Plastic and reconstructive surgery
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Plast. Reconstr. Surg. · Mar 2018
Consensus of Leaders in Plastic Surgery: Identifying Procedural Competencies for Canadian Plastic Surgery Residency Training Using a Modified Delphi Technique.
Transitioning to competency-based surgical training will require consensus regarding the scope of plastic surgery and expectations of operative ability for graduating residents. Identifying surgical procedures experts deemed most important in preparing graduates for independent practice (i.e., "core" procedures), and those that are less important or deemed more appropriate for fellowship training (i.e., "noncore" procedures), will focus instructional and assessment efforts. ⋯ This study provides clarity regarding which procedures plastic surgery experts deem most important for preparing graduates for independent practice. The list represents a snapshot of expert opinion regarding the current training environment. As our specialty grows and changes, this information will need to be periodically revisited.
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Plast. Reconstr. Surg. · Mar 2018
Alternative Metrics of Scholarly Output: The Relationship among Altmetric Score, Mendeley Reader Score, Citations, and Downloads in Plastic and Reconstructive Surgery.
The impact of scholarly output is typically measured by the number of citations and, more recently, downloads. Newer metrics have been developed to reflect digital dissemination of knowledge such as the Altmetric and Mendeley reader scores. This article examines the relationship among citations, download rates, Altmetric scores, and Mendeley reader scores in Plastic and Reconstructive Surgery. ⋯ With the growing public desire for evidence-based publications, our study quantifies the unique nature of Altmetric score while discouraging its use in isolation. Download rates are a more rapid measure of publication impact compared with citation number. Mendeley readership is also promising as an alternative index.
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Orthognathic surgery can significantly impact the nasolabial envelope, and at times requires an adjunctive rhinoplasty. The purpose of this study was to evaluate nasal morphology in orthognathic patients, focusing on predictive variables, and the need for and timing of definitive rhinoplasty. Based on these data, an algorithm for the implementation of adjunctive rhinoplasty is proposed. ⋯ Nasal and jaw deformities are intricately interlinked. In this series, the authors identified patterns requiring adjunctive rhinoplasty in the setting of orthognathic surgery. The authors present an algorithm to extensively treat the nasomaxillofacial relationship using orthognathic surgery alone, orthognathic surgery in concert with rhinoplasty, or orthognathic surgery followed by staged rhinoplasty.
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Plast. Reconstr. Surg. · Feb 2018
ReviewThe Role of Tranexamic Acid in Plastic Surgery: Review and Technical Considerations.
Minimizing blood loss during surgery is critical, and many modalities have been used to decrease unwanted surgical bleeding. Among many methods, use of pharmacologic agents such as antifibrinolytic drugs has been shown to significantly reduce blood loss and the rates of postoperative blood transfusion in many articles. ⋯ Nevertheless, there are significant benefits to be gained from the use of antifibrinolytic drugs in the full range of plastic surgery. In this article, the authors introduce the benefits, dosages, and technical considerations of using tranexamic acid in plastic surgery procedures.
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Plast. Reconstr. Surg. · Feb 2018
Percutaneous Mesh Expansion: A Regenerative Wound Closure Alternative.
Puncture wounds in the 1-mm range usually heal without scars. Stacking rows of these punctures offers a scarless method to generate tissue by mesh expansion. The authors developed a percutaneous mesh expansion procedure and present their experience for its wound closure application. ⋯ Therapeutic, IV.