• Title/Summary/Keyword: Plastic Surgery

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Plastic surgery and specialty creep: an analysis of publication trends

  • Mackenzie, Ethan L.;Larson, Jeffrey D.;Poore, Samuel O.
    • Archives of Plastic Surgery
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    • v.48 no.6
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    • pp.651-659
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    • 2021
  • Background Many surgical specialties have had pioneering influences from plastic surgeons. However, many of these areas of practice have evolved to include surgeons from diverse training backgrounds. This raises the question as to whether the prominence of other specialties in clinical practice translates to greater research productivity in these areas. The objective of this paper is to investigate the publication volumes of plastic surgeons in selected areas of practice compared to surgeons from other disciplines. Methods PubMed was used to examine publication trends in areas associated with plastic surgery. Searches for the following topics were performed: head and neck reconstruction, hand surgery, breast reconstruction, ventral hernia repair, abdominal component separation, brachial plexus injury, craniofacial surgery, and aesthetic surgery. Affiliation tags were used to examine contributions from nine specialties. Web of Science was used to identify the top cited articles for the last 10 years in each area. Results Articles by non-plastic surgeons comprise the majority of the literature for all areas of practice studied except for breast reconstruction and aesthetic surgery. Despite this, plastic surgeons contributed the greatest number of top cited articles over the last 10 years for five of the areas of practice. Conclusions While plastic surgeons do not contribute the greatest proportion of articles published each year in several of the selected areas of practice, they do publish a larger number of articles that are the most cited. Plastic surgeons remain the dominant academic force in terms of volume and citations for both breast and aesthetic surgery.

Sternal defect reconstruction using a double-barrel vascularized free fibula flap: a case report

  • Gravina, Paula Rocha;Chang, Daniel K.;Mentz, James A.;Dibbs, Rami Paul;Maricevich, Marco
    • Archives of Plastic Surgery
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    • v.48 no.5
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    • pp.498-502
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    • 2021
  • Total and subtotal sternectomy oncological defects can result in large deficits in the chest wall, disrupting the biomechanics of respiration. Reviewing the current literature involving respiratory function and rib motion after sternectomy, autologous rigid reconstruction was determined to provide the optimal reconstructive option. We describe a novel technique for sternal defect reconstruction utilizing a double-barrel, longitudinally oriented, vascularized free fibula flap associated with rib titanium plates fixation. Our reconstructive approach was able to deliver a physiological reconstruction, providing rigid support and protection while allowing articulation with adjacent ribs and preservation of chest wall mechanics.

3-Dimensional Model Simulation Craniomaxillofacial Surgery using Rapid Prototyping Technique (신속 조형 기술로 제작된 인체모형을 이용한 술전 모의 두개악안면성형수술)

  • Jung, Kyung In;Baek, Rong-Min;Lim, Joo Hwan;Park, Sung Gyu;Heo, Chan Yeong;Kim, Myung Good;Kwon, Soon Sung
    • Archives of Plastic Surgery
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    • v.32 no.6
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    • pp.796-797
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    • 2005
  • In plastic and reconstructive craniomaxillofacial surgery, careful preoperative planning is essential to get a successful outcome. Many craniomaxillofacial surgeons have used imaging modalities like conventional radiographs, computed tomography(CT) and magnetic resonance imaging(MRI) for supporting the planning process. But, there are a lot of limitations in the comprehension of the surgical anatomy with these modalities. Medical models made with rapid prototyping (RP) technique represent a new approach for preoperative planning and simulation surgery. With rapid prototyping models, surgical procedures can be simulated and performed interactively so that surgeon can get a realistic impression of complex structures before surgical intervention. The great advantage of rapid prototyping technique is the precise reproduction of objects from a 3-dimensional reconstruction image as a physical model. Craniomaxillofacial surgeon can establish treatment strategy through preoperative simulation surgery and predict the postoperative result.

Evaluation and treatment of facial feminization surgery: part II. lips, midface, mandible, chin, and laryngeal prominence

  • Dang, Brian N.;Hu, Allison C.;Bertrand, Anthony A.;Chan, Candace H.;Jain, Nirbhay S.;Pfaff, Miles J.;Lee, James C.;Lee, Justine C.
    • Archives of Plastic Surgery
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    • v.49 no.1
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    • pp.5-11
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    • 2022
  • Facial feminization surgery (FFS) refers to a set of procedures aimed at altering the features of a masculine face to achieve a more feminine appearance. In the second part of this two-part series, assessment and operations involving the midface, mandible, and chin, as well as soft tissue modification of the nasolabial complex and chondrolaryngoplasty, are discussed. Finally, we provide a review of the literature on patient-reported outcomes in this population following FFS and suggest a path forward to optimize care for FFS patients.

Inexpensive Materials for Microsurgery in Middle- and Low-Income Countries

  • Pedro Ciudad;Joseph M. Escandon;Edgar Llanos;Juan Ludena;Oscar J. Manrique;Jorge Castro;Rafael Rossi
    • Archives of Plastic Surgery
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    • v.50 no.1
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    • pp.121-124
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    • 2023
  • With the continuous incorporation of new technologies and advancements in surgical technique, microsurgical procedures around the world have generated a higher success rate and innovative procedures are now possible. In this setting, limitations regarding accessibility and acquisition of medical resources and equipment for these types of operations may be difficult in developing countries. We believe the dexterities of surgeons go beyond the surgical technique, meaning that we are able to use everyday materials to re-create affordable solutions that can be used during surgery in a safe way. This manuscript presents our experience with different surgical instruments and gadgets, developed out of necessity, to improve microsurgical interventions in developing countries.

