Articles de revues : « Planning plastic surgery »

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Sandhir, Rakesh Kumar. « FAULTY PLANNING IN PLASTIC SURGERY ». Plastic and Reconstructive Surgery 90, n^o 1 (juillet 1992) : 139–40. http://dx.doi.org/10.1097/00006534-199207000-00038.

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Jinka, Sanjay K. A., et Jeffrey E. Janis. « Publication Times and Integrated Plastic Surgery Applicant Planning ». Plastic and Reconstructive Surgery - Global Open 9, n^o 12 (décembre 2021) : e4057. http://dx.doi.org/10.1097/gox.0000000000004057.

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Saleem, Lakshmi. « Planning of Plastic Surgery Practice to Say Sayonara ». Indian Journal of Plastic Surgery 53, n^o 03 (20 novembre 2020) : 405–8. http://dx.doi.org/10.1055/s-0040-1716431.

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AbstractHaving seen the retired life of our professors both in general and plastic surgery and how lonely and isolated they were toward the end of their lives prompted me to discuss the retirement plans. The retirement from active surgical practice is indeed difficult and more so in plastic surgery. I feel that it needs meticulous planning for setting up a successful practice and when to say sayonara, just like treatment planning of any surgical procedure for perfect execution! At the end of M.Ch training, one should analyze oneself about the goal of the professional life and commit oneself to either a solo/group practice as an independent institutional practice or in a corporate set-up or choose a state/central government set-up with some academic position. A successful plastic surgical practice is every plastic surgeon’s dream and it comprises professional and financial successes with a sense of personal achievement. The factors involved in the selection of practice are family obligations—if parents or spouse are in medical profession with an existing establishment—individual talent, willingness to learn newer techniques, and acceptance of help from the other professional colleagues. At the same time, life needs to be balanced between the professional and family commitments without ignoring either of them with a deep social and community responsibility. But what is the correct time to say sayonara? The timing of retirement is difficult to get right, but the basic additional principle that guides one is “Primum non-nocere”—do no harm—to the receiver.

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Hultman, Charles Scott. « Procedural Portfolio Planning in Plastic Surgery, Part 2 ». Annals of Plastic Surgery 76 (juin 2016) : S347—S351. http://dx.doi.org/10.1097/sap.0000000000000764.

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Hultman, Charles Scott. « Procedural Portfolio Planning in Plastic Surgery, Part 1 ». Annals of Plastic Surgery 76 (juin 2016) : S344—S346. http://dx.doi.org/10.1097/sap.0000000000000772.

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Vyas, Krishna S., Samir Mardini, Linda G. Phillips, Amanda A. Gosman et Henry C. Vasconez. « Financial Planning for the Plastic Surgery Residency Applicant ». Plastic and Reconstructive Surgery 137, n^o 2 (février 2016) : 497e—499e. http://dx.doi.org/10.1097/prs.0000000000002118.

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Bonell, Sarah, Sean C. Murphy et Scott Griffiths. « Under the knife : Unfavorable perceptions of women who seek plastic surgery ». PLOS ONE 16, n^o 9 (7 septembre 2021) : e0257145. http://dx.doi.org/10.1371/journal.pone.0257145.

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Plastic surgery is growing in popularity. Despite this, there has been little exploration to date regarding the psychosocial consequences of seeking plastic surgery. Our study investigated how women seeking plastic surgery are perceived by others. We presented a random sample of 985 adults (men = 54%, Mage = 35.84 years, SDage = 10.59) recruited via Amazon’s Mechanical Turk with a series of experimental stimuli consisting of a photographed woman (attractive versus unattractive) and a vignette describing an activity she plans to engage in (plastic surgery versus control activity). Participants rated stimuli on perceived warmth, competence, morality, and humanness. We ran linear mixed-effect models to assess all study hypotheses. There was a negative plastic surgery effect; that is, women seeking plastic surgery were perceived less favorably than those planning to complete control activities across all outcome variables (warmth, competence, morality, and humanness). These relationships were moderated by physical attractiveness; while attractive women planning to undergo plastic surgery were perceived less favorably than attractive women planning to engage in control activities, perceptions of unattractive individuals remained unchanged by plastic surgery status. We theorized that empathy toward unattractive women seeking plastic surgery mitigated the negative plastic surgery effect for these women. In sum, our results suggest that perceptions of attractive women are worsened when these women decide to seek cosmetic surgery. Perceptions of warmth and competence have implications for an individual’s self-esteem and interpersonal relationships, while perceptions of morality and humanness can impact an individual’s ability to fulfil their psychological needs. As such, we concluded that attractive women seeking plastic surgery are potentially subject to experience negative psychosocial outcomes. Future research ought to examine whether perceptions and outcomes differ for women seeking reconstructive plastic surgery (versus cosmetic plastic surgery) and whether they differ across different types of surgeries (i.e. face versus body).

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Jamrozik, Klaudia, Jakub Rusek, Dominik Szozda et Krzysztof Karbowski. « Application of Computer Modeling for Planning Plastic Surgeries ». Management and Production Engineering Review 5, n^o 4 (10 décembre 2014) : 18–25. http://dx.doi.org/10.2478/mper-2014-0032.

