure. Dynamic definition liposculpture allows the surgeon to carve the underlying anatomy and provide more natural results, in which umbilical shape and position play a crucial role.

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The Objective Buttocks Assessment Scale: A New and Complete Method to Assess the Gluteal Region.

Roccaro, Giovanni M.D.; Hersant, Barbara M.D., Ph.D.; Pensato, Rosita M.D.; Pizza, Chiara M.D.; Rega, Umberto M.D.; D'Andrea, Francesco M.D.; Meningaud, Jean Paul M.D., Ph.D.; La Padula, Simone M.D., Ph.D.

doi : 10.1097/PRS.0000000000009730

New treatment methods to improve and enhance the appearance of the buttocks require globally accepted scales for aesthetic research and patient evaluation. The purpose of this study was to develop a set of grading scales for objective assessment of the gluteal region and assess their reliability and validity.

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Rhinoplasty in the COVID-19 Era: Practice and Safety Considerations.

Rohrich, Rod J. M.D.; Abraham, Jasson T. M.D.; Alleyne, Brendan M.D.; Bellamy, Justin M.D.

doi : 10.1097/PRS.0000000000009720

The COVID-19 pandemic has required changes in health care practices to decrease the risk of disease transmission during the provision of medical care. The risk of transmission is high in procedures involving the nasopharyngeal and oropharyngeal tissues.

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Use of the Novel Hourglass Shaping Sutures to Create a Natural Middle Vault Shape as Illustrated by Three-Dimensional Modeling.

Racy, Emmanuel M.D.; Edery, Nathanel M.D.; Fanous, Amanda M.D.; Benmoussa, Nadia M.D., Ph.D.

doi : 10.1097/PRS.0000000000009731

The middle vault plays a major aesthetic and functional role. Excessive narrowing of the middle vault can occur in the absence of appropriate middle vault reconstruction.

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Regional-Controlled Tissue Expanders Increase Skin Expansion and Thickness Compared to Standard Tissue Expanders in a Rat Model.

Xiong, Zhezhen M.D.; Chen, Yahong M.D., Ph.D.; Xu, Peng M.D., Ph.D.; Chen, Chuhsin M.D.; Xie, Yun M.D., Ph.D.; Chang, Yu Ph.D.; Pan, Tingrui Ph.D.; Liu, Kai M.D., Ph.D.

doi : 10.1097/PRS.0000000000009739

Skin and soft-tissue expansion are widely used. However, the existing methods cannot expand targeted areas on the top flap. Thus, the authors developed a new expander with a partially thickened top.

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Short-Term Administration of HIV Protease Inhibitor Saquinavir Improves Skull Bone Healing with Enhanced Osteoclastogenesis.

Liu, Haixia M.Phil.; Shen, Yun Ph.D.; Zhao, Bingkun Ph.D.; Poon, Enoch H. B.Sc.; Qi, Shengcai Ph.D.; Ker, Dai Fei Elmer Ph.D.; Billiar, Timothy R. M.D.; Cooper, Gregory M. Ph.D.; Xu, Yuanzhi Ph.D.; Wang, Dan Ph.D.

doi : 10.1097/PRS.0000000000009734

Using immunomodulatory methods to address the challenging issue of craniofacial bone repair may be a potentially effective approach.

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A Quality Collaborative Study of the Concordance of Electrodiagnostic Scores and Clinical Severity in Carpal Tunnel Syndrome.

Billig, Jessica I. M.D.; Kotsis, Sandra V. M.P.H.; Ouyang, Zhongzhe M.S.; Wang, Lu Ph.D.; Chung, Kevin C. M.D., M.S.; Michigan Collaborative Hand Initiative for Quality in Surgery Collaborators; The members of the Michigan Collaborative Hand Initiative for Quality in Surgery are as follows: Study coordinators: Natalie Baxter (University of Michigan); Christian Cuevas (Indiana University Health); Karen Wasil and Brooke Marshall (University of Pittsburgh); Carter Gunn (OrthoCarolina Hand Center); Ike Fleming, Imran Yousaf, Kezia Alexander, Pragna Shetty, Lumanti Manandhar, Flossine Brown, and Alessandra Butanis (Curtis National Hand Center at MedStar Union Memorial Hospital); Alexander Dawes (Emory Orthopaedics, Sports & Spine); Raechel Argento (University of Rochester); Rachel Bordelon (Wake Forest Baptist Health); and Taylor Trentadue (Mayo Clinic). Study collaborators: Joshua Adkinson, M.D., John Fowler, M.D., R. Glenn Gaston, M.D., Aviram Giladi, M.D., M.S., Michael Gottschalk, M.D., Warren Hammert, D.D.S., M.D., Ryan Katz, M.D., Zhongyu John Li, M.D., Ph.D., Marco Rizzo, M.D., and Eric Wagner, M.D., M.S.

doi : 10.1097/PRS.0000000000009675

Electrodiagnostic studies are commonly used to diagnose carpal tunnel syndrome. However, these examinations are prone to false-positive and false-negative values.

