Plastic and reconstructive surgery
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Plast. Reconstr. Surg. · Sep 2008
Comparative StudyComparison of donor-site morbidity of SIEA, DIEP, and muscle-sparing TRAM flaps for breast reconstruction.
Breast reconstruction is best accomplished with lower abdominal tissue, but this results in abdominal donor-site morbidity. The superficial inferior epigastric artery (SIEA) flap is the least invasive method of lower abdominal flap breast reconstruction; however, there are no published data comparing the donor-site morbidity of SIEA flaps to that of transverse rectus abdominis myocutaneous (TRAM) or deep inferior epigastric artery perforator (DIEP) flaps. ⋯ Breast reconstruction using SIEA flaps results in significantly less abdominal donor-site morbidity than DIEP flaps in bilateral cases and free muscle-sparing TRAM flaps in unilateral and bilateral cases. These are clinically relevant differences that are perceived by patients and lead to the authors' recommendation to use SIEA flaps for breast reconstruction when possible to minimize abdominal donor-site morbidity.
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Closure of calvarial defects in children is problematic because the supply of autologous bone is limited and alloplastic materials are not advocated. The authors previously showed that cranial particulate bone graft applied over the coronal gap during primary fronto-orbital advancement reduced the incidence of residual osseous defects. The purpose of this study was to determine the effectiveness of particulate bone graft for established calvarial defects. ⋯ Inlay autologous cranial particulate bone graft effectively heals established cranial defects in children. Particulate bone graft can be harvested in infants and young children, does not require neurosurgical assistance, and has minimal morbidity.
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Plast. Reconstr. Surg. · Aug 2008
Editorial Case ReportsHydrosurgical tangential excision of partial-thickness hand burns.
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Plast. Reconstr. Surg. · Aug 2008
Biography Historical ArticleGain without pain: the dawn of elective surgery.
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Plast. Reconstr. Surg. · Aug 2008
Comparative Study360-degree evaluations of plastic surgery resident accreditation council for graduate medical education competencies: experience using a short form.
The Accreditation Council for Graduate Medical Education has asked training programs to develop methods to evaluate resident performance, using competencies essential for outcomes. ⋯ Resident performance is rated differently by health care professionals, in two distinct groups. Based on this clustered arrangement, the resident is able quarterly to enjoy two, independent, formative assessments, potentially over 6 years of integrated training.