Articles: surgery.
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Plast. Reconstr. Surg. · May 2008
Historical ArticlePlastic Surgery Classics: characteristics of 50 top-cited articles in four Plastic Surgery Journals since 1946.
Citation of published articles by peers provides an indication of the relevance of the scientific work. Still, it is unknown what kinds of plastic surgery articles are cited most often. The authors set out to identify the characteristics of the 50 top-cited articles as published in four international, peer-reviewed, PubMed-indexed general plastic surgery journals. ⋯ An article featuring a clinical or nonclinical innovation, observation, or discovery that leads to clinical improvement has the best potential to become a "classic."
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Innovations (Phila) · May 2008
Preoperative hemoglobin a1c predicts sternal wound infection after coronary artery bypass surgery with bilateral versus single internal thoracic artery grafts.
: Bilateral internal thoracic artery (BITA) grafting during coronary artery bypass (CABG) improves long-term and event-free survival but may carry a higher risk of wound complications. It is unknown whether preoperative hemoglobin A1c (HbA1c), a measure of long-term glucose control, predicts deep sternal wound infection (DSWI) after BITA grafting. ⋯ : Elevated preoperative HbA1c and BITA grafting were significant predictors of DSWI after CABG. Elevated HbA1c level should be considered in the risk/benefit analysis when selecting patients for BITA grafting.
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J. Oral Maxillofac. Surg. · May 2008
Facial trauma coverage among level-1 trauma centers of the United States.
A large portion of patients admitted to trauma centers present with isolated or concomitant facial injuries. Multiple surgical specialties including oral and maxillofacial, plastic, and otolaryngology/head and neck surgeons are trained and involved in the management of oral and maxillofacial trauma. The purpose of this study is to evaluate the current distribution of different specialties that cover facial trauma among the leading trauma centers in the United States. ⋯ Treatment of facial trauma is an essential and demanding aspect of all the surgical specialties that provide this service. All major trauma centers require the support of facial trauma specialists for management of these injuries. When considering the ratio of surgeons per specialty and the percentage of facial trauma coverage provided by each specialty, oral and maxillofacial surgeons and plastic surgeons provide the greatest proportion of facial trauma coverage among the level-1 trauma centers that participated in the survey.
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The primary goal of drilling procedures for the treatment of osteonecrotic lesions is revascularisation of the defect area. In the literature good results are reported for this technique in 70% of cases. Precise drilling of the necrosed area as part of a minimally invasive technique does, however, require unequivocal intraoperative identification of the region visually, either by arthroscopy or by fluoroscopy. ⋯ In future, we hope it will prove possible to transfer the image data back into the navigation system after they have been merged. At present this is only possible with CT and MRI images. A comparative clinical trial is needed to find to what extent the success rate is improved over that achieved with conventional techniques.