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Abstract The paper presents the application results of reverse engineering technology for planning the plastic surgery. First step is digitalization of the patient body. It is realized by 3D structured light scanner. The scanning data are transferred into 3dsMax software and used for planning plastic surgery. The planning effect is shown using stereoscopy visualization method.

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Bottino, A., M. De Simone, A. Laurentini et C. Sforza. « A New 3-D Tool for Planning Plastic Surgery ». IEEE Transactions on Biomedical Engineering 59, n^o 12 (décembre 2012) : 3439–49. http://dx.doi.org/10.1109/tbme.2012.2217496.

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Rohrich, Rod J. « Strategic Planning in Plastic Surgery : Vital to Our Specialty ». Plastic and Reconstructive Surgery 110, n^o 7 (décembre 2002) : 1729–30. http://dx.doi.org/10.1097/00006534-200212000-00016.

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Kawashima, Norimichi, Yoshihiro Niikura, Toshio Sato, Yukiyasu Iida, Kiichi Tsuji et Eisaku Imamura. « PREOPERATIVE OF 3D PLASTIC REPLICA FOR SURGERY PLANNING WITH STEREO LITHOGRAPHY ?? ? APPLICATION OF ORAL SURGERY PLANNING ». ASAIO Journal 51, n^o 2 (mars 2005) : 4A. http://dx.doi.org/10.1097/00002480-200503000-00013.

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Pavlovic, I., V. Potkonjak et S. Djuricic. « Mathematical modeling in preoperative planning for reconstructive and plastic surgery ». Acta chirurgica Iugoslavica 52, n^o 3 (2005) : 87–90. http://dx.doi.org/10.2298/aci0503087p.

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Social importance of skin emphasizes an importance of quality of methods of planning for reconstructive and plastic surgery. With modern technical improvement the usage of complex mathematical model based on biomechanical characteristics of tissue is possible. Two and three-dimensional model, expert systems and mechanical analysis are used. In this work we tested the system for mechanical analysis in preoperative planning of a simple procedure of the Z-plastic, named the finite-element method. Computer model simulates tissue coverages. With geometrical data some physical characteristics are added. Complex surface of skin is marked by the grid divided in quadrangular elements. Mechanical consequences and definitive results of surgical procedure are analyzed during the computer simulation of the action of tension of skin and suture material. In our analysis we found the finite-element method of great usefulness and noticed that "surgery simulators" might be an efficient way to speed-up learning curve in reconstructive surgery.

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Pfaff, Miles J., et Derek M. Steinbacher. « Plastic Surgery Resident Understanding and Education Using Virtual Surgical Planning ». Plastic and Reconstructive Surgery 137, n^o 1 (janvier 2016) : 258e—259e. http://dx.doi.org/10.1097/prs.0000000000001853.

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Kazor, Christopher E., Khalaf Al-Shammari, David P. Sarment, Carl E. Misch et Hom-Lay Wang. « Implant Plastic Surgery : A Review and Rationale ». Journal of Oral Implantology 30, n^o 4 (1 août 2004) : 240–54. http://dx.doi.org/10.1563/0.637.1.

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Abstract Implant dentistry has been established as a predictable treatment modality with high clinical success rates. Esthetic considerations of implant restorations have been gaining increased interest over the years. The role of periodontal plastic surgical procedures in the creation and maintenance of peri-implant soft tissue heights to facilitate better esthetics has become more popular. The available plastic surgery procedures and their clinical applications are reviewed in this article. Emphasis is placed on factors to consider for proper case selection and ideal treatment planning.

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Vissers, G., M. Mantella, A. Ra, A. Labib et F. Ali. « Strategic planning of plastic surgery emergencies during the COVID-19 pandemic : Lessons learnt from a tertiary plastic surgery centre ». Journal of Plastic, Reconstructive & ; Aesthetic Surgery 74, n^o 8 (août 2021) : 1931–71. http://dx.doi.org/10.1016/j.bjps.2021.05.044.

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Senna-Fernandes, Vasco. « “Oriental anthropometry” in plastic surgery ». Indian Journal of Plastic Surgery 41, n^o 02 (juillet 2008) : 116–27. http://dx.doi.org/10.1055/s-0039-1699251.

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ABSTRACT Background : According to Chinese medicine, the acupuncture-points′ (acupoints) locations are proportionally and symmetrically distributed in well-defined compartment zones on the human body surface Oriental Anthropometry” (OA). Acupoints, if considered as aesthetic-loci, might be useful as reference guides in plastic surgery (PS). Aim: This study aimed to use aesthetic-loci as anatomical reference in surgical marking of Aesthetic Plastic Surgery. Method: This was an observational study based on aesthetic surgeries performed in private clinic. This study was based on 106 cases, comprising of 102 women and 4 men, with ages varying from 07 to 73 years, and with heights of between 1.34 m and 1.80 m. Patients were submitted to aesthetic surgical planning by relating aesthetic-loci to conventional surgical marking, including breast surgeries, abdominoplasty, rhytidoplasty, blepharoplasty, and hair implant. The aesthetic-surgical-outcome (ASO) of the patients was assessed by a team of plastic surgeons (who were not involved in the surgical procedures) over a follow-up period of one year by using a numeric-rating-scale in percentage (%) terms. A four-point-verbal-rating-scale was used to record the patients′ opinion of therapeutic-satisfaction (TS). Results: ASO was 75.3 ± 9.4% and TS indicated that most patients (58.5%) obtained “good” results. Of the remainder, 38.7% found the results “excellent”, and 2.8% found them “fair”. Discussion and Conclusion : The data suggested that the use of aesthetic-loci may be a useful tool for PS as an anatomical reference for surgical marking. However, further investigation is required to assess the efficacy of the OA by providing the patients more reliable balance and harmony in facial and body contours surgeries.

