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Αλέξανδρος Γ. Σφακιανάκης

Saturday, June 29, 2019

Impact of the unremoved peri-implant capsule and subtotal capsulectomy on the nasal length after extracting nasal silicone implant
Background: Little is known regarding nasal deformities after post-rhinoplasty silicone implant extraction, including the contributory factors such as unremoved peri-implant capsule. This study investigated whether the retained capsule causes contracture and short nose deformity after silicone implant removal, and if so the capsulectomy was effective in preventing and correcting that deformity. Methods: Between May 2015 and June 2017, a total of 103 patients underwent secondary surgery for...
Plastic and Reconstructive Surgery - Published Ahead-of-Print
16h
Preoperative perforator mapping in SGAP flap, does the MRI make the difference?
Introduction: Preoperative vascular mapping has emerged as an excellent adjunct to perforator flap surgery and has resulted in improving operative time while aiding the surgeon in the selection of the ideal perforator. This study aimed to evaluate the effect of preoperative vascular mapping by magnetic resonance imaging (MRI) to identify tissue for a superior gluteal artery perforator (SGAP) flap on total operative time and to compare radiological mapping by MRI with Doppler ultrasonography for...
Plastic and Reconstructive Surgery - Published Ahead-of-Print
16h
A Growing Epidemic: Plastic Surgeons and Burnout – A Literature Review
Background: The prevalence of burnout is increasing among all physicians, including plastic surgeons. Burnout is not simply synonymous with being overworked. It is a complex physical, intellectual and psychological entity that arises when the expectation and reality of the job do not match. In this article, our goal is to define burnout, summarize its causes and consequences, and offer the plastic surgeons methods to prevent and address it Methods: A literature search of articles on burnout...
Plastic and Reconstructive Surgery - Published Ahead-of-Print
16h
“Minced Skin Grafting for Promoting Wound Healing and Improving Donor Site Appearance after Split-thickness Skin Grafting: A Prospective Half-side Comparative Trial”
Background: Minced skin grafting (MG) is a procedure that involves mincing of the harvested skin and grafting it back onto the wounds. We aimed to investigate whether MG reduces the healing time and improves the sequential postoperative appearance of donor sites. Methods: A single-center, two-treatment, half-side comparative study was performed. The split-thickness skin remaining after grafting was minced until pasty. The small pasty graft mass was uniformly spread on half of the entire donor...
Plastic and Reconstructive Surgery - Published Ahead-of-Print
16h
A Simplified Cost-Utility Analysis of Inpatient Flap Monitoring after Microsurgical Breast Reconstruction and Implications for Hospital Length of Stay
INTRODUCTION: The number of free flap takebacks and successful salvages following microsurgical breast reconstruction (MBR) decreases as time from surgery increases. As a result, the cost of extended inpatient monitoring to achieve a successful flap salvage rises rapidly with each additional postoperative day. This study introduces a simplified cost-utility model of inpatient flap monitoring and identifies when cost-utility exceeds the thresholds established for other medical treatments. METHODS:...
Plastic and Reconstructive Surgery - Published Ahead-of-Print
16h
Conflict of Interest at Plastic Surgery Conferences- Is it Significant?
Background: The Physician Payment Sunshine Act requires biomedical companies to disclose financial relationship between themselves and physicians. We compared the amount of money received by speakers at the American Society of Plastic Surgeons (ASPS), and the American Society of Aesthetic Plastic Surgeons (ASAPS) annual conferences with the average plastic surgeon. Methods: General payments data was gathered from the Open Physician Payments Database for physicians listed as a presenter, moderator,...
Plastic and Reconstructive Surgery - Published Ahead-of-Print
16h

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