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Patient Perspectives after Trapeziectomy and Ligament Reconstruction Tendon Interposition: A Qualitative Analysis.

Stepan, Jeffrey G. M.D., M.Sc.; Rolf, Liz B.L.S.; Zhu, Eric B.A.; Brody, Madison B.A.; Landau, Andrew J. M.D.; Calfee, Ryan P. M.D., M.Sc.; Dy, Christopher J. M.D., M.P.H.

doi : 10.1097/PRS.0000000000009676

The authors aimed to explore patients' perioperative experience after trapeziectomy and ligament reconstruction tendon interposition through semistructured patient interviews to identify deficiencies in preoperative patient counseling.

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A New Standardized Clinical Model for Evaluation of Nerve Guides: A Single-Blinded Randomized Controlled Prospective Study.

Dastagir, Khaled M.D.; Radtke, Christine M.D., Ph.D.; Dastagir, Nadjib Ph.D.; Bucan, Vesna Ph.D.; Strau[latin sharp s], Sarah Ph.D.; Jokuszies, Andreas M.D.; Maria Vogt, Peter M.D.

doi : 10.1097/PRS.0000000000009677

Autologous nerve transplantation is the accepted clinical standard for reconstruction of peripheral nerve defects. Bioengineered nerve guides as an alternative to autologous nerve transplantation have been described in previous studies and several different types are commercially available.

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Long-Term Outcomes of Arthroscope-Assisted Bone-Ligament-Bone Reconstruction for Nonstatic Scapholunate Ligament Injury.

Della Rosa, Norman M.D.; Bertozzi, Nicolo M.D.; Annoscia, Paolo M.D.; Adani, Roberto M.D.

doi : 10.1097/PRS.0000000000009736

Scapholunate ligament injury is the most common cause of carpal instability. This retrospective case series aimed to assess the effectiveness and the maintenance of the results obtained by reconstructing the scapholunate ligament with a bone-ligament-bone autograft through an arthroscope-assisted minimally invasive approach.

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Longitudinal Outpatient and School-Based Service Use among Children with Nonsyndromic Craniosynostosis.

Peck, Connor J. B.S.; Junn, Alexandra B.A.; Park, Kitae E. M.D.; Khetpal, Sumun M.D.; Cabrejo, Raysa M.D.; Singh, Anusha M.D.; Mayes, Linda M.D.; Alperovich, Michael M.D., M.Sc.; Persing, John A. M.D.

doi : 10.1097/PRS.0000000000009678

Although nonsyndromic craniosynostosis has been associated with neurodevelopmental sequelae, a lesser amount of emphasis has been placed on the need for related supportive services.

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Discussion: Longitudinal Outpatient and School-Based Service Use among Children with Nonsyndromic Craniosynostosis.

Cho, Daniel Y. M.D., Ph.D.; Taylor, Jesse A. M.D.

doi : 10.1097/PRS.0000000000009679

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Pediatric Outcomes following Cranial Vault Remodeling with Restricted Use of Postoperative Narcotics: A Retrospective Review.

Smith, Kayla J. M.D.; Cimaroli, Sawyer B.S.; Loo, Rory B.S.; Havlik, Robert J. M.D.; Denny, Arlen D. M.D.; Klement, Kristen A. M.D.

doi : 10.1097/PRS.0000000000009696

The appropriate use of narcotics for postoperative pain control is controversial because of potential medication-induced complications. The authors sought to determine the effects of narcotics in the pediatric population following cranial vault remodeling operations.

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Sirenomelia: Review of a Rare Syndrome with Case Report, Review of Anatomy, and Thoughts on Management.

Pederson, William C. M.D.; Phillips, William A. M.D.; Jalalabadi, Faryan M.D.; White, Lindsey P.A.-C.; Reece, Edward M.D.

doi : 10.1097/PRS.0000000000009737

Sirenomelia is a rare syndrome in which the infant is born with the legs fused from the pelvis to the feet. Sirenomelia is often fatal in the neonatal period because of multiple other anomalies.