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Rogers, Ashley, Karina Charipova et Stephen B. Baker. « The Impact of Virtual Surgical Planning on the Value of Orthognathic Surgery for the Maxillofacial Surgeon ». FACE 2, n^o 2 (22 mars 2021) : 151–56. http://dx.doi.org/10.1177/27325016211001930.

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Background: The practice of orthognathic surgery traditionally involved time-intensive presurgical planning that was associated with decreased compensation relative to other procedures within the specialty. This limited reimbursement and subsequent reduction in the incidence of these procedures has been described in the literature. The introduction of VSP has streamlined the presurgical planning process. The purpose of this study is to provide a reevaluation of the relative value units (RVUs) per unit time for orthognathic surgery and to make a comparison to other commonly performed plastic surgery procedures in the context of recent developments in VSP. Methods: RVU data for both orthognathic and common plastic surgery procedures were collected using Current Procedural Terminology (CPT) codes. A range of operative times was then used to calculate work RVUs per hour of both orthognathic surgery and other procedures commonly performed by plastic surgeons including: unilateral deep inferior epigastric perforator (DIEP) flap breast reconstruction, bilateral breast tissue expander placement, bilateral breast reduction, bilateral breast reconstruction using latissimus dorsi muscle flaps, and panniculectomy. Results: Hourly RVUs for orthognathic procedures compare favorably to hourly RVUs for other commonly performed plastic surgery procedures when examined within a range of expected average operative times. Conclusions: Accounting for the reduced time commitment to preoperative planning that VSP achieves, the authors demonstrate a significant RVU/hour increase in orthognathic procedures than that described in the literature published prior to the implementation of VSP. Orthognathic surgery remains competitive for maxillofacial surgeons when compared to other procedures in plastic surgery when RVUs/hour is the metric of comparison.

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Seo, Hyung Joon, et Youn-Kyung Choi. « Current trends in orthognathic surgery ». Archives of Craniofacial Surgery 22, n^o 6 (20 décembre 2021) : 287–95. http://dx.doi.org/10.7181/acfs.2021.00598.

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Orthognathic surgery has steadily evolved, gradually expanding its scope of application beyond its original purpose of simply correcting malocclusion and the facial profile. For instance, it is now used to treat obstructive sleep apnea and to achieve purely cosmetic outcomes. Recent developments in three-dimensional digital technology are being utilized throughout the entire process of orthognathic surgery, from establishing a surgical plan to printing the surgical splint. These processes have made it possible to perform more sophisticated surgery. The goal of this review article is to introduce current trends in the field of orthognathic surgery and controversies that are under active discussion. The role of a plastic surgeon is not limited to performing orthognathic surgery itself, but also encompasses deep involvement throughout the entire process, including the set-up of surgical occlusion and overall surgical planning. The authors summarize various aspects in the field of orthognathic surgery with the hope of providing helpful information both for plastic surgeons and orthodontists who are interested in orthognathic surgery.

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Rohrich, Rod J. « Strategic Planning in Plastic Surgery : What It Can Do for You ». Plastic & ; Reconstructive Surgery 105, n^o 7 (juin 2000) : 2497–99. http://dx.doi.org/10.1097/00006534-200006000-00031.

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Walsh, Kathleen C. « Planning and Presenting a Plastic Surgery Educational Program for Your Community ». Plastic Surgical Nursing 12, n^o 1 (1992) : 37–40. http://dx.doi.org/10.1097/00006527-199201210-00009.

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Bourne, Debra A., Wendy Chen, Benjamin K. Schilling, Eliza Beth Littleton, Kia M. Washington et Carolyn De La Cruz. « The Impact of Plastic Surgery Training on Family Planning and Prenatal Health ». Plastic and Reconstructive Surgery 144, n^o 5 (novembre 2019) : 1227–36. http://dx.doi.org/10.1097/prs.0000000000006100.

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Yenidunya, M. Oguz, et M. Erol Demirseren. « A USEFUL METHOD FOR PREOPERATIVE PLANNING WITH A TRANSPARENT PLASTIC SHEET ». Plastic and Reconstructive Surgery 114, n^o 1 (juillet 2004) : 271–72. http://dx.doi.org/10.1097/01.prs.0000127244.97130.5d.

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Haithem, Hermessi, et Mourali Olfa. « Aided 3D Facial Restoration for Plastic Surgery Planning using Elastic Radial Curves ». International Journal of Computer Applications 127, n^o 7 (15 octobre 2015) : 7–11. http://dx.doi.org/10.5120/ijca2015903074.