A Longitudinal Study on the Mostly Visited Plastic Surgery Web Sites in 2006~2011 in Korea (다(多) 방문 성형외과 웹 사이트에 대한 종단적 연구 : 2006~2011년)

  • Cho, Yeong Bin;Kim, Chae-Bogk
    • Journal of Information Technology Applications and Management
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    • v.20 no.3_spc
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    • pp.187-199
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    • 2013
  • South Korea became the country where there is the most plastic surgery per person in the world. Plastic surgery already has been the core part in the beauty industry. Therefore, in order to understand the beauty industry, we studied the characteristics of the plastic surgery's websites. From 2006 to 2011, we researched total number of 407 plastic surgery websites including, 166 the most visited plastic surgery websites, 241 comparing of bench mark websites. The collected data was analyzed by using the method of Multiple Discriminant Analysis(MDA). As a result of the research, firstly, the most visited plastic surgery websites were not a contents provider but a community website, secondly, well organized and actively adaptable of the rapid changes from environment. In addition, there were also competitiveness to become the most visited plastic surgery website and by the possibilities, the relatively large size of plastic surgery had high probability to own the most visited website. This research paper is looking forward to be used as the understanding the e-business of the plastic surgery.

Plastic surgery in a trauma center: a multidisciplinary approach for polytrauma patients

  • Kyung-Chul, Moon;Yu-Kyeong, Yun
    • Journal of Trauma and Injury
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    • v.35 no.4
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    • pp.261-267
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    • 2022
  • Purpose: With the increasing number of polytrauma patients treated at high-level trauma centers, plastic surgery has entered the specialty of traumatology. Plastic surgeons specialize in the simultaneous surgical care of patients with facial or hand trauma and soft tissue injuries requiring microsurgery. The purpose of this study was to introduce the role of plastic surgery in a high-level trauma center. Methods: Between January 2020 and December 2020, 5,712 patients with traumatic injuries were admitted to the emergency department of a tertiary hospital. Of these 5,712 patients, 1,578 patients were hospitalized for surgical treatment and/or critical care. Among the 1,578 hospitalized trauma patients, 551 patients (35%) required at least one plastic surgery procedure. The patient variables included age, sex, etiology, the injured area, and injury characteristics. We also retrospectively investigated surgical data such as the duration of the operation, hospital stay, length of time from injury to surgery, and collaboration with other departments. Results: The most common injury referred to plastic surgery was facial trauma (41%), followed by hand trauma (36%), and soft tissue injuries requiring microsurgery in various parts of the body other than the hand (7%). The majority of facial and hand traumas were concomitant injuries. Sixteen percent of patients underwent collaborative surgical management for polytrauma involving both plastic surgery and another department. Conclusions: The role of plastic surgery in multidisciplinary teams at high-level trauma centers has become increasingly important. The results of this study may help in the development of multidisciplinary trauma team strategies and future workforce planning.

Evaluation of Clinical Competence in Plastic Surgery using OSCE(Objective Structured Clinical Examination): 3-Year Experience (객관구조화진료시험을 이용한 성형외과학 진료능력평가: 3년간의 경험)

  • Hwang, Kun;Lee, Se Il
    • Archives of Plastic Surgery
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    • v.32 no.6
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    • pp.675-682
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    • 2005
  • This is the evaluation report of clinical competence of undergraduate medical students in Plastic Surgery field using OSCE(Objective Structured Clinical Examination) executed in three years. OSCE comprises of assessment of subject, choice of clinical stations sampling, identification of components of clinical competence to be evaluated, the level of performance required, development of specification table, editing of OSCE presentation page and assessment of practicability and results exploitation. About fifty students were examined annually. Seven station stimuli with simulated patient participation were carried out. The mean OSCE score was $82.3{\pm}6.19$. The reliability of the total station was 0.72. The examination shows a positive response to the OSCE. Our experience shows OSCE's feasibility for Plastic Surgery during the initial course of education. Referring to our experiences, the Korean Society of Plastic and Reconstructive Surgeons (KPRS) applied the OSCE test for Korean Plastic Surgery Board Certification

Levels of Evidence in the Plastic Surgery Literature: A Citation Analysis of the Top 50 'Classic' Papers

  • Joyce, Kenneth M;Joyce, Cormac W;Kelly, John C;Kelly, Jack L;Carroll, Sean M
    • Archives of Plastic Surgery
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    • v.42 no.4
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    • pp.411-418
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    • 2015
  • Background The plastic surgery literature is vast, consisting of a plethora of diverse articles written by a myriad of illustrious authors. Despite this considerable archive of published material, it remains nebulous as to which precise papers have had the greatest impact on our specialty. The aim of this study was to identify the most cited papers in the plastic surgery literature and perform a citation analysis paying particular attention to the evidence levels of the clinical studies. Methods We identified the 50 most cited papers published in the 20 highest impact plastic surgery journals through the Web of Science. The articles were ranked in order of number of citations acquired and level of evidence assessed. Results The top 50 cited papers were published in six different journals between the years 1957 and 2007. Forty-two of the papers in the top 50 were considered as level IV or V evidence. No level I or II evidence was present in the top 50 list. The average level of evidence of the top 50 papers was 4.28. Conclusions In the plastic surgery literature, no positive correlation exists between a high number of citations and a high level of evidence. Anatomical reconstructive challenges tend to be the main focus of plastic surgery rather than pathologic diseases and consequently, papers with lower levels of evidence are relatively more valuable in plastic surgery than many other specialties.