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Does Presurgical Taping Change Nose and Lip Aesthetics in Infants with Unilateral Cleft Lip and Palate? A Randomized Controlled Trial.

Abd El-Ghafour, Mohamed B.D.S., M.Sc., Ph.D., M.Orth.; Aboulhassan, Mamdouh A. M.D.; El-Beialy, Amr Ragab B.D.S., M.Sc., Ph.D., M.Orth.; Fayed, Mona M. Salah B.D.S., M.Sc., Ph.D.; Eid, Faten Hussein Kamel B.D.S., M.Sc., Ph.D.; Emara, Dawlat M.D.; El-Gendi, Mahmoud B.D.S., M.Sc.

doi : 10.1097/PRS.0000000000009738

The aim of this randomized controlled trial was to assess the effectiveness of taping alone in changing nose and lip aesthetics in infants with unilateral complete cleft lip and palate before and after surgical lip repair.

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Migraine Headaches in Patients with Upper Extremity Compressive Neuropathy.

Gfrerer, Lisa M.D., Ph.D.; Lans, Jonathan M.D., Ph.D.; Chartier, Christian M.D.; Wenzinger, Eric M.D.; Austen, William G. Jr. M.D.; Eberlin, Kyle R. M.D.

doi : 10.1097/PRS.0000000000009684

Upper extremity nerve compression syndromes and migraines caused by nerve entrapment have many similarities, including patient presentation, anatomical findings, and treatment by surgical decompression of affected nerves.

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Are There Other Muscle Fibers on the Orbicularis Oris Muscle in the Upper Lip?.

Park, Jung-Ah M.D.; Rho, Nark Kyung M.D.; Lee, Hye-In M.S.; Yeo, In-Seung M.S.; Koh, Ki-Seok Ph.D.; Song, Wu-Chul M.D., Ph.D.

doi : 10.1097/PRS.0000000000009685

The elevator muscles of the upper lip are the levator labii superioris alaeque nasi, levator labii superioris, and zygomaticus minor muscles, which function by means of their insertions into the skin of the upper lip. However, many textbooks and journal articles state that no muscle fibers are present on the orbicularis oris muscle in the upper lip. The elevator muscles of the upper lip are the levator labii superioris alaeque nasi, levator labii superioris, and zygomaticus minor muscles, which function by means of their insertions into the skin of the upper lip. However, many textbooks and journal articles state that no muscle fibers are present on the orbicularis oris muscle in the upper lip.

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Negative-Pressure Wound Therapy Improves Take Rate of Skin Graft in Irregular, High-Mobility Areas: A Randomized Controlled Trial.

Cao, Xiaoling M.D., Ph.D.; Hu, Zhicheng M.D., Ph.D.; Zhang, Yi M.D., Ph.D.; Wang, Peng M.D., Ph.D.; Huang, Shaobin M.D.; Zhu, Wenkai B.S.; Dong, Yunxian M.D., Ph.D.; Xu, Hailin M.D.; Tang, Bing M.D., Ph.D.; Zhu, Jiayuan M.D., Ph.D.

doi : 10.1097/PRS.0000000000009704

Tie-over bolster dressing to secure a skin graft is associated with low graft take rates in irregular, high-mobility areas and suboptimal recipient wound beds.

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An Algorithmic Approach to Umbilical Inset during DIEP Flap Reconstruction.

Schultz, Kelly P. M.D.; Mentz, James A. B.A.; Reece, Edward M.D., M.B.A.; Chu, Carrie K. M.D., M.S.; Vorstenbosch, Joshua M.D., Ph.D.; Winocour, Sebastian J. M.D., M.Sc.

doi : 10.1097/PRS.0000000000009698

An aesthetically pleasing umbilicus is a critical component to the overall cosmesis and resultant patient satisfaction after deep inferior epigastric artery perforator (DIEP) flap breast reconstruction.

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Does Lower Extremity Nerve Decompression Surgery Improve Quality of Life?.

Fakkel, Tirzah M. M.D.; Rinkel, Willem D. M.D., Ph.D.; Henk Coert, J. M.D., Ph.D.

doi : 10.1097/PRS.0000000000009699

Entrapment neuropathies are more prevalent in patients with diabetes than in healthy patients. The aim of this study was to assess the effects of lower extremity nerve decompression surgery on quality of life and clarify predictors of this surgical outcome and the incidence of surgical site problems.