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Georgii, Joachim, Maximilian Eder, Kai Burger, Sebastian Klotz, Florian Ferstl, Laszlo Kovacs et Rudiger Westermann. « A Computational Tool for Preoperative Breast Augmentation Planning in Aesthetic Plastic Surgery ». IEEE Journal of Biomedical and Health Informatics 18, n^o 3 (mai 2014) : 907–19. http://dx.doi.org/10.1109/jbhi.2013.2285308.

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Hemal, Kshipra, Wendy Chen et Debra A. Bourne. « 7. The Impact of Plastic Surgery Career on Family Planning and Prenatal Health ». Plastic and Reconstructive Surgery - Global Open 9, n^o 2S (février 2021) : 4. http://dx.doi.org/10.1097/01.gox.0000734932.16941.6a.

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Aguilar, Eugenio A., et Robert A. Jahrsdoerfer. « The Surgical Repair of Congenital Microtia and Atresia ». Otolaryngology–Head and Neck Surgery 98, n^o 6 (juin 1988) : 600–606. http://dx.doi.org/10.1177/019459988809800612.

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Auricular reconstruction for congenital microtia is a complex multi-staged procedure. The repair of congenital atresia of the ear is one of the most difficult operations an otologic surgeon may attempt. in order to accomplish both procedures without endangering the integrity of either, there must be proper planning and close cooperation between the otologist and the facial plastic surgeon. In this article, we present our philosophy concerning the management and timing of these operations. The steps of each operation, and the impact of each on the other, are reviewed. Only through careful planning and coordination of these operations will patients realize the full benefit of their surgery. (OTOLARYNGOL HEAD NECK SURG 1988;98:600.)

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Tepper, Oren, David Hirsch, Jamie Levine et Evan Garfein. « The New Age of Three-Dimensional Virtual Surgical Planning in Reconstructive Plastic Surgery ». Plastic and Reconstructive Surgery 130, n^o 1 (juillet 2012) : 192e—194e. http://dx.doi.org/10.1097/prs.0b013e318254fbf6.

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Pfaff, Miles J., et Derek M. Steinbacher. « Plastic Surgery Applications Using Three-Dimensional Planning and Computer-Assisted Design and Manufacturing ». Plastic and Reconstructive Surgery 137, n^o 3 (mars 2016) : 603e—616e. http://dx.doi.org/10.1097/01.prs.0000479970.22181.53.

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Kawashima, Norimichi, Yoshihiro Niikura, Toshio Sato, Yukiyasu Iida, Eisaku Imamura, Yukimori Isoda et Takahiko Kamikura. « PREOPERATIVE OF 3D PLASTIC REPLICA FOR CRANIOMAXILLOFACIAL AREA SURGERY PLANNING WITH STEREO LITHOGRAPHY ». ASAIO Journal 52, n^o 2 (mars 2006) : 7A. http://dx.doi.org/10.1097/00002480-200603000-00046.

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Chae, Michael P., David J. Hunter-Smith et Warren Matthew Rozen. « Imaging and printing in plastic and reconstructive surgery part 1 : established techniques ». Australasian Journal of Plastic Surgery 2, n^o 1 (15 mars 2019) : 55–68. http://dx.doi.org/10.34239/ajops.v2i1.36.

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Background: An increasing number of reconstructive surgeons are using modern imaging technologies for preoperative planning and intraoperative surgical guidance. Conventional imaging modalities such as CT and MRI are relatively affordable and widely accessible and offer powerful functionalities. In the first of a two-part series, we evaluate established three-dimensional (3D) imaging and printing techniques based on CT and MRI used in plastic and reconstructive surgery. Method: A review of the published English literature dating from 1950 to 2017 was taken using databases such as PubMed, MEDLINE®, Web of Science and EMBASE. Result: In plastic and reconstructive surgery, the most commonly used, free software platforms are 3D Slicer (Surgical Planning Laboratory, Boston, MA, USA) and OsiriX (Pixmeo, Geneva, Switzerland). Perforator mapping using 3D-reconstructed images from computed tomography angiography (CTA) and magnetic resonance angiography (MRA) is commonly used for preoperative planning. Three-dimensional volumetric analysis using current software techniques remains labour-intensive and reliant on operator experience. Three-dimensional printing has been investigated extensively since its introduction. As more free open-source software suites and affordable 3D printers become available, 3D printing is becoming more accessible for clinicians. Conclusion: Numerous studies have explored the application of 3D-rendered conventional imaging modalities for perforator mapping, volumetric analysis and printing. However, there is a lack of comprehensive review of all established 3D imaging and printing techniques in a language suitable for clinicians.

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Chae, Michael Park, David Hunter-Smith et Warren Rozen. « Imaging and printing in plastic and reconstructive surgery part 1 : established techniques ». Australasian Journal of Plastic Surgery 2, n^o 1 (9 juillet 2020) : 55–68. http://dx.doi.org/10.34239/ajops.v2i1.50.

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Background: An increasing number of reconstructive surgeons are using modern imaging technologies for preoperative planning and intraoperative surgical guidance. Conventional imaging modalities such as CT and MRI are relatively affordable and widely accessible and offer powerful functionalities. In the first of a two-part series, we evaluate established three-dimensional (3D) imaging and printing techniques based on CT and MRI used in plastic and reconstructive surgery. Method: A review of the published English literature dating from 1950 to 2017 was taken using databases such as PubMed, MEDLINE®, Web of Science and EMBASE. Result: In plastic and reconstructive surgery, the most commonly used, free software platforms are 3D Slicer (Surgical Planning Laboratory, Boston, MA, USA) and OsiriX (Pixmeo, Geneva, Switzerland). Perforator mapping using 3D-reconstructed images from computed tomography angiography (CTA) and magnetic resonance angiography (MRA) is commonly used for preoperative planning. Three-dimensional volumetric analysis using current software techniques remains labour-intensive and reliant on operator experience. Three-dimensional printing has been investigated extensively since its introduction. As more free open-source software suites and affordable 3D printers become available, 3D printing is becoming more accessible for clinicians. Conclusion: Numerous studies have explored the application of 3D-rendered conventional imaging modalities for perforator mapping, volumetric analysis and printing. However, there is a lack of comprehensive review of all established 3D imaging and printing techniques in a language suitable for clinicians.

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Borges, Albert F. « The Planning of Local Plastic Operations on the Body Surface : Theory and Practice ». Plastic and Reconstructive Surgery 75, n^o 5 (mai 1985) : 760. http://dx.doi.org/10.1097/00006534-198505000-00028.

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Vistnes, Lars M. « The Planning of Local Plastic Operations on the Body Surface : Theory and Practice ». Annals of Plastic Surgery 14, n^o 1 (janvier 1985) : 95. http://dx.doi.org/10.1097/00000637-198501000-00019.

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Lim, Nam Kyu, et Jae Hee Yoon. « A quantitative analysis of trauma patients having undergone plastic surgery ». PLOS ONE 17, n^o 8 (15 août 2022) : e0272054. http://dx.doi.org/10.1371/journal.pone.0272054.

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Purpose While plastic surgeons have been historically indispensable in reconstruction of posttraumatic defects, their role in Level I trauma centers around the world has not yet been clearly approved. This study aims to assess the contribution of plastic surgeons in major trauma care by evaluating the characteristics of trauma patients underwent plastic surgery at a Level I trauma center. Method From November 2014 to October 2020, we conducted a retrospective review of our hospital’s Trauma Registry System for patients with an Injury Severity Score (ISS) of 9 or higher. Of all of 7174 patients, the plastic surgery (PS) department treated 870 patients; the 6304 patients not treated by the PS were classified as the Non-PS. Then, we performed propensity score matching to reduce the statistical bias, after the death in the emergency room and the missing value were considered exclusion criteria. Result The mean ISS showed no significant difference between two groups (16.29 ± 7.04 in the PS vs. 16.68 ± 9.16 in the Non-PS, p = 0.3221). According to investigate the Abbreviated Injury Scale, both head and neck (65.0%) and face (46.4%) categories showed significantly higher in the PS group than the Non-PS group (p < 0.0001), and its contribution ratio was 2.151 and 21.822 times, respectively. Conclusion This study revealed the specialty of plastic surgery was face area in trauma care. We thus argue that plastic surgical care is imperative for trauma patients, and expect to be implicated in trauma system planning.

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Zolotov, A. S. « Inguinal flap planning ». N.N. Priorov Journal of Traumatology and Orthopedics 6, n^o 3 (20 août 1999) : 61–62. http://dx.doi.org/10.17816/vto105112.

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For the treatment of severe open injuries of the hand with extensive soft tissue defects, skin grafting with a pedunculated inguinal flap is widely used. The inguinal flap was one of the first axial flaps described in the literature [5]. It was first used as a pedicled flap, then as a free flap using microvascular anastomoses. In the future, it was replaced by other, more modern and effective flaps. However, in recent years, in the treatment of hand injuries, the pedunculated inguinal flap has experienced a rebirth [4]. And this is due to its undoubted advantages over other methods of skin plastic surgery. The inguinal flap can be taken quite large, and the donor site suffers slightly. If microsurgical reconstruction is to be performed in the future, then it is better to perform it on the hand, where microvascular anastomoses have not been done before.

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Vles, M. D., N. C. O. Terng, K. Zijlstra, M. A. M. Mureau et E. M. L. Corten. « Virtual and augmented reality for preoperative planning in plastic surgical procedures : A systematic review ». Journal of Plastic, Reconstructive & ; Aesthetic Surgery 73, n^o 11 (novembre 2020) : 1951–59. http://dx.doi.org/10.1016/j.bjps.2020.05.081.

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Begaj, A., F. Marlborough et KP Allison. « Free flap breast reconstruction in the UK : are we meeting demand ? » Bulletin of the Royal College of Surgeons of England 104, n^o 2 (mars 2022) : 82–88. http://dx.doi.org/10.1308/rcsbull.2022.22.

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INTRODUCTION The demand for free flap breast reconstruction appears to be increasing. The aim of this study was to evaluate the capacity for microsurgical breast reconstruction across the UK and compare this with the apparent demand to inform future workforce planning. METHODS A questionnaire was sent to all 56 plastic surgery units in the UK to establish whether they performed reconstructive breast surgery, the number of free flaps they performed each year and what issues they were encountering in meeting the demand. The unit response rate was 93%. RESULTS Current workforce planning figures show that there are 161 consultant plastic surgeons who perform free tissue breast reconstruction. Across the UK, the total number of extra breast reconstructive surgeons felt to be needed was 78. The mean number of free flaps performed per surgeon each year was 20. Respondents suggested that they felt that 20 free flaps was a suitable number to maintain their skills. Two-thirds (66%) of the respondents reported issues impairing delivery of their free flap service with access to theatre (41%) and inability to meet the demand (18%) as the two key reasons. CONCLUSIONS Our results show that there is a demand for microsurgical breast reconstruction that is not being fully met. It is hoped that this survey will add to the evidence base that plastic surgeons remain an integral part of the care of many breast cancer patients and that it will encourage trainees to consider breast microsurgery as their subspecialty of choice.

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Tempest, Michael N. « The planning of local plastic operations on the body surface : Theory and practice ». British Journal of Plastic Surgery 38, n^o 1 (janvier 1985) : 140–41. http://dx.doi.org/10.1016/0007-1226(85)90118-3.

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Beaty, Mark M. « Guiding the Facial Rejuvenation Journey : Fulfilling the Complete Role of Surgeon and Aesthetic Practitioner ». Facial Plastic Surgery 37, n^o 02 (25 février 2021) : 140–48. http://dx.doi.org/10.1055/s-0041-1723756.

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AbstractThe facial plastic surgeon's role today includes more than provision of procedural excellence. To provide excellent quality of care effective planning and guidance for patients through the aesthetic journey is needed. Methods for the delivery of this level of care are presented and discussed.

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Homsy, Christopher, Michelle E. McCarthy, Soobin Lim, John T. Lindsey, Thomas T. Sands et John T. Lindsey. « Portable Color-Flow Ultrasound Facilitates Precision Flap Planning and Perforator Selection in Reconstructive Plastic Surgery ». Annals of Plastic Surgery 84 (juin 2020) : S424—S430. http://dx.doi.org/10.1097/sap.0000000000002203.

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Jung, Joo Sung, Dong Hee Kang et Nam Kyu Lim. « Epidemiology of severe trauma patients treated by plastic surgeons : A 7-year study at a single regional trauma center in South Korea ». Archives of Plastic Surgery 47, n^o 3 (15 mai 2020) : 223–27. http://dx.doi.org/10.5999/aps.2020.00430.

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Background After the laws regulating emergency medicine were amended in 2012, regional trauma centers were established in South Korea. Plastic surgeons specialize in the simultaneous surgical care of patients with facial trauma, burns, and complicated wounds. The objective of this study was to evaluate the role of the plastic surgery department in treating severe trauma patients.Methods From January 2012 to December 2018, we enrolled 366 severe trauma patients with an Injury Severity Score (ISS) over 15 who received treatment by specialists in the plastic surgery department. Of these patients, 298 (81.4%) were male, and their mean age was 51.35 years (range, 6–91 years). The average ISS was 22.01 points (range, 16–75 points).Results The most common diagnosis was facial trauma (95.1%), and facial bone fracture (65.9%) was most common injury within this subgroup. Patients were referred to 1.8 departments on average, with the neurosurgery department accounting for a high proportion of collaborations (37.0%). The most common cause of trauma was traffic accidents (62.3%), and the average length of stay in the general ward and intensive care unit was 36.90 and 8.01 days, respectively. Most patients were discharged home (62.0%) without additional transfer or readmission.Conclusions Through this study, we scoped out the role of the specialty of plastic surgery in the multidisciplinary team at regional trauma centers. These results may have implications for trauma system planning.

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Michalíková, Monika, Teodor Tóth, Viktória Rajťúková et Jozef Živčák. « The Digital Pre-Operative Planning of Hip Surgical Interventions ». Solid State Phenomena 199 (mars 2013) : 350–55. http://dx.doi.org/10.4028/www.scientific.net/ssp.199.350.

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Computer technology has many applications in different fields of industry, health care and medicine. This encompasses paper-based information processing as well as data processing machines (Hospital information system or Clinical information system) and image digitalization of a large variety of medical diagnostic equipment (e.g. computer images of X-ray, MR, CT). The aim of the computer technology in medicine is to achieve the best possible support of patient care, preoperative surgery planning and administration by electronic data processing. At the present time in many countries of the worlds preoperative planning of interventions for lumbar joint is realized with caliper, protractor, plastic templates and x-ray images. Orthopaedic surgeons use transparent template radiographs as part of pre-operative planning in order to gauge the suitability and correct size of an implant. The newly developed CoXaM software offers a simple solution of the problems by using the digital x-ray images and handmade transparent plastic templates. The CoXaM software was developed in Visual Studio 2005 in the Visual C++ programming language at the Department of Biomedical Engineering and Measurement at the Faculty of Mechanical Engineering, Technical University of Kosice. The software was designed for pre-operative planning and helps to determine on the X-ray image a length dimensions, a center of rotation, an angle values. It enables the digitalization of plastic templates from several producers, which will assess the suitability of the type of implant.

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Wallace, David L., Roger W. Smith et Mark A. Pickford. « A cohort study of acute plastic surgery trauma and burn referrals using telemedicine ». Journal of Telemedicine and Telecare 13, n^o 6 (1 septembre 2007) : 282–87. http://dx.doi.org/10.1258/135763307781644933.