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Postburn Reconstruction of the Face and Neck.

Sabapathy, S. Raja M.Ch.; Shanmugakrishnan, R. Raja D.N.B.; Ramkumar, Sanjai D.N.B.; Muthukumar, Vamseedharan M.Ch.; Senthilkumaran, M. M.Ch.; Bharathi, R. Ravindra M.Ch.

doi : 10.1097/PRS.0000000000009690

After studying this article, the participant should be able to: 1. Understand the cardinal principles in the management of postburn deformities in the face and neck. 2. Understand reconstruction of specific subsites in the face and neck affected by burn contracture. 3. Acquire knowledge about the various techniques of burn reconstruction of the face and neck. 4. Grasp technical nuances and select appropriate surgical options for individual cases.

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Catch-22: Acellular Dermal Matrix and U.S. Food and Drug Administration Premarket Approval-How Can We Construct Studies?.

Boyd, Carter J. M.D., M.B.A.; Bekisz, Jonathan M. M.D., M.Sci.; Choi, Mihye M.D.; Karp, Nolan S. M.D.

doi : 10.1097/PRS.0000000000009701

As a biologic product derived from human tissue, acellular dermal matrices did not require premarket approval for their initial use as a soft-tissue support product. Since their first use in breast surgery, acellular dermal matrices have allowed for numerous advances in breast reconstruction.

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Fat Grafting as Regenerative Surgery: A Current Review.

Firriolo, Joseph M. M.D.; Conde-Green, Alexandra M.D.; Pu, Lee L. Q. M.D., Ph.D.

doi : 10.1097/PRS.0000000000009710

Autologous fat grafting has long been regarded as an ideal filler, lauded for its ability to restore soft-tissue contour. In recent times, fat grafting has exhibited regenerative capacity, largely secondary to the action of adipose-derived stem cells and preadipocytes in the stromal vascular fraction of adipose tissue.

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Cross-Sectional Analysis of Instagram Use in American Plastic Surgery Practices.

Sultan, Darren L. M.D.; Nazarian, Sheila S. M.D., M.M.M.; Furnas, Heather J. M.D.; Amalfi, Ashley N. M.D.; Perrotti, John B.A., M.B.A.; Clappier, Mona B.A.; Siddiqui, Sabrina; Suydam, Rebecca B.A.; Barnett, Sarah B.A.; Tanna, Neil M.D., M.B.A.

doi : 10.1097/PRS.0000000000009702

The growth of social media has transformed advertising within plastic surgery. Recent studies have characterized these developments, but objective analysis is needed.

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Physician Loans: Understanding and Overcoming an Epidemic.

Manisundaram, Arvind D. M.D.; Nagai, Michael Y. M.D., D.D.S.; Frey, Jordan D. M.D.

doi : 10.1097/PRS.0000000000009712

Plastic surgeons face increasing financial pressure from debt, largely in two forms: education and practice loans. The authors aim to provide perspective and context when assessing their individual situations while providing straightforward and evidence-based guidance for plastic surgeons to effectively manage their physician loan burden.

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How to Review a Paper.

Chung, Kevin C. M.D., M.S.; Colwell, Amy S. M.D.

doi : 10.1097/PRS.0000000000009727

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Preparing Adipogenic Hydrogel with Neo-Mechanical Isolated Adipose-Derived Extracellular Vesicles for Adipose Tissue Engineering.

Yan, Quanding M.D.; Hu, Yiming M.D.; Wang, Xiancheng M.D., Ph.D.

doi : 10.1097/PRS.0000000000009686

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Reply: Preparing Adipogenic Hydrogel with Neo-Mechanical Isolated Adipose-Derived Extracellular Vesicles for Adipose Tissue Engineering.

Zhu, Yuan-zheng M.D.; Yi, Yang-yan M.D.

doi : 10.1097/PRS.0000000000009687

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Management of Calcified Cephalohematoma of Infancy: The University of Michigan 25-Year Experience.

Blanc, Fabian M.Sc.; Captier, Guillaume M.D., Ph.D.

doi : 10.1097/PRS.0000000000009713

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Reply: Management of Calcified Cephalohematoma of Infancy: The University of Michigan 25-Year Experience.

Ulma, Raquel M. D.D.S., M.D.; Buchman, Steven R. M.D.

doi : 10.1097/PRS.0000000000009714

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Secondary Rhinoplasty for Unilateral Cleft Nasal Deformity.