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A store-and-forward telemedicine system was used to supplement normal telephone referrals to the plastic surgery unit at the Queen Victoria Hospital (QVH). During a 12-week prospective study, 11 units (8 hospitals and 3 minor injury units) with the telemedicine system and 10 units (8 hospitals and 2 minor injury units) without it regularly made referrals (at least 10) to the QVH. There were 389 referrals from the telemedicine-equipped units and 607 telephone referrals from the non-telemedicine units. The telemedicine system was used for 246 of the 389 referrals (63%) made from telemedicine-equipped units. There was a significant difference in the management of patients when the telemedicine system was available, with more patients booked directly into day surgery and fewer attending for assessment. The burns unit and the day surgery unit demonstrated a significantly improved accuracy of triage. Telemedicine could have a valuable role to play in the triage and planning of acute plastic surgery referrals.

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Pavlova, O. Yu, N. S. Serova, D. V. Davydov et V. V. Zuev. « RADIOLOGY OF THE DANGEROUS ZONES IN PLANNING OF RECONSTRUCTIVE-PLASTIC SURGERY IN MAXILLO-FACIAL REGION ». Russian Electronic Journal of Radiology 12, n^o 4 (2022) : 48–56. http://dx.doi.org/10.21569/2222-7415-2022-12-4-48-56.

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Steblоvskyi, D. V., V. V. Bondarenko et I. Y. Popovych. « MORPHOLOGICAL GROUNDS FOR PLASTIC SURGERY IN THE MASTOID AREA ». Актуальні проблеми сучасної медицини : Вісник Української медичної стоматологічної академії 19, n^o 2 (19 juillet 2019) : 138–41. http://dx.doi.org/10.31718/2077-1096.19.2.138.

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This article presents the data on the structural peculiarities of the mastoid region, the dependency between the thickness of the epidermis, dermis, subcutaneous fat, and size of the structural elements of the skin at various stages of its deformation that allows us to determine the digital indices for the depth of skin peeling and skin amount dissected when planning plastic and reconstructive operations skin that is carved. In order to achieve the optimal result of plastic operations, and, in particularly, of cosmetic otoplasty and lower rhytidectomy, and to minimize the development of postoperative complications, the manual skills of the surgeon are not sufficient. It is essential to know exactly morphofunctional characteristics of layered structure of certain topographic and anatomical sites, especially within mastoid area, where the main incisions are made when performing on the above-mentioned surgical interventions. After stretching the test samples of the skin taken from the mastoid region within 5 mm, we observed subtle differences between them even in the state of physiological rest. The study of the structure of the skin-fat flap samples after stretching within 15 mm demonstrated the occurrence of pathological processes in the skin epithelium and dermis. The morphological picture indicated the development of balloon dystrophy that is known as the morphological equivalent of focal necrosis. Investigation of microslides of the skin taken from and exposed to stretching within 20 mm made it possible to reveal the intensification of the previously described changes and the development of qualitatively new pathological changes both in the epidermis and in the dermis. The results obtained enable us to conclude that during operations in the mastoid area, the biomechanical properties of the skin-fat flaps should be taken into account. When the skin was stretched within 5 – 10 mm, irreversible changes did not occur, and these are optimal indicators during surgical interventions. With a flap deformation within 15-20 mm, pathological changes were observed, in some cases they were classified as irreversible that led to necrosis in the postoperative period.

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Saba, Luca, Matteo Atzeni, Warren Matthew Rozen, Alberto Alonso-Burgos, Raffaella Bura, Mario Piga et Diego Ribuffo. « Non-invasive vascular imaging in perforator flap surgery ». Acta Radiologica 54, n^o 1 (février 2013) : 89–98. http://dx.doi.org/10.1258/ar.2012.120245.

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Preoperative imaging using a range of imaging modalities has become increasingly popular for preoperative planning in plastic surgery, in particular in perforator flap surgery. Modalities in this role include ultrasound (US), magnetic resonance angiography (MRA), and computed tomographic angiography (CTA). The evidence for the use of these techniques has been reported in only a handful of studies. In this paper we conducted a non-systematic review of the literature to establish the role for each of these modalities. The role of state-of-the-art vascular imaging as an application in perforator flap surgery is thus offered.

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Morzycki, Alexander, Helene Retrouvey, Becher Alhalabi, Johnny Ionut Efanov, Sarah Al-Youha, Jamil Ahmad et David T. Tang. « The Canadian Plastic Surgery Workforce Analysis : Forecasting Future Need ». Plastic Surgery 26, n^o 4 (3 octobre 2018) : 269–79. http://dx.doi.org/10.1177/2292550318800328.

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Background: Projecting the demand for plastic surgeons has become increasingly important in a climate of scarce public resource within a single payer health-care system. The goal of this study is to provide a comprehensive workforce update and describe the perceptions of the workforce among Canadian Plastic Surgery residents and surgeons. Methods: Two questionnaires were developed by a national task force under the Canadian Plastic Surgery Research Collaborative. The surveys were distributed to residents and practicing surgeons, respectively. Results: Two-hundred fifteen (49%) surgeons responded, with a mean age of 51.4 years (standard deviation [SD] = 11.5); 78% were male. Thirty-three percent had been in practice for 25 years or longer. More than half of respondents were practicing in a large urban center. Fifty-nine percent believed their group was going to hire in the next 2 to 3 years; however, only 36% believed their health authority/provincial government had the necessary resources. The mean desired age of retirement was 67 years (SD = 6.4). We predict the surgeons-to-population ratio to be 1.55:100 000 and the graduate-to-retiree ratio to be 2.16:1 within the next 5 to 10 years. Seventy-seven (49%) residents responded. Most were “very satisfied” with their training (61%) and operative experience (90%). Eighty-nine percent of respondents planned to pursue addqitional training after residency, with 70% stating that the current job market was contributing to their decision. Most residents responded that they were concerned with the current job market. Conclusions: The results of this study predict an adequate number of plastic surgeons will be trained within the next 10 years to suit the population’s requirements; however, there is concern that newly trained surgeons will not have access to the necessary resources to meet growing demands. Furthermore, there is an evident shortage of those practicing in rural areas. Many trainees worry about the availability of jobs, despite evidence of active recruitment. The workforce may benefit from structured career mentorship in residency and improved transparency in hiring practices, particularly to attract young surgeons to smaller communities. It may also benefit from a coordinated national approach to recruitment and succession planning.

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Keles, Musa, Murat Engin, İlhami Aydoğdu, İsmail Küçüker et İbrahim Aksakal. « Preoperative Simulation in Planning Rhinoplasty : Evaluation from Patients' and Surgeons' Perspectives ». Facial Plastic Surgery 33, n^o 03 (juin 2017) : 324–28. http://dx.doi.org/10.1055/s-0037-1601419.

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AbstractAmong aesthetic surgery procedures, rhinoplasty is one of the most common. Preoperative simulations have become increasingly commonplace through the recent years along with a controversy regarding their use. Although capable of building a solid rapport between the surgeon and the patient by visualizing the end result, it can also prove to be a liability for a surgeon who is not confident about delivering the result which has been put on screen. The objective of this study is to evaluate the outlook of the surgeons and patients on preoperative simulations. Plastic surgeons who perform rhinoplasty and individuals who consider rhinoplasty were surveyed via an online questionnaire system. Their opinions about the practice of simulation were questioned and they were asked to distinguish between simulated and actual postoperative results. Statistical analyses were performed using SPSS software. Major factors influencing the decision-making process of patients were the availability of preoperative simulation, being shown appealing results of the surgeon's previous work and a personal reference from a patient with an appealing result. Within the health care professionals, it has been observed that experienced surgeons are more confident about using simulations, while inexperienced ones are daunted by being bound with a visual contract (p < 0.05). However, it has been noted that the preference of withholding the simulation or providing a copy to the patient was similar in all experience levels (p > 0.05). In conclusion, our findings suggest that the patients' self-consciousness regarding preoperative simulations seem to grow faster than the surgeons' confidence in their use. Level of evidence is Level V.

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Rao, Zhi, Shuo Sun, Mingye Li, Xiaoqiang Ji et Jipeng Huang. « 3D Facial Plastic Surgery Simulation : Based on the Structured Light ». Applied Sciences 13, n^o 1 (3 janvier 2023) : 659. http://dx.doi.org/10.3390/app13010659.

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The 3D quantitative analysis of facial morphology is of importance in plastic surgery (PS), which could help surgeons design appropriate procedures before conducting the surgery. We propose a system to simulate and guide the shaping effect analysis, which could produce a similar but more harmonious face simulation. To this end, first, the depth camera based on structured light coding is employed for facial 3D data acquisition, from which the point cloud data of multiple facial perspectives could be obtained. Next, the cascade regression tree algorithm is used to extract the esthetic key points of the face model and to calculate the facial features composed of the key points, such as the nose, chin, and eyes. Quantitative facial esthetic indexes are offered to doctors to simulate PS. Afterward, we exploit a face mesh metamorphosis based on finite elements. We design several morphing operators, including augmentation, cutting, and lacerating. Finally, the regional deformation is detected, and the operation effect is quantitatively evaluated by registering the 3D scanning model before and after the operation. The test of our proposed system and the simulation of PS operations find that the measurement error of facial geometric features is 0.458 mm, and the area is 0.65 mm2. The ratings of the simulation outcomes provided by panels of PS prove that the system is effective. The manipulated 3D faces are deemed more beautiful compared to the original faces respecting the beauty canons such as facial symmetry and the golden ratio. The proposed algorithm could generate realistic visual effects of PS simulation. It could thus assist the preoperative planning of facial PS.

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Shah, Syed Sajid Hussain, et Bibi Aaliya. « Fetal Warfarin Syndrome – a case report ». Journal of Gandhara Medical and Dental Science 9, n^o 1 (7 janvier 2022) : 82–84. http://dx.doi.org/10.37762/jgmds.9-1.235.

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A two-month-old male infant presented with history of respiratory difficulty and got admitted with provisional diagnosis of pneumonia. On examination patient was having unilateral nasal hypoplasia and cyanosis with echocardiography showing truncus arteriosus. Detail history revealed that mother had valve replacement and she was taking warfarin during pregnancy. After initial management patient was referred to pediatric cardiac surgery and plastic surgery for further management. Parents were counseled regarding contraception and family planning.

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