Dong, Wenfang M.D.; Xu, Yihao M.D.; Fan, Fei M.D.

doi : 10.1097/PRS.0000000000009703

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Beyond the Scalpel: Attracting and Nurturing Surgeon-Scientists in Plastic Surgery.

Blum, Jessica D. M.Sc.; Cho, Daniel Y. M.D., Ph.D.; Taylor, Jesse A. M.D.

doi : 10.1097/PRS.0000000000009705

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Medial Retraction for Internal Mammary Vessel Exposure: The Struggle Is No Longer Real.

Shuck, John W. M.D.; Ellsworth, Warren A. M.D.; Echo, Anthony M.D.; Spiegel, Aldona J. M.D.

doi : 10.1097/PRS.0000000000009706

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Comparison between Penetration Forces for a 25-Gauge Cannula to Perforate an Artery at 45-Degree and 90-Degree Angles.

Tansatit, Tanvaa M.D., M.Sc.; Uruwan, Sukanya M.Sc.; Rungsawang, Chalermquan Ph.D.

doi : 10.1097/PRS.0000000000009722

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Ultrasound-Assisted Abdominal Etching Preoperative Planning.

Rosique, Rodrigo G. M.D., Ph.D.; Rosique, Marina J. F. M.D., Ph.D.

doi : 10.1097/PRS.0000000000009707

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How We Do It: Prevention of Postoperative Scarring after Nerve Decompression for Migraine-Like Headaches.

Vofo, Gaelle M.D.; Weinberger, Jeffrey M.D.; Margolis, Alex M.D.; Eliashar, Ron M.D.; Linetsky, Eduard M.D.; Armon, Noam M.D.

doi : 10.1097/PRS.0000000000009709

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Anterior Supraclavicular Artery Perforator Flap for Large Pediatric Congenital Facial Lesions.

Kalmar, Christopher L. M.D., M.B.A.; Jackson, Oksana A. M.D.; Low, David W. M.D.

doi : 10.1097/PRS.0000000000009691

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Omentum as a Vascular Carrier for Salvage Thoracic Spine Osseous Reconstruction.

Shahzad, Farooq M.B.B.S., M.S.; Vaynrub, Max M.D.; Nelson, Jonas M.D., M.P.H.; Bott, Matthew M.D.; Mehrara, Babak M.D.

doi : 10.1097/PRS.0000000000009716

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Virtual Has Become the Reality: Shifting Applicant Attitudes toward Virtual Plastic Surgery Residency Interviews.

Bhagat, Neel B.S.; Bamba, Ravinder M.D.; Gross, Jeffrey M.D.; Hassanein, Aladdin H. M.D., M.M.Sc.; Wooden, William A. M.D.

doi : 10.1097/PRS.0000000000009717

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Evaluating the Plastic Surgery Match: The Impact of Geography and Prestige.

Shahriari, Shawhin M.D.; Whisonant, Cees M.D.; Harrison, Joshua M.D.; Ederle, Amanda M.D.; Marley, Samantha M.D.; Dowdy-Sue, Hannah M.D.; Borah, Gregory M.D.

doi : 10.1097/PRS.0000000000009715

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Evaluating the ACAPS Standardized Letter of Recommendation for Application to Plastic Surgery Residency: Usefulness and Patterns.

Tolley, Philip D. M.D.; Yu, Jenny L. M.D.; Cho, Daniel Y. M.D., Ph.D.; Thrikutam, Nikki M.D.; Eble, Danielle M.D.; Shih, Johnathan M.D.; Leonhard, Vanessa D.O.; Friedrich, Jeffrey M.D., M.C.

doi : 10.1097/PRS.0000000000009711

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Not All Is Lost: Career Options for Unmatched Plastic Surgery Applicants.

Mohan, Vamsi C. B.S.; Ferry, Andrew M. M.D.; Smerica, Abel M. M.D.; Edmonds, Joseph L. Jr.; Maricevich, Renata S. M.D.

doi : 10.1097/PRS.0000000000009689

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The Importance of Diversity in Leadership in Influencing Change in Academic Plastic Surgery and Its Subspecialties.

Plana, Natalie M. M.D.; Smith, Kira L. B.Sc.; Wo, Luccie M. M.D.; Lin, Ines C. M.D., M.S.Ed.; Hui-Chou, Helen G. M.D.

doi : 10.1097/PRS.0000000000